PLACE: 1430 Collier Street Board Room, Austin, Texas AGENDA

Transcription

1 PLANNING & OPERATIONS COMMITTEE MEETING To improve the lives of people affected by behavioral health and developmental and/or intellectual challenges. DATE: Thursday, January 18, 2017 TIME: 5:30 PM PLACE: 1430 Collier Street Board Room, Austin, Texas AGENDA I. Citizens' Comments (Presentations are limited to 3 minutes) II. Approval of Minutes from December 7, 2017 Planning & Operations Meeting (pgs. 2-3) III. Recommendation to Approve Title VI Plan (Goal 2) (Weden, pgs. 5-6) IV. Recommendation to Approve Quality Management Program Plan (Goal 2) (Baker, Moscal, pgs. 6-7) V. Recommendation to Approve Contract for Medical and Pharmaceutical Waste Management (Goal 2) (Franke, pgs. 7-13) VI. Information Item: P&O Dashboard (Goal 3) (Baker, pgs ) VII. Information Item: Authority Report: HHSC Performance Measures for FY 2017 (Goal 2) (Moscal, pgs ) VIII. Discussion Item: Chief Operations Officer Report (Goal 2 &3) (Handley, pg. 22) Clinical Service Delivery Program Support IX. New Business Identify Consent/Non-Consent Agenda Items X. Citizens' Comments Integral Care is committed to compliance with the Americans with Disabilities Act. Reasonable modifications and access to communication for information.

2 PLANNING & OPERATIONS COMMITTEE MINUTES DATE: Thursday, December 7, 2017 TIME: 5:30 PM PLACE: 1430 Collier Street Board Room Austin, TX MEMBERS PRESENT: MEMBERS ABSENT: Dr. Guadalupe Zamora, Luanne Southern Sarah Churchill Llamas OTHER BOARD MEMBERS PRESENT: None Integral Care staff were present The Acting Chair, Guadalupe Zamora, called the meeting to order at 5:31 p.m. CITIZENS COMMENTS None. APPROVAL OF MINUTES The minutes of the October 19, 2017 meeting stand approved as submitted. RECOMMENDATION TO APPROVE AUTHORIZING THE CEO TO ACCEPT, IF AWARDED, FUNDS ASSOCIATED WITH INTEGRAL CARE S HB 13 COMMUNITY MENTAL HEALTH GRANT PROGRAM PROPOSAL (GOAL 2) Hugh Simmons provided Committee with an extensive overview of this two year grant proposal. Mr. Simmons spoke to what the grant will provide over the next 3 years. Discussion ensued. Luanne Southern called for a motion to recommend to the Board the approval of proposed recommendation. Dr. Zamora second. All in favor. Motion carried. This item will be added to the consent agenda. RECOMMENDATION TO ACCEPT, IF AWARDED, FUNDS ASSOCIATED WITH INTEGRAL CARE S PROPOSAL IN RESPONSE TO AISD RFP P SCHOOL MENTAL HEALTH CENTERS (GOAL 2) Hugh Simmons gave overview and update of the RFP. He spoke to the Committee about the proposal to establish on-campus programming for students. Discussion ensued. Luanne Southern called for a motion to recommend to the Board the approval of proposed recommendation. Dr. Zamora second. All in favor. Motion carried. This item will be added to the consent agenda. INFORMATION ITEM: UTILIZATION REVIEW OF SMHF BED DAYS (GOAL 1) Dr. Lesa Brown-Valades gave extensive overview of Austin s per capita bed-day use and how it s the third highest of all Centers in the state. Discussion ensued.

3 Planning & Operations Committee Meeting Minutes December 7, 2017 Page 2 DISCUSSION ITEM: CHIEF OPERATIONS OFFICER (COO) REPORT Dawn Handley provided the Committee with a brief verbal report regarding clinical service delivery and program support. Discussion ensued. This item will be added to the consent agenda. NEW BUSINESS The items listed below were decided for Consent/Non-Consent Agenda: Consent: Recommendation to Approve Authorizing the CEO to Accept, if awarded, Funds Associated with Integral Care s HB 13 Community Mental Health Grant Program Proposal (Goal 2) Recommendation to Accept, if awarded, Funds Associated with Integral Care s Proposal in Response to AISD RFP P School Mental Health Centers (Goal 2) Chief Operations Officer (COO) Report (Handley) Non-Consent: None CITIZENS COMMENTS None. ADJOURNED The meeting adjourned at 6:28 p.m. Guadalupe Zamora Kendra Green Date

4 Board of Trustees Planning and Operations Committee January 18, 2018 I. Citizens Comments

5 II. Approval of Minutes from December 7, 2017 Planning & Operations Meeting III. Recommendation to Approve Title VI Plan (Goal 2) David Weden, Chief Administrative Officer/Chief Financial Officer

6 Questions/Comments? IV. Recommendation to Approve Quality Management Program Plan (Goal 2) Verbal Report James Baker, MD, MBA, Systems Chief Medical Officer Melody Moscal, ASQ, Certified Quality Manager/Organizational Excellence, for Quality Management Program Manager

7 Questions/Comments? V. Recommendation to Approve Contract for Medical Pharmaceutical Waste Management (Goal 2) Craig Franke, MD Chief Medical Officer

8 Background Lack of standardized practices for medical waste disposal across sites. Risk of noncompliance with standards for the Joint Commission and OSHA. RFP for Medical and Pharmaceutical Waste Management 3year contract for pick up and disposal of used syringe, medical waste, andhazardousdrug disposalat Integral Carefacilities,with an option by integral Care to renew for an additional period of 1 year. IC facilities include all residential, respite, & clinic based services. Frequency of services range from every 3 6 months. Contract will reside in medical services (Unit 105).

9 Proposals Received Only one proposal received: Stericycle, Inc. Joe Sagala, Government Specialist 4010 Commercial Avenue Northbrook, IL (800) Not HUB. Stericycle, Inc. Specializes in collecting and disposing regulated substances, such as medical waste, sharps,andpharmaceuticals. Stericycle was founded in 1989 as a regulated medical waste company. Provides biohazard waste, DOT, and online trainings, as well as onsite mock OSHA evaluation and annualblood borne pathogens training. Provides records management and 10% discount on healthcare products.

10 Pricing Annual Total $46, per year* $ per month Pick ups every 24 weeks (2 stops/yr) Rundberg; Community First; ANEW; Dove Springs; Riverside $ per month Pick ups every 12 weeks (4 stops/yr) E 2 nd St; NTP; PES/Inn; Herman Center; Alameda House $ per month Pick ups every 8 weeks (6 stops/yr) E 15 th St; Next Step *$75 each additional pickup outside scheduled frequency. *plus 10% of current rate for each additional container exceeding maximum annual allowed. Pricing (continued) $ per month* Pick ups every 8 weeks (6 stops/yr) E 2 nd St Pharmacy drug disposal $ per month* Pick ups every 12 weeks (4 stops/yr) Dove Springs Pharmacy hazardous drug disposal * Assuming 30 containers max per year. * $700 each additional stop and $200 each additional container.

11 Proposal Review Process The proposal was reviewed and scored by individual committee members. Scored along 13 unweighted dimensions (1 5) with maximum score of 65. Although there was only one proposal submitted, recent proposals were available from Stericycle and Gamma Waste Systems for comparison from a previous RFP. Gamma: only one container size; no protective gear; no regulatory compliance training. RFP Review Committee Sheri Stiffler, Practice Administrator Patricia Corrigan Strickland, Director of Pharmacy Jack Reed, Nursing Supervisor John Nguyen, Assoc. Medical Director

12 Review Committee Scoring Evaluation Criteria (1 5) 1. Multiple sized containers for medical waste 2. Multiple sized containers for syringe devices 3. Multiple sized containers for biohazard waste 4. Multiple sized containers for noncontrolled medications Corrigan Strickland Individual Reviewer Scores Nguyen Reed Stiffler Average Score ? ? Sample P&Ps provided On site and remote training Frequency of waste removal Protective gear offered Regulatory compliance training offered Overall pricing Reference checks Overall product offering Meets regulatory standards TOTAL (Max 65) Proposal Review Process References were contacted. 3 of 5 references responded 2 responded positively that they would contract with Stericycle again and that Stericycle fully met expectations for services provided to that agency. State of Minnesota Jacksonville, FL, Medical Examiner s Office 1 reference declined to respond positively or negatively due to state policy (Massachusetts).

13 Committee Recommendation The committee voted to accept the proposal submitted by Stericycle, Inc. Robust services and resources to meet a variety of clinical needs currently and in future expansions. Ability to provide extensive compliance resources and support. Regulated medical waste & sharps management as well as hazardous drug disposal. Experience providing regulated medical waste disposal services to organizations who service individuals with intellectual and developmental disabilities, as well as children and adults with behavioral health needs. VI. Information Item: P&O Dashboard (Goal 3) James Baker, MD, MBA Systems Chief Medical Officer

14 Questions/Comments? VII. Information Item: Authority Report: HHSC Performance Measures for FY 2017 (Goal 2) Melody Moscal, ASQ, Certified Quality Manager/Organizational Excellence, for Quality Management Program Manager

15 HHSC Performance Measures Fiscal Year 2017 Hospitalization 1.00% 0.80% 0.60% HHSC Target: <1.9% Note: Equity Adjusted Bed Day Performance Rate (Below) 0.40% 0.20% 0.00% 0.19% 0.19% 0.18% 0.18% 0.18% 0.15% 0.17% 0.16% 0.16% 0.15% 0.16% 0.17% 0.22% 0.21% 0.21% 0.22% 0.23% 0.19% 0.20% 0.19% 0.20% 0.20% 0.21% 0.22% Rate Hospitalization 2016 Linear (Rate) POTENTIAL 10% WITHHOLDING AVERAGE MEETS TARGET REQUIREMENT HHSC Performance Measures Fiscal Year 2017 Jail Diversion 14.00% 12.00% 10.00% 8.00% 6.00% 4.00% 2.00% 0.00% HHSC 2016 Target: <10.46% 6.8% 7.8% 7.9% 8.5% 8.2% 8.4% 8.9% 9.3% 8.0% 8.4% 8.6% 7.4% 6.7% 7.3% 8.4% 9.0% 9.4% 9.6% 9.1% 8.0% 7.6% 7.8% 7.7% 8.9% Rate Jail Diversion 2016 POTENTIAL 10% WITHHOLDING AVERAGE MEETS TARGET REQUIREMENT

16 HHSC Performance Measures Fiscal Year 2017 Effective Crisis Response Services HHSC Target: >75.1% 100% 95% 90% 85% 80% 75% 70% 65% 60% 55% 50% 99.0% 99.1% 98.7% 97.2% 97.8% 98.1% 98.2% 98.8% 98.9% 98.0% 98.1% 98.3% 97.2% 98.1% 97.3% 98.0% 97.8% 99.0% 97.3% 93.4% 94.3% 84.9% 80.3% 81.5% Rate Effective Crisis Response 2016 POTENTIAL 10% WITHHOLDING AVERAGE MEETS TARGET REQUIREMENT 0.50% HHSC Performance Measures Fiscal Year 2017 Frequent Admissions 0.40% 0.30% 0.20% 0.10% 0.00% HHSC Target: <=0.3% 0.3% 0.2% 0.2% 0.2% 0.2% 0.2% 0.2% 0.1% 0.1% 0.1% 0.1% 0.04% 0.01% 0.00% 0.00% 0.00% 0.00% 0.01% 0.01% 0.01% 0.01% 0.03% Rate Frequent Admissions 2016 POTENTIAL 10% WITHHOLDING AVERAGE MEETS TARGET REQUIREMENT

17 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 0.0% 0.0% Sep 16 Oct 16 Nov 16 Dec 16 Jan 17 Feb 17 Mar 17 Apr 17 May 17 Jun 17 Jul 17 Aug 17 Access to Crisis Response Percent 2015 Target = >3% 0.03 Access to Crisis Response 2016 POTENTIAL 10% WITHHOLDING NO FY2016 JUNE OR JULY DATA AVERAGE MEETS TARGET REQUIREMENT HHSC Performance Measures Fiscal Year 2017 Access to Crisis Response Services HHSC Target: 100.0% >52.2% 91.7% 85.7% 85.0% 84.4% 89.1% 73.7% 66.7% 76.0% 70.6% 70.0% 75.0% 75.0% 76.2% 70.8% 66.7% 72.7% 65.0% 56.3% 63.6% 66.7% 61.5% HHSC Performance Measures Fiscal Year 2017 Employment 20% 18% 16% 14% 12% 10% 8% 6% HHSC Target: >9.8% 15.6% 16.0% 16.5% 16.9% 17.1% 17.0% 17.6% 17.1% 17.4% 17.6% 17.9% 18.2% 16.0% 16.7% 16.8% 17.3% 17.0% 16.4% 16.3% 16.6% 16.2% 15.4% 15.8% 15.8% Employed Percent Employed Percent 2016 POTENTIAL 10% WITHHOLDING AVERAGE MEETS TARGET REQUIREMENT

18 HHSC Performance Measures Fiscal Year 2017 Community Tenure (AMH) HHSC Target: >96.4% 100% 99% 98% 99.8% 99.8% 99.8% 99.8% 99.7% 99.8% 99.7% 99.8% 99.7% 99.8% 99.7% 99.8% 99.7% 99.8% 99.7% 99.7% 99.8% 99.8% 99.4% 99.4% 99.4% 99.5% 99.7% 99.2% 97% 96% 95% Rate Community Tenure 2016 POTENTIAL 10% WITHHOLDING AVERAGE MEETS TARGET REQUIREMENT HHSC Performance Measures Fiscal Year 2017 Improvement (AMH) 70% 60% 50% 40% 30% 20% 10% 0% HHSC Target: >20.0% 43.0% 40.6% 40.6% 42.7% 37.1% 37.1% 34.5% 32.5% 32.8% 32.2% 33.0% 34.3% 32.00% 33.50% 33.00% 33.60% 34.00% 34.00% 34.70% 36.00% 39.00% 40.20% 42.00% 43.00% Rate Improvement 2016 AVERAGE MEETS TARGET REQUIREMENT POTENTIAL 10% WITHHOLDING

19 HHSC Performance Measures Fiscal Year 2017 Monthly Service Provision (AMH) 100% 95% 90% 85% 80% 75% 70% 65% 60% 55% 50% HHSC Target: >65.6% 74.7% 73.1% 74.5% 76.7% 78.0% 77.8% 75.4% 78.1% 78.5% 75.0% 76.8% 73.5% 74.6% 75.9% 75.7% 77.1% 77.0% 76.1% 75.7% 75.8% 76.8% 76.8% 72.9% 74.5% Rate Monthly Service Provision 2016 POTENTIAL 10% WITHHOLDING AVERAGE MEETS TARGET REQUIREMENT HHSC Performance Measures Fiscal Year 2017 Improvement (CMH) 60% 55% 50% 45% 40% 35% 30% HHSC Target: >25.0% 55.0% 51.00% 53.00% 54.00% 54.40% 55.00% 47.60% 46.00% 46.70% 49.20% 46.00% 47.00% 47.0% 47.0% 44.2% 44.70% 43.3% 44.0% 44.6% 42.4% 40.4% 50.1% 50.1% 51.0% Rate Improvement 2016 POTENTIAL 10% WITHHOLDING AVERAGE MEETS TARGET REQUIREMENT

20 HHSC Performance Measures Fiscal Year 2017 Community Tenure (CMH) 100% 99% 98% 97% 96% 95% 94% 93% 92% 91% 90% HHSC Target: 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% >98.1% 100.0% 100.0% 99.7% 99.7% 99.8% 99.6% 99.8% 99.9% 99.9% 99.9% 99.9% 100.0% 99.8% 100.0% Rate Community Tenure 2016 POTENTIAL 10% WITHHOLDING AVERAGE MEETS TARGET REQUIREMENT HHSC Performance Measures Fiscal Year 2017 Monthly Service Provision (CMH) 100% 95% 90% 85% 80% 75% 70% 65% 60% 55% 50% 88.3% 88.9% 89.6% 83.1% 87.6% 87.1% 88.3% 85.8% 86.6% 81.2% 85.6% 84.5% 83.2% 84.0% 85.9% 82.9% 82.4% 83.4% HHSC Target: >65% 82.1% 71.9% 74.9% 83.6% % Rate Monthly Service Provision 2016 POTENTIAL 10% WITHHOLDING AVERAGE MEETS TARGET REQUIREMENT

21 DADS SUMMARY OF SERVICES UTILIZED 350 Target = AVERAGE DID NOT MEET TARGET REQUIREMENT Questions/Comments?

22 VIII. Discussion Item: Chief Operations Officer Report (Goal 2 & 3) Dawn Handley, Chief Operations Officer Discussion

23 IX. New Business X. Citizens Comments

24