Final Minutes of February 23, 2022

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MINUTES - Draft ORANGE COUNTY BOARD OF HEALTH February 23, 2022 A. FY 2022-2023 Budget Micah Guindon, Finance and Administrative Services Director, presented the Board with a summary of the proposed FY 2022-2023 budget for the Health Department. The Health Department will request a County General Fund budget in FY 22-23 of$7,641,686. This represents an increase to the FY 22-23 base budget of$218,155. In a change from previous years, the County is excluding time-limited staff from the base budget thus $117,236 of the increase is due to this change. The major drivers of the remaining $100,919 is an increase in temporary staff, client transportation, training, travel, medical and pharmacy supplies, and nicotine replacement therapy (NRT) program costs. The total increase in expenditures is $466,292 from the FY 22-23 Base Budget; the majority of which is related to personnel requests including three staff for the Mobile Dental Clinic. Staff project a $248,137 increase in revenues for FY 22-23, including an increase in Medicaid Maximization funds of$53,900 and an increase in service revenues in Dental and Environmental Health. The proposed total expenditure budget is $11,394,210 and the proposed total revenue budget is $3,752,524. The County General Fund request of$7,641,686 is a 3% change from FY 22-23 base. New Staff Requests The Health Department requests 5.9 FTEs in personnel. These positions are 100% covered by reallocation of existing expenses or by new projected revenue. The Dental Division requests staff to support the Mobile Dental Clinic (MDC): a 1.0 FTE Dentist, 1.0 FTE Dental Assistant, and 1.0 Mobile Dental Clinic Operator. The MDC Operator is requested in collaboration with Orange County Public Transportation and cost shared at 50% per department. The MDC Operator will drive the MDC vehicle throughout the County, removing transportation as a barrier to care, as well as ensure it is properly maintained. These three positions will increase service capacity of the MDC allowing expansion into the community and schools. Additionally, the Health Department requests 0.4 FTE making the Preparedness Coordinator position full time. The position will liaise to State Preparedness ensuring staff are ready to respond to the myriad of possible public health emergencies. The Health Department also requests a 1.0 FTE IT Support Specialist as the Department's IT and informatics demands have only continued to increase. The Department is in need of in-house technical support. Finally, the Health Department requests conversion of two time-limited positions to permanent status: 1.0 FTE Community Health Aide and 1.0 FTE Property Development Specialist. The Community Health Aide position was originally grant funded in a partnership with UNC in the Formerly Incarcerated Transitions (FIT) program, which ended in FY 20-21 fiscal year and has been fully absorbed into the Health Department budget since then. 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 Water Protection (OSWP) inspections in a time sensitive way. S:\Managers Working Files\BOH\Agenda &Abstracts\2022 Agenda &Abstracts/ January Page 3