BOH Agenda 092320 - Laserfiche WebLink

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MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH August 26,2020 • Total Health Department Budget vs. Actuals: Average YTD monthly revenue in FY19-20 after the fourth quarter is $271 k/month or $3.3M YTD, representing 91.8% of our overall budgeted revenue for the year compared to last year, which was 91.6%. Expenses are above revenues, at 92% of the overall budget. This shows how well staff did in reducing expenditures in order to match decreased revenues during office closures. Additional state and federal funding to offset revenue shortages and support the pandemic response contributed to an almost equal percent of overall revenue received of what was budgeted to the prior fiscal year. • Total Billing Accuracy: The medical and dental billing accuracy measure continues to be a challenge as we work with UNC and the Dental EHR, Eaglesoft, to improve the accuracy of the reporting system for Health Department revenue and is not included in this quarter's dashboard. • Dental Earned Revenue by Source: The FY 19-20 average monthly revenue ($39k/month)for the fourth quarter is below our budget projection ($45k/month) and our FY 18-19 average of$46.6k/month. As anticipated, the dental clinic saw a more immediate, negative impact on revenues than the medical clinics as a result of the severely decreased operations and very limited appointments. We began seeing more patients in June when PPE was more readily available, which led to slightly higher than anticipated revenue totals for that time period. FY 19-20 dental earned revenue totaled $468k at the end of the fourth quarter compared to $559k at the end of the FY 18-19 fourth quarter. • Medical Earned Revenue by Source: Medical earned revenue is below the budgeted projection for FY 19-20 ($57k/month) at $40.1 k/month. Our billing team worked hard over the last quarter to correct and submit outstanding claims in the medical clinic in order to bring in as much revenue as possible, which helped insulate the medical clinic from the large revenue decrease experienced by the dental clinic. The medical clinic continued to have many telehealth visits and some in-person visits, which contributed to revenue receipts. Medical clinic revenue totals $482k after the fourth quarter FY 19-20 compared to $487k after fourth quarter FY 18- 19. • Environmental Health Earned Revenue by Source: Environmental Health earned revenue is below the budgeted projection for FY 19-20 ($54k/month) at $46k/month. Permanent staff in EH added WTMP inspections to their current workloads in order to complete them as required by the end of the fiscal year. EH staff did an amazing job and continued to inspect where able during the Stay at Home Order, which resulted in only a slight decrease in projected revenue for the remainder of the FY. FY 19-20 YTD revenue totals $552k compared to FY 18-19 YTD revenue of $594k. • Grants Fund Revenue: FSA has drawn $200k of the multi-year Kenan grant. Expenditures are tracking as anticipated and will continue to increase since we filled the vacant Navigator position in November. This position was dependent upon additional United Way funds in order to hire at the full time equivalent level, which were approved by the BOCC in September. The BOH members had questions and comments that were addressed by Ms. Crawford. S:\Managers Working Files\BOH\Agenda &Abstracts\2020 Agenda &Abstracts/ August Page 4