Agenda - 09-17-2013 - 5a - Laserfiche WebLink

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23 1 clinic schedules and delays in services due to unforeseen medical leave of 2 permanent staff. These changes reflect some of the increases in Personnel 3 Services for FY 2013-14. 4 • The increase in Operations for FY 2014-13 includes an additional $100,395 in 5 Pharmacy Supplies; increased by an additional $50,395 to continue giving 6 vaccines to school system staff, as well as county employees (revenue received 7 from insurance reimbursements will cover the additional costs); also includes the 8 continuation of the Nicotine Replacement Therapy program at $50,000. 9 • The Capital Outlay for FY 2013-14 of$18,000 includes the purchase of sic (6) 10 kiosks for patients to check for Medicaid eligibility. The patient kiosk systems are 11 interactive computer stations used to help improve efficiency and the patient's 12 experience by giving them the option to sign up for Medicaid and insurance 13 benefits all in real-time. 14 • The additional revenue in FY 2013-14 is due to efficiencies in the new patient 15 management and billing system created through ongoing training and 16 development in billing, and moving the Nutrition Services Program and its 17 associated revenue to this division from Health Promotion and Education. 18 • The Department's multi-year Reducing Health Disparities Grant includes a 19 Manager Recommended two year time-limited Registered Dietician position (1.0 20 FTE). (Salary & Benefits of$62,647). The position costs are totally offset by 21 grant funds and revenue from third party billing charges, and are budgeted 22 outside of the General Fund. 23 0 There are two (2) new fees recommended in FY 2013-14: Birthing 24 Classes at $8.69/ hour and Adult TD vaccine at $35.00❑T 25 0 The Board of County Commissioners approved the reclassification of a 26 Public Health Nurse II position to 1.5 FTE Medical Office Assistants in FY 2012- 27 13, at no additional County cost, to add support for increased clinic efficiency. 28 0 Increased inventory of purchased vaccines due to decrease in state- 29 supplied vaccine available. 30 Nutrition Services Section moved to Personal Health Services Division 31 Awarded contract in FY 2012-13 with UNC Family Medicine through 32 Office of Minority Health and Health Disparities Grant Funding to offer Diabetes 33 Self-Management Education Program and Medical Nutrition Therapy to referred 34 clients (Year 1 Funding, $67,767). This project was established in a multi-year 35 grant fund outside of the General Fund. 36 37 Colleen Bridger said County dollars cover County controlled funding increases, 38 and all other increases have been covered by non-county dollars. 39 She said the department saw about 9000 patients this year, and had 6000 visits 40 at the dental clinic in Hillsborough. She said two-thirds of patients seen in the dental 41 clinic are uninsured. She said the hope is to expand dental services in the future, but 42 without having to come to the Board for money. 43 She said the department is working to increase efficiency, and she said access 44 to service is exceptional. 45 Commissioner McKee said he has a concern about the soft implementation for 46 the smoking ordinance enforcement, which ends in July. He has heard that pressure 47 has been applied to law enforcement to enforce this ordinance. 48 Colleen Bridger said that is a rumor that is not true, and she would encourage 49 Commissioner McKee to speak with the chief of police. 50 Chair Jacobs said it is not clear whether the sliding scale applies to dental fees 51 or not. 52 Colleen Bridger said the sliding scale does apply to the dental patient, and 50% 53 of patients slide to the zero pay.