BOH Final Minutes of April 28, 2021 with edit

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MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH April 28, 2021 response and increased revenue for Environmental Health and Dental (FY 19-20 third quarter YTD: $2M). Expenses are in line with revenues, at 61.3% of the overall budget. • Dental Earned Revenue by Source: The FY 20-21 average monthly revenue ($35k/month) for the third quarter is below our budget projection ($41 k/month) and our FY 19-20 average of$39.7k/month due to longer than anticipated dental clinic closures during the pandemic and the Dental Division Director vacancy in the first quarter. PPE shortages had a negative impact on the dental clinic and its ability to re-open to increased capacity, as Dental staff are required to wear a higher level of PPE for most procedures; however, that has improved over the past quarter. The clinic is now adding additional appointment times and days to be open, which have allowed staff to see more patients. FY 20-21 dental earned revenue totaled $315k at the end of the third quarter compared $445k at the end of the FY 19-20 third quarter. • Medical Earned Revenue by Source: Medical earned revenue is currently above the budgeted projection for FY 20-21 ($33k/month) at $39.9k/month due to greater than anticipated revenue during the pandemic. Telehealth visits have been very successful and allowed the clinic to continue to see patients and bill for services even as in-person visits were limited. Billing staff have also worked diligently to collect as much revenue as possible from Medicaid and insurance companies from older accounts. We anticipate this trend toward increased revenue will continue to improve as the medical clinic gradually adds more in-person visits based on PPE availability and staff capacity. Medical clinic revenue totals $359k for third quarter FY 20-21 compared to $378k in third quarter FY 19-20. • Environmental Health Earned Revenue by Source: Environmental Health earned revenue is slightly below the budgeted projection for FY 20-21 ($53k/month) at $47.3k/month. We are starting to see our seasonal trend of increase revenue in the third quarter of the year due to spring pool inspections and better weather for outdoor inspections and site visits. EH staff have worked hard to continue OSWP inspections during the pandemic with little to no in-person required of residents. FY 20-21 third quarter YTD revenue ($426k) is higher compared to third quarter YTD FY 19-20 ($401 k). • Grants Fund Revenue: FSA has drawn $200k of the multi-year Kenan grant. Expenditures are tracking as anticipated but we will most likely not fully expend the Kenan grant and thus will not request reimbursement for the full grant amount as many FSA staff have been re- deployed for the COVID-19 pandemic response. D. Advisory Board Update Beverly Scurry, Board of Health Strategic Plan Manager, made reference to the Advisory Report sent to the Board in advance of the meeting and stated that COVID-19 related issues were a topic of discussion for most boards. She asked the Board if there were any questions. The Board had none. E. Gaines Chapel Road (GCR) Study Kojo Minta, a UNCG graduate student, presented a study on the Gaines Chapel community. S:\Managers Working Files\BOH\Agenda &Abstracts\2021 Agenda &Abstracts/ April Page 4