BOH Minutes of 012920 - Laserfiche WebLink

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MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH January 29, 2020 differences in health that are not only unnecessary and avoidable but are considered unfair and unjust. Health inequities are rooted in social injustices that make some population groups more vulnerable to poor health than other groups. • Equity is defined as the absence of avoidable or remediable differences, allowing for the attainment of optimal health for all people. Health equity is achieved when everyone has the opportunity to attain their full health potential and no one is disadvantaged because of socially determined circumstances. • Achieving it requires focused and ongoing societal efforts to address avoidable inequalities, historical and contemporary injustices, and the elimination of health and health care disparities. • Orange County has the largest income inequality for a county with more than 100,000 residents in the state. The number of children in poverty in Orange County varies widely by race, with 4 percent of white children living in poverty, 32 percent of Hispanic children and 25 percent of black children. • It's estimated that 69 percent of children born into poverty will remain in poverty unless there is an intervention and/or a significant change in the system. • Racism is different from racial prejudice, hatred, or discrimination. Racism involves one group having the power to carry out systematic discrimination through the major institutions of society. Racism is a system. A system of advantage based on a socially constructed concept of race. Created to justify social, political, and economic hierarchy. Racism operates on four levels— internalized, interpersonal, institutional and structural. • Some learning communities available to help staff get acquainted to racial equity work include book club, caucus, library, Meet Up to Eat Up, and the departmental newsletter. The BOH members had questions that were addressed by Ms. Prelipp and Ms. Salas. C. 2--d Quarter Financial Reports & Billing Dashboard Reports Rebecca Crawford, Financial &Administrative Services Director, gave a report on the 2nd quarter revenue and billing accuracy. Her report is as follows: • Total Health Department Budget vs. Actuals: Average YTD monthly revenue in FY19-20 after the second quarter is $209k/month or $1.3M YTD, representing 35.5% of our overall budgeted revenue for the year. As usual though, the total second quarter revenue is skewed down due to the majority of state funds not eligible to be drawn in July (this is typical) and allocations of Medicaid Max funds will not be transferred into our budget until the end of the fiscal year. Expenses are slightly above revenues, at 42.6% of the overall budget but on trend with prior fiscal years. • 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 ($50.7k/month) for the second quarter is above our budget projection ($45k/month) and our FY 18-19 average of$46.6k/month. We are seeing the direct impact of adding the additional Dental Hygienist in FY 18-19 and will potentially exceed our projected annual revenue related to this position ($72,157) since S:\Managers Working Files\BOH\Agenda &Abstracts\2020 Agenda &Abstracts/ January Page 3