New Health Director Orientation 2017

What Drives Our Programs General Statutes Agreement Addenda Community Health Assessment Strategic Plan Local Politics Never Operate In A Spirit of Fear

Inheritance Finances Management Team Staffing County Management Agency Reputation

THE BOARD Oversight & Policy, not management New $ always needs to come before the board Lunch meetings are great No longer than 1.5 hours Invite key staff in to present their programs Let them know of any new developments, they do not need to be blind sided Financials should be a standing agenda item Leverage your board for good causes but try not to pit them against the County Commissioners or County Management

Contracts Contract process covers when we pay someone for a service I review the contract, but I do not sign it Once I review I send it to my Finance Officer (holder of the contracts) My Finance Officer forwards to the County Finance Officer for his blessing, he signs off or not and sends it back to me Iran Divestment Act E-Verify Non-Appropriations Clause Governing Law I sign it and send it to the vendor for their signature The completed document is received and placed on file in the Health Dept. A tickler system is set up to remind us of pending renewals MOU’s and MOA’s that do not involve money are handled at the Health Dept. level and also kept on file

The Case For Clinical Services We bring in more $ for serving Medicaid clients than any other provider in the state Much of our state is comprised of health professional shortage areas No revenue streams= Dependency on County $ We turn $1,200 ER visits in to $40 clinic visits every day, several times a day Stabilizing the most needy population in our area, access to care, prescriptions, referrals etc. High Risk Maternity, Pediatric Dental, Primary Care, Family Planning, Immunizations, STD, CD and Travel Shots

Where Do You Start? Credentialed oversight physician Medicaid provider status PPO contracts with everybody Providers, MD, FNP, PA At least three exam rooms for them to turn over the patients 18-20/ day Hospital support, you will save them big in their ER

Constantly Measure Your Department Patient Satisfaction 93% > approval rating or higher Visit cycle times Financials A/R 30-60 days of revenue First Pass Pay Rate 90% > Next available appointment On-site response < 8 work days Strive for 100% of Inspections

Get Everybody On The Same Page Strategic Plan Main Things List Solution Box Management Team Meetings (How to Run a Meeting 101)