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MINUTES <br />ORANGE COUNTY BOARD OF HEALTH <br />October 23, 2013 <br /> <br /> Page 3 <br />o Treating substance abuse as a criminal issue instead of a public health <br />issue harms the individual and the community. People do not get <br />adequate treatment, and their criminal records leave few options for jobs. <br />o There are limited substance abuse treatment and mental health services <br />available. There is a need for more in-patient and extended treatment as <br />funding for these services have been cut. This is true particularly for <br />adolescents. <br />o Substance abusers need more access to primary health care, as well as <br />mental health and substance abuse treatment. <br />o Drug crimes disproportionately affect communities of color. <br /> There was a general desire to continue the conversation between health and <br />the justice system to coordinate services and improve access in Orange <br />County. <br /> <br />VI. Educational Sessions <br />A. Orange County Health Department Staff Strategic Plan-Meredith Stewart <br />Meredith Steward gave an update on the Staff Strategic Plan recapping completion of the <br />Culture Survey analysis. Priorities areas are the same as last year’s Staff Strategic Plan <br />priorities. We will focus on the four pillars from the visioning exercise as we progress through <br />this year’s Staff Strategic plan. <br /> <br />B. 1st Quarter Financial Dashboard-Susan Wagoner & Dr. Colleen Bridger <br />Dr. Bridger explained the Revenue Dashboards. For the first quarter, our total actual <br />Health Department revenue is below the budget projection; however this is largely due <br />to issues with the new state Medicaid payment system, NC Tracks. We anticipate this <br />being a temporary issue and expect to see revenue go up once the state resolves those <br />issues. Personal Health’s actual revenue is higher in the current fiscal year’s 1st quarter <br />than last fiscal year’s 1st quarter. Dental revenue is down due to a Medicaid Provider <br />Credentialing issue. This is also temporary and we expect to see an increase in Dental <br />Medicaid receipts in the 2nd quarter. Overall total revenue is trending in the right <br />direction. <br /> <br />Susan Wagoner reviewed the Billing Accuracy dashboards. Due to issues with NC <br />Tracks our Medicaid Billing accuracy is lower, but our percentage of claims with <br />payment is higher than the accuracy goal for the 1st quarter. Overall billing accuracy <br />has improved. <br /> <br />C. BOH Quarterly Budget Report– Christy Bradsher <br />Christy Bradsher reviewed the 1st Quarter Profit & Loss statement. While total revenue <br />is down for the quarter at 17% total expenses are down as well at 21%. As a result, <br />county funding for the quarter is slightly below budget at 23%. Once issues with NC <br />Tracks and Dental Medicaid provider credentialing have been resolved we expect to <br />see an increase in total revenue in the 2nd quarter. <br /> <br /> <br /> <br />