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MINUTES-Final ORANGE COUNTY BOARD OF HEALTH January 27, 2016 S:\Managers Working Files\BOH\Agenda & Abstracts\2016 Agenda & Abstracts/ February Page 4 • Total Billing Accuracy: Continuing with the goal of 90% billing accuracy set in FY 14-15, the average billing accuracy rate for medical halfway through FY 15-16 is 86% as compared to 92% in FY 14-15 and the average rate for dental for FY 15-16 is 97% as compared to 94% in FY 14-15. • Dental Earned Revenue by Source: FY 15-16 average monthly revenue ($39k/month) is slightly below our budget projection ($45k/month) but still above our FY 14-15 average of $36k/month. FY 15-16 dental revenue totaled $471k at the end of the second quarter. Dental earned revenue will most likely continue to increase each month as our new dentist adds more clients to her schedule. • Medical Earned Revenue by Source: Medical earned revenue is currently below the budgeted projection for FY 15-16. The monthly average after the second quarter ($45k/month) is lower than FY15 ($50k/y) and our budget projection ($50k/month). This is mainly due to holding Maternal Health encounters for Global Billing (billing multiple encounters at the end of the pregnancy) and holding multiple program encounters until we come to a resolution with Medicaid of an acceptable method to bill same day appointments, which we resolved in late December. FAS anticipates the monthly average will be closer to the budget projection in subsequent quarters. The BOH members had questions that were addressed by Ms. Crawford and Dr. Bridger. VI. Action Items (Non-Consent) A. Safe Syringe Initiative Meredith Stewart, Public Health Program Manager, and Robin Gasparini, Nursing Supervisor, provided an overview of the OCHD Safe Syringe Initiative (SSI) and its benefits. As a result of the BOH’s Substance Abuse & Mental Health subcommittee action step to research methods to reduce infections passed through drug misuse and abuse, an educational presentation on syringe exchange programs was provided to the Board by Tessie Castillo of the NC Harm Reduction Coalition in June 2015. Ms. Stewart and Ms. Gasparini’s presentation is the result of a request from the Board directing staff to investigate the practicality and design to provide Orange County residents with access to safe syringes and disposal of used syringes. Ms. Stewart stated that some of the individual and community health benefits based on research and anecdotal evidence include decreasing the transmission of hepatitis C. Another benefit would be removing potentially infectious syringes from the community. The SSI would also provide syringes to diabetics patients that reuse syringes due to the cost and availability which in turn can decrease the incidences of needle breakage, lipodystrophy and tissue micro trauma. The initiative would also assist those that wish to purchase syringes but are unable due to some pharmacists’ unwillingness to sell syringes. She also stated that it is very important to have local stakeholders on board with this initiative and mentioned that formal support from the district attorney and local law enforcement has been received. Ms. Gasparini reported on the four open sessions held to allow questions and feedback from clinical staff. Below are the highlights: • About 25 staff attended with 100% supporting this initiative