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MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH August 22 , 2018 • Total Billing Accuracy : Continuing with the goal of 90 % billing accuracy set in FY 14 - 15 , the average billing accuracy rate for medical for FY 17- 18 was 91 % as compared to the year-end average of 96 % in FY 1 & 17 . The average billing accuracy rate for dental for FY 17 - 18 was 101 % as compared to 100 % in FY 16 - 17 . • Dental Earned Revenue by Source : The FY 17- 18 average monthly revenue ( $42 . 5/month ) for the fourth quarter is below our budget projection ( $43 . 4k/month) but above our FY 16 - 17 average of $ 39 . 8/month . FY 17 - 18 dental earned revenue totaled $ 511 k at the end of the fiscal year, compared to $478k at the end of FY 16- 17 . • Medical Earned Revenue by Source : Medical earned revenue for the fiscal year was below the budgeted projection for FY 17 - 18 ( $686k) at $609k since we had a provider on maternity leave until the end of December , provider turnover at the end of the fiscal year , and reduced appointments available to allow for Epic preparation . / ; • Grants Fund Revenue : FSA received a multi=year grant for $ 100k per fiscal year for 3 years at the end of FY 17 - 18 . These funds will carry through FY 18 - 19 and FY 19-20 . We ' ll track these and any other multi -year grants through this section of the financial report on an ongoing basis . • Note for FY 18A 9 Revenue : FAS ( Finance and Administrative Services Division ) anticipates medical revenue will be delayed for the first 3 months of FY 18A 9 as we close out billing in the Patagonia Electronic Medical Record System ( EMR) and begin billing in the new Epic EMR . UNC has built an incredible billing system for the Health Department , however it is the first system like it they have ever built and we continue to work through anticipated system issues , which will delay billing to commercial insurance and Medicaid . Patients are still being seen so "revenue will catch up in the latter part of the Fiscal Year, FAS also anticipates a potential delay in Environmental Health revenue as the division transitions to a new Central permitting system in October. Staff are training frequently now to reduce the impact on county residents and prepare for the upcoming Go Live , The BOH members had questions that were addressed by Ms. Crawford. C . Fluoride Ad Hoc Committee Update Liska Lackey , BOH member , began by reminding the Board that the role they have in reviewing a policy in which they have no authority is due to their duty to protect the public' s health while recognizing that OWASA has that authority . Ms . Lackey then reviewed the proposed plan for addressing key components in the November 3 , 2017 letter in which OWASA requested a review of fluoridation . Ms . Lackey acknowledged and praised the fluoride committee members that provided input into this proposed plan . Board suggestions included making sure there is focus on the at- risk population and having local experts (e . g . those in the triangle area ) participate . The Board came to a general consensus and all agreed on the proposed plan . Ms . Lackey will generate a letter for the Board chair' s signature to be sent to OWASA . The BOH members had questions that were addressed by Ms. Lackey. S : \Managers Working Files \ BOH \Agenda & Abstracts \ 2018 Agenda & Abstracts / August Page 3