Minutes 05-28-2020 Virtual Budget Work Session

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5 FY2020-21 — 70% Policy Change in FY2018-19- Review Time for New Restaurant Plans — chart Personal Health Services Division • Revenue Decrease — ($18,272) • New Performance Measures o Medical Connection for Formerly Incarcerated Individuals with Chronic Health Conditions ■ % Attending Regular Medical Appointments ■ 85% Projected for FY2020-21 o Postnatal Care ■ % of Home Visits Made Within Two Weeks of Delivery 90% Projected for FY2020-21 o Medical Services for Uninsured, Underinsured, and Medicaid Eligible Clients ■ Number of Child Health Visits 1800 Projected in FY2020- 21 Commissioner Bedford said she previously asked about increased fees for the health department, as well as the ultrasound fees. She said the fees were zero last year because the health department did not have an ultrasound machine. She said fees are set on a sliding scale. Commissioner Dorosin referred to the fees on the sheet given to the Commissioners, and said it described several things identically, but with different charges. He asked if there is a reason for these varying prices, for seemingly the same services. Quintana Stewart said sometimes the fees vary between a new, versus an established, patient; and some may be based on age group. She said she does not have that information in front of her. Commissioner Dorosin mentioned a few specific charges. Quintana Stewart said she is not sure, and would have to ask her technicians about ultrasounds. She said the fees for vaccines are based on costs. Commissioner Dorosin said there are some fees listed as zero, and the next column says, "delete". He asked if this is due to these services no longer being offered. Quintana Stewart said this means her department got rid of a particular code. She said her department still offers the service, but under another heading/appointment type. She said her department gets its direction from the state. Commissioner Price asked if there is an update regarding Family Success Alliance (FSA). Quintana Stewart said outreach and case management were shifted from high touch to make it more fluid and flexible. She said not all families needed high touch management. She said this freed up some time for the Navigators, which allowed them to reach out to more families. She said one Navigator does a program called Family Connections, which is for those families that are no longer in need of high touch management. Quintana Stewart said she is also working with a newer program called the North Carolina Integrated Care for Kids, which shares many of the same objectives and goals as the FSA. She said effort is made to maximize both programs, and avoid duplicate services. Commissioner Price asked if there is an update on Gateway. Quintana Stewart said there are still navigators over there. Commissioner Greene referred to page 230, connecting with formerly incarcerated individuals with a disease, and asked if these numbers overlap with the re-entry council.