Lake County Community Health Center Governing Council met June 13.
Here are the minutes provided by the council:
1. Call to Order
Chair Fornero called the meeting to order at 5:30 p.m.
2. Roll Call of Members
Present 7 - Chair Fornero, Secretary Lara, Member Argueta, Member Bejster, Member Chuc, Member Ross Cunningham and Member Tarter
Absent 2 - Vice Chair Smith-Taylor and Member Hernandez
3. Pledge of Allegiance
Chair Fornero called upon Member Ross Cunningham to lead the Pledge of Allegiance.
4. Approval of Minutes
4.1 May 9, 2023 Meeting Minutes
Chair Fornero called for a motion to approve the minutes of the May 9, 2023 meeting. Motion by Member Tarter, second by Member Ross Cunningham. Voice vote, all in favor, motion carried.
Aye: 7 - Chair Fornero, Secretary Lara, Member Argueta, Member Bejster, Member Chuc, Member Ross Cunningham and Member Tarter
Absent: 2 - Vice Chair Smith-Taylor and Member Hernandez
5. Public Comment to the Council
None
6. Executive Director's Report
Kim Burke, Director of Healthcare Operations, provided the Executive Director's Report on behalf of Mark Pfister:
1) Governing Council Bylaws Signatures: In follow up to the bylaws discussion held at the meeting on May 9, 2023, Lisle Stalter, Lake County States Attorney appointed legal counsel, confirmed that Chair Fornero is correct in that the bylaws “outlive” the membership and therefore, do not need to go to Governing Council for approval if the only change is to member name and signature for Chair and Secretary.
2) HMA Consulting Services for LCHD Fee-for-Service to Value-based Care Transformation: The consulting contract will be reviewed and potentially approved at the next Board of Health meeting on June 28, 2023. LCHD received responses from two vendors. These consulting services will be paid for with LCHD's HRSA ARPA funds.
3) Access Lake Incorporation: It is expected that the names/positions of all potential Access Lake Board members from the hospital systems will be received by LCHD on June 14, 2023, so that LCHD can file the Articles of Incorporation to create Access Lake. Access Lake will improve access to specialty care for LCHD's uninsured population.
4) City of Hope (formerly CTCA): City of Hope is collaborating with LCHD to expand their services for our Medicaid population and providing specialty services such as colonoscopies, etc. This will be a vast improvement as previously CTCA provided less than 1% of their care to Medicaid clients and 0% to uninsured clients. CTCA was a for-profit entity whereas City of Hope is a not-for-profit and must provide community benefit to maintain that status.
7. Action items
7.1 Licensed Independent Practitioner (LIP) Reappointments - Burke
Chair Fornero called for a motion to approve the reappointment of Nimat Akorede and Genevieve Waldschmidt. Motion by Member Bejster, second by Member Ross Cunningham. Voice vote, all in favor, motion carried.
Aye: 7 - Chair Fornero, Secretary Lara, Member Argueta, Member Bejster, Member Chuc, Member Ross Cunningham and Member Tarter
Absent: 2 - Vice Chair Smith-Taylor and Member Hernandez
7.2 FY2021 Health Resources and Services Administration (HRSA) American Rescue Plan Act (ARPA) Funding for Health Centers (H8F) $8,760,875.00 - Grant Budget Revision - Burke
Kim Burke reviewed the information provided in the agenda packet. Member Tarter asked if the consultant is being paid with HRSA ARPA funds. Kim confirmed that they are as that was in the already approved HRSA ARPA budget. Member Bejster asked for confirmation that what is being brought to the Council are only those items and dollar amounts that have been revised. Kim confirmed that it is and that everything else brought to Council in the original and previously approved budget remains the same.
Chair Fornero called for a motion to ratify the revised HRSA ARPA Funding for Health Centers (H8F) budget as presented. Motion by Member Ross Cunningham, second by Member Bejster. Motion carried by the following roll call vote:
Aye: 7 - Chair Fornero, Secretary Lara, Member Argueta, Member Bejster, Member Chuc, Member Ross Cunningham and Member Tarter
Absent: 2 - Vice Chair Smith-Taylor and Member Hernandez
8. Presentations
None
9. Discussion Items
9.1 CQI Update - Hayes
Attachments: UDS Measures
Christina Hayes, Strategic Planning and Quality Improvement Manager, reviewed the information provided in the agenda packet. Member Tarter stated that it seems we're moving in the direction where we should be able to get additional funding. Christina explained that the UDS reporting is due every year by February 15th, so the metrics for 2023 will be reported by February 15, 2024. Member Bejster asked if Low Birth Weights and Prenatal Care Early Entry were current or upcoming areas of focus. Kim Burke explained that the Women's Health Services program is currently undergoing restructuring, and with Dr. Hartman's retirement and the new relationship with Drs. Abdur-Rahman for OB/GYN services, what is and isn't working, current staffing, training, etc., is being looked at. Once that restructuring is complete and staff are in place, we will be focusing on the PDSA's.
10. Director of Healthcare Operations Report
10.1 Director of Healthcare Operations Report - Burke
Attachments: FQHC Healthcare Operations Metric Dashboard 06.23
Kim Burke reviewed the information provided in the agenda packet.
11. Director of Finance Report
11.1 Director of Finance Report - Riley
Pam Riley, Director of Finance, reviewed the information provided in the agenda packet. She informed the Council that the audit is not yet complete but there are no findings for the Health Department. An extension for the Medicaid cost report had been requested as it can't be filed until the audit is complete, but it now appears that the audit won't be done by June 30th, so another extension until the end of July has been requested. As soon as the audit is complete, the auditors will attend a Council meeting to provide their report. Staff are also working very hard preparing the budgets. Chair Fornero noted that on the FY23 Expenditure Trial Balance on Operations FQHC the budgeted property taxes are $9,270,483, but that the preceding 3 columns are $3,862,701, and asked if the property taxes from 2022 or 2023. Pam explained that it is always one year behind and that the $3,862,701 is the year-to-date portion through April 2023. Chair Fornero asked if that money wasn't already received. Pam explained that the County may have been paid, but the Health Department has not yet received its payment from the County. Member Ross Cunningham asked why it states "No Budget" for donations. Pam explained it's because no donations have been received.
12. Added to Agenda
None
13. Old Business
None
14. New Business
None
15. Executive Session
None
16. Adjournment
Chair Fornero adjourned the meeting at 5:50 p.m.
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