Final Minutes of April 20, 2022 - Laserfiche WebLink

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MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH April 20, 2022 o The recidivism rate is almost 12%. • Some of the desired outcomes of the FIT program include decreasing recidivism, improving client health outcomes, empowering clients to become knowledgeable about their health and take control, and increasing adherence with use of medications and treatment plans. • Transition Prisons o They are being adapted to enhance access to the local re-entry community to develop a comprehensive re-entry plan prior to release by having the prison residents moved to a Transition Prison near their home 12-18 months prior to release. • FIT Recovery (used to be FIT Connect) o Along with MAHEC, the push is to create a MAT Pilot Program for the state prison system. o FIT helped create MAT programs at the Durham and Orange County Detention Centers. o FIT, along with the NC Harm Reduction Coalition and the Duke Opioid Collaboratory, is providing technical assistance (TA) to 24 communities across the state by working with the grantees and attending all TA meetings and webinars. The BOH had questions and comments that were addressed by Mr. Green. C. 3R1 Quarter Financial Reports and Dashboards Micah Guindon, Finance and Administrative Services Director, gave a report on the 3rd quarter revenue and billing accuracy. Her report is as follows: • Total Health Department Budget vs. Actuals: Average YTD monthly revenue in FY 21-22 after the third quarter is $323k/month or $2.9M projected for the year, representing 69% of our overall budgeted revenue for the year. Revenues are higher than this point last fiscal year due to increased service levels for patients and residents. Revenue in the Environmental Health, Personal Health, and Dental Divisions (FY 20-21 third quarter YTD: $2.7M) are all up. Expenses are in line with revenues, at 58.91% of the overall budget. • Dental Earned Revenue by Source: The FY 21-22 average monthly revenue ($44.8k/month) for the third quarter is above our budget projection ($41 k/month) and the FY 20-21 average of$37.1 k/month. Revenue increases are due to a number of factors including a full clinic schedule compared to last year, a reduction of the appointment time for children's cleaning, and close monitoring of the schedule for cancelations. Staff are filling canceled spots more quickly ensuring as many patients are served as possible. Lastly, staff and patients alike are getting more comfortable with the mobile dental clinic setting and an increasing number of patients are being seen there. FY 21-22 dental earned revenue totals $403k at the end of the third quarter compared $315k at the end of the FY 20-21 third quarter. • Medical Earned Revenue by Source: Medical earned revenue is currently above the budgeted projection for FY 21-22 ($33k/month) at $49.1 k/month due primarily to Medicaid Transformation's per member per month rates for Primary Care. Family Planning, Child Health, and Medical Nutrition S:\Managers Working Files\BOH\Agenda &Abstracts\2022 Agenda &Abstracts/ April Page 4