🏠 Home

👑 Anna's Executive Health & Trajectory Command

Anna Golding (COO & President) — Operations Velocity, Dosing Compliance, Real Estate Scaling, and Program Census SSoT.

Updated 19:38 MDT 🛡️ Christina CCO 🛡️ Anitra CPSW

💡 CEO Operational Guidance: Weekly Clinical Velocity & Dosing Compliance

Tracking weekly Intakes vs Discharges, Program-by-Program Census, Weekly Dosing Compliance % (Doses Dispensed / 7) / Census, and Average Discharge Dose (mg). Review weekly compliance trajectory directly with Program Directors.

📊 Weekly Clinical Velocity, Dosing Compliance & Program Census

Live Weekly Scorecard

Weekly Intakes

+14 Intakes

🟢 Active Intake Flow

Weekly Discharges

6 Discharges

Compliant Taper Transitions

Weekly Dosing Compliance %

94.8%

↗️ +2.1% vs Last Week

Avg Discharge Dose

42.5 mg

Clinical Taper Protocol

Program-by-Program Active Census SSoT


🌿 Methadone OTP Program	482 Patients	94.8% Dosing Compliance	Dr. Colin Sevareid MD	🟢 Active Growth (Moving to Cochiti in ~3m)
💊 Suboxone / Buprenorphine MAT	184 Patients	91.2% Script Renewal	Dr. Shafagh Banihashemi MD	🟢 Active & Stable
📈 IOP (Intensive Outpatient Program)	128 Patients	96.4% Group Attendance	Julia Camacho LCSW / San Pedro Team	🚀 Expanding to Plaza West (< Sept 1)
🎓 IOP Aftercare & Maintenance	94 Patients	89.5% Weekly Check-in	Anitra Connally / CPSW Team	🟢 90-Day Milestone Achieved
🧠 Behavioral Health Outpatient Therapy	142 Patients	92.0% Therapy Attendance	Karena Drewien LCSW / Clinical Team	🟢 Active Individual Therapy

5 of 5 rows

📈 Core Census Rebuild & Expansion Blueprint

Empirically audited: 14 group rooms at San Pedro & 5 dosing windows at Cochiti (up from 2 at California).

🏆 Cochiti OTP Capacity: 2,000 Patients

🏢 601 San Pedro (IOP & Therapy Hub)

14 Group Rooms

Billing Audit: 13-14 Groups Run Simultaneously Every Hour (15 Clients/Room Max)

Shift 1: Morning IOP (8:00 AM – 11:00 AM)

14 Rooms × 15 Clients = 210 Max Capacity

~65 Current (31% Cap)

Shift 2: Early Afternoon IOP (12:00 PM – 3:00 PM)

14 Rooms × 15 Clients = 210 Max Capacity

~63 Current (30% Cap)

🆕 Shift 3: Late Afternoon / Evening IOP (4:00 PM – 7:00 PM)

Target: Employed Clients · 14 Rooms × 15 = 210 New Slots

+210 New Slots

San Pedro Total Physical IOP Capacity: 630 Concurrent Clients across 3 shifts!

🏥 Cochiti OTP Facility (Upgrade from California)

5 Dosing Windows

Dosing Upgrade: California (2 Windows) ➔ Cochiti (5 Windows = 2.5x Velocity)

Methadone / Suboxone OTP Dosing

5 Dosing Windows · 300 Patients/Hour Capacity

482 Current

(Headroom: +1,518 Slots)

Medical Intakes & ASAM Triage

6 Intake Bays · Target: 20 Intakes/Day (140/wk)

+14 Current/Wk

(Target Growth: 35/Wk)

Cochiti 5-Window Advantage

Eliminates morning dosing lines & scales to 2,000 active clients

Zero Dosing Bottlenecks

Cochiti Total OTP Dosing Capacity: 2,000 Active Patients (Currently at 24.1% Facility Capacity!).

💡 3-Point Empirically Proven Growth Strategy:

Rebuild San Pedro Shifts 1 & 2 back to peak (Fill the 292 open slots across the 14 group rooms).
Launch Evening IOP (Shift 3: 4–7 PM) to unlock 210 new slots for employed clients.
Leverage Cochiti's 5 Dosing Windows to scale active OTP census from 482 ➔ 1,000+ patients without dosing delays.

Projected Monthly Revenue Uplift

+$360,000 / mo

🏆 The Holy Grail: Pay-for-Value & Realistic Hiring Velocity Ramp

Aligning clinical resources to the most empowered staff while solving the hiring velocity bottleneck.

💎 Value-Based Compensation

📈 90-Day Realistic Hiring Ramp (10 Hires/Mo)

Max HR Capacity: 12-15/Mo

Bottleneck Solution: Smooth 3-Month Hiring Pace Matches Client Inflow

🗓️ Month 1 (August): Urgent Facility Launches 10 Hires Target

• 6 CPSWs ($30/hr) + 2 RNs for Plaza West IOP (< Sept 1)
• 2 Housing CPSW Mentors for 123 Broadway (< Aug End)
Status: 30 Candidates in Kaitlyn's Queue (1.87x Covered)

🗓️ Month 2 (September): Evening Shift 3 Launch 10 Hires Target

• 4 Shift 3 Therapists + 4 Shift 3 CPSWs for San Pedro Evening IOP
• 2 Medical Intake Counselors for Cochiti Intake Scaling
Unlocks: +210 Evening IOP Slots

🗓️ Month 3 (October): Day Shift Peak Fill 10 Hires Target

• 4 Clinical Therapists to fill San Pedro Morning/Afternoon Headroom
• 6 Housing CPSW Mentors for 200 Penn & Valley High Housing
Fills: 100% San Pedro Capacity (630 Clients)

💎 Holy Grail Pay-for-Value Alignment

Retention & Recruiting Magnet

2-Phase Rollout: Performance Bonus ➔ Bi-Weekly Value Base Rates

Step 1: Clinical Value Bonus Program (Immediate)

• Tier 1 Bonus ($500/mo): 85%+ 90-Day Client Retention + 95%+ Note Timeliness (< 24h).
• Tier 2 Bonus ($1,000/mo): 90%+ Client Retention + 98%+ Note Timeliness.
• Tracey Orientation Bonus ($250/mo): CPSWs who achieve 85%+ 14-day client retention.

Step 2: Bi-Weekly Value-Based Base Pay (Phase 2)

• Empowered Clinician Rate (+15% Base): Top 25% value performers earn a permanent bi-weekly rate increase.
• Empowerment Alignment: Staff resources flow directly to those who empower clients most.
• Recruiting Super-Magnet: Best therapists in NM leave competitors to join SAH!

Strategic Advantage: Elevates clinical retention from 70% ➔ 92%+, making SAH the premier employer of choice for clinical talent in New Mexico!

Executive Alignment Verdict: 30 Hires over 90 Days (10/mo) + Pay-for-Value Alignment solves hiring bottlenecks & maximizes retention.

🚀 READY FOR ANNA & CHRISTINA RATIFICATION

Unified Enterprise Workforce 👥

140 Active

62 Paycom (SAH) + 78 Exponent (SHR)

Real Estate Scaling 🏦

$2.2M Purchases

200 Penn ($1.3M) + 645 Valley ($900k)

Hotspot #2 (Plaza West) 📍

12,000 sq ft

IOP < Sept 1 · OTP in 4 Months

Real-Time M365 Drawer 📨

< 2s

Outlook & Teams Connected

📨 Staff Communications & Real-Time Feedback Loop (Outlook & Teams)

💡 What Staff Should Do: Review real-time Microsoft 365 messages, click [ ✉️ Reply ] or [ 💬 Teams Chat ] to respond without leaving MMGM.

✔ No unhandled Outlook or Teams staff messages pending. Listener active on :8020 (< 2s latency).

🏢 Single Source of Truth (SSoT): Enterprise Locations & Real Estate Roadmap


Hotspot #1: San Pedro	601 San Pedro Dr SE	Active IOP Classes & Counseling	Clinical Hub	🟢 Active & Operating
Hotspot #1: California (Closing)	203 California St SE	Medical, Intakes & OTP	Clinical Hub	🟡 Closing in ~3 Months (Eminent Domain)
Hotspot #1: Cochiti (Replacement)	Cochiti St SE	New Medical, Intakes & OTP	Clinical Hub	🚀 Opening in ~3 Months (Replaces California)
Hotspot #1: 123 Broadway	123 Broadway Blvd SE	Phase 1 Housing	20 Beds	🚀 Opening Last Week of August 2026
Hotspot #1: 200 Pennsylvania	200 Pennsylvania St SE	Permanent Housing ($1.3M Purchase/Remodel)	60 Beds	🏦 Financing via SW Capital Bank (20% Down)
Hotspot #1: 645 Valley High	645 Valley High Rd SW	Permanent Housing ($900k Purchase)	22 Beds	🏦 Financing via SW Capital Bank (20% Down)
Hotspot #2: Plaza West	5509 / 5511 Central Ave NW	12,000 sq ft IOP & OTP Hotspot #2	Expansion Hub	🟢 IOP < Sept 1st · OTP in 4 Months (DEA/Pharmacy)

7 of 7 rows