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Medical Earned Revenue by Source: Medical earned revenue is currently below the <br />budgeted projection for FY 18-19 ($55.6k/month) at $29k/month (although higher than <br />the first quarter average of $16.3k/month) due to provider turnover (2 new providers <br />started seeing patients in late July and August) and as clinic staff continue to work <br />through issues with the new EMR, improved customer service during the EMR transition <br />with longer appointment times (meaning we saw fewer patients), and have dealt with <br />clinic closures due to hurricane Florence and snow. We anticipated these issues as they <br />arise in all new automation projects and have staff dedicated to fixes by increased <br />training for providers, weekly workflow meetings, a Quality Improvement team called the <br />“Epic Optimization Team”, and teams devoted to building algorithms with UNC IT to <br />decrease errors in the billing system build (our state requirements make our billing very <br />different from a typical UNC outpatient clinic and require much more specificity). <br />Medical clinic revenue totals $174k for second quarter FY 18-19. <br /> <br />Environmental Health Earned Revenue by Source: Environmental Health earned <br />revenue is currently below the budgeted projection for FY 18-19 ($53k/month) at <br />$44.1k/month although this is a seasonal trend and has been affected by office closings <br />and wet weather, which resulted in an inability to perform as many onsite well and <br />septic inspections. We typically see an increase in revenue during the spring with public <br />pool and septic inspections and the division is working on a strategy to quickly decrease <br />the number of pending weather-delayed inspections. <br /> <br /> <br />Grants Fund Revenue: <br />FSA has drawn $100k of the multi-year Kenan grant. We will receive the second <br />allocation of $100k in third quarter FY 18-19. Expenditures are steadily increasing as <br />the new Social Work Supervisor II position has been filled and is implementing her <br />program strategies. <br /> <br /> <br /> <br />Recommended Action: ___Approve <br /> ___Approve & forward to Board of Commissioners for action <br /> ___Approve & forward to ____________________ <br /> _X_Accept as information <br /> ___Revise & schedule for future action <br /> ___Other (detail):