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MINUTES ORANGE COUNTY BOARD OF HEALTH November 19, 2014 S:\Managers Working Files\BOH\Agenda & Abstracts\2014 Agenda & Abstracts/ November Page 3 from close to $80k per month in the beginning of the year to above $100k per month since instituting the new sliding fee scale in July. Dental billing has been negatively affected by Medicaid rate changes and coverage cuts. Dr. Day reported that 60% of patients are adult of which 90% qualify to pay 20% of their total charges. Current quality improvement projects are focusing on increasing the number of children seen in the dental clinic and should help change the patient mix to a preferred ratio of 60% children, 40% adults. Dr. Day reviewed various strategies for meeting revenue goals and improving the ‘no show’ rate; double-booking appointments with an operatory for overflow and reminder calls at 48 and 24 hours prior to an appointment. The BOH members had several questions that were address by Dr. Michael Day. VI. Action Items (Non Consent) A. 2015 Board of Health Schedule The Board generally adopts a calendar for the next calendar year so that meetings can be appropriately noticed to the public as required by statute and so that Board members can plan their calendars to ensure attendance. All meetings are held on the fourth Wednesday of the meeting months and at the Whitted Human Services Center, Hillsborough unless noted otherwise. Motion was made by Tony Whitaker to add a meeting in April 2015, and approve the modified 2015 Board of Health Schedule seconded by Liska Lackey and carried without dissent. B. Elections (Chair and Vice-Chair) The Board members shall select a Chair and Vice-Chair by majority vote each year at the last meeting of the calendar year. The positions of Chair and Vice-Chair are open. It's our custom of choosing a Vice-Chair that will have at least two or more years on their term with the anticipation that they will move into the Chair position. The Custom is also for the current Vice-Chair to be put in the Chair position because of the experience gained as Vice-Chair. A majority vote is needed for each decision. Motion to elect Susan Elmore to Chair for the 2015 calendar year was made by Corey Davis seconded by Liska Lackey and carried without dissent.