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Home My WebLink AboutSummary MinutesA recording of the meeting can be viewed at https://us02web.zoom.us/rec/share/3zDjIyC5wM0F6tk2C3t9HvIfR7EdYvvpwaT0mk1z6WMUd P5sEEG6KiBcLIjq91l-.03rJgpRjvkfki9ce Passcode: 2jv$&Ku2 ALLUMBAUGH HOUSE BOARD OF DIRECTORS MEETING City Council Conference Room, 33 East Broadway Avenue, Meridian, Idaho Monday, August 07, 2023 at 10:00 AM Summary Minutes CALL TO ORDER – Mayor Stear, Chair, called the meeting to order at 10:00 AM ROLL CALL ATTENDANCE Members in attendance: Mayor Stear (Kuna), Mayor Simison (Meridian), Mayor McLean (Boise), Commissioner Dayley (Ada County), Deanna Watson (Boise City/Ada County Housing Authority) Others in attendance: Heidi Hart, Cindy Miller, Kirsten Szabo, Kate Nelson, Angie Gribble CHANGES TO THE AGENDA BUSINESS ITEMS 1. Approve Minutes of the March 6, 2023 Allumbaugh House Joint Powers Entity Meeting – Approved 2. Approve Minutes of the April 3, 2023 Allumbaugh House Joint Powers Entity Meeting - Approved 3. Allumbaugh House Annual Report (October 1, 2021 - September 30, 2022) – Cindy Miller shared the Annual Report. She stated that the next Annual Report will be provided at the next JPE Meeting. Additionally, Cindy shared the Quarterly Report and answered questions. (Both presentations are included in this packet) 4. Allumbaugh House Funding Update – Kirsten Szabo provided a funding update (Updated included in this packet) 5. Renewal of Operating Contract by and between the Allumbaugh House, A Joint Powers Entity and Community Clinics, Inc. – Kate Nelson provided a funding update and made a recommendation to be voted on at the next JPE meeting ANNOUNCEMENTS ADJOURNMENT NEXT MEETING – OCTOBER 2, 2023 – 10:00 AM • In this fiscal year, Allumbaugh House provided services to 723 patients. • The average patient stay is 5.2 days. • On any given day, the census is an average of 10 patients. • The average cost of a bed per day is $688. Housing Status 34% Homeless 66% Housed Gender 60.7% Male 39.3% Female The Joint Powers Entity and Allumbaugh House would like to express their thanks to the many community partners who provide collaborative care to our patients. The support provided by referrals sources and aftercare organizations is critical to on-going recovery. Change is possible. 400 N Allumbaugh St. Boise, ID 83704 208-377-9669 www.trhs.org STAFF Sage Healthcare Charles Novak, M.D. Medical Director STAFF Terry Reilly Heidi Hart,Terry Reilly CEO Cindy Miller, Program Director BUDGET REPORT: Total Budget $2,586,888 SERVICE 0% 25% 50% 75% 100% 99%1% Detox Mental Health REFERRALS 10% 20% 30% 40% 50% 17% Hospitals 56% Self-Referrals 27% Others 0% Allumbaugh House Annual Report 10/1/2021 - 9/30/22 60% Allumbaugh House serves residents of Ada, Boise, Valley and Elmore counties, providing medically monitored substance use detoxification and mental health crisis services. Terry Reilly Health Services (TRHS) is contracted to operate Allumbaugh House, which is open 24 hours a day, 7 days per week. Terry Reilly provides active treatment services including assessment, treatment planning, individual and group counseling, discharge planning and care coordination. Recruitment and retention of employees became a priority in the competitive post-pandemic health care market. Rising costs associated with the comprehensive, specialty care we provide resulted in budgetary challenges as well. In addition to staffing challenges we saw a higher level of complexity in our patient population. This is likely due to increased Fentanyl use and the fact that more patients are using multiple substances. Despite the challenges, Allumbaugh House staff continued to diligently maintain infection control and safety practices while supporting the therapeutic environment.The continued support and funding contributions of the Joint Powers Entity allows Allumbaugh House to continue to serve four counties and “plant seeds of change.” Thank you to our funding partners: • Cities of Boise, Meridian, Kuna and Eagle• Ada County• Idaho Department of Health and Welfare• Boise City-Ada County Housing Authority• Saint Alphonsus and St Luke’s (non-voting members)• Terry Reilly Health Services TRHS contracts with Sage Health Care for psychiatric and medical services and Life’s Kitchen for meals. Alcoholics Anonymous and Narcotics Anonymous provide in-house, 12-step support and El-Ada offers health education programming. The Allumbaugh House Alumni Group meets weekly to share recovery success stories that inspire hope and optimism in our patients. 38% 9% 8% 12% 13% 3% 1%1% 16% 9% St Alphonsus 13% Ada County 8% St. Lukes 3% City of Meridian 1% City of Kuna 0% Garden City 38% State of Idaho Division of Behavioral Health 1% City of Eagle 12% City of Boise 16% Terry Reilly Health Services 4 Item 3. • In this fiscal year, Allumbaugh House provided services to 723 patients. • The average patient stay is 5.2 days. • On any given day, the census is an average of 10 patients. • The average cost of a bed per day is $688. Housing Status 34% Homeless 66% Housed Gender 60.7% Male 39.3% Female The Joint Powers Entity and Allumbaugh House would like to express their thanks to the many community partners who provide collaborative care to our patients. The support provided by referrals sources and aftercare organizations is critical to on-going recovery. Change is possible. 400 N Allumbaugh St. Boise, ID 83704 208-377-9669 www.trhs.org STAFF Sage Healthcare Charles Novak, M.D. Medical Director STAFF Terry Reilly Heidi Hart,Terry Reilly CEO Cindy Miller, Program Director BUDGET REPORT: Total Budget $2,586,888 SERVICE 0% 25% 50% 75% 100% 99%1% Detox Mental Health REFERRALS 10% 20% 30% 40% 50% 17% Hospitals 56% Self-Referrals 27% Others 0% Allumbaugh House Annual Report 10/1/2021 - 9/30/22 60% Allumbaugh House serves residents of Ada, Boise, Valley and Elmore counties, providing medically monitored substance use detoxification and mental health crisis services. Terry Reilly Health Services (TRHS) is contracted to operate Allumbaugh House, which is open 24 hours a day, 7 days per week. Terry Reilly provides active treatment services including assessment, treatment planning, individual and group counseling, discharge planning and care coordination. Recruitment and retention of employees became a priority in the competitive post-pandemic health care market. Rising costs associated with the comprehensive, specialty care we provide resulted in budgetary challenges as well. In addition to staffing challenges we saw a higher level of complexity in our patient population. This is likely due to increased Fentanyl use and the fact that more patients are using multiple substances. Despite the challenges, Allumbaugh House staff continued to diligently maintain infection control and safety practices while supporting the therapeutic environment.The continued support and funding contributions of the Joint Powers Entity allows Allumbaugh House to continue to serve four counties and “plant seeds of change.” Thank you to our funding partners: • Cities of Boise, Meridian, Kuna and Eagle• Ada County• Idaho Department of Health and Welfare• Boise City-Ada County Housing Authority• Saint Alphonsus and St Luke’s (non-voting members)• Terry Reilly Health Services TRHS contracts with Sage Health Care for psychiatric and medical services and Life’s Kitchen for meals. Alcoholics Anonymous and Narcotics Anonymous provide in-house, 12-step support and El-Ada offers health education programming. The Allumbaugh House Alumni Group meets weekly to share recovery success stories that inspire hope and optimism in our patients. 38% 9% 8% 12% 13% 3% 1%1% 16% 9% St Alphonsus 13% Ada County 8% St. Lukes 3% City of Meridian 1% City of Kuna 0% Garden City 38% State of Idaho Division of Behavioral Health 1% City of Eagle 12% City of Boise 16% Terry Reilly Health Services Assessm.. FY 2023 Q3 April May June Detox Grand Total 928583 928583 Allumbaugh House Assessments FY 2023 Q3 0 20 40 60 80 100 120 140 160 180 200 220 240 260 280 260 FY 2023 Q3 86.7 Assessments Average Per Month AssessDisp..Assessment Disposition Reason Closed With Admit Met admission criteria No Show for Admit Total Closed Without Admit Unwilling to Schedule Admit Requires higher level of care services Does NOT meet admission criteria Payer source Referred Resides outside of service area Total Grand Total 194 5 189 66 3 4 6 7 13 33 260 Assessment Dispositions FY 2023 Q3 70.0% 189 / 260 Assessments Leading to Admits FY 2023 Q3 Avg Days: 0.6 Max Days: 7 Min Days: 0 Assessment to Admit April 2023 (Q3) to June 2023 (Q3) FY 2023 Q3 0.0 0.5 1.0 1.5 Avg: 1.3 Max: 6 Min: 0 Average Days on WaitList per Quarter April May 0 1 2 3 4 5 Count of Wait List Date Time44 Total Waitlisted FY 2023 Q3 April May June 20 Waitlisted & No Admit FY 2023 Q3 April May June 0% 0 / 92 5% 4 / 85 5% 4 / 83 Percent of Assessments WaitListed April 2023 (Q3) to June 2023 (Q3) Assessm.. FY 2023 Q3 April May June Detox Grand Total 636564 636564 Allumbaugh House Admits FY 2023 Q3 0 50 100 150 200 192 April May June 0 20 40 60 64 6365 Admits per Month FY 2023 Q3 64.0 Admit Average per Month FY 2023 Q3 Avg: 4.9 Max: 16 Min: 0 Admit to Discharge Days FY 2023 Q3 0 2 4 6 8 10 10.0 Daily Census April 2023 (Q3) to June 2023 (Q3) Dc Type Ofs.. FY 2023 Q3 April May June Detox Mental Health Grand Total 596661 1 596660 Allumbaugh House Discharges FY 2023 Q3 0 50 100 150 200 Count of Discharge ID186 April May June 0 5 10 9.59.4 11.0 Daily Average Census - by Month Completed Treatment Left before completing treatment Transferred to a higher level of care Grand Total 186 2 7 70 107 Discharge Disposition FY 2023 Q3 62.9% Percent Treatment Completed DC Treat.. FY 2023 Q3 Completed Treatment Did NOT Complete Treatment Grand Total Avg: 4.8 Max: 16 Min: 0 Avg: 2.8 Max: 6 Min: 0 Avg: 6.3 Max: 16 Min: 2 Length of Stay in Days April 2023 (Q3) to June 2023 (Q3) Substance FY 2023 Q3 ALCOHOL METHAMPHETAMINE FENTANYL MARIJUANA COCAINE BENZODIAZEPINES OPIATE KRATOM BATH SALTS AMPHETAMINES METHADONE KETAMINE HEROIN 2 2 2 3 6 6 6 8 11 16 74 94 128 CDA SUD Inventory Substances FY 2023 Q3 DX Alcohol DX Amphet Stim DX Opioid DX Psychoactive DX Cocaine DX Sed Hypntc Anxio DX Cannabis DX Heroin DX Benzo DX Antidepressant DX Barbit DX Ecstacy DX Hallucinogen Dxlsd DX Methadone DX Methylphenidate DX Narcotic DX Nicotine DX Synthetics Alt 0 0 0 0 0 0 1 0 0 0 0 0 0 0 5 1 78 68 100 Discharge Diagnosis Substances 28.2% Alcohol & Substance 45.4% Substance 26.4% Alcohol Substance Use Category 59.2% PolySUD 40.8% UniSUD Substance Use - Poli or Uni April May June 0 5 10 15 20 25 Avg. Dc Phq97.78.2 7.1 Average PHQ9 Scores at Discharge Percent PHQ9 at Admit: 90.8% (158 / 174) Average PHQ9 at Admit: 15.9 Percent PHQ9 at Discharge: 79.9% (139 / 174) Average PHQ9 at Admit: 7.7 PHQ9 Percent Complete and Average April May June 0 10 20 Avg. Admit PHQ915.815.2 16.5 Average PHQ9 Scores at Admit AVG PHQ Reduction: -8.3 Best PHQ Reduction: -27 PHQ 9 Difference from Admit to Discharge The Patient Health Questionnaire (PHQ9) is a 9-question survey of the patient's depression level. Total score ranges from 0 to 27. - Score 20+ = Diff. Dx of Severe Depression - Score 15+ = Diff. Dx of Moderately Severe Depression - Score 10+ = Diff. Dx of Moderate Depression - Score 5+ = Diff. Dx of Mild Depression Terry Reilly is comitted to mental health. An active diagnosis of Suicidality or Depression should be made by a mental health provider full evaluation. Our Allumbaugh staff are dedicated to providing support and resources to support all our patients. April 2023 (Q3) to June 2023 (Q3) April 2023 (Q3) to June 2023 (Q3) Primary Payer .. CareOregon Medicaid Self-Pay 50 140 1 Demographics - Pt Primary PayerDemographics - Age Range 0-19 20-29 30-39 40-49 50-59 60-69 10 24 58 67 31 1 13% 24 30% 58 35% 67 16% 31 5% 10 1% 1 Demographics - Gender Demographics - Race Female Male 110 81 57.6% Male 42.4% Female 1% Black/African American 98% White 0-19 20-29 30-39 40-49 50-59 60-69 Female Male American Indian Black/African American Filipino White White Black/African American American Indian 1 2 172 Demographics - Homeless versus Housed 85% Not Latino/a 12% Unreported 2% Latino/a 26.7% Homeless 51 73.3% Housed 140 8% Transitional 4 37% Other/Unk 19 37% Shelter 19 Homeless Sub Category Demographics - Ethnicity MERIDIANBoise Demographics - City Homeless Housed Shelter Other/Unk Street Transitional 4 9 19 19 help Latino/a Not Latino/a Unreported Not Latino/a Unreported help Latino/a 3 3 16 162 Boise MERIDIAN GARDEN CITY NAMPA EAGLE STAR KUNA Willits TWINSBURG POCATELLO ONTARIO MTN HOME MOUNTAIN HOME Middleton MCCALL MAGALIA IDAHO CITY 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 2 4 4 7 28 129 Allumbaugh House Financial UpdateAs of June 30, 2023August 7, 2023 Budget Projected Budget Oct 1, 2022 - Sept 30, 2023 Oct 1, 2022 - Sept 30, 2023 Oct 1, 2023 - Sept 30, 2024 Wages1 Wages Total $1,529,591 1,603,602$ 1,748,961$ Benefits (Insurance, FICA, SUI, etc.) 33.75% 29.27% 29.99%2Benefits Total $516,237 $469,369 $524,530Professional Services3Psychiatric/Medical Services $201,167 $210,700 $211,6004Criminal History/Health Checks $1,250 $400 $7005Linen Service $20,100 $24,900 $28,0006Food Service and Supplies $45,000 $45,700 $40,8007Transcription $26,000 $21,000 $20,7008Biohazard Disposal $500 $540 $8009Lab Services $3,500 $560 $70010Electronic Health Record (PM/DP/Payroll) $60,000 $83,300 $62,20011 Professional Services Total $357,517 $387,100 $365,500 Budget Projected Budget Oct 1, 2022 - Sept 30, 2023 Oct 1, 2022 - Sept 30, 2023 Oct 1, 2023 - Sept 30, 2024 Supplies12Medical Supplies $13,500 $14,400 $14,10013Office Supplies $3,000 $3,000 $2,10014Patient Medication $10,000 $10,000 $7,00015Lab Supplies $3,000 $0 $1,50016Patient Supplies $2,500 $8,000 $7,10017Patient Transportation $1,500 $1,000 $50018Minor Equipment and Supplies $1,500 $1,800 $10,80019Supplies Total $35,000 $38,200 $43,100Facility20Rent $140,000 $149,000 $138,00021Facility Maintenance $1,200 $0 $2,80021Utilities$400 $0 $022Telephone $15,000 $19,100 $17,80023Record Destruction $1,000 $1,000 $50024Postage/Fax $100 $0 $10025Printing $2,000 $500 $1,00026Travel, Training, and Continuing Education $3,000 $3,000 $5,00027Licenses and Dues $0 $3,700 $1,70028Facility Total $162,700 $176,300 $166,900 Budget Projected Budget Oct 1, 2022 - Sept 30, 2023 Oct 1, 2022 - Sept 30, 2023 Oct 1, 2023 - Sept 30, 2024 Misc.29Local Mileage $3,000 $1,100 $1,40030Insurance $32,110 $12,400 $18,40031Indirect $292,152 $251,766 $274,58732Misc. $5,000 $5,000 $1,40033Misc. Total $332,262 $270,266 $295,78734Total Budget Request $2,933,306 $2,944,837 $3,144,7783536Total JPE Funding $2,167,524 $2,167,524 $2,167,51937other Contributions $34,787 $34,787 $34,78738Medicaid Revenue $782,213 $782,213 $782,21339Total Project Funding $2,949,737 $2,984,524 2,984,518$ 40Project Funding Surplus/(Deficit) $16,430$39,687 ($160,260)41TRHS Contribution ($16,430) ($39,687) $160,26042Total Project Variance $0 $0 $0 43ContributorForecasted % of Funding44State of Idaho 990,000 34%45State of Idaho - Medicaid 782,213 27%46Ada County 330,233 11%47City of Boise 318,418 11%48City of Meridian 67,053 2%49St. Luke's 205,800 7%50St. Alphonsus 225,000 8%51Garden City 34,787 1%52City of Eagle 17,749 1%53City of Kuna 13,265 0%54Terry Reilly (39,687) -1%55Total 2,944,837 100%Actual/Current Funding: Oct 1, 2021 - Sept 30, 2022