BOH Final Minutes of February 24, 2021

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MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH February 24, 2021 VI. Action Items (Non-Consent) A. FY 2020-21 Budget Rebecca Crawford, Financial and Administrative Services Director, presented the Board with a summary of the proposed FY 2021-2022 budget for the Health Department. The FY 2021-2022 budget presents an increase in expenditures of$319,615 from the FY 21-22 Base Budget; the majority of which is related to an additional allocation from NCDHHS for the Regional Prevention and Support Team to continue infection prevention education in long term care facilities next fiscal year. Staff projects a $359,615 increase in revenues for FY 21-22, which will fully offset the expenditure increase. The balance of$40,000 was incorrectly included in the Health Department's base budget for FY 2021-2022 and will not be used. The Health Department will request a County General Fund budget in FY 21-22 of$7,255,918. The Health Department proposes to create a new division in FY 2021-2022 called the Community Health Services division. This division will combine programs from the Personal Health and Health Promotion and Education Services divisions that do not have a medical clinic focus in order to isolate all medical clinic-related services in the Personal Health division. The new division will include the following programs: • Health Promotion and Education Services (Healthy Communities, Healthy Carolinians, Board of Health, Tobacco Prevention, CLAS Grant) • Family Success Alliance • Family Home Visiting (Newborn/Postpartum, Health Behavior Interventions, Care Coordination for Children, Pregnancy Care Management) There is no additional financial impact with this change. The proposed total budget is $10,759,555. New Staff Requests The Health Department requests to extend time limited status for an additional fiscal year for a 1.0 FTE Community Health Aide, 1.0 FTE Property Development Specialist, and additional 0.3 FTE for a permanent part-time Office Assistant II. The Community Health Aide position was originally grant funded in a partnership with UNC in the Formerly Incarcerated Transitions (FIT) program, which ended last fiscal year and was fully absorbed into the Health Department budget. We have seen many benefits to the residents of Orange County through this program and have reallocated County General Funds to support keeping the position on a permanent basis. The Property Development Specialist has been crucial to ensuring timely and accurate data entry in the Energov system so licensed Environmental Health staff are able to perform On Site Well Program (OSWP) inspections in a time sensitive way. Finally, the additional 0.3 FTE for the permanent part-time Office Assistant II will be funded by regional Minority Diabetes Prevention Program (MDPP) grant funds to assist the Nutrition Program in the MDPP grant requirements. State Funding The NC Department of Health and Human Services (NCDHHS) has provided us with the FY 21- 22 Consolidated Agreement Addenda. We received an increase in the Refugee Health Assessment program of$978 for a total allocation of$5,200 (related to an increase in S:\Managers Working Files\BOH\Agenda &Abstracts\2021 Agenda &Abstracts/ February Page 3