Wyatt Howell, Chief Executive Officer, Maricopa Health Centers Governing Council Kathy Benaquista, Chief Financial Officer

Transcription

1 Minutes Maricopa Health Centers Governing Council Finance Committee General Meeting Maricopa Medical Center Administration Building, Auditorium 1 & 2 April 5, :00 p.m. Voting Members Present: Non-Voting Members Present: Others/Guest Presenters: Recorded by: Gary Tenney, Committee Chair Liz McCarty, Committee Vice Chair Melissa Kotrys, Member (participated telephonically) Simon Thomas, Member Gino Turrubiartes, Member (arrived at 4:14pm) Wyatt Howell, Chief Executive Officer, Maricopa Health Centers Governing Council Kathy Benaquista, Chief Financial Officer Kris Gaw, Chief Operations Officer (arrived at 4:11 pm) Melanie Talbot, Executive Director, Board Operations Troy McGilvra, Director of Operations, Comprehensive Health Center Dr. Sandra Yuh, Clinical Medical Director Internal Medicine Mica Goldfeder, Vice President Human Resources Christie Markos, Manager, Budgeting and Financial Reporting Pamela Hjerpe, Secretary to the Maricopa Health Centers Governing Council Call to Order Chair Tenney called the meeting to order at 4:00 p.m. Roll Call Ms. Hjerpe called roll. Following roll call, Ms. Hjerpe announced that four of the five voting members of the Maricopa Health Centers Governing Council s Finance Committee were present, which represented a quorum. Mr. Turrubiartes arrived shortly after roll call. Ms. Hjerpe announced who was is in the room for those that participated telephonically. Call to the Public Chair Tenney asked if any speaker s slips were turned in or if anyone from the public wished to address the Committee. There were no comments from the public. 1

2 Discussion, Presentation and Recommendations by the Committee 1. Approve the Maricopa Health Centers Governing Council s (MHCGC) Finance Committee Meeting Minutes dated March 1, 2017 MOTION: Ms. McCarty moved to approve the Maricopa Health Centers Governing Council s Finance Committee Minutes dated March 1, Mr. Thomas seconded. Motion passed by voice vote. 2. Discuss, Review and Make Recommendations to the Maricopa Health Centers Governing Council to Approve Remodeling the Internal Medicine Clinic in the Comprehensive Health Center Utilizing Proposition 480 Funds in an Amount not to Exceed $186,001 Mr. Howell identified the need for remodeling the Internal Medicine (IM) Clinic at the Comprehensive Health Center (CHC) to maximize the use of the space. Mr. McGilvra added there will be additional 3 rd year residents starting in June. Rooms that were originally designed for procedures will need to be converted into exam rooms to accommodate the new residents. The pro forma shows an outlay of about $186,000 construction costs with a five year payback that would net $752, 000 increases in revenues. Dr. Yuh distributed the current floor plan of the IM Clinic with the proposed changes. She described how difficult it currently is with patient turnaround times and the effects on the operations. The space is not utilized efficiently and causes provider dissatisfaction. The changes proposed would improve the morale and help retain IM Providers. Mr. Thomas questioned the timing of the remodel with the Prop 480 plans and the construction timeline. He questions the credibility of the pro forma. Chair Tenney questioned the funding for this project from the Prop 480 money and its redundancies. He also added he is concerned with future potentials. Mr. Howell stated the funding would come from the Maricopa Health Centers Governing Council s Prop 480 contingent capital. Ms. Benaquista could not recommend the proposal to the committee at this time because she had not seen the pro forma. Ms. Gaw stated she would like to validate the numbers before she can support the remodel. Mr. Turrubiartes asked what the consequences would be if the remodel did not happen. Dr. Yuh commented that it would contribute to provider dissatisfaction which in turn can lead to higher provider turnover rates. Ms. Gaw is committed to fast tracking the project once she reviews and validates the numbers. Ms. Benaquista suggested holding a special Finance Committee meeting to approve the project once the validation of numbers was completed. Chair Tenney reiterated that items coming before the Finance Committee or the Governing Council should be reviewed by staff. He is more than willing to hold a special meeting to fast track this item. 2

3 Discussion, Presentation and Recommendations by the Committee (cont.) 3. Discuss and Review the Maricopa Health Centers Governing Council s Chief Executive Officer s Report a. Information on District Employees Utilization of MIHS Dental Services Mr. Howell reported that Partners in Recovery (PNR) was terminating its contract with the Whole Health Home Clinics (WHHC). PNR operates two sites, Metro and East Valley. All of the WHHC clinics are struggling and are currently under analysis. Ms. Gaw added Mercy Maricopa Integrated Care (MMIC) approached Maricopa Integrated Health System regarding the need of integrating behavioral health with physical health. There is a potential site across from Desert Vista in Mesa that could be used as a pilot site for this type of integrated clinic. Mr. Howell is looking at revision of hours at the Seventh Avenue Walk in Clinic (SAWIC). He believes that the hours should be reduced by three or four hours due to low traffic volumes. He is also looking at additional late hours or Saturday hours at some of the clinics. Mr. Howell announced leadership changes on the Ambulatory team; Ms. Kate Rhodes has transitioned to a lead role with the Prop 480 planning project. She will be coordinating the matters relative to ambulatory and behavioral health services. Ms. Trish Stradleigh has postponed her retirement and has agreed to stay on for another year to fill the nursing director roll. The Chandler FHC manager, Ms. Pam Cox, is retiring as well. Mr. Howell reviewed the information provided by HR on the dental service for employees. Ms. Goldfeder stated that most MIHS employees do not know that they can come to MIHS for their dental needs. The majority of employees have MetLife for dental insurance, which MIHS accepts. MIHS offers two dental insurance plans; MetLife and Employer Dental Services (EDS). MIHS does not take EDS. Chair Tenney was surprised to hear that the employees do not know about the dental services. He is also surprised of the low numbers of employees that do utilize the dental services. He would like to see an action plan created on how management plans on increasing employee usage. Ms. Goldfeder stated that employees are not motivated by money; there are currently 2,030 employees and 2,953 dependents that have the MetLife dental plan, which is the higher premium plan. Currently the EDS plan has 476 employees and 507 dependents. The dentists and hygienists are not contracted with EDS, however, they are contracted with MetLife. The proposed plan to market dental services to MIHS employees will be to present the dental services during Open Enrollment and at New Employee Orientation (NEO). The plan is to also do informative communication via the intranet as well as newsletters. Chair Tenney asked for the dental market plan for employees to be included in the quarterly dental report. 4. Discuss, Review and Approve the Preliminary Volumes for the Federally Qualified Health Center Look Alike Clinics for Fiscal Year 2018 Mr. Howell stated the numbers are consistent from the previous meeting. Ms. Markos stated that the proposed volumes do assume that the clinics will be fully staffed. 3

4 Discussion, Presentation and Recommendations by the Committee (cont.) 4. Discuss, Review and Approve the Preliminary Volumes for the Federally Qualified Health Center Look Alike Clinics for Fiscal Year 2018 Ms. Gaw added that fully staffed is based off of 1760 of production (as opposed to 2080 hours for a full 1.0 FTE) in order to take into account the providers Continuing Medical Education (CME) and Paid Time Off (PTO). Chair Tenney commented that in the past, volumes would be budgeted at a 3 to 5 percent increase over prior year. However, staff is proposing a 13 percent increase in volumes from actuals. Mr. Thomas affirmed that the proposed budget for Fiscal Year (FY) 2018 with 58.3 FTE s gives you 324,000 visits. Ms. Gaw clarified the 58 is for the FHC s only. Chair Tenney verified that the staff, Mr. Howell, Ms. Benaquista, Ms. Gaw and District Medical Group (DMG) concurred with the volumes numbers. MOTION: Mr. Thomas moved to approve the Preliminary Volumes for the Federally Qualified Health Centers Look Alike Clinics for Fiscal Year Ms. McCarty seconded. Motion passed by voice vote. 5. Discussion and Possible Action on the Federally Qualified Health Centers Look Alike Clinics Productivity / Sessions Reports Mr. Howell stated this is the second month of bringing this new report format to the Finance Committee. The number of patients see per sessions per provider is at 7.07 overall. The goal is for each provider to see 9 patients per session. Chair Tenney stated what started this report was uncovered sessions, there used to be a line item for uncovered sessions for the month and year to date. That is no longer reported. He would like to see those numbers. Mr. Howell responded he will add a row to this report for month to date and year to date on uncovered sessions. 6. Discussion and Possible Action on the following Maricopa Health Centers Governing Council Reports a. Year-to-Date Governing Council Expenditures and Budget b. FQHC LA Financials and Payer Mix c. Proposition 480 Capital Purchases Report d. Updated Capital needs for the Federally Qualified Health Centers Look Alike Clinics Utilizing Proposition 480 Funding Report Ms. Benaquista added from a net revenue perspective, all clinics combined for the month are doing well. Mr. Howell pointed out the payer mix is very favorable. Ms. Benaquista state there is nothing new on the Prop 480 capital. 4

5 Discussion, Presentation and Recommendations by the Committee (cont.) 6. Discussion and Possible Action on the following Maricopa Health Centers Governing Council Reports (cont.) Mr. Howell stated the Prop 480 capital requests have been revised and updated. Chair Tenney stated that he would like to review the revised Prop 480 list and return this to next month s agenda for the Finance Committee s approval. 7. Review of Finance Committee and Staff Assignments: a. Old Business February 1, 2017 Quarterly Down Stream Revenue report: add a column with prior year information for comparisons March 1, 2017 Quarterly Dental Performance Report: a. How many employees use MIHS s dental services? b. How many employees have EDS vs. MetLife c. What are we doing to encourage MIHS employees to use MIHS s dental services? Monthly Productivity/Provider: a. Variance line (second for bottom of dashboard): highlight productivity vs budget vs volumes b. Add the monthly provider staffing FTEs from the District Medical Group report to the dashboard Fiscal year 2018 budget: a. Updated projected volumes for the SAWIC b. Approve preliminary volumes in April Monthly Prop 480 capital report: a. Provide an updated/refreshed list of capital needs for the Federally Qualified Health Center Look Alike clinics utilizing Prop 480 funding Ms. Hjerpe reviewed the old business as well as the requests stemming from the meeting. 8. Future Agenda Item Requests and Chair Closing Comments Chair Tenney had no closing comments. Adjourn MOTION: Mr. Thomas moved to adjourn the April 4, 2017 Maricopa Health Centers Governing Council Finance Committee Meeting. Mr. Turrubiartes seconded. Motion passed by voice vote. The meeting adjourned at 5:38 p.m. Approved by the Maricopa Health Centers Governing Council s Finance Committee on May 3,

6