Agenda - 02-16-2023 Work Session; 1 - Boards and Commissions – Annual Work Plan Summaries

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17 o Orange Partnership Identify any activities this board/commission expects to carry out in 2023 as they relate to established BOCC goals and priorities. If applicable, is there a fiscal impact (i.e., funding, staff time, other resources) associated with these proposed activities (please list). ➢ Completion of the Community Health Assessment ➢ Completion of the BOH Strategic Plan ➢ Completion of the OCHD Departmental Strategic Plan Successful completion of Re-Accreditation Site Visit in January 2023 What are the concerns or emerging issues your board has identified for the upcoming year that it plans to address, or wishes to bring to the Commissioners' attention? ➢ The impact that finances, mental health, and students' education will have on the health of county residents as long-term recovery related to COVID- 19 continues. ➢ Challenges with Staff recruitment and retention are concerning. Health Department has a consistent vacancy rate of 15-17%. It has been hard to compete with surrounding counties and their pay rate. There is also professional shortages with nurses and dental hygienist. ➢ We are concerned about Medicaid Coverage for County residents once the Federal Public Health Emergency ends. Without Medicaid Expansion, this could affect approximately 3,000 residents in the County. They may be without coverage and/or need to re-certify/ apply to continue benefits. ➢ Continued concern with regard to capacity to address mental health needs of the community. ➢ Plans to increase awareness about the extension of Medicaid pregnancy Coverage, effective April 1, 2022. A pregnant woman remains eligible through the 12-month post-partum period regardless of changes, such as income or household size. ➢ Plans to continue work on substance use disorders and forthcoming initiatives supported by the Opioid Advisory Committee. ➢ The recent Medicaid Reform to Managed Care and quarterly direct payments has several challenges currently being addressed by the Health Directors Association, DHHS and the Prepaid Health Plan Providers. Local Health Departments across NC are struggling with timely and accurate payment for services. Review of preliminary data across the State show that approximately 31% of the Medicaid claims are mismanaged (erroneous denials, recoupments, overpayments & underpayments). All parties are in constant communication to find resolve to these issues to reduce impact of care for patients.