Report to Board of Directors June 12, 2017 State of PfP Report to Board of Directors June 12, 2017

CCBHC Benefits Cost-Based Reimbursement Daily Rate Insulation for 2 years From Uncertain Future Health Care Financing and Policy Focus On Quality Industry Leader Program Expansion Across Lifespan

CCBHC Challenges Effective Implementation of Standardized Process Flows In Clinical Service Delivery Effectiveness At Collecting and Reporting On Required Data, Including Quality Measures Heavy Lift for Training of Clinical Staff Daily Rate Based on Cost Report Projection (opportunity to amend after 1st year) Claim Reimbursement Functionality (New) Implementation Of Children/Youth Expansion and Outpatient Mental Health and Substance Use Treatment

Finances Cash Reserves Are Stable and Strong Expenses Favorable To Plan (Vacancies) AR Has Continued To Improve Through Year Diversification and Addition of Revenue Sources (Medicare/MCO) FY18 Progress Toward Alignment of Revenue and Quality Service Provision FY18 Budget Expansion

People/HR Completed Robust Compensation Study Resulting in 2 Phase Plan for Bringing All Staff to a Competitive Mid-point salary Challenges With Recruitment of Prescribers and Nurses Two Employment Satisfaction Surveys Completed, including PEC Committee Led Employee Focus Groups Continued Evolution of HR With Agency Growth and Complexity Trauma-Informed & Culturally/Linguistic Competence Continue To Improve Inter-Agency Communication and Development of a Culture of Trust, Honesty, Equity and Transparency

Development Enhancing Department Infrastructure With Addition of Administrative Support Strategically Focused Committee and Sub-Committee (Public Affairs) Commencing Work With “Almanac” On Branding Project Preparation and Alignment of Activities to Support Capital Campaign

Facilities/Property Discussion/Activity On Housing Property Ownership/Management Transfer To GHF Assessment and Master Facility Plan Proposal (Present Site vs. Future Site) August, 2017 If Future Site, Presentation On Available Potential Future Site/Location, September, 2017 Purchase Of New Telecommunication System

Medical Services Continuing Challenges With Recruitment of Providers (Psychiatrists, APN’s, Nurses) Implementation of Telemedicine Service for Psychiatry Opening of Suboxone Clinic and Availability of Nalaxone Researching Opportunities for Expansion of Primary Medical Clinic Availability Continuing Work On Full Integration of Health Care Home Activity With Overall Service Delivery, With Exception of Outpatient

Quality Improvement Investments In Focus of, and Infusion of a Culture of, Quality and Health Outcomes Competence and Routine Utilization of Performance Improvement Models To Drive Quality (PDSA, A3, Appreciative Inquiry, etc.) Quality = Improved Health Outcomes

Governance Recruited 5 New Board Members and 3 New Non-Board Committee Members Resignation of 3 Board Members Focus On Work of Board Committees Diversity and Representation of Persons Served Remains a Challenge Capital Campaign Continued Challenges of Organization Growth and Governance

Legislation/Public Policy Brief General Comments