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and as clinic staff continue to work through issues with the billing in the Epic EMR. Our <br />EMR Quality Improvement team called the “Epic Optimization Team” along with clinic <br />staff have made a large amount of progress in improving our revenue from medical <br />clinic services from the Epic system and the monthly average revenue of $43k/month is <br />already higher than it was in FY 18-19 at $41k/month. We anticipate this trend toward <br />increased revenue will continue to improve. Medical clinic revenue totals $130k for first <br />quarter FY 19-20. <br /> <br />Environmental Health Earned Revenue by Source: Environmental Health earned <br />revenue is currently below the budgeted projection for FY 19-20 ($54k/month) at <br />$41k/month. It is a seasonal trend to see lower revenue in the first quarter of the year <br />than in later quarters due to spring pool inspections; however, the decreased revenue is <br />directly related to the limited number of temporary staff available to complete WTMP <br />inspections. EH had 7 temporary Environmental Health Specialists (EHS) working <br />regularly to complete the inspections at this time last year and now have only 2 <br />temporary EHS working irregularly. We found it difficult to recruit and retain the <br />temporary EHS this summer given the heat. As a result, permanent staff in EH are <br />adding WTMP inspections to their current workloads in order to complete them as <br />required by the end of the fiscal year. <br /> <br /> <br />Grants Fund Revenue: <br />FSA has drawn $200k of the multi-year Kenan grant. Expenditures are tracking as <br />anticipated and will continue to increase as we fill the vacant Navigator position in <br />November. This position was dependent upon additional United Way funds in order to <br />hire at the full time equivalent level, which were approved by the BOCC in September. <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):