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MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH February 24, 2016 S:\Managers Working Files\BOH\Agenda & Abstracts\2016 Agenda & Abstracts/ February Page 3 • 100% of clients in the Diabetes Self-Management classes rated the program as “Excellent” or “Very Good” on their evaluations. The 2015 Annual Report can be found online at http://www.orangecountync.gov/Annual_Report_2015_FINAL.pdf The BOH members had questions that were addressed by Ms. Shelp and Dr. Bridger. D. Debt Set-Off Program Update Rebecca Crawford, Finance & Administrative Services Division Director, notified the Board that the Personal Health, Dental Health, and Environmental Health continue to participate in the NC Debt Set-Off Program, which allows the county to collect debts on delinquent accounts with a balance between $50 and $4,000 through the customer’s tax refund. This has proven to be a successful way to recoup funds from overdue accounts, although FY 14-15 total amounts are much higher than FY 15-16 amounts as the prior year included multiple years of delinquent accounts whereas FY 15-16 is from July 1, 2015 through January 31, 2016. The Personal Health division has also found that letters sent to delinquent accounts that warn of the potential to be sent to debt set-off have netted $1,796.40 for the period of July 1, 2015 through February 11, 2016. The BOH members did not have any questions. E. Population Health Dashboards Dr. Bridger reminded the Board that the dashboards can be found on the Orange County Health Department’s website. Included were the Board of Health priorities, Substance Abuse & Mental Health, Child and Family Obesity and Access to Care dashboards. The dashboards show what the trend is as well as compares data between Orange County and the US overall. The dashboards are updated annually. The BOH members had questions that were addressed by Dr. Bridger. VI. Action Items (Non-Consent) A. 2016-2017 Budget and Fee Schedule & Requested Changes Dr. Bridger presented the Board with a summary of the proposed FY 2016-2017 budget for the Health Department which shows an increase in expenditures of $590,561; $379,468 of which are expenditure increases related to the FY 15-16 wage increase and increases to the medical insurance and retirement insurance rates, which are outside of the control of the department. The remaining $241,093 of the total increase is due to new and expanded services including $105,000 for the Family Success Alliance and $75,000 for Primary Care services for uninsured men. Staff projects a $328,611 increase in revenues for FY 16-17, which will offset all of the $241,093 increase and leave a balance of revenue of $87,518. This additional revenue decreases the general fund burden of the wage increase and makes the total FY 16-17 Health Department requested increase for County General Funds $291,951. The proposed total budget is $10,062,417 which includes $103,536 in grant funding for the