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2017-275-Minutes for Meeting March 29,2017 Recorded 5/25/2017Recorded in Deschutes County CJ2017-275 Nancy Blankenship, County Clerk Commissioners' Journal 05/25/2017 10:53:34 AM For Recording Stamp Only Deschutes County Board of Commissioners 1300 NW Wall St., Bend, OR 97703-1960 (541) 388-6570 - Fax (541) 385-3202 - www.deschutes.org MINUTES OF WORK SESSION DESCHUTES COUNTY BOARD OF COMMISSIONERS Allen Conference Room Wednesday, March 29, 2017 Present were Commissioners Tammy Baney, Anthony DeBone and Phil Henderson. Also present were Tom Anderson, County Administrator; Erik Kropp, Deputy County Administrator; John Laherty, Assistant County Counsel; and Sharon Ross, Board Executive Secretary. Attending for a portion of the meeting were Whitney Hale, Public Information Officer; Judith Ure, Management Analyst; DeAnn Carr, Health Services Deputy Director; and two other citizens. No representation of the media was present. CALL TO ORDER: Chair Baney opened the meeting at 1:30 p.m. ACTION ITEMS 1. Annual Update from the Humane Societies: Mark Crose and Pat Bowling of Brightside Animal Shelter, Sabrina Slusser of Humane Society of Central Oregon, and Megan Gram of Bend Spay and Neuter Project were present to give the annual update to the Board. Ms. Gram of Bend Spay and Neuter Project is also with the Central Oregon Cat Alliance. The Alliance was founded in 2013 and provides a way for organizations to partner on addressing the issue of outdoor cats through a Trap Neuter Release program. The Minutes of Board of Commissioners' Work Session March 29, 2017 Page 1 of 4 intake numbers continue to rise. The program is funded primarily by a grant from PetSmart Charities along with money awarded form the Deschutes County spay and neuter grant. Bend Spay and Neuter Project offers affordable spay and neuter, preventative veterinary care and pet food so companion animals are not abandoned or relinquished due to financial constraints. Ms. Slusser of the Humane Society of Central Oregon (HSCO) noted her appreciation of the Deschutes County licensing program and pointed out 85% of stray dogs are returned to the owners due to that program. She also stated only 27% of stray cats are returned to their owners. Ms. Slusser commented on proposed house bill 2991 that would prohibit animal rescue entities from euthanizing animals and not allow for a provision for frequency the animal has bitten or based on behavior and they are concerned about community safety. This would also place cost on the shelter for the animal's natural life. Brightside Animal Shelter last year brought in 1556 animals total and placed 1,039 into private homes and returned 320 strays to their original owners. They have a relationship with the COCC veterinary technician program where students go through the shelter and do exams, dentals, and blood draws. Commissioner DeBone inquired if there were trends with the thrift store activity. Mr. Crose commented the winter weather caused an effect on operations. The thrift store contributes 45% of Brightside's operating revenue. Commissioner Baney inquired on animal surrenders. There has been a decrease. Comment made on microchipping and the increase of reuniting animals with owners. Suggestion made for local law enforcement/animal control to carry microchip scanners. Judith Ure noted the recent announcement for this year's Spay and Neuter Grant Applications. OTHER ITEMS: • Letter of Support: DeAnn Carr, Health Services Deputy Director requested Board consideration of a letter of support to Representative Buehler addressing behavioral health services in our communities. Discussion held on the opportunity to respond to provide accurate information on the services we provide our residents. A draft letter was reviewed and revisions were suggested. Ms. Carr will make the requested revisions and bring back to the meeting. Minutes of Board of Commissioners' Work Session March 29, 2017 Page 2 of 4 • Request for Exhibit Space: Whitney Hale, Public Information Officer presented a letter from the Three Sisters Irrigation District requesting space for the County to host a 30 day exhibit regarding the history of irrigation in Central Oregon. A display will be set up in the main floor lobby as well as information available for the public upstairs as well. The Board expressed support. • Draft Policy Status: Commissioner Henderson inquired on the status of the draft policy to address the licensure reimbursement issue raised by the District Attorney's Office. The Board direction was to not adopt a county wide policy. The District Attorney's Office inquired on a departmental policy which would be reviewed as part of budget request for fiscal year 2018. EXECUTIVE SESSION: At 2:45 pm, the Board met in Executive Session under ORS 192.660 (2) (h) Litigation. The Board came out of Executive Session at 2:49 p.m. OTHER ITEMS (continued): • EOCA: Commissioner Baney reported on conversations regarding the invoice for membership dues to Eastern Oregon Counties Association. The invoice is for $15,800. Discussion held on lobbying efforts for Payment in Lieu of Taxed (PILT). Discussion held on the time frame the dues will cover and whether it was calendar or fiscal year. The invoice notes fiscal year 2016/2017. Commissioner DeBone excused himself at 2:56 p.m. to attend another scheduled meeting. Commissioner Baney inquired on payments over the past years. County Administrator Anderson will compile the data. This item will be brought back for discussion on Monday. Membership dues are calculated based on amount of PILT payment. • OSU 4H Extension Loan Request: Commissioner Henderson reported he had reviewed the 4H building plans with Lee Randall, Interim Facilities Manager and Erik Kropp, Deputy County Administrator. In Commissioner Henderson's opinion it wouldn't require $2 million to accomplish the building expansion. County Administrator Anderson noted the loan request was presented a year ago during budget hearings and at that time the estimated cost of the construction project was $1 million and they had $500,000 saved. The Budget committee asked them to review their costs and actual needs and bring to Minutes of Board of Commissioners' Work Session March 29, 2017 Page 3 of 4 the Board of Commissioners a cost estimate and architectural design. Discussion held on funding options. At 3:19 p.m. the Board took a recess and the meeting was back in session at 3:24 p.m. • Letter to Representative Buehler: Per discussion earlier in the meeting, DeAnn Carr brought back the letter to Representative Buehler with requested revisions. HENDERSON: Move approval of Board signature. BANEY: Second VOTE: HENDERSON: Yes DEBONE: Absent BANEY: Chair votes yes. Motion carried. ADJOURN: Being no further discussion, the meeting adjourned at 3:39 p.m. DATED this Day of Board of Commissioners. Recoding Sec etary l 2017 for the Deschutes County A Tammy Baney, Chaii? Anthony DeBone, Vice Chair Philip G. nderson, Commissioner Minutes of Board of Commissioners' Work Session March 29, 2017 Page 4 of 4 Deschutes County Board of Commissioners 1300 NW Wall St, Bend, OR 97703 (541) 388-6570 — Fax (541) 385-3202 — https://www.deschutes.org/ WORK SESSION AGENDA DESCHUTES COUNTY BOARD OF COMMISSIONERS 1:30 PM, WEDNESDAY, MARCH 29, 2017 Allen Conference Room - Deschutes Services Building, 2ND Floor — 1300 NW Wall Street — Bend Pursuant to ORS 192.640, this agenda includes a list of the principal subjects anticipated to be addressed at the meeting. This notice does not limit the ability of the Board to address additional subjects. Meetings are subject to cancellation without notice. This meeting is open to the public and interested citizens are invited to attend. Work Sessions allow the Board to discuss items in a less formal setting. Citizen comment is not allowed, although it may be permitted at the Board's discretion. If allowed, citizen comments regarding matters that are or have been the subject of a public hearing process will NOT be included in the official record of that hearing. Work Sessions are not normally video or audio recorded, but written minutes are taken for the record. CALL TO ORDER ACTION ITEMS Annual Update from the Humane Societies - Erik Kropp, Deputy County Administrator OTHER ITEMS 1. Executive Session - ORS 192.660(2)(e) Real Property Negotiations These can be any items not included on the agenda that the Commissioners wish to discuss as part of the meeting, pursuant to ORS 192.640. At any time during the meeting, an executive session could be called to address issues relating to ORS 192.660(2)(e), real property negotiations; ORS 192.660(2)(h), litigation; ORS 192.660(2)(d), labor negotiations; ORS 192.660(2)(b), personnel issues; or other executive session categories. Executive sessions are closed to the public; however, with few exceptions and under specific guidelines, are open to the media. ADJOURN Board of Commissioners Work Session Agenda Wednesday, March 29, 2017 Page 1 of 2 ®M Deschutes County encourages persons with disabilities to participate in all programs and ® activities. To request this information in an alternate format please call (541) 617-4747. FUTURE MEETINGS: Additional meeting dates available at www.deschutes.oru/meetinocalendar (Please note: Meeting dates and times are subject to change. All meetings take place in the Board of Commissioners' meeting rooms at 1300 NW Wall St., Bend, unless otherwise indicated. If you have questions regarding a meeting, please call 388-6572.) Board of Commissioners Work Session Agenda Wednesday, March 29, 2017 Page 2 of 2 -c ES 0 o% -< Deschutes County Board of Commissioners 1300 NW Wall St, Bend, OR 97703 (541) 388-6570 — Fax (541) 385-3202 — https://www.deschutes.org/ AGENDA REQUEST & STAFF REPORT For Board of Commissioners Work Session of March 29, 2017 DATE: March 9, 2017 FROM: Erik Kropp, Administrative Services, 541-388-6584 TITLE OF AGENDA ITEM: Annual Update from the Humane Societies PUBLIC HEARING ON THIS DATE?: No ATTENDANCE: Erik Kropp, Deputy County Administrator; Sabrina Slusser, Humane Society of Central Oregon Executive Director; Mark Crose, BrightSide Animal Center Board President; Pat Bowling BrightSide Animal Center Shelter Manager; and Megan Gram, Bend Spay and Neuter Project Executive Director SUMMARY: Deschutes County contracts with the Humane Society of Central Oregon and BrightSide Animal Center to provide shelter services. The purpose of this item is for the humane societies provide the annual update to the Board of Commissioners. In addition, the Bend Spay and Neuter Project will update the Board on the coalition working to address the feral/community cat population. RECOMMENDATION & ACTION REQUESTED: N/A Packet Pg. 4 I Animals Helped Animals Received Cats & Kittens Dogs & Puppies Other Animals Animals Adopted Cats & Kittens Dogs & Puppies Other Animals Pets Reunited Cats & Kittens Dogs & Puppies Cats & Kittens Dogs & Puppies \ cn HSCO Total Live Release Rate** co U.S. West Live Release Rate* �G (~-jar a\��x egont SPAYS, 1/4'. INEVIIER P RO J TCT 4 Keeping Pets -i -People "i'ogettier Humane St ciety OF CENTRAL OREGON The Central Oregon Cat Alliance was founded in 2013. This partnership between Bend Spay+Neuter Project, Humane Society of Central Oregon and Brightside Animal Center provides community cat population control for Deschutes County through a process called Trap, Neuter, Release (TNR). This process requires volunteers to work with community cat caretakers to set humane live traps for outdoor cats (typically unsocialized, or `feral' cats), transport cats for spay/neuter surgery and vaccinations and re-release them the following day. Any kittens or friendly stray cats are taken to one of the two shelters to be placed into foster care and eventually adopted into loving homes. This alliance was created with two goals in mind: to strengthen the relationships between our local animal welfare groups by collectively addressing an issue that affects each of our organizations and to provide the community with a humane tool for managing outdoor cat populations. Our success is measured through a decrease in the number of cats entering our local shelters, as well as a decrease in calls from community members requesting help. The graphs below show our progress over the past 3 years. This program is funded primarily by a grant from PetSmart Charities, but also has historically been funded in part by the Deschutes Co. spay and neuter grant. This graph does not account for are the closing of the local cat rescue group, CRAFT, which took in somewhere around 1,500 cats each year, and the steady increase in the human population of Central Oregon over the past 3 years. We believe this accounts for the increase in cat intake between 2015 and 2016. COCA plans to perform at least 1,000 TNR surgeries in 2017, and will look at the need to increase that number in 2018 if the intake numbers continue to rise. 2500 2000 1500 1000 500 0 2014 2015 2016 Spay/Neuter Stray Intake Total Cat Intake March 29, 2017 Representative Buehler, Board of Count Commissioners P.O. Box 6005 • Bend, OR 97708-6005 1300 NW Wall St, Suite 206 • Bend, OR 97703-1960 (541) 388-6570 • Fax (541) 385-3202 www.deschutes.org board@deschutes. org Tammy Baney Anthony DeBone Phil Henderson Thank you for your hard work and dedication in addressing the health care needs of Oregonians. We share your interest in ensuring access to quality health care for all of our residents. In particular, we would like to take a moment to address your concerns regarding behavioral health services and access to care. Deschutes County Health Services (DCHS) routinely measures performance in these areas and we have asked staff to provide information that we could share with you. As you are aware, the behavioral health system is complex with a wide range of programming needed to address the diverse needs of our residents. Within Deschutes County, we continue to work with our community partners and PaciflcSource, the Central Oregon Coordinated Care Organization (CCO), to maximize access to care and make efficient use of funding. To that end, our team has developed a service delivery system that includes both Deschutes County Health Services as the Community Mental Health Program (CMHP) and a panel of community outpatient treatment providers. We believe this approach allows us the ability to focus on delivery of complex specialty behavioral health services while the community panel providers serve individuals with mild to moderate levels of need. As we have been tracking current legislative progress, we've noted that the following concerns are being raised with regard to behavioral health: 1. Lone wait times: Ensuring timely access to service is a challenge to which we must pay close ongoing attention. DCHS has invested significant attention and resources to wait times, including creating a dedicated Access Team. This team specializes in assessment of need and assisting individuals in connecting with the appropriate services. Access results for 2016 include: • The average number of days between initial call and offered appointment was 3.62 days. • 99.4% of individuals were seen within 14 days. Community panel providers' timelines range from two days to four weeks depending upon the provider and time of year. This information is based on provider information self-reported to the DCHS access team. 2. Lack of access to mental health care: As you know, access to mental health care is a broad concept with varied meanings. Overall, access for Oregon Health Plan (OHP) members is the strongest due to the nature of CMHPs' contracts with the CCO and the wider range of services that are covered, Other insurance sources such as Medicare, VA insurance, and commercial insurance are more challenging due to reimbursement amounts, number of providers that accept the insurance, and limitations in the number of services covered. Enhancing the Lives of Citizens by Delivering Quality Services in a Cost -Effective Manner As you may have heard, OCHS has been chosen to be one of twelve organizations in Oregon to be part of a federal demonstration project (Certified Community Behavioral Health Clinics) designed to increase access to services and improve quahty of care. This pilot project will bring additional funding to communities and target increased services to underserved populations. Access to psychiatrists is currently a nation-wide challenge. There are not currently enough psychiatrists available. The Association of American Medical Colleges reports that 59% of psychiatrists are age 55 or older.In addition to the aging of the profession there are not enough new psychiatrists entering the field to fill the gap. Unless there is a significant surge in the number of new psychiatrists, access to psychiatrists will only worsen over time. With this in mind, DCHS has begun to pilot having a psychiatrist provide on-site consultation to primary care physicians in order to both support treatment and enhance physician competencies. 3. Phone calls that go unanswered: \t1sdifficult to respond to this concern without additional information. Crisis calls are addressed using Protocall, a crisis line, which uses teams of Qualified Mental Health Professions (QMHPs) to respond to calls, 4, Counties not using money received for services and instead using it for other urposes: Deschutes County has an extensive budget process that includes each department presenting their annual budgets for approval, including the manner in which various funds will be used. DCHS' accounting system includes tracking of funding sources to ensure that dollars are used for their intended purposes. State, federal, and other grant funds are restricted for a specific purpose and may not be transferred for other purposes. Additionally, Deschutes County invests more than $4 million from the County General Fund into DCHS annually. These dollars are closely monitored and are prioritized to help address the region's most pressing health care needs. 5. "A fair amount of unhappiness with mental health services across the state": DCHS conducts annual surveys to gain feedback from clients and/or their families regarding their level of satisfaction with services, Questions cover topics such as cultural sensitivity, respect, and trust in the therapeutic relationship, staff availability in times of crisis, and satisfaction with services received. Results of DCHS' 2016 surveys found that approximately 93 percent of survey respondents answered that they were satisfied or very satisfied with the services they received. Anecdotal information from community members reflects primary satisfaction challenges being types of insurance coverage and an associated limitation in the scope of services covered. This dis-satisfaction is often expressed as unhappiness with the system and/Or that they cannot get access. We are happy to provide additional information to further clarify service deliver within Deschutes County,We invite you to meet with our behavioral health staff to hear more about the services being provided to Deschutes County residents. In service to our community, DESCHUTES COUNTY BOARD OF COMMISSIONERS Tammy Baney, Anthony DeBone, Vice -Chair Philip G. H derson, Commissioner March 1, 2017 For the past 18 years TSID has been aggressively pursuing projects to improve the environmental health of Whychus Creek. Several historic water conveyance features have been replaced with modern piping and water systems. In order to preserve the history of this beautiful region, TSID has committed to sharing our history and our growth through an interpretive display. During the summer of 2017, Three Sisters Irrigation District (TSID) will have available for display a portable interpretive exhibit which includes a selection of historic photos, maps, documents, representative tools and equipment to interpret the history of irrigation in Central Oregon in general, and Three Sisters Irrigation District in particular. We would like to extend your agency the opportunity to host the exhibit for a 30 day period between April 1, 2017 and October 31, 2017. Our staff will delivery, set-up, and remove the display. The amount of space needed is as follows: Display Case: 47" Wide, 15" Deep, and 72" Tall which can be placed against a wall. Equipment Display: 3' by 3' platform with interactive device requiring clearance in order for visitors to manipulate the wheel. To schedule the exhibit please contact Linda Thompson Phone: 541-549-8815 E -Mail: office@tsidweb.org Very truly yours, Marc Thalacker PO Box 2230, Sisters, OR 97759 Phone 541-549-8815 www.tsidweb Mg Fax 541-549-8070 office a tsidweb.org