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MINUTES-Draft <br />ORANGE COUNTY BOARD OF HEALTH <br />October 24, 2018 <br />S:\Managers Working Files\BOH\Agenda & Abstracts\2018 Agenda & Abstracts/ October Page 4 <br />contribute to the lower than normal revenue: Electronic Medical Record (EMR) change <br />to Epic, provider on maternity leave in Dental, and departmental closures due to <br />hurricane Florence. As usual though, the total first quarter revenue is also skewed down <br />due to the majority of state funds not eligible to be drawn in July (this is typical) and <br />allocations of Medicaid Max funds will not be transferred into our budget until the end of <br />the fiscal year. Expenses are higher than revenues, but on trend, at 20.5% of the total, <br />overall budget. <br /> <br />• Total Billing Accuracy: <br />Billing Accuracy is under construction due to the change in EMR. The Informatics team <br />is working diligently to have this measure for both medical and dental back by the <br />second quarter financial report. <br /> <br />• Dental Earned Revenue by Source: <br />The FY 18-19 average monthly revenue ($39.5k/month) for the first quarter is below our <br />budget projection ($45k/month) and our FY 17-18 average of $42.6k/month due to <br />having a dentist on maternity leave. Also, we projected and budgeted to receive a higher <br />level of revenue for FY 18-19 than in FY 17-18 because of the additional Dental <br />Hygienist we received for this fiscal year. Our new Hygienist was hired mid-quarter so <br />we will not begin seeing increased revenues until second quarter. FY 18-19 dental <br />earned revenue totaled $118k at the end of the first quarter. <br /> <br />• Medical Earned Revenue by Source: <br />Medical earned revenue is currently below the budgeted projection for FY 18-19 <br />($55.6k/month) at $16.3k/month due to provider turnover (2 new providers started <br />seeing patients in late July and August) and as clinic staff continue to work through <br />issues with the new EMR, improved customer service during the EMR transition with <br />longer appointment times (meaning we saw fewer patients), and have dealt with clinic <br />closures due to hurricane Florence. We anticipated these issues as they arise in all new <br />automation projects and have staff dedicated to fixes by increased training for providers, <br />weekly workflow meetings, a Quality Improvement team called the “Epic Optimization <br />Team”, and teams devoted to building algorithms with UNC IT to decrease errors in the <br />billing system build (our state requirements make our billing very different from a typical <br />UNC outpatient clinic and require much more specificity). Medical clinic revenue totals <br />$49k for first quarter FY 18-19. <br /> <br />• Environmental Health Earned Revenue by Source: <br />Environmental Health earned revenue is currently below the budgeted projection for FY <br />18-19 ($53k/month) at $44.3k/month) although this is a seasonal trend. We typically see <br />an increase in revenue during the spring with public pool and septic inspections. <br /> <br />• Grants Fund Revenue: <br />FSA has drawn $100k of the multi-year Kenan grant. Expenditures are low at this time <br />but we anticipate these will increase once the new Social Work Supervisor II position is <br />filled in the second quarter. <br /> <br />The BOH had questions that were addressed by Ms. Crawford. <br /> <br />C. Advisory Board Update <br /> <br />Beverly Scurry, Board of Health Strategic Plan Manager, gave a brief summary of the Orange