Minutes 06-07-2018 Budget Work Session

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4 o Dental Health Division ■ FTE Dental Hygienist to Address Patient Appointment Backlog - $70,508 • Offset by Additional User Fee Revenue - $72,157 ■ Contracted Dental Services Increase of$26,683 o Health Promotion and Education Services Division ■ Revenue Increase from Donations and State Funds $51,340 ■ Family Success Alliance ❖ New Cohort of 45 Families Served by Navigators 165 Total Families and 700 Total Family Members Served ❖ Total FY2018-19 Expenditure Increase of$37,364 • No Additional General Fund Contribution ❖ Navigator Contracts with Non-Profits Decreased $33,000 Due to Health Insurance Plan Savings for Navigators ❖ Total General Fund Contribution to FSA Program - $581,355 • 67% of Total Expenses o Environmental Health Division — Fee table page 535 ■ Revenue Increase of$61,400 due to Volume and Fee Changes ■ Temporary Personnel to Reduce Inspection Wait Times - $18,375 o Personal Health Services Division ■ Medicaid Revenue Decrease - $24,960 ■ Pharmacy Supplies Decrease Based on Actual Spending - $30,200 ■ Duke Energy Endowment Grant to Support Formerly Incarcerated Transition (FIT) Program - $37,500 • Refugee Health Fund and Family Planning Revenue Decrease - $17,350 ❖ Current Service Levels Maintained through Reallocation of County Funds Commissioner Price asked if the number of male patients is increasing. Meredith McMonigle said not in primary care, but male patients are still seen in the STD and family planning services within the clinic. Commissioner Price asked if males can come for a check up. Meredith McMonigle said yes, and males are referred to Family Centered Healthcare. She said care will be paid on a sliding scale for if men meet the same income guidelines that exist within the clinic. Commissioner Price asked if anything can be done about the fees for credit card costs. Travis Myren said those are standard costs, and the County picks up these costs. Meredith McMonigle said being able to offer the use of a credit card allows more patients to be able to come into the clinic. Chair Dorosin said the actual credit card fees have not increased, but rather more people are paying via a credit card. Bonnie Hammersley said to Commissioner Price that the male client issue was raised a couple of years ago, and the need was investigated, and proven founded; as such the County now contracts with Family Centered Healthcare to serve male clients. Commissioner Jacobs referred to the dental services, and asked if staff tracks whether residents have adjusted to just having a dental clinic in Hillsborough. Meredith McMonigle said this data is being tracked, and residents are still coming for services, despite there only being one location.