Approved Minutes of January 22, 2025

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MINUTES ORANGE COUNTY BOARD OF HEALTH January 22, 2025 said that in-person services are beneficial for working with patients who may be less tech or healthcare literate, as it allows more opportunities for education. • Ms. Benner gave an overview of the Diabetes Self-Management Education Program. The program consists of ten hours of education, including how people are coping with their diabetes, and helps to prevent chronic complications and to lower patient Al-Cs. In a recent cohort, 100% of participants said that they learned something, and all participants felt that participating improved their motivation and self-efficacy in managing their diabetes. A Spanish-language version of the Diabetes Self-Management Education Program is offered at least annually and is provided with simultaneous interpretation. • The Diabetes Prevention Program is a year-long program which helps participants identify barriers they face in making healthy nutrition and physical activity choices and come up with ways to overcome those barriers. Recent cohorts saw an average weight loss of around 5% of starting weights and a 70+ minute increase in weekly physical activity. The program sees a generally high retention rate, and one former participant still follows up with the dieticians weekly. • Ms. Benner concluded her presentation by sharing that the Nutrition Department is fully staffed and will be bringing back Employee Wellness Program group sessions with peer support. The department also offers other programming to promote employee wellness, including National Nutrition Month in March and the annual Wear Red Day Heart Health Walk, which will be held on February 71" • Dr. Stuebe applauded the good work of the Nutrition Department and mentioned that she has referred several patients with gestational diabetes. Ms. Benner told the group that healthcare providers can refer patients either through the client portal Epic or by using a paper referral packet (available upon request). She also shared that the department is hoping to offer gestational diabetes management classes once childcare can be made available. Some options suggested for childcare included the YMCA and local churches. • In response to Dr. Nickelson's question about the ages of participants for the Diabetes programs, Ms. Benner explained that the courses are available for patients who are eighteen and older, and that they have seen an uptick in participants who are forty and under. For those under eighteen, there are generally programs like camps available but not through the Health Department. B. 2nd Quarter Financial Reports & Billing Dashboard Frederick Perschau, Finance and Administrative Services Director, gave an update on the Health Department budget at the conclusion of the second quarter. Some highlights of his presentation are below: • Mr. Perschau shared that halfway through the year the budget for FY2025 is balancing well, with a flat-line net revenue (50%) and overall revenue at 38%. Overall, revenues for FY2025 are down compared to the same point in time in FY2024. Mr. Perschau reminded the board that more revenue means there is less need for county funds to cover operating expenses. • Two divisions, Environmental Health Services and Dental Health Services, have had lower service revenue than expected (33% and 34%, respectively). Environmental Health has been seeing some delays related to resources being diverted for disaster relief after Hurricanes Debby and Helene, while Dental Health are still processing Medicaid requests from the data breach delay during FY2024 and have had several staff members unexpectedly needing to take leave. In response to Commissioner Fowler's question, Mr. Perschau explained that they are anticipating that Dental Health will S:\Managers Working Files\BOH\Agendas &Abstracts\2025 Agenda and Abstracts/ January Page 6