Board Education March 20, 2013

9 Core Governing Board Responsibilities & How to Do Them Assess & Monitor Needs of Target Population Approve & Monitor Annual Budget Review Independent Financial Audit Monitor Financial Performance Using Financial Statement Data Establish a QA/QI Program Engage in Long-Term Strategic Planning Caring for the future of the communities we serve

QI Plan: Board Education Goals of an FQHC QI Plan Reflects our Mission and Goals Assures & improves the quality of our clinical and management services Communicates improvements to staff, board and patients Complies with FQHC program requirement

QI Plan: Board Education Board Responsibilities Review annually Ensure Board Committee oversees QI activities Assure qualified clinical staff, (Clinical Director) has responsibility QI, and is adequately supported Complies with FQHC program requirement Assure record keeping and reporting systems adequately provide information enablineg QI, while ensuring patient confidentiality.

QI Plan: Board Education Questions Board Members Should Ask: What is quality? safe, effective, patient-centered, timely efficient and equitable. What are the QI activities and goals? Who is leading the QI Program? Are QI staff trained and competent? Is performance being improved? Is the EMR system adequate to support the QI function?

QI Plan: Board Education Questions Board Members Should Ask: Is patient confidentiality protected? Are more resources needed to improve performance? Is the QI program compliant?

QI Plan Review Updates to GFHS’ QI Plan Six Sigma DMAIC model for Quality Improvement Define – selecting high-impact projects & understanding which metrics will impact success Measure – evaluate & document the process Analyze – collect and analyze data which helps to identify trends & and provide feedback Improve – consider, evaluate & select solutions Control – scheduled revisit of metrics to ensure improvements are sustained

QI Plan Review Updates to GFHS’ QI Plan Refinement of Monitoring & Evaluation steps 15 steps include more focus on assignment of QI responsibilities based on area of expertise

QI Plan Review Update of QI Committee Members (03/2013) Robert Spencer Executive Director Marie Adeniyi Director of Quality and Informatics William Donigan, DDS Dental Director Shirley Ocloo, MD Medical Director Bob Martin Chief Financial Officer Veronica Feduniec Chief Operating Officer Dana Smith Director of Nursing Cheri Davis Human Resources Director Sharmilla Anderson Business Services Administrator, Medical Karen Edwards Business Services Administrator, Dental Tracy Thompson Site Supervisor, Hudson Medical Clinic

QI Plan Review GFHS’ Program Committee has approved the revised Plan and will motion for Board approval

Board Education Program Review and Self Assessment

Past Sessions: The good/bad & ugly…. Meeting Month Excellent Good Fair Poor (I wasn’t there) n/a Comments Oct ‘12 Board Consumerism: The importance of Board Consumerism… it’s more than just a requirement (L. Gibbs)   Nov ‘12 Health Center Acronyms: The ‘Who Wants to be a Millionaire Game’ to crack healthcare acronyms (L. Gibbs) Dec ‘12 GFHS Board Composition, Roles & Duties…and how they differ from that of Management Jan ‘13 Guest Speaker: Marvin Allen, Director of Pharmacy… GFHS’ pharmacy structure Feb ‘13 Guest Speaker: Lisa Boggs, Marketing Consultant…launch/demo of GFHS website Understanding FQHC Financial Statements…what to look for; questions to ask (Bob Martin) Mar ‘13 Review of FQHC QI Plan… Board responsibilities, questions to ask and review of GFHS’ 2013 Plan

Sneak Peek at Future Sessions…. Y N Understanding Payer Mix: what does it all mean? Self-pay, Insurance, Medicaid/Medicare and what’s important to understand   More Healthcare Acronyms : … there’s always more.. Guest Speaker: A GFHS Provider – a day in the life… challenges, problems, successes Real-life scenarios for a Board Member: Open discussion around possible scenarios facing Board members…. How to answer questions from the community, staff members, etc. Guest Speaker: Community Health Partners Director.. What do we do? Guest Speaker: HealthNet Gaston Director.. What do we do? Guest Speaker: Chris Dobbins/Gaston County Health Deparment….GFHS and the HD working together Guest Speaker: David Fogerty, Gaston County Health Commission…and the community Guest Speaker: Rick Richards, GFHS PACE Director (Total Life Care)… a great start

Future Sessions…. Are there any particular subjects or areas you would like to see covered in the Board Education sessions? Please let us know:

Orientation/Reference Binder Excellent Good Fair Poor n/a Comments Board Basics: contacts, meeting dates, membership, committees, bylaws   GFHS Past & Present slide deck: GFHS Orientation Manual: GFHS locations, services, special programs, acronyms, personnel policies Personal Board Member documents Board member job description, your signed policies (confidentiality, etc) GFHS Budget Meeting Minutes

Your Role as a Board Member Board strength & weaknesses Are you at ease expressing problems/concerns? Are conflicts resolved satisfactorily? Suggestions for more efficient & effective Board