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MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH August 22, 2018 S:\Managers Working Files\BOH\Agenda & Abstracts\2018 Agenda & Abstracts/ August Page 3 • Total Billing Accuracy: Continuing with the goal of 90% billing accuracy set in FY 14- 15, the average billing accuracy rate for medical for FY 17-18 was 91% as compared to the year-end average of 96% in FY 16-17. The average billing accuracy rate for dental for FY 17-18 was 101% as compared to 100% in FY 16-17. • Dental Earned Revenue by Source: The FY 17-18 average monthly revenue ($42.5/month) for the fourth quarter is below our budget projection ($43.4k/month) but above our FY 16-17 average of $39.8/month. FY 17-18 dental earned revenue totaled $511k at the end of the fiscal year, compared to $478k at the end of FY 16-17. • Medical Earned Revenue by Source: Medical earned revenue for the fiscal year was below the budgeted projection for FY 17-18 ($686k) at $609k since we had a provider on maternity leave until the end of December, provider turnover at the end of the fiscal year, and reduced appointments available to allow for Epic preparation. • Grants Fund Revenue: FSA received a multi-year grant for $100k per fiscal year for 3 years at the end of FY 17-18. These funds will carry through FY 18-19 and FY 19-20. We’ll track these and any other multi-year grants through this section of the financial report on an ongoing basis. • Note for FY 18-19 Revenue: FAS (Finance and Administrative Services Division) anticipates medical revenue will be delayed for the first 3 months of FY 18-19 as we close out billing in the Patagonia Electronic Medical Record System (EMR) and begin billing in the new Epic EMR. UNC has built an incredible billing system for the Health Department, however it is the first system like it they have ever built and we continue to work through anticipated system issues, which will delay billing to commercial insurance and Medicaid. Patients are still being seen so revenue will catch up in the latter part of the Fiscal Year. FAS also anticipates a potential delay in Environmental Health revenue as the division transitions to a new Central permitting system in October. Staff are training frequently now to reduce the impact on county residents and prepare for the upcoming Go Live. The BOH members had questions that were addressed by Ms. Crawford. C. Fluoride Ad Hoc Committee Update Liska Lackey, BOH member, began by reminding the Board that the role they have in reviewing a policy in which they have no authority is due to their duty to protect the public’s health while recognizing that OWASA has that authority. Ms. Lackey then reviewed the proposed plan for addressing key components in the November 3, 2017 letter in which OWASA requested a review of fluoridation. Ms. Lackey acknowledged and praised the fluoride committee members that provided input into this proposed plan. Board suggestions included making sure there is focus on the at-risk population and having local experts (e.g. those in the triangle area) participate. The Board came to a general consensus and all agreed on the proposed plan. Ms. Lackey will generate a letter for the Board chair’s signature to be sent to OWASA. The BOH members had questions that were addressed by Ms. Lackey.