Executive officer's report · 2019-08-22 · Future Board meeting dates/locations are as follow:...
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AGENDA ITEM 8 EXECUTIVE OFFICER'S REPORT. The Executive Officer's report is attached for review: Board Meeting June 27-28,2012
Transcript of Executive officer's report · 2019-08-22 · Future Board meeting dates/locations are as follow:...
AGENDA ITEM 8
EXECUTIVE OFFICER'S REPORT.
The Executive Officer's report is attached for review:
Board Meeting June 27-28,2012
Date: June 25, 2012
To: CBOT Members
From: Heather Martin
Subject: Executive Officer Report March 2012 Board Meeting
Attached to this report are the following:
1. Revenue and Expenditure reports through May 31,2011;2. Attorney General Expenditure report through March 31,2011;3. Performance Measurements for the period January 1 March 31, 2012
Future Board meeting dates/locations are as follow:
DateOctober 11, 2012October 12, 2012
LocationTBDConference Room, San Jose State University
BudgetOur budget for fiscal year (FY) 2011/12 is $1.4m and our estimated revenue is $980k.Through May 31,2012, we have spent slightly over $1.1 m, approximately 81% of ourbudget and earned $971k, nearly 99% of our projected revenue. (See attachment 1)
Of particular interest is the Office of the Attorney General (AGO) expenditure through March31, 2011. (See attachment 2) The AGO budget is only $133,243, however, we verballyauthorized the AGO to spend up to $206k as we plan to 'underspend' enough money tocover the increased costs. This also applies to OAH, expert/consultant fees, and courtreporter costs. However, should there be insufficient monies left over, we will prepare adeficiency request asking the Department of Finance (DOF) to augment our budget to coverthe AG and OAH line items.
Our YTD total enforcement expenditure (AGO costs has one month lag time) through May31st is $258k, nearly 24% above the budget. The only reason we were able to redirect fundsto cover the underfunded enforcement costs and still revert money, is due to leaving 2limited term positions vacant. The funding for these positions ends September 30th;
therefore, we won't have that cushion next year and on-going. These line items must beaddressed. More about revenue/expenditures under Agenda Item 12.
StaffThe Board currently has 10 permanent staff, and 2 limited term positions that will be leftunfilled; funding expires September 30,2012. All permanent positions are filled. Due torevenue concerns, we are unable to request additional staff, despite the fact that workloadsupports the need for additional staff.
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BreEZe Project:The BrEZe project is on schedule; our May 2013 deployment remains unchanged.
On-line Benefits to Licensees:• Apply for or renew license• Pay with a major credit card in a secure environment• Track the status of an application or licensing request• Submit address changes• Obtain proof of renewal status
On-line Benefits to Consumers:• Real-time licensee information• File a complaint• Track the status of a complaint
Benefits to Staff:• Integrated system for both licensing and enforcement• Establishes a 'record' from applicant to licensee• Automated fill-in-the-blank template letters (30+)
Other Informational ItemsMemo from Legal Office re: Uniform StandardsArticle re: electronic health recordsAutism Advisory Task Force
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Department of Consumer Affairs
Board of OccupationalThera
Performance MeasuresQ3 Report (January- March 2012)
To ensure stakeholders can review the Board's progress toward meeting its enforcement goalsand targets, we have developed a transparent system of performance measurement. Thesemeasures will be posted publicly on a quarterly basis.
VolumeNumber of complaints and convictionsref;eived.
Q3 Total: 142Complain
IntakeAverage cycle time from complaintr.eceipt,to the date the complaint was assigned to aninvestigator.
Target: 2 DaysQ3 Average: ~ D~Y$
Intake & InvestigationAverage cycle time fromcorrrplaintreee'ptto closure of the investigation process. Does notinclude cases sent to the Attorney General or other forms of formal discipline.
Target: 270 DaysQ3 Average: ~OIYs
Formal DisciplineAverage number of daystocompletefheentire enforcement process for cases resulting informal discipline. (Includes intake and inve$tigation by the Board, and prosecution by the AG)
Target: 540 DaysQ3 Average: 777rJJays
Probation IntakeAverage number of days from monitor assignment, to the date the monitor makes firstcontact with the probation~r.
Target: 10 DaysQ3 Average: ellays
Probation Violation ResponseAverage number of days from the date a violation of probation is reported, to the date theassigned monitor initiates appropriate action.
Target: 10 DaysQ3 Average: 2 Days
California physicians unprepared for electronic health record regulations: r... Page 1 of 3
California physicians unprepared for electronichealth record regulations: reportJune 15th, 2012 in Health
(Medical Xpress) -- Electronic health records (EHRs) are used widely byCalifornia physicians, but many of their systems are not designed to meet newfederal standards aimed at improving the quality of health care, according toa report from UCSF researchers.
While 71 percent of California physicians have an EHR system, only 30 percenthave one with the functionalities needed to achieve "meaningful use" requirementsfrom the Centers for Medicare and Medicaid Services' (CMS), the team reports.These requirements include, for example, the ability to communicate electronicallywith other health care providers, such as pharmacies, labs, other clinicians, andhospitals, to whom physicians refer patients.
Medicare payments to physicians will be reduced in 2015 if they do not meet theserequirements.
The report, available online, summarizes findings from a 2011 survey conductedby UCSF, in collaboration with the California Medical Board, for the CaliforniaHealthCare Foundation and the California Department of Health Care Services.
EHRs capture patients' health information, such as medical history, allergies,laboratory test results, radiology images, and payment, in an electronic form thatenables clinicians and other providers to access and share the information acrossmedical specialties or facilities. Exchanging electronic records among physicianpractices and between physician practices and hospitals can improve coordinationof care because all providers can have access to the same information.
"We found that physicians are more likely to have electronic health records withfunctions that support individual patient visits rather than functions that supportoverall quality improvement," said lead author Janet M. Coffman, PhD, assistantprofessor at the UCSF Philip R. Lee Institute for Health Policy Studies and UCSFDepartment of Family and Community Medicine.
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California physicians unprepared for electronic health record regulations: r... Page 2 of 3
For example, Coffman said that 61 percent of physicians have EHRs that enablethem to record clinical notes electronically but only 45 percent have the capacity togenerate routine reports of quality indicators, such as the percentage of patientswith diabetes who receive recommended lab tests, foot exams, and eye exams.
The research team also found that the size of a physician's practice is the strongestpredictor of having an EHR. Physicians who practice in Kaiser Permanente, otherlarge medical groups, the Department of Veteran Affairs, or the military are muchmore likely to have EHRs than physicians in smaller practices.
Federal regulations identify three categories of objectives aimed at achievingmeaningful use of the technology: core objectives, such as the collection of basicmedical information; menu objectives, such as submitting electronic immunizationdata to immunization registries; and electronic reporting on the quality of care. In2011 and 2012, clinicians are required to report three quality measures: bloodpressure, tobacco status, and adult weight status, as well as three additional clinicalquality measures of the clinician's choice.
To further increase the adoption and use of electronic health records, the federalgovernment will provide incentive payments to hospitals and providers thatachieve meaningful use of the technology.
The Health Information Technology for Economic and Clinical Health (HITECH)Act incentive payments could total up to $27 billion over 10 years, or as much as$44,000 (through Medicare) and $63,750 (through Medicaid, called Medi-Cal inCalifornia) per clinician. This funding also will provide the basis for the creationof a nationwide network of EHRs.
"The Medicare and Medicaid incentive payments will provide valuable resourcesto physician practices that do not yet have EHRs that will meet meaningful usestandards," said Coffman. "Medicaid payments especially are important since wefound that community health centers, rural health clinics, and other practices thatprimarily serve Medicaid beneficiaries and uninsured persons are less likely tohave EHRs. Many of these practices are struggling to keep their doors open.Medicaid incentive payments give these practices an opportunity to purchaseEHRs."
When fully implemented, EHRs can improve care in a variety of ways, saidCoffman. "Reminder systems can alert physicians and other health professionalswhen patients are due for screening tests, and electronic prescribing systems canincorporate alerts to warn providers if they attempt to prescribe a non-standarddose of a medication or a medication to which a patient is allergic," she said.
For the report, a questionnaire was sent to 10,353 physicians with MD degreelicense renewals that were due to the California Medical Board between June 1and July 31,2011. The questionnaire asked physicians if they had an EHR at their
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California physicians unprepared for electronic health record regulations: r... Page 3 of 3
main practice location, and assessed eight of the 15 core objectives and four of the10 menu objectives that CMS established for meaningful use ofEHRs.
The survey was limited to the 7,931 physicians in the sample who reported thatthey practiced in California and provided at least one hour of patient care perweek; 5,384 of these physicians (68 percent) completed the survey.
Co-authors are Kevin Grumbach, MD, chair of the UCSF Department of Familyand Community Medicine; Margaret Fix, MPH, research associate at the UCSFPhilip R. Lee Institute for Health Policy Studies; Leon Trainer,programmer/analyst at the UCSF Philip R. Lee Institute for Health Policy Studies;and Andrew B. Bindman, MD, professor at the UCSF Philip R. Lee Institute forHealth Policy Studies and UCSF Department of Medicine.
Provided by University of California, San Francisco
"California physicians unprepared for electronic health record regulations: report." June 15th, 2012.http://medicalxpress.com/news/2012-06-california-physicians-unprepared-electronic-health.html
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