HomeMy WebLinkAboutAgenda - GRISL n NT 840 E. Plum Street
J
L�l � Moses Lake, WA 98837
INTEGRATED SERVICES Phone: (509) 765.9239
Fax: (509) 765-1582
Grant Integrated Services Update to BOCC
Meeting Date: August 24th, 2020
1. GrIS Reports
2. COVID-19 Response
`RANT
INTEGRATED SERVICES
August 2020 Executive Director Report
To
Grant County Board of County Commissioners
New Report Format
For an improved level of transparency, I have asked Veronica Perez, CFO, to add financial information to this
monthly report, and Mike Lopez, Quality/Compliance Manager to report on services provided to date by
teams.
The financial information runs through Revenue & Expenses to date this Fiscal Year in comparison to 2019 at
this same point in time last year. This report may change as we learn more about how we track and reconcile
incoming Revenue from Grants/Projects that have been invoiced but not received.
As you will see from this initial report, we need to develop goals for increased revenue, diversified payer
sources, decreased overall expenses, while replenishing reserves. The previous goals of utilizing reserves to
balance the budget will not provide us the sustainability we need to thrive as a program. I'm excited to have
Veronica's expertise on our team as we understand this is not a quick fix, however, we look forward to the
opportunities to improve business and provide access to services needed in Grant County.
COVID 19 Plan:
Grant Integrated Services continues to remain open to the public at all sites throughout Grant County.
Currently those staff working in open work space are still working remotely. We plan to have all staff back
onsite by September 9, 2020 with a rotating schedule to help reduce numbers in each facility.
All individuals coming into and/or exiting our facilities are coming through the main front doors, being
screened, and having temperature taken. Staff are expected to wear masks when dealing with the public or
in open spaces throughout the buildings.
We have had a few staff test positive for Covid-19 so we have started to enforce the above expectations to
help stop a potential spread of the virus internally. The work areas are being sanitized after each
appointment and in the evenings by cleaning crews.
Crisis Solutions:
Depending on the completion ofthe seclusion room and once we receive the certificate of occupancy we
plan to hold a Grand Opening on September 14th. As we get closer to this date there will be invitations to the
public to attend virtual and/or in-person Grand Opening and Tour.
The following staff will provide services:
1 Registered Nurse,
6 Designated Crisis Responders (currently have 4, and offers to 2 others are being prepared),
6 Crisis Intervention Specialists;
4 Mobile Outreach Crisis Peers
We are excited to partner with Samaritan Hospital to provide food services as well as triage services through
the Emergency Room prior to admission to Crisis Solutions.
Ephrata Location:
We continue to work with Tom Gaines and the Realtor for the facility we are interested in at 261 SW Basin St.
We are currently reviewing floor plans and identifying what potential renovations for office space are needed
before moving forward on any other negotiation to acquire.
Bu el Veer Ela aed
Grant Integrated Services Budget Status
Budget to Actual Comparison of Revenues and Expenditures
5,316,702
7,541,051
5,545,372
3,960,980 (1,965,301)
73.5%
228,670
31.01-99 Supplies
69,005
117,800
IFY 2019
62,179
FY 2020
73.9%
18,045
-78
FY 2020;
18,457
Actual thru
12,264
Actual thru
Budget
37.7%
(6,193)
35.00 Minor Equip
63,956
Budget
Encumbrances
Remaining
%of Budget
Comparison
GENERAL EXPENSE FUND
35.05 Software & License
14,685
20,000
448
320
19,233
Revenues
(14,237)
35.64-80 Minor Equip
38,654
75,000
48,184
34,417
311.10.0000 Real and Personal Property (DCL)
171,197
316,200
176,908
139,292
55.9%
5,711
311.30.0000 Sale -tax Title Property - 8056
52
0
0
0
0.0%
(52)
317.20.0000 Leasehold and Other Excise -8056
2,248
4,000
2,143
1,857
53.6%
(105)
332.15.6000 US Fish/WL In -Lieu
18
0
15
(15)
0.0%
(3)
333.93.43004301 Partnership for Success
25,404
50,000
41,091
8,909
82.2%
15,687
333.93.5901 SAPT-SABG - SUD 9057
30,002
65,600
58,754
6,846
89.6%
28,752
333.93.7803-7804 Quincy SOR-State Opioid Resp (9063)
0
0
52,138
(52,138)
0.0%
52,138
334.04.6400.6401 DMF/DMA9059
9,993
73,500
10,503
62,997
14.3%
510
334.04.6700 CJTA
45,464
99,000
53,792
45,208
54.3%
8,328
336.02.5100 PLT -Game Land 8056
215
250
106
144
42.3%
(110)
336.06.9400.9500 Liquor/Beer Excise - 9056
15,035
27,798
11,476
16,322
41.3%
(3,559)
338.67.0200 City Lig Bd Profits
0
0
0
0
0.0%
0
341.81.0000-0001 Medical Records (8056)
7,976
11,000
6,238
4,762
56.7%
(1,738)
346.30.XXXX SUD
30,287
108,000
40,642
67,358
37.6%
10,355
346.30.0003 CITY OF QUINCY-PREV 9064
30,000
10,000
20,000
(10,000)
200.0%
(10,000)
346.30.5000 SABG
8,529
0
52,940
(52,940)
0.0%
44,412
346.30.5002 BEACON- SAFE SYRINGE
0
0
15,494
(15,494)
0.0%
15,494
346.30.6400 BEACON -DMA
0
0
1,526
(1,526)
0.0%
1,526
346.40.0000-0001 MENTAL HEALTH CLIENT (Private/Insurance)
44,459
85,000
84,144
856
99.0%
39,685
346.40.0002 & 0007 Grants (NCACH, CHI, PATHWAY)
45,104
90,400
104,589
(14,189)
115.7%
59,485
346.40.0300 Mental Health Contracts (Schools)
129,425
189,000
86,806
102,194
45.9%
(42,619)
346.40.2000-2001 Amerigroup- MCO
301,893
638,000
347,112
290,888
54.4%
45,219
346.40.3000-3001 Cordinated Care- MCO
959,745
1,810,825
949,787
861,038
52.5%
(9,958)
346.40.400040001 Molina -MCO
3,361,844
6,653,384
3,393,208
3,260,176
51.0%
31,364
346.40.5002 BEACON- MCO
736,337
1,520,000
671,466
848,534
44.2%
(64,872)
346.40.6000-6002 Suported Housing & Employment
58,786
129,000
51,106
77,894
39.6%
(7,679)
346.40.6469 Non Medicaid State- Molina
118,534
200,000
71,868
128,132
35.9%
(46,666)
361.11.0000 Investment Interest
28,119
51,800
8,028
43,772
15.5%
(20,091)
369.91.000 Miscellaneous Revenue
11,400
12,000
1,472
10,528
12.3%
(9,928)
367.00.0001 Contributions & Donations
8,413
18,000
0
18,000
0.0%
(8,413)
381.20.000 Interfund Loan Repayment(s)
41,194
41,800
8,350
33,450
20.0%
(32,844)
DCL Revenues
1,024,318
2,533,641
1,092,917
1,440,724
43.1%
68,599
Crisis Solutions Revenues
31,431
0
199,697
(199,697)
0.0%
168,266
Total Revenues
7,277,422
14,738,198
7,614,316
5,882,855
51.7%
100,029
00 Payroll, (Salades,Overtime,Benefts,Misc Exp)
5,316,702
7,541,051
5,545,372
3,960,980 (1,965,301)
73.5%
228,670
31.01-99 Supplies
69,005
117,800
87,050
62,179
(31,429)
73.9%
18,045
32.00-80 Fuel
18,457
32,500
12,264
8,760
11,476
37.7%
(6,193)
35.00 Minor Equip
63,956
100,000
23,141
16,529
60,329
23.1%
(40,815)
35.05 Software & License
14,685
20,000
448
320
19,233
2.2%
(14,237)
35.64-80 Minor Equip
38,654
75,000
48,184
34,417
(7,601)
64.2%
9,530
41.01-80 Professional Services
230,480
309,000
165,924
118,517
24,558
53.7%
(64,555)
41.52 Grant County Technology Service
106,291
140,545
100,536
71,811
(31,802)
71.5%
(5,755)
42.01.92 Communications
65,786
118,000
99,857
71,326
(53,183)
84.6%
34,071
43.01-80 Travel
70,172
119,500
15,598
11,141
92,761
13.1%
(54,575)
44.00-54 Advertising
6,530
12,000
14,648
10,463
(13,110)
122.1%
8,118
45.00-80 Rentals & Leasing
32,605
147,000
32,122
22,944
91,934
21.9%
(483)
46.07.96 Insurance
179,081
233,587
214,586
20,000
(999)
91.9%
35,505
47.00-80 Utilities
32,476
59,162
28,816
20,583
9,763
48.7%
(3,660)
48.00-80 Repairs & Maintenance
66,564
47,000
57,277
40,912
(51,190)
121.9%
(9,287)
49.00-80 Miscelaneous
83,267
141,900
58,192
41,565
42,143
41.0%
(25,076)
594.64.62.00 Capital Expense
0
0
12,867
0
(12,867)
0.0%
12,867
588.10.0000 Prior Year Adjustment -
0
0
0
0
0
0.0%
0
588.10.0000 Prior Period adjustment (BH)
0
0
0
0
0
0.0%
0
585.00.0000 Special or Extraordinary- MH Residential
0
0
0
0
0
0.0%
0
581.10.0000 Interfund loan to DCL DD
0
0
0
0
0
0.0%
0
597.00.0000 Oper Transfers Out
95,233
45,000
45,000
0
0
100.0%
(50,233)
DCL Expenses
1,349,012
2,526,841
1,335,134
28,000
1,163,707
52.8%
(13,877)
Crisis Solutions Expenses
30,902
0
257,802
0
(257,802)
0.0%
226,900
Total Expenditures
7,869,857
11,785,886
8,154,816
4,512,448
(909,378)
69.2%
284,959
Operating Transfers: New 0 0 0
Interfund Loan to Capital Projects or XXXXX
Crisis Solutions & DCL net income for YTD 623 6,061
EXCESS (DEFICIT) OF TOTAL
REVENUES OVER (UNDER)
TOTAL EXPENDITURES (592,435) 2,952,312 (540,500)
Fund Balance at January 1st 942,021 0 942,021
BEHAVIORAL HEALTH MEASURES - ENCOUNTER DATA
Substance Use Disorder Encounters by Month
1,400
1,200
1,000
800
Q 600
400
200
0
Jan Feb March April May June July
Seriesl 1,157 1,127 948 688 571 710 723
Mental Health Encounters by Month
3,400
3,300
3,200
v 3,100
N 3,000
X
a 2,900
2,800
2,700
2,600
Jan Feb March April May June July
Seriesl 3,223 3,062 2,985 3,297 2,938 3,101 2,839
Encounters by Program YTD
20000
18000
16000
14000
12000
10000
Q 8000
6000
4000
2000
■
_
0
FCS Crisis SUD WISe MH
■ Seriesl
719 1,274 6,242 2,766 18,859
Substance Use Disorder Encounters by Month
1,400
1,200
1,000
800
Q 600
400
200
0
Jan Feb March April May June July
Seriesl 1,157 1,127 948 688 571 710 723
Mental Health Encounters by Month
3,400
3,300
3,200
v 3,100
N 3,000
X
a 2,900
2,800
2,700
2,600
Jan Feb March April May June July
Seriesl 3,223 3,062 2,985 3,297 2,938 3,101 2,839
WISe DATA
Caseload = 39
Capacity = 45
Total Service Hours for Wise
by Month for 2020
600
500
v 400
~ 300
Q 200
100
0
January Februar March April May June July
y
F-—Seriesl 520 438 272 246 161 185 269
PENETRATION YTD
Penetration Rate = Total number of unduplicated people with a behavioral health need who
received at least one visit during the measurement year.
2,427