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ORANGE COUNTY <br />BOARD OF COMMISSIONERS <br />ACTION AGENDA ITEM ABSTRACT <br />Meeting Date: September 21, 2010 <br />Action Agenda <br />Item No. ~_ <br />Sl1RJECT~ Future Provision of Dental Clinical Services <br />DEPARTMENT: Health PUBLIC HEARING: (YIN) No <br />ATTACHMENT(S): <br />1) 4/27/2010 Memorandum to BOCC <br />2) Options for Providing Dental <br />Treatment Services in Orange <br />INFORMATION CONTACT: <br />Rosemary Summers, 245-2412 <br />County <br />3) Option Revenue and Expenditure <br />Spreadsheet <br />4) Carr Mill Dental Health Patient <br />Address Locations (GIS Map) <br />5) Hillsborough Dental Health Patient <br />Address Locations (GIS Map) <br />6) Medicaid and Health Choice Dental <br />Providers in Orange County <br />PURPOSE: To discuss the provision of dental clinical services in the future. <br />BACKGROUND: At the joint meeting between the Board of Health and the Board of County <br />Commissioners on March 4, 2010, there was significant discussion regarding the dual service <br />model for dental health services, spurred by the impending expiration of the Carr Mill lease. <br />That lease is set to expire June 30, 2011 and not later in the year as had been previously <br />thought. The Board of Commissioners requested that the Department consider various options <br />for service provision to County residents along with a financial analysis. The Board of Health <br />studied the issues associated with providing dental clinical services to low income and <br />uninsured Orange County residents who do not otherwise have access to dental clinical <br />services. Attachment 1 is a memorandum sent to the Board of Commissioners on April 27 with <br />the Board of Health's recommendations regarding the provision of dental clinical services. Also <br />included are the attachments to that memorandum. <br />It is critical for a decision to be made so that adequate time is available to inform patients and <br />the community where services will be delivered after July 1, 2011. If Recommendation #1 <br />below is accepted by the BOCC it will also be necessary to allow enough time to reconfigure the <br />space at Whitted to accommodate the transfer of equipment from Carr Mill. If Recommendation <br />#3 below is accepted, it will provide early budget preparation direction for staff. <br />Recommendation #4 below does not preclude the development of a new single centralized <br />clinic should circumstances with an academic partner such as the community college or UNC <br />present itself. Recommendation #4 is for future financial planning purposes. <br />