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MINUTES ORANGE COUNTY BOARD OF HEALTH June 26, 2013 Page 4 instead of charging Piedmont Health Services rates to accommodate the needs of patients seen. To-date, however, that has not happened. • Mr. Toomey stated they would be doing this as “outreach” and would only be able to see information on patients registered in their system. Statistical tracking would be done independently by each agency. All administrative needs of those patients would be handled by Piedmont Health Services. Piedmont Health Services would use their own vaccine and equipment. All revenue and expenses from patients seen during the half day a week by Piedmont Health Services would be maintained by Piedmont Health Services. • Dr. Bridger reiterated that the main point is to help more people in the county access primary care services. • Corey asked what kind of Primary Care Services would be provided. Mr. Toomey responded they would start with a physician. This is preferred in order to identify what the issues are. • Mr. Toomey stated that with the Affordable Care act, more people will be insured so there will be an increased available of insurance to provide coverage for the service. • Dr. Bridger and Mr. Toomey discussed how patients would be referred. No difference in the type of service offered between the two now. Dr. Bridger stated that instead of being turned away patients will now have another option and can be seen for Primary Care Services by Piedmont Health Services staff as a result of the partnership formed. Dental Health Partnership • Dr. Bridger stated partnership with Piedmont Health Services to provide additional Dental Health services would be the same concept as with Primary Care. Piedmont Health Services in Carrboro has 2 dentists and 3 operatory stations. The Health Department has extra space and sometimes has to turn patients away due to lack of available Dental Providers. Dr. Bridger stated the Health Department wants to expand Dental Services by collaborating with Piedmont Health Services. • The Dental pilot program would consist of Piedmont Health Services Dental staff providing services 1 day per week to adults including seniors through the PACE Program, and WIC clients who come here and are referred to dental clinic. It would be the same set up as with the Primary Care partnership for medical. • Mr. Toomey stated the partnership with the Dental clinic would promote early oral health and could potentially benefit 800 WIC patients by offering full dentistry services including, bridges, and crowns. • The question was asked by the board, “How will you integrate Health and Dental staff with Piedmont Health Services’ Dental staff. How will the costs be separated? Dr. Bridger explained that Piedmont Health Services would compensate the Health Department for the cost of supplies, wear and tear of equipment which is the biggest difference between the dental from medical collaboration with Piedmont Health Services