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COMTREA Board
Monday, February 11, 2019
COMTREA BOARD OF DIRECTORS MEETING AGENDA Monday, February 11, 2019
1. Meeting Open 2. Mission Statement
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.
3. Approval of Agenda 4. Approval of January 10, 2019 Minutes 5. Closed Session
a. Real Estate
6. Financial Review
a. Financial Performance
7. February Program Highlight a. Board Authority Overview
8. CEO’s Report a. What are our clients saying?
b. Financial Focus Update
i. Financial Alignment Plan
ii. Growth Report
c. State Associations
d. Divisional Updates
i. Behavioral Health/Psychiatry Updates
ii. Primary Care Updates
iii. Oral Health Updates
e. HRSA
i. PR Monthly Review
ii. HRSA MOCK Survey Results and Follow-up
iii. Current % of Board Consumers
f. Monthly Grant Update
g. Locations, Services Lines and Hours of Operation
h. Volunteers
i. Brag Moment
9. Action Items (Anything that requires a vote) a. Leadership Council Reports (Month of January)
b. Approval of New Fee Schedule
c. Approval of Bridle Ridge Property Sale Changes
d. Approval of Q2 Strategic Plan Update
e. Approval of Quarterly Risk Management Report
f. Approval of nominations for ASP Committee
g. Credentialing & Privileging
h. QIQA Monthly Report
10. Discussion Items (Informational; no action taken) a. JCCMHFB By-Laws Review
b. Subcommittees of the Board
i. Building and Grounds
a) MHOH Building – Site Prep
ii. Fundraising & Capital Campaign
11. Board Member Information a. Board Recruitment
12. Old Business 13. Next Scheduled Board Meeting
a. Monday, March 11, 2019 at 7:30am 14. Adjournment
BOARD MEETING MINUTES 1 | P a g e
Board Meeting Minutes
Meeting Date 01/14/2019 Time: 7:30 am Chairperson/President/Facilitator: Jerry Rogers, Chairperson
Attendees: Jerry Rogers (Board Chair); Cliff Lane; Mark Mertens; John Lamping (Board
Treasurer); Kathryn Ellis (Board Vice Chair); Dr. Josh Isaacson; Elizabeth Diveley (Board
Secretary); Alicia Towery; Dr. Caron Daughtery and Dr. Steven Crawford
Not in Attendance: Beth McDaniel; Audrey Mitchell; Jane Sullivan; Sylvia Daniels; Kelly Steffens and Martha
Maxwell.
Staff in Attendance: Susan M. Curfman, MA (President & CEO); Dr. Rohatgi (Chief Medical
Officer); Donna Harris-Brekel (VP of HR); Margo Pigg (Chief Behavioral Health Officer); Lisa
Rothweiler (COO); Katy Murray (VP Corporate Compliance/QM); Cindy Vessell (VP of
Community Services); Dr. Courtney Garland (Dir of Oral Health); Amy Rhodes (CFO); Patty
Vanek (VP, Clinical Quality); Dana Silverblatt (VP of Integrated Practices and SBHC)
Not in Attendance: Kim Elbl (VP Capital Campaign and Fundraising)
1. Meeting Open The January 14, 2019 Board Meeting was called to order at 7:33 am by Jerry Rogers, Board
Chairman with a quorum of members present.
2. Mission Statement 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.
3. Approval of Agenda The, January 14, 2019 board meeting agenda was reviewed and no revisions were
requested.
BOARD MEETING MINUTES 2 | P a g e
Recommendations: "I, Mark Mertens, move that we approve the January 14, 2019 Agenda
as presented." Cliff Lane seconded the motion. The motion carried.
4. Approval of December 10, 2018 Minutes The December 10, 2018, board meeting minutes were reviewed with no revisions requested.
Recommendations: “I, Beth Diveley, move that we approve the December 10, 2018 Board
Meeting Minutes.” Kathy Ellis seconded the motion. The motion carried.
Action Items Sign the final approved board meeting minutes (Jerry Rogers, Chairman)
5. Closed Session During the closed session the Board discussed updates with personnel, there was no
decisions formally made. The Board returned to open session at 7:47am.
6. Financial Review The financial update for November 2018 was provided by John Lamping. The cash on hand
is tight, AR is at $3.6K and a bit high and one of the primary reasons for this is the MiL Tax
which is expected in the next few days. There have been change in management and the
AR is being watched and explored. The month of November had a minimal loss but
COMTREA is still profitable year to date. The two areas of concerns continue to be Primary
Care and Dental. Expenses remain in line there are a few areas with overages but not of
concern. Jerry Rogers asked if Dr. Turner’s contract is complete and that will help with the
financial numbers.
Recommendations: “I, John Lamping, move that the Board approve the financial report for
the month of November 2018.” Beth Diveley seconded the motion. The motion carried.
7. January Program Highlight
a. Integration reported by Dr. Rohatgi
Dr. Rohatgi presented on integrations speaking on the recent tour he had with Sue Curfman.
His observations thus far are:
• If we want to integrate the culture needs to change via communication and
understanding and get to know one another that is difficult with the number of places
BOARD MEETING MINUTES 3 | P a g e
and people. Dr. Rohatgi gave an example of a set up in his residency and how that
worked.
• Everyone will need to expand their practice and work together. Learning skills from
various disciplines.
• Uniformity – the EMR will be the same by June as it’s hard to manage two different
systems.
• The BH department is not uniform and each office does things differently and they
need to have consistency and be refined. In February there will be a BH meeting and
some of the financial numbers will be shared and with the data there should be
changes.
• There are also different types of employees and COMTREA needs to evaluate what
type of staff since that will determine someone’s commitment.
Jerry Rogers asked about expanding the practice, Dr. Rohatgi clarified that this is expanding
the current provider’s scope of what they do. Josh Isaacson asked how these things line up
in COMTREA’s strategic plan and the timeline. Dr. Rohatgi spoke of changes over the years
and doesn’t have a timeline this time and in the end it will come down to whether the culture
can be changed. Mark Mertens asked if a Psych wants to treat a PC, Dr. Rohatgi stated he
won’t be treating but simple things they can look at and get a patient going and switch over to
PC. Dr. Crawford asked how communication can be improved with outside providers. Dr.
Rohatgi stated his focus is on internal and not external. Dr. Crawford spoke of situations with
his office. This discussion will be scheduled for later.
8. CEO’s Report a. Financial Focus Update
Sue Curfman spoke to the integration and how three years ago there was no data or targets.
The roles of CMO and VP, Integration are looking at how the BH patients can come into
Primary Care. This was added to Arnold and will be added to Festus. Sue Curfman reported
on the financial alignment plan and growth report. Processes will be looked at heavily this
year and making sure that the processes are the same across all three and scheduling will be
the first process that will be touched on. There will be a goal of centralized scheduling by
July 1. On the growth report the revenue per a patient needs to be looked at these numbers
are higher for dental and BH. Primary Care total revenue per a visit is roughly $70 less than
BOARD MEETING MINUTES 4 | P a g e
BH, the payor mix determines this also. 10% of everything done in Primary Care is self-pay
and isn’t collected compared to 3% in BH. Insured is 36% in PC and 12% in BH. In
production for Primary Care was higher than the other two. Because of this more patients
need to get in Primary Care, this is the reason why COMTREA became a FQHC. With
putting BH and PC in the same buildings this should start to help with integration.
i. Financial Alignment Plan
ii. Growth Report
b. State Associations
Sue Curfman provided an update, stating that there are meetings coming up on Feb 12th
there are new legislators in office. One urgent priority is Medicaid Reform. There is
discussions around capitation. At the Federal level there are concerns around discretionary
funding that expires March 31, 2019.
c. Divisional Updates
i. Behavioral Health/Psychiatry Updates
There is an offer for a nurse practioner and some consistency is being looked at with the
processes within BH.
ii. Primary Care Updates
Primary Care is continuing to work on integration.
iii. Oral Health Updates
Sue Curfman stated that on the Oral Health side there is a lot of right sizing being done they
are also providing Health Department providers each week.
d. HRSA
i. NoA
Sue Curfman informed the board that the NoA was received letting us know that Dunklin is
within our scope now.
ii. PR Monthly Review (continue next month)
The PR monthly review will continue next month.
iii. HRSA MOCK Survey (Jan 15-17)
Sue Curfman stated that the next three days a MOCK HRSA Survey will be performed to see
how ready the agency is for the site visit that will occur later this year.
iv. Current % of Board Consumers
BOARD MEETING MINUTES 5 | P a g e
Sue Curfman stated that the most urgent plea is board members need to be consumers we
are currently under the 51% that is required for compliance. Jerry Rogers stated that this is
spoken about every month since becoming a FQHC and the impact that not meeting this it
could impact the HRSA grant. It was clarified that a minor child would count. One face to
face visit every two years is all that is required.
e. Volunteers
The volunteer report was presented with 2221 volunteer hours for 2018. Caron Daughtery
asked if there has been a data analysis showing the economic impact the volunteers are
making on the county. There are federal guidance rates are available. Alicia Towery stated
that they do this at the coalition.
9. Action Items (Anything that requires a vote) a. Leadership Council Reports (Month of December)
There was no additions to the reports that went out to Board members earlier in the month.
Recommendations: “I, John Lamping, move that the Board approve the December
Leadership Council Report.” Beth Diveley seconded the motion. The motion carried.
b. Dissolution of A Friends of A Safe Place Foundation Board Tax ID
Sue Curfman informed the board that in the recent audit it was identified that the TAX ID for A
Friends of ASP is not needed and currently the way it comes in and is transferred was
bringing up some flags, the board discussed the resolution to bring to this board and the
board would be a subcommittee of the COMTREA Board. Mark Mertens stated that the
reason this was set up initially was because of funding and that has not been needed. Dr.
Isaacson asked if this was an issue with the Foundation. Jerry Rogers stated that has not
assisted. Jerry Rogers also stated that there are individuals on that board that aren’t part of
the COMTREA Board. Mark Mertens asked about looking at the bylaws with this.
Recommendations: “I, Josh Isaacson, move that the Board approve the dissolution of the A
Safe Place Foundation Board Tax ID and board.” Mark Mertens seconded the motion. The
motion carried.
c. Approval of Staff Benefit Changes
BOARD MEETING MINUTES 6 | P a g e
Sue Curfman went over the new waiting periods that would go in effect that are fairly
standard in the work community. These waiting periods would apply to new hires. There
was discussion on the timeline.
i. Change the waiting period for Employee Handbook Policy 15.11
Retirement to the 1st of the month after 6 month waiting period
COMTREA match on 403b
Recommendations: “I, Mark Mertens, move that the Board approve the change Employee
Handbook Policy 15.11 Retirement on the COMTREA match for the 403b plan that will
extend the waiting period for the match to start on the 1st of the month after 6 months of
service.” Cliff Lane seconded the motion. The motion carried.
ii. 60 day waiting period
This waiting period aligns with our other benefits and they will be eligible on the 1st of the
month after their 60 days waiting period. Staff will accrue but cannot use these leaves. Mark
Mertens asked if there is a probationary period for new staff, Amy Rhodes stated no and Sue
Curfman stated there is some legal issues around that.
1. 12.1.3 Effective Date (under 12.1 Leave Accrual) PTO -
New employees will be eligible for this benefit on the first
day of the month that follows their 60th day of employment
Recommendations: “I, Mark Mertens, move that the Board approve the change on waiting
period for new staff to use PTO accruals (12.1.3 Effective Date) to 1st of the month after 60
days of service.” John Lamping seconded the motion. The motion carried.
2. 12.3 Floating Holiday - New employees will be eligible for
this benefit on the first day of the month that follows their
60th day of employment
Recommendations: “I, Mark Mertens, move that the Board approve the change on waiting
period for new staff to use their Floating Holiday under Employee Handbook 12.3 to 1st of the
month after 60 days of service.” John Lamping seconded the motion. The motion carried.
3. 12.13 Birthday Leave Policy - - New employees will be
eligible for this benefit on the first day of the month that
follows their 60th day of employment
BOARD MEETING MINUTES 7 | P a g e
Recommendations: “I, Mark Mertens, move that the Board approve the change of
Employee Handbook Policy 12.3 waiting period for new staff to use their Birthday Leave to
the 1st of the month after a 60 day waiting period.” Beth Diveley seconded the motion. The
motion carried.
4. 12.14 Volunteer Leave Policy - New employees will be
eligible for this benefit on the first day of the month that
follows their 60th day of employment
Recommendations: “I, Mark Mertens, move that the Board approve the change of
Employee Handbook Policy 12.14 waiting period for new staff to use their Volunteer Leave to
the 1st of the month after a 60 day waiting period.” John Lamping seconded the motion. The
motion carried.
i. Discontinuation of insurance reimbursement
This was brought to the Board last year and has triggered a flag in the audit for the past few
years. Staff that does not receive our insurance shows proof and is paid out on their checks.
This is being requested to eliminate this, a communication would go out and a time frame of
this to be eliminated which may be the start of open enrollment. Amy Rhodes stated that
Medicare controls this and so there is no statement of whether this is legal or not with the
ACA in regards to paying someone to take other insurance. Jerry Rogers asked how many
staff, Amy Rhodes stated that 82 staff take this benefit. Amy Rhodes stated that the majority
have insurance somewhere else and they can’t just automatically end and would have to wait
until open enrollment. There are a lot of employers will not allow spouses to be covered so
those have switched over. Alicia Towery asked if there was a reason to wait to open
enrollment and the qualifying events. Sue Curfman stated that the intent was to do 30 days’
notice after HR talked with their advisors. Sue Curfman stated she would like to get approval
for terminating this benefit and finalize the timeline. Josh Isaacson asked what the benefit is
for staff taking this and Amy Rhodes stated that this is $2,400. Josh Isaacson asked
regarding staff signing off on this and looking at the evaluation of the fall out with the staff.
Jerry Rogers asked regarding the savings to COMTREA. Amy Rhodes stated that the
savings is $200,000 annually.
Recommendations: “I, Beth Diveley, move that the Board approve the discontinuation of
the insurance reimbursement for those staff that do not elect to be covered under
COMTREA’s health plan.” Dr. Crawford seconded the motion. The motion carried.
BOARD MEETING MINUTES 8 | P a g e
d. Policy Approvals
i. MED38/OHS39/PC22 Prohibition on Distributing Medical
Marijuana
This is a policy COMTREA needs to have due to being a FQHC. Dr. Crawford stated that
this is still a schedule 1 drug.
Recommendations: “I, Dr. Crawford, move that the Board approve the addition of
MED38/OHS39/PC22 Prohibition on Distributing Medical Marijuana to the medical manuals.”
Alicia Towery seconded the motion. The motion carried.
ii. PC 21 Pregnancy Termination Policy
Sue Curfman stated that the government has the Ryan Act and FQHC through state of
Missouri have signed a letter but that is no longer sufficient. All FQHC must have an
individual policy stating these are not done or counseled on. Dr. Crawford asked if this
includes the morning after pill, it was confirmed it does.
Recommendations: “I, Dr. Crawford, move that the Board approve the addition of PC 21
Pregnancy Termination Policy to the medical manuals.” Beth Diveley seconded the motion.
The motion carried.
iii. G15.03.07 / EH 10.16 Employee Handbook - Remote Access
Policy (Telework Policy)
This policy is for staff that work from home on some days and will create safeguards around
protecting the health information and requirements for network security. Lisa Rothweiler
stated that a supervisor has to approve this and IT will check access and determine whether
to approve and the computer to utilize and for tracking connectivity. This was brought on by
tele-psych at home and to make sure PHI is protected. The policy has been reviewed by the
employment attorney.
Recommendations: “I, Beth Diveley, move that the Board approve the addition of
G15.03.07 / Employee Handbook 10.16 Remote Access Policy (Telework Policy) to the
governance manual.” Kathy Ellis seconded the motion. The motion carried.
e. Approval of Annual Corporate Compliance Program Report
BOARD MEETING MINUTES 9 | P a g e
Amy Rhodes stated that once a year there is a review of the program and what has been
done and seen in the past year. There was no issues this past year due and don’t anticipate
any issues going forward.
Recommendations: “I, Mark Mertens, move that the Board approve the annual corporate
compliance program report.” John Lamping seconded the motion. The motion carried.
f. Credentialing & Privileging
Kathy Ellis stated that there were 4 new staff in December.
Recommendations: “I, Kathy Ellis, move that the Board approve the Credentialing and
Privileging Report as presented.” Caron Daughtery seconded the motion. The motion
carried.
g. QIQA Monthly Report
Katy Murray provided the QIQA report. There was an assessment with infection control
through the departments. The divisions and their patient counts were reviewed. The Quality
measures are trending downward in turnover which is good. The patient satisfaction survey
is being done at all sites currently. The quality measures were shown. Dr. Crawford asked
how the measures are tracked and whether G codes are used.
Margo Pigg added that 20 more hours of child psych will be added through a Telepsych child
psych to access more care.
Recommendations: “I, Caron Daugherty, move that the Board approve the QIQA Report as
presented.” Kathy Ellis seconded the motion. The motion carried.
10. Discussion Items (Informational; no action taken) a. Subcommittees of the Board
i. Building and Grounds
Lisa Rothweiler gave a shout out to the maintenance department for taking care of all of the
facilities during the snow storm. The MHOH engineer doing a site survey they had to locate
the water main and there is hopes this will go out to bid in a few weeks. B Building plans are
being worked on in a scaled down these plans were started on but then held off on due to the
BOARD MEETING MINUTES 10 | P a g e
Truman Property. Mark Mertens asked regarding the Wee Care and revisiting this. Jerry
Rogers stated that we are not interested. Sue Curfman stated that the cost to change the
building would be more than the building. The colonial parking lot was closed on at the end
of December there is already parking occurring on this.
ii. Community Relations/Fundraising & Capital Campaign
Sue Curfman stated that the yearend appeal was successful. Mark Mertens stated that
attendees and auction items are needed for the Mardi Gras this goes to the operations of
ASP. Sue Curfman stated that we are running behind on both.
11. Board Member Information a. Board Recruitment
12. Old Business No old business
13. Next Scheduled Board Meeting a. Monday, February 11, 2019 at 7:30am
14. Adjournment There was no further business to discuss. Recommendations: With there being no further business to discuss, Beth Diveley moved
for adjournment. Kathy Ellis seconded the motion. The motion carried.
Minutes approved
(Signature of Committee Chair) (Date)
Health Center ProgramSite Visit Protocol:
Board Authority
Last updated: August 20, 2018
Health Center Program Site Visit Protocol
Table of Contents: BOARD AUTHORITY ..........................................................................................................101
Document Checklist for Health Center Staff .....................................................................101 Demonstrating Compliance..............................................................................................102
Element a: Maintenance of Board Authority Over Health Center Project ......................102 Element b: Required Authorities and Responsibilities...................................................103 Element c: Exercising Required Authorities and Responsibilities..................................105 Element d: Adopting, Evaluating, and Updating Health Center Policies........................107 Element e: Adopting, Evaluating, and Updating Financial and Personnel Policies........108
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Health Center Program Site Visit Protocol
BOARD AUTHORITY Primary Reviewer: Governance/Administrative Expert Secondary Reviewer: N/A
Authority: Section 330(k)(3)(H) of the PHS Act; 42 CFR 51c.303(i), 42 CFR 56.303(i), 42 CFR 51c.304(d), and 42 CFR 56.304(d); and 45 CFR 75.507(b)(2)
Document Checklist for Health Center Staff
Documents Provided Prior to Site Visit:
• Health center organization chart(s) with names of key management staff • Corporate organization chart(s) (only applicable for public agencies or for organizations
with a parent or subsidiary) • Articles of Incorporation (if updated since last application submission to HRSA/BPHC) • Bylaws (if updated since last application submission to HRSA/BPHC) • Co-applicant agreement (if applicable) (if updated since last application submission to
HRSA/BPHC) • Position description for the Project Director/CEO
Documents Provided at the Start of the Site Visit:
• Board minutes [health center to research and provide relevant minutes] for: ◦ most recent 12 months ◦ any prior meetings in the past 3 years to demonstrate that board authorities were
explicitly exercised, including approving key policies on: • Sliding Fee Discount Program • Quality Improvement/Assurance Program • Billing and Collections (policy for waiving or reducing patient fees and if
applicable, refusal to pay) • Financial Management and Accounting Systems • Personnel
• Board committee minutes OR committee documents from the past 12 months • Sample board packets from two board meetings within the past 12 months • Board calendar or work plan • Strategic plan or long term planning documents within the past 3 years • Most recent evaluation of Project Director/CEO • Project Director/CEO employment agreement (for the purposes of provisions regarding
Project Director/CEO selection, evaluation, and dismissal or termination) • Agreements with parent corporation, affiliate, subsidiary, or subrecipient organization (if
applicable) • Collaborative or contractual agreements with outside entities that may impact the health
center board’s authorities or functions
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Health Center Program Site Visit Protocol
Demonstrating Compliance
1. Is the health center operated by an Indian tribe, tribal group, or Indian organization under the Indian Self-Determination Act or an Urban Indian Organization under the Indian Health Care Improvement Act? • YES • NO
NOTE: IF “YES” WAS SELECTED, NONE OF THE QUESTIONS FOR ANY OF THE ELEMENTS IN THE BOARD AUTHORITY SECTION ARE APPLICABLE.
Element a: Maintenance of Board Authority Over Health Center Project
The health center’s organizational structure, articles of incorporation, bylaws, and other relevant documents ensure the health center governing board maintains the authority for oversight of the health center project, specifically:
• The organizational structure and documents do not allow for any other individual, entity or committee (including, but not limited to, an executive committee authorized by the board) to reserve approval authority or have veto power over the health center board with regard to the required authorities and functions;91
• In cases where a health center collaborates with other entities in fulfilling the health center’s HRSA-approved scope of project, such collaboration or agreements with the other entities do not restrict or infringe upon the health center board’s required authorities and functions; and
• For public agencies with a co-applicant board,92 the health center has a co-applicant agreement that delegates the required authorities and functions to the co-applicant board and delineates the roles and responsibilities of the public agency and the co-applicant in carrying out the health center project.
Site Visit Team Methodology
- Review organizational chart(s) (health center project and, if applicable, corporate), articles of incorporation, bylaws, and other relevant documents.
- Review health center’s current Forms 5A and 5B to determine current HRSA-approved scope of project.
- Review any collaborative or contractual agreements with outside entities that may impact the health center board’s authorities or functions.
- Review co-applicant agreement (if applicable).
91 This does not preclude an executive committee from taking actions on behalf of the board in emergencies, on which the full board will subsequently vote. 92 Public agencies are permitted to utilize a co-applicant governance structure for the purposes of meeting Health Center Program governance requirements. Public centers may be structured in one of two ways to meet the program requirements: 1) the public agency independently meets all the Health Center Program governance requirements based on the existing structure and vested authorities of the public agency’s governing board; or 2) together, the public agency and the co-applicant meet all Health Center Program requirements.
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Health Center Program Site Visit Protocol
- Review agreements with parent corporation, affiliate, subsidiary, or subrecipient organization (if applicable).
Site Visit Findings
In responding to the questions below, please note: In a public agency/co-applicant health center arrangement, the public agency is not considered to be an outside entity as it is the award recipient.
2. Do health center documents and agreements contain language or provisions that allow:
◦ Any other individual, entity or committee (including, but not limited to, an executive committee authorized by the board) to reserve or have approval/veto power over the health center board with regard to the required authorities and functions? • YES • NO
◦ Any of the health center’s collaborations or agreements with other entities to restrict or infringe upon the health center board’s required authorities and functions? • YES • NO
If Yes was selected for any of the above, an explanation is required:
3. For public agencies with a co-applicant board: Does the health center have a co-applicant agreement that delegates the required authorities and functions to the co-applicant board and that delineates the roles and responsibilities of the public agency and the co-applicant in carrying out the health center project? • YES • NO • NOT APPLICABLE
If No, an explanation is required:
Element b: Required Authorities and Responsibilities
The health center’s articles of incorporation, bylaws, or other relevant documents outline the following required authorities and responsibilities of the governing board:
• Holding monthly meetings; • Approving the selection (and termination or dismissal, as appropriate) of the health
center’s Project Director/CEO; • Approving the annual Health Center Program project budget and applications; • Approving health center services and the location and hours of operation of health
center sites; • Evaluating the performance of the health center;
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Health Center Program Site Visit Protocol
• Establishing or adopting policy93 related to the operations of the health center; and • Assuring the health center operates in compliance with applicable Federal, State, and
local laws and regulations.
Site Visit Team Methodology
- Review the health center’s articles of incorporation, bylaws, and other relevant documents.
- Review co-applicant agreement (if applicable).
Site Visit Findings
4. Do the health center’s articles of incorporation, bylaws (either for the health center board or, if applicable, the co-applicant health center board) or other corporate documents (e.g., co-applicant agreement) outline the following required authorities and responsibilities:
◦ Holding monthly meetings? • YES • NO
◦ Approving the selection (and termination or dismissal, as appropriate) of the health center’s Project Director/CEO? • YES • NO
◦ Approving the health center’s annual budget and applications? • YES • NO
◦ Approving health center services and the location and hours of operation of health center sites? • YES • NO
◦ Evaluating the performance of the health center? • YES • NO
◦ Establishing or adopting policy related to the operations of the health center? • YES • NO
◦ Assuring the health center operates in compliance with applicable Federal, State, and local laws and regulations? • YES • NO
If No was selected for any of the above, an explanation is required, including specifying which authorities/responsibilities are not addressed in such documents:
93 The governing board of a health center is generally responsible for establishing and/or approving policies that govern health center operations, while the health center’s staff is generally responsible for implementing and ensuring adherence to these policies (including through operating procedures).
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Health Center Program Site Visit Protocol
Element c: Exercising Required Authorities and Responsibilities
The health center’s board minutes and other relevant documents confirm that the board exercises, without restriction, the following authorities and functions:
• Holding monthly meetings where a quorum is present to ensure the board has the ability to exercise its required authorities and functions;
• Approving the selection, evaluation and, if necessary, the dismissal or termination of the Project Director/CEO from the health center project;
• Approving applications related to the health center project, including approving the annual budget, which outlines the proposed uses of both Health Center Program award and non-Federal resources and revenue;
• Approving the health center project’s sites, hours of operation and services, including decisions to subaward or contract for a substantial portion of the health center’s services;
• Monitoring the financial status of the health center, including reviewing the results of the annual audit, and ensuring appropriate follow-up actions are taken;
• Conducting long-range/strategic planning at least once every three years, which at a minimum addresses financial management and capital expenditure needs; and
• Evaluating the performance of the health center based on quality assurance/quality improvement assessments and other information received from health center management,94 and ensuring appropriate follow-up actions are taken regarding:
◦ Achievement of project objectives; ◦ Service utilization patterns; ◦ Quality of care; ◦ Efficiency and effectiveness of the center; and ◦ Patient satisfaction, including addressing any patient grievances
Site Visit Team Methodology
- Interview Project Director/CEO regarding how board carries out its functions. - Interview board (co-applicant board in the case of a public agency-co-applicant model)
regarding how it carries out board functions, specifically how: ◦ Project Director/CEO reports to the board ◦ Board carries out its functions ◦ Goal is to interview a majority of board members as a group. If this is not
possible, interview officers and at least one patient member. If group interview is not possible, interview individually.
- If conducting a review for a public agency health center, interview relevant public agency staff (e.g., leadership, staff within the unit of the public agency related to the health center project) about their various roles and responsibilities.
- Review board calendar or other related scheduling or planning documents.
94 For more information related to the production of reports associated with these topics, see Health Center Program Compliance Manual, Chapter 18: Program Monitoring and Data Reporting Systems, Chapter 15: Financial Management and Accounting Systems, and Chapter 10: Quality Improvement/Assurance.
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Health Center Program Site Visit Protocol
- Review board minutes [health center to research and provide relevant minutes] for most recent 12 months and minutes for any prior meetings in the past 3 years to demonstrate that board authorities were explicitly exercised.
- Review any relevant board committee minutes OR committee documents from within the past 12 months that support board functions and activities.
- Review sample of board packets from within the past 12 months. - Review strategic planning or related documents from within the past 3 years. - Review most recent Project Director/CEO evaluation documentation. - Review the position description and employment agreement for the Project
Director/CEO.
Site Visit Findings
5. Do board minutes document that the board met monthly for the past 12 months and had a quorum (quorum is determined by the health center) present that enabled the board to carry out its required authorities and functions? • YES • NO
If No, an explanation is required:
6. Based on your review of board minutes and other relevant documents as well as interviews conducted with the CEO and board members, were there examples of how the board exercises the following authorities and functions:
◦ Approving the selection of, evaluating and, if necessary, approving the dismissal or termination of the Project Director/CEO from the health center project? • YES • NO
◦ Approving applications related to the health center project, including approving the annual budget, which outlines the proposed uses of both Federal Health Center Program award and non-Federal resources and revenue? • YES • NO
◦ Approving health center project’s sites, hours of operation and services, including (if applicable) subawarding or contracting for a substantial portion of the health center’s services? • YES • NO
◦ Monitoring the financial status of the health center, including reviewing the results of the annual audit and ensuring appropriate follow-up actions are taken? • YES • NO
◦ Conducting long-range/strategic planning at least once every three years, which at a minimum addresses financial management and capital expenditure needs? • YES • NO
Page | 106
______________________________________________________________________
______________________________________________________________________
Health Center Program Site Visit Protocol
◦ Evaluating the performance of the health center based on quality assurance/quality improvement assessments and other information received from health center management?95
• YES • NO
If No was selected for any of the above, an explanation is required, including specifying any restrictions on the board in carrying out these authorities and functions:
7. Have follow-up actions been planned or taken and reported back to the board regarding:
◦ Achievement of project objectives? • YES • NO • NOT APPLICABLE
◦ Service utilization patterns? • YES • NO • NOT APPLICABLE
◦ Quality of care? • YES • NO • NOT APPLICABLE
◦ Efficiency and effectiveness of the center? • YES • NO • NOT APPLICABLE
◦ Patient satisfaction, including addressing any patient grievances? • YES • NO • NOT APPLICABLE
If No OR Not Applicable was selected for any of the above, an explanation is required:
Element d: Adopting, Evaluating, and Updating Health Center Policies
The health center board has adopted, evaluated at least once every three years, and, as needed, approved updates to policies in the following areas: Sliding Fee Discount Program, Quality Improvement/Assurance Program, and Billing and Collections.96
Site Visit Team Methodology
- Review board minutes [health center to research and provide relevant minutes] from previous 3 years to confirm that the board has reviewed and, if needed, approved updates to the following policies:
◦ Sliding Fee Discount Program
95 For more information related to the production of reports associated with these topics, please see Health Center Program Compliance Manual, Chapter 18: Program Monitoring and Data Reporting Systems, Chapter 15: Financial Management and Accounting Systems, and Chapter 10: Quality Improvement/Assurance. 96 Policies related to billing and collections that require board approval include those that address the waiving or reducing of amounts owed by patients due to inability to pay, and, if applicable, those that limit or deny services due to refusal to pay.
Page | 107
______________________________________________________________________
______________________________________________________________________
Health Center Program Site Visit Protocol
◦ Quality Improvement/Assurance Program ◦ Billing and Collections (policy for waiving or reducing patient fees and, if
applicable, refusal to pay) - Interview same board members as previously identified regarding their process for
evaluating health center policies.
Site Visit Findings
8. Within the last three years, has the board adopted or evaluated health center policies in the following areas:
◦ Sliding Fee Discount Program? • YES • NO
◦ Quality Improvement/Assurance Program? • YES • NO
◦ Billing and Collections (policy for waiving or reducing patient fees and if applicable, refusal to pay)? • YES • NO
If No was selected for any of the above, an explanation is required:
9. Was the health center able to provide one to two examples, if applicable, of actions taken as a result of these evaluations (e.g., updating a particular policy, making recommendations to key management)? • YES • NO • NOT APPLICABLE
If No or Not Applicable, an explanation is required:
Element e: Adopting, Evaluating, and Updating Financial and Personnel Policies
The health center board has adopted, evaluated at least once every three years, and, as needed, approved updates to policies that support financial management and accounting systems and personnel policies. However, in cases where a public agency is the recipient of the Health Center Program Federal award or designation and has established a co-applicant structure, the public agency may establish and retain the authority to adopt and approve policies that support financial management and accounting systems and personnel policies.
Site Visit Team Methodology
- Review board minutes [health center to research and provide relevant minutes] from previous 3 years to confirm that the board has reviewed and, if needed, approved updates to the following policies:
◦ Financial Management and Accounting Systems ◦ Personnel
Page | 108
______________________________________________________________________
Health Center Program Site Visit Protocol
- Interview same board members as previously identified regarding their process for evaluating financial management and accounting systems and personnel policies.
- Review the co-applicant agreement to determine if the public agency retains authority for adopting and approving personnel and financial management policies (if applicable; ONLY if conducting a site visit for a public agency health center with a co-applicant board).
Site Visit Findings
In responding to the question below, please note: The content and extent of a health center’s financial management and personnel policies may vary. For example, some financial management policies may address procurement, but the lack thereof does not indicate non-compliance. Assessing compliance with respect to procurement procedures is addressed in Contracts and Subawards.
10. Within the last three years, has the board evaluated health center policies that support the following areas:
◦ Financial management and accounting systems? • YES • NO • NOT APPLICABLE
◦ Personnel? • YES • NO • NOT APPLICABLE
Note: For health centers where the public agency retains the authority to adopt and approve the policies listed, select “Not Applicable” for the above questions.
If No was selected for any of the above, an explanation is required:
Page | 109
REQUIRED AND ADDITIONAL HEALTH SERVICES
CLINICAL Amy Rhodes
February YES NO NA
a. Providing and Documenting Services within Scope of Project 1b. Ensuring Access for Limited English Proficient Patients 1
c. Providing Culturally Appropriate Care 1
TOTAL 2 1 0
% 67
HRSA OSV PR REPORTING – FEBRUARY
Note: During the recent MOCK Survey there was questions that came up on ensuring access for limited English proficient patients. This is being reviewed further as a result.
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OCK
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05/3
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(93)
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in re
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not r
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files
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prim
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/Pat
ty05
/31/
19
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Patt
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. Ga
rland
03/3
1/19
61
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Patt
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/31/
19
71
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arch
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isa W
igge
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3/0
2
Amy
03/0
1/19
81
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s gro
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o di
scus
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nd se
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a B/
Dan
a05
/31/
19
eRe
trie
vabl
e He
alth
Rec
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1f
Conf
iden
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Pat
ient
Info
rmat
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19
1a
Com
posit
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and
Func
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MAN
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STAF
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ALIT
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PRO
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ASSU
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GRAM
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TIO
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MER
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TER
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RE A
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ITAL
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ITTI
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TASK
S FR
OM
HRS
A M
OCK
OSV
UPD
ATED
2/6
/201
9
YES
NO
N
ATa
sk
Deta
ilsAs
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ed to
Due
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Stat
usCO
MPL
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EMO
NST
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OM
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TS (9
3)
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Man
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CEO
Res
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App
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Pro
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Dire
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/CEO
Cha
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110
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/31/
19b
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App
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ve th
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form
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A pa
id fo
r th
is w
ork,
doc
umen
ts w
ill b
e up
load
ed to
the
HRSA
fo
lder
Sue
03/3
1/19
iSu
brec
ipie
nt M
onito
ring
1j
Rete
ntio
n of
Sub
awar
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reem
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and
Rec
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111
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anda
rds f
or O
rgan
izatio
nal C
onfli
cts o
f Int
eres
t1
cDi
ssem
inat
ion
of S
tand
ards
of C
ondu
ct1
dAd
here
nce
to S
tand
ards
of C
ondu
ct1
121
aCo
ordi
natio
n an
d In
tegr
atio
n of
Act
iviti
es1
Colle
ct d
ocum
enta
tion
Crea
te a
fold
er fo
r em
ails,
mee
ting
agen
das a
nd
othe
r ite
ms t
hat s
how
col
labo
rativ
e re
latio
nshi
ps.
Have
indi
vidu
als s
end
exam
ples
mon
thly
.
Lisa
W05
/31/
19
bCo
llabo
ratio
n w
ith O
ther
Prim
ary
Care
Pro
vide
rs1
Deve
lop
a co
mpl
ete
list o
f col
labo
rativ
e pa
rtne
rs in
our
serv
ice a
rea
with
inve
ntor
y of
co
llabo
ratio
n an
d su
ppor
ting
docu
men
ts.
Requ
est u
pdat
ed le
tter
s of s
uppo
rt.
Sue
05/3
1/19
cEx
pans
ion
of H
RSA-
Appr
oved
Sco
pe o
f Pro
ject
113
1a
Fina
ncia
l Man
agem
ent a
nd In
tern
al C
ontr
ol S
yste
ms
1Cl
ean
up F
inan
cial M
anua
lsAm
y ha
s blo
cked
Feb
26
27 2
8 to
wor
k on
the
man
ual,
in th
e m
anua
l the
Tim
e an
d At
tend
ance
Po
licy
and
Proc
edur
e w
ill b
e ad
dres
sed
Amy
03/3
1/19
bDo
cum
entin
g U
se o
f Fed
eral
Fun
ds1
cDr
awdo
wn,
Disb
urse
men
t and
Exp
endi
ture
Pro
cedu
res
1
dSu
bmitt
ing
Audi
ts a
nd R
espo
ndin
g to
Fin
ding
s1
eDo
cum
entin
g U
se o
f Non
-Gra
nt F
unds
114
1a
Fee
Sche
dule
for I
n-Sc
ope
Serv
ices
1b
Basis
for F
ee S
ched
ule
1Pr
esen
t a su
mm
ary
at th
e M
arch
Boa
rd
Mee
ting
Ass
ignm
ent t
o Su
e, K
aty
and
Patt
y w
ith re
ques
t to
sche
dule
a o
ne h
our w
ork
sess
ion.
On
the
data
per
form
ance
mon
itorin
g fo
r the
thre
e bu
cket
s of O
pera
tiona
l, Fi
nanc
ial a
nd C
linic
al.
Sue/
Katy
/Pat
ty03
/31/
19
cPa
rtic
ipat
ion
in In
sura
nce
Prog
ram
s1
dSy
stem
s and
Pro
cedu
res
1 1Pr
esen
t the
Ref
usal
to P
ay P
olicy
at F
eb A
ll Pr
ovid
er M
eetin
g M
eetin
g ta
kes p
lace
on
Feb
12, A
my
and
Krist
y to
pr
esen
t, th
ey w
ill a
lso re
min
d O
A's o
f the
diff
eren
ce
betw
een
refu
sal a
nd in
abili
ty to
pay
Krist
y/Am
y02
/12/
19
Draf
t a co
llect
ions
Pol
icyTh
is po
licy
and
proc
edur
e w
ill h
elp
bett
er tr
ack
the
inab
ility
to p
ay
Krist
y/Am
y03
/30/
19
fTi
mel
y an
d Ac
cura
te T
hird
Par
ty B
illin
g1
gAc
cura
te P
atie
nt B
illin
g1
hPo
licie
s or P
roce
dure
s for
Wai
ving
or R
educ
ing
Fees
1i
Billi
ng fo
r Sup
plie
s or E
quip
men
t1
jRe
fusa
l to
Pay
Polic
y1
BILL
ING
AND
COLL
ECTI
ON
S
FIN
ANCI
AL M
ANAG
EMEN
T AN
D AC
COU
NTI
NG
SYST
EMS
COLL
ABO
RATI
VE R
ELAT
ION
SHIP
S
CON
FLIC
T O
F IN
TERE
ST
CON
TRAC
TS A
ND
SUBA
WAR
DS
Proc
edur
es fo
r Add
ition
al B
illin
g or
Pay
men
t Opt
ions
e
TASK
S FR
OM
HRS
A M
OCK
OSV
UPD
ATED
2/6
/201
9
YES
NO
N
ATa
sk
Deta
ilsAs
sign
ed to
Due
by
Stat
usCO
MPL
IAN
CE D
EMO
NST
RATE
D?PR
OGR
AM R
EQU
IREM
ENTS
(18)
& C
OM
PLIA
NCE
ELE
MEN
TS (9
3)
151
aAn
nual
Bud
getin
g fo
r Sco
pe o
f Pro
ject
1b
Reve
nue
Sour
ces
1c
Allo
catio
n of
Fed
eral
and
Non
-Fed
eral
Fun
ds1
dO
ther
Lin
es o
f Bus
ines
s1
161
a. C
olle
ctin
g an
d O
rgan
izing
Dat
a1
b. D
ata-
Base
d Re
port
s1
171 1
Revi
ew B
oard
Aut
horit
y w
ith B
oard
Feb
201
9 M
eetin
gCr
eate
che
at sh
eets
on
Boar
d Au
thor
ity, u
se th
e pr
ogra
m ti
me
to g
o ov
erLi
sa W
/ Su
e02
/05/
19
Crea
te a
wor
k pl
an fo
r the
boa
rd b
y m
onth
Dr
afte
d an
d Su
e/Li
sa W
will
mee
t to
revi
ew a
pla
n an
d ke
ep u
pdat
ed, M
eetin
g se
t for
Feb
1Li
sa W
/Sue
02
/01/
19
Crea
te a
Gra
nts p
age
for M
onth
ly B
oard
PPT
Gran
ts p
age
will
det
ail w
hat g
rant
s we
are
curr
ently
lo
okin
g at
, wha
t we
have
app
lied
for a
nd w
hen
we
expe
ct to
hea
r bac
k on
then
onc
e aw
arde
d, w
hen
and
amou
nt a
nd c
ondi
tions
if a
pplic
able
Lisa
WM
onth
ly to
Bo
ard
Crea
te H
ours
of O
pera
tions
by
loca
tion,
pre
sent
ev
ery
six m
onth
s to
boar
dCr
eate
shee
t by
loca
tion
with
hou
rs a
nd se
rvic
es
liste
d, in
clud
e in
Boa
rd sl
ides
for F
ebru
ary
and
Augu
st a
nnua
lly
Lisa
W02
/05/
19
bRe
quire
d Au
thor
ities
and
Res
pons
ibili
ties
1c
Exer
cisin
g Re
quire
d Au
thor
ities
and
Res
pons
ibili
ties
1Ad
d to
the
Boar
d Ag
enda
– “
Follo
w-U
p Ac
tions
Pl
anne
d/Ta
ken”
with
the
inte
nt to
show
Inte
nt o
f dem
onst
ratin
g co
mpl
ianc
e w
ith q
uest
ion
7,
p. 1
07 a
nd se
rvin
g as
a p
lace
hold
er fo
r per
tinen
t in
form
atio
n re
view
.
Lisa
WO
ngoi
ng
d A
dopt
ing,
Eva
luat
ing,
and
Upd
atin
g He
alth
Cen
ter P
olic
ies
1
eAd
optin
g, E
valu
atin
g, a
nd U
pdat
ing
Fina
ncia
l and
Per
sonn
el
Polic
ies
1
180
aBo
ard
Mem
ber S
elec
tion
and
Rem
oval
Pro
cess
1b
Requ
ired
Boar
d Co
mpo
sitio
n1
cCu
rren
t Boa
rd C
ompo
sitio
n1
% o
f Boa
rd C
onsu
mer
sN
eed
to in
crea
se th
e nu
mbe
r of c
onsu
mer
s to
over
51
%Li
sa W
/Sue
Ong
oing
dPr
ohib
ited
Boar
d M
embe
rs1
eW
aive
r Req
uest
s1
fU
tiliza
tion
of S
peci
al P
opul
atio
n In
put
1CO
MPL
IAN
CE -
18 P
ROGR
AM R
EQU
IREM
ENTS
13%
CO
MPL
IAN
T72
%
Boar
d Li
sts -
Mak
e su
re a
ll ar
e up
date
dU
pdat
e th
e Bo
ard
lists
for o
ffice
s and
clin
ic
lobb
ies
Add
new
mem
bers
and
rem
ove
old,
hav
e O
M's
post
Lisa
W02
/01/
19Co
mpl
ete
NP/
Colla
bora
tive
Phys
icia
n Si
gn @
Val
ley
Crea
te a
nd p
ost s
ign
in th
e cl
inic
wai
ting
area
Britt
any
A01
/31/
19
Tran
slatio
n Se
rvic
es @
Val
ley
Revi
ew th
e se
rvic
es &
info
rmat
ion
Britt
any/
Aman
da to
revi
ew th
e LA
MP
and
72
lang
uage
car
d w
ith O
A's
Aman
da/B
ritta
ny03
/31/
19
Know
ledg
e of
Den
tal A
fter H
ours
@ V
alle
yRe
view
Den
tal A
fter H
ours
Info
Br
ittan
y/Am
anda
to re
view
den
tal a
fter h
ours
info
w
ith O
A's
Aman
da/B
ritta
ny03
/31/
19
Wel
com
e Le
tter
@ V
alle
yCh
eck
the
lett
er w
as m
issin
g af
ter h
ours
in
stru
ctio
ns
Wel
com
e Le
tter
doe
s not
des
igna
te “
Afte
r Hou
rs”
inst
ruct
ions
. Th
ere
are
lines
und
er O
H an
d PC
se
rvic
es st
atin
g “C
all a
ny o
f our
clin
ics f
or a
ny u
rgen
t iss
ues o
r con
cern
s.Br
ittan
y A
02/1
5/19
NO
CLI
A Ce
rtifi
cate
@ V
alle
yPo
st C
ertif
icat
e in
the
lab
area
Chris
tian
Haye
s02
/01/
19M
ulti
dose
via
l ope
ned,
no
open
ed d
ate
note
d on
it @
Va
lley
Revi
ew P
roce
dure
with
Med
ical
Sta
ffPa
tty
01/3
1/19
Clie
nt O
rient
atio
n Bi
nder
@ H
icko
ryRe
view
and
cha
nge
out w
ith u
pdat
ed fo
rms
Aman
da R
umbl
e02
/15/
19Sa
mpl
e Cl
oset
/ ne
eds t
o be
dou
ble
lock
ed @
Hic
kory
Revi
ew p
olic
y w
ith P
C an
d BH
Patt
y01
/31/
19
PRO
GRAM
MO
NIT
ORI
NG
AND
DATA
REP
ORT
ING
SYST
EMS
BOAR
D AU
THO
RITY
BOAR
D CO
MPO
SITI
ON
BUDG
ET
ON
SIT
E AT
CLI
NIC
S O
BSER
VATI
ON
S TO
BE
REVI
EWED
OR
aM
aint
enan
ce o
f Boa
rd A
utho
rity
Ove
r Hea
lth C
ente
r Pro
ject
TASK
S FR
OM
HRS
A M
OCK
OSV
UPD
ATED
2/6
/201
9
YES
NO
N
ATa
sk
Deta
ilsAs
sign
ed to
Due
by
Stat
usCO
MPL
IAN
CE D
EMO
NST
RATE
D?PR
OGR
AM R
EQU
IREM
ENTS
(18)
& C
OM
PLIA
NCE
ELE
MEN
TS (9
3)
Prog
ram
Mon
itorin
g an
d Da
ta R
epor
ting
Syst
ems -
Que
stio
n 2
- Re
port
des
ign
to d
etai
l 3 b
ulle
ts (s
ervi
ce
utili
zatio
n, tr
ends
, pat
tern
s)Pa
tty/
Amy/
Katy
03/3
1/19
Perf
orm
ance
Ana
lysis
SAC/
BPR
Clin
ical
Per
form
ance
pro
gres
s rev
iew
do
cum
ente
dPa
tty
03/3
0/19
Locations w/ service lines & hours of operation Central Admissions
• Monday-Friday 7:30am-5:00pm Arnold
• Behavioral Heath and Primary Care • Monday-Thursday 8:30a-6:30p, Friday 8:30a-5p
Festus
• Behavioral Health • Monday-Thursday 8:00a-7:30p, Friday 8:00a-5p
Northwest (High Ridge)
• Behavioral Heath • Monday-Thursday 8:30-7, Friday 8:30-5p
Valley
• Behavioral Health, Dental and Primary Care • Monday-Friday 7:30am-6pm
Fox
• Dental • Monday-7:30am-8pm & Tuesday-Friday 7:30am-6:00pm
MAP clinic
• Dental • Monday-Friday 7:30a-6p (subject to change)
Treatment court
• Behavioral Health • Monday-Thursday 8am-7pm
Twin City Dental
• Dental • Mon 7:30a-6p, Tues, Wed, & Thurs 7:30-4p, Fri 7:30-2:00pm)
Hickory-
• Behavioral Health, Dental and Primary Care • Monday-Friday 7:30am-6:00 pm
High Ridge Family Medical (Emerson)
• Primary Care • Mon & Tues 7:30am- 7:00pm, Wed Thurs and Friday 7:30am-5:00pm
Dunklin
• Behavioral Health and Dental • Tuesday 7:30am-6pm, Wed 7:30am-6:00pm (Dental) 10:00am-5:30p (BH), Thursday
7:30am-6:00pm (BH hours subject to change)
HOW
TO
USE
THI
S CH
ART
1. I
n th
e le
ft-ha
nd c
olum
n, fi
nd th
e si
ze o
f the
fam
ily.
2. O
n th
e ro
w o
f fam
ily s
ize,
find
the
hous
ehol
d m
onth
ly in
com
e.3.
Whe
n yo
u fin
d th
e in
com
e le
vel g
o to
the
top
of th
e co
lum
n to
find
the
patie
nt's
resp
onsi
bilit
y
Slid
ing
Fee
Cate
gory
Fam
ily S
ize
1$0
-$1
,041
$0 -
$12,
490
$1,0
42 -
$1,3
01$1
2,49
1 -
$15,
613
$1,3
02 -
$1,5
61$1
5,61
4 -
$18,
735
$1,5
62 -
$1,8
21$1
8,73
6 -
$21,
858
$1,8
22 -
$2,0
82$2
1,85
9 -
$24,
980
$2,0
83&
Ove
r$2
4,98
1&
Ove
r2
$0 -
$1,4
09$0
-$1
6,91
0$1
,410
-$1
,761
$16,
911
-$2
1,13
8$1
,762
-$2
,114
$21,
139
-$2
5,36
5$2
,115
-$2
,466
$25,
366
-$2
9,59
3$2
,467
-$2
,818
$29,
594
-$3
3,82
0$2
,819
&O
ver
$33,
821
&O
ver
3$0
-$1
,778
$0 -
$21,
330
$1,7
79 -
$2,2
22$2
1,33
1 -
$26,
663
$2,2
23 -
$2,6
66$2
6,66
4 -
$31,
995
$2,6
67 -
$3,1
11$3
1,99
6 -
$37,
328
$3,1
12 -
$3,5
55$3
7,32
9 -
$42,
660
$3,5
56&
Ove
r$4
2,66
1&
Ove
r4
$0 -
$2,1
46$0
-$2
5,75
0$2
,147
-$2
,682
$25,
751
-$3
2,18
8$2
,683
-$3
,219
$32,
189
-$3
8,62
5$3
,220
-$3
,755
$38,
626
-$4
5,06
3$3
,756
-$4
,292
$45,
064
-$5
1,50
0$4
,293
&O
ver
$51,
501
&O
ver
5$0
-$2
,514
$0 -
$30,
170
$2,5
15 -
$3,1
43$3
0,17
1 -
$37,
713
$3,1
44 -
$3,7
71$3
7,71
4 -
$45,
255
$3,7
72 -
$4,4
00$4
5,25
6 -
$52,
798
$4,4
01 -
$5,0
28$5
2,79
9 -
$60,
340
$5,0
29&
Ove
r$6
0,34
1&
Ove
r6
$0 -
$2,8
83$0
-$3
4,59
0$2
,884
-$3
,603
$34,
591
-$4
3,23
8$3
,604
-$4
,324
$43,
239
-$5
1,88
5$4
,325
-$5
,044
$51,
886
-$6
0,53
3$5
,045
-$5
,765
$60,
534
-$6
9,18
0$5
,766
&O
ver
$69,
181
&O
ver
7$0
-$3
,251
$0 -
$39,
010
$3,2
52 -
$4,0
64$3
9,01
1 -
$48,
763
$4,0
65 -
$4,8
76$4
8,76
4 -
$58,
515
$4,8
77 -
$5,6
89$5
8,51
6 -
$68,
268
$5,6
90 -
$6,5
02$6
8,26
9 -
$78,
020
$6,5
03&
Ove
r$7
8,02
1&
Ove
r8
$0 -
$3,6
19$0
-$4
3,43
0$3
,620
-$4
,524
$43,
431
-$5
4,28
8$4
,525
-$5
,429
$54,
289
-$6
5,14
5$5
,430
-$6
,334
$65,
146
-$7
6,00
3$6
,335
-$7
,238
$76,
004
-$8
6,86
0$7
,239
&O
ver
$86,
861
&O
ver
Each
ad
ditio
nal
pers
on a
dd$3
68$4
,420
$369
$460
$4,4
21$5
,525
$461
$553
$5,5
26$6
,630
$461
$645
$6,6
31$7
,735
$461
$737
$7,7
36$8
,840
$738
$935
$8,8
41
Not
e: U
pdat
e gr
een
year
ly in
com
e co
lum
n w
ith F
PL a
nd re
st o
f col
umns
will
calc
ulat
e.
201
- 300
% o
f FPL
Goo
d Th
ru J
anua
ry 3
1, 2
020
[or u
nles
s ot
herw
ise
upda
ted
by D
epar
tmen
t of H
ealth
and
Hum
an S
ervi
ces]
AB
CD
EST
ANDA
RD C
HARG
E0
- 100
% o
f FPL
101
- 125
% o
f FPL
126
- 150
% o
f FPL
151
- 175
% o
f FPL
175
- 200
% o
f FPL
Year
ly In
com
eM
onth
ly In
com
eYe
arly
Inco
me
Mon
thly
Inco
me
Year
ly In
com
eM
onth
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PRIM
ARY
CARE
Dis
coun
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Cha
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incl
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ber o
f ser
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m -
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test
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t. Pt
. - 9
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nal o
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it ch
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patie
nt m
ay h
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tiona
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Fee
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to In
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CARE
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visi
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f cha
rges
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tal
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DM
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**N
ote:
Pat
ient
s in
this
cat
egor
y ar
e el
igib
le fo
r no
fee
dent
al s
ervi
ces
base
d up
on a
vaila
bilit
y.La
b fe
es in
clud
e: c
row
ns, r
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anal
s, d
entu
res,
etc
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ee s
epar
ate
fee
sche
dule
40%
of c
harg
es45
% o
f cha
rges
50%
of c
harg
esPl
us la
b fe
es
Upd
ated
10/
12/2
016
Prin
ted
2/6/
2019
Ther
e is
an
addi
tiona
l cha
rge
for t
he fo
llow
ing
serv
ices
as
note
d be
low
:
40$
30
%40
%45
%50
%N
O D
ISC
OU
NT
DEN
TAL
SER
VIC
ESSt
anda
rdC
PT C
ode
CPT
Des
crip
tion
0$
0$
0$
0$
1$
1$
Dia
gnos
ticLa
b Fe
eSl
ide
ASl
ide
BSl
ide
CSl
ide
DSl
ide
ED
0120
Perio
dic
exam
inat
ion
n/a
-$
15$
21
$
23$
26
$
52$
D
0140
Lim
ited
oral
eva
luat
ion,
pro
blem
focu
sed
n/a
-$
26$
35
$
39$
43
$
86$
D
0145
Ora
l eva
luat
ion
unde
r 3 y
rs a
ge w
/prim
ary
care
give
rn/
a-
$
24
$
32$
36
$
40$
80
$
D01
50C
ompr
ehen
sive
ora
l eva
luat
ion
n/a
-$
27$
36
$
41$
45
$
91$
D
0160
Det
aile
d &
exte
nsiv
e or
al e
val-p
robl
em fo
cuse
dn/
a-
$
55
$
73$
82
$
91$
18
2$
D01
70R
e-ev
alua
tion-
limite
d, p
robl
em fo
cuse
d (n
ot p
ost o
p) -
Est.
patie
ntn/
aN
O F
EE18
$
24$
27
$
30$
61
$
D01
71R
e-ev
alua
tion-
limite
d, p
robl
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cuse
d po
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Est
. pat
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n/a
NO
FEE
18$
25
$
28$
31
$
61$
D
0190
Scr
eeni
ng o
f Pat
ient
n/a
NO
FEE
18$
25
$
28$
31
$
62$
R
ADIO
GR
APH
SLa
b Fe
eSl
ide
ASl
ide
BSl
ide
CSl
ide
DSl
ide
ED
0210
Com
plet
e se
ries
x-ra
ys, i
nclu
ding
bite
win
gsn/
a-
$
44
$
58$
65
$
73$
14
5$
D02
20X-
ray
peria
pica
l, fir
stn/
a-
$
9
$
12
$
13$
15
$
29$
D
0230
X-ra
y pe
riapi
cal,
each
add
ition
aln/
a-
$
8
$
10
$
12$
13
$
26$
D
0240
X-ra
y oc
clus
al fi
lmn/
a-
$
14
$
18$
20
$
23$
45
$
D02
70X-
ray
bite
win
g, s
ingl
en/
a-
$
9
$
12
$
13$
15
$
29$
D
0272
X-ra
y bi
tew
ing,
two
n/a
-$
14$
19
$
21$
23
$
47$
D
0274
X-ra
y bi
tew
ing,
four
n/a
-$
20$
26
$
29$
33
$
66$
D
0277
Verti
cal b
itew
ings
, 7 to
8 fi
lms
n/a
-$
30$
40
$
45$
50
$
99$
D
0330
X-ra
y pa
nora
mic
film
n/a
-$
36$
48
$
54$
60
$
119
$
D
0350
Dia
gnos
tic p
hoto
grap
hsn/
a-
$
19
$
26$
29
$
32$
64
$
D04
60Pu
lp V
italit
y Te
stin
g-
$
-
$
-
$
-
$
-
$
-
$
D
0470
Dia
gnos
tic c
asts
n/a
-$
44$
59
$
66$
73
$
147
$
Pr
even
tativ
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b Fe
eSl
ide
ASl
ide
BSl
ide
CSl
ide
DSl
ide
ED
1110
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ltn/
a-
$
28
$
37$
42
$
47$
93
$
D11
20Pr
ophy
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s, c
hild
n/a
-$
19$
26
$
29$
32
$
64$
D
1201
Chi
ld p
roph
ylax
is &
Flu
orid
en/
a-
$
29
$
38$
43
$
48$
95
$
D12
04To
pica
l app
licat
ion
of F
luor
ide
n/a
-$
11$
14
$
16$
18
$
35$
D
1206
Topi
cal F
luor
ide
varn
ish
n/a
-$
15$
20
$
23$
25
$
51$
D
1351
Seal
ant,
per t
ooth
n/a
-$
17$
23
$
25$
28
$
56$
D
1353
Seal
ant,
per t
ooth
n/a
-$
22$
29
$
32$
36
$
72$
D
1510
Spac
e m
aint
aine
r--fix
ed u
nila
tera
ln/
a-
$
84
$
112
$
12
6$
141
$
28
1$
D15
15Sp
ace
mai
ntai
ner--
fixed
bila
tera
ln/
a-
$
11
5$
154
$
17
3$
192
$
38
4$
D15
50R
ecem
ent s
pace
mai
ntai
ner
n/a
-$
16$
22
$
24$
27
$
54$
D
1555
Rem
oval
of f
ixed
spa
ce m
aint
aine
rn/
a-
$
15
$
20$
23
$
25$
50
$
RES
TOR
ATIV
ELa
b Fe
eSl
ide
ASl
ide
BSl
ide
CSl
ide
DSl
ide
ED
2140
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gam
1 s
urfa
ce-p
rimar
y or
per
man
ent
n/a
-$
36$
48
$
54$
60
$
120
$
D
2150
Amal
gam
2 s
urfa
ce-p
rimar
y or
per
man
ent
n/a
-$
45$
60
$
68$
75
$
150
$
D
2160
Amal
gam
3 s
urfa
ce-p
rimar
y or
per
man
ent
n/a
-$
54$
72
$
81$
90
$
180
$
D
2161
Amal
gam
4 s
urfa
ce-p
erm
anen
tn/
a-
$
66
$
88$
99
$
110
$
22
0$
Upd
ated
10/
12/2
016
Prin
ted
2/6/
2019
Ther
e is
an
addi
tiona
l cha
rge
for t
he fo
llow
ing
serv
ices
as
note
d be
low
:
40$
30
%40
%45
%50
%N
O D
ISC
OU
NT
DEN
TAL
SER
VIC
ESSt
anda
rdC
PT C
ode
CPT
Des
crip
tion
0$
0$
0$
0$
1$
1$
D23
30R
esin
1 s
urfa
ce-a
nter
ior
n/a
-$
45$
60
$
68$
75
$
150
$
D
2331
Res
in 2
sur
face
-ant
erio
rn/
a-
$
53
$
70$
79
$
88$
17
5$
D23
32R
esin
3 s
urfa
ce-a
nter
ior
n/a
-$
66$
88
$
99$
11
0$
220
$
D
2335
Res
in 4
or m
ore
surfa
ce in
volv
ing
inci
sal a
ngle
-ant
erio
rn/
a-
$
78
$
104
$
11
7$
130
$
26
0$
D23
90R
esin
bas
ed c
ompo
site
cro
wn
n/a
-$
116
$
15
4$
174
$
19
3$
386
$
D
2391
Res
in b
ased
com
posi
te-o
ne s
urfa
ce p
oste
rior
n/a
-$
48$
64
$
72$
80
$
160
$
D
2392
Res
in b
ased
com
posi
te-tw
o su
rface
pos
terio
rn/
a-
$
61
$
81$
91
$
102
$
20
3$
Upd
ated
10/
12/2
016
Prin
ted
2/6/
2019
Ther
e is
an
addi
tiona
l cha
rge
for t
he fo
llow
ing
serv
ices
as
note
d be
low
:
40$
30
%40
%45
%50
%N
O D
ISC
OU
NT
DEN
TAL
SER
VIC
ESSt
anda
rdC
PT C
ode
CPT
Des
crip
tion
0$
0$
0$
0$
1$
1$
D23
93R
esin
bas
ed c
ompo
site
-thre
e su
rface
pos
terio
rn/
a-
$
76
$
101
$
11
3$
126
$
25
2$
D23
94R
esin
bas
ed c
ompo
site
-four
or m
ore
post
erio
rn/
a-
$
91
$
121
$
13
6$
151
$
30
2$
D27
40C
row
n-po
rcel
ain/
cera
mic
sub
stra
te20
0$
25
0$
591
$
70
9$
827
$
94
6$
1,18
2$
D
2750
Cro
wn-
porc
elai
n fu
sed
to h
igh
nobl
e m
etal
200
$
250
$
58
3$
700
$
81
6$
933
$
1,
166
$
D27
51C
row
n-po
rcel
ain
with
pre
dom
inan
tly b
ase
met
al15
0$
17
5$
543
$
65
2$
760
$
86
9$
1,08
6$
D
2752
Cro
wn-
proc
elai
n fu
sed
to n
oble
met
al17
5$
20
0$
556
$
66
7$
779
$
89
0$
1,11
2$
D
2780
Cro
wn
3/4
cast
hig
h no
ble
met
al22
0$
30
0$
559
$
67
1$
783
$
89
5$
1,11
9$
D
2790
Cro
wn-
full
cast
hig
h no
ble
met
al22
0$
30
0$
563
$
67
5$
788
$
90
0$
1,12
5$
D
2791
Cro
wn-
full
cast
with
pre
dom
inan
tly b
ase
met
al15
0$
17
5$
533
$
64
0$
746
$
85
3$
1,06
6$
D
2792
Cro
wn-
full
cast
nob
le m
etal
180
$
225
$
54
3$
652
$
76
0$
869
$
1,
086
$
D27
99Pr
ovis
iona
l Cro
wn
n/a
-$
140
$
18
7$
210
$
23
4$
467
$
D
2920
Rec
emen
t cro
wn
n/a
-$
33$
44
$
49$
55
$
110
$
D
2930
Pref
abric
ated
sta
inle
ss s
teel
cro
wn-
prim
ary
n/a
-$
90$
12
0$
135
$
15
0$
299
$
D
2931
Pref
abric
ated
sta
inle
ss s
teel
cro
wn-
perm
anen
tn/
a-
$
10
1$
135
$
15
2$
169
$
33
8$
D29
32Pr
efab
ricat
ed re
sin
crow
nn/
a-
$
10
8$
144
$
16
2$
180
$
36
1$
D29
40Se
dativ
e fil
ling
n/a
-$
34$
46
$
51$
57
$
114
$
D
2950
Cor
e bu
ild u
pn/
a-
$
86
$
114
$
12
9$
143
$
28
6$
D29
54Pr
efab
ricat
ed p
ost a
nd c
ore
in a
dditi
on to
cro
wn
110
$
110
$
20
0$
240
$
28
0$
320
$
40
0$
D29
51Pi
n re
tent
ion
in a
dditi
on to
fillin
gn/
a-
$
23
$
30$
34
$
38$
75
$
END
OD
ON
TIC
Lab
Fee
Slid
e A
Slid
e B
Slid
e C
Slid
e D
Slid
e E
D31
10Pu
lp c
ap -
dire
ct (e
xclu
ding
fina
l res
tora
tion)
n/a
-$
48$
58
$
67$
77
$
96$
D
3120
Pulp
cap
- in
dire
ct (e
xclu
ding
fina
l res
tora
tion)
n/a
-$
38$
46
$
54$
62
$
77$
D
3220
Ther
apeu
tic p
ulpo
tom
yn/
a-
$
99
$
118
$
13
8$
158
$
19
7$
D32
21Pu
lpal
Deb
ridem
ent
n/a
-$
108
$
13
0$
151
$
17
3$
216
$
D
3310
Roo
t can
al-1
-can
al10
0$
10
0$
372
$
44
7$
521
$
59
6$
744
$
D
3320
Roo
t can
al-2
-can
al17
5$
17
5$
456
$
54
7$
639
$
73
0$
912
$
D
3330
Roo
t can
al-3
-can
al20
0$
20
0$
566
$
67
9$
792
$
90
5$
1,13
1$
D
3346
Ret
reat
men
t of p
revi
ous
root
can
al-a
nter
ior
200
$
200
$
37
4$
448
$
52
3$
598
$
74
7$
D33
47R
etre
atm
ent o
f pre
viou
s ro
ot c
anal
-bic
uspi
d22
5$
22
5$
439
$
52
6$
614
$
70
2$
877
$
D
3348
Ret
reat
men
t of p
revi
ous
root
can
al-m
olar
274
$
274
$
50
5$
606
$
70
7$
808
$
1,
010
$
D34
10Ap
icoe
ctom
yn/
a-
$
27
9$
335
$
39
1$
446
$
55
8$
D34
11Ap
icoe
ctom
y-pe
rform
ed in
con
junc
tion
w/e
ndo
proc
edur
en/
a-
$
47
5$
570
$
66
5$
760
$
95
0$
D34
21Ap
icoe
ctom
y--b
icus
pid
n/a
-$
313
$
37
5$
438
$
50
0$
625
$
D
3425
Apic
oect
omy-
-mol
arn/
a-
$
38
8$
465
$
54
3$
620
$
77
5$
PER
IOD
ON
TIC
Lab
Fee
Slid
e A
Slid
e B
Slid
e C
Slid
e D
Slid
e E
D42
10G
ingi
vect
omy
or g
ingi
vopl
asty
per
arc
hn/
a-
$
18
2$
243
$
27
3$
304
$
60
7$
D43
21Pr
ovis
iona
l Spl
intin
g - e
xtra
coro
nal
n/a
-$
116
$
15
5$
174
$
19
4$
387
$
D
4341
SRP
4 or
mor
e te
eth
per q
uad
n/a
-$
73$
97
$
109
$
12
2$
243
$
D
4342
SRP
1-3
teet
h pe
r qua
dn/
a-
$
50
$
66$
74
$
83$
16
5$
Upd
ated
10/
12/2
016
Prin
ted
2/6/
2019
Ther
e is
an
addi
tiona
l cha
rge
for t
he fo
llow
ing
serv
ices
as
note
d be
low
:
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30
%40
%45
%50
%N
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ISC
OU
NT
DEN
TAL
SER
VIC
ESSt
anda
rdC
PT C
ode
CPT
Des
crip
tion
0$
0$
0$
0$
1$
1$
D43
55Fu
ll m
outh
deb
ridem
ent
n/a
-$
53$
70
$
79$
88
$
175
$
D
4381
Loca
l Del
iver
y of
ther
aput
ic a
gent
sn/
a-
$
33
$
44$
50
$
55$
11
0$
D49
10Pe
rio m
aint
enan
cen/
a-
$
45
$
54$
60
$
67$
13
4$
PRO
STH
OD
ON
TIC
- REM
OVA
BLE
Lab
Fee
Slid
e A
Slid
e B
Slid
e C
Slid
e D
Slid
e E
D51
10C
ompl
ete
uppe
r den
ture
, (no
t im
med
iate
)27
5$
27
5$
400
$
45
5$
500
$
60
0$
1,56
7$
D
5120
Com
plet
e lo
wer
den
ture
, (no
t im
med
iate
)27
5$
27
5$
400
$
45
5$
500
$
60
0$
1,56
7$
D
5130
Imm
edia
te d
entu
re-m
axilla
ry30
0$
30
0$
400
$
48
0$
550
$
67
5$
1,70
0$
D
5140
Imm
edia
te d
entu
re -
man
dibu
lar
300
$
300
$
40
0$
480
$
55
0$
675
$
1,
700
$
D52
11Pa
rtial
Den
ture
-Max
illary
-resi
n22
5$
22
5$
355
$
45
0$
500
$
60
0$
1,18
5$
D
5212
Parti
al D
entu
re-m
andi
bula
r-res
in22
5$
22
5$
355
$
45
0$
500
$
60
0$
1,37
7$
D
5213
Max
illary
par
tial d
entu
re-c
ast m
etal
fram
wor
k w
ith re
sin
base
375
$
375
$
55
0$
600
$
65
0$
700
$
1,
610
$
D52
14M
andi
bula
r par
tial d
entu
re-c
ast m
etal
fram
ewor
k w
ith re
sin
base
375
$
375
$
55
0$
600
$
65
0$
700
$
1,
630
$
D52
25M
axilla
ry p
artia
l den
ture
-flex
ible
bas
e25
0$
25
0$
400
$
50
0$
600
$
70
0$
1,50
0$
D
5226
Man
dibu
lar p
artia
l den
ture
-flex
ible
bas
e25
0$
25
0$
400
$
50
0$
600
$
70
0$
1,50
0$
D
5410
Adju
stm
ent c
ompl
ete
dent
ure-
uppe
rn/
aN
O F
EE35
$
40$
45
$
51$
10
1$
D54
11Ad
just
men
t com
plet
e de
ntur
e-lo
wer
n/a
NO
FEE
35$
40
$
45$
51
$
101
$
D
5421
Adju
stm
ent p
artia
l den
ture
-upp
ern/
aN
O F
EE30
$
34$
39
$
43$
86
$
D54
22Ad
just
men
t par
tial d
entu
re-lo
wer
n/a
NO
FEE
30$
34
$
39$
43
$
86$
D
5510
Rep
air b
roke
n co
mpl
ete
dent
ure
base
75$
75
$
88$
10
0$
113
$
12
5$
250
$
D
5520
Rep
lace
mis
sing
or b
roke
n te
eth-
com
plet
e65
$
65$
70
$
80$
90
$
100
$
20
0$
D56
10R
epai
r acr
ylic
sad
dle
or b
ase
65$
65
$
70$
80
$
90$
10
0$
200
$
D
5630
Rep
air o
r rep
lace
bro
ken
clas
ps65
$
65$
92
$
106
$
11
9$
132
$
26
4$
D56
40R
epai
r bro
ken
teet
h-pe
r too
th10
5$
10
5$
114
$
13
0$
146
$
16
3$
325
$
D
5650
Add
toot
h to
exi
stin
g pa
rtial
105
$
105
$
11
4$
130
$
14
6$
163
$
32
5$
D56
60Ad
d cl
asp
to e
xist
ing
parti
al75
$
75$
92
$
106
$
11
9$
132
$
26
4$
D57
10R
ebas
e fu
ll de
ntur
e-up
per
120
$
120
$
19
3$
220
$
24
8$
275
$
55
0$
D57
11R
ebas
e fu
ll de
ntur
e-lo
wer
120
$
120
$
20
1$
230
$
25
9$
288
$
57
5$
D57
20R
ebas
e pa
rtial
den
ture
-upp
er12
0$
12
0$
201
$
23
0$
259
$
28
8$
575
$
D
5721
Reb
ase
parti
al d
entu
re-lo
wer
120
$
120
$
20
1$
230
$
25
9$
288
$
57
5$
D57
30R
elin
ing
full
dent
ure-
uppe
r-offi
cen/
a-
$
11
8$
134
$
15
1$
168
$
33
6$
D57
31R
elin
ing
full
dent
ure-
low
er-o
ffice
n/a
-$
115
$
13
2$
148
$
16
5$
329
$
D
5740
Rel
inin
g pa
rtial
den
ture
-upp
er-o
ffice
n/a
-$
118
$
13
4$
151
$
16
8$
336
$
D
5741
Rel
inin
g pa
rtial
den
ture
-low
er-o
ffice
n/a
-$
115
$
13
2$
148
$
16
5$
329
$
D
5750
Rel
inin
g fu
ll de
ntur
e-up
per-l
ab10
5$
10
5$
149
$
17
0$
191
$
21
3$
425
$
D
5751
Rel
inin
g fu
ll de
ntur
e-lo
wer
-lab
105
$
105
$
17
5$
200
$
22
5$
250
$
50
0$
D57
60R
elin
ing
parti
al d
entu
re-u
pper
-lab
105
$
105
$
14
9$
170
$
19
1$
213
$
42
5$
D57
61R
elin
ing
parti
al d
entu
re-lo
wer
-lab
105
$
105
$
17
5$
200
$
22
5$
250
$
50
0$
D58
20Te
mpo
rary
par
tial-u
pper
130
$
150
$
22
0$
250
$
27
5$
300
$
40
0$
Upd
ated
10/
12/2
016
Prin
ted
2/6/
2019
Ther
e is
an
addi
tiona
l cha
rge
for t
he fo
llow
ing
serv
ices
as
note
d be
low
:
40$
30
%40
%45
%50
%N
O D
ISC
OU
NT
DEN
TAL
SER
VIC
ESSt
anda
rdC
PT C
ode
CPT
Des
crip
tion
0$
0$
0$
0$
1$
1$
D58
21Te
mpo
rary
par
tial-l
ower
130
$
150
$
22
0$
250
$
27
5$
300
$
40
0$
D58
50Ti
ssue
con
ditio
ning
-per
den
ture
n/a
-$
61$
69
$
78$
87
$
173
$
Fi
xed
Pros
thod
ontic
sLa
b Fe
eSl
ide
ASl
ide
BSl
ide
CSl
ide
DSl
ide
ED
6210
Pont
ic -
cast
met
al19
0$
22
5$
490
$
58
8$
686
$
78
4$
980
$
D
6240
Pont
ic- p
orce
lain
fuse
d to
met
al19
0$
22
5$
490
$
58
8$
686
$
78
4$
980
$
D
6245
Pont
ic -
porc
elai
n/ce
ram
ic19
0$
22
5$
498
$
59
7$
697
$
79
6$
995
$
D
6545
Mar
ylyn
Brid
ge C
ast M
etal
27
5$
35
0$
600
$
72
0$
840
$
96
0$
1,20
0$
D
6548
Mar
ylyn
Brid
ge P
orce
lain
27
5$
35
0$
600
$
72
0$
840
$
96
0$
1,20
0$
D
6740
Ret
aine
r Cro
wn
- por
cela
in /
cera
mic
190
$
225
$
49
8$
597
$
69
7$
796
$
99
5$
D67
50R
etai
ner C
row
n - c
ast m
etal
190
$
225
$
49
5$
594
$
69
3$
792
$
99
0$
D67
51R
etai
ner C
row
n - p
orce
lain
fuse
d to
met
al19
0$
22
5$
495
$
59
4$
693
$
79
2$
990
$
D
6751
Ret
aine
r Cro
wn
- por
cela
in fu
sed
to h
igh
met
al19
0$
22
5$
495
$
59
4$
693
$
79
2$
990
$
D
6930
Rec
emen
t brid
gen/
a-
$
72
$
86$
10
1$
115
$
14
4$
D69
80R
epai
r brid
gen/
a-
$
11
7$
140
$
16
4$
187
$
23
4$
D60
56Ab
utm
ent f
or Im
plan
t15
0$
15
0$
344
$
41
3$
482
$
55
0$
688
$
Upd
ated
10/
12/2
016
Prin
ted
2/6/
2019
Ther
e is
an
addi
tiona
l cha
rge
for t
he fo
llow
ing
serv
ices
as
note
d be
low
:
40$
30
%40
%45
%50
%N
O D
ISC
OU
NT
DEN
TAL
SER
VIC
ESSt
anda
rdC
PT C
ode
CPT
Des
crip
tion
0$
0$
0$
0$
1$
1$
OR
AL S
UR
GER
Y (M
EDIC
ALLY
NEC
ESSA
RY,
NO
N-E
LEC
TIVE
)La
b Fe
eSl
ide
ASl
ide
BSl
ide
CSl
ide
DSl
ide
ED
7111
Extra
ctio
n-co
rona
l rem
nant
s-de
cidu
ous
toot
hn/
a-
$
45
$
60$
68
$
75$
15
0$
D71
40Ex
tract
ion-
erup
ted
toot
h or
exp
osed
root
n/a
-$
45$
60
$
68$
75
$
159
$
D
7210
Surg
ical
rem
oval
of t
ooth
n/a
-$
75$
10
0$
113
$
12
5$
250
$
D
7220
Rem
oval
of i
mpa
cted
toot
h-so
ft tis
sue
n/a
-$
86$
11
5$
130
$
14
4$
288
$
D
7230
Rem
oval
of i
mpa
cted
toot
h-pa
rtial
bon
yn/
a-
$
11
4$
152
$
17
1$
190
$
38
0$
D72
40R
emov
al o
f im
pact
ed to
oth-
full
bony
n/a
-$
135
$
18
0$
203
$
22
5$
450
$
D
7241
Rem
oval
of i
mpa
cted
toot
h-un
usua
lly d
iffic
ult
n/a
-$
143
$
19
0$
214
$
23
8$
475
$
D
7280
Surg
ical
exp
osur
e of
impa
cted
toot
h fo
r orth
o re
ason
sn/
a-
$
23
4$
312
$
35
1$
390
$
78
0$
D72
85Bi
opsy
of o
ral t
issu
e-ha
rdn/
a-
$
90
$
120
$
13
5$
150
$
30
0$
D73
10Al
veol
opla
sty
in c
onju
nctio
n w
ith e
xtra
ctio
ns-p
er q
uad
n/a
-$
74$
98
$
110
$
12
3$
245
$
D
7320
Alve
olop
last
y no
t in
conj
unct
ion
with
ext
ract
ions
-per
qua
dn/
a-
$
10
2$
136
$
15
3$
170
$
34
0$
D74
71R
emov
al o
f exo
stos
is-p
er s
iten/
a-
$
16
5$
220
$
24
8$
275
$
55
0$
D75
10In
cisi
on &
dra
in in
tra o
ral s
oft t
issu
en/
a-
$
68
$
90$
10
1$
113
$
22
5$
D79
60Fr
enec
tom
yn/
a-
$
10
5$
140
$
15
8$
175
$
35
0$
D79
70Ex
cisi
on o
f hyp
erpl
astic
tiss
ue p
er a
rch
n/a
-$
98$
13
1$
148
$
16
4$
328
$
D
7999
Uns
peci
fied
oral
sur
gery
pro
cedu
re, b
y re
port
(util
ized
for F
ull m
outh
fee
n/a
250
$
28
0$
320
$
36
0$
400
$
80
0$
Ort
hodo
ntic
sLa
b Fe
eSl
ide
ASl
ide
BSl
ide
CSl
ide
DSl
ide
ED
8020
Lim
ited
orth
odon
tic tr
eatm
ent o
f the
tran
sitio
nal d
entit
ion
150
$
150
$
54
0$
720
$
81
0$
900
$
1,
800
$
D80
30Li
mite
d or
thod
ontic
trea
tmen
t of t
he a
dole
scen
t den
titio
n15
0$
15
0$
540
$
72
0$
810
$
90
0$
1,80
0$
D
8040
Lim
ited
orth
odon
tic tr
eatm
ent o
f the
adu
lt de
ntiti
on15
0$
15
0$
750
$
1,
000
$
1,12
5$
1,
250
$
2,50
0$
AD
JUN
CTI
VE S
ERVI
CES
Lab
Fee
Slid
e A
Slid
e B
Slid
e C
Slid
e D
Slid
e E
D91
10Pa
lliativ
e tre
atm
ent
n/a
-$
33$
44
$
50$
56
$
111
$
D
9120
Fixe
d Pa
rtial
Den
ture
Sec
tioni
ngn/
a-
$
97
$
116
$
13
5$
154
$
19
3$
D92
20D
eep
seda
tion,
gen
eral
ane
sthe
sia
first
30
min
utes
n/a
-$
120
$
16
0$
180
$
20
0$
400
$
D
9221
Dee
p se
datio
n, g
ener
al a
nest
hesi
a ea
ch a
dditi
onal
15
min
utes
n/a
-$
54$
72
$
81$
90
$
180
$
D
9230
Anal
gesi
a, in
hala
tion
of n
itrou
s ox
ide
75$
75
$
75$
75
$
75$
75
$
75$
D
9241
Intra
veno
us s
edat
ion/
anal
gesi
a fir
st 3
0 m
inut
esn/
a-
$
22
5$
300
$
33
8$
375
$
75
0$
D92
42In
trave
nous
sed
atio
n/an
alge
sia
each
add
ition
al 1
5 m
inut
esn/
a-
$
54
$
72$
81
$
90$
18
0$
D92
48N
on-in
trave
nous
con
scio
us s
edat
ion
n/a
-$
90$
12
0$
135
$
15
0$
300
$
D
9420
Hos
pita
l vis
itn/
a-
$
10
5$
140
$
15
8$
175
$
35
0$
D96
30O
ther
dru
gs/m
edic
amen
ts U
SE T
HIS
FO
R P
REV
IDEN
T 50
00 T
OO
THP
12$
13
$
13$
13
$
13$
13
$
13$
D
9910
Appl
icat
ion
of d
esen
sitiz
ing
med
icat
ion
n/a
-$
15$
20
$
23$
25
$
50$
D
9930
treat
men
t of c
ompl
icat
ions
-unu
sal c
ircn/
a-
$
6
$
8
$
9
$
10
$
20$
D
9940
Occ
lusa
l gua
rd11
0$
13
5$
270
$
33
0$
375
$
42
5$
475
$
D
9910
Des
ensi
tizin
g R
esin
n/a
-$
20$
26
$
29$
33
$
65$
D
9911
Des
ensi
tizin
g R
esin
n/a
-$
20$
26
$
29$
33
$
65$
D
9951
Occ
lusa
l adj
ustm
ent-l
imite
dn/
a-
$
42
$
56$
63
$
70$
14
0$
D99
72Bl
each
Tra
ys55
$
65$
10
5$
140
$
16
0$
175
$
35
0$
Upd
ated
10/
12/2
016
Prin
ted
2/6/
2019
Ther
e is
an
addi
tiona
l cha
rge
for t
he fo
llow
ing
serv
ices
as
note
d be
low
:
40$
30
%40
%45
%50
%N
O D
ISC
OU
NT
DEN
TAL
SER
VIC
ESSt
anda
rdC
PT C
ode
CPT
Des
crip
tion
0$
0$
0$
0$
1$
1$
Page 9 of 16
100% of S.C. 50% of S.C. 45% of S.C. 40% of S.C. 30% of S.C. 15% of S.C.E D C B A
LABS LABS BY CPT CODES over 200%
FPL 176-200%
FPL 151-175%
FPL 126-150%
FPL 101-125%
FPL 0-100%
FPL
CPT Code CPT Description Standard
Charge Slide Price Slide Price Slide Price Slide Price Slide Price 80305 In-House Drug Test $45.00 $22.50 $20.25 $18.00 $13.50 $6.7580301 UA $30.00 $15.00 $13.50 $12.00 $9.00 $4.5082270 Hemoccult Screening $20.00 $10.00 $9.00 $8.00 $6.00 $3.0082272 Hemoccult Non-Screening $20.00 $10.00 $9.00 $8.00 $6.00 $3.0082274 Fecal Globin by Immunichemistry $40.00 $20.00 $18.00 $16.00 $12.00 $6.00
36415 Blood Draw Fee (Routine Venipuncture) $15.00 Included Included Included Included Included36416 Pediatrice Blood Draw Fee (foot, heal,ear) $15.00 Included Included Included Included Included80048 BASIC METABOLIC PANEL $25.00 included included included included included80053 COMPLETE METABOLIC PANEL $35.00 included included included included included81001 UA Complete or w/ Rfl Cult (sent out) $10.00 included included included included included81002 UA Dipstick w/o Microscopy (onsite) $10.00 included included included included included81025 Pregnancy Test, Urine (Dipstick) $25.00 included included included included included82962 GLUCOSE BLOOD TEST - Fingerstick $20.00 included included included included included83036 HEMOGLOBIN A1C $45.00 included included included included included86580 TB Intradermal - PPD $20.00 included included included included included87804 Rapid Influenza $45.00 included included included included included87807 Rapid RSV (In House) $30.00 included included included included included87880 Strep Screen $30.00 included included included included included
INCLUDED IN FEE WITH FOLLOW UP VISITS
INCLUDED IN OFFICE VISIT
There is an additional charge for the following services as noted below:
100% of S.C. $45 $40 $35 $30 $20E D C B A
GENERAL MEDICAL PROCEDURES over 200% FPL 176-200%
FPL 151-175%
FPL 126-150%
FPL 101-125%
FPL 0-100% FPL
CPT Code CPT Description Standard Charge Slide Price Slide Price Slide Price Slide Price Slide Price
EVALUATION / MANAGEMENT 99201 New Pt. Limited Office Visit $115.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99202 New Pt. Brief Office Vist $145.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99203 New Pt. Intermediate Office Visit $190.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99204 New Pt. Extended Office Visit $320.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99205 New Pt. Comprehensive Office Visit $375.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99211 Est. Pt. Limited Office Visit $45.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99212 Est. Pt. Brief Office Vist $125.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99213 Est. Pt. Intermediate Office Visit $135.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99214 Est. Pt. Extended Office Visit $165.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99215 Est. Pt. Comprehensive Office Visit $220.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00
PREVENTION / WELL CARE99382 New Pt. Well Care 1 - 4 yrs $180.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99383 New Pt. Well Care 5 - 11yrs $185.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99384 New Pt. Well Care 12 - 17yrs $185.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99385 New Pt. Well Care 18 - 39yrs $190.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99386 New Pt. Well Care 40 - 64yrs $230.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99387 New Pt. Well Care > 64yrs $250.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99392 Est. Pt. Well Care 1 - 4yrs $150.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99393 Est. Pt. Well Care 5 - 11yrs $150.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99394 Est. Pt. Well Care 12 - 17yrs $155.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99395 Est. Pt. Well Care 18 - 39yrs $165.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99396 Est. Pt. Well Care 40 - 64yrs $185.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99397 Est. Pt. Well Care >64yrs $200.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00
PHYSICIAN NON FACE-TO-FACE99443 Telephone E/M service: 21-30 minutes $150.00 45.00$ 40.00$ 35.00$ 30.00$ 20.00$
CONSULTATION99241 Limited Consult - Office (15 min) $90.00 45.00$ 40.00$ 35.00$ 30.00$ 20.00$
100%
of S
.C.
50%
of S
.C.
35%
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15%
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DC
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GEN
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MED
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PR
OC
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ove
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FPL
151
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FPL
101-
150%
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There is an additional charge for the following services as noted below:100% of S.C. 50% of S.C. 45% of S.C. 40% of S.C. 30% of S.C. 15% of S.C.
E D C B A
IMMUNIZATIONS/INJECTIONS over 200%
FPL 176-200%
FPL 151-175%
FPL 126-150%
FPL 101-125%
FPL 0-100% FPL
CPT Code CPT Description Standard Charge Slide Price Slide Price Slide Price Slide Price Slide Price
ALL NO CHARGE WITH AN OFFICE VISITIMMUNIZATION/VACCINE ADMINISTRATION
CANNOT BILL ADMIN. FEE FOR VFC VACCINESIMMUNIZATIONS/VACCINES
VFC 90647SL HiB (PedvaxHib - 3 dose) v03.81 $5.00 Included Included Included Included Included90648SL HiB - 4 dose v03.81 (ActHIB) $5.00 Included Included Included Included Included90649SL HPV - 3 dose (VFC) v04.89 (Gardasil) $5.00 Included Included Included Included Included90655SL Flu Vaccine (Preserv. Free) 6-35 months v04.81 $5.00 Included Included Included Included Included90656SL Flu Vacine Inj. (Preserv. Free) 3yrs + v04.81 $5.00 Included Included Included Included Included90660SL Flu - Intranasal (live) v04.81 $5.00 Included Included Included Included Included90670SL Pneumococcal (Prevnar) v03.82 PNU13 $5.00 Included Included Included Included Included90680SL Rotavirus (RotoTeq) v04.89 $5.00 Included Included Included Included Included90696SL DTaP & IPV (Kinrix) v.06.3 $5.00 Included Included Included Included Included90698SL DTaP & Hib & IPV (Pentacel) v06.8 $5.00 Included Included Included Included Included90700SL DTaP - under 7yrs - 5 dose v06.1 (Infanrix) $5.00 Included Included Included Included Included90707SL MMR - 2 dose v06.4 (MMRII) $5.00 Included Included Included Included Included90713SL IPV -4 dose v04.0 (IPOL) $5.00 Included Included Included Included Included90715SL Tdap v06.1 (Boostrix/Adacel) $5.00 Included Included Included Included Included90716SL Varicella - 2 dose v05.4 (Varivax) $5.00 Included Included Included Included Included90723SL DTaP & Hep B & IPV (Pediarix) v06.8 $5.00 Included Included Included Included Included90734SL Meningococcal (Menactra) v03.89 $5.00 Included Included Included Included Included90744SL Hep B-Pediatric - v05.3 (Recombivax HB/Engerix) $5.00 Included Included Included Included Included
There is an additional charge for the following services as noted below:100% of S.C. 50% of S.C. 45% of S.C. 40% of S.C. 30% of S.C. 15% of S.C.
E D C B A
IMMUNIZATIONS/INJECTIONS over 200%
FPL 176-200%
FPL 151-175%
FPL 126-150%
FPL 101-125%
FPL 0-100% FPL
CPT Code CPT Description Standard Charge Slide Price Slide Price Slide Price Slide Price Slide Price
NO OFFICE VISIT 90632 Hep A - Adult v05.3 - - per dose $115.00 $57.50 $51.75 $46.00 $34.50 $17.2590633 Hep A - Ped/Adol - 3 dose v05.3 (Havrix) $80.00 $40.00 $36.00 $32.00 $24.00 $12.0090647 HiB - 4 dose v03.81 (ActHIB) $40.00 $20.00 $18.00 $16.00 $12.00 $6.0090649 HPV -(Gardasil) 3 DOSE IM (MFH supply) v04.89 $245.00 $122.50 $110.25 $98.00 $73.50 $36.7590656 Flu Vacine Inj. (Preserv. Free) 3yrs + v04.81 $25.00 $12.50 $11.25 $10.00 $7.50 $3.7590657 Flu Vaccine Inj, 6 mos - 3yrs v04.81 $25.00 $12.50 $11.25 $10.00 $7.50 $3.7590658 Flu Vaccine (split) - 4yrs + v04.81 $25.00 $12.50 $11.25 $10.00 $7.50 $3.7590658 Flu Vaccine (split) - 4yrs + v04.81 $25.00 $12.50 $11.25 $10.00 $7.50 $3.7590660 Flu - Intranasal (live) v04.81 $25.00 $12.50 $11.25 $10.00 $7.50 $3.7590670 Pneumococcal (Prevnar 13) v03.82 $275.00 $137.50 $123.75 $110.00 $82.50 $41.2590680 Rotavirus (RotoTeq) v04.89 $135.00 $67.50 $60.75 $54.00 $40.50 $20.2590696 DTaP & IPV (Kinrix) v.06.3 $90.00 $45.00 $40.50 $36.00 $27.00 $13.5090698 DTaP & Hib & IPV (Pentacel) v06.8 $150.00 $75.00 $67.50 $60.00 $45.00 $22.5090700 DTaP - under 7yrs - 5 dose v06.1 (Infanrix) $35.00 $17.50 $15.75 $14.00 $10.50 $5.2590707 MMR - 2 dose v06.4 $100.00 $50.00 $45.00 $40.00 $30.00 $15.0090713 IPV -4 dose v04.0 (IPOL) $50.00 $25.00 $22.50 $20.00 $15.00 $7.5090714 Tetanus and Diptheria Toxoid $75.00 $37.50 $33.75 $30.00 $22.50 $11.2590715 TdaP (Adacel) v06.1 $75.00 $37.50 $33.75 $30.00 $22.50 $11.2590716 Varicella - 2 dose v05.4 (Varivax) $120.00 $60.00 $54.00 $48.00 $36.00 $18.0090723 DTaP & HB & IPV v06.8 (Pediarix) $100.00 $50.00 $45.00 $40.00 $30.00 $15.0090732 Pneumovax - Adult v03.82 $140.00 $70.00 $63.00 $56.00 $42.00 $21.0090734 Meningococcal (Menactra) v03.89 $190.00 $95.00 $85.50 $76.00 $57.00 $28.5090744 Hep B (HB) - Pediatric - v05.3 (Recombivax HB) $40.00 $20.00 $18.00 $16.00 $12.00 $6.0090746 Hep B - Adolescent/Adult v05.3 - per dose $40.00 $20.00 $18.00 $16.00 $12.00 $6.00
OFFICE VISIT90632 Hep A - Adult v05.3 $115.00 $57.50 $51.75 $46.00 $34.50 $17.2590633 Hep A - Ped/Adol - 3 dose v05.3 (Havrix) $80.00 $40.00 $36.00 $32.00 $24.00 $12.0090647 HiB - 4 dose v03.81 (ActHIB) $40.00 Included Included Included Included Included90649 HPV -(Gardasil) 3 DOSE IM (MFH supply) v04.89 $245.00 $122.50 $110.25 $98.00 $73.50 $36.7590656 Flu Vacine Inj. (Preserv. Free) 3yrs + v04.81 $25.00 Included Included Included Included Included90657 Flu Vaccine Inj, 6 mos - 3yrs v04.81 $25.00 $12.50 $11.25 $10.00 $7.50 $3.7590658 Flu Vaccine (split) - 4yrs + v04.81 $25.00 Included Included Included Included Included90660 Flu - Intranasal (live) v04.81 $25.00 Included Included Included Included Included90670 Pneumococcal (Prevnar 13) v03.82 $275.00 Included Included Included Included Included90680 Rotavirus (RotoTeq) v04.89 $135.00 Included Included Included Included Included90696 DTaP & IPV (Kinrix) v.06.3 $90.00 Included Included Included Included Included90698 DTaP & Hib & IPV (Pentacel) v06.8 $150.00 Included Included Included Included Included90700 DTaP - under 7yrs - 5 dose v06.1 (Infanrix) $35.00 Included Included Included Included Included90707 MMR - 2 dose v06.4 $100.00 $50.00 $45.00 $40.00 $30.00 $15.0090713 IPV -4 dose v04.0 (IPOL) $50.00 Included Included Included Included Included90714 Tetanus and Diptheria Toxoid $75.00 Included Included Included Included Included90715 TdaP (Adacel) v06.1 $75.00 Included Included Included Included Included90716 Varicella - 2 dose v05.4 (Varivax) $150.00 Included Included Included Included Included90723 DTaP & HB & IPV v06.8 (Pediarix) $100.00 Included Included Included Included Included90732 Pneumovax - Adult v03.82 $140.00 $70.00 $63.00 $56.00 $42.00 $25.0090734 Meningococcal (Menactra) v03.89 $190.00 Included Included Included Included Included90744 Hep B (HB) - Pediatric - v05.3 (Recombivax HB) $40.00 Included Included Included Included Included90746 Hep B - Adolescent/Adult - v05.3 (Recombivax HB) $90.00 Included Included Included Included Included
INJECTION PROCEDURE TYPE20551 INJECTION SINGLE TENDON $200.00 $100.00 $90.00 $80.00 $60.00 $30.0020552 INJECTION SINGLE/MX TRIG POINT 1/2 $150.00 $75.00 $67.50 $60.00 $45.00 $22.5020553 INJECTION SINGLE/MLT 3/> $380.00 $190.00 $171.00 $152.00 $114.00 $57.0020600 ARTHROCEN ASPIR & INJ; SM JNT $95.00 $47.50 $42.75 $38.00 $28.50 $14.2520605 ARTHROCEN ASPIR & INJ; INTRMD JNT $120.00 $60.00 $54.00 $48.00 $36.00 $18.0020610 ARTHROCEN ASPIR & INJ; MAJ JNT $150.00 $75.00 $67.50 $60.00 $45.00 $22.50
SPECIFIC INJECTION SUBSTANCEJ0696 CEFTRAXONE PER 250 MG $10.00 Included Included Included Included Included
There is an additional charge for the following services as noted below:100% of S.C. 50% of S.C. 45% of S.C. 40% of S.C. 30% of S.C. 15% of S.C.
E D C B A
IMMUNIZATIONS/INJECTIONS over 200%
FPL 176-200%
FPL 151-175%
FPL 126-150%
FPL 101-125%
FPL 0-100% FPL
CPT Code CPT Description Standard Charge Slide Price Slide Price Slide Price Slide Price Slide Price
J1030 DEPO MEDROL 40 MG $20.00 Included Included Included Included IncludedJ1100 DEXAMETHASONE NA PHOSPHATE PER MG $10.00 Included Included Included Included IncludedJ1885 TORADOL PER 15 MG $15.00 Included Included Included Included IncludedJ3420 B12 1000 MCG $10.00 Included Included Included Included Included
There is an additional charge for the following services as noted below:100% of S.C. 50% of S.C. 45% of S.C. 40% of S.C. 30% of S.C. 15% of S.C.
E D C B A
MINOR SURGICAL PROCEDURES over 200%
FPL 176-200%
FPL 151-175%
FPL 126-150%
FPL 101-125%
FPL 0-100% FPL
CPT Code CPT Description Standard Charge Slide Price Slide Price Slide Price Slide Price Slide Price
10040 ACNE SX. REMOVAL OF MILIA/CYST $140.00 Included Included Included Included Included10060 I & D SKIN ABSCESS-SIMPLE/SINGLE $192.00 Included Included Included Included Included10061 I & D SKIN ABSCESS-COMPLICATED/MULTI $385.00 $192.50 $173.25 $154.00 $115.50 $57.7510120 I & D FOREIGN BODY-SIMPLE $236.00 Included Included Included Included Included11100 BIOPSY, SKIN LESION - SIMPLE $148.00 Included Included Included Included Included11101 EACH ADDITIONAL LESION $78.00 $39.00 $35.10 $31.20 $23.40 $11.7011200 REMOVAL OF SKIN TAGS UP TO 15 $145.00 Included Included Included Included Included11201 EACH ADDITIONAL 10 SKIN TAGS $55.00 $27.50 $24.75 $22.00 $16.50 $8.2511400 EXC. BIOPSY-BENIGN-TRUNK, ARM, LEGS <0.5 $200.00 $100.00 $90.00 $80.00 $60.00 $30.0011401 EXC. BIOPSY-BENIGN-TRUNK, ARM, LEGS 0.6-1.0 $260.00 $130.00 $117.00 $104.00 $78.00 $22.8511402 EXC. BIOPSY-BENIGN-TRUNK, ARM, LEGS 1.1-2.0 $305.00 $152.50 $137.25 $122.00 $91.50 $45.7511403 EXC. BIOPSY-BENIGN-TRUNK, ARM, LEGS 2.1-3.0 $370.00 $185.00 $166.50 $148.00 $111.00 $55.5011420 BENIGN SCALP, NECK, HANDS <0.5 $220.00 $110.00 $99.00 $88.00 $66.00 $33.0011421 BENIGN SCALP, NECK, HANDS 0.6-1.0 $258.00 $129.00 $116.10 $103.20 $77.40 $38.7011422 BENIGN SCALP, NECK, HANDS 1.1-2.0 $345.00 $172.50 $155.25 $138.00 $103.50 $51.7511423 BENIGN SCALP, NECK, HANDS 2.1-3.0 $395.00 $197.50 $177.75 $158.00 $118.50 $59.2511730 REMOVAL OF NAIL PLATE $153.00 $76.50 $68.85 $61.20 $45.90 $22.9511740 SUBLINGUAL HEMATOMA $100.00 Included Included Included Included Included11750 REMOVAL OF NAIL BED $317.00 $158.50 $142.65 $126.80 $95.10 $47.5515852 DRESSING CHANGE NOT FOR BURN $130.00 Included Included Included Included Included16020 DRESS/DEBRID P-THICK BURN, S $166.00 Included Included Included Included Included17000 DESTRUCT PREMLG LESION - 1ST LESION $95.00 Included Included Included Included Included17003 DESTRUCT PREMLG LESION - 2-14 EACH $20.00 Included Included Included Included Included17110 WART DESTRUCTION UP TO 14 $180.00 Included Included Included Included Included17111 WART DESTRUCTION OF 15+ $200.00 $100.00 $90.00 $80.00 $60.00 $30.0020551 INJECTION SINGLE TENDON $200.00 $100.00 $90.00 $80.00 $60.00 $30.0020552 INJECTION SINGLE/MX TRIG POINT 1/2 $150.00 $75.00 $67.50 $60.00 $45.00 $22.5020553 INJECTION SINGLE/MLT 3/> $380.00 $190.00 $171.00 $152.00 $114.00 $57.0020600 ARTHROCEN ASPIR & INJ; SM JNT $95.00 $47.50 $42.75 $38.00 $28.50 $14.2520605 ARTHROCEN ASPIR & INJ; INTRMD JNT $120.00 $60.00 $54.00 $48.00 $36.00 $18.0020610 ARTHROCEN ASPIR & INJ; MAJ JNT $150.00 $75.00 $67.50 $60.00 $45.00 $22.5029130 APPLICATION OF FINGER SPLINT $71.00 Included Included Included Included Included36415 BLOOD DRAW FEE - ROUTINE $5.00 Included Included Included Included Included36416 BLOOD DRAW FEE - PEDIATRIC $5.00 Included Included Included Included Included58301 REMOVAL INTRAUTERINE DEVICE IUD $180.00 Included Included Included Included Included69209 REMOVAL IMPACTED CERUMIN IRRIGATION/LVG $30.00 Included Included Included Included Included69210 REMOVE IMPACTED EAR WAX $100.00 Included Included Included Included Included69210 REMOVAL IMPACTED CERUMIN INSTRUMENT $100.00 Included Included Included Included Included92551 AUDIOMETRY SCREEN $15.00 Included Included Included Included Included93000 EKG COMPLETE (TEST, INTERP, REPORT) $40.00 Included Included Included Included Included93005 EKG (TEST ONLY/NO INTERP) $15.00 Included Included Included Included Included93010 EKG INTREPRETATION $10.00 Included Included Included Included Included94640 NEBUELIZER TREATMENT (2nd tx modf 76) $40.00 Included Included Included Included Included94664 EVALUATE PT USE OF INHALER $20.00 Included Included Included Included Included2028F FOOT EXAMINATION $0.00 Included Included Included Included Included
OSTEIOPATHIC MANIPULATION98925 OMT - 1-2 Body Regions $60.00 $30.00 $27.00 $24.00 $18.00 $9.0098926 OMT - 3-4 Body Regions $75.00 $37.50 $33.75 $30.00 $22.50 $11.25
MEDICATIONJ0696 CEFTRAXONE PER 250 MG $10.00 Included Included Included Included IncludedJ1030 DEPO MEDROL 40 MG $20.00 Included Included Included Included IncludedJ1100 DEXAMETHASONE NA PHOSPHATE PER MG $10.00 Included Included Included Included IncludedJ1885 TORADOL PER 15 MG $15.00 Included Included Included Included IncludedJ3420 B12 1000 MCG $10.00 Included Included Included Included IncludedJ7611 ALBUTEROL, UP TO 5 MG $10.00 Included Included Included Included IncludedJ7613 ALBUTEROL SULFATE INHALATION SOLUTION .08 $10.00 Included Included Included Included IncludedJ7616 ALBUTEROL, UP TO 5MG $10.00 Included Included Included Included IncludedJ7620 ALBUTEROL, UP TO 2.5 MG & IPRATROPIUM $10.00 Included Included Included Included Included
There is an additional charge for the following services as noted below:
100% of S.C. $45 $40 $35 $30 $20E D C B A
GENERAL MEDICAL PROCEDURES over 200% FPL 176-200%
FPL 151-175%
FPL 126-150%
FPL 101-125%
FPL 0-100% FPL
CPT Code CPT Description Standard Charge Slide Price Slide Price Slide Price Slide Price Slide Price
EVALUATION / MANAGEMENT 99201 New Pt. Limited Office Visit $115.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99202 New Pt. Brief Office Vist $145.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99203 New Pt. Intermediate Office Visit $190.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99204 New Pt. Extended Office Visit $320.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99205 New Pt. Comprehensive Office Visit $375.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99211 Est. Pt. Limited Office Visit $45.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99212 Est. Pt. Brief Office Vist $125.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99213 Est. Pt. Intermediate Office Visit $135.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99214 Est. Pt. Extended Office Visit $165.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00 99215 Est. Pt. Comprehensive Office Visit $220.00 $ 45.00 $ 40.00 $ 35.00 $ 30.00 $ 20.00
Stra
tegi
c Plan
FY
2019
: TOP
10 R
OCKS
PILL
ARGO
AL / I
NDIC
ATOR
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
Year
2 im
pleme
ntatio
n of C
CBHC
with
integ
ratio
n of
prim
ary c
are w
ith th
e foll
owing
outco
mes:
(a)
trans
fer of
stab
le SU
D ma
inten
ance
clien
ts to
Prim
ary C
are,
(b) in
tegra
ted ca
se m
anag
emen
t re
views
, (c)
attain
ment
of 50
% of
quali
ty me
trics
comp
ared
to S
tate &
Fed
eral
benc
hmar
ks.
Year
2 for
CCB
HC-h
ave o
ne P
C pr
ovide
r tha
t is
waive
r tra
ined.
Going
from
4 ho
urs o
f PC
MAT
in Ar
nold
to 20
hour
s as o
f 11/1
5/18.
Will
also b
e add
ing
4 hou
rs of
PC ca
re on
site i
n Arn
old of
fice b
y 12
/3/18
.Tra
nsfer
of st
able
clien
ts for
MAT
is cu
rrentl
y in
proc
ess f
rom
Dr R
ohatg
i to A
shley
Whit
ley.
Medic
ation
for O
piate
Use D
isord
er(M
OUD)
se
rvice
s exp
ande
d in A
rnold
. Now
20 hr
s. pe
r we
ek. T
his al
so br
ough
t alon
g the
addit
ion of
Pr
imar
y Car
e at A
rnold
with
initia
l allo
catio
n of 4
hr
s./we
ek. C
ontin
uing t
o tra
nsfer
Dr R
ohatg
i clie
nts
that a
re st
able
MOUD
to A
shley
Whit
ley in
Arn
old.
Also
, add
ing 24
hour
s of a
dditio
nal c
hild p
sych
iatry
via G
enoa
. This
was
initia
ted in
Nov
and w
ill be
co
mplet
e in M
arch
2019
for H
ickor
y, Du
nklin
and
Fox.
Form
ulate
a plan
base
d on t
he da
ta ga
there
d in
2018
and i
mplem
ent.
75%
of B
H an
d 75%
of P
C pr
ovide
rs ce
rtified
in pr
escri
be su
boxo
ne or
othe
r me
dicati
on tr
eatm
ent fo
r SU
D tre
atmen
t.
Not c
urre
ntly h
aving
75%
of P
C pr
ovide
rs wi
th wa
iver
tx. A
sses
sing n
eed,
capa
city a
nd te
am fu
nctio
n in O
P loc
ation
.
Festu
s NP
has h
er W
aiver
-will
begin
addin
g her
MO
UD to
her c
aselo
ad. W
ill als
o be a
dding
an
other
PC
NP to
beha
viora
l hea
lth an
d MOU
D se
rvice
s with
in ne
xt 6 m
os. B
eginn
ing w
ith m
ental
he
alth c
are a
nd th
en tr
ansit
ioning
to M
OUD
as
traini
ng co
ntinu
es.
Ongo
ing ev
aluati
on of
reso
urce
s for
servi
ces.
Qu
arter
ly &
annu
al mo
nitor
ing w
ith ou
tcome
s re
portin
g for
the R
7 Dive
rsion
& A
sses
smen
t pilo
t for
men
tal he
alth a
nd su
bstan
ce us
e nee
ds.
Expe
ctatio
ns in
clude
iden
tifica
tion o
f per
forma
nce
indica
tors;
quar
terly
dash
boar
d for
repo
rting t
o sta
keho
lders;
and p
rogr
am de
scrip
tion,
forma
t and
gu
idelin
es fo
r rep
licati
on.
Conti
nue t
o esta
blish
para
meter
s, wo
rkflow
s and
co
mmun
icatio
n/staf
fing p
roce
ss w
ith R
7 Dive
rsion
Pr
ogra
m. W
e had
first
meeti
ng in
Aug
ust 2
018 a
nd a
seco
nd m
eetin
g is p
lanne
d for
Nov
2018
. Our
plan
is
to me
et bim
onthl
y till
end o
f sch
ool y
ear t
hen g
o to
quar
terly.
Wor
king w
ith IT
and A
VATA
R wi
th the
PRA
PARE
too
l's av
ailab
ility i
n the
NetS
mart
when
prim
ary
care
tran
sition
s into
this
EMR
in 20
19. B
H sta
ff co
ntinu
e to w
ork w
ith R
7 Dive
rsion
/Inter
venti
on
Pilot
. Mar
go an
d Ton
y also
mee
t reg
ularly
(q2
mos.)
with
Stev
e Hor
n to e
valua
te pr
ogre
ss,
chall
enge
s, ne
eds a
nd da
ta re
view.
More
scho
ol-ba
sed h
ealth
care
servi
ces.
Ongo
ing,
routi
ne re
cruitm
ent to
keep
beha
viora
l hea
lth
staffe
d per
budg
et/ac
tual n
eed w
ith ex
pand
ed
servi
ce de
liver
y opti
ons i
n the
scho
ol se
ttings
. Th
is ca
n inc
lude B
H se
rvice
s tha
t are
billa
ble fo
r No
rthwe
st, D
unkli
n and
the n
ext S
BHC
site.
Begin
ning c
hild p
sych
at F
ox on
11/5
and t
entat
ive
start
date
for ch
ild ps
ych t
he en
d of N
ovem
ber f
or
Dunk
lin w
ith N
urse
Pra
ctitio
ner (
Dr. C
hris
Reyn
olds)
onsit
e for
8 ho
urs.
Requ
ested
thos
e ser
vices
to be
pr
oces
sed v
ia CC
BHC
and H
RSA
for sc
ope.
This
has b
een r
evise
d: W
ill be
prov
iding
child
ps
ychia
try on
site v
ia tel
ehea
lth at
Fox
Hea
lth
Cente
r on M
onda
ys an
d Dun
klin H
ealth
Cen
ter on
Tu
esda
ys be
ginnin
g in M
arch
. Are
wor
king w
ith
Geno
a for
child
psyc
hiatris
t con
tracti
ng. H
ave M
A sta
ffing c
omple
ted as
well
to su
ppor
t teleh
ealth
. CC
BHC
and H
RSA
mater
ials c
omple
ted as
well
.
Explo
re op
portu
nity f
or m
obile
beha
viora
l hea
lth
unit i
nclud
ing po
tentia
l fund
ing so
urce
s and
sites
for
mob
ile se
rvice
s
No ac
tion h
ere t
o date
. No
actio
n her
e to d
ate. W
e are
conti
nuing
to
asse
ss th
e tru
e net
reve
nue a
nd op
erati
onal
proc
edur
es w
ith th
e mob
ile de
ntal p
rogr
am be
fore
any a
dditio
nal e
xpan
sion.
1In
crea
sed
beha
viora
l hea
lth
serv
ices a
nd ac
cess
, bot
h m
enta
l hea
lth &
subs
tanc
e use
, ac
ross
the a
ge co
ntin
uum
(c
hild
ren,
yout
h an
d ad
ult)
Miss
ion
and
Colla
bora
tion
Stra
tegi
c Plan
FY
2019
: TOP
10 R
OCKS
PILL
ARGO
AL / I
NDIC
ATOR
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
Ongo
ing ev
aluati
on th
roug
h cou
nty w
ide re
spon
se.
(a) 1
00%
of al
l elig
ible p
rovid
ers i
n the
St. L
ouis
PDMP
, (b)
rece
ipt an
d dist
ributi
on of
the q
uarte
rly
J.C. P
DMP
repo
rt, an
d (c)
identi
ficati
on of
PDM
P an
d opio
id dr
ug us
age i
ndica
tors i
n our
mon
thly
QA/Q
I rep
ort.
Follo
wed u
p on M
ass R
egist
ratio
n fro
m Ju
ne 20
18
resu
lting i
n 8 S
uper
visor
s acti
vatin
g the
ir acc
ount
and
appr
oving
42 de
legate
s to v
iew P
DMP.
Bec
ause
of
the w
ay th
e St L
ouis
PDMP
is se
t up,
it is t
he
resp
onsib
ility o
f eac
h pro
vider
to re
gister
and n
ow as
a d
elega
te se
lect a
supe
rviso
r tha
t is re
gister
ed fo
r ap
prov
al. A
ll Doc
tors a
nd D
entis
ts ma
y ind
epen
dentl
y re
gister
. Wor
king w
ith A
ndre
a to g
et qu
arter
ly lis
t of
prov
iders
at CO
MTRE
A ap
prov
ed fo
r PDM
P ac
cess
. He
lpdes
k will
direc
t to IT
Kno
wled
geba
se fo
r dir
ectio
ns an
d link
to re
gister
. htt
ps://i
ntran
et.co
mtre
a.org
/IT/IT
%20
Know
ledge
%20
Bas
e/PDM
P_Re
gistra
tion_
Guide
.pdf .
Month
ly Op
ioid
and c
lass I
I pre
scrip
tions
by pr
ovide
rs is
distrib
uted t
o Me
dical
Dire
ctors
of Pr
imar
y Car
e and
Beh
avior
al He
alth.
Sinc
e July
, rep
orts
are g
iven a
t QIQ
A Mo
nthly
Meeti
ng. S
t Lou
is PD
MP Q
uarte
rly R
epor
ts is
being
se
nt ou
t to al
l elig
ible p
rovid
ers a
nd th
e QIQ
A Co
ordin
ating
Cou
ncil.
Conti
nue t
o give
Med
ical D
irecto
r, Dr
Roh
atgi,
month
ly me
dicati
on cl
ass a
ll pre
scrip
tion r
epor
ts for
Pr
imar
y Car
e, Be
havio
ral H
ealth
Psy
chiat
ry an
d Or
al He
alth.
Dr R
ohatg
i com
ments
at ea
ch Q
IQA
meeti
ng. T
his is
a sta
nding
item
on th
e age
nda.
No
furthe
r rep
orts
have
been
sent.
Last
repo
rt Q1
2018
wa
s sen
t to al
l pro
vider
s. htt
ps://w
ww.st
louisc
o.com
/pdmp
Katy
Mur
ray i
s fol
lowing
up w
ith S
t Lou
is Co
unty
PDMP
to se
e if
we ca
n get
a list
. New
Hire
Orie
ntatio
n or f
irst 6
0 da
ys tr
aining
is to
show
staff
how
to ap
ply to
use
the P
DMP
coun
ty da
ta ba
se,
Ongo
ing E
duca
tion &
Pre
venti
on P
roce
ss on
op
ioid e
pidem
ic thr
ough
comm
unity
colla
bora
tion
& int
egra
tion,
includ
ing bu
t not
limite
d to J
CDPC
&
NCAD
A.
Ongo
ing at
tenda
nce w
ith B
ehav
ioral
Healt
h re
pres
entat
ives w
ith Je
fferso
n Cou
nty D
rug
Prev
entio
n Coa
lition
(JCD
PC).
and M
oHop
e.
Same
leve
l of e
ngag
emen
t con
tinue
s with
BH
staff.
Conti
nued
activ
e role
in ad
voca
cy w
ith st
aff &
lea
dersh
ip pa
rticipa
tion i
n stat
e and
Fed
eral
profe
ssion
al as
socia
tions
and H
ill Da
ys fo
r inn
ovati
on in
resp
ondin
g to t
he op
ioid c
risis
with
addit
ional
fundin
g.
Conti
nued
partic
ipatio
n at o
ur st
ate as
socia
tions
, MO
Coali
tion a
nd M
PCA
(MO
Prim
ary C
are A
ssoc
iation
).
Advo
cacy
effor
ts wi
ll be r
ampin
g up i
n Q.2
and Q
.3 aft
er th
e sum
mer b
reak
.
Conti
nued
invo
lveme
nt an
d sup
port
from
BH
Divis
ion.
2In
tegr
atio
n/Co
llabo
ratio
n of
co
mm
unity
reso
urce
sMi
ssio
n an
d Co
llabo
ratio
n
Stra
tegi
c Plan
FY
2019
: TOP
10 R
OCKS
PILL
ARGO
AL / I
NDIC
ATOR
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
Integ
ratio
n of C
OMTR
EA pr
ovide
rs an
d pro
gram
s wi
th the
comm
unity
safet
y net.
In pr
ogre
ss. O
utrea
ch ef
forts
to ar
ea pr
ovide
rs too
k pla
ce to
shar
e tha
t our
pedia
tric de
ntist
is a s
afety
net
prov
ider w
ho is
acce
pting
new
patie
nts. P
rojec
t Ho
meles
s bro
ught
togeth
er m
any s
afety
net
orga
nizati
ons t
o pro
vide r
esou
rces f
or co
mmun
ity
memb
ers e
xper
iencin
g hom
eless
ness
. All o
f CO
MTRE
A's p
rogr
ams w
ere r
epre
sente
d.
Comm
unity
enga
geme
nt wa
s cho
sen a
s one
of th
e me
trics t
hat w
ill de
termi
ne th
e bon
us pa
ymen
t for
eligib
le pr
ovide
rs in
prim
ary c
are,
beha
viora
l hea
lth,
and d
ental
. This
shou
ld inc
entiv
ize pr
ovide
rs to
partic
ipate
in ou
treac
h acti
vities
and f
urthe
r sup
port
those
prov
iders
who a
lread
y do t
his. C
OMTR
EA
denti
sts al
so be
gan a
contr
actua
l relat
ionsh
ip wi
th the
coun
ty he
alth d
epar
tmen
t to pr
ovide
cove
rage
aft
er th
e hea
lth de
partm
ent fo
und i
tself w
ith no
de
ntist.
We a
re cu
rrentl
y pro
viding
30-4
0 hrs.
per
week
of de
ntist
hour
s.
(a) C
ontin
ued f
undr
aising
and b
uild o
f the
trans
itiona
l hou
sing f
or vi
ctims
of do
mesti
c vio
lence
; (b)
Set
timefr
ame g
oal o
f laun
ching
the
publi
c pha
se of
the C
apita
l Cam
paign
by Q
.1 FY
20
19; a
nd (c
) con
tinue
to id
entify
poten
tial d
onor
s an
d cult
ivate
partn
er re
lation
ships
.
The p
ublic
phas
e of th
e Cap
ital C
ampa
ign ha
s bee
n lau
nche
d. F
undr
aising
effor
ts an
d spe
cial e
vent
fundr
aising
is co
ntinu
ing. P
ostin
gs on
socia
l med
ia sit
es ar
e ong
oing a
nd a
GoFu
ndMe
page
was
cre
ated.
The
camp
aign w
ill be
part
of the
Givi
ng
Tues
day m
ovem
ent.
Effor
ts to
identi
fy co
mmun
ity
partn
ers,
poten
tial d
onor
s, an
d cult
ivate
relat
ionsh
ips
are o
n goin
g.
The C
apita
l Cam
paign
is pu
blic a
nd ef
forts
conti
nue
to pr
omote
the
proje
ct in
the co
mmun
ity. S
ocial
me
dia po
sts ar
e don
e on a
mon
thly b
asis.
A Y
ear
End A
ppea
l nett
ed ov
er $1
0,000
for t
he pr
oject.
La
ural
Hami
lton l
ocal
St. L
ouis
autho
r pro
moted
Ma
ry's H
ouse
of H
ope a
t A S
afe P
lace o
n Givi
ng
Tues
day a
nd ra
ised o
ver $
28,00
0 for
the p
rojec
t on
her F
aceb
ook p
age.
We h
ave b
een a
ward
ed
$160
,000.0
0 fro
m the
Fed
eral
Home
Loan
Ban
k for
the
proje
ct an
d awa
rded
a ch
allen
ge gr
ant fr
om th
e Ma
bee F
ound
ation
for $
300,0
00.00
. Add
itiona
l fun
ds w
ill ne
ed to
be ra
ised i
n ord
er to
be el
igible
for
thos
e gra
nt fun
ds. W
e con
tinue
to id
entify
new
comm
unity
partn
ers,
dono
rs, an
d cult
ivate
relat
ionsh
ips.
Exp
lore r
elatio
nship
s and
bene
fits th
roug
h Ga
teway
Hou
sing F
irst.
Lead
agen
cy in
Pro
ject
Home
less C
onne
ct wi
th co
mmun
ity re
sour
ce fa
ir in
Q.1/Q
.2 an
d ong
oing p
artic
ipatio
n in J
.C.
Coali
tion t
o End
Hom
eless
ness
.
Ongo
ing at
tenda
nce w
ith B
H re
pres
entat
ives t
o ad
dres
s hom
eless
ness
and r
esou
rce in
forma
tion.
Conti
nued
with
ongo
ing at
tenda
nce w
ith B
H re
pres
entat
ives t
o add
ress
home
lessn
ess a
nd
reso
urce
infor
matio
n. P
lannin
g is u
nder
way f
or a
2019
Pro
ject H
omele
ss C
onne
ct. T
he J.
C.
Coali
tion t
o End
Hom
eless
ness
has b
een i
nacti
ve.
Estab
lish r
elatio
nship
with
a de
velop
er.
No ac
tion h
ere t
o date
. Co
mmun
ity m
eetin
g sch
edule
d for
1/30
/19 to
ide
ntify
poten
tial s
uppo
rt.
3Em
erge
ncy s
helte
r and
tra
nsiti
onal
hous
ing
Miss
ion
and
Colla
bora
tion
Stra
tegi
c Plan
FY
2019
: TOP
10 R
OCKS
PILL
ARGO
AL / I
NDIC
ATOR
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
Conti
nue t
o ass
ess a
nd re
fine p
ay st
ructu
re to
re
main
comp
etitiv
e in m
arke
t. As
sess
diffe
rent
optio
ns fo
r bon
uses
inclu
ding f
requ
ency
(othe
r tha
n ann
ual) a
nd te
am-b
ased
versu
s ind
ividu
al.
HR co
ntinu
es to
utiliz
e Pay
scale
for c
ompe
nsati
on
asse
ssme
nt an
d will
be pa
rt of
Salar
y Stru
cture
Me
eting
to di
scus
s pay
and b
onus
optio
ns. I
nitial
me
eting
held
with
C-Te
am an
d VP
of HR
on 10
/15/18
an
d wor
k con
tinue
s on t
his in
itiativ
e.
Ongo
ing di
scus
sions
on po
sition
s and
new
hires
. Lic
ense
d staf
f sala
ries a
djuste
d 2nd
quar
ter to
be
comp
etitiv
e.. H
R us
es P
aysc
ale to
asse
ss
appr
opria
te pa
y for
new
hires
and p
romo
ted
emplo
yees
. Wor
king w
ith m
anag
ers a
nd C
-Tea
m wi
thin b
udge
tary p
aram
eters.
Deve
lop in
centi
ve pa
y for
perfo
rman
ce to
be
align
ed w
ith ag
ency
, divi
sion a
nd in
dividu
al go
als.
Asse
ss ou
tcome
s fro
m FY
2018
proc
ess w
ith
identi
ficati
on of
PI c
hang
es, g
uideli
nes f
or ra
ter
cons
isten
cy, a
nd de
termi
natio
n of a
genc
y goa
ls for
FY
2019
for t
he ag
ency
%ag
e.
1st Q
uarte
r Inc
entiv
es ar
e due
from
prov
iders
in Oc
tober
. Den
tal ha
d 4 pr
ovide
rs qu
alify.
2nd Q
uarte
r ince
ntive
s are
due f
rom
prov
iders
in Ja
nuar
y.
Defi
ne m
ethod
ology
and s
ource
(s) fo
r ong
oing
annu
al re
views
and a
djustm
ents.
Con
tinue
d im
pleme
ntatio
n of s
tagge
red s
alary
adjus
tmen
t pla
n for
all p
ositio
ns to
rema
in/ac
hieve
comp
etitiv
e ma
rket r
ange
. Imp
lemen
t Yea
r 3 of
the F
Ys 20
17-
2019
plan
for s
alary
adjus
tmen
ts to
achie
ve th
is ou
tcome
.
HR pr
opos
ed P
erfor
manc
e Eva
luatio
n pro
cess
to
Lead
ersh
ip in
Augu
st an
d it w
as ac
cepte
d. W
ill co
ntinu
e to f
ine tu
ne. H
R co
ntinu
es to
analy
ze
salar
ies fo
r equ
ity an
d pro
vides
upda
ted e-
mails
with
co
mpen
satio
n com
paris
ons t
o con
sider
for s
alary
adjus
tmen
ts.
Perfo
rman
ce E
valua
tion p
roce
ss pr
opos
al thr
ough
Pa
ycor
appr
oved
and i
s cur
rentl
y bein
g im
pleme
nted.
Train
ing st
arted
in Ja
nuar
y. St
ill wo
rking
thro
ugh 3
60* p
roce
ss w
hich r
equir
es so
me
manu
al ad
justm
ents.
Com
pens
ation
analy
sis
rema
ins a
focus
base
d on b
udge
tary a
llowa
nce,
which
is dr
iven b
y stat
e and
fede
ral fu
nding
, ser
vice
line p
erfor
manc
e and
expe
nse m
anag
emen
t.
Asse
ss an
d refi
ne be
nefit
pack
age t
o rem
ain
comp
etitiv
e in m
arke
t. (a)
Ann
ual re
view;
(b)
deve
lopme
nt of
summ
ary s
heet
per e
mploy
ee th
at su
mmar
izes v
alue o
f com
plete
comp
ensa
tion;
and
(c) de
velop
ment
of a s
hort-
term
Emplo
yee
Bene
fits w
orkg
roup
to as
sess
curre
nt an
d pro
vide
feedb
ack w
ith H
R/Fin
ance
invo
lveme
nt.
Open
enro
llmen
t for a
ll med
ical, l
ife an
d disa
bility
pla
ns oc
curre
d in S
ept.
Emplo
yee B
enefi
ts wo
rkgro
up ha
s bee
n esta
blish
ed w
ith 1s
t mee
ting t
o oc
cur w
ithin
2nd q
uarte
r with
Fina
nce a
nd H
R pa
rticipa
ting.
Wor
k con
tinue
s with
seek
ing w
ays t
o au
tomate
func
tions
that
are n
ow pa
per d
riven
and t
o pr
ovide
summ
ary v
alue o
f pay
plus
bene
fits to
pr
ovide
to em
ploye
es.
First
meeti
ng of
Ben
efits
Comm
ittee w
ill me
et 3r
d qu
arter
(Feb
ruar
y). H
R co
ntinu
es to
wor
k with
Pa
ycor
and o
ther e
ntitie
s to b
ring C
arrie
r Con
nect
to sta
ff for
self s
electi
on of
bene
fits. A
genc
y is
curre
ntly m
aking
adjus
tmen
ts to
bene
fits su
ch as
wa
iting p
eriod
s. Be
nefit
Summ
ary s
heet
has b
een
deve
loped
to pr
ovide
to em
ploye
es (n
ew an
d ex
isting
). Co
ntinu
e to w
ork o
n way
s to p
rovid
e su
mmar
y valu
e of b
enefi
ts.
4Em
ploy
ee
Enga
gem
ent &
Le
ader
ship
Com
pens
atio
n Pa
ckag
e -
Salar
y Sca
les, In
cent
ive
paym
ent m
etho
dolo
gy &
bo
nuse
s; P
erfo
rman
ce
appr
aisal
proc
ess &
mer
it-ba
sed
incr
ease
s; an
d Co
mpa
ny
bene
fits
Stra
tegi
c Plan
FY
2019
: TOP
10 R
OCKS
PILL
ARGO
AL / I
NDIC
ATOR
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
Conti
nued
imple
menta
tion o
f rete
ntion
plan
. (a)
De
velop
Emp
loyee
Eng
agem
ent fo
cus w
ith th
e ini
tial te
am of
Sue
Cur
fman
, Lisa
Wigg
er an
d HR
desig
nee;
(b) D
eterm
ine to
p 5 pr
actic
es th
at dr
ive
high e
ngag
emen
t and
PI o
ppor
tunitie
s for
CO
MTRE
A wi
th qu
arter
ly re
port
to LC
and B
oard
; (c)
Rev
iew of
exit i
ntervi
ews t
o ide
ntify
trend
s and
fol
low-u
p acti
on st
ep op
portu
nities
; and
(d) A
sses
s on
boar
ding p
roce
ss an
d step
s to i
mpro
ve th
e new
hir
e exp
erien
ce.
The e
ngag
emen
t focu
s plan
with
HR
has n
ot be
en
deve
loped
yet.
No ac
tivity
arou
nd th
is ac
tion i
tem in
the 2
nd
quar
ter. T
his w
ill be
an in
tentio
nal fo
cus i
n 3rd
qu
arter
with
revie
w of
our r
ecen
tly co
mplet
ed
Emplo
yee E
ngag
emen
t sur
vey.
Deve
lop &
imple
ment
Stay
Inter
views
to id
entify
wh
at mo
tivate
s staf
f to st
ay.
Stay
Inter
views
wer
e dev
elope
d and
imple
mente
d Ju
ly 1.
A ful
l qua
rter o
f res
ults h
ave b
een r
epor
ted to
Le
ader
ship
for re
view
Stay
inter
views
wer
e bein
g e-
maile
d fro
m HR
ini
tially
, but
now
are s
ent v
ia Su
rvey M
onke
y. T
his
new
metho
d pro
vides
grea
ter an
onym
ity an
d gr
eater
resp
onse
. HR
send
s qua
rterly
repo
rts to
Le
ader
ship.
At th
is tim
e the
main
reas
ons t
o stay
ar
e co-
worke
rs &
flexib
ility.
Crea
te su
cces
sion p
athwa
ys fo
r tho
se id
entifi
ed
as fu
ture l
eade
rsHR
Tra
ining
& D
evelo
pmen
t Spe
cialis
t has
deve
loped
pla
n for
Lead
ersh
ip De
velop
ment/
Mento
ring P
rogr
am
and p
rese
nted t
o Lea
dersh
ip (D
onna
). On
going
. Int
ende
d to b
e dev
elope
d by t
he en
d of D
ecem
ber
2018
.
Plan
rema
ins in
deve
lopme
nt by
Tra
ining
and
Deve
lopme
nt (T
&D) a
nd is
shap
ing up
nice
ly.
Targ
et im
pleme
ntatio
n date
has b
een e
xtend
ed to
Ju
ly 1,
2019
. Le
ader
ship
and M
entor
Pro
gram
(L
AMP)
expe
ctatio
ns, r
equir
emen
ts, ap
plica
tion,
etc. a
re st
ill be
ing de
velop
ed an
d rev
iewed
to
ensu
re co
nsist
ency
with
COM
TREA
polic
ies an
d ex
pecta
tion.
Im
pleme
nt Su
pervi
sor T
raini
ng pr
ogra
m an
d im
pleme
ntatio
n plan
with
revie
w of
exter
nal
optio
ns. P
lan sh
ould
includ
e fee
dbac
k fro
m dir
ect
repo
rts to
asse
ss su
pervi
sor e
ffecti
vene
ss.
Train
ing &
Dev
elopm
ent S
pecia
list, a
long w
ith H
R an
d Tra
ining
Com
mitte
e will
use e
stabli
shed
onlin
e tra
ining
mod
ules a
nd de
velop
1:1 t
raini
ng se
ssion
s wi
th HR
staff
for n
ewly/
rece
ntly h
ired s
uper
visor
s, or
tho
se w
ho ne
ed a
refre
sher
. The
n dev
elop m
ethod
of
rece
iving
feed
back
to as
sess
effec
tiven
ess.
HR ha
s com
pleted
deve
lopme
nt of
its S
uper
visor
Tr
aining
prog
ram.
Roll
out o
f first
in pe
rson c
lass
(cons
isting
of ne
w hir
es an
d rec
ently
hire
d su
pervi
sors)
is sc
hedu
led fo
r Jan
uary
17, 2
019.
Pa
rticipa
nts w
ill be
aske
d to c
omple
te a s
urve
y to
help
HR as
sess
the e
ffecti
vene
ss of
this
prog
ram.
HR
T&D
Spe
cialis
t will
conti
nue t
o utili
ze
estab
lishe
d onli
ne tr
aining
mod
ules t
o ass
ist in
Su
pervi
sory
traini
ng.
5Em
ploy
ee
Enga
gem
ent &
Le
ader
ship
Staf
f Ret
entio
n an
d Le
ader
ship
Me
ntor
ing
prog
ram
Stra
tegi
c Plan
FY
2019
: TOP
10 R
OCKS
PILL
ARGO
AL / I
NDIC
ATOR
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
Expa
nded
and i
nnov
ative
mar
ketin
g to f
urthe
r str
ength
en fo
otprin
t at th
e loc
al an
d stat
e lev
el.
Spec
ifics i
nclud
e, bu
t not
limite
d to:
(a)
Restr
uctur
e of m
arke
ting d
epar
tmen
t with
de
signa
ted ro
les of
socia
l med
ia an
d pub
licati
ons,
mana
geme
nt op
erati
ons,
and f
undr
aising
& ca
pital
camp
aign;
(b) a
ctive
imple
menta
tion o
f mon
thly
marke
ting c
alend
ar w
ith in
tegra
ted se
rvice
line
partic
ipatio
n; (c)
four
comm
unity
healt
h fair
s.; an
d (d
)loca
l mar
ketin
g awa
rene
ss/pr
omoti
on to
hig
hligh
t new
prov
iders.
(1) M
arke
ting a
nd F
undr
aising
Dep
artm
ents
were
re
struc
tured
to V
P of
Fund
raisi
ng, M
arke
ting
Oper
ation
s Man
ager
, Mar
ketin
g Com
munic
ation
s Ma
nage
r, an
d Mar
ketin
g and
Fun
drais
ing A
ssist
ant.
(2) S
taff h
ave r
ecor
ded i
ntervi
ews a
t the r
adio
statio
n in
corre
lation
to de
termi
ned m
onthl
y hea
lth th
emes
. Ou
treac
h eve
nts, c
onfer
ence
s, an
d fun
drais
ers a
re
sche
duled
on th
e cale
ndar
. Hea
lth th
emes
mar
keted
on
socia
l med
ia an
d inte
rnal
poste
rs ha
ve be
en
distrib
uted,
but n
ot lis
ted on
the c
alend
ar.
(3) P
artic
ipated
in m
ultipl
e com
munit
y hea
lth fa
irs.
Partic
ipatio
n in u
pcom
ing fa
irs ar
e sch
edule
d in t
he
comi
ng m
onths
.(4
) All C
OMTR
EA P
rimar
y Car
e pro
vider
s hav
e a
Goog
le lis
ting.
Denta
l and
Psy
chiat
ry pr
ovide
rs ar
e be
ing ad
ded t
o Goo
gle. D
r. Da
rling,
Denta
l Pe
diatric
ian, h
as be
en m
arke
ted in
the L
eade
r, on
so
cial m
edia,
and w
ith pr
int m
ateria
ls. P
rimar
y Car
e pr
ovide
rs wi
ll be l
isted
in a
new
refer
ral p
acke
t whic
h wi
ll be d
istrib
uted t
o loc
al ho
spita
ls.
1) T
he M
arke
ting a
nd F
undr
aising
restr
uctur
e has
be
en su
cces
sful. M
arke
ting r
oles a
nd ta
sks w
ill co
ntinu
e to b
e eva
luated
rega
rding
oper
ation
s and
ad
minis
tratio
n. (2
) Rad
io int
ervie
ws w
ith Le
ader
ship
and o
ther s
taff w
ill be
reco
rded
on th
e mon
thly
marke
ting c
alend
ar in
corre
lation
with
desig
nated
mo
nthly
healt
h the
mes.
Outre
ach a
nd fu
ndra
iser
even
ts ar
e sch
edule
d on t
he ca
lenda
r. Mo
nthly
healt
h the
mes m
ateria
ls ar
e sen
t to al
l loca
tions
an
d pub
lishe
d onli
ne; c
onten
t is fo
rmula
ted w
ith
integ
ratio
n of s
ervic
e line
s and
healt
h the
mes.
(3)P
artic
ipatio
n in u
pcom
ing fa
irs ar
e sch
edule
d in
the co
ming
mon
ths. (
4) B
ios an
d pro
fessio
nal
pictur
es ar
e bein
g coll
ected
for a
ll ser
vice l
ines t
o be
prom
oted o
n Goo
gle an
d on t
he ne
w we
bsite
. Pr
imar
y Car
e pro
vider
pictu
res a
nd bi
os ar
e inc
luded
in a
new
patie
nt pa
cket
being
distr
ibuted
at
local
hosp
itals.
The
Ped
iatric
Den
tist h
as be
en
prom
oted t
hrou
gh pr
int, r
adio,
and s
ocial
med
ia ma
terial
s.
6Ma
rket
ing
with
spec
ific n
eed
to
incr
ease
com
mun
ity
awar
enes
s of w
hat C
OMTR
EA
does
.
Acco
unta
bilit
y an
d Fi
nanc
ial
Sust
ainab
ility
Stra
tegi
c Plan
FY
2019
: TOP
10 R
OCKS
PILL
ARGO
AL / I
NDIC
ATOR
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
Upda
ted F
Y 20
19 go
als to
be es
tablis
hed b
y So
cial M
edia
Mana
ger a
nd su
pervi
sing A
VP.
(1) T
he ne
w CO
MTRE
A we
bsite
is be
ing de
signe
d an
d sho
uld be
unde
r fina
l revie
w ne
ar th
e end
of
2018
. (2
) Upd
ated b
rand
ing (C
OMTR
EA gr
een,
name
, font
styles
, icon
s, log
os, d
esign
ing st
yles,
sloga
n) w
ill co
ntinu
e to b
e inte
grate
d into
newl
y des
igned
or
upda
ted m
ateria
ls.
(3) R
ecen
tly de
signe
d and
publi
shed
mate
rials
(quic
k gu
ides,
broc
hure
s, ra
dio sc
ripts,
socia
l med
ia po
sts,
even
t mate
rials,
web
site u
pdate
s) wi
ll be m
aintai
ned
throu
gh an
onlin
e cale
ndar
with
autom
atic r
emind
ers.
(4) M
arke
ting w
ill de
velop
a Po
wer B
I rep
ortin
g da
shbo
ard w
ith in
tegra
tion o
f soc
ial m
edia,
Goo
gle
sear
ches
, web
site t
rend
s, pr
inting
costs
, mar
ketin
g re
ques
t tick
ets, a
nd ot
her p
ertin
ent d
ata.
(5) M
arke
ting w
ill co
llabo
rate
with
depa
rtmen
ts (d
ental
, fund
raisi
ng, P
C, et
c.) to
iden
tify hi
ghes
t ROI
au
dienc
es, a
nd co
nstru
ct ad
vertis
ing ca
mpaig
ns to
re
ach s
pecif
ic de
mogr
aphic
s.(6
) Inc
reas
e inv
olvem
ent o
f COM
TREA
staff
in
desig
ning m
arke
ting m
ateria
ls an
d par
ticipa
tion i
n ou
treac
h eve
nts th
roug
h tra
ining
and a
ware
ness
.
(1) T
he ne
w we
bsite
fram
ewor
k is c
omple
te. O
ver
half o
f web
page
has b
een d
esign
ed. P
ages
are
being
revie
wed b
y pro
gram
dire
ctors
as th
ey ar
e co
mplet
ed.
(2) M
arke
ting w
ill co
ntinu
e to i
ncre
ase a
ware
ness
an
d num
ber o
f med
ia ch
anne
ls for
mon
thly h
ealth
the
mes i
nclud
ing po
sters,
socia
l med
ia po
sts,
news
pape
r ads
, and
writt
en ar
ticles
. (3
) Mar
ketin
g will
colla
bora
te wi
th IT
to de
velop
a Po
wer B
I rep
ortin
g das
hboa
rd w
ith in
tegra
tion o
f so
cial m
edia,
Goo
gle se
arch
es, w
ebsit
e tre
nds,
ing co
sts, m
arke
ting r
eque
st tic
kets,
and o
ther
pertin
ent d
ata.
(4) M
arke
ting w
ill re
lease
the n
ew C
OMTR
EA lo
go
throu
gh a
soft t
rans
ition.
Upda
tes w
ill inc
lude p
rint
and e
lectro
nic m
ateria
ls, us
age o
f logo
s with
co
mmun
ity pa
rtner
s, bu
sines
s car
ds, n
ame b
adge
s, an
d new
offic
e loc
ation
s.(5
) Bus
iness
card
s and
name
badg
es w
ill be
re
desig
ned,
and b
usine
ss ca
rds w
ill be
prod
uced
in-
hous
e. A
calen
dar w
ill be
crea
ted to
stra
tegize
up
date
ever
y emp
loyee
's bu
sines
s car
d and
name
ba
dge i
n inc
reme
nts.
Deve
lop a
list o
f pote
ntial
inter
nal s
peak
ers a
nd/or
pr
esen
ters b
ased
on to
pical
expe
rtise.
Spea
kers
have
been
sche
duled
and b
egun
pres
entin
g for
radio
inter
views
and c
ommu
nity c
onfer
ence
s thr
ough
the c
alend
ar ye
ar.
Spea
kers
are b
eing s
ched
uled a
nd ha
ve be
gun
pres
entin
g for
radio
inter
views
and c
ommu
nity
confe
renc
es th
roug
h the
2019
calen
dar y
ear.
(a) D
evelo
p fac
ilities
wor
k plan
that
will k
eep a
ll sit
es lo
oking
fres
h, inv
iting a
nd co
ntemp
orar
y; (b
) de
velop
palat
e of c
olors
for se
lectio
n tha
t co
ntribu
te to
a war
m an
d inv
iting e
nviro
nmen
t.
Upda
tes to
begin
Janu
ary 2
019
North
west
facilit
y pain
ting a
nd flo
oring
comp
leted
. Ar
nold-
paint
ing ha
s beg
un on
the y
outh
side o
f bu
ilding
, hall
way t
o gro
up ro
om 13
1 com
pleted
. Fe
stus B
Bldg
. with
comp
letion
of re
nova
tion,
2nd,
3rd,
1st.
Kea
ton, c
ommo
n are
as do
wnsta
irs.
ASP
office
s & B
/R sc
hedu
led by
6/30
/19
7Up
keep
of c
urre
nt fa
ciliti
es
with
new
pain
t, co
lor s
chem
e an
d flo
orin
g
Acco
unta
bilit
y an
d Fi
nanc
ial
Sust
ainab
ility
Stra
tegi
c Plan
FY
2019
: TOP
10 R
OCKS
PILL
ARGO
AL / I
NDIC
ATOR
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
Deve
lop 3-
year
plan
for r
eplac
ing ca
rpete
d are
as
with
new
floor
ing (n
o car
pet)
with
imple
menta
tion
per b
udge
t cap
acity
.
Arno
ld se
cretar
y car
petin
g sch
edule
d Jan
, 201
9Ba
sed o
n cas
h, Ar
nold
secre
tary c
arpe
ting
sche
duled
Feb
ruar
y, 20
19. B
Bldg
. 3rd
floor
and
2nd f
loor w
ith re
nova
tion.
1st fl
oor 2
offic
es ad
ded
as of
Janu
ary 2
019.
Com
pletio
n end
of F
Y '19
Defin
e a pr
oces
s for
staff
reco
mmen
datio
ns fo
r en
viron
menta
l cha
nges
/ enh
ance
ments
No
t yet
imple
mente
d.No
t yet
deter
mine
d.
Asse
ss in
teres
t and
plan
for P
rimar
y Car
e to
partn
er w
ith sc
hool
distric
ts to
prov
ide sp
orts
phys
icals.
Not y
et sta
rted
Not y
et sta
rted
Asse
ss vi
abilit
y and
imple
menta
tion p
lan fo
r ex
pand
ing se
rvice
s at th
e Fox
Sch
ool-B
ased
He
alth C
are t
o inc
lude:
(a) p
ediat
ric de
ntist,
(b)
incre
ased
acce
ss of
denta
l car
e for
chil
dren
&
youth
resto
rativ
e tre
atmen
t plan
s thr
ough
ex
pand
ed sc
reen
ing &
prev
entio
n outr
each
at
more
scho
ols in
the F
ox di
strict
, (c)
addit
ion of
a BH
coun
selor
and t
eleps
ych s
ervic
es; a
nd (d
) int
eres
t and
supp
ort fo
r pr
imar
y car
e ser
vices
.
In pr
ogre
ss. V
iabilit
y ass
esse
d; im
pleme
ntatio
n un
derw
ay. M
OU w
ith F
ox si
gned
Octo
ber 2
018 t
o inc
lude p
ediat
ric de
ntistr
y; inc
reas
ed ac
cess
of de
ntal
care
thro
ugh s
trateg
ic se
lectio
n of s
choo
ls for
mob
ile
team
and f
ollow
-up a
t Fox
Den
tal C
linic;
addit
ion of
ch
ild/ad
olesc
ent p
sych
iatry.
Had t
o dela
y psy
ch at
Fox
due t
o pro
vider
issu
e but
new
telep
sych
prov
ider h
as be
en id
entifi
ed an
d set
to be
gin sh
ortly
. Call
has b
een s
ched
uled w
ith ke
y im
pleme
ntatio
n staf
f and
Gen
oa fo
r mid-
Janu
ary
and t
hen p
lan to
intro
duce
telep
sych
at F
ox
prom
ptly.
Ped
iatric
denti
st's s
ched
ule at
Fox
is
filling
up an
d his
seda
tion s
ched
ule is
filled
until
April.
Con
tinue
to re
ach o
ut to
Fox n
urse
s to
sche
dule
dates
for m
obile
denta
l car
e but
have
not
succ
eede
d in s
ecur
ing da
tes ye
t.
(a) C
omple
ted bu
ild of
a sim
plifie
d SBH
C sit
e in
the D
unkli
n sch
ool d
istric
t; (b)
Dev
elop p
lan fo
r a
SBHC
in D
eSoto
scho
ol dis
trict. w
ith in
clusio
n of
outre
ach s
ervic
es; a
nd (c
) Ass
ess c
urre
nt int
eres
t in
futur
e SBH
C sit
e in t
he W
indso
r sch
ool d
istric
t.
The S
BHC
site a
t Dun
klin i
s sch
edule
d to o
pen t
he
end o
f Nov
embe
r 201
8. A
ny fu
rther
SBH
C sit
es w
ill re
quire
dedic
ated f
undin
g tha
t is no
t yet
avail
able.
The S
BHC
at Du
nklin
will
have
its rib
bon c
utting
, Fr
iday,
Febr
uary
1st.
Imple
menta
tion o
f integ
rated
care
team
s und
er th
e lea
dersh
ip of
VP of
Integ
ratio
n and
SBH
C wi
th the
fac
ilitati
ve ro
le of
the In
tegra
tion W
orkg
roup
.
Curre
nt sta
tus -
Activ
e imp
lemen
tation
. We a
re
worki
ng w
ith P
racti
ce M
anag
ers o
f prim
ary c
are,
denta
l, and
beha
viora
l hea
lth to
adva
nce i
ntegr
ated
initia
tives
, spe
cifica
lly th
ose b
roug
ht up
in In
tegra
tion
Wor
kgro
up. P
C wi
ll beg
in in
the A
rnold
offic
e by
12/03
/18 w
ith N
P 4 h
rs. w
eekly
initia
lly. P
C NP
also
to
go fr
om 4
hour
s of s
ubsta
nce u
se di
sord
er tr
eatm
ent
to 20
hour
s by 1
1/15/1
8.
PC be
gan i
n Arn
old in
Dec
embe
r 201
8 and
PC
NP
has b
een p
rovid
ing M
AT fo
r sub
stanc
e use
diso
rder
for
20 ho
urs/w
eek s
ince N
ovem
ber 2
018.
Re
nova
tion p
lans f
or F
estus
B bu
ilding
inclu
de
cons
idera
tion f
or P
C wi
th the
aim
to im
pleme
nt se
rvice
s Q3 F
Y19.
We r
eceiv
ed a
HRSA
gran
t for
crisis
servi
ces t
o be a
vaila
ble to
prim
ary c
are a
nd
denta
l team
s; int
erna
l can
didate
Dav
e Haa
sis ha
s ac
cepte
d the
posit
ion to
lead
this
new
team,
whic
h wi
ll adv
ance
integ
rated
care
acro
ss th
e age
ncy.
8Ex
pand
and
stre
ngth
en
partn
ersh
ip w
ith sc
hool
sAc
coun
tabi
lity
and
Fina
ncial
Su
stain
abilit
y
9In
tegr
ated
Se
rvice
Deli
very
Inte
grat
ed d
elive
ry o
f car
e by
site (
mul
tidisc
iplin
ary t
eam
s)
and
futu
re n
ew b
uild
Stra
tegi
c Plan
FY
2019
: TOP
10 R
OCKS
PILL
ARGO
AL / I
NDIC
ATOR
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
(a) D
eterm
ine fe
asibi
lity an
d tim
efram
e for
re
nova
tion o
f "B"
build
ing or
new
facilit
y re
place
ment
with
integ
ratio
n cap
acity
; and
(b)
deter
mina
tion f
easib
ility o
f ren
ovati
on fo
r Arn
old
Camp
us.
Reno
vatio
n of B
Bldg
has b
een s
caled
back
due t
o ide
ntific
ation
of pr
oper
ty for
new
site.
No r
enov
ation
wi
ll be c
omple
ted at
the A
rnold
Cam
pus.
Welc
ome
Cente
r mov
ed lo
catio
n, wi
ll also
have
expa
nded
ca
pacit
y to a
ddre
ss te
lehea
lth fo
r Sub
stanc
e Use
Di
sord
ers.
Bidd
ing pr
oces
s und
erwa
y for
new
reno
vatio
n of B
Bl
dg. 2
nd flo
or ai
ming
from
Apr
il 1 st
art.
Prop
erty
Sear
ch C
ommi
ttee t
o init
iate t
he sa
le of
the B
ridle
Ridg
e pro
perty
and i
denti
fy pr
oper
ty or
ex
isting
build
ing fo
r pur
chas
e tha
t wou
ld me
et sp
ace a
nd av
ailab
le fun
ding p
aram
eters.
Poten
tial fu
nding
sprin
g 201
9. P
rope
rty se
arch
co
mmitte
e ide
ntifie
d an 1
1 acre
site
price
d at $
3.75
per s
quar
e foo
t. A
Purch
ase S
ale A
gree
ment
has
been
exec
uted.
Ear
nest
monie
s of $
18,00
0 has
been
de
posit
ed an
d due
dilig
ence
docu
ments
are d
ue to
the
Buy
er by
11/06
/18.
COMT
REA
Boar
d, in
agre
emen
t with
Sen
ior
Mana
geme
nt, ca
ncele
d the
Pur
chas
e Sale
Ag
reem
ent b
ased
on co
ncer
ns of
grou
nd st
abilit
y fro
m the
geog
raph
ical s
urve
y rep
orts
and t
he
elimi
natio
n of th
e cap
ital fu
nding
alloc
ation
from
the
state.
The
re ar
e no c
urre
nt pla
ns to
conti
nue
lookin
g for
land
until
cash
rese
rves h
ave i
mpro
ved.
Deter
mine
need
for C
are C
oord
inator
s in
Beha
viora
l Hea
lth an
d all d
ivisio
ns ac
ross
all s
ites.
Nece
ssar
y step
s inc
lude r
eview
of es
senti
al job
fun
ction
s and
whe
re do
es th
e role
align
.
Conti
nuing
to as
sess
.Th
is is
a tar
geted
goal
for th
e Inte
grati
on W
ork
Grou
p and
the c
ombin
ed le
ader
ship
of Da
na
Silve
rblat
t and
Dr.
Roha
tgi.
Popu
lation
Hea
lth M
anag
emen
t that
includ
es: (
a)
Educ
ation
and t
raini
ng ag
ency
wide
with
de
velop
ment
and i
mplem
entat
ion of
da
shbo
ards
/repo
rts; (
b) D
evelo
pmen
t of a
n int
egra
ted P
opula
tion H
ealth
Wor
kgro
up w
ith
Finan
ce an
d IT;
(c) M
ethod
ology
to id
entify
the t
op
20%
tier o
f high
cost
patie
nts (e
ither
ER
visits
or
unpla
nned
inpa
tient
hosp
italiz
ation
s; da
ta/uti
lizati
on re
view;
non-
comp
lianc
e with
tre
atmen
t pro
gram
s; du
al dia
gnos
is wi
th co
mplex
co
morb
iditie
s; an
d/or h
ighes
t doll
ar co
st); (
d)
strate
gies t
o red
uce c
ost a
nd im
prov
e clin
ical a
nd
healt
h outc
omes
; and
(e) a
ction
plan
for
imple
menta
tion w
hich w
ill be
facil
itated
with
Pr
imar
y Car
e migr
ation
to A
vatar
in Ja
n 201
9.
Pres
ented
Pop
ulatio
n Hea
lth C
once
pts an
d goa
ls to
the bo
ard m
embe
rs. C
ontin
ued e
fforts
for d
evelo
ping
and m
appin
g of d
ashb
oard
s with
in DR
VS. W
orkin
g wi
th IT
with
the p
lannin
g of im
pleme
ntatio
n of a
new
EMR
(Ava
tar) in
2019
, and
the c
apab
ilities
of
repo
rting P
opula
tion H
ealth
data.
DRV
S no
w ha
s co
nnec
tivity
with
the M
issou
ri Hea
lth C
onne
ct wi
th the
Ca
re M
anag
emen
t Pas
spor
t that
allow
s staf
f to ha
ve
daily
upda
tes on
in-p
atien
t and
ER
visits
, whic
h is a
too
l to co
nnec
t with
thos
e ind
ividu
als w
ho ca
re
coor
dinati
on.
A wo
rk gr
oup h
as be
en de
velop
ed an
d beg
un
meeti
ng to
prep
are a
nd de
velop
proc
esse
s for
Pa
tient
Cente
red M
edica
l Hom
e (PC
MH) p
lan fo
r att
estat
ion of
conti
nued
reco
gnitio
n by S
eptem
ber
2019
. Man
y of th
e (PC
MH) c
once
pts ar
e buil
t ar
ound
the p
roce
sses
of th
e cen
ters P
opula
tion
Healt
h Man
agem
ent o
f thos
e ind
ividu
als se
rved
withi
n the
comm
unity
. The
wor
kgro
up w
ill als
o be
resp
onsib
le for
the o
ngoin
g dev
elopm
ent a
nd
imple
menta
tion o
f das
hboa
rds/r
epor
ts ar
ound
Po
pulat
ion H
ealth
as an
integ
rated
appr
oach
to
includ
e Beh
avior
al He
alth,
Oral
Healt
h and
Prim
ary
Care
.
10In
tern
al re
ferra
l pro
cess
th
roug
h de
fined
wor
k flo
ws
with
des
igna
ted
cont
act p
oint
s to
impr
ove a
cces
s to
care
and
quali
ty o
utco
mes
.
Inte
grat
ed
Serv
ice D
elive
ry
FY2019 STRATEGIC PLAN QUARTERLY REVIEW STATS
FISCAL YEAR 2019 STRATEGIC PLAN QUARTERLY REVIEW STATSPILLAR Q.1 Q.2 Q.3 Q.4Mission & Collaboration # Indicators 7 7 # Action Steps 21 21 # Action Steps Initiated 19 20 % Steps Initiated 90% 95% #DIV/0! #DIV/0!Engagement & Leadership # Indicators 8 8 # Action Steps 31 31 # Action Steps Initiated 27 30 % Steps Initiated 87% 97% #DIV/0! #DIV/0!Accountability & Sustainability # Indicators 11 11 # Action Steps 29 29 # Action Steps Initiated 25 26 % Steps Initiated 86% 90% #DIV/0! #DIV/0!Integration # Indicators 9 9 # Action Steps 18 18 # Action Steps Initiated 17 18 % Steps Initiated 94% 100% #DIV/0! #DIV/0!TOTAL # Indicators 35 35 # Action Steps 99 99 # Action Steps Initiated 88 94 % Steps Initiated 89% 95% #DIV/0! #DIV/0!
Stra
tegi
c Plan
FY
2019
: Miss
ion
Com
mun
ity C
ollab
orat
ion
FY 20
19
FY 20
19 1s
t Qua
rter U
pdat
eFY
2019
2nd
Quar
ter U
pdat
e
(a) Y
ear 2
imple
menta
tion o
f CCB
HC w
ith
integ
ratio
n of p
rimar
y car
e with
the f
ollow
ing
outco
mes:
Tran
sfer o
f stab
le SU
D ma
inten
ance
cli
ents
to Pr
imar
y Car
e; int
egra
ted ca
se
mana
geme
nt re
views
; and
attai
nmen
t of 5
0% of
qu
ality
metric
s com
pare
d to S
tate &
Fed
eral
benc
hmar
ks.
Year
2 for
CCB
HC-h
ave o
ne P
C pr
ovide
r tha
t is
waive
r tra
ined.
Going
from
4 ho
urs o
f PC
MAT
in Ar
nold
to 20
hour
s as o
f 11/1
5/18.
Will
also b
e ad
ding 4
hour
s of P
C ca
re on
site i
n Arn
old of
fice
by 12
/3/18
.Tra
nsfer
of st
able
clien
ts for
MAT
is
curre
ntly i
n pro
cess
from
Dr R
ohatg
i to A
shley
W
hitley
.
Medic
ation
for O
piate
Use D
isord
er(M
OUD)
se
rvice
s exp
ande
d in A
rnold
. Now
20 hr
s. pe
r we
ek. T
his al
so br
ough
t alon
g the
addit
ion of
Pr
imar
y Car
e at A
rnold
with
initia
l allo
catio
n of 4
hr
s./we
ek. C
ontin
uing t
o tra
nsfer
Dr R
ohatg
i cli
ents
that a
re st
able
MOUD
to A
shley
Whit
ley in
Ar
nold.
Also
, add
ing 24
hour
s of a
dditio
nal c
hild
psyc
hiatry
via G
enoa
. This
was
initia
ted in
Nov
an
d will
be co
mplet
e in M
arch
2019
for H
ickor
y, Du
nklin
and F
ox.
(b) F
ormu
late a
plan
base
d on t
he da
ta ga
there
d in
2018
and i
mplem
ent.
75%
of B
H an
d 75%
of
PC pr
ovide
rs ce
rtified
in pr
escri
be su
boxo
ne or
oth
er m
edica
tion t
reatm
ent fo
r SU
D tre
atmen
t.
Not c
urre
ntly h
aving
75%
of P
C pr
ovide
rs wi
th wa
iver t
x. As
sess
ing ne
ed, c
apac
ity an
d tea
m fun
ction
in O
P loc
ation
.
Festu
s NP
has h
er W
aiver
-will
begin
addin
g her
MO
UD to
her c
aselo
ad. W
ill als
o be a
dding
an
other
PC
NP to
beha
viora
l hea
lth an
d MOU
D se
rvice
s with
in ne
xt 6 m
os. B
eginn
ing w
ith m
ental
he
alth c
are a
nd th
en tr
ansit
ioning
to M
OUD
as
traini
ng co
ntinu
es.
(c) O
ngoin
g eva
luatio
n of r
esou
rces f
or se
rvice
s.
Quar
terly
& an
nual
monit
oring
with
outco
mes
repo
rting f
or th
e R7 D
iversi
on &
Ass
essm
ent p
ilot
for m
ental
healt
h and
subs
tance
use n
eeds
. Ex
pecta
tions
inclu
de id
entifi
catio
n of p
erfor
manc
e ind
icator
s; qu
arter
ly da
shbo
ard f
or re
portin
g to
stake
holde
rs; an
d pro
gram
desc
riptio
n, for
mat
and g
uideli
nes f
or re
plica
tion.
Conti
nue t
o esta
blish
para
meter
s, wo
rkflow
s and
co
mmun
icatio
n/staf
fing p
roce
ss w
ith R
7 Dive
rsion
Pr
ogra
m. W
e had
first
meeti
ng in
Aug
ust 2
018
and a
seco
nd m
eetin
g is p
lanne
d for
Nov
2018
. Ou
r plan
is to
mee
t bim
onthl
y till
end o
f sch
ool
year
then
go to
quar
terly.
Wor
king w
ith IT
and A
VATA
R wi
th the
PRA
PARE
too
l's av
ailab
ility i
n the
NetS
mart
when
prim
ary
care
tran
sition
s into
this
EMR
in 20
19. B
H sta
ff co
ntinu
e to w
ork w
ith R
7 Dive
rsion
/Inter
venti
on
Pilot
. Mar
go an
d Ton
y also
mee
t reg
ularly
(q2
mos.)
with
Stev
e Hor
n to e
valua
te pr
ogre
ss,
chall
enge
s, ne
eds a
nd da
ta re
view.
GOAL
/ IND
ICAT
OR
Incr
ease
d be
havio
ral h
ealth
se
rvice
s and
acce
ss, b
oth
men
tal h
ealth
& su
bsta
nce
use,
acro
ss th
e age
co
ntin
uum
(chi
ldre
n, yo
uth
and
adul
t)
1
Stra
tegi
c Plan
FY
2019
: Miss
ion
Com
mun
ity C
ollab
orat
ion
FY 20
19
FY 20
19 1s
t Qua
rter U
pdat
eFY
2019
2nd
Quar
ter U
pdat
eGO
AL / I
NDIC
ATOR
(d) M
ore s
choo
l-bas
ed he
alth c
are s
ervic
es.
Ongo
ing, r
outin
e rec
ruitm
ent to
keep
beha
viora
l he
alth s
taffed
per b
udge
t/actu
al ne
ed w
ith
expa
nded
servi
ce de
liver
y opti
ons i
n the
scho
ol se
ttings
. This
can i
nclud
e BH
servi
ces t
hat a
re
billab
le for
Nor
thwes
t, Dun
klin a
nd th
e nex
t SBH
C sit
e.
Begin
ning c
hild p
sych
at F
ox on
11/5
and
tentat
ive st
art d
ate fo
r chil
d psy
ch th
e end
of
Nove
mber
for D
unkli
n with
Nur
se P
racti
tione
r (Dr
. Ch
ris R
eyno
lds) o
nsite
for 8
hour
s. Re
ques
ted
those
servi
ces t
o be p
roce
ssed
via C
CBHC
and
HRSA
for s
cope
.
This
has b
een r
evise
d: W
ill be
prov
iding
child
ps
ychia
try on
site v
ia tel
ehea
lth at
Fox
Hea
lth
Cente
r on M
onda
ys an
d Dun
klin H
ealth
Cen
ter on
Tu
esda
ys be
ginnin
g in M
arch
. Are
wor
king w
ith
Geno
a for
child
psyc
hiatris
t con
tracti
ng. H
ave M
A sta
ffing c
omple
ted as
well
to su
ppor
t teleh
ealth
. CC
BHC
and H
RSA
mater
ials c
omple
ted as
well
.
(e) E
xplor
e opp
ortun
ity fo
r mob
ile be
havio
ral
healt
h unit
inclu
ding p
otenti
al fun
ding s
ource
s an
d site
s for
mob
ile se
rvice
s
No ac
tion h
ere t
o date
. No
actio
n her
e to d
ate. W
e are
conti
nuing
to
asse
ss th
e tru
e net
reve
nue a
nd op
erati
onal
proc
edur
es w
ith th
e mob
ile de
ntal p
rogr
am be
fore
any a
dditio
nal e
xpan
sion..
Stra
tegi
c Plan
FY
2019
: Miss
ion
Com
mun
ity C
ollab
orat
ion
FY 20
19
FY 20
19 1s
t Qua
rter U
pdat
eFY
2019
2nd
Quar
ter U
pdat
eGO
AL / I
NDIC
ATOR
(a) O
ngoin
g ass
essm
ent o
f nee
ds an
d up
dated
/expa
nded
MOU
s. Sp
ecific
ally,
Conti
nued
lea
d/sup
port
partic
ipatio
n in t
he fo
llowi
ng
comm
unity
wor
kgro
ups i
nclud
e J.C
. Coa
lition
to
End H
omele
ssne
ss, P
rojec
t Hom
eless
Con
nect,
Co
mmun
ity C
ollab
orati
on to
Add
ress
Opio
id Cr
isis,
Alive
& W
ell Je
fferso
n Cou
nty, a
nd B
HN
[Beh
avior
al He
alth N
etwor
k]; S
treng
then
relat
ionsh
ip &
colla
bora
tion w
ith M
ercy
Jeffe
rson;
Refer
ral re
lation
ship
with
St. G
en an
d Mine
ral
Area
acute
care
hosp
itals
and o
ther s
econ
dary
marke
ts; an
d Ide
ntify
and r
espo
nd to
op
portu
nities
for a
ction
(con
sisten
t with
miss
ion).
Staff
conti
nue t
o wor
k clos
ely w
ith co
mmun
ity
partn
ers w
ith m
any i
nitiat
ive in
cludin
g Hom
eless
Co
nnec
t; MO
Hope
for S
U tre
atmen
t and
SOR
se
rvice
deliv
ery;
BHN,
BHR
, Mer
cy Je
ff, Al
ive an
d W
ell al
l con
tinue
in fo
rce. A
lso, b
ased
on ne
ed,
COMT
REA
is wo
rking
with
the J
effer
son C
ounty
He
alth D
ept. o
n Suic
ide P
reve
ntion
/Inter
venti
on
Task
For
ce. F
irst m
eetin
g in e
arly
Oct a
nd se
cond
me
eting
targ
eted f
or D
ec 20
18.
Ongo
ing pu
rsuit o
f coll
abor
ation
acro
ss al
l thre
e se
rvice
lines
. Beh
avior
al He
alth c
ontin
ues t
o wo
rk clo
sely
with
the E
aster
n Reg
ion an
d stat
e pa
rtner
s with
the f
ollow
ing in
itiativ
es -
Youth
ERE
(E
merg
ency
Roo
m En
hanc
emen
t) pr
oject
as w
ell
as ad
ult E
RE, IP
/ED
Hosp
ital fo
llow
up an
d en
gage
ment.
thes
e init
iative
s. Ou
treac
h with
SSM
St
. Clar
e has
incre
ased
with
initia
l disc
ussio
ns on
co
llabo
ratio
n with
Wom
en's
Healt
h and
Sue
Cu
rfman
rece
ntly j
oined
the S
t. Clar
e Adv
isory
Boar
d. Lo
cal c
ounty
colla
bora
tion i
s high
inc
luding
, but
not li
mited
to, J
C He
alth N
etwor
k. Op
iate T
ask f
orce
, Suic
ide E
duca
tion &
Pr
even
tion,
Alive
& W
ell JC
, Gro
wth A
ssoc
iation
an
d Com
munit
y Hea
lth N
eeds
Ass
essm
ent
Colla
bora
tive.
(a) D
evelo
p a co
unty-
wide
summ
it on m
ental
he
alth n
eeds
in th
e com
munit
y with
date
to be
de
termi
ned i
n FY
2019
; (b)
Ass
ess a
nd de
velop
pla
n for
train
ing an
d pro
gram
imple
menta
tion w
ith
traum
a info
rmed
; and
(c) d
eterm
ine cu
rrent
and
innov
ative
use o
f the s
choo
l liais
ons.
(a) S
ummi
t deta
ils ar
e in p
roce
ss w
ith S
ue an
d Ma
rgo c
ollab
orati
ng on
this.
A m
eetin
g with
ide
ntifie
d per
sons
has b
een s
ched
uled f
or ea
rly
Dece
mber
. Tar
get d
ate is
prior
to ne
xt sc
hool
year
. (b)
Tra
uma I
nform
ed tr
aining
was
co
mplet
ed on
10/21
/18 on
site a
t Des
oto sc
hool
distric
t. (c)
Con
tinue
d coll
abor
ation
with
the
scho
ol lia
isons
and b
ehav
ioral
healt
h with
Cind
y no
w att
endin
g the
BH
meeti
ngs a
nd M
argo
in
atten
danc
e at th
e SL m
eetin
gs. T
he go
al is
to ha
ve bo
th of
these
prog
rams
in co
nstan
t aw
aren
ess a
nd co
mmun
icatio
n to s
erve
as a
link
for id
entifi
catio
n of n
eeds
, on-
grou
nd su
ppor
t and
re
ferra
l for s
ervic
es.
Meeti
ngs b
eginn
ing so
on fo
r fall
Men
tal H
ealth
Su
mmit.
This
will b
e led
by S
ue w
ith st
affing
su
ppor
t and
feed
back
from
BH
Divis
ion a
s well
as
new
CMO.
Also
mor
e sup
port
for co
unse
ling i
n sc
hool
settin
gs as
led b
y Ton
y and
BH
Youth
AV
P sta
ff and
wor
king w
ith C
indy V
esse
ll for
se
rvice
prov
ision
in F
ox. W
e will
monit
or th
is pr
oces
s in o
rder
to us
e as t
empla
te for
grea
ter
scho
ol co
unse
ling s
uppo
rts of
fered
on si
te.
(c) Id
entify
a sc
reen
ing to
ol for
asse
ssme
nt of
risk
for as
sess
ment
of ris
k for
self h
arm
and/o
r suic
ide
for us
e by a
ll clin
ical p
rovid
ers i
n eac
h divi
sion
with
guide
lines
for r
espo
nse b
ased
on sc
reen
ing
trigge
rs.
Scre
ening
tool
is se
t from
CCB
HC -
Colum
bia an
d St
anley
Bro
wn S
afety
Plan
ning.
This,
alon
g with
PH
Q 9 a
nd A
udit C
to co
ntinu
e to a
sses
s this
at
each
visit
.
Conti
nue t
o use
the s
ame s
creen
ing to
ols as
re
quire
d by E
viden
ced B
ased
Pra
ctice
and
CCBH
C.
MOUs
and/
or E
ngag
emen
t wi
th re
ferra
l par
tner
s, in
cludi
ng h
ospi
tals,
to
stre
ngth
en/ex
pand
the
cont
inuu
m o
f car
e for
in
divid
uals
serv
ed.
2
Stra
tegi
c Plan
FY
2019
: Miss
ion
Com
mun
ity C
ollab
orat
ion
FY 20
19
FY 20
19 1s
t Qua
rter U
pdat
eFY
2019
2nd
Quar
ter U
pdat
eGO
AL / I
NDIC
ATOR
(d) C
ontin
uum
of ca
re M
OUs f
or E
R, in
patie
nt an
d rad
iolog
y ser
vices
, and
refer
ral c
oord
inatio
n wi
th CO
MTRE
A pr
imar
y car
e ser
vices
.
The C
ommu
nity H
ealth
Wor
ker,
Patie
nt Ca
re
Coor
dinato
r, alo
ng w
ith C
entra
l Intak
e staf
f co
ntinu
e to w
ork c
losely
with
the I
ntegr
ated H
ealth
Ne
twor
k bas
ed ou
t of M
ercy
Jeffe
rson f
or di
rect
patie
nt re
ferra
ls fro
m ER
and i
npati
ent s
tays.
Deve
loped
and s
hare
d New
Pati
ent In
forma
tion
Pack
ages
for in
patie
nt ind
ividu
als be
ing re
ferre
d to
Prim
ary C
are b
y the
IHN
or M
ercy
Jeffe
rson
Hosp
ital s
taff. A
prior
ity go
al is
to de
creas
e the
cu
rrent
high n
o sho
w ra
tes fr
om th
ose r
eferre
d dir
ectly
from
the h
ospit
al.
(a) O
ngoin
g eva
luatio
n thr
ough
coun
ty wi
de
resp
onse
. 100
% of
all e
ligibl
e pro
vider
s in t
he S
t. Lo
uis P
DMP,
rece
ipt an
d dist
ributi
on of
the
quar
terly
J.C. P
DMP
repo
rt, an
d ide
ntific
ation
of
PDMP
and o
pioid
drug
usag
e ind
icator
s in o
ur
month
ly QA
/QI r
epor
t
Follo
wed u
p on M
ass R
egist
ratio
n fro
m Ju
ne 20
18
resu
lting i
n 8 S
uper
visor
s acti
vatin
g the
ir acc
ount
and a
ppro
ving 4
2 dele
gates
to vi
ew P
DMP.
Be
caus
e of th
e way
the S
t Lou
is PD
MP is
set u
p, it i
s the
resp
onsib
ility o
f eac
h pro
vider
to re
gister
an
d now
as a
deleg
ate se
lect a
supe
rviso
r tha
t is
regis
tered
for a
ppro
val. A
ll Doc
tors a
nd D
entis
ts ma
y ind
epen
dentl
y reg
ister
. Wor
king w
ith A
ndre
a to
get q
uarte
rly lis
t of p
rovid
ers a
t COM
TREA
ap
prov
ed fo
r PDM
P ac
cess
. Help
desk
will
direc
t to
IT K
nowl
edge
base
for d
irecti
ons a
nd lin
k to
regis
ter.
https
://intr
anet.
comt
rea.o
rg/IT
/IT%
20Kn
owled
ge%
20Ba
se/P
DMP_
Regis
tratio
n_Gu
ide.pd
f . Mo
nthly
Opioi
d and
clas
s II p
resc
riptio
ns by
prov
iders
is dis
tribute
d to M
edica
l Dire
ctors
of Pr
imar
y Car
e an
d Beh
avior
al He
alth.
Sinc
e July
, rep
orts
are
given
at Q
IQA
Month
ly Me
eting
. St L
ouis
PDMP
Qu
arter
ly Re
ports
is be
ing se
nt ou
t to al
l elig
ible
prov
iders
and t
o QIQ
A.
Conti
nue t
o give
Med
ical D
irecto
r, Dr
Roh
atgi,
month
ly me
dicati
on cl
ass a
ll pre
scrip
tion r
epor
ts for
Prim
ary C
are,
Beha
viora
l Hea
lth P
sych
iatry
and O
ral H
ealth
. Dr R
ohatg
i com
ments
at ea
ch
QIQA
mee
ting.
This
is a s
tandin
g item
on th
e ag
enda
. No f
urthe
r rep
orts
have
been
sent.
Last
repo
rt Q1
2018
was
sent
to all
prov
iders.
htt
ps://w
ww.st
louisc
o.com
/pdmp
Katy
Mur
ray i
s fol
lowing
up w
ith S
t Lou
is Co
unty
PDMP
to se
e if
we ca
n get
a list
. New
Hire
Orie
ntatio
n or f
irst 6
0 da
ys tr
aining
is to
show
staff
how
to ap
ply to
use
the P
DMP
coun
ty da
ta ba
se,
(b) O
ngoin
g Edu
catio
n & P
reve
ntion
Pro
cess
on
opioi
d epid
emic
throu
gh co
mmun
ity co
llabo
ratio
n &
integ
ratio
n, inc
luding
but n
ot lim
ited t
o JCD
PC
& NC
ADA.
Ongo
ing at
tenda
nce w
ith B
ehav
ioral
Healt
h re
pres
entat
ives w
ith Je
fferso
n Cou
nty D
rug
Prev
entio
n Coa
lition
(JCD
PC).
and M
oHop
e.
Same
leve
l of e
ngag
emen
t con
tinue
s with
BH
staff.
Inte
grat
ion/
Colla
bora
tion
of
com
mun
ity re
sour
ces
3
Stra
tegi
c Plan
FY
2019
: Miss
ion
Com
mun
ity C
ollab
orat
ion
FY 20
19
FY 20
19 1s
t Qua
rter U
pdat
eFY
2019
2nd
Quar
ter U
pdat
eGO
AL / I
NDIC
ATOR
(c) C
ontin
ued a
ctive
role
in ad
voca
cy w
ith st
aff &
lea
dersh
ip pa
rticipa
tion i
n stat
e and
Fed
eral
profe
ssion
al as
socia
tions
and H
ill Da
ys fo
r inn
ovati
on in
resp
ondin
g to t
he op
ioid c
risis
with
addit
ional
fundin
g.
Conti
nued
partic
ipatio
n at o
ur st
ate as
socia
tions
, MO
Coa
lition
and M
PCA
(MO
Prim
ary C
are
Asso
ciatio
n). A
dvoc
acy e
fforts
will
be ra
mping
up
in Q.
2 and
Q.3
after
the s
umme
r bre
ak.
Conti
nued
invo
lveme
nt an
d sup
port
from
BH
Divis
ion.
(d) I
ntegr
ation
of C
OMTR
EA pr
ovide
rs an
d pr
ogra
ms w
ith th
e com
munit
y safe
ty ne
t.In
prog
ress
. Outr
each
effor
ts to
area
prov
iders
took p
lace t
o sha
re th
at ou
r ped
iatric
denti
st is
a sa
fety n
et pr
ovide
r who
is ac
cepti
ng ne
w pa
tients
. Pr
oject
Home
less b
roug
ht tog
ether
man
y safe
ty ne
t org
aniza
tions
to pr
ovide
reso
urce
s for
co
mmun
ity m
embe
rs ex
perie
ncing
home
lessn
ess.
Al
l of C
OMTR
EA's
prog
rams
wer
e rep
rese
nted.
Comm
unity
enga
geme
nt wa
s cho
sen a
s one
of
the m
etrics
that
will d
eterm
ine th
e bon
us pa
ymen
t for
eligi
ble pr
ovide
rs in
prim
ary c
are,
beha
viora
l he
alth,
and d
ental
. This
shou
ld inc
entiv
ize
prov
iders
to pa
rticipa
te in
outre
ach a
ctivit
ies an
d fur
ther s
uppo
rt tho
se pr
ovide
rs wh
o alre
ady d
o thi
s. C
OMTR
EA de
ntists
also
bega
n a
contr
actua
l relat
ionsh
ip wi
th the
coun
ty he
alth
depa
rtmen
t to pr
ovide
cove
rage
after
the h
ealth
de
partm
ent fo
und i
tself w
ith no
denti
st. W
e are
cu
rrentl
y pro
viding
30-4
0 hrs.
per w
eek o
f den
tist
hour
s.
Stra
tegi
c Plan
FY
2019
: Miss
ion
Com
mun
ity C
ollab
orat
ion
FY 20
19
FY 20
19 1s
t Qua
rter U
pdat
eFY
2019
2nd
Quar
ter U
pdat
eGO
AL / I
NDIC
ATOR
(a) P
artic
ipatio
n in t
he C
ommu
nity N
eeds
As
sess
ment
(CHN
A) 20
19 fo
r nee
ds id
entifi
catio
n of
early
child
hood
and C
OMTR
EA in
terve
ntion
re
spon
se.
The C
ommu
nity N
eeds
Ass
essm
ent F
ocus
Gr
oups
conti
nue t
o tak
e plac
e thr
ough
out th
e co
mmun
ity, p
artic
ipatio
n has
been
less
than
or
igina
lly ex
pecte
d but
infor
matio
n is b
eing
comp
iled f
rom
the fe
edba
ck du
ring t
he se
ssion
s.
The w
ork o
f the f
ive co
llabo
ratin
g age
ncies
(M
ercy
Jeffe
rson,
JC H
ealth
Dep
t., Je
fferso
n-Fr
ankli
n Com
munit
y Acti
on C
orp.,
Jeffe
rson
Coun
ty Co
mmun
ity P
artne
rship
and C
OMTR
EA
with
the C
HNA
is in
the fin
al ph
ase w
ith th
e data
an
alysis
, tren
ding a
nd w
rite-u
p. Th
e inte
grate
d su
mmar
y fro
m the
15 se
para
te co
mmun
ity
listen
ing se
ssion
s is b
eing r
eview
ed by
the
colla
bora
tive R
eview
Tea
m for
codin
g of
resp
onse
s, wh
ich w
ill be
comp
leted
by m
id-Fe
brua
ry. L
isa W
. and
Sue
are w
orkin
g on t
he
writte
n sum
mary
for th
e COM
TREA
profi
le, sc
ope
of se
rvice
s and
our h
ealth
care
prior
ities,
which
wi
ll be p
art o
f the c
ompr
ehen
sive w
ritten
repo
rt.
The t
arge
t time
fram
e for
the w
ritten
repo
rt is
March
2019
. The
writt
en re
port
will p
rovid
e ide
ntifie
d nee
ds fo
r ear
ly ch
ildho
od
supp
orts/
servi
ces.
Add
itiona
lly, w
e will
conti
nue
enco
urag
e con
necti
ons w
ith ot
her c
ommu
nity
partn
ers,
such
as N
ext S
tep an
d Dev
elopm
ental
Di
sabil
ity A
dvoc
ates f
or ea
rly ch
ildho
od su
ppor
ts.
(b) I
mplem
entat
ion of
dedic
ated s
oftwa
re w
ith
PRAP
ARE
for P
rimar
y Car
e and
Car
e Man
ager
for
BH.
Dete
rmine
optio
n for
repo
rt ge
nera
tion,
revie
w an
d pro
gram
asse
ssme
nt to
addr
ess
socia
l dete
rmina
nts th
at se
rve as
barri
ers t
o ac
cess
of ca
re an
d miss
ion de
liver
y for
early
ch
ildho
od. C
ontin
ue id
entifi
catio
n of w
ho is
pr
ovidi
ng ed
ucati
on an
d res
ource
s.
The P
rimar
y Car
e Com
munit
y Hea
lth W
orke
r (C
HW) c
ontin
ues t
o ass
es in
dividu
al's S
ocial
De
termi
nants
of H
ealth
thro
ugh t
he P
RAPA
RE
tool. T
his da
ta is
colle
cted a
nd do
cume
nted i
n At
hena
and t
hen r
epor
ted ou
t of D
RVS.
With
the
CHW
Stat
e Init
iative
Pro
gram
, thro
ugh M
PCA,
Pr
imar
y Car
e rep
orts
and s
hare
s qua
rterly
qu
alitat
ive re
ports
on th
e PRA
PARE
tool
resu
lts
rece
ived.
This
data
helps
with
addr
essin
g co
mmon
barri
ers a
nd re
solut
ions u
sed a
roun
d the
sta
te.
Wor
king w
ith IT
and A
VATA
R wi
th the
PRA
PARE
too
l's av
ailab
ility i
n the
NetS
mart
when
prim
ary
care
tran
sition
s into
this
EMR
in 20
19.
Early
inte
rven
tion
and
outre
ach
to ea
rly ch
ildho
od4
Stra
tegi
c Plan
FY
2019
: Miss
ion
Com
mun
ity C
ollab
orat
ion
FY 20
19
FY 20
19 1s
t Qua
rter U
pdat
eFY
2019
2nd
Quar
ter U
pdat
eGO
AL / I
NDIC
ATOR
(c) C
ontin
uatio
n of c
urre
nt wo
rkgro
up to
co
ordin
ate th
e deli
very
of de
ntal s
creen
ing
prog
rams
with
the g
oal o
f cov
ering
100%
of J.
C.
scho
ols; a
nd re
view
the up
dated
(soo
n to b
e re
lease
d) J.
C. H
ealth
Dep
t. com
munit
y nee
ds
asse
ssme
nt an
d pur
sue d
iscus
sions
arou
nd
shar
ed re
sour
ces t
o add
ress
need
s.
Effor
ts to
revit
alize
disc
ussio
ns ar
ound
the
colla
bora
tion o
f den
tal re
sour
ces b
etwee
n the
He
alth D
ept. a
nd C
OMTR
EA ar
e bein
g pur
sued
. Tw
o exa
mples
are t
he M
OU w
ith th
e Fox
scho
ols
being
split
betw
een t
he tw
o age
ncies
and t
he
colla
bora
tion a
roun
d the
$30,0
00 st
ate de
ntal
gran
t for s
ealan
ts.
The J
C He
alth D
ept.,
MOU
with
COMT
REA
for
the jo
int co
llabo
ratio
n aro
und t
he de
ntal s
ealan
t gr
ants
was e
xecu
ted in
Dec
. 201
9. W
e con
tinue
to
discu
ssion
s aro
und t
he co
llabo
ratio
n of d
ental
re
sour
ces i
n the
scho
ols be
twee
n the
Hea
lth
Dept.
and C
OMTR
EA.
(a) C
ontin
ued f
undr
aising
and b
uild o
f the
trans
itiona
l hou
sing f
or vi
ctims
of do
mesti
c vio
lence
; Set
timefr
ame g
oal o
f laun
ching
the
publi
c pha
se of
the C
apita
l Cam
paign
by Q
.1 FY
20
19; a
nd C
ontin
ue to
iden
tify po
tentia
l don
ors
and c
ultiva
te pa
rtner
relat
ionsh
ips.
The p
ublic
phas
e of th
e Cap
ital C
ampa
ign ha
s be
en la
unch
ed. F
undr
aising
effor
ts an
d spe
cial
even
t fund
raisi
ng is
conti
nuing
. Pos
tings
on
socia
l med
ia sit
es ar
e ong
oing a
nd a
GoFu
ndMe
pa
ge w
as cr
eated
. Th
e cam
paign
will
be pa
rt of
the G
iving
Tue
sday
mov
emen
t. Ef
forts
to ide
ntify
comm
unity
partn
ers,
poten
tial d
onor
s, an
d cu
ltivate
relat
ionsh
ips ar
e on g
oing.
The C
apita
l Cam
paign
is pu
blic a
nd ef
forts
conti
nue t
o pro
mote
the p
rojec
t in th
e co
mmun
ity. S
ocial
med
ia po
sts ar
e don
e on a
mo
nthly
basis
. A Y
ear E
nd A
ppea
l nett
ed ov
er
$10,0
00 fo
r the
proje
ct. L
aura
l Ham
ilton l
ocal
St.
Louis
autho
r pro
moted
Mar
y's H
ouse
of H
ope a
t A
Safe
Plac
e on G
iving
Tue
sday
and r
aised
over
$2
8,000
for t
he pr
oject
on he
r Fac
eboo
k pag
e. W
e hav
e bee
n awa
rded
$160
,000.0
0 fro
m the
Fe
dera
l Hom
e Loa
n Ban
k for
the p
rojec
t and
aw
arde
d a ch
allen
ge gr
ant fr
om th
e Mab
ee
Foun
datio
n for
$300
,000.0
0. A
dditio
nal fu
nds w
ill ne
ed to
be ra
ised i
n ord
er to
be el
igible
for t
hose
gr
ant fu
nds.
We c
ontin
ue to
iden
tify ne
w co
mmun
ity pa
rtner
s, do
nors,
and c
ultiva
te re
lation
ships
.
(b) E
xplor
e rela
tions
hips a
nd be
nefits
thro
ugh
Gatew
ay H
ousin
g Firs
t. Le
ad ag
ency
in P
rojec
t Ho
meles
s Con
nect
with
comm
unity
reso
urce
fair
in Q.
1/Q.2
and o
ngoin
g par
ticipa
tion i
n J.C
. Co
alitio
n to E
nd H
omele
ssne
ss.
Ongo
ing at
tenda
nce w
ith B
H re
pres
entat
ives t
o ad
dres
s hom
eless
ness
and r
esou
rce in
forma
tion.
Conti
nued
with
ongo
ing at
tenda
nce w
ith B
H re
pres
entat
ives t
o add
ress
home
lessn
ess a
nd
reso
urce
infor
matio
n. P
lannin
g is u
nder
way f
or a
2019
Pro
ject H
omele
ss C
onne
ct. T
he J.
C.
Coali
tion t
o End
Hom
eless
ness
has b
een
inacti
ve.
(c) E
stabli
sh re
lation
ship
with
a dev
elope
r. No
actio
n her
e to d
ate.
Comm
unity
mee
ting s
ched
uled f
or 1/
30/19
to
identi
fy po
tentia
l sup
port.
Emer
genc
y she
lter a
nd
trans
ition
al ho
usin
g5
Stra
tegi
c Plan
FY
2019
: Miss
ion
Com
mun
ity C
ollab
orat
ion
FY 20
19
FY 20
19 1s
t Qua
rter U
pdat
eFY
2019
2nd
Quar
ter U
pdat
eGO
AL / I
NDIC
ATOR
6Ed
ucat
ion
for i
ndivi
duals
se
rved
for i
dent
ified
topi
cs
of n
utrit
ion,
par
entin
g,
smok
ing
cess
atio
n &
vo
catio
nal t
rain
ing
(1) I
nven
tory e
xistin
g res
ource
s in t
he co
mmun
ity;
deter
mine
edu
catio
n pro
vided
inter
nally
by
quali
fied i
nstru
ctors/
traine
rs; im
pleme
nt re
gular
sc
hedu
led se
ssion
s; an
d info
rmati
onal
hand
outs.
(2
) Dete
rmine
how
Supp
orted
Emp
loyme
nt wi
ll su
ppor
t this
indica
tor.
Initia
ted; n
o rep
ort y
et av
ailab
le.Pr
imar
y Car
e and
Beh
avior
al He
alth s
ervic
e line
s sta
ff refe
r to J
C He
alth D
epar
tmen
t, Mer
cy an
d oth
ers f
or co
llater
al se
rvice
s re:
diet, n
utritio
n for
dia
betic
patie
nts. A
dditio
nally
, Beh
avior
al He
alth
is se
nding
anoth
er st
aff m
embe
r for
train
ing in
To
bacc
o Ces
satio
n.
7Es
tabl
ish a
proc
ess f
or
fund
ing
requ
ests
mad
e fro
m
agen
cies t
hat s
erve
in
divid
uals
with
men
tal
illnes
s in
Jeffe
rson
Cou
nty.
Conti
nued
deve
lopme
nt of
proc
ess i
nclud
ing
evalu
ation
of ef
fectiv
enes
s fro
m FY
2018
im
pleme
ntatio
n. C
ontin
ued i
mplem
entat
ion of
the
JCCM
HFB
RFP
proc
ess o
n an a
nnua
l bas
is an
d de
velop
meth
odolo
gy fo
r com
munic
ation
of
proc
ess a
nd ou
tcome
s.
The 2
019 C
alend
ar Y
ear R
FP aw
ards
wer
e de
cided
, ther
e was
only
one a
pplic
ation
for t
he
next
fundin
g ses
sion.
Com
munic
ation
meth
ods
will b
e rev
iewed
again
whe
n ann
ounc
ing th
e nex
t ap
plica
tion p
eriod
.
Dece
mber
31, 2
018 e
nded
the f
irst r
ound
of
RFP'
s the
two a
genc
ies aw
arde
d sub
mitte
d the
ir ye
ar en
d rep
orts
and i
nvoic
es. F
or 20
19 ye
ar
only
Luthe
ran C
hildr
en's
appli
ed fo
r fun
ds.
Stra
tegi
c Plan
FY
2019
: Em
ploy
ee E
ngag
emen
t Lea
ders
hip
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
(a) C
ontin
ue to
asse
ss an
d refi
ne pa
y stru
cture
to
rema
in co
mpeti
tive i
n mar
ket.
Asse
ss di
ffere
nt op
tions
for b
onus
es in
cludin
g fre
quen
cy (o
ther
than a
nnua
l) and
team
-bas
ed ve
rsus i
ndivi
dual.
HR co
ntinu
es to
utiliz
e Pay
scale
for c
ompe
nsati
on
asse
ssme
nt an
d will
be pa
rt of
Salar
y Stru
cture
Me
eting
to di
scus
s pay
and b
onus
optio
ns. I
nitial
me
eting
held
with
C-Te
am an
d VP
of HR
on
10/15
/18 an
d wor
k con
tinue
s on t
his in
itiativ
e.
Ongo
ing di
scus
sions
on po
sition
s and
new
hires
. Lice
nsed
sta
ff sala
ries a
djuste
d 2nd
quar
ter to
be co
mpeti
tive..
HR
uses
Pa
ysca
le to
asse
ss ap
prop
riate
pay f
or ne
w hir
es an
d pr
omote
d emp
loyee
s. W
orkin
g with
man
ager
s and
C-T
eam
withi
n bud
getar
y par
amete
rs.
(b) D
evelo
p inc
entiv
e pay
for p
erfor
manc
e to b
e ali
gned
with
agen
cy, d
ivisio
n and
indiv
idual
goals
. As
sess
outco
mes f
rom
FY 20
18 pr
oces
s with
ide
ntific
ation
of P
I cha
nges
, guid
eline
s for
rater
co
nsist
ency
, and
deter
mina
tion o
f age
ncy g
oals
for F
Y 20
19 fo
r the
agen
cy %
age.
1st Q
uarte
r Inc
entiv
es ar
e due
from
prov
iders
in Oc
tober
. Den
tal ha
d 4 pr
ovide
rs qu
alify.
2nd Q
uarte
r ince
ntive
s are
due f
rom
prov
iders
in Ja
nuar
y.
(c) D
efine
meth
odolo
gy an
d sou
rce(s)
for o
ngoin
g an
nual
revie
ws an
d adju
stmen
ts. C
ontin
ued
imple
menta
tion o
f stag
gere
d sala
ry ad
justm
ent
plan f
or al
l pos
itions
to re
main/
achie
ve
comp
etitiv
e mar
ket r
ange
. Imp
lemen
t Yea
r 3 of
the
FYs
2017
-201
9 plan
for s
alary
adjus
tmen
ts to
achie
ve th
is ou
tcome
.
HR pr
opos
ed P
erfor
manc
e Eva
luatio
n pro
cess
to
Lead
ersh
ip in
Augu
st an
d it w
as ac
cepte
d. W
ill co
ntinu
e to f
ine tu
ne. H
R co
ntinu
es to
analy
ze
salar
ies fo
r equ
ity an
d pro
vides
upda
ted e-
mails
wi
th co
mpen
satio
n com
paris
ons t
o con
sider
for
salar
y adju
stmen
ts.
Perfo
rman
ce E
valua
tion p
roce
ss pr
opos
al thr
ough
Pay
cor
appr
oved
and i
s cur
rentl
y bein
g imp
lemen
ted. T
raini
ng st
arted
in
Janu
ary.
Still
worki
ng th
roug
h 360
* pro
cess
whic
h req
uires
so
me m
anua
l adju
stmen
ts. C
ompe
nsati
on an
alysis
rema
ins a
focus
base
d on b
udge
tary a
llowa
nce,
which
is dr
iven b
y stat
e an
d fed
eral
fundin
g, se
rvice
line p
erfor
manc
e and
expe
nse
mana
geme
nt.
(d) A
sses
s and
refin
e ben
efit p
acka
ge to
rema
in co
mpeti
tive i
n mar
ket; A
nnua
l revie
w;
Deve
lopme
nt of
summ
ary s
heet
per e
mploy
ee
that s
umma
rizes
value
of co
mplet
e com
pens
ation
; an
d Dev
elopm
ent o
f a sh
ort-t
erm
Emplo
yee
Bene
fits w
orkg
roup
to as
sess
curre
nt an
d pro
vide
feedb
ack w
ith H
R/Fin
ance
invo
lveme
nt.
Open
enro
llmen
t for a
ll med
ical, l
ife an
d disa
bility
pla
ns oc
curre
d in S
ept.
Emplo
yee B
enefi
ts wo
rkgro
up ha
s bee
n esta
blish
ed w
ith 1s
t mee
ting
to oc
cur w
ithin
2nd q
uarte
r with
Fina
nce a
nd H
R pa
rticipa
ting.
Wor
k con
tinue
s with
seek
ing w
ays
to au
tomate
func
tions
that
are n
ow pa
per d
riven
an
d to p
rovid
e sum
mary
value
of pa
y plus
bene
fits
to pr
ovide
to em
ploye
es.
First
meeti
ng of
Ben
efits
Comm
ittee w
ill me
et 3r
d qua
rter
(Feb
ruar
y). H
R co
ntinu
es to
wor
k with
Pay
cor a
nd ot
her
entiti
es to
bring
Car
rier C
onne
ct to
staff f
or se
lf sele
ction
of
bene
fits. A
genc
y is c
urre
ntly m
aking
adjus
tmen
ts to
bene
fits
such
as w
aiting
perio
ds. B
enefi
t Sum
mary
shee
t has
been
de
velop
ed to
prov
ide to
emplo
yees
(new
and e
xistin
g).
Conti
nue t
o wor
k on w
ays t
o pro
vide s
umma
ry va
lue of
be
nefits
.
GOAL
/ IND
ICAT
OR
Com
pens
atio
n Pa
ckag
e -
Salar
y Sca
les, In
cent
ive
paym
ent m
etho
dolo
gy &
bo
nuse
s; P
erfo
rman
ce
appr
aisal
proc
ess &
mer
it-ba
sed
incr
ease
s; an
d Co
mpa
ny b
enef
its
1
Stra
tegi
c Plan
FY
2019
: Em
ploy
ee E
ngag
emen
t Lea
ders
hip
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
GOAL
/ IND
ICAT
OR
(a) C
ontin
ued i
mplem
entat
ion of
Pay
cor t
o full
po
tentia
l. As
sess
need
for a
dditio
nal tr
aining
and
deliv
er id
entifi
ed tr
aining
s.
HR an
ticipa
tes ne
w 36
0% pe
rform
ance
revie
ws to
be
enha
nced
by P
ayco
r this
quar
ter. S
uper
visor
s to
use N
ewton
thro
ugh e
ntire
hirin
g pro
cess
. No
addit
ional
traini
ng in
Pay
cor id
entifi
ed at
this
time.
Antic
ipated
360*
enha
ncem
ent b
y Pay
cor d
id no
t mee
t inter
nal
expe
ctatio
ns, th
us th
e pro
cess
will
requ
ire m
anua
l adju
stmen
ts thi
s yea
r. Co
ntinu
e to s
ucce
ssful
ly us
e New
ton th
roug
hout
entire
hirin
g pro
cess
- pr
ovide
d tra
ining
to m
anag
ers.
We
conti
nue t
o see
k gre
ater f
uncti
onali
ty an
d uti
lizati
on of
Pay
cor.
(b) O
ngoin
g; de
creas
e dep
ende
nce o
n re
cruitm
ent fi
rms t
hrou
gh su
cces
s in
scho
ol/ac
adem
ic ins
titutio
ns. D
evelo
p pro
cess
for
pipeli
ne of
stud
ents/
inter
ns fo
r full
-time w
ork
oppo
rtunit
ies at
COM
TREA
.
HR ha
s not
need
ed to
use r
ecru
itmen
t firm
s sinc
e all
prov
ider p
ositio
ns ha
ve be
en fil
led. W
e do
antic
ipate
some
futur
e vac
ancie
s but
have
seve
ral
cand
idates
in lin
e. P
ipelin
e for
stud
ents/
inter
ns to
be
form
ally d
evelo
ped b
ut so
me pr
ogre
ss ha
s be
en m
ade w
ith lo
cal D
ental
Sch
ools
this q
uarte
r.
HR ha
s not
utiliz
ed re
cruitm
ent fi
rms t
his qu
arter
, how
ever
, two
prov
ider v
acan
cies (
adult
psyc
hiatris
t and
child
nurse
pr
actiti
oner
may
chan
ge th
at). B
H wo
rking
to se
cure
telep
sych
do
c for
child
psyc
h. Fo
cus r
emain
s on d
evelo
pmen
t of p
ipelin
e for
stud
ents/
inter
ns.
(c) C
ontin
ued i
mplem
entat
ion of
prov
ider b
onus
op
portu
nity.
1st Q
uarte
r Inc
entiv
es ar
e due
from
prov
iders
in Oc
tober
. Den
tal ha
d 4 pr
ovide
rs qu
alify.
2n
d Qua
rter in
centi
ves a
re du
e fro
m pr
ovide
rs in
Janu
ary.
(Amy
)
(d) I
ncre
ased
%ag
e of p
rovid
ers t
hat s
ign on
from
int
erns
hips a
nd co
mpeti
tive o
ffers
in the
year
pr
eced
ing gr
adua
tion.
Will
need
to de
velop
this
initia
tive.
Wor
kgro
ups
curre
ntly b
eing f
orme
d for
Den
tal in
itiativ
e in t
his
quar
ter.
Form
er P
C int
ern m
oved
from
PRN
to F
T in
Janu
ary.
Denta
l ini
tiativ
e yiel
ded s
ome s
ucce
ss. W
ill co
ntinu
e to w
ork o
n this
ini
tiativ
e.
Recr
uitm
ent o
f qua
lified
pr
ofes
siona
ls an
d pr
ovid
ers
2
Stra
tegi
c Plan
FY
2019
: Em
ploy
ee E
ngag
emen
t Lea
ders
hip
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
GOAL
/ IND
ICAT
OR
(e) P
ursu
e ind
icator
s of e
xcell
ence
for t
raini
ng
throu
gh ev
idenc
ed ba
sed p
racti
ces w
ith fid
elity
HR to
rese
arch
, rea
ch ou
t to ot
her F
QHCs
, pr
ofess
ional
orga
nizati
ons (
MPCA
& M
O Co
alitio
n, etc
.) to
identi
fy ex
celle
nce i
n tra
ining
pr
actic
es. A
long w
ith th
e ass
istan
ce of
the H
R tea
m an
d the
train
ing co
mmitte
e, An
di Gn
aedin
ger is
wor
king o
n fac
ilitati
ng m
ore l
ive
traini
ng op
portu
nities
, as t
hey a
re us
ually
have
a hig
her r
ate of
partic
ipatio
n tha
n tra
ining
s offe
r so
lely o
nline
. Live
train
ings a
lso as
sist in
mee
ting
the lic
ensu
re re
quire
ments
for m
any o
f our
lic
ense
d pro
vider
s. An
di is
also
wor
king w
ith th
e oth
er C
PI tr
ainer
s to i
nves
tigate
the o
ption
s of
alter
nate
traini
ng re
quire
ments
for C
PI. T
hese
alt
erna
tes in
clude
, but
are n
ot lim
ited t
o: Ab
brev
iated
Edu
catio
nal tr
aining
s (tha
t can
be
brok
en up
into
segm
ents)
for a
ll staf
f with
no di
rect
clien
t duti
es, c
ontin
uing w
ith th
e For
mal
Certif
icatio
n for
all e
mploy
ees w
ith cl
ient c
ontac
t. Th
is wi
ll cut
costs
, as w
ell as
allev
iate s
train
on
the tr
aining
sche
dulin
g and
coor
dinati
on pr
oces
s.
HR co
ntinu
es to
seek
exce
llenc
e in t
raini
ng pr
oced
ures
. The
Tr
aining
Spe
cialis
t (An
di Gn
aedin
ger)
has f
acilit
ated n
umer
ous
in pe
rson t
raini
ng op
portu
nities
, inclu
ding C
PI (f
or w
hich s
he is
a c
ertifi
ed tr
ainer
), CP
R, T
raum
a Info
rmed
train
ing an
d Zer
o Su
icide
Tra
ining
. She
has a
lso im
pleme
nted i
ntrod
uctio
ns to
OE
ND T
raini
ng (r
egar
ding O
pioid
use)
and M
ental
Hea
lth F
irst
Aid t
raini
ng in
to Ne
w Hi
re O
rienta
tions
. Reli
as, w
hich i
s our
on
line t
raini
ng pr
ogra
m is
upda
ted w
ith th
ese t
raini
ngs.
raini
ng.
Othe
r tra
ining
indic
ative
s inc
lude t
he qu
arter
ly Br
own B
ag
meeti
ngs w
ith su
pervi
sors
and t
he de
liver
y of tr
aining
onsit
e at
more
loca
tions
with
mor
e day
s and
times
avail
able
for
partic
ipants
. This
will
conti
nue t
o ass
ist in
cuttin
g cos
ts, as
well
as
allev
iate s
train
on th
e tra
ining
sche
dulin
g and
coor
dinati
on
proc
ess.
(f) D
evelo
p plan
that
identi
fies t
arge
ted ac
adem
ic sit
es, d
ates o
f hea
lth re
cruitm
ent fa
irs an
d de
signa
ted C
OMTR
EA at
tende
es.
HR
is cu
rrentl
y wor
king w
ith D
ental
and P
rimar
y Ca
re to
furth
er en
hanc
e the
inter
nship
prog
rams
in
conn
ectio
n with
vario
us in
stitut
ions a
nd
scho
ols. H
R att
ends
care
er fa
irs at
seve
ral o
f the
se ac
adem
ic ins
titutio
ns. A
dditio
nally
, HR
is co
mpilin
g cur
rent
prac
tices
of co
nnec
ting w
ith
acad
emic
sites
and i
denti
fy ad
dition
al ca
reer
fairs
tha
t are
bene
ficial
to ou
r age
ncy.
HR co
ntinu
es to
wor
k with
Den
tal an
d Prim
ary C
are t
o en
hanc
e inte
rnsh
ip, pa
rticipa
ting i
n car
eer f
airs a
nd co
ntacti
ng
acad
emic
institu
tions
(rec
ently
denta
l sch
ools)
to in
creas
e re
cruitm
ent e
fforts
. A ne
w sc
hool
agre
emen
t has
been
es
tablis
hed w
ith th
e Spe
cial S
choo
l Dist
rict fo
r Den
tal
Assis
tant In
terns
.
(g) D
evelo
p plan
for r
eferra
l bon
uses
with
inter
nal
staff.
Refer
ral B
onus
Plan
pres
ented
and a
ppro
ved i
n Oc
t. Lea
dersh
ip. E
mploy
ees n
otifie
d 10/0
9/18.
This
has b
een a
ppro
ved a
nd im
pleme
nted a
nd w
e hav
e se
vera
l staf
f who
are c
urre
ntly p
artic
ipatin
g.
Stra
tegi
c Plan
FY
2019
: Em
ploy
ee E
ngag
emen
t Lea
ders
hip
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
GOAL
/ IND
ICAT
OR
(a) C
ontin
ued i
mplem
entat
ion of
reten
tion p
lan:
Deve
lop E
mploy
ee E
ngag
emen
t focu
s with
the
initia
l team
of S
ue C
urfm
an, L
isa W
igger
and H
R de
signe
e; De
termi
ne to
p 5 pr
actic
es th
at dr
ive
high e
ngag
emen
t and
PI o
ppor
tunitie
s for
CO
MTRE
A wi
th qu
arter
ly re
port
to LC
and B
oard
; Re
view
of ex
it inte
rview
s to i
denti
fy tre
nds a
nd
follow
-up a
ction
step
oppo
rtunit
ies; a
nd A
sses
s on
boar
ding p
roce
ss an
d step
s to i
mpro
ve th
e new
hir
e exp
erien
ce.
The e
ngag
emen
t focu
s plan
with
HR
has n
ot be
en
deve
loped
yet.
No ac
tivity
arou
nd th
is ac
tion i
tem in
the 2
nd qu
arter
. This
will
be an
inten
tiona
l focu
s in 3
rd qu
arter
with
revie
w of
our
rece
ntly c
omple
ted E
mploy
ee E
ngag
emen
t sur
vey.
(b) D
evelo
p & im
pleme
nt St
ay In
tervie
ws to
ide
ntify
what
motiv
ates s
taff to
stay
. St
ay In
tervie
ws w
ere d
evelo
ped a
nd im
pleme
nted
July
1. A
full q
uarte
r of r
esult
s hav
e bee
n rep
orted
to
Lead
ersh
ip for
revie
w
Stay
inter
views
wer
e bein
g e-
maile
d fro
m HR
initia
lly, b
ut no
w ar
e sen
t via
Surve
y Mon
key.
This
new
metho
d pro
vides
gr
eater
anon
ymity
and g
reate
r res
pons
e. H
R se
nds q
uarte
rly
repo
rts to
Lead
ersh
ip. A
t this
time t
he m
ain re
ason
s to s
tay ar
e co
-wor
kers
& fle
xibilit
y.
(c) C
reate
succ
essio
n path
ways
for t
hose
ide
ntifie
d as f
uture
lead
ers
HR T
raini
ng &
Dev
elopm
ent S
pecia
list h
as
deve
loped
plan
for L
eade
rship
Deve
lopme
nt/Me
ntorin
g Pro
gram
and p
rese
nted
to Le
ader
ship
(Don
na).
Ongo
ing. In
tende
d to b
e de
velop
ed by
the e
nd of
Dec
embe
r 201
8.
Plan
rema
ins in
deve
lopme
nt by
Tra
ining
and D
evelo
pmen
t (T
&D) a
nd is
shap
ing up
nice
ly. T
arge
t imple
menta
tion d
ate
has b
een e
xtend
ed to
July
1, 20
19.
Lead
ersh
ip an
d Men
tor
Prog
ram
(LAM
P) ex
pecta
tions
, req
uirem
ents,
appli
catio
n, etc
. ar
e still
being
deve
loped
and r
eview
ed to
ensu
re co
nsist
ency
wi
th CO
MTRE
A po
licies
and e
xpec
tation
.
(d) I
mplem
ent S
uper
visor
Tra
ining
prog
ram
and
imple
menta
tion p
lan w
ith re
view
of ex
terna
l op
tions
. Plan
shou
ld inc
lude
feedb
ack f
rom
direc
t re
ports
to as
sess
supe
rviso
r effe
ctive
ness
.
Train
ing &
Dev
elopm
ent S
pecia
list, a
long w
ith H
R an
d Tra
ining
Com
mitte
e will
use e
stabli
shed
on
line t
raini
ng m
odule
s and
deve
lop 1:
1 tra
ining
se
ssion
s with
HR
staff f
or ne
wly/r
ecen
tly hi
red
supe
rviso
rs, or
thos
e who
need
a re
fresh
er. T
hen
deve
lop m
ethod
of re
ceivi
ng fe
edba
ck to
asse
ss
effec
tiven
ess.
HR ha
s com
pleted
deve
lopme
nt of
its S
uper
visor
Tra
ining
pr
ogra
m. R
ollou
t of fi
rst in
perso
n clas
s (co
nsist
ing of
new
hires
and r
ecen
tly hi
red s
uper
visor
s) is
sche
duled
for J
anua
ry 17
, 201
9. P
artic
ipants
will
be as
ked t
o com
plete
a sur
vey t
o he
lp HR
asse
ss th
e effe
ctive
ness
of th
is pr
ogra
m.
HR T
&D
Spec
ialist
will
conti
nue t
o utili
ze es
tablis
hed o
nline
train
ing
modu
les to
assis
t in S
uper
visor
y tra
ining
.
Staf
f Ret
entio
n an
d Le
ader
ship
Men
torin
g pr
ogra
m
3
Stra
tegi
c Plan
FY
2019
: Em
ploy
ee E
ngag
emen
t Lea
ders
hip
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
GOAL
/ IND
ICAT
OR
(a) E
nsur
e eac
h dep
artm
ent h
as a
strea
mline
d cro
ss tr
ained
proc
ess a
nd ba
ckup
for e
ach j
ob
role.
Ass
ess w
hich d
epar
tmen
ts ha
ve ac
hieve
d thi
s goa
l and
conti
nue p
lan w
ith ta
rget
dates
for
depa
rtmen
ts/job
roles
in pr
oces
s or n
ot ye
t ini
tiated
.
Each
depa
rtmen
ts cu
rrent
office
asso
ciates
have
be
en cr
oss t
raine
d inte
rdep
artm
ental
ly. A
ny ne
w off
ice as
socia
tes ar
e req
uired
to sh
adow
and t
rain
at ea
ch of
the o
ffices
as a
part
of on
boar
ding.
Even
tually
we w
ould
like t
o exte
nd th
is tra
ining
int
rade
partm
ental
(mea
ning d
ental
train
s on B
H an
d PC
and v
ice ve
rsa) w
e are
unab
le to
acco
mplis
h this
at th
is tim
e. W
e fee
l our
focu
s ne
eds t
o stay
on tr
aining
with
in the
depa
rtmen
t as
we st
ill ha
ve op
portu
nity f
or gr
owth.
We w
ould
like
to ide
ntify
a spe
cific
onbo
ardin
g tra
ining
plan
. We
have
been
unab
le to
do so
up to
this
point
due t
o off
ice st
aff an
d man
agem
ent tu
rnov
er. A
im fo
r this
wi
thin e
ach d
epar
tmen
t cou
ld be
7/1/1
9. W
e do
have
a off
ice as
socia
te tra
ining
man
ual fo
r Den
tal
and B
ehav
ioral
Healt
h. W
e’re w
aiting
to
imple
ment
Prim
ary C
are u
ntil im
pleme
ntatio
n of
Avata
r with
a tar
get d
ate of
7/01
/19. I
t is ou
r goa
l to
have
the P
C off
ice as
socia
te tra
ining
man
ual
comp
leted
at th
at tim
e.
Cros
s tra
ining
of of
fice a
ssoc
iates
is co
ntinu
ing as
this
is an
on
going
proc
ess.
We h
ave b
egun
revie
wing
the s
cope
of
cross
train
ing ac
ross
servi
ce lin
es. O
nboa
rding
train
ing pl
an
has n
ot ye
t star
ted du
e to o
ngoin
g man
agem
ent tu
rnov
er. A
im
is sti
ll 7/1/
19. T
entat
ive P
C im
pleme
ntatio
n into
myA
vatar
7/1
/19. T
raini
ng m
anua
l 1st
quar
ter F
Y'20
.
(b) I
denti
fy wh
ich jo
b role
s or p
roce
sses
are
repli
cated
in ea
ch di
vision
(BH/
PC/O
R) an
d whic
h of
these
can b
e inte
grate
d age
ncy w
ide ac
ross
the
three
divis
ions.
This
initia
tive h
as no
t yet
been
star
ted.
Revie
wing
inter
nal re
sour
ces f
or pa
tient/
clien
t sup
port
and
mapp
ing ou
t sim
ilariti
es/di
ffere
nces
as w
ell as
dupli
catio
n/gap
s for
care
coor
dinato
r, co
mmun
ity he
alth w
orke
r, na
vigato
r, etc
. Dr
. Roh
atgi h
as st
arted
to id
entify
proc
esse
s tha
t can
be
strea
mline
d acro
ss si
tes w
ithin
the sa
me se
rvice
line (
e.g. h
ow
the M
A to
a psy
ch pr
ovide
r fun
ction
s at A
rnold
, Nor
thwes
t, and
Fe
stus)
Cros
s tra
inin
g su
ppor
t sta
ff wi
th co
nsist
ency
acro
ss
depa
rtmen
ts an
d pr
ogra
ms
4
Stra
tegi
c Plan
FY
2019
: Em
ploy
ee E
ngag
emen
t Lea
ders
hip
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
GOAL
/ IND
ICAT
OR
(a) S
trateg
ic re
view
of re
ques
ted "n
ew/ad
dition
al"
posit
ions b
ased
on su
staina
ble w
ork l
oads
and
prod
uctiv
ity ex
pecta
tions
. Con
tinua
lly as
sess
nu
mber
of ch
ange
initia
tives
to pr
even
t initia
tive
fatigu
e with
time t
o car
ry ou
t ess
entia
l job r
ole
functi
ons.
All n
ew po
sition
requ
ests
are f
unne
led to
C-T
eam
for re
view,
whic
h inc
ludes
all e
xistin
g staf
f in th
e de
partm
ent a
nd/or
simi
lar jo
b role
, cur
rent
capa
city t
o tak
e on m
ore w
ork,
and r
eview
of jo
b ro
le fun
ction
s with
thos
e pos
itions
revie
wed f
or
capa
city t
o dete
rmine
wha
t is es
senti
al an
d wha
t ca
n be r
educ
ed. N
o cur
rent
posit
ions a
re ad
ded
unles
s it is
budg
et ne
utral.
Conti
nuati
on of
stra
tegies
as de
tailed
in th
e 1st
quar
ter
upda
tes. L
eade
rship
has m
et wi
th ea
ch of
their
depa
rtmen
ts to
brain
storm
arou
nd w
orkfl
ow ef
ficien
cies w
ith ov
er 7
page
s of
ideas
whic
h will
be as
sess
ed..
Ther
e hav
e bee
n re-
orga
nizati
ons i
n thr
ee de
partm
ents
repo
rting u
p to F
inanc
e an
d Ope
ratio
ns w
ith co
nsoli
datio
n of tw
o pos
itions
to on
e.
(b) I
mplem
entat
ion of
data
ware
hous
e and
sta
ndar
d rep
orts
that p
rovid
e des
ired f
eedb
ack o
n ind
icator
s tha
t "de
fine"
prog
ram
succ
ess.
Data
ware
hous
e in p
rodu
ction
. Iss
ues w
ith pa
yer
and d
iagno
sis. P
rojec
ted co
mplet
ion 10
/31.
Issue
s still
rema
in wi
th pa
yer &
diag
nosis
. Con
tracte
d with
MP
CA fo
r coll
abor
ation
of se
rvice
lines
utiliz
ing ex
isting
data
ware
hous
e with
Qua
lity aw
ard p
ayme
nt
(c) T
eam
base
d inte
rview
s. Ex
plore
idea
s for
on
line a
sses
smen
t pre
-hire
to fa
cilita
te "ri
ght"
fit for
the p
ositio
n and
cultu
re.
HR pr
omote
s pan
el/tea
m ba
sed i
ntervi
ews
throu
gh pe
riodic
Bro
wn B
ag Lu
nch S
essio
ns an
d pla
n to i
ncor
pora
te int
o new
Sup
ervis
or T
raini
ng.
Rese
arch
of on
line a
sses
smen
t tools
forth
comi
ng.
HR ha
s inc
orpo
rated
team
base
d inte
rview
s into
our n
ew
Supe
rviso
r Tra
ining
with
roll-o
ut on
1/17
/19. A
sses
smen
t tools
for
pre-
hire a
sses
smen
t rem
ain a
focus
with
in bu
dgeta
ry co
nside
ratio
ns.
5Or
gani
zatio
nal m
appi
ng/ch
arts
wi
th w
ork f
lows
, wor
k loa
d de
term
inat
ion
& sc
ope
Stra
tegi
c Plan
FY
2019
: Em
ploy
ee E
ngag
emen
t Lea
ders
hip
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
GOAL
/ IND
ICAT
OR
(d) I
mplem
ent r
evise
d wor
kflow
s with
integ
rated
ke
y pro
cess
es ac
ross
divis
ions a
nd ch
ange
s tha
t ha
ppen
with
CCB
HC an
d P4P
with
clini
cal s
taff
partic
ipatio
n.
In pr
ogre
ss, s
tartin
g with
upda
ting s
ched
uling
pr
otoco
ls, in
sura
nce a
pplic
ation
assis
tance
pr
oces
s, an
d inte
rage
ncy r
eferra
ls. S
pecif
ic po
licies
in pr
oces
s inc
lude:
Star
ting w
ith P
CMH
- Ac
cess
Nee
ds an
d Pre
feren
ces -
inco
rpor
ating
the
curre
nt P
C001
App
ointm
ent P
olicy
, and
PC0
02
After
Hou
rs Po
licy i
nto a
Acce
ss N
eeds
and
Prefe
renc
e Poli
cy, P
roce
dure
and W
orkfl
ow th
at inc
ludes
: • A
C 01
Pati
ent’s
Acc
ess N
eeds
and
Prefe
renc
es, •
AC
02 S
ame D
ay A
ppoin
tmen
ts, •
AC 03
App
ointm
ents
Outsi
de B
usine
ss H
ours,
• AC
04 T
imely
Clin
ical A
dvice
by T
eleph
one,
• AC
05 C
linica
l Adv
ice D
ocum
entat
ion,
• AC
06 A
ltern
ative
App
ointm
ents,
• AC
10
Perso
nal C
linici
an S
electi
on P
olicy
& P
roce
dure
. •
Othe
r PCM
H re
feren
ces a
re in
clude
d with
in thi
s do
cume
nt. K
ey pe
rsonn
el tea
m pa
rticipa
tion
includ
es A
mand
a Men
g & he
r staf
f, Dan
a Si
lverb
latt, K
aty M
urra
y, Pa
tty V
anek
, Chr
istian
Ha
yes.
Sche
dulin
g pro
tocols
for P
rimar
y Car
e con
tinue
to ch
ange
- in
proc
ess o
f sett
ing gu
idelin
es an
d stic
king t
o the
m. W
ill be
loo
king a
t PCM
H sta
ndar
ds th
at als
o imp
act O
ral H
ealth
and
Beha
viora
l Hea
lth as
oppo
rtunit
ies to
revis
e wor
kflow
s acro
ss
divisi
ons w
hile e
nsur
ing co
mplia
nce w
ith al
l requ
ireme
nts.
(e) W
ork f
rom
home
optio
ns -
Analy
ze
prod
uctiv
ity, c
osts
asso
ciated
and d
eterm
ine
eligib
ility b
y pos
ition.
Polic
y had
been
pres
ented
by IT
durin
g firs
t qu
arter
. Billi
ng de
partm
ent h
as be
en te
sting
, with
un
know
n ben
efits
to pr
oduc
tivity
.
Telew
ork p
olicy
was
pres
ented
and a
ppro
ved b
y the
Boa
rd
Janu
ary 2
019.
(a) R
eview
and u
pdate
secu
rity pl
an w
ith
delin
eatio
n of F
Y 20
19 de
liver
ables
.Th
is ini
tiativ
e has
not y
et be
en st
arted
.Th
is ini
tiativ
e has
not y
et be
en st
arted
.
(b) C
ontin
ue F
Y 20
18 ac
tion s
tep of
adeq
uate
lighti
ng fo
r par
king l
ots an
d othe
r exit
point
s du
ring f
all &
wint
er se
ason
s. Int
egra
te wi
th the
En
viron
menta
l/Fac
ilities
Wor
k Plan
.
Lighti
ng ha
s bee
n upd
ated i
n Arn
old an
d Fes
tusMa
inten
ance
has u
pdate
d ligh
ting a
t Kea
ton .
Will
revie
w No
rthwe
st &
Anne
x in 4
th qu
arter
.
Impr
oved
Sec
urity
at al
l lo
catio
ns.
6
Stra
tegi
c Plan
FY
2019
: Em
ploy
ee E
ngag
emen
t Lea
ders
hip
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
GOAL
/ IND
ICAT
OR
(c) E
valua
te the
prog
ram
conti
nuati
on fo
r SAE
P du
e to s
ecur
ity co
ncer
ns fo
r the
safet
y of s
taff a
nd
the pr
ogra
m ho
urs,
which
occu
r outs
ide of
CO
MTRE
A bu
sines
s hou
rs.
Still
not r
esolv
ed.
Still
not r
esolv
ed. T
he sp
ace i
n the
Arn
old of
fice i
s nee
ded f
or
this s
ervic
e, bu
t look
ing to
reloc
ate w
ithin
Arno
ld off
ice its
elf,
thus f
reein
g up c
urre
nt sp
ace f
or ot
her n
eeds
.
(a) C
ontin
ue to
prom
ote C
offee
with
Coll
eagu
es
and o
ther e
vents
/oppo
rtunit
ies fo
r emp
loyee
s to
get to
know
colle
ague
s
Ongo
ing. C
offee
with
Coll
eagu
es is
a qu
arter
ly me
eting
that
offer
s add
itiona
l train
ing, a
s well
as
netw
orkin
g for
newe
r emp
loyee
s. Ad
dition
al co
ntinu
ed op
portu
nities
are
even
ts lik
e Day
at th
e Ba
llpar
k, Em
ploye
e BBQ
s, etc
.
Base
d on f
eedb
ack f
rom
partic
ipants
, Tra
ining
Spe
cialis
t has
pr
opos
ed a
rede
sign o
f the s
tructu
re of
Coff
ee w
ith
Colle
ague
s. Ins
tead o
f Lea
dersh
ip ad
dres
sing g
roup
, Tra
ining
Sp
ecial
ist w
ill uti
lize i
ndus
try re
levan
t/topic
al tra
ining
and m
ore
inter
actio
n and
colla
bora
tion a
mong
new/
newe
r staf
f. Othe
r em
ploye
e eve
nts co
ntinu
e to s
uppo
rt co
lleag
ues g
etting
to
know
each
othe
r.
(b) R
etrea
t for a
ll staf
f: Ass
ess o
ppor
tunity
for
agen
cy w
ide le
ader
ship/
spea
ker a
nd id
entify
op
tions
for o
ff-sit
e loc
ation
; New
staff
depa
rtmen
t tou
rs; an
d Rev
ision
of T
REA
News
to ca
pture
dif
feren
t dep
artm
ent fo
cus p
er is
sue.
The s
taff r
etrea
t is pl
anne
d for
Mar
ch w
ith a
spea
ker s
ecur
ed. A
team
of st
aff w
ill me
et to
plan
the ev
ent.
The T
REA
News
conti
nues
to ev
olve
as tim
e per
mits
with
the R
EAD
AND
WIN
inc
entiv
e brin
ging i
n add
itiona
l read
ersh
ip ea
ch
month
.
The a
ll staf
f retr
eat h
as be
en ca
ncele
d at th
is tim
e, wi
th the
foc
us on
incre
asing
the r
eser
ves t
he re
treat
is no
t dee
med c
ost
effec
tive a
t this
time.
The
TRE
A Ne
ws co
ntinu
es to
be
relea
sed a
t the b
eginn
ing of
each
mon
th.
(c) C
ontin
ue w
ith qu
arter
ly Ro
undta
bles w
ith 50
%
infor
matio
n/upd
ate sh
aring
and 5
0% op
en Q
&A;
set u
p ope
n for
um op
portu
nities
, both
phys
ical
locati
on &
onlin
e, for
feed
back
and d
iscus
sion o
n ini
tiativ
es; a
nd de
velop
a Le
ader
ship
Coun
cil
liaiso
n con
nect
proc
ess w
ith th
e var
ied w
ork
grou
ps to
ensu
re bi
direc
tiona
l feed
back
and
actio
n rep
ortin
g.
Roun
dtable
s are
held
quar
terly
with
two t
hus f
ar in
Fis
cal Y
ear 2
018 i
nclud
ing 7/
17/18
and 1
0/10/1
8.
Partic
ipatio
n con
tinue
s to i
ncre
ase w
ith
appr
oxim
ately
200 s
taff in
atten
danc
e. W
ork
conti
nues
on th
e goa
l of a
ssign
ing a
Lead
ersh
ip Co
uncil
liaiso
n to e
ach f
uncti
onal
workg
roup
. A
list o
f wor
kgro
ups h
as be
en co
mpile
d.
The n
ext r
ound
table
sess
ion w
ill tak
e plac
e on M
arch
19th
with
a mor
ning,
noon
and a
ftern
oon s
essio
n at d
iffere
nt loc
ation
s.
Lead
ersh
ip co
ntinu
es to
partic
ipate
in wo
rkgro
ups a
s sc
hedu
les al
low. A
t this
time,
Lisa R
othwe
iler p
artic
ipates
in
Balan
ce an
d Lisa
Wigg
er in
Emp
loyee
App
recia
tion.
(d) D
evelo
p cale
ndar
of F
Y 20
19 di
vision
me
eting
s and
sche
dule
C--T
eam
partic
ipatio
n (re
comm
ende
d qua
rterly
); an
d Ide
ntify
off-si
te loc
ation
optio
ns an
d ROI
give
n cos
t and
divis
ion
enga
geme
nt ga
ins.
Will
conti
nue t
o sha
re m
eetin
g date
s to h
ave C
-Te
am an
d CEO
atten
danc
e as n
eede
d to s
hare
pe
rtinen
t mate
rial a
nd up
dates
. Full
BH
Divis
ion
meeti
ng w
ill ne
ed to
be he
ld off
site
due t
o divi
sion
size.
Dates
wer
e req
ueste
d fro
m ma
nage
rs, th
e note
s fro
m div
ision
me
eting
s are
now
sent
direc
tly to
the C
TEAM
for r
eview
.
7In
tern
al Ne
twor
king
and
Com
mun
icatio
ns
Stra
tegi
c Plan
FY
2019
: Em
ploy
ee E
ngag
emen
t Lea
ders
hip
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
GOAL
/ IND
ICAT
OR
(a) E
nsur
e miss
ion an
d tag
line a
re em
bedd
ed in
CO
MTRE
A's c
ultur
e tho
ugh i
nclus
ion in
New
Hire
Or
ientat
ion, M
ission
Mom
ent H
ighlig
ht in
Trea
Ne
ws, r
eview
of al
l initia
tives
(cur
rent
and
prop
osed
) to o
ur M
ission
Stat
emen
t for
deter
mina
tion o
f alig
nmen
t, and
othe
r "ye
t to be
de
termi
ned"
initia
tives
.
The m
ission
has b
een u
pdate
d and
inclu
ded,
the
value
s wer
e par
t of th
e des
ign on
the r
ecen
t CO
MTRE
A all
staff
shirts
.
We c
ontin
ue to
explo
re w
ays t
o inc
lude t
he ag
ency
miss
ion in
the
ever
yday
wor
kings
. In s
eeing
how
some
orga
nizati
ons
comm
unica
te the
ir miss
ion, th
is sta
temen
t will
be ad
ded t
o the
ten
t car
ds at
all b
oard
mee
tings
.
(b) I
mplem
ent m
onthl
y rev
iew of
miss
ion
statem
ent a
t Lea
dersh
ip Co
uncil
and s
pecif
ic re
call o
f acti
ons/e
vents
per m
ission
comp
onen
t wi
th fol
low-u
p rec
ognit
ion.
This
initia
tive h
as no
t yet
been
star
ted.
Lead
ersh
ip Co
uncil
is as
ked t
o sha
re at
each
mee
ting w
hat is
go
ing on
with
in the
ir are
a, the
miss
ion st
ateme
nt an
d how
it tie
s into
this
need
s to b
e exp
lored
furth
er.
Upda
ted
Miss
ion
Stat
emen
t8
Stra
tegi
c Plan
FY
2019
: Ac
coun
tabi
lity F
inan
cial S
usta
inab
ility
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
(a) E
xpan
ded a
nd in
nova
tive m
arke
ting t
o fur
ther
stren
gthen
footp
rint a
t the l
ocal
and s
tate l
evel.
Sp
ecific
s inc
lude,
but n
ot lim
ited t
o: (1
) Re
struc
ture o
f mar
ketin
g dep
artm
ent w
ith
desig
nated
roles
of so
cial m
edia
and p
ublic
ation
s, ma
nage
ment
oper
ation
s, an
d fun
drais
ing &
ca
pital
camp
aign;
(2) a
ctive
imple
menta
tion o
f mo
nthly
marke
ting c
alend
ar w
ith in
tegra
ted
servi
ce lin
e par
ticipa
tion;
(3) f
our c
ommu
nity
healt
h fair
s.; an
d (4)
loca
l mar
ketin
g aw
aren
ess/p
romo
tion t
o high
light
new
prov
iders.
(1) M
arke
ting a
nd F
undr
aising
Dep
artm
ents
were
re
struc
tured
to V
P of
Fund
raisi
ng, M
arke
ting
Oper
ation
s Man
ager
, Mar
ketin
g Com
munic
ation
s Ma
nage
r, an
d Mar
ketin
g and
Fun
drais
ing
Assis
tant. (
2) S
taff h
ave r
ecor
ded i
ntervi
ews a
t the
radio
stati
on in
corre
lation
to de
termi
ned
month
ly he
alth t
heme
s. O
utrea
ch ev
ents,
co
nfere
nces
, and
fund
raise
rs ar
e sch
edule
d on
the ca
lenda
r. H
ealth
them
es m
arke
ted on
socia
l me
dia an
d inte
rnal
poste
rs ha
ve be
en di
stribu
ted,
but n
ot lis
ted on
the c
alend
ar. (
3) P
artic
ipated
in
multip
le co
mmun
ity he
alth f
airs.
Partic
ipatio
n in
upco
ming
fairs
are s
ched
uled i
n the
comi
ng
month
s. (4
) All C
OMTR
EA P
rimar
y Car
e pr
ovide
rs ha
ve a
Goog
le lis
ting.
Denta
l and
Ps
ychia
try pr
ovide
rs ar
e bein
g add
ed to
Goo
gle.
Dr. D
arlin
g, De
ntal P
ediat
rician
, has
been
ma
rketed
in th
e Lea
der,
on so
cial m
edia,
and w
ith
mate
rials.
Prim
ary C
are p
rovid
ers w
ill be
lis
ted in
a ne
w re
ferra
l pac
ket w
hich w
ill be
dis
tribute
d to l
ocal
hosp
itals.
1) T
he M
arke
ting a
nd F
undr
aising
restr
uctur
e has
be
en su
cces
sful. M
arke
ting r
oles a
nd ta
sks w
ill co
ntinu
e to b
e eva
luated
rega
rding
oper
ation
s an
d adm
inistr
ation
. (2)
Rad
io int
ervie
ws w
ith
Lead
ersh
ip an
d othe
r staf
f will
be re
cord
ed on
the
month
ly ma
rketin
g cale
ndar
in co
rrelat
ion w
ith
desig
nated
mon
thly h
ealth
them
es. O
utrea
ch an
d fun
drais
er ev
ents
are s
ched
uled o
n the
calen
dar.
Month
ly he
alth t
heme
s mate
rials
are s
ent to
all
locati
ons a
nd pu
blish
ed on
line;
conte
nt is
formu
lated
with
integ
ratio
n of s
ervic
e line
s and
he
alth t
heme
s. (3
)Par
ticipa
tion i
n upc
oming
fairs
ar
e sch
edule
d in t
he co
ming
mon
ths. (
4) B
ios an
d pr
ofess
ional
pictur
es ar
e bein
g coll
ected
for a
ll se
rvice
lines
to be
prom
oted o
n Goo
gle an
d on
the ne
w we
bsite
. Prim
ary C
are p
rovid
er pi
cture
s an
d bios
are i
nclud
ed in
a ne
w pa
tient
pack
et be
ing di
stribu
ted at
loca
l hos
pitals
. The
Ped
iatric
De
ntist
has b
een p
romo
ted th
roug
h prin
t, rad
io,
and s
ocial
med
ia ma
terial
s.
GOAL
S / IN
DICT
ORS
1Ma
rket
ing
with
spec
ific n
eed
to in
crea
se co
mm
unity
aw
aren
ess o
f wha
t COM
TREA
do
es.
Stra
tegi
c Plan
FY
2019
: Ac
coun
tabi
lity F
inan
cial S
usta
inab
ility
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
GOAL
S / IN
DICT
ORS
(b) U
pdate
d FY
2019
goals
to be
estab
lishe
d by
Socia
l Med
ia Ma
nage
r and
supe
rvisin
g AVP
.(1
) The
new
COMT
REA
webs
ite is
being
de
signe
d and
shou
ld be
unde
r fina
l revie
w ne
ar
the en
d of 2
018.
(2) U
pdate
d bra
nding
(C
OMTR
EA gr
een,
name
, font
styles
, icon
s, log
os, d
esign
ing st
yles,
sloga
n) w
ill co
ntinu
e to
be in
tegra
ted in
to ne
wly d
esign
ed or
upda
ted
mater
ials.
(3) R
ecen
tly de
signe
d and
publi
shed
ma
terial
s (qu
ick gu
ides,
broc
hure
s, ra
dio sc
ripts,
so
cial m
edia
posts
, eve
nt ma
terial
s, we
bsite
up
dates
) will
be m
aintai
ned t
hrou
gh an
onlin
e ca
lenda
r with
autom
atic r
emind
ers.
(4) M
arke
ting
will d
evelo
p a P
ower
BI r
epor
ting d
ashb
oard
with
int
egra
tion o
f soc
ial m
edia,
Goo
gle se
arch
es,
webs
ite tr
ends
, prin
ting c
osts,
mar
ketin
g req
uest
ticke
ts, an
d othe
r per
tinen
t data
. (5)
Mar
ketin
g wi
ll coll
abor
ate w
ith de
partm
ents
(den
tal,
fundr
aising
, PC,
etc.)
to id
entify
high
est R
OI
audie
nces
, and
cons
truct
adve
rtising
camp
aigns
to
reac
h spe
cific
demo
grap
hics.(
6) In
creas
e inv
olvem
ent o
f COM
TREA
staff
in de
signin
g ma
rketin
g mate
rials
and p
artic
ipatio
n in o
utrea
ch
even
ts thr
ough
train
ing an
d awa
rene
ss.
(1) T
he ne
w we
bsite
fram
ewor
k is c
omple
te. O
ver
half o
f web
page
has b
een d
esign
ed. P
ages
are
being
revie
wed b
y pro
gram
dire
ctors
as th
ey ar
e co
mplet
ed.
(2) M
arke
ting w
ill co
ntinu
e to i
ncre
ase a
ware
ness
an
d num
ber o
f med
ia ch
anne
ls for
mon
thly h
ealth
the
mes i
nclud
ing po
sters,
socia
l med
ia po
sts,
news
pape
r ads
, and
writt
en ar
ticles
. (3
) Mar
ketin
g will
colla
bora
te wi
th IT
to de
velop
a Po
wer B
I rep
ortin
g das
hboa
rd w
ith in
tegra
tion o
f so
cial m
edia,
Goo
gle se
arch
es, w
ebsit
e tre
nds,
ing co
sts, m
arke
ting r
eque
st tic
kets,
and
other
pertin
ent d
ata.
(4) M
arke
ting w
ill re
lease
the n
ew C
OMTR
EA
logo t
hrou
gh a
soft t
rans
ition.
Upda
tes w
ill inc
lude
and e
lectro
nic m
ateria
ls, us
age o
f logo
s with
co
mmun
ity pa
rtner
s, bu
sines
s car
ds, n
ame
badg
es, a
nd ne
w off
ice lo
catio
ns.
(5) B
usine
ss ca
rds a
nd na
me ba
dges
will
be
rede
signe
d, an
d bus
iness
card
s will
be pr
oduc
ed
in-ho
use.
A ca
lenda
r will
be cr
eated
to st
rateg
ize
upda
te ev
ery e
mploy
ee's
busin
ess c
ard a
nd
name
badg
e in i
ncre
ments
.
(c) D
evelo
p a lis
t of p
otenti
al int
erna
l spe
aker
s an
d/or p
rese
nters
base
d on t
opica
l exp
ertis
e.Sp
eake
rs ha
ve be
en sc
hedu
led an
d beg
un
pres
entin
g for
radio
inter
views
and c
ommu
nity
confe
renc
es th
roug
h the
calen
dar y
ear.
Spea
kers
are b
eing s
ched
uled a
nd ha
ve be
gun
pres
entin
g for
radio
inter
views
and c
ommu
nity
confe
renc
es th
roug
h the
2019
calen
dar y
ear.
Stra
tegi
c Plan
FY
2019
: Ac
coun
tabi
lity F
inan
cial S
usta
inab
ility
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
GOAL
S / IN
DICT
ORS
(a) C
ontin
ue w
ith ad
voca
cy ef
forts
coor
dinate
d wi
th MP
CA an
d NAC
HC to
supp
ort le
gislat
ive an
d fun
ding p
rioriti
es.
Conti
nued
partic
ipatio
n at o
ur st
ate an
d Fed
eral
Asso
ciatio
ns. T
he st
ate as
socia
tions
are M
PCA
(MO
Prim
ary C
are A
ssoc
iation
) and
MO
Coali
tion,
which
cove
rs Be
havio
ral H
ealth
, BHR
and B
HN.
For B
ehav
ioral
Healt
h as a
CCB
HC, w
e are
paid
at a P
PS ra
te an
d MPC
A is
worki
ng on
alter
nativ
e pa
ymen
t opti
ons i
nclud
ing ei
ther a
PPS
rate
or a
PMPM
rate.
Sue
Cur
fman
is on
the s
tate
workg
roup
at M
PCA
deali
ng w
ith th
ese a
ltera
tive
paym
ent m
ethod
ologie
s and
MPC
A wi
ll be
hosti
ng a
confe
renc
e on t
his.
Thes
e thr
ee in
dividu
als (S
ue, M
argo
and A
my)
partic
ipate
in co
mmitte
es th
roug
h MPC
A an
d/or
the M
O Co
alitio
n tha
t are
wor
king o
n pay
ment
refor
m. M
PCA
has r
etaine
d a co
nsult
ant to
wor
k wi
th all
of th
e FQH
Cs on
a va
lue ba
sed
reim
burse
ment
mode
l. Am
y and
Sue
will
be
atten
ding a
lear
ning c
ollab
orati
ve on
this
in Je
ff Ci
ty on
2/12
/19.
(b) C
ontin
uatio
n of 2
018 a
ction
plan
. (1)
Defi
ned
quali
ty pe
rform
ance
metr
ics fo
r eac
h divi
sion w
ith
benc
hmar
king t
o stat
e and
Fed
eral
goals
; (2)
Int
erna
l cap
acity
to id
entify
top t
ier of
comp
lex
patie
nts/cl
ients
and s
trateg
ies to
impr
ove h
ealth
ou
tcome
, red
uce E
R vis
its an
d med
ically
un
nece
ssar
y inp
atien
t day
s, an
d cos
t with
the
patie
nt dir
ected
plan
of ca
re; a
nd (3
) incre
ase
know
ledge
and c
ompe
tence
in P
PS an
d pay
for
perfo
rman
ce (P
4P),
finan
cial ri
sk sh
aring
and
alter
nativ
e pay
ment
mode
ls; an
d (4)
train
ing fo
r cli
nical
prov
iders
with
this e
volvi
ng pa
radig
m sh
ift an
d imp
act o
n wor
kflow
s.
Quali
ty Me
asur
es ar
e rep
orted
thro
ugh D
RVS,
Av
atar a
nd D
entrix
(1) Q
uality
Per
forma
nce
Metric
s ide
ntifie
d and
benc
hmar
ked t
o Stat
e and
Fe
dera
l goa
ls. M
onthl
y rev
iews o
f pro
gres
s tak
es
place
at th
e QIQ
A Co
ordin
ating
Cou
ncil M
eetin
g. Pr
imar
y Car
e rep
orts
on M
CPA
Quali
ty Me
asur
es, th
is ye
ar ea
rning
the G
old aw
ard f
or
meeti
ng 7
out o
f 9 m
etrics
; PCH
H me
eting
10 ou
t of
23 m
easu
res;
ACO
7 out
of 10
Pre
venta
tive
Healt
h Mea
sure
s; MC
=Med
icaid
6 out
of 14
; HR
SA S
AC m
etrics
10 ou
t of 2
3 req
uired
and
addit
ional
meas
ures
. For
Ora
l Hea
lth, D
ental
9 ou
t of 9
mea
sure
s.
On bo
arde
d Dr R
ohatg
i, new
Med
ical D
irecto
r wi
th Pa
tty V
anek
, DRV
S, T
ony R
ulo, D
entrix
, and
An
drea
Cun
eio, B
ehav
ioral
Healt
h. Re
viewe
d all
agen
cy Q
uality
Mea
sure
s. Fo
cus i
nclud
ed A
cces
s to
all pr
ogra
ms, n
oting
Welc
ome C
enter
, Be
havio
ral H
ealth
. For
MPC
A Qu
ality
Clini
cal
Meas
ures
COM
TREA
is gr
een o
n 8-1
0 Mea
sure
s, PC
HH m
eetin
g 10 o
ut of
22 m
easu
res;
MC+
Medic
aid 4
out o
f 14 M
easu
res;
HRSA
SAC
me
trics 5
out o
f 16 r
equir
ed an
d add
itiona
l me
asur
es. A
CO is
being
clos
ed as
a pr
ogra
m.
Lastl
y Ora
l Hea
lth, D
ental
is 9
out o
f 9 m
easu
res.
COMT
REA
Comb
ined M
easu
res 2
0 out
of 53
Cl
inica
l Metr
ic.
2Fu
ndin
g fo
r ser
vices
from
Fe
dera
l and
Sta
te A
genc
ies
and
read
ines
s for
alte
rnat
ive
paym
ent s
yste
ms i
nclu
ding
ca
pita
tion,
P4P
and
incr
ease
d ris
k sha
ring.
Stra
tegi
c Plan
FY
2019
: Ac
coun
tabi
lity F
inan
cial S
usta
inab
ility
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
GOAL
S / IN
DICT
ORS
For B
ehav
ioral
Healt
h, CC
BHC
9 our
of 9
repo
rt ab
le me
asur
es. F
inanc
e, Hu
man R
esou
rces,
Healt
h and
Safe
ty Qu
ality
Meas
ures
and
Insur
ance
mea
sure
s for
Hum
ana a
re al
so
monit
ored
and r
epor
ted on
mon
thly a
t QIQ
A. (2
) Pr
imar
y Car
e mon
thly m
anag
es th
e MPC
A Ga
p Re
port.
On a
vera
ge 40
% of
patie
nts lis
ted ar
e not
COMT
REA
Patie
nts. In
Beh
avior
al He
alth,
we
conti
nue t
o mon
itor h
igh ne
ed/co
mplex
clien
ts via
DM
H ini
tiativ
es as
well
as vi
a risk
scre
ening
tools
. (3
) Info
rmati
on is
revie
wed w
ith th
e pro
vider
s in
prim
ary c
are;
and (
4) In
tegra
ted m
edica
l staf
f me
eting
s are
now
sche
duled
bimo
nthly
with
infor
matio
n upd
ates o
n the
alter
nativ
e pay
ment
upda
tes fr
om S
tate &
Fed
eral
and i
mpac
t on
curre
nt wo
rkflow
s and
iden
tified
chan
ges.
For B
ehav
ioral
Healt
h, CC
BHC
6 out
of 9
repo
rtable
mea
sure
s. Fin
ance
, Hum
an
Reso
urce
s, He
alth a
nd S
afety
Quali
ty Me
asur
es
and I
nsur
ance
mea
sure
s for
Hum
ana a
re al
so
monit
ored
and r
epor
ted on
mon
thly a
t QIQ
A. (2
) Pr
imar
y Car
e mon
thly m
anag
es th
e MPC
A Ga
p Re
port.
Gap
s con
tinue
to de
creas
e. DR
VS he
lps
identi
fy pa
tients
. (3)
Infor
matio
n is r
eview
ed w
ith
the pr
ovide
rs in
prim
ary c
are;
and (
4) In
tegra
ted
medic
al sta
ff mee
tings
conti
nue t
o be s
ched
uled
bimon
thly w
ith in
forma
tion u
pdate
s on t
he
alter
nativ
e pay
ment
upda
tes fr
om S
tate &
Fed
eral
and i
mpac
t on c
urre
nt wo
rkflow
s and
iden
tified
ch
ange
s.
(c) R
evise
annu
al re
view
plan b
ased
on th
e new
HR
SA C
ompli
ance
Man
ual a
nd th
e Dec
. 201
7 OS
V Gu
ide. S
ched
ule H
RSA
OSV
mock
surve
y in
Q.1 F
Y 20
19.
Annu
al pla
n has
been
upda
ted w
ith
imple
menta
tion i
n Aug
. 201
8. T
he H
RSA
mock
su
rvey i
s sch
edule
d for
Jan.
15-1
7, 20
19.
COMT
REA
will b
e sch
edule
d for
our O
pera
tiona
l Si
te Vi
sit in
2019
. We h
ave r
eque
sted o
ur fir
st ch
oice a
s Tue
s, Ju
ly 23
rd th
roug
h July
25th
and a
ba
ck-u
p date
as T
ues,
Augu
st 20
th thr
ough
Au
gust
22nd
. W
e will
be no
tified
in ea
rly 20
19 of
the
assig
ned d
ate.
Ongo
ing m
onthl
y imp
lemen
tation
of th
e HRS
A Pr
ogra
m Re
quire
ments
Ann
ual C
alend
ar th
at de
signa
tes m
onthl
y rev
iew w
ith re
portin
g at th
e Bo
ard M
eetin
gs. T
he H
RSA
OSV
Mock
visit
was
co
mplet
ed Ja
n. 15
-17,
2019
and w
e de
mons
trated
an ov
erall
scor
e of 9
1% fo
r mee
ting
the 9
3 com
plian
ce el
emen
ts. A
comp
rehe
nsive
Ac
tion P
lan ha
s bee
n dev
elope
d with
the
expe
ctatio
n to a
chiev
e full
comp
lianc
e by 5
/01/19
. W
e are
still
waitin
g to h
ear o
ur as
signe
d tim
e fra
me fo
r our
actua
l SOV
from
the t
wo da
te tim
e fra
mes p
rese
nted (
July
23-2
5 or A
ug. 2
0-22
).
Stra
tegi
c Plan
FY
2019
: Ac
coun
tabi
lity F
inan
cial S
usta
inab
ility
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
GOAL
S / IN
DICT
ORS
(d) C
ontin
ue an
nual
audit
proc
ess c
onsis
tent w
ith
prior
plan
s.An
nual
audit
proc
esse
s com
pleted
inclu
de D
MH,
VOCA
and H
RSA
exter
nal a
udit b
y Sch
owalt
er
and J
abou
ri, P.
C.
Exter
nal fi
nanc
ial au
dit co
nduc
ted by
Sch
owalt
er
and J
abou
ri, P.
C. in
Oct.
2018
with
pres
entat
ion
to the
full B
oard
in D
ec. 2
018.
No a
reas
of
conc
ern n
oted/
(e) I
denti
fy a d
esign
ated i
ndivi
dual
that
rese
arch
es ad
dition
al fun
ding o
ppor
tunitie
s.HR
SA G
rant
for M
H/SU
Tx I
ntegr
ation
awar
ded.
Beha
viora
l Hea
lth M
anag
emen
t team
will
be
hiring
thre
e add
itiona
l cris
is co
unse
lors.
Ther
e is n
o cur
rent
plan t
o hire
a ne
w po
sition
tha
t has
the p
rimar
y role
of fin
ding g
rants
and
other
fund
ing op
tions
. This
rema
ins a
role
functi
on of
Pro
gram
spec
ific Le
ader
ship.
3Mo
re in
nova
tive,
effic
ient a
nd
inte
grat
ed u
se o
f the
scho
ol
liaiso
n pr
ogra
m
Sche
dule
listen
ing se
ssion
with
the S
choo
l Su
perin
tende
nts an
d othe
r dist
rict le
ader
ship
to un
derst
and t
heir u
nique
chall
enge
s, su
ppor
t ne
eds,
and o
ption
s for
supp
ortin
g the
se ne
eds
cons
isten
t with
miss
ion; D
evelo
p obje
ctive
and
analy
tical
proc
ess f
or de
termi
ning t
he ne
eded
FT
E sc
hool
liaiso
n hou
rs pe
r sch
ool d
istric
t; Mo
nthly
or sc
hool
year
quar
terly
dash
boar
d to
repo
rt ou
tcome
s, tra
ining
and o
ther a
ction
s; As
sess
Dist
rict in
teres
t in a
Dive
rsion
&
Asse
ssme
nt pr
ogra
ms; a
nd in
tegra
tion w
ith
clinic
al sta
ff reg
ardin
g add
itiona
l sup
port
servi
ces.
Prov
ided s
uppo
rt se
rvice
s to s
choo
l dist
ricts
as
requ
ested
in re
spon
se to
suici
de(s)
of st
uden
ts.
In co
llabo
ratio
n with
Beh
avior
al He
alth,
Zero
Su
icide
, and
Tail
s with
Tale
s, the
Sch
ool L
iaiso
ns
prov
ided o
ne on
one s
ervic
es fo
r stud
ents
and
staff a
s well
as lis
tening
grou
ps. C
ontin
ue to
re
ach o
ut to
supe
rinten
dents
and o
thers
at the
sc
hools
to of
fer su
ppor
t ser
vices
as ne
eded
. On
going
mon
itorin
g of u
tiliza
tion o
f sch
ool
liaiso
ns in
assig
ned s
choo
ls an
d mak
ing
adjus
tmen
ts as
need
s cha
nge.
Scho
ol sit
e visi
t pro
vided
feed
back
and i
nsigh
t int
o the
scho
ol lia
ison p
rogr
am re
spon
se to
the
need
s of th
e sch
ools.
With
this
infor
matio
n we
have
reali
gned
and m
ade a
djustm
ents
to the
sc
hool
liaiso
n pro
gram
to be
tter m
eet th
e nee
ds
of the
scho
ols. B
eginn
ing w
ork o
n pro
cess
es to
pr
ovide
Lice
nsed
Pro
fessio
nal C
ouns
elor (
LPC)
se
rvice
s in t
he sc
hool
is an
integ
rativ
e effo
rt wi
th Be
havio
ral H
ealth
and s
choo
l bas
ed se
rvice
s.
Conti
nued
open
comm
unica
tion w
ith sc
hool
repr
esen
tative
s to p
rovid
e add
itiona
l sup
port
as
requ
ested
. Also
, add
ress
ing w
ith sc
hools
the
abilit
y for
CSS
staff
to ch
eck o
n clie
nts an
d spe
ak
with
scho
ol sta
ff (tea
cher
, cou
nselo
r, nu
rse)
abou
t stud
ent p
rogr
ess,
chall
enge
s, ba
rrier
s etc.
(a) C
ontin
ued i
mplem
entat
ion of
a Da
ta W
areh
ouse
with
both
stand
ard a
nd cu
stom
quer
y re
ports
using
key p
erfor
manc
e ind
icator
s to
supp
ort d
ata dr
iven m
anag
emen
t dec
ision
s.
In pr
ogre
ss.
Contr
acted
with
MPC
A for
colla
bora
tion o
f ser
vice
lines
utiliz
ing ex
isting
data
ware
hous
e with
Qu
ality
awar
d pay
ment.
(b) I
mplem
entat
ion pl
an fo
r Prim
ary C
are t
o tra
nsitio
n to M
yAva
tar in
Jan.
2019
.Th
is im
pleme
ntatio
n has
been
mov
ed to
July,
20
19 du
e to t
he ve
ndor
.Im
pleme
ntatio
n sch
edule
d for
7/1/1
9 bar
ring a
ny
unfor
esee
n iss
ues
(c) A
sses
s nee
d for
a Da
ta Sp
ecial
ist an
d opti
ons
for fu
nding
with
in the
FY
2019
budg
et.Re
port
Write
r star
t date
10/22
Repo
rt W
riter h
ired a
nd st
ill in
traini
ng.
EMR
Inte
grat
ion
with
dat
a ac
cess
ibilit
y to
all st
aff a
nd
user
frien
dly d
ashb
oard
4
Stra
tegi
c Plan
FY
2019
: Ac
coun
tabi
lity F
inan
cial S
usta
inab
ility
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
GOAL
S / IN
DICT
ORS
5Fi
nanc
ial re
adin
ess f
or n
ew
med
ical c
ente
r loa
nCa
sh F
low im
pleme
ntatio
n acti
on pl
an to
supp
ort
read
iness
for a
n inte
grate
d med
ical c
enter
pu
rchas
e at a
comp
etitiv
e rate
; (2)
Goa
l att
ainme
nt of
finan
cial k
ey pe
rform
ance
indic
ators
Cash
flow
has h
ad m
inima
l impr
ovem
ent w
ithin
first q
uarte
r, bu
t has
rema
ined s
table.
Fina
ncial
re
adine
ss to
purch
ase p
rope
rty to
begin
the
build
ing pr
oces
s has
been
estab
lishe
d.
Cash
flow
decre
ased
in 2n
d qua
rter w
ith th
e nee
d to
utiliz
e line
of cr
edit.
Wor
k con
tinue
s to
stabil
ize. M
edica
l Cen
ter pu
rchas
e has
been
po
stpon
ed un
til ca
sh is
stab
ilized
.
(a) O
ngoin
g sur
veys
of w
ebsit
e use
rs to
asse
ss
effec
tiven
ess a
nd on
going
need
s.ww
w.co
mtre
a.org
user
visit
s and
navig
ation
tre
nds a
re re
viewe
d to d
eterm
ine m
ost r
eleva
nt pa
ges a
nd w
ebsit
e imp
act. M
ost v
isited
page
s ha
ve re
ceive
d upd
ates t
o inc
reas
e fun
ction
ality.
Co
llecti
on an
d ana
lysis
of the
curre
nt sit
e's tr
ends
is
deter
minin
g lay
out a
nd co
ntent
for th
e new
we
bsite
.
Marke
ting i
s inc
luding
Goo
gle lis
ting v
isits/
click
s, my
moinf
o.com
ad cl
icks,
and Y
P Go
ogle
Adwo
rd
views
/click
with
prev
ious q
uarte
r's as
sess
ments
. Da
ta for
all In
terne
t cha
nnels
will
be co
llecte
d in
the P
ower
BI r
epor
t, whic
h is t
o be c
reate
d in t
he
comi
ng m
onths
.
(b) U
pdate
web
site w
ith ro
bust
patie
nt po
rtal
capa
bilitie
s; us
er fr
iendly
navig
ation
on
COMT
REA
servi
ces p
rovid
ed, a
nd ac
cess
by th
e re
siden
ts of
Jeffe
rson C
ounty
for e
duca
tion,
traini
ng an
d res
ource
s.
The n
ew w
ebsit
e tem
plate
has b
een s
electe
d and
pu
rchas
ed. T
he M
arke
ting C
ommu
nicati
ons
Mana
ger is
wor
king o
n the
new
webs
ite tw
o day
s a w
eek t
o acc
elera
te co
mplet
ion. T
he w
ebsit
e will
allow
mor
e use
r-frie
ndly
capa
bilitie
s for
the p
ortal
, se
rvice
s and
page
navig
ation
, key
word
se
arch
ing, p
rovid
er in
forma
tion,
locati
on
infor
matio
n, an
d res
ource
s and
educ
ation
. Use
rs wi
ll be a
ble to
regis
ter fo
r eve
nts on
line a
nd
subm
it for
ms to
sche
dule
appo
intme
nts.
Marke
ting a
nd IT
are t
estin
g cap
abilit
ies fo
r tel
ehea
lth. T
he m
ain m
enu h
as be
en re
struc
tured
an
d ser
vice l
isting
s hav
e bee
n sim
plifie
d for
the
user
.
Prog
ress
on W
ebsit
e:CO
MPLE
TED:
home
page
, all t
he lo
catio
n pag
es,
many
reso
urce
page
s, all
abou
t pag
es su
ch as
his
tory,
bylaw
s, lea
dersh
ip, lic
ense
s, bo
ard
memb
er, e
tc., n
ews/a
rticles
page
, car
eer p
ages
, CA
C pa
ge, c
ampa
ign, d
omes
tic vi
olenc
e/ASP
, ca
nine t
hera
py.
IN P
ROGR
ESS:
denta
l, prim
ary c
are,
and
beha
viora
l hea
lth ho
me pa
ges.
TO D
O: C
ontac
t pag
es, a
ll the
BH,
Den
tal, a
nd
PC se
rvice
s pag
es, m
any r
esou
rce an
d edu
catio
n pa
ges,
even
t pag
e, cla
sses
page
, volu
nteer
page
, a l
ocati
ons s
earch
page
, and
even
tually
page
s for
ea
ch de
ntal, d
octor
, and
psyc
hiatris
t (ma
y be
after
web
site i
s live
).
6Ex
tern
al Te
chno
logy
(web
site,
reso
urce
frien
dly)
Stra
tegi
c Plan
FY
2019
: Ac
coun
tabi
lity F
inan
cial S
usta
inab
ility
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
GOAL
S / IN
DICT
ORS
(c) In
creas
ed so
cial m
edia
pres
ence
for a
ll div
ision
s with
relev
ancy
and h
igh in
teres
t po
sting
s as m
easu
red b
y num
ber o
f view
s or
other
defin
ed m
etrics
.
Marke
ting h
as in
creas
ed so
cial m
edia
pres
ence
by
posti
ng on
e or t
wo tim
es da
ily. A
ll com
ments
, re
views
or ta
gs re
ceive
a re
spon
se fr
om th
e CO
MTRE
A pa
ge. E
ach d
ate of
a mo
nth ha
s a
sche
duled
them
e to i
nclud
e all d
ivisio
ns, e
vents
, an
d rele
vant
news
. Pos
tings
and p
age m
etrics
ar
e rev
iewed
and a
nalyz
ed fo
r futu
re ac
tions
.
Marke
ting w
ill be
gin re
viewi
ng al
l Fac
eboo
k pa
ges t
o ens
ure d
onati
on an
d othe
r acti
on
butto
ns ar
e ava
ilable
. Fac
eboo
k now
offer
s a
servi
ces t
ab fo
r eac
h pag
e, wh
ich w
ill be
upda
ted
in the
comi
ng m
onths
. Also
ensu
ring t
hat B
H is
repr
esen
ted to
addr
ess m
ental
"hea
lth" u
sing
socia
l med
ia
(a) D
evelo
p fac
ilities
wor
k plan
that
will k
eep a
ll sit
es lo
oking
fres
h, inv
iting a
nd co
ntemp
orar
y; an
d dev
elop p
alate
of co
lors f
or se
lectio
n tha
t co
ntribu
te to
a war
m an
d inv
iting e
nviro
nmen
t.
Upda
tes to
begin
Janu
ary 2
019
North
west
facilit
y pain
ting a
nd flo
oring
comp
leted
. Ar
nold-
paint
ing ha
s beg
un on
the y
outh
side o
f bu
ilding
, hall
way t
o gro
up ro
om 13
1 com
pleted
. Fe
stus B
Bldg
. with
comp
letion
of re
nova
tion,
2nd,
3rd,
1st.
Kea
ton, c
ommo
n are
as
down
stairs
. ASP
offic
es &
B/R
sche
duled
by
6/30/1
9
(b) D
evelo
p 3-ye
ar pl
an fo
r rep
lacing
carp
eted
area
s with
new
floor
ing (n
o car
pet)
with
imple
menta
tion p
er bu
dget
capa
city.
Arno
ld se
cretar
y car
petin
g sch
edule
d Jan
, 201
9Ba
sed o
n cas
h, Ar
nold
secre
tary c
arpe
ting
sche
duled
Feb
ruar
y, 20
19. B
Bldg
. 3rd
floor
and
2nd f
loor w
ith re
nova
tion.
1st fl
oor 2
offic
es ad
ded
as of
Janu
ary 2
019.
Com
pletio
n end
of F
Y '19
(c) D
efine
a pr
oces
s for
staff
reco
mmen
datio
ns
for en
viron
menta
l cha
nges
/ enh
ance
ments
No
t yet
imple
mente
d.No
t yet
deter
mine
d.
(a) R
eview
finan
cial d
ata to
deter
mine
if ne
w or
derin
g and
paym
ent p
roce
ss an
d othe
r cha
nges
(i.e
., soft
ware
/ das
hboa
rds)
have
impr
oved
fin
ancia
l man
agem
ent.
Upgr
ade t
o GP
occu
rred i
n 1st
quar
ter.
Proc
esse
s to b
e wor
ked o
ut in
2nd q
uarte
r with
im
pleme
ntatio
n of c
hang
es pl
anne
d for
3rd
quar
ter.
Revis
ed on
line p
urch
asing
proc
ess w
ill be
im
pleme
nted 3
rd qu
arter
.
7Up
keep
of c
urre
nt fa
ciliti
es
with
new
pain
t, co
lor s
chem
e an
d flo
orin
g
8Re
stru
ctur
e acc
ess t
o in
voice
pa
ymen
ts p
roce
ssin
g,
orde
ring
& pa
ymen
t app
rova
l sy
stem
Stra
tegi
c Plan
FY
2019
: Ac
coun
tabi
lity F
inan
cial S
usta
inab
ility
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
GOAL
S / IN
DICT
ORS
(b) I
mplem
entat
ion of
the G
reat
Plain
s soft
ware
up
date
with
mana
ger a
cces
s to e
xpen
ses a
nd
invoic
es in
"rea
l" tim
e.
Upgr
ade t
o GP
occu
rred i
n 1st
quar
ter. S
et up
for
mana
gers
will o
ccur
in 2n
d qua
rter.
Set u
p for
imple
menta
tion o
f view
has b
een
delay
ed to
3rd q
uarte
r.
(c) T
rans
ition a
way f
rom
manu
ally r
epor
ting t
o au
tomate
d fina
ncial
repo
rts ge
nera
ted fr
om th
e Da
ta W
areh
ouse
.
Powe
r BI tr
aining
for f
inanc
ial re
portin
g to b
e set
up in
2nd q
uarte
r. Da
ta W
areh
ouse
is be
ing bu
ilt for
prac
tice
mana
geme
nt sy
stems
. Fina
ncial
repo
rts sh
ould
start
3rd o
r 4th
quar
ters
(d) C
ontin
ued i
mplem
entat
ion of
MOR
s with
pr
ogra
m ma
nage
r ove
rsigh
t of q
uality
outco
mes,
patie
nt/cli
ent e
xper
ience
and f
inanc
ial
perfo
rman
ce.
MORs
conti
nue o
n a m
onthl
y bas
is for
each
of
the th
ree s
ervic
e line
s inc
luding
Prim
ary C
are,
Oral
Healt
h and
Beh
avior
al He
alth.
All
depa
rtmen
t MOR
s are
held
quar
terly.
Ongo
ing. M
ORs c
ontin
ue on
a mo
nthly
basis
for
each
of th
e thr
ee se
rvice
lines
inclu
ding P
rimar
y Ca
re, O
ral H
ealth
and B
ehav
ioral
Healt
h. Al
l de
partm
ent M
ORs a
re he
ld qu
arter
ly.
9Sl
idin
g sc
ale &
all f
ee
sche
dules
Revie
w all
fee s
ched
ules a
nnua
lly in
Janu
ary
(with
pove
rty le
vel c
hang
es) a
nd im
pleme
nt an
y ch
ange
s; Re
view
of all
curre
nt po
licies
to th
e ne
wly r
eleas
ed H
RSA
OSV
Site
Guide
and
imple
ment
chan
ges f
or 20
19 si
te vis
it.
Slidi
ng F
ee po
licy h
as be
en re
viewe
d to H
RSA
guide
lines
. Fina
ncial
audit
in 2n
d qua
rter w
ill tes
t Sl
iding
Fee
polic
y and
proc
ess.
Slidi
ng fe
e poli
cy w
as te
sted a
nd ap
prov
ed. A
ll fee
s will
be re
viewe
d in J
anua
ry wi
th the
relea
se
of the
fede
ral p
over
ty lev
els.
(a) A
sses
s inte
rest
and p
lan fo
r Prim
ary C
are t
o pa
rtner
with
scho
ol dis
tricts
to pr
ovide
spor
ts ph
ysica
ls.
Not y
et sta
rted
Not y
et sta
rted
10Ex
pand
and
stre
ngth
en
partn
ersh
ip w
ith sc
hool
s
Stra
tegi
c Plan
FY
2019
: Ac
coun
tabi
lity F
inan
cial S
usta
inab
ility
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
GOAL
S / IN
DICT
ORS
(b) A
sses
s viab
ility a
nd im
pleme
ntatio
n plan
for
expa
nding
servi
ces a
t the F
ox S
choo
l-Bas
ed
Healt
h Car
e to i
nclud
e: (a
) ped
iatric
denti
st, (b
) inc
reas
ed ac
cess
of de
ntal c
are f
or c
hildr
en &
yo
uth re
stora
tive t
reatm
ent p
lans t
hrou
gh
expa
nded
scre
ening
& pr
even
tion o
utrea
ch at
mo
re sc
hools
in th
e Fox
distr
ict, (
c) ad
dition
of a
BH co
unse
lor an
d tele
psyc
h ser
vices
; and
(d)
inter
est a
nd su
ppor
t for
prim
ary c
are s
ervic
es.
In pr
ogre
ss. V
iabilit
y ass
esse
d; im
pleme
ntatio
n un
derw
ay. M
OU w
ith F
ox si
gned
Octo
ber 2
018
to inc
lude p
ediat
ric de
ntistr
y; inc
reas
ed ac
cess
of
denta
l car
e thr
ough
stra
tegic
selec
tion o
f sch
ools
for m
obile
team
and f
ollow
-up a
t Fox
Den
tal
Clini
c; ad
dition
of ch
ild/ad
olesc
ent p
sych
iatry.
Had t
o dela
y psy
ch at
Fox
due t
o pro
vider
issu
e bu
t new
telep
sych
prov
ider h
as be
en id
entifi
ed
and s
et to
begin
shor
tly. C
all ha
s bee
n sc
hedu
led w
ith ke
y imp
lemen
tation
staff
and
Geno
a for
mid-
Janu
ary a
nd th
en pl
an to
intro
duce
tel
epsy
ch at
Fox
prom
ptly.
Ped
iatric
denti
st's
sche
dule
at Fo
x is f
illing
up an
d his
seda
tion
sche
dule
is fill
ed un
til Ap
ril. C
ontin
ue to
reac
h ou
t to F
ox nu
rses t
o sch
edule
dates
for m
obile
de
ntal c
are b
ut ha
ve no
t suc
ceed
ed in
secu
ring
dates
yet.
(c) C
omple
ted bu
ild of
a sim
plifie
d SBH
C sit
e in
the D
unkli
n sch
ool d
istric
t; Dev
elop p
lan fo
r a
SBHC
in D
eSoto
scho
ol dis
trict. w
ith in
clusio
n of
outre
ach s
ervic
es; a
nd A
sses
s cur
rent
inter
est in
fut
ure S
BHC
site i
n the
Wind
sor s
choo
l dist
rict.
The S
BHC
site a
t Dun
klin i
s sch
edule
d to o
pen
the en
d of N
ovem
ber 2
018.
Any
furth
er S
BHC
sites
will
requ
ire de
dicate
d fun
ding t
hat is
not y
et av
ailab
le.
The S
BHC
at Du
nklin
will
have
its rib
bon c
utting
, Fr
iday,
Febr
uary
1st.
(a) D
eterm
ine if
curre
nt se
curity
awar
enes
s &
traini
ng pr
ogra
m for
elec
tronic
infor
matio
n mee
ts ag
ency
's ne
ed; a
nd M
ake c
hang
es as
indic
ated
with
sche
duled
FY
2019
train
ing.
Yes,
the cu
rrent
platfo
rm is
runn
ing sm
oothl
y and
the
secu
rity aw
aren
ess t
ests
are s
howi
ng
impr
ovem
ents
acro
ss al
l emp
loyee
s. M
ore u
sers
are b
eginn
ing to
use t
he P
hish A
lert b
utton
to
repo
rt thr
eats.
PCI
DSS
comp
lianc
e tra
ining
is
being
adde
d for
user
s who
proc
ess c
redit
card
s.
Conti
nued
awar
enes
s tra
ining
for a
ll emp
loyee
s.
Less
than
6% of
user
s are
click
ing P
hishin
g link
s.
The i
nitial
base
line w
as 30
%. P
hish a
lert b
utton
aw
aren
ess i
mpro
ved w
ith 37
.5% of
user
s re
portin
g ema
ils…
techn
ical is
sues
durin
g 3rd
qu
arter
. PCI
DSS
comp
lianc
e tra
ining
comp
leted
3r
d qua
rter f
or us
ers w
ho pr
oces
s cre
dit ca
rds.
Re
ceivi
ng su
ppor
t from
HR
enfor
cing t
raini
ng
comp
letion
. Init
ial tr
aining
is no
w co
mplet
ed in
Ne
w Em
ploye
e Orie
ntatio
n.
11Im
plem
ent S
ecur
ity
Awar
enes
s and
Tra
inin
g pr
ogra
m fo
r elec
troni
c in
form
atio
n
Stra
tegi
c Plan
FY
2019
: Ac
coun
tabi
lity F
inan
cial S
usta
inab
ility
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
GOAL
S / IN
DICT
ORS
(b) A
sses
s effe
ctive
ness
of F
Y 20
18 in
terna
l risk
mo
nitor
ing pr
ogra
m; Id
entify
area
s of id
entifi
ed
risk a
long p
aram
eters
of Hi
gh -
Mediu
m - L
ow;
and I
mplem
ent o
ne m
easu
rable
goal
for F
Y 20
19.Ar
eas o
f risk
are a
sses
sed m
onthl
y at R
isk
Mana
geme
nt me
eting
. I thi
nk th
e goa
l sho
uld be
es
tablis
hed b
y IT
as se
curity
awar
enes
s.
Risk
asse
ssme
nts co
ntinu
e on a
mon
thly b
asis.
Stra
tegi
c Plan
FY
2019
: Int
egra
ted
Serv
ices
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
1Te
lehea
lthIm
pleme
ntatio
n per
plan
for a
ll thr
ee di
vision
s (a)
Inc
reas
ed ac
cess
for in
tegra
ted se
rvice
s thr
ough
tel
ehea
lth fo
r Arn
old, F
estus
and a
ll othe
r ap
plica
ble lo
catio
ns; (
b) O
btain
upda
ted
regu
lation
s for
billin
g and
paym
ent o
f teleh
ealth
by
majo
r pay
ers i
nclud
ing M
edica
id, M
edica
re
and p
rimar
y ins
urer
s; an
d (c)
Identi
fy pr
iority
sit
es/se
rvice
s and
imple
ment
actio
n plan
that
includ
es, b
ut no
t limi
ted to
, pro
vider
sche
dulin
g an
d divi
sion c
oord
inatio
n.
(a) I
ntern
al Te
lePsy
ch to
begin
with
Dr J
os 10
/26.
Test
to be
cond
ucted
on-si
te 10
/23. T
elewo
rk po
licy f
inaliz
ed by
10/23
. (b)
Con
tinue
to re
sear
ch
polic
y and
regu
lation
s. (c)
Site
s will
be ex
pand
ed
durin
g yea
r 2 fo
r CCB
HC. D
r Jos
will
begin
in
Arno
ld an
d we w
ill als
o hav
e cap
acity
in H
ickor
y.
Dr Jo
s beg
an te
lehea
lth in
Octo
ber 2
018.
Te
lewor
k poli
cy bo
ard a
ppro
ved J
anua
ry 20
19.
We a
re al
so ad
ding 2
4 add
itiona
l teleh
ealth
hour
s for
child
psyc
hiatry
via G
enoa
. This
inclu
des 8
ho
urs/F
ox H
ealth
Cen
ter-6
-8 hr
s. Du
nklin
Hea
lth
Cente
r and
8 ho
urs O
P in
Hick
ory.
Targ
et go
live
date
is se
cond
wee
k of M
arch
. Hav
e BH
MA st
aff
identi
fied a
s well
for s
uppo
rts on
site.
2Im
prov
e & ex
pand
core
se
rvice
s (a
) Imp
rove
our c
ore s
ervic
es at
the d
ivisio
n lev
el via
CCB
HC an
d HRS
A; (b
) Coll
abor
ative
partn
er
in the
Com
munit
y Hea
lth A
sses
smen
t to id
entify
ne
eds a
nd pa
rticipa
tion i
n the
safet
y net
conti
nuati
on; (
c) Re
view
of the
COM
TREA
2018
St
akeh
older
Ass
essm
ent id
entify
unme
t nee
ds
withi
n sco
pe/m
ission
and r
espo
nse t
hrou
gh
expa
nded
servi
ces a
nd/or
comm
unity
partn
er
colla
bora
tion;
(d) P
romo
te mo
re w
omen
's se
rvice
s & pe
diatric
servi
ces;
and (
e) D
eterm
ine
optio
ns fo
r add
ing as
Colu
mn C
refer
ral o
r Co
lumn B
contr
actua
l pro
vider
s.
(a) im
prov
emen
t and
ongo
ing co
llabo
ratio
n with
the
prim
ary d
river
s of th
e Inte
grati
on W
orkg
roup
an
d now
Dr.
Roha
tgi as
our C
hief M
edica
l Offic
er
over
all th
ree d
ivisio
ns ef
fectiv
e 11/0
1/18;
(b)
COMT
REA
is on
e of 5
agen
cies p
artic
ipatin
g in
the C
ommu
nity H
ealth
Nee
ds A
sses
smen
t (C
HNA)
with
a tot
al of
10 se
ssion
s com
pleted
. Da
ta is
now
being
comp
iled f
or da
ta ag
greg
ation
an
d ana
lysis.
The
goal
is to
have
the c
omple
ted
coun
ty co
mmun
ity ne
eds a
sses
smen
t by A
pril
2019
. (c)
Unme
t nee
ds to
be up
dated
base
d on
the C
HNA
data;
(d) T
here
rema
ins hi
gh in
teres
t for
addin
g wom
en's
servi
ces a
nd w
ill be
explo
red
with
the go
al of
addin
g a pa
rt-tim
e OB-
GYN
and
this w
ill be
furth
er di
scus
sed i
n 2nd
quar
ter. (
e)
No ad
dition
al for
Colu
mn B
or C
prov
iders
identi
fied a
t cur
rent.
Ther
e is n
o cur
rent
or pl
anne
d exp
ansio
n of
servi
ces p
rovid
ed fo
r Ora
l Hea
lth an
d Prim
ary
Care
. The
one c
hang
e for
Prim
ary C
are w
ill be
ex
pans
ion of
servi
ces t
o the
Arn
old si
te, w
hich
bega
n in D
ec. 2
018.
In B
ehav
ioral
Healt
h, we
are
conti
nuing
to fil
l ope
n cou
nseli
ng po
sition
s for
ad
ult an
d you
th as
well
as ad
dres
sing a
dditio
nal
requ
ested
for c
ouns
eling
with
in sc
hool
settin
gs-
outsi
de of
SBH
C dis
tricts.
We c
an do
this
with
coun
selin
g as w
ell as
CSS
servi
ces/s
uppo
rts.
Addr
essin
g psy
chiat
ry uti
lizati
on to
addr
ess i
ssue
of
capa
city f
or th
at co
re se
rvice
need
. Age
ncy
wide
- Sc
hedu
ling m
ethod
ology
, ou
treac
h/eng
agem
ent a
nd re
ferra
l sup
port
are a
ll in
place
with
focu
s now
to in
creas
e effic
iency
, sh
ow ra
tes an
d retu
rn ra
tes fo
r both
inter
nal a
nd
exter
nal re
ferra
ls.
GOAL
/ IND
ICAT
OR
Stra
tegi
c Plan
FY
2019
: Int
egra
ted
Serv
ices
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
GOAL
/ IND
ICAT
OR
(a) I
mplem
entat
ion of
integ
rated
care
team
s un
der t
he le
ader
ship
of VP
of In
tegra
tion a
nd
SBHC
with
the f
acilit
ative
role
of the
Integ
ratio
n W
orkg
roup
.
Curre
nt sta
tus -
Activ
e imp
lemen
tation
. We a
re
worki
ng w
ith P
racti
ce M
anag
ers o
f prim
ary c
are,
denta
l, and
beha
viora
l hea
lth to
adva
nce
integ
rated
initia
tives
, spe
cifica
lly th
ose b
roug
ht up
in
Integ
ratio
n Wor
kgro
up. P
C wi
ll beg
in in
the
Arno
ld off
ice by
12/03
/18 w
ith N
P 4 h
rs. w
eekly
ini
tially
. PC
NP al
so to
go fr
om 4
hour
s of
subs
tance
use d
isord
er tr
eatm
ent to
20 ho
urs b
y 11
/15/18
.
PC be
gan i
n Arn
old in
Dec
embe
r 201
8 and
PC
NP ha
s bee
n pro
viding
MAT
for s
ubsta
nce u
se
disor
der f
or 20
hour
s/wee
k sinc
e Nov
embe
r 201
8.
Reno
vatio
n plan
s for
Fes
tus B
build
ing in
clude
co
nside
ratio
n for
PC
with
the ai
m to
imple
ment
servi
ces Q
3 FY1
9. W
e rec
eived
a HR
SA gr
ant
for cr
isis s
ervic
es to
be av
ailab
le to
prim
ary c
are
and d
ental
team
s; int
erna
l can
didate
Dav
e Haa
sis
has a
ccep
ted th
e pos
ition t
o lea
d this
new
team,
wh
ich w
ill ad
vanc
e inte
grate
d car
e acro
ss th
e ag
ency
.
(b)
Deter
mine
feas
ibility
and t
imefr
ame f
or
reno
vatio
n of "
B" bu
ilding
or ne
w fac
ility
repla
ceme
nt wi
th int
egra
tion c
apac
ity; a
nd
Deter
mina
tion f
easib
ility o
f ren
ovati
on fo
r Arn
old
Camp
us.
Reno
vatio
n of B
Bldg
. has
been
scale
d bac
k due
to
identi
ficati
on of
prop
erty
for ne
w sit
e. N
o re
nova
tion w
ill be
comp
leted
at th
e Arn
old
Camp
us. W
elcom
e Cen
ter m
oved
loca
tion,
will
also h
ave e
xpan
ded c
apac
ity to
addr
ess
teleh
ealth
for M
OUD.
Bidd
ing pr
oces
s und
erwa
y for
new
reno
vatio
n of
B Bl
dg. 2
nd flo
or ai
ming
from
Apr
il 1 st
art.
(c) P
rope
rty S
earch
Com
mitte
e to i
nitiat
e the
sale
of the
Brid
le Ri
dge p
rope
rty an
d ide
ntify
prop
erty
or ex
isting
build
ing fo
r pur
chas
e tha
t wou
ld me
et sp
ace a
nd av
ailab
le fun
ding p
aram
eters.
Poten
tial fu
nding
sprin
g 201
9. P
rope
rty se
arch
co
mmitte
e ide
ntifie
d an 1
1 acre
site
price
d at
$3.75
per s
quar
e foo
t. A
Purch
ase S
ale
Agre
emen
t has
been
exec
uted.
Ear
nest
monie
s of
$18,0
00 ha
s bee
n dep
osite
d and
due d
iligen
ce
docu
ments
are d
ue to
the B
uyer
by 11
/06/18
.
COMT
REA
Boar
d, in
agre
emen
t with
Sen
ior
Mana
geme
nt, ca
ncele
d the
Pur
chas
e Sale
Ag
reem
ent b
ased
on co
ncer
ns of
grou
nd st
abilit
y fro
m the
geog
raph
ical s
urve
y rep
orts
and t
he
elimi
natio
n of th
e cap
ital fu
nding
alloc
ation
from
the
state
. The
re ar
e no c
urre
nt pla
ns to
conti
nue
lookin
g for
land
until
cash
rese
rves h
ave
impr
oved
.
Inte
grat
ed d
elive
ry o
f car
e by
site (
mul
tidisc
iplin
ary t
eam
s)
and
futu
re n
ew b
uild
3
Stra
tegi
c Plan
FY
2019
: Int
egra
ted
Serv
ices
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
GOAL
/ IND
ICAT
OR
(a) C
ontin
ue ad
voca
cy at
the s
tate a
nd F
eder
al lev
el for
acce
ss to
low-
cost
medic
ation
s and
ad
dition
al fun
ding f
or S
UD tr
eatm
ent. A
dd
Advo
cacy
link o
n the
COM
TREA
web
site.
Conti
nued
advo
cacy
thou
gh M
PCA
and M
O Co
alitio
n. B
ehav
ioral
Healt
h will
conti
nue t
o pr
ovide
SOR
servi
ces f
or su
bstan
ce us
e nee
ds
for cl
ients.
Ser
vices
inclu
de di
rect,
med
icatio
n an
d lab
s as w
ell as
othe
r wra
paro
und s
ervic
es
such
as ho
using
and t
rans
porta
tion s
uppo
rts.
No lo
nger
have
fund
ing fo
r SOR
prog
rams
. BH
Divis
ion st
aff w
orkin
g with
Eas
tern R
egion
pr
ovide
rs to
find e
fficien
cies,
refer
rals/
addit
ional
partn
ersh
ips to
supp
ort th
ese c
lients
and t
his
servi
ce lin
e unti
l Fed
fund
s is h
opefu
lly re
open
ed
in Q1
FY
2020
.
(b) O
pera
tiona
l wor
kflow
s and
clien
t/ pati
ent
reso
urce
s tha
t pro
mote
affor
dable
care
and
acce
ss w
ith da
ta re
portin
g and
verifi
catio
n of
rates
that
are a
fford
able
to ind
ividu
als se
rved a
s as
sess
ed th
roug
h the
patie
nt sa
tisfac
tion s
urve
y.
Age
ncy w
ide Ja
n 201
8 Pati
ent S
atisfa
ction
Su
rvey,
"Do y
ou fe
el the
servi
ces y
ou re
ceive
are
affor
dable
? re
sulte
d in 5
35/59
8 with
89.16
%
indica
ted af
forda
ble. T
he Ju
ly 20
18 P
rimar
y Car
e PC
MH E
xper
ience
Sur
vey o
f 333
Prim
ary C
are
patie
nts in
dicted
325/3
33, 9
7.6%
indic
ated
affor
dable
servi
ces.
Curre
nt Ag
ency
Wide
Sur
vey
is be
ing co
nduc
ted O
ctobe
r 8-1
9, 20
18 an
d will
also a
ddre
ss af
forda
bility
of S
ervic
es an
d will
be
repo
rted n
ext q
uarte
r.
Octob
er 8-
19th,
2018
Pati
ent S
atisfa
ction
Sur
vey
was c
ondu
cted a
nd re
viewe
d by Q
IQA,
the
COMT
REA
Boar
d, CO
MTRE
A em
ploye
es an
d pa
tients
. Pos
ters o
f the r
esult
s of th
e sur
vey w
ere
sent
out to
all o
ffices
and p
osted
on so
cial m
edia.
94
% of
our p
atien
ts wo
uld re
fer us
to fa
mily
or
friend
s, 90
% fe
lt tha
t ser
vices
they
rece
ive ar
e aff
orda
ble, a
sligh
t incre
ase o
ver la
st qu
arter
. Ja
n 28-
Feb 8
, 201
9 will
be th
e nex
t Pati
ent
Satis
factio
n Sur
vey.
(c) D
evelo
p opti
ons f
or on
-site
phar
macy
servi
ces
and a
Pro
forma
to ad
dres
s ben
efits,
costs
and
feasib
ility.
Ass
ess v
iabilit
y of th
is for
the n
ew
integ
rated
healt
h cen
ter.
Explo
ratio
n of o
n-sit
e pha
rmac
y at n
ew si
te or
ex
isting
sites
conti
nues
. Co
ntinu
ed ex
plora
tion o
f on-
site p
harm
acy a
s well
as
expa
nded
relat
ionsh
ips w
ith lo
cal p
harm
acy
(Pha
rmax
) for
servi
ces s
uch a
s deli
very,
340B
cli
ent p
rogr
ams a
nd ot
hers
to as
sist w
ith
affor
dabil
ity fo
r med
icatio
n acc
ess f
or cl
ients.
Affo
rdab
le He
alth
Care
&
Medi
catio
n Fu
ndin
g4
Stra
tegi
c Plan
FY
2019
: Int
egra
ted
Serv
ices
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
GOAL
/ IND
ICAT
OR
(d) C
ontin
ued a
vaila
bility
of ou
r 340
B pr
ogra
m for
eli
gible
FQHC
patie
nts an
d PRO
CARE
avail
able
throu
gh W
almar
t.
Disc
ussio
n to a
dd P
harm
ax to
340B
prog
ram
in 2n
d qua
rter w
ith im
pleme
ntatio
n to h
appe
n 3rd
qu
arter
, dep
endin
g on H
RSA
timeli
nes.
Fur
ther
discu
ssion
s with
prov
iders
and d
irecto
rs ar
ound
the
use o
f Pro
care
and t
he in
creas
ing co
sts.
Goal
is to
redu
ce co
sts, w
hile s
till pr
ovidi
ng
acce
ss fo
r pati
ents.
Pha
rmax
will
also b
e able
to
prov
ide co
nsult
ation
to pr
ovide
rs an
d deli
very
of me
dicati
ons t
o red
uce b
arrie
rs for
clien
ts.
Phar
max h
as be
en ad
ded t
o the
340B
contr
acted
ph
arma
cy. A
comm
ittee h
as be
en de
velop
ed to
re
view
PROC
ARE
utiliz
ation
to re
duce
cost,
wi
thout
risk t
o pati
ents.
Firs
t mee
ting s
et for
Ja
nuar
y.
(a) I
mplem
ented
in F
Y 20
18. A
sses
s op
portu
nities
for in
creas
ed ef
ficien
cy an
d acc
ess.
Acce
ss to
care
less
than
2 da
ys fo
r ur
gent/
emer
gent
clien
ts.W
e are
mee
ting t
he Q
A me
asur
es fo
r clie
nt ac
cess
to ca
re/tim
e to e
val. A
lso di
scon
tinuin
g JIT
sche
dulin
g in F
estus
and m
oving
to M
AC
(Med
icatio
n Acc
ess C
linic)
open
hour
s for
both
prov
iders
in Fe
stus.
This
is to
supp
ort th
ose
clien
ts wh
o miss
appo
intme
nts an
d nee
d med
s or
are i
n cris
is.
(b) D
evelo
p metr
ics re
portin
g for
timefr
ame f
rom
initia
l call
to fir
st ap
point
ment
by di
vision
with
data
ware
hous
e.
This
is a C
CBHC
mea
sure
and i
s bein
g cap
tured
in
Avata
r.Co
ntinu
ed m
onito
ring o
f mea
sure
in A
vatar
. Has
no
t bee
n imp
lemen
ted in
Data
War
ehou
se
Tim
ely ac
cess
to o
btain
a 1s
t ap
poin
tmen
t with
a st
anda
rdize
d in
tegr
ated
in
take
& ti
mely
follo
w-up
ap
poin
tmen
ts
5
Stra
tegi
c Plan
FY
2019
: Int
egra
ted
Serv
ices
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
GOAL
/ IND
ICAT
OR
(c) In
itiated
in F
Y 20
18 w
ith co
ntinu
ed
imple
menta
tion i
n FY
2019
.Ea
ch de
partm
ents
Offic
e Ass
ociat
es ha
ve th
e ab
ility t
o pro
vide a
cces
s for
same
day a
ppts.
We
can p
rovid
e den
tal sa
me da
y at T
win C
ity as
well
as
emer
genc
y slot
s in e
ach o
ffice.
Prim
ary C
are
has s
pecif
ic slo
ts as
signe
d for
same
day a
cces
s an
d Beh
avior
al He
alth n
ow ha
s the
Welc
ome
Cente
r as w
ell as
crisi
s ser
vices
avail
able.
Eac
h de
partm
ent h
as th
e abil
ity an
d outl
ined p
roce
ss
for in
terna
l refer
rals.
Foll
ow up
appo
intme
nts ar
e av
ailab
le tim
ely ba
sed o
n stan
dard
s we h
ave s
et.
Offic
e Man
agem
ent s
taff h
ave r
epor
ted th
at De
ntal tr
eatm
ent p
lans a
re cu
rrentl
y able
to be
co
mplet
ed w
ithin
a mon
th or
two.
For B
H Ce
ntral
Admi
ssion
s staf
f are
still
worki
ng to
mee
t the 2
we
ek tim
e fra
me fo
r app
ts fol
lowing
the w
elcom
e ce
nter a
sses
smen
t. Prim
ary C
are a
re ab
le to
sche
dule
1 mon
th, 2
month
, and
3 mo
nth fo
llow
up ap
pts.
Conti
nuing
to ev
aluate
Welc
ome C
enter
refer
rals
and p
roce
sses
. Thu
s far
, hav
ing av
g of 7
5 new
cli
ents
admi
tted w
eekly
to ag
ency
via W
C; w
e are
co
ntinu
ing w
ork w
ith op
erati
ons f
or ef
ficien
cies,
strea
mlini
ng an
d max
imum
utiliz
ation
of pr
ovide
r an
d clin
ical ti
me w
hile a
ssur
ing cl
inica
l follo
w up
. Ha
ve m
aster
sche
duler
that
revie
ws al
l sch
edule
s to
addr
ess p
atter
ns, u
sage
and a
cces
s. Ac
cess
to
routi
nized
care
is cr
itical,
not o
nly as
it is
QA
Meas
ure f
or C
CBHC
, but
also a
cces
s to s
ervic
es
withi
n 10-
14 da
ys is
prov
en to
supp
ort c
ontin
ued
enga
geme
nt.
(d) C
ontin
ued g
oal o
f sam
e day
acce
ss an
d sam
e da
y app
ointm
ents
for ea
ch di
vision
with
metr
ics
repo
rting a
nd ac
tion p
lans t
o mini
mize
/elim
inate
identi
fied b
arrie
rs.
Twin
City
conti
nues
to of
fer sa
me da
y eme
rgen
cy
appo
intme
nts fo
r den
tal. E
very
office
has a
n an
other
hour
at a
minim
um op
en fo
r sam
e day
ap
point
ments
. Incre
asing
the n
umbe
r of a
vaila
ble
adult
appo
intme
nts in
ever
y clin
ic to
incre
ase
acce
ss.
Same
day a
ppoin
tmen
ts sti
ll ava
ilable
at al
l cli
nics.
Twin
City
is op
en al
l wee
kday
s for
open
ac
cess
. Sch
ool b
ased
clini
cs ar
e wor
king t
o pr
ovide
mor
e ava
ilable
appo
intme
nts as
allow
ed
by th
e MOU
s. Ca
re C
oord
inator
s and
staff
wo
rking
with
patie
nts to
set u
p tra
nspo
rtatio
n tha
t is
prov
ided b
y Med
icaid
as ne
eded
.
Stra
tegi
c Plan
FY
2019
: Int
egra
ted
Serv
ices
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
GOAL
/ IND
ICAT
OR
(a) D
eterm
ine ne
ed fo
r Car
e Coo
rdina
tors i
n Be
havio
ral H
ealth
and a
ll divi
sions
acro
ss al
l sit
es. N
eces
sary
steps
inclu
de re
view
of es
senti
al job
func
tions
and w
here
does
the r
ole al
ign.
Conti
nuing
to as
sess
.Th
is is
a tar
geted
goal
for th
e Inte
grati
on W
ork
Grou
p and
the c
ombin
ed le
ader
ship
of Da
na
Silve
rblat
t and
Dr.
Roha
tgi.
(b) P
opula
tion H
ealth
Man
agem
ent th
at inc
ludes
: (1
) Edu
catio
n and
train
ing ag
ency
wide
with
de
velop
ment
and i
mplem
entat
ion of
da
shbo
ards
/repo
rts; (
2) D
evelo
pmen
t of a
n int
egra
ted P
opula
tion H
ealth
Wor
kgro
up w
ith
Finan
ce an
d IT;
(3) M
ethod
ology
to id
entify
the
top 20
% tie
r of h
igh co
st pa
tients
(eith
er E
R vis
its
or un
plann
ed in
patie
nt ho
spita
lizati
ons;
non-
comp
lianc
e with
trea
tmen
t pro
gram
s; du
al dia
gnos
is wi
th co
mplex
como
rbidi
ties;
and/o
r hig
hest
dolla
r cos
t); (4
) stra
tegies
to re
duce
cost
and i
mpro
ve cl
inica
l and
healt
h outc
omes
; and
(d)
actio
n plan
for im
pleme
ntatio
n whic
h will
be
facilit
ated w
ith P
rimar
y Car
e migr
ation
to A
vatar
in
Jan 2
019.
Pres
ented
Pop
ulatio
n Hea
lth C
once
pts an
d goa
ls to
the bo
ard m
embe
rs. C
ontin
ued e
fforts
for
deve
loping
and m
appin
g of d
ashb
oard
s with
in DR
VS. W
orkin
g with
IT w
ith th
e plan
ning o
f im
pleme
ntatio
n of a
new
EMR
(Ava
tar) in
2019
, an
d the
capa
bilitie
s of r
epor
ting P
opula
tion H
ealth
da
ta. D
RVS
now
has c
onne
ctivit
y with
the
Miss
ouri H
ealth
Con
nect
with
the C
are
Mana
geme
nt Pa
sspo
rt tha
t allo
ws st
aff to
have
da
ily up
dates
on in
-pati
ent a
nd E
R vis
its, w
hich i
s a t
ool to
conn
ect w
ith th
ose i
ndivi
duals
who
care
co
ordin
ation
.
A wo
rk gr
oup h
as be
en de
velop
ed an
d beg
un
meeti
ng to
prep
are a
nd de
velop
proc
esse
s for
Pa
tient
Cente
red M
edica
l Hom
e (PC
MH) p
lan fo
r att
estat
ion of
conti
nued
reco
gnitio
n by S
eptem
ber
2019
. Man
y of th
e (PC
MH) c
once
pts ar
e buil
t ar
ound
the p
roce
sses
of th
e cen
ters P
opula
tion
Healt
h Man
agem
ent o
f thos
e ind
ividu
als se
rved
withi
n the
comm
unity
. The
wor
kgro
up w
ill als
o be
resp
onsib
le for
the o
ngoin
g dev
elopm
ent a
nd
imple
menta
tion o
f das
hboa
rds/r
epor
ts ar
ound
Po
pulat
ion H
ealth
as an
integ
rated
appr
oach
to
includ
e Beh
avior
al He
alth,
Oral
Healt
h and
Pr
imar
y Car
e.
7Ou
treac
h an
d En
gage
men
t Ide
ntify
oppo
rtunit
ies fo
r outr
each
and e
nroll
ment
as an
integ
rated
divis
ion (P
C, B
H &
OH) p
roce
ss
and F
Y 20
19 ac
tion p
lan in
cludin
g FT
Es,
locati
on, c
ost a
nd im
pact
analy
sis.
In pr
ogre
ss. B
egan
iden
tifying
oppo
rtunit
ies fo
r ou
treac
h and
enro
llmen
t on-
site a
t var
ious
locati
ons a
nd ex
plorin
g pote
ntial
optio
ns to
tel
econ
feren
cing t
o inc
reas
e acc
ess,
enha
nce
impa
ct, an
d pro
mote
effici
ency
of pr
oces
s. (D
ana)
Co
ntinu
e outr
each
and e
ngag
emen
t pro
gram
s an
d ser
vice d
elive
ry via
MOU
with
BHN
and D
MH
as w
ell as
HCH
servi
ces.
Conti
nue t
o tra
ck da
ta an
d foll
ow tr
ends
in
inter
est in
insu
ranc
e app
licati
on as
sistan
ce by
sit
e and
iden
tify co
ncer
ns w
ith pa
yor m
ix as
op
portu
nities
for o
utrea
ch. C
ontin
ue ou
treac
h an
d eng
agem
ent p
rogr
ams a
nd se
rvice
deliv
ery
via M
OU w
ith B
HN an
d DMH
as w
ell as
HCH
se
rvice
s.
Inte
rnal
refe
rral p
roce
ss
thro
ugh
defin
ed w
ork f
lows
wi
th d
esig
nate
d co
ntac
t po
ints
to im
prov
e acc
ess t
o ca
re an
d qu
ality
out
com
es.
6
Stra
tegi
c Plan
FY
2019
: Int
egra
ted
Serv
ices
FY 20
19FY
2019
1st Q
uarte
r Upd
ate
FY 20
19 2n
d Qu
arte
r Upd
ate
GOAL
/ IND
ICAT
OR
8Ev
enin
g an
d we
eken
d ho
urs
for a
ll ser
vices
Deve
lop F
Y 20
19 tim
e fra
me fo
r exp
andin
g late
ho
urs (
after
5 PM
) and
addin
g wee
kend
hour
s.
Imple
menta
tion d
epen
dent
on ne
w pr
ovide
r re
cruitm
ent fo
r Beh
avior
al He
alth &
Prim
ary C
are.
Asse
ss ne
ed fo
r HR
polic
ies su
ch as
diffe
renti
al pa
y for
late
hour
s and
/or w
eeke
nd sh
ifts.
Conti
nue t
o ass
ess f
or w
eeke
nd ac
tivitie
s. (M
argo
)St
ill co
ntinu
ing to
asse
ss fo
r wee
kend
servi
ces.
Lo
oking
at ps
ychia
try as
well
as P
SR an
d or
Emplo
ymen
t Sup
ports
for Q
4 FY
2019
9Ph
one c
onta
ct an
d sc
hedu
ling
issue
sAs
sess
optio
ns fo
r upg
rade
d pho
ne sy
stem
and
shor
t-ter
m wo
rk gr
oup t
o eva
luate
centr
alize
d op
tion g
o-liv
e, op
erati
onal
work
flow
impr
ovem
ents,
and o
utcom
es re
port
by di
vision
.
Total
agen
cy ph
one s
ystem
upgr
ade t
o be
comp
leted
by Ja
nuar
y 201
9Im
pleme
ntatio
n of n
ew ph
one s
ystem
has b
een
initia
ted.
Strategic Plan Summary Goals - 2019 Fiscal Year
FY 2018 FY 2019
1 Increased behavioral health services and access, both mental health & substance use, across the age continuum (children, youth and adult)
1 1
2 MOUs & Engagement with referral partners, including hospitals, to strengthen/expand the continuum of care for individuals served
1
3 Integration/Collaboration of community resources 1 14 Early intervention and outreach to early childhood5 Emergency shelter and transitional housing 16 Education for individuals served for identified topics of nutrition, parenting, smoking
cessation & vocational training7 Establish a process for funding requests made from agencies that serve individuals with
mental illness in Jefferson County.
1 Compensation Package - Salary Scales, Incentive payment methodology & bonuses; Performance appraisal process & merit-based increases; and Company benefits
1 1
2 Recruitment of qualified professionals and providers 13 Staff Retention and Leadership Mentoring program 1 14 Cross training support staff with consistency across departments and programs5 Organizational mapping/charts with work flows, work load determination & scope6 Improved Security at all locations.7 Internal Networking 8 Updated Mission Statement
1 Marketing with specific need to increase community awareness of what COMTREA does 1 12 Funding for services from Federal and State Agencies and readiness for alternative
payment systems including capitation, P4P and increased risk sharing.3 More innovative, efficient and integrated use of the school liaison program4 EMR Integration with data accessibility to all staff and user friendly dashboard5 Financial readiness for new medical center loan6 External Technology (website, resource friendly)7 Upkeep of current facilities with new paint, color scheme and flooring 18 Restructure access to invoice payments processing, ordering & payment approval 9 Sliding scale & all fee schedules10 Expand and strengthen partnership with schools 111 Implement Security Awareness and Training program for electronic information
1 Telehealth & teleconsultation 12 Improve & expand core services 13 Integrated delivery of care by site (multidisciplinary teams) and future new build 1 14 Affordable Health Care & Medication Funding5 Timely access to obtain a 1st appointment with a standardized integrated intake & timely
follow-up appointments 6 Internal referral process through defined work flows with designated contact points to
improve access to care and quality outcomes.1
7 Outreach and Engagement 8 Evening and weekend hours for all services9 Phone contact and scheduling issues
GOAL / INDICATOR - THREE YEAR STRATEGIC PLAN - BIG ROCKS SELECTEDMission and Community Collaboration
Employee Engagement & Leadership Training
Accountability and Financial Sustainability
Integrated Care Delivery
A SAFE PLACE COMMITTEE – NOMINATIONS
The following individuals have been serving on A Friends of A Safe Place Board. With the dissolution of the Board and creation of just a committee to serve as an advisory council to the COMTREA Board, nominations of the individuals to serve on the committee will need the COMTREA Board approval.
The committee will continue to meet on the 1st Tuesday of the month at 8am in Arnold.
Mark Mertens, Chair Jerry Rogers, COMTREA Board Kathy Ellis, COMTREA Board Kelley Steffens, COMTREA Board Martha Maxwell, COMTREA Board Sylvia Daniels, COMTREA Board / MHOH Kristy Neuman, COMTREA Staff / MHOH Lisa Rothweiler, COMTREA Staff Cindy Vessell, COMTREA Staff Barb Tenholder, COMTREA Staff Wendy Harris, COMTREA Staff – provides financial reports Kim Elbl, COMTREA Staff Sue Curfman, COMTREA Staff Lisa Wigger, COMTREA Staff – provides notetaking Terry Crank, Community Member Ben Wanner, Community Member Josh Earls, Community Member Bruce Stoliar, Community Member
BY-LAWS Jefferson County Community Mental Health Fund Board
(Board approved on April 1, 2013)
ARTICLE I. SECTION 1. The legal name of the organization is Jefferson County Community Mental Health Fund Board (JCCMHFB). SECTION 2. The purpose of this Organization as authorized by the County Council and the Statutes of the State of Missouri is to administer the funds received by Jefferson County from the property tax and children’s sales tax and to do through solely contracting with Comtrea to act as its exclusive active agent in order to assure a system of care which addresses the following for Jefferson County:
A. The provision of a comprehensive policy concerning the planning and delivery of community mental health services and children’s services.
B. The provision of professional individual and family counseling at reasonable cost to residents of Jefferson County.
C. Efforts are made to assist in community education concerning health, mental health, substance abuse and spouse abuse.
D. The provision of a 24 hour hot line. E. The provision of psychiatric day treatment. F. The assurance that a residential shelter for victims of domestic violence is available in the county. G. The assurance that at least two offices providing mental health/substance abuse/and behavioral health
services are located within Jefferson County. H. A web site regarding services available and other activities of Comtrea is available for the county. I. Liaisons are provided to public school districts within the county. J. A child psychiatrist is available in Jefferson County. K. Services are provided in a professional and quality manner. L. A community mental health service network exists in the county. M. Additional funds (grants/contracts/etc.) to accomplish the goals of the JCCMHFB and Comtrea are sought
by Comtrea. N. The supervision of Comtrea who acts as the sole treatment provider and administrator for the JCCMHFB is
performed by the JCCMHFB.
SECTION 3. 3.1 The Board shall consist of 9 members, one of which must be a physician. 3.2 The Board shall be so constructed as to represent the seven Jefferson County Districts as practicable. 3.3 The Chief Executive of the County shall automatically be a member of the JCCMHFB. 3.4 The JCCMHFB members will automatically be Comtrea board members.
ARTICLE II. Offices
The JCCMHFB shall co-locate with Comtrea. Notice of change of office or registered agent shall be transmitted to the County Council. The President/CEO of Comtrea will be the JCCMHFB Administrator.
ARTICLE III. SECTION 1. GENERAL POWERS. The JCCMHFB shall be responsible for the development of policies and for the general supervision of their implementation and will supervise Comtrea as it acts for the JCCMHFB. Members may not act or speak on behalf of the entire Board without express Board approval/consent. The Board has the following ultimate responsibilities:
1. Approving all Comtrea activities which utilize JCCMHFB funds. 2. Assuring that Comtrea activities are conducted in compliance with applicable federal, state, and local laws. 3. Evaluating Comtrea achievements at least annually and using the knowledge gained to revise its mission,
goals, objectives, plans, and budgets as may be appropriate and necessary. 4. Reviewing and accepting the independent auditor report that reviews the actions of Comtrea each year. 5. Evaluating itself periodically for efficiency, effectiveness, and compliance with all requirements.
SECTION 2. COMPOSITION. The composition of the JCCMHFB may not conflict with any Federal law or guideline as to representation of minorities. The members will be selected for their expertise in community affairs, local government, finance and banking, legal affairs, trade unions, and other commercial and industrial concerns, or social service agencies within the community. 2.1 The nine members of the board will be appointed by the Jefferson County Council to administer the community mental health fund. 2.1.1 These members will serve as members of the COMTREA Board for their respective terms of office. 2.1.2 The appointments are for three years. 2.1.3 Appointees may serve consecutive terms at the pleasure of the Jefferson County Council. SECTION 3. REGULAR MEETINGS. Meetings of the board of directors shall be designated from time to time by resolution of the board of directors. 3.1 Written notice of such meetings shall be given no less than ten (10) days prior to the meeting. 3.2 This Board shall regularly convene no less frequently than once every quarter. 3.3 The Jefferson County Community Mental Health Fund Board shall meet with the COMTREA Board and ratify all actions. 3.4 The June meeting each year shall be a designated “Annual Meeting” 3.5 If necessary in case of an emergency, upon proper notice, meetings may be called by the chairman or the Administrator. Said notice shall be written and state briefly the time, place and subject matter of the meeting. 3.6 Board meeting minutes will be kept at Comtrea’s main office in a secure manner and may not be disposed of. Closed meeting minutes are retained in the CEO’s office in a secure manner; open meeting minutes will be placed on the public section of the Web site. SECTION 4. QUORUM. One-third of the board of directors shall be a quorum of the board. The act of the majority of the directors present at a meeting at which a quorum is present shall be the act of the board. 4.1. Board Members may meet or participate in meetings by telephone or other electronic means as long as all Board Members are continuously able to communicate with one another and the public is able to participate in accordance with the Missouri Sunshine Law. SECTION 5. COMPENSATION. Directors shall receive no compensation for their services.
SECTION 6. ATTENDANCE. 6.1 Any member of the board who shall be absent from 3 consecutive meetings without cause or 50 percent of special or regular meetings within a 12 month period, may be removed from the board by the County Council 6.2 Members may appoint a “designee” to act for them. SECTION 8. CONFLICT OF INTEREST. No member of the council, a committee, or any advisory groups as may be established, shall vote on any matter which would involve a conflict of interest, monetary, professional or in any other fashion. SECTION 9. RULES OF ORDER. All members of the council and of committees or advisory groups which shall be established in accordance with the latest edition of Robert's Rules of Order. Section 10. DISTRIBUTION OF FUNDS. CMHFB will administer the disbursement of funds collected pursuant to the Jefferson County Mental Health Mil Tax and the Jefferson County Children’s Sales Tax. The funds collected by the Jefferson County Collector will be deposited in a separate account maintained by the Jefferson County Treasurer, and all interest earned on such funds shall be retained in said account for the use exclusively in connection with mental health programs and allied services, subject to the following conditions:
a) Payment from the mil tax shall be made from such account by the County Treasurer promptly upon receipt of an invoice properly approved by Comtrea, acting on behalf of the JCMHFB, contingent only upon the availability of funds in said account.
b) This relates only to funds collected by Jefferson County pursuant to the Mental Health Mil Tax and the Children’s Services Sales Tax, and that there shall be no obligation on the part of Jefferson County to provide any funding other than that so collected.
c) JCCMHFB requires that Comtrea agree that its financial operations shall be conducted in accordance which would generally accept the accounting principles and specifically in a manner acceptable to the Missouri Department of Mental Health Certification Committee.
d) Comtrea must assure that all expenditures shall be in accordance with Comtrea's annual budget, and that expenditures of more than $5,000 for a single item shall be made only after the solicitation of three written bids or documented oral price quotes. e) The funds collected by the State of Missouri, County of Jefferson, will be disbursed directly to Comtrea and overseen by the JCCMHFB.
ARTICLE IV SECTION 1. OFFICERS. The officers of the corporation shall be a chairperson, vice-chairperson, a treasurer, a secretary and such other officers as may be elected in accordance with the provisions of this article. The board of directors may elect or appoint such other officers as it shall deem desirable, such officers to have the authority and perform their duties prescribed from time to time, by the board of directors. SECTION 2. ELECTION AND TERM OF OFFICE. The officers of the corporation shall be elected at the first regular meeting of the board of directors each fiscal year. Vacancies may be filled or new offices created and filled at any meeting of the board of directors. 2.1 Each officer shall hold office for a term of three years unless he is unable or unwilling to act, or removed from office. 2.2 Officers may serve as long as reappointed by the County Council.
SECTION 3. REMOVAL. Any officer or agent elected or appointed by the board of directors may be removed by the County Council whenever in its judgment the best interests of the county would be served thereby. 3.1 Notification to the board member being removed shall be accompanied by a letter from the County Chief Executive to the person with a copy to the Administrator. 3.2 Removal from the board automatically includes removal as an officer. SECTION 4. VACANCIES. A vacancy in any office because of death, resignation, removal, disqualification or otherwise, may be filled by the County Council. 4.1 Resignations should be sent to the County Chief Executive with a copy to the Administrator. 4.2 See SECTION 3. REMOVAL SECTION 5. CHAIRPERSON. The chairperson shall supervise all of the business and affairs of the corporation. S/He shall preside at all meetings of the board. SECTION 6. VICE- CHAIRPERSON. In the absence of the chairperson or in the event of his/her inability or refusal to act, the vice-chairperson shall perform the duties of the chairperson, and when so acting, shall have all the powers of and be subject to all the restrictions upon the chairperson. The Vice-chairperson shall perform such other duties as from time to time may be assigned to him/her by the chairperson or by the board of directors. SECTION 7. TREASURER. The treasurer shall serve on the Financial Committee of Comtrea and review all audits on behalf of the JCCMHFB. SECTION 8. SECRETARY. The secretary shall see to it that minutes of the meetings of the members and of the board of directors are kept. The secretary shall implement the retention of the records of the meetings of the Board of Directors pursuant to Sunshine Laws. SECTION 9. Administrator. The directors shall appoint the President/CEO of Comtrea to serve as Administrator of the JCCMHFB and a non-voting ex officio Board member. The Board shall require the Administrator to:
a. Carry out the policies of the JCCMHFB b. Oversee the day to day operations of Comtrea c. Evaluate Comtrea activities on behalf of the JCCMHFB including
a. Service utilization patterns b. Productivity c. Patient satisfaction d. Achievement of project objectives e. Developing and overseeing the process for hearing and resolving patient grievances
d. Develop, adopt, and periodically updating policies for financial management practices, including: a. a system to assure accountability for corporate resources b. long-range strategic and financial planning c. approval of the annual budget submitted budget priorities
e. Serve as ex-officio participant of the Board and all Board committees.
ARTICLE V. Contracts, Checks, Deposits and Funds
SECTION 1. CONTRACTS. The board of directors may authorize the chairperson to enter into any contract or execute and deliver any instrument in the name of and on behalf of the corporation as authorized or imposed by the Board. SECTION 2. DEPOSITS. All funds of the JCCMHFB shall be deposited to the credit of the Comtrea in such banks, trust companies or other depositories as the Comtrea board of directors may select.
ARTICLE VI. Books and Records The JCCMHFB shall keep correct and complete books and records of account and shall also keep minutes of the proceedings of its members, board of directors and committees having any of the authority of the board of directors, and shall keep at the registered or principal office a record giving the names and addresses of the members entitled to vote. All books and records of the corporation may be inspected by any member, or his/her agent or attorney for any proper purpose at any reasonable time.
ARTICLE VII. Fiscal Year: The fiscal year of the corporation shall begin on the first day of July and end on the last day of June in each year.
ARTICLE VIII. Amendments to By-Laws: These by-laws may be altered, amended or repealed and new by-laws may be adopted by a majority of the directors present at least two days' written notice is given of intention to alter, amend or repeal or to adopt new by-laws at such meeting.
