BOH Final Minutes of October 27, 2021

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MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH October 27, 2021 Medical Clinic attempted to switch to an electronic survey; there were only 42 responses received. Some of the known challenges and barriers included a change of clinic leadership during the original implementation plan, abbreviated clinic schedules and the workflow process for survey administration was not clearly developed. Some of the results included: • Staff were friendly, respectful and helpful —76% agreed, 2% disagreed, 10% 1 don't know (IDK), 12% does not apply (DNA) • Staff clearly explained information to me in a way I understood — 79% agreed, 2% disagreed, 7% IDK, 12% DNA • 1 didn't have to wait too long to see a staff member—69% agreed, 5% disagreed, 5% IDK, 21% DNA • Free text comments included positive comments about their Covid vaccination experience along with some that praised staff for their kindness and helpfulness. o Comments about helpful staff The BOH had questions that were addressed by the presenters. B. 1St Quarter Financial Reports & Billing Dashboard Kimberlee Quatrone, Business Officer, gave a report on the 1 st quarter revenue and billing accuracy. Her report is as follows: • Total Health Department Budget vs. Actuals: Average YTD monthly revenue in FY21-22 after the first quarter is $243k/month or $765k YTD, representing 8% of our overall budgeted revenue for the year. As usual though, the total first quarter revenue is skewed down due to the majority of state funds not eligible to be drawn in July (this is typical). Revenues are higher than this point last fiscal year (FY 20-21 1st Quarter YTD: $584k) due to the clinic being open to see patients where last year at this time there were limited services due to the pandemic. Expenses are in line with revenues, at 6% of the overall budget. • Dental Earned Revenue by Source: The FY 21-22 average monthly revenue ($49.2k/month) for the first quarter is above our budget projection ($41 k/month) and our FY 20-21 average of$37.1 k/month due to the clinic returning to the pre-pandemic appointment length of one hour vs. one and one-half hours during the pandemic. The dental clinic is also open under the regular schedule of Monday to Friday whereas they were at a reduced schedule this time last year. FY 21-22 dental earned revenue totaled $148k at the end of the first quarter compared $94k at the end of the FY 20-21 first quarter. • Medical Earned Revenue by Source: Medical earned revenue is currently above the budgeted projection for FY 21-22 ($33k/month) at $39.6k/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. We are below our revenue totals compared to last year at this time as we are on a reduced clinic schedule due to staffing issues whereas last year the pandemic didn't affect clinic schedule until mid-March, towards the end of the fiscal quarter. Also, at the time of S:\Managers Working Files\BOH\Agenda &Abstracts\2021 Agenda &Abstracts/ October Page 3