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MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH May 25, 2016 S:\Managers Working Files\BOH\Agenda & Abstracts\2016 Agenda & Abstracts/ May Page 3 identify child death patterns, system problems or gaps in services to children and families and to make and carry out recommendations for change that will prevent future child deaths. The CFPT reviewed 10 fatalities in 2015. Most were unpreventable. Potential system problems identified were undiagnosed genetic disorders and prenatal tobacco use contributing to the premature birth. Recommendations by the CFPT and CCPT were that new and potential parents be counseled and screened for genetic disorders and that pregnant women be encouraged and supported in stopping tobacco use. C. 3rd Quarter Financial Reports and D. 3rd Quarter Billing Dashboard Reports Rebecca Crawford, Finance & Administrative Services Division Director, gave a report on the 3rd quarter revenue and billing accuracy. Her report is as follows: • Total Health Department Revenue: Average YTD monthly revenue in FY16 after the 3rd Quarter is $230k/month or $2.8 million YTD, representing 70.6% of our overall budgeted revenue for the year. This is an increase from an average of $218k/month in FY15. Expenses were slightly lower than revenues at 67.8%. • Total Billing Accuracy: Continuing with the goal of 90% billing accuracy set in FY 14-15, the average billing accuracy rate for medical three quarters of the way 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 93% as compared to 94% in FY 14-15. • Dental Earned Revenue by Source: The FY 15-16 average monthly revenue ($40k/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 $483k at the end of the third 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 third quarter ($46k/month) is lower than FY15 ($50k/y) and our budget projection ($50k/month). This was 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. March and April showed monthly revenue totals of $50k and $57k respectfully and we anticipate these monthly totals will stay at this level for the remainder of the fiscal year. VI. Action Items (Non-Consent) A. 2016-2018 Strategic Plan Meredith Stewart, Public Health Program Manager, began by stating that the three subcommittees (Physical Activity and Nutrition, Substance Abuse and Mental Health, and Social Determinants of Health) met and their representatives provided their recommended focus areas and action steps for inclusion in the 2016-2018 Board of Health Strategic Plan. The recommendations were formed using guidance and data obtained from the 2015 Community