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Home My WebLink About11252019 City Council Laydown - SCHC Presentation 191125 LAYDOWN SCHC quarterly presentation to Seward City Council November 25,2019 SCHC is a 501 C3 organization that is a co-applicant with the City for a Federal grant from HRSA-the Health Resources and Services Administration-that allows us to operate our community's health center. The City and SCHC have a co-applicant agreement that requires us to meet with the city coordinating committee on a quarterly basis.The Coordinating Committee includes the city manager, council healthcare representative,Sharyl Seese,the SCHC board chair,and the Executive Director. This presentation is our quarterly presentation to the City Council per our Co-Applicant Agreement. 3rd quarter 2019 SCHC YTD Total Provider Encounters and Unduplicated Encounters 5,000 4,500 • 4,000 3,500 3,000 U w 2,500 0 a) 2,000 -�...•. 40 ._.__...• z 1,000 500 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec -e-2018 YTD Total 370 687 1,050 1,380 1,712 2,057 2,502 3,027 3,373 3,718 4,047 4,418 t2019 YTD Total 398 773 1,135 1,570 1,985 2,446 2,952 3,466 3,841 --0-2018 YTD Unduplicated 351 467 699 867 968 1,154 1,409 1,658 1,745 1,851 1,933 2,041 t2019 YTD Unduplicated 348 601 791 934 1,180 1,305 1,539 1,758 1,878 Volume: Our number of visits increased by 14%from 2018,and the number of individual patients (unduplicated)seen was up 8%. The higher patient volume is related to a busy summer season. Revenues:Total revenues for the first three quarters were$2,312,368 approximately 18%over budget Expenses: Total expenses for the first three quarters were$2,192,182 approximately 12%over budget Net Income: YTD net income was$119,569 with a budgeted margin of(-$6,685) Cash: Our available cash balance at the end of September was approximately$600,000 or 72 days in cash Patient accounts Receivable: Gross patient receivables were$212,000 or44 revenue days with a budget goal of 45 days Net Assets: $914,000 Current ratio 4.38, (current assets over current liabilities, expected 1.25 or higher) Quality: Our current quality initiatives are Diabetes control, depression screening follow-up and referral completeness. Board membership: Currently our board has 14 out of 15 seats filled. We also have about 9 community volunteers that are on our various operating committees. Staffing: Provider Staff: For the first three quarters we had no provider turnover. Dr.Allen, Dr. Roloff, Pediatrics, Dr.Schellinger, Osteopathic physician doing OMT and seeing patients.Jeanette Nienaber PA, Julie Crites ANP. Brandon Ercanbrack LCSW,doing behavioral health assessments, brief interventions and referrals. As of the end of September we were fully staffed with 19 FTE's. We are currently using 4 of Providence's billing and coding staff as part-time employees to assist with billing and coding training and coverage. We did utilize some temporary staff for summer coverage. Our providers with bio's can be found on our website. Updates: • SCHC received the HRSA Integrated Behavioral Health Services grant for$145,000 ongoing funds, (budget and application attached).The RFP to contract out this grant was sent out in November 2019. Proposals will be reviewed at our December Board meeting. • SCHC received a HRSA quality award for 2018 quality results of$39,800. These funds will mostly be used to offset quality initiatives already budgeted for 2020. • 2018 Audit was clean with no findings • Updated our co-applicant agreement with the City and had it approved by HRSA. Grant conditions related to this agreement were lifted. • Collaboration—We will be bringing in Foraker group to facilitate a collaborative meeting of community health providers in early January. A doodle pole and invitations will be going out this week. • Building project—We are currently reviewing rough drawing and getting cost estimates for three potential building sites. • Outreach events—Our outreach staff collaborated with Chugachmiut and Seaview staff to promote several events for suicide awareness, Including a national speaker. Seward Community Health Center Financial Management Plan Operational/Ongoing Funds Only (Excludes One-Time Funds Special Projects) Updated November 2019 2020 2020 Approved 'Revised 2020 2020 Revisions 2019 Forecast Budget Budget Revisions$ Ordinary Income/Expense $ - Income $ - Total 4000•Patient Related Revenue $ 1,329,282 $ 1.336,001 $ 1,336,001 $ - 0% 4001 •Grant Revenue $ - 5921•Federal Grant Revenues $ 1,211,978 $ 1.323,419 $ 1,508,219 $ 184,800 14% 5923•Other Grant Revenue $ - $ - $ - 5953•City of Seward Grant Revenue $ 200,000 $ 100,000 $ 100,000 $ - 0% Total 4001 •Grant Revenue $ 1.411.978 $ 1.423,419 $ 1,608,219 $ 184,800 13% Total 4002•Miscellaneous Income $ 7,471 $ 7,930 $ 7.930 0% 4631•Collection of doubtful accounts $ 577 $ - S - 4639•340B Income $ 167,146 $ 160.000 $ 160.000 0% 4800•In-Kind Income $ 60.000 $ 60.000 $ 60.000 0% Total Income $ 2.976.453 $ 2,987,350 $ 3.172.150 $ 184,800 6% Gross Profit $ 2.976,453 $ 2,987,350 $ 3,172 150 6% Expense $ - Total 60000•Payroll Expense $ 1,609,618 $ 1,697,691 $ 1,697,691 $ 0 0% Total 61000•Benefits $ 602,957 $ 639,579 $ 639.285 0% Total 70010•Communications Expenses $ 23,748 $ 24,300 $ 24,300 0% 70020•Postage,Freight&Delivery $ 1,798 $ 1,900 $ 1,900 0% Total 70030•Bank and credit card svc ch $ 12,316 $ 12,600 $ 12,600 $ - 0% Total 70040•Insurance Expense $ 18,952 $ 19.000 $ 19,000 0% 70090•Professional services $ - 7009•Professional Services-General $ 3,581 $ 3,500 $ 3,500 0% 7040/7041•Contracted Services-IT/Tech $ 24,482 $ 25,000 $ 25,000 0% 7042•Contracted Svc-Billing-coding $ 14,910 $ 15,000 $ 15,000 0% 7043•Contracted Services-Accountin $ 35,528 $ 34,100 $ 34,100 0% 7044•Contracted Services-Audit $ 26,339 $ 24,000 $ 24,000 0% 7046•Contracted Svc-Janitorial $ 10,480 $ 10.560 $ 10,560 0% Total 70090•Professional services $ 117,795 $ 114,660 $ 114,660 0% 7012•Other Special Services $ 3,305 $ 3,500 $ 3,500 $ - 0% 7015•Utilities $ 37,889 $ 39,000 $ 39,000 0% 7017•Rents&Leases $ 4,070 $ 4,000 $ 4,000 $ - 0% 7019•Contracted Svc-Providers $ - $ 110,000 $ 255,000 $ 145,000 132% 7020•Recruitment&Retention $ 33,557 $ 31,580 $ 31,580 $ - 0% 7214•Program Supplies $ - $ - $ - 7215•Operating Supplies $ 13.074 $ 14.000 $ 14,000 0% 7216•Repairs and Maintenance $ 40.421 $ 40.620 $ 40,620 0% 7217•Minor Equipment $ - $ - $ - Total 72190•Medical Supplies $ 93,577 $ 95,921 $ 95,921 0% 7300•Advertising $ 5,774 $ 6,000 $ 6,000 0% 7301 •Dues and Subscriptions $ 17,569 $ 17,375 $ 17,375 $ - 0% 7302•Travel and Sustenance $ 16,440 $ 21,500 $ 21,500 $ - 0% 7303•Education/Training $ 3,833 $ 3,260 $ 3,260 0% 7304•Equipment Lease/Rent $ 5.470 $ 5,864 $ 5,864 0% 7305•CME Related Expenses $ 1,548 $ 12.000 $ 12,000 $ - 0% 7306•In-Kind Expenses $ 60.000 $ 60,000 $ 60,000 0% 7805•Promotion Expense $ 12,500 $ 13,000 S 13.000 0% Total Expense $ 2.736.211 $ 2,987,350 $ 3,132.350 $ 145,000 5% Net Ordinary Income $ 240.241 $ (0) $ 39,800 $ 39,800 Page 1 of 2 Printed On: 11/25/2019 Seward Community Health Center Financial Management Plan Operational/Ongoing Funds Only (Excludes One-Time Funds Special Projects) Updated November 2019 2020 1 2020 Approved 'Revised 2020 2020 Revisions 2019 Forecast Budget Budget Revisions$ Other Income/Expense 1 Other Expense/Retained Earnings 3200•Retained Earnings $ - $ - $ 39.800 #DIV/O! 8001•Other Expense $ (596) $ - $ - #DIV/0! Total Other Expense $ (596) $ - $ 39,800 #DIV/01 i Net Other Income $ 596 $ - $ (39.800) #DIV/0! Total $ 240,838 $ (0) J Includes IBHS Ongoing,($145,000)&Quality Grant Funds awarded($39,800)after original budget submission HRSA Base Funds include Outreach,AIMS,&SUD-MH Ongoing Funds Page 2 of 2 Printed On: 11/25/2019 Program Specific Form(s) - Review I EU I HRSA EHBs Page 1 of 5 lj Program Specific Form(s)-Review 00167103:SEWARD,CITY OF Due Date:05/20/2019(Due In:0 Days) Announcement Number: HRSA-19-100 Announcement Name: Fiscal Year(FY)2019 Application Type: Revision(Supplemental) Integrated Behavioral Health Services(IBHS) Grant Number: H80CS26600 Federal Funding Request Amount: $145,000.00 Resources CS Federal Object Class Categories As of 05/20/2019 01:48:16 PM OMB Number:0915-0285 OMB Expiration Date:1/31/2020 Budget Categories Object Class Category Federal Non•Federal Total a.Personnel $0.00 $0.00 $0.00 b.Fringe Benefits $000 $0.00 $0.00 c.Travel $15,000.00 $0.00 $15,000.00 d.Equipment $0.00 $0.00 $0.00 e.Supplies $5.600 00 $0.00 $5,600.00 f.Contractual $124.400.00 $0.00 $124.400.00 g.Other $0.00 $0.00 $0.00 h.Total Direct Charges(sum of a through g) $145,000.00 $0.00 $145,000.00 i.Indirect Charges $0.00 $0.00 $0.00 j.Total Budget Specified in Section A- Budget Summary(sum of h through i) $145,000.00 $0.00 $145,000.00 Project Overview As of 05/20/2019 01:48:16 PM OMB Number:0915-0285 OMB Expiration Date:1/31/2020 Telehealth Are you proposing to use IBHS funding for telehealth to increase access to Select One Option integrated SUD and/or mental health services? Yes,I am proposing to use IBHS funding for telehealth to provide remote SUD and/or mental health services. No,I am not proposing to use IBHS funding for telehealth to provide remote �) SUD and/or mental health services. Pain Management Are you proposing to use IBHS funding to help prevent SUDS through Select One Option enhanced pain management? Yes,I am proposing to use IBHS funding to help prevent SUDs through enhanced pain management. No,I am not proposing to use IBHS funding to help prevent SUDs through enhanced pain management. Technical Assistance Technical assistance on the following topics would support the successful Select All That Apply implementation of my IBHS project. Integrated behavioral health and primary care services U Prevention of opioid use disorder (XI Treatment of opioid use disorder U Medication-assisted treatment of opioid use disorder U Telehealth U https://grants2.hrsa.gov/WebGAM2External/Interface/Application/PrintForm.aspx?RV=a7... 5/20/2019 Program Specific Form(s) - Review I EU I HRSA EHBs Page 2 of 5 Pain management , U Other(please describe in a comment) U None U Comment As desired,describe needs specific to the selected topic area(s)or define other topic areas.(Up to 1,000 characters counting spaces) Scope of Services Review your current approved Form 5A:Services Provided.Will a Scope Adjustment or Change in Scope request be necessary to ensure that all Select One Option planned changes to SUD and mental health services are on your Form 5A? Yes,I reviewed my Form 5A and determined that my health center's proposed activities will require a Scope Adjustment or Change in Scope request to LI modify Form 5A. No,I reviewed my Form 5A and determined that my health center's proposed activities will not require a Scope Adjustment or Change in Scope request to [X] modify Form 5A. If yes,describe the proposed changes and a timeline for requesting necessary modifications to your Form 5A below(Up to 1,000 characters counting spaces) Project Plan As of 05/20/2019 01.48 16 PM OMB Number:0915-0285 OMB Expiration Date:1/31/2020 Objective Activities Outputs Status • Contract with a local established organization to strengthen community partnerships to leverage Increase utilization of SUD/mental our resources for SUD and mental health preve • December 31.2020.increase newly provided m health assessments.brief ration initiatives focused on the youth inour corn ental health assessment,brief intervention and interventions and referral services munity through the implementation of evidence referral services for 10 existing patients Complete by 25 existin based practices • December 31 2020:increase newly provided S g patients by • We will develop a community wide initiative foe UD assessment,brief intervention and referral s December 31.2020 used on youth prevention that will also increase ervices to 25 existing patients awareness and utilization for residents in need of SUD/mental health assessment services. • Advertise a request for proposal in our commun • April 01,2020 Allow 90 days for contractor to h 1 Contract for 1.15 FTE ity for 1.15 FTE for engagement and case man ire staff Contract will start no later than April 1, agement services from a local established orga 2020 engagement personnel or case nrzation to strengthen community partnerships f • November 01.2019 Advertise with RFP for con Complete manager with contract starting before April 30.2020 or SUD and mental health prevention initiatives. tracted services • We will utilize an appropriate bid process to set • January 01,2020 Utilize an appropriate bid pro ect a local organization to fulfill the contract cess to select contractor Staffing Impact As of 05/20/20190148:16PM OMB Number:0915-0285 OMB Expiration Date:1/31/2020 Fields with are required New Contractor/Agreement FTEs Staffing Positions by Major Service Category New Diroct Hire Staff FTEs Proposed Proposed Psychiatrists 0 00 0 00 Licensed Clinical Psychologists 000 000 Licensed Clinical Social Workers 0.00 0 00 https://grants2.hrsa.gov/WebGAM2External/Interface/Appl ication/PrintForm.aspx?R V=a7... 5/20/2019 Program Specific Form(s)- Review I EU I HRSA EHBs Page 3 of 5 • Other Licensed Mental Health Providers(e.g.,psychiatric social workers.psychiatric 0 00 0 00 nurse practitioners,family therapists) • Please Specify: L. Other Mental Health Staff(e.g.,"certified"individuals who provide counseling, treatment,or support to mental health providers) 0.00 0.00 Please Specify. Substance Use Disorder Providers 0.00 0 00 Family Physicians 0.00 000 • General Practitioners 0.00 0 00 Internist 0.00 0 00 Obstetrician/Gynecologist 0.00 0 00 Pediatricians 0.00 0 00 Other Specialty Physicians and Sub-Specialists(e.g.,Emergency Medicine, Addiction Medicine,Pain Medicine,Infectious Disease) 0.00 0 00 Please Specify: L. Nurse Practitioners 0.00 0.00 Physician Assistants 0.00 0.00 Certified Nurse Midwives 0.00 0.00 Nurses 0.00 0.00 Other Medical Personnel(e.g.Medical Assistants,Nurse Aides) 0.00 0.00 Laboratory Personnel 0.00 0.00 Pharmacy Personnel 0.00 0.00 Case Managers 0.00 0.00 Patient/Community Education Specialists 0.00 0.00 Outreach Workers 0.00 0.00 Transportation Staff 0.00 0.00 https://grants2.hrsa.gov/W ebGAM2ExtemaW nterface/Application/PrintForm.aspx?RV=a7... 5/20/2019 Program Specific Form(s) - Review I EU I HRSA EHBs Page 4 of 5 Eligibility Assistance Workers 0 00 0 00 Interpretation Staff 000 000 Community Health Workers 0.00 0.00 Other Enabling Services Staff(e.g. staff who support outreach.care coordination. transportation) Please Specify: 0.00 1 15 engagement personnel or case manager Other Professional Health Services Staff(e.g..physical therapists,occupational therapists.acupuncturists) Please Specify: 0 00 0 00 Subtotal 0 00 1 1 5 Total FTEs 1 15 Patient Impact As of 05/20/2019 01 48 16 PM OMB Number:0915-0285 OMB Expiration Date:1/31/2020 Note(s): Patient Impact Questions Existing Patient Impact 1.Total Unduplicated Existing Patients:Enter the total number of existing patients who will newly access SUD and/or mental health services in calendar year 2020 as a result of IBHS funding(e.g.,existing medical patients not currently accessing these services that will begin to do so). Attribute each patient to EITHER SUD or mental health in your response to Question 1 even if some existing patients are expected to access both expanded 25 services(re.,count each existing projected patient only once in this unduplicated patient projection). 2.Existing Patients by Service Type:Enter the number of existing patients who will newly access each service as a result of IBHS funding in calendar year 2020 below. Count each projected existing patient according to the services they are expected to access.If a patient will start accessing both SUD and mental health services.they should be counted once for SUD and once for mental health. A.SUD Services Patients 25 B.Mental Health Services Patients 10 New Patient Impact 3.Total Unduplicated New Patients:Enter the number of new patients(new to the health center)who will access SUD and/or mental health services in calendar year 2020 as a result of IBHS funding. Attribute each patient to EITHER SUD or mental health in your response to Question 3.even if some new patients are expected to access both expanded services(i e..count each new projected patient only once in this unduplicated patient projection) 0 Note:New unduplicated projected patients entered in response to this question will be added to your patient target Failure to achieve this new patient projection by December 31.2020 may result in a funding reduction when your service area is next competed through Service Area Competition(SAC).See the SAC technical assistance website for patient target resources 4.New Patients by Service Type:Enter the number of new patients(new to the health center)who will access each service in calendar year 2020 below. Count each projected new patient according to the services they are expected to access.If a new patient will access both SUD and mental health services, they should be counted once for SUD and once for mental health A.SUD Services Patients 0 B.Mental Health Services Patients 0 New Patients by Population Type Population Type NEW Patients Projected Total NEW Patients(from Question#3) 0 General Underserved Community 0 https://grants2.hrsa.gov/W ebGAM2 Externa l/l nterface/App l ication/PrintForm.aspx?R V=a7... 5/20/2019 Program Specific Form(s)-Review I EU I HRSA EHBs Page 5 of 5 Population Type I NEW Patients Projected Migratory and Seasonal Agricultural Workers 0 Public Housing Residents 0 People Experiencing Homelessness 0 Total NEW Patients by Population Type 0 Equipment List As of 05/20/2019 01:48:16 PM OMB Number:0915-0285 OMB Expiration Date:1/31/2020 1.. Alert: This form is not applicable to you as you have not requested federal funds for the Equipment category in the Federal Object Class Categories form of this application. https://grants2.hrsa.gov/WebGAM2Externa1/Interface/Application/PrintForm.aspx?RV=a7... 5/20/2019