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County clinic stats show uneven use; board asks for combined utilization figures and wellness follow-up
Summary
Consultants reported first-quarter clinic activity and wellness-completion rates; the board asked staff to provide combined county and Board of Education clinic data, requested follow-up on low-use locations and confirmed HRA and coaching dates.
Consultants for the county presented first-quarter operational statistics for the employee clinics at the May 27 Self Insurance Board meeting, saying combined clinic utilization stood at 74.9 percent against an 80 percent benchmark and flagging variation across locations.
The presentation listed 387 telehealth encounters for the quarter, 214 behavioral-health visits and a reported patient satisfaction rate of 98.2 percent. Consultants named the Portland clinic as the top site by visits. The wellness program summary showed 430 employees achieved program compliance and 207 employees were noncompliant for the year-to-date period; consultants also reported 23 employees and 19 spouses as nicotine-related noncompliant cases and 84 spouses designated as compliant.
Board members pressed for clarity about utilization calculations; consultants said utilization is measured by scheduled appointments per staff-hour (roughly appointments per hour). Members also asked for combined reporting that includes Board of Education usage, noting the clinics operate under a shared-contract model where monthly clinic charges are split between the county and the Board of Education. Staff said the split was established long ago and is roughly an 84/16 percentage division based on eligible‑employee counts; consultants said the arrangement has been in place at least eight years.
Board members expressed concern about low-volume clinics such as Westmoreland and White House, which operate only limited hours (two-and-a-half days per week) compared with other clinics that are open more days. Members asked staff to analyze whether adjusted hours or consolidation would improve efficiency and to return with combined county/Board-of-Education figures and a side-by-side breakdown.
Consultants also provided upcoming health-screening and wellness dates: HRAs and annual physicals are scheduled to start July 1 and run through Sept. 30; health coaching completion timelines were listed as March 27 (annual coaching deadline), and a dedicated HRA event is set for the week of Aug. 11–15 at government facilities and one Ellis Clinic event for those preferring an HRA visit rather than an annual physical.
No formal votes were taken on service hours or clinic locations at the meeting; board members directed benefits staff and the clinic vendor to provide combined utilization reports and to return with recommendations for low-use locations at the next meeting.
