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MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH June 28, 2017 S:\Managers Working Files\BOH\Agenda & Abstracts\2017 Agenda & Abstracts/ June Page 4 • Board makes recommendation to Board of Commissioners who will decide who to appoint. The BOH members had comments/questions that were addressed by Ms. Lackey. D. Budget Overview Rebecca Crawford, Financial and Administrative Services Director, gave a summary of the FY 2017-2018 budget that was approved by the BOCC on June 20th. Staff has analyzed the differences between the Requested budget, the County Manager’s Recommended budget, and the Approved budget and found the Approved FY 2017-2018 budget for the Health Department shows a $22,425 increase in revenue over the FY 2017-2018 Budget Request due to anticipated additional Environmental Health fee revenue. The County Manager did not include a requested $60,000 in County Capital funds in the Approved budget, which decreased the overall impact of the anticipated Environmental Health fee revenue increase. The Approved FY 17-18 budget experienced a $132,178 decrease in expenditures from the request budget due to the following items that were not recommended by the County Manager: • Data Systems Manager • Senior Public Health Educator • PH Program Manager – Behavioral Health (County Manager converted this request to funding for a Behavioral Health consultant) • Conversion of Communications Specialist from a temporary employee to permanent employee (temporary funds remain in our budget to support this position) • Operating costs related to new positions • $15,000 increase in lab services for the medical clinics • $13,365 for an FSA Development Consultant The Health Department received notice from NC Department of Health and Human Services (DHHS) earlier in June that we will receive an additional $1,020 in BCCCP funds, which were added to the Approved budget. The changes made from the department’s Requested budget will not have a detrimental effect on operations, however, we will have to reallocate funds internally to cover the increased cost in lab services and reallocate staff time from other projects to perform the duties required of the disapproved Data Systems Manager and the disapproved FSA Development Consultant. VI. Reports and Discussion with Possible Action A. BOH Subcommittee Review Beverly Scurry, Board of Health Strategic Plan Manager, discussed the subcommittees as they relate to the BOH Strategic Plan Action Steps. There are four top priorities – Social Determinants of Health, Physical Activity and Nutrition, Substance Abuse & Mental Health and Engagement. There is a subcommittee for each priority except Engagement. After Ms. Scurry reviewed the each priority’s subcommittee and its focus areas, BOH members signed up for subcommittees.