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MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH April 22, 2020 decreased operations and very limited appointments. FY 19-20 dental earned revenue totaled $445k at the end of the third quarter compared to $393k at the end of the FY 18- 19 third quarter. • Medical Earned Revenue by Source: Medical earned revenue is currently below the budgeted projection for FY 19-20 ($57k/month) at $42k/month due to provider turnover and as clinic staff continue to work through issues with the billing in the Epic EMR. Most appointments returned to 30- minute lengths in January as the medical clinic is almost fully staffed. Our EMR Quality Improvement team called the "Epic Optimization Team" along with clinic staff have made a large amount of progress in improving revenue from medical clinic services from the Epic system and the monthly average revenue of$42k/month is already higher than it was in FY 18-19 at $35.5k/month. This improvement in billing processing will most likely help insulate the medical clinic from experiencing large revenue deficits until early FY 20-21. Medical clinic revenue totals $378k after the third quarter FY 19-20 compared to $320k after third quarter FY 18-19. • Environmental Health Earned Revenue by Source: Environmental Health earned revenue is currently below the budgeted projection for FY 19-20 ($54k/month) at $44.6k/month. It is a seasonal trend to see lower revenue in the first half of the year than in later quarters due to spring pool inspections; however, the decreased revenue is directly related to the limited number of temporary staff available to complete WTMP inspections. EH had 7 temporary Environmental Health Specialists (EHS) working regularly to complete the inspections at this time last year and now have only 3 temporary EHS working irregularly. We found it difficult to recruit and retain the temporary EHS this summer given the heat. As a result, permanent staff in EH are adding WTMP inspections to their current workloads in order to complete them as required by the end of the fiscal year. EH staff continue to inspect where able during the Stay at Home Order, which will result in only a slight decrease in projected revenue for the remainder of the FY. FY 19-20 YTD revenue totals $401 k compared to FY 18-19 YTD revenue of$404k. • 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 that were addressed by Ms. Crawford. C. Accreditation Review/Update Co-Accreditation Coordinators, Ashley Rawlinson and Rebecca Crawford, provided the Board with an overview of the accreditation process. Highlights of their presentation are below. • The purpose of accreditation is to ensure that all NC health departments are meeting the 10 essential services. One of the benefits is that it assures a minimum standard for all health departments and to ensure the same level of service is provided at all local health departments (LHDs) across the state. • As of May 2018, all LHDs in NC have been accredited at least once. S:\Managers Working Files\BOH\Agenda &Abstracts\2020 Agenda &Abstracts/ April Page 3