1. New Health Director Orientation
2017

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

3. Inheritance Finances Management Team Staffing County Management
Agency Reputation

4. 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

5. 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

6. 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

7. 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

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

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