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MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH September 26, 2018 S:\Managers Working Files\BOH\Agenda & Abstracts\2018 Agenda & Abstracts/ September Page 4 B. For purposes of Board composition, diversity includes, but is not limited to, professional experience, cultural and educational background, geography, age, gender, race and ethnicity. When assessing Board composition or identifying suitable candidates for appointment/re- appointment, the Board will consider candidates on merit and statutory requirement with consideration to the benefits of diversity. C. The Orange County Board of Health is committed to ensuring diversity among members and values the benefits that diversity brings. Diversity promotes the inclusion of different perspectives and ideas, mitigates against group think and ensures that the Board has the opportunity to benefit from a variety of skills, backgrounds and experiences. D. The Board’s commitment to diversity shows internal and external stakeholders that the organization emphasizes diverse constituencies and does not discriminate against minorities, thereby enhancing the Board’s reputation with county government and residents. C. Committees 3. Physical Activity & Nutrition to replace Access to Care 5. Social Determinants of Health to replace Childhood and Family Obesity Prevention The BOH members had questions that were addressed by Ms. Stewart. Motion to forward to the County Attorney with the added change of “citizens” to “residents” and approve contingent upon the County Attorney’s approval was made by Jessica Frega, seconded by Jennifer Deyo and carried without dissent. Rebecca Crawford, Financial and Administrative Services Director, began by informing the BOH members that the BOH is required to review its policy manual annually. Updates to two sections of the Fee and Eligibility section of the policy are recommended below: I.E. Fee and Eligibility Policy Staff recommends making the following revisions to the Fee and Eligibility Policy for the purposes of clarification, to be in compliance with state requirements, and to update according to system changes: - Service Limitation/Denial (Section V.C.): Expanded the section stating that Family Planning patients will never be refused service due to an outstanding balance or inability to provide proof of income to include Maternal Health and Child Health patients at the recommendation of the DHHS Administrative Consultant. - Fees Collection (Section VII.E.): Clarified that clients are given a statement showing the cost of services after charges are processed upon request rather than at the time services are received since the Epic Electronic Medical Record (EMR) system is unable to produce a statement until after charges are processed, which may not occur until after the patient has left the clinic. - Fees Collection (Section VII.I.): Updated the Billing Cycle section to specify the billing statement process for the Epic Electronic Medical Record (EMR) system since