1. Board Education March 20, 2013

2. 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

3. 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

4. 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.

5. 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?

6. 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?

7. 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

8. 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

9. 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

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

11. Board Education Program Review and Self Assessment

12. 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

13. 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

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

15. 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

16. 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