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Medical Earned Revenue by Source: Medical earned revenue is currently below the <br /> budgeted projection for FY 19-20 ($57k/month) at $42k/month due to provider turnover <br /> and as clinic staff continue to work through issues with the billing in the Epic EMR. Most <br /> appointments returned to 30-minute lengths in January as the medical clinic is almost <br /> fully staffed. Our EMR Quality Improvement team called the "Epic Optimization Team" <br /> along with clinic staff have made a large amount of progress in improving revenue from <br /> medical clinic services from the Epic system and the monthly average revenue of <br /> $42k/month is already higher than it was in FY 18-19 at $35.5k/month. This <br /> improvement in billing processing will most likely help insulate the medical clinic from <br /> experiencing large revenue deficits until early FY 20-21. Medical clinic revenue totals <br /> $378k after the third quarter FY 19-20 compared to $320k after third quarter FY 18-19. <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 /> $44.6k/month. It is a seasonal trend to see lower revenue in the first half 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 3 <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. EH staff continue to inspect where able during the <br /> Stay at Home Order, which will result in only a slight decrease in projected revenue for <br /> the remainder of the FY. FY 19-20 YTD revenue totals $401 k compared to FY 18-19 <br /> YTD revenue of $404k. <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 since we filled 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 /> 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): <br />