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MINUTES - Draft <br /> ORANGE COUNTY BOARD OF HEALTH <br /> January 29, 2020 <br /> the dental clinic is fully staffed. FY 19-20 dental earned revenue totaled $304k at the <br /> end of the second quarter compared $246k at the end of the FY 18-19 second quarter. <br /> • Medical Earned Revenue by Source: <br /> Medical earned revenue is currently below the budgeted projection for FY 19-20 <br /> ($57k/month) at $41.6k/month due to provider turnover and as clinic staff continue to <br /> work through issues with the billing in the Epic EMR. Most appointments will return to 30 <br /> minute lengths in January as the medical clinic is almost fully staffed (visit lengths were <br /> extended to 1 hour while we oriented 3 new nurses and experienced provider turnover). <br /> Our EMR Quality Improvement team called the "Epic Optimization Team" along with <br /> clinic staff have made a large amount of progress in improving revenue from medical <br /> clinic services from the Epic system and the monthly average revenue of$41.6k/month <br /> is already higher than it was in FY 18-19 at $29k/month. We anticipate this trend toward <br /> increased revenue will continue. Medical clinic revenue totals $250k after the second <br /> quarter FY 19-20 compared to $174k after second quarter FY 18-19. <br /> • Environmental Health Earned Revenue by Source: <br /> Environmental Health earned revenue is currently below the budgeted projection for FY <br /> 19-20 ($54k/month) at $40.6k/month. It is a seasonal trend to see lower revenue in the <br /> first half of the year than in later quarters due to spring pool inspections; however, the <br /> decreased revenue is directly related to the limited number of temporary staff available <br /> to complete WTMP inspections. EH had 7 temporary Environmental Health Specialists <br /> (EHS) working regularly to complete the inspections at this time last year and now have <br /> only 3 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. FY 19-20 YTD revenue totals $243k compared to <br /> FY 18-19 YTD revenue of$264k. <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 as 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 /> The BOH members had questions that were addressed by Ms. Crawford. <br /> D. Updated BOH Policy Manual <br /> The Board was presented with the updated BOH policy. The Board members updated their <br /> binders with the updated BOH policy. <br /> The BOH members had questions that were addressed by Ms. Stewart. <br /> VI. Reports and Discussion with Possible Action <br /> A. Health Director Report <br /> In addition to mentioning upcoming events, Ms. Stewart also reiterated the items below from her <br /> report. <br /> S:\Managers Working Files\BOH\Agenda &Abstracts\2020 Agenda &Abstracts/ <br /> January Page 4 <br />