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MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH February 26, 2020 changes, which were included in the Board's agenda packet. After the Orange County Attorney's office has completed its legal sufficiency review, the BOH will be asked to approve the proposed changes at the March 25th meeting. The BOH members had questions that were addressed by Ms. Hudson. D. Outside Agency Review Process La Toya Strange, Administrative Support I, summarized the Outside Agency Review process and the assignments required of Board of Health members for evaluating applications. The Health Department received seven applications to review. Board members are to review the applications assigned to them, record scores on the appropriate scoring cards, and send the completed scoring cards back to Ms. Strange by March 20tn VI. Action Items (Non Consent) A. FY 2021-21 Budget Request & Fee Schedule Quintana Stewart, Health Director, and Rebecca Crawford, Financial and Administrative Services Director, presented the Board with a summary of the proposed FY 2020-2021 budget for the Health Department presents an increase in expenditures of$143,975 from the FY 20-21 Base Budget; all of which are related to an increase in permanent staffing (5.0 new FTEs and 1.0 FTE converted from Time Limited to Permanent, supported by re-allocated county general funds, fees for service, Medicaid Cost Settlement, and new County General funds). Staff projects a $99,354 increase in revenues for FY 20-21, which will partially offset the expenditure increase. The Health Department will request a County General Fund request in FY 20-21 of $44,621. The proposed total budget is $11,074,200. In relation to new staff requests, the Health Department requests to convert previously allocated contract services funds for an IT Support Analyst to a permanent IT Support Analyst as we have been unable to recruit for this position as a contractor. This position will be fully funded by existing, reallocated County General Funds. The department has requested to add a Mobile Dental Clinic (MDC) Coordinator and Administrative Support I (to provide administrative assistance in the medical clinics) during the current year. These positions are included in our budget request and will be fully funded by Medicaid Cost Settlement funds. The department requests to add two new positions that will each be partially funded by new User Fees and New County General Funds. The Dental Clinic would like to add a Dental Hygienist as an existing Dental Hygienist will serve on the Mobile Dental Clinic and we anticipate that adding a new Hygienist will enable the Dental Clinic to maintain the current patient load and not extend wait times for new/return appointments. The Environmental Health Division would like to add an additional Environmental Health Specialist (EHS) to dedicate 100% to Onsite Water Protection Services (OSWP) inspections. Currently an OSWP EHS has been reassigned to work 50% of her time in the Food and Lodging Inspections (FLI) program to inspect an additional 11 locations on the UNC campus as newly required by a NCDHHS plus many new restaurants, food trucks, and new food offerings at UNC Athletic events. This has meant other existing OSWP EHS have taken on additional inspections and lengthened inspection wait times. The new EHS would allow all inspections (OSWP and FLI) to be conducted within acceptable wait times and improve client satisfaction. Finally, the department requests to convert a time limited Reentry Case Manager position to a permanent position. This position was originally grant funded in a partnership with UNC in the Formerly Incarcerated Transitions (FIT) program, which ended this fiscal year. We S:\Managers Working Files\BOH\Agenda &Abstracts\2020 Agenda &Abstracts/ February Page 4