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1 <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />8 <br />9 <br />10 <br />11 <br />12 <br />13 <br />14 <br />15 <br />16 <br />17 <br />18 <br />19 <br />20 <br />21 <br />22 <br />23 <br />24 <br />25 <br />26 <br />27 <br />28 <br />29 <br />30 <br />31 <br />32 <br />33 <br />34 <br />35 <br />36 <br />37 <br />38 <br />39 <br />40 <br />41 <br />42 <br />43 <br />44 <br />45 <br />46 <br />47 <br />48 <br />49 <br />50 <br />M <br />■ $136,468 Increase in Net County Costs <br />• Finance and Administrative Services Division <br />■ Increase Credit Card Transaction Fees by $5,800 <br />• Dental Health Division <br />• FTE Dental Hygienist to Address Patient Appointment Backlog - <br />$70,508 <br />• Offset by Additional User Fee Revenue - $72,157 <br />• Contracted Dental Services Increase of $26,683 <br />• Health Promotion and Education Services Division <br />• Revenue Increase from Donations and State Funds $51,340 <br />• Family Success Alliance <br />❖ New Cohort of 45 Families Served by Navigators <br />❖ 165 Total Families and 700 Total Family Members Served <br />❖ Total FY2018 -19 Expenditure Increase of $37,364 <br />• No Additional General Fund Contribution <br />❖ Navigator Contracts with Non - Profits Decreased $33,000 <br />Due to Health Insurance Plan Savings for Navigators <br />❖ Total General Fund Contribution to FSA Program - <br />$581,355 <br />• 67% of Total Expenses <br />• Environmental Health Division — Fee table page 535 <br />• Revenue Increase of $61,400 due to Volume and Fee Changes <br />• Temporary Personnel to Reduce Inspection Wait Times - $18,375 <br />• Personal Health Services Division <br />• Medicaid Revenue Decrease - $24,960 <br />• Pharmacy Supplies Decrease Based on Actual Spending - <br />$30,200 <br />• Duke Energy Endowment Grant to Support Formerly Incarcerated <br />Transition (FIT) Program - $37,500 <br />• Refugee Health Fund and Family Planning Revenue Decrease - <br />$17,350 <br />❖ Current Service Levels Maintained through Reallocation <br />of County Funds <br />Commissioner Price asked if the number of male patients is increasing. <br />Meredith McMonigle said not in primary care, but male patients are still seen in the STD <br />and family planning services within the clinic. <br />Commissioner Price asked if males can come for a check up. <br />Meredith McMonigle said yes, and males are referred to Family Centered Healthcare. <br />She said care will be paid on a sliding scale for if men meet the same income guidelines that <br />exist within the clinic. <br />Commissioner Price asked if anything can be done about the fees for credit card costs. <br />Travis Myren said those are standard costs, and the County picks up these costs. <br />Meredith McMonigle said being able to offer the use of a credit card allows more <br />patients to be able to come into the clinic. <br />Chair Dorosin said the actual credit card fees have not increased, but rather more <br />people are paying via a credit card. <br />Bonnie Hammersley said to Commissioner Price that the male client issue was raised a <br />couple of years ago, and the need was investigated, and proven founded; as such the County <br />now contracts with Family Centered Healthcare to serve male clients. <br />