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Agenda - 09-20-2018 8-a - Minutes
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Agenda - 09-20-2018 8-a - Minutes
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9/12/2018 1:52:23 PM
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BOCC
Date
9/20/2018
Meeting Type
Regular Meeting
Document Type
Agenda
Agenda Item
8-a
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Agenda - 09-20-2018 Regular Board Meeting
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\Board of County Commissioners\BOCC Agendas\2010's\2018\Agenda - 09-20-2018 Regular Meeting
Minutes 09-20-2018
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\Board of County Commissioners\Minutes - Approved\2010's\2018
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4 <br /> 1 $136,468 Increase in Net County Costs <br /> 2 o Finance and Administrative Services Division <br /> 3 ■ Increase Credit Card Transaction Fees by $5,800 <br /> 4 o Dental Health Division <br /> 5 ■ FTE Dental Hygienist to Address Patient Appointment Backlog - <br /> 6 $70,508 <br /> 7 ■ Offset by Additional User Fee Revenue - $72,157 <br /> 8 ■ Contracted Dental Services Increase of$26,683 <br /> 9 o Health Promotion and Education Services Division <br /> 10 ■ Revenue Increase from Donations and State Funds $51,340 <br /> 11 ■ Family Success Alliance <br /> 12 ❖ New Cohort of 45 Families Served by Navigators <br /> 13 ❖ 165 Total Families and 700 Total Family Members Served <br /> 14 ❖ Total FY2018-19 Expenditure Increase of$37,364 <br /> 15 No Additional General Fund Contribution <br /> 16 ❖ Navigator Contracts with Non-Profits Decreased $33,000 <br /> 17 Due to Health Insurance Plan Savings for Navigators <br /> 18 ❖ Total General Fund Contribution to FSA Program - <br /> 19 $581,355 <br /> 20 67% of Total Expenses <br /> 21 o Environmental Health Division — Fee table page 535 <br /> 22 ■ Revenue Increase of$61,400 due to Volume and Fee Changes <br /> 23 ■ Temporary Personnel to Reduce Inspection Wait Times - $18,375 <br /> 24 o Personal Health Services Division <br /> 25 ■ Medicaid Revenue Decrease - $24,960 <br /> 26 ■ Pharmacy Supplies Decrease Based on Actual Spending - <br /> 27 $30,200 <br /> 28 ■ Duke Energy Endowment Grant to Support Formerly Incarcerated <br /> 29 Transition (FIT) Program - $37,500 <br /> 30 ■ Refugee Health Fund and Family Planning Revenue Decrease - <br /> 31 $17,350 <br /> 32 ❖ Current Service Levels Maintained through Reallocation <br /> 33 of County Funds <br /> 34 <br /> 35 Commissioner Price asked if the number of male patients is increasing. <br /> 36 Meredith McMonigle said not in primary care, but male patients are still seen in the STD <br /> 37 and family planning services within the clinic. <br /> 38 Commissioner Price asked if males can come for a check up. <br /> 39 Meredith McMonigle said yes, and males are referred to Family Centered Healthcare. <br /> 40 She said care will be paid on a sliding scale for if men meet the same income guidelines that <br /> 41 exist within the clinic. <br /> 42 Commissioner Price asked if anything can be done about the fees for credit card costs. <br /> 43 Travis Myren said those are standard costs, and the County picks up these costs. <br /> 44 Meredith McMonigle said being able to offer the use of a credit card allows more <br /> 45 patients to be able to come into the clinic. <br /> 46 Chair Dorosin said the actual credit card fees have not increased, but rather more <br /> 47 people are paying via a credit card. <br /> 48 Bonnie Hammersley said to Commissioner Price that the male client issue was raised a <br /> 49 couple of years ago, and the need was investigated, and proven founded; as such the County <br /> 50 now contracts with Family Centered Healthcare to serve male clients. <br />
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