Exec Console Rev 25 - Recovery Network

Executive Decisions Required (2)

ACO Partnership Contract

Horizon Health Partners $4.2M annual value

Mon

W Dr. Williams strategic analysis: 23% margin improvement projected, aligns with value-based care initiative

Board vote scheduled Monday. Contract includes shared savings model with 45% upside on quality metrics. CFO recommends approval with amended termination clause.

State DHHS Audit Response

Compliance Review 42 CFR Part 2

Dec 20

C Dr. Chen compliance assessment: 3 minor findings, all corrective actions documented

Annual state audit findings require executive sign-off. No material issues. Response letter drafted by compliance team.

Strategic Items (3)

Q4 Board Presentation

Strategic Review January 8, 2025

25 days

Annual strategic review presentation. Key topics: AI platform performance, pilot expansion plan, 2025 growth targets.

Pilot Site Expansion

3 New Facilities Proposed Q1 2025

Planning

Phoenix Recovery (AZ), Harbor Behavioral (CA), Summit Treatment (CO) have completed technical readiness. Combined 450 new beds.

SAMHSA CCBHC Grant

$2.4M Letter of Intent Submitted

Pending

Expansion grant for integrated care model. Funds AI-powered crisis prediction expansion to 5 additional sites.

Completed This Week (2)

BlueCross Contract Signed

In-network status Effective Jan 1

Signed

CMO Search Finalized

Dr. Chen starts Feb 1

Complete

Financial Alerts (1)

Days in A/R Exceeds Target

48 days Target: 35 days $890K impact

Review

T Dr. Taylor analytics: Denial rate up 12% primarily prior auth issues with Aetna plans

Accounts receivable aging has deteriorated 37% since October. Root cause: increased denial rate from commercial payers. Revenue cycle team recommends dedicated appeals resource.

Financial Tasks (3)

Q4 Close Accruals Review

Year-end adjustments $2.1M accrued expenses

Dec 31

Final review of year-end accruals. Key items: deferred revenue recognition, bonus accruals, and vendor true-ups.

2025 Operating Budget

Final Board Approval $18.4M total

Jan 8

Operating budget finalized. 12% revenue growth projected. Key investments: AI platform expansion, 3 new pilot sites, staffing increases.

CMS Reimbursement Rate Analysis

2025 OPPS Final Rule -1.3% impact projected

Planning

New Medicare rates effective Jan 1. Behavioral health carve-in changes require payer contract renegotiations. Net impact -$340K annually.

On Track (2)

Operating Margin

8.2% YTD Target: 7%

Exceeds

Cash Position

$4.8M 5.2 months runway

Healthy

Nursing Attention Required (2)

Night Shift Staffing Ratio

1:8 ratio Target: 1:6 Unit 2B

Tonight

O Dr. Olivia behavioral alert: Higher acuity patients on 2B 3 active crisis protocols

Two call-outs for tonight's shift. Float pool contacted. PRN nurse confirmed for 11p-7a. Charge nurse aware of coverage gap 7p-11p.

Fall Risk Unit 3A

2 incidents this week Both during shift change

Review

Two patient falls during 7am shift change. No injuries reported. Root cause: inadequate handoff during high-risk patient transfer.

Care Coordination (2)

Discharge Planning Backlog

14 patients Avg 2.3 days past target

Ongoing

Delayed discharges primarily due to outpatient follow-up scheduling. Case management working with community partners to expedite.

MAT Training Compliance

87% complete 8 nurses due for recert

Dec 31

Annual MAT certification renewal. Online modules available. 8 nurses need to complete before year-end for compliance.

Meeting Standards (2)

Patient Satisfaction Nursing

4.6/5.0 Top quartile

Excellent

Medication Error Rate

0.02% Below benchmark

Target Met

Clinical Quality Alerts (1)

30-Day Readmission Rate Elevated

18% Target: 12% 14 patients

Analyze

O Dr. Olivia pattern analysis: 71% readmits had <3 days between discharge and first crisis indicator

Readmission spike correlates with shortened length of stay initiative. AI analysis suggests discharge criteria may be premature for high-acuity SUD patients.

Medical Staff Items (3)

Peer Review 3 Cases Pending

Quality Committee Due this month

Dec 20

Three cases flagged for peer review: 2 medication dosing questions, 1 treatment plan adequacy. Committee meeting scheduled Friday.

MAT Protocol Update

Buprenorphine guidelines ASAM 2024 standards

Jan 15

Update clinical protocols to align with new ASAM guidelines. Key changes: flexible dosing, telehealth prescribing, take-home allowances.

Credentialing Renewals

2 physicians due Q1 2025

Feb 1

Dr. Martinez and Dr. Patel credentials expire Feb 1. Applications submitted, pending verification. No concerns anticipated.

Quality Targets Met (2)

Treatment Completion Rate

76% SAMHSA benchmark: 65%

Exceeds

Crisis Prediction Accuracy

94% sensitivity AI Council validated

Validated

Operations Watch (2)

Bed Capacity at 92%

46/50 beds occupied 4 pending admits

Monitor

W Dr. Williams forecast: 3 discharges expected tomorrow, waitlist has 7 patients

Near capacity with holiday admissions surge. Discharge planning prioritized. Overflow protocols on standby if occupancy hits 96%.

Intake Evaluation Backlog

14 pending evals Avg wait: 2.3 days

48h

Intake bottleneck due to clinical staff PTO. Telehealth evaluations offered to reduce wait times. 6 scheduled for tomorrow.

Operational Tasks (2)

Wearable Vendor Contract Renewal

BioSense Inc $340K annual Expires Jan 31

Jan 15

Contract renewal with 8% price increase. Negotiating volume discount based on pilot expansion. Alternative vendor quotes obtained.

CARF Survey Preparation

Accreditation survey January 15-17

32 days

Three-year accreditation renewal. Mock survey completed with 2 minor findings (both corrected). Staff preparation sessions scheduled next week.

On Target (2)

Average Length of Stay

28 days Target: 30 days

Efficient

Facility Utilization

89% avg Optimal range

Balanced

Executive Attention (2)

Strategic Items (3)

Completed (2)

Financial Alerts (1)

Financial Tasks (3)

On Track (2)

Nursing Attention (1)

Care Quality (3)

Meeting Standards (2)

Clinical Alerts (1)

Medical Staff (3)

Quality Met (2)

Operations Watch (1)

Operational Tasks (3)

On Target (2)

Executive Console