thank you, Madam Chair. Good afternoon everyone, and thank you, Madam Chair, the program Compliance Committee met on Wednesday, July 10, 2024 The Committee received a follow up report from from children initiatives on the ages for the youth concerns regarding school success, initiative health data report for tiers two and three. The committee requested a breakdown by age and health ratings of children and youth in the program for those two tiers. It was reported that the main health concern was asthma, followed by allergy allergy concerns, and the third health concern was headaches. Was headaches. Total population was 32 youth and children. The largest category was six to 11, at 53% with health concerns of allergies and asthma. The second category was a second category of Ages was ages 12 to 17 at 34% with health concerns of asthma and allergies. An update on teen wellness juvenile restorative program was provided. It was reported that the program was housed at the Eastern Market. Program that was housed at the Eastern Market will be moving to a new location in Dearborn, and they have been there for a couple of months. The grand opening took place on Thursday, July 11. There was some concerns discussed as it pertains to transportation. Staff. Staff are picking the staff are picking the youth up and transporting them to the location. The program has family sessions and a home based component. The program is a day treatment program with no overnight stays. Quarterly reports were received from the adult initiatives, pihp crisis services and managed care operations adult initiatives reported on their main activities, which were Assertive Community Treatment. That this is an intense community based mobile team of clinical professions who provide treatment to members who are diagnosed with severe and persistent mental illness. The next is med drop, as well as evidence based supported employee and I mean employment, there are eight act provider service agencies in Wayne County. There are currently 462, members receiving act services for this for this quarter, the Act program experienced a total of 44 psychiatric hospitalizations, which total 531 inpatient days, compared to 58 inpatient hospitalizations totaling 865 day 65 days. This is an 18 point 51% decrease and decrease in the number of hospitalizations, and 38.61% decrease the number of inpatient days. There were four act fidelity reviews this quarter, and scores have not been determined. There was discussion around Act Program members not receiving services after 5pm the ACT model is a 24 hour program. The issue has been addressed within the crisp information will will be tracked monthly med drop. There are 72 members in the program this quarter, data has provided. Data was provided for April, May and June. Their program received 17 new referrals, and there were nine new cases enrolled in a med drop program. There have been continued outreach efforts by the adult initiatives team to increase referrals. Action Item action item one, the committee requested information on activities of D when related to caretakers of people with dementia. As this has become a huge issue because of the aging population, information will be provided to the committee at future meetings. Action two, the committee also requested information on returning citizens and what we are, what we're doing at dwim for providing services for the med drop program. It was reported there were three referrals for returning citizens to med drop the IHP crisis crisis services reported on inpatient discharge planning, risk discharge planning and reducing inpatient hospitalization during the pihp crisis services, it was reported that the hospital liaisons continue to see members in the inpatient level of care and are meeting with them directly and face to face. They report they are they are supported. They're Wait a minute. They're supported. Bears. Well, let me read that one again during the pihp crisis, services reported that the hospital liaisons continue to see members in an inpatient level of care and are meeting with them directly and face to face. They are supported. Barriers are addressed, and we are supporting the transition from an inpatient level of care to their chosen provider. Liaisons met with 176 members of on inpatient units, and 114 members, or 65% receive a service within 30 days of discharge. Was a robust discussion regarding folks who may have missed their first appointment, however, they made it to their second appointment. Action items. The committee requested information on trends of one, how many people kept their follow following appointments if they did not make it to their first appointment, to how many people made it to their appointments in 30 days, and did I make their follow up appointments? Three? How many people did not make their first appointment, but made their second appointments or rescheduled or the data that needs to be collected on folks who do not follow up and their characteristics to help identify who is most at Rick risk in developing an intervention, and six, the department will look at longer term, longer term data to develop a report about the reasons why people don't follow up or what want to talk with a liaison. It was requested that the data on transportation and other challenges be captured managed care operations reported on credentialing, credentialing, the new provider changes to the network, slash provider challenges and the procedure code, code work group, there Were 126 practitioners approved, and 53 providers were approved. Providers continue to work with staffing shortages, and they are currently working on several cleanup projects in the in M and me win, the Vice President of Clinical Operations, provided an executive summary the the was information that the information provided was miscans on Michigan's was developed by Michigan Department of Health and Human Services Department as a screener and comprehensive assessment for children and youth ages zero to 21 birthday this total this tool is used to support family driven, youth guided care planning and level on care decisions, facilitate quality improvement initiatives and monitor outcome, outcomes of services. All of the complete reports can be found in the program compliance agenda packet the committee considered and moved board action 24 dash six, revision 7d when provider network system fiscal year 24 and board action 24 dash 12, revision four, substance use disorder treatment, provider network, overdose Awareness Day and Narcan kits under unfinished business. The full board the under under unfinished business, the full board for approval. The there were no action items under the new under new business for consideration. The report of the the report of the chief medical officer was deferred to next month, and there were no corporate compliance or quality reviews. Reports, Madam Chair, that concludes my report.