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HomeMy WebLinkAbout2014-01-06 Work Session MinutesDeschutes County Board of Commissioners 1300 NW Wall St., Suite 200, Bend, OR 97701-1960 (541) 388-6570 -Fax (541) 385-3202 -www.deschutes.org MINUTES OF WORK SESSION DESCHUTES COUNTY BOARD OF COMMISSIONERS MONDAY, JANUARY 6, 2014 Present were Commissioners Tammy Baney, Anthony DeBone and Alan Unger. Also present were Tom Anderson, County Administrator; Erik Kropp, Deputy County Administrator; and, for a portion ofthe meeting, Scott Johnson, Michael Ann Benchoff, Stephanie Sundborg and others from the Health Department; Anna Johnson, Communications; Dave Givans, Internal Auditor; Ed Keith, Forester; Dan Sherwin, Weed Board; Nick Lelack and Peter Gutowsky, Community Development; andfour other citizens including media representative Elon Glucklich ofThe Bulletin. Chair Baney opened the meeting at 1:30 p.m. 1. Approval of Grant Applications (Health Department). . Innovative Prevention Projects Grant Jessica Jacks gave an overview of the item, which provides funds for substance abuse prevention efforts. They are working with other groups to pursue this funding. UNGER: Move approval. DEBONE: Second. VOTE: UNGER Yes. DEBONE: Yes. BANEY: Chair votes yes. . Drug Free Community Grant Ms. Jacks said that they have been working on the coalition to handle these issues in the local area. The grant will help to develop the coalition to be more effective. It is a five-year grant requiring a match in kind. Minutes of Board of Commissioners' Work Session Monday, January 6, 2014 Page 1 of7 Minutes of Board of Commissioners’ Work Session Monday, January 6, 2014 Page 2 of 7 DEBONE: Move approval. UNGER: Second. VOTE: DEBONE: Yes. UNGER: Yes. BANEY: Chair votes yes. ___________________________  Suicide Prevention Research Project Grant Ms. Jacks said the Redmond Proficiency Academy is applying for assistance and this grant will help the County provide staffing and other help in the Redmond area. DEBONE: Move approval. UNGER: Second. VOTE: DEBONE: Yes. UNGER: Yes. BANEY: Chair votes yes. ___________________________  Diabetes Self-Management Program Grant Scott Johnson explained that there are about 11,000 people in this area who are diabetic or pre-diabetic. There is interest in this grant to help with training and treatment. There is no County general fund requirement. DEBONE: Move approval. UNGER: Second. VOTE: DEBONE: Yes. UNGER: Yes. BANEY: Chair votes yes. ___________________________ Mr. Johnson and Ms. Jacks indicated support for the OSU-Cascades project. They are working with them on a grant to find out how to make rural services for suicide prevention more effective. He said that his department has been successful in receiving $200,000 in grant funds previously for suicide prevention. Minutes of Board of Commissioners’ Work Session Monday, January 6, 2014 Page 3 of 7 2. Fall Health Services Quarterly Data Report and System Changes. Michael Ann Benchoff gave a PowerPoint presentation on performance management within Public Health. They focus on data to help analyze how they are doing and what remains to be addressed. They need to know who needs to be served and how; and whether they are meeting state and federal compliance levels. They are doing a lot in the way of cost-benefit analysis to make sure they are getting the most from their funding. The developed performance metrics are part of tracking excellence for both Behavioral and Public Health. There are 43 performance indicators as well as other measures set forth by the state and the CCO; 35 are ready to track. Stephanie Sundborg explained that access to help when needed is primary. A question is how well these services are utilized. They strive for best practices overall. Utilization is off in regard to public health office visits filled. This is in part due to the uncertainty of school-based health centers. However, they had a reduction of acute psychiatric hospitalizations of 70%. They are close in the level of supported housing days and WIC enrollments. System performance shows 160 families involved in the treatment of their children. Behavioral Health claims paid is close to the target. There is one supervisor for every ten staff, which is an improvement over past years. Mr. Johnson stated that there are 17 measures in the State of Oregon that all CCO’s are being asked to meet. The County would be primary in the local organization, and they are solid on the two CCO programs. Mr. Johnson said that the number collected is used for specific reasons: staff, reporting and strategic purposes. Copy of the latest newsletter is attached for reference. Minutes of Board of Commissioners’ Work Session Monday, January 6, 2014 Page 4 of 7 Mr. Johnson said their goal is responsible use of these dollars. Commissioner Baney appreciates the integration of the two divisions so that resources can be utilized in the best way. Mr. Anderson added that the environment is changing and it is difficult to get a handle on what is happening and how to proceed. Mr. Johnson stated they are preparing for a presentation to the COHC this week as well. 3. Discussion of Changes to the Noxious Weed Ordinance. Laurie Craghead gave an overview of the changes to the Ordinance, developed with the help of Ed Keith and the Weed Board. The final should be presented to the Board on January 22. Statute allows for enforcement; additional abilities will be added to the County Ordinance. The exact wording from statute will be used in regard to billing for services if the pr operty owner does not act. This is an alternative process, similar to what is done with Community Development cases. The person can choose between the Court or a Hearings Officer. Chair Baney stated they work with voluntary compliance first. Ed Keith said that he received calls from people about neighboring properties with a weed problem. He tries first to reach the property owner by phone or in person; then by mail if needed, to explain treatment and offering financial assistance if that is a problem. If there is cooperation, they can go through education and financial incentives. It would take someone refusing to do anything to go to enforcement. Usually it is a serious problem by the time he hears about it and it will take some time to resolve. Enforcement would be used rarely. Before these changes, he would not be able to do any kind of enforcement. Ms. Craghead said compliance is primary and enforcement is a last resort. Commissioner Unger asked if this should be noticed. Ms. Craghead stated that it is not required since it is not a land use issue. Commissioner DeBone supports this path. He asked if there are habitual offenders. Mr. Keith said most do not refuse to address the problem, although some will not follow up as needed. Chair Baney asked if this could include a hearing on January 22. Ms. Craghead said it could, so the Board prefers a press release be used. Minutes of Board of Commissioners’ Work Session Monday, January 6, 2014 Page 5 of 7 The Ordinance will be clarified that “Board” refers to the Board of Commissioners and not the Weed Board, since th e Weed Board is not mentioned at all. It will also be clarified that access to the property is only with the permission of the property owner. 4. Discussion of Oregon Desert Trail Draft Letter. Peter Gutowsky gave an overview of the letter. He has been involved with this issue, along with other staff, for some time. Deschutes County has offered some collaboration on how to engage other counties and groups in this issue, which is similar to the Sage Grouse discussion. It could affect grazing and other permitted uses. They are seeking feedback from other counties. There is some concern that it will expand and become a greater issue, affecting other counties, agencies and services. Commissioner Unger feels this is a good opportunity for collaboration with Harney County and others. It may be subject to change by others but it is supported by the Board at this time. DEBONE: Support Chair signature of this letter as written. UNGER: Second. VOTE: DEBONE: Yes. UNGER: Yes. BANEY: Chair votes yes. 5. Other Items. Commissioner DeBone asked for support of Dan Sherwin being appointed to the Oregon Invasive Species Council. It is a voluntary position. The Board can provide a letter of support. ___________________________ Mr. Anderson said there was an editorial in the Bulletin regarding the Board’s room tax discussions. It was suggested that he prepare a response. The question is whether to send this letter or modify it. Minutes of Board of Commissioners’ Work Session Monday, January 6, 2014 Page 6 of 7 Commissioner DeBone feels these discussions and considerations are defensible. He is not sure of the questions they have raised. Commissioner Unger feels they should push back since the letter was offensive when they have been as public as possible with the adjustments. He feels the public needs some clarification but to keep it simple. Commissioner Baney was disappointed by this after as much discussion as they had. The facts are that the money remains the same this budget year. There was a purposeful act to try to instill doubt, but she would just as soon ignore it. She received one phone call on this issue. They will not be able to take away the doubts of some no matter what. Commissioner DeBone said it is complicated because it refers to three budget cycles. He is comfortable with the discussions they had and he is not mo tivated to keeping this alive in the paper. Commissioner Unger would like to see a response to take away some of the negative. Chair Baney stated that to be able to understand it all, it would take more than a few words in the paper. She feels it was written to confuse people and to make it difficult to respond. ___________________________ Mr. Kropp said that the Health Director recruitment interviews are on February 28. He asked which Commissioners want to be involved. Chair Baney plans to attend. ___________________________ Chair Baney does not want to attend NACo this year, due to conflicting responsibilities. Commissioner DeBone is considering attending to keep rural issues going forward, but has not decided. Commissioner Unger does not care to attend. Being no further items discussed, the meeting adjourned at 2:55 p.m. ~ DATED this Z1 ~Day of ~2014 for the Deschutes County Board of Commissiol¥so Ta~i l Anthony DeBone, Vice Chair ATTEST: Alan Unger, Commissioner ~~ Recording Secretary Minutes of Board of Commissioners' Work Session Monday, January 6, 2014 Page 70f7 Deschutes County Board of Commissioners 1300 NW Wall St., Suite 200, Bend, OR 97701-1960 (541) 388-6570 -Fax (541) 385-3202 -www.deschutes.org WORK SESSION AGENDA DESCHUTES COUNTY BOARD OF COMMISSIONERS 1:30 P.M., MONDAY, JANUARY 6,2014 1. Approval of Grant Applications (Health Department): Innovative Prevention Projects Grant Drug Free Community Grant Suicide Prevention Research Project Grant Diabetes Self-Management Program Grant 2. Fall Health Services Quarterly Data Report and System Changes -Scott Johnson, Stephanie Sundborg and Michael Ann Benchoff 3. Discussion of Changes to the Noxious Weed Ordinance -Laurie Craghead, Ed Keith 4. Discussion of Oregon Desert Trail Draft Letter 5. Other Items PLEASE NOTE: At any time during this 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; or ORS 192.660(2) (b), personnel issues; or other issues under ORS 192.660(2), executive session. Meeting dates, times and discussion items are subject to change. All meetings are conducted in the Board o/Commissioners' meeting rooms at 1300 NW Wall St., Bend, unless otherwise indicated. lfyou have questions regarding a meeting, please call 388-6572. Deschutes County encourages persons with disabilities to participate in all programs and activities. This event/location is accessible to people with disabilities. If you need accommodations to make participation possible, please call (541) 388-6571, or send an e-mail to bonnie.baker@deschutes.org. Deschutes County Health Services Grant Application Requests to Deschutes County Board of Commissioners Community Public Health Projects January 6, 2014 A. Living Well Program -Brenda Johnson, Therese Madrigal 1. Application to the PacificSource Charitable Foundation for Diabetes Self Management Program; approximately $35,000. 2. About 11,000 people throughout the tri-county region suffer from diabetes and countless more manifest symptoms indicative of a pre-diabetic condition. 3. This will be a year-long project reaching an additional 300 people by providing twenty new workshops and training at least ten leaders in the new diabetes curriculum. B. Innovative prevention Projects Grant -Jessica Jacks 1. Application to the Addictions & Mental Health Division due January 13. Award amounts of $50,000. 2. The substance abuse prevention program and staff supports community based groups and agencies to implement evidence based strategies. 3. Deschutes County's application will be written to support activities identified by the Bend Area Substance Abuse Prevention Coalition. 4. Staff are also providing grant writing technical assistance to South County TAPS and OSU Cascades who will submit their own applications. C. Drug Free Communities Grant -Jessica Jacks 1. Application to the Office of National Drug Control Policy due in March; $125,OOO/year for 5 years with a possible 5 year continuation. A match is required. 2. Deschutes youth drug use rates are consistently higher than state averages. 3. Deschutes County would apply as the fiscal agent and employ project staff on behalf of the Bend Area Substance Abuse Prevention Coalition. Funding will be used to provide HE for staff and resources to support prioritized coalition activities. Goals are to strengthen collaboration among community entities and reduce substance use among youth under 18 years of age. D. Suicide Prevention-Redmond Proficiency Academy Community 101 grant -Jessica Jacks 1. Application to the Redmond Proficiency Academy Community 101 Cadre through the Oregon Community Foundation. Amounts may range from $500-$2,000. Due January 31. 2. Suicide is a priority of the Public health Advisory Board and DCHS. 3. The students in this cadre have prioritized to donate funds to organizations supporting suicide prevention. DCHS will use funds to provide scholarships to related training and education opportunities for the public and professionals. This would include paying for costs such as trainer stipends, scholarships for attendance, and substitute teacher fees. E. Suicide Prevention Research Project -Information only -Jessica Jacks 1. OSU Cascades applying to the National Institute on Mental Health (NIMH) due in February. 2. Suicide prevention is a priority of the Public Health Advisory Board and DCHS. The work is orchestrated through the Deschutes County Suicide Prevention Advisory Council. The NIMH proposal seeks to provide assessment on needs identified by the Council. 3. The NIMH proposal will conduct a research project with two federat/y qualified health centers serving Deschutes and Central Oregon residents (La Pine Community Clinic and Mosaic Medical). The project will work with clinic staff and community residents in rural settings to determine the best approach for primary care staff to approach the 'removal of lethal means l in the case of clients at risk for suicide. Remov.of lethal means can include weapons as well as pharmaceuticals. Quality Times SafeKids.Com BULLYI NG DCHS Quality Management Monthly Newsletter December 2013 Vo lume 2, Issue 5 The Child & Family Program Defines Collaboration The C&F Program serves youth with The School Based Health Centers are a variety of conditions and challenges located at several schools throughout throughout Deschutes County and the Bend , Redmond, and Sisters. These surrounding areas. Youth come to us centers provide integration of physical with chaotic family lives, living in and mental health services and are poverty, have/are witnessing able to serve children on site for domestic violence, have/are efficient and quality care. School experiencing abuse/neglect, are Based Health Centers serve any child homeless, or have incarcerated family who resides in the school district, members. These are just a few of the whether or not they attend the school. challenges that C&F providers find [n collaboration with Public Health, themselves navigating as they work to the LAUNCH grant has allowed these provide behavioral health services to additional clinical services to be youth and families in need. provided in the School Based Health The focus this year has been on Centers . It is the goal of the C&F assigning clinicians to those schools Program to obtain the expansion whose students exhibit the highest grant so that even more clinical needs, and where our clinicians can services can be provided, and we can have the greatest impact on students' mental health. continue to strengthen this integrative model of care. Safe School Alliance -Keeping Our Schools Safe DCBH is a member of This year the focus is on tool for safety planning the Safe School Alliance bullying. The SSA is on the school grounds, (SSA), which is a looking at how the inside classrooms, in network of school problem manifests itself parking lots, etc. Safe districts and agencies in our schools and how School Assessments are with a common goal; we might prevent it also completed on safety. The goal of the through educational individual children by alliance is to provide programs and policies. our own C&F team in safe and secure school The SSA developed a the Bend-La Pine, environments for the series of checklists to Redmond, and Sisters' children of the Crook assess the safety of school School Districts. and Deschutes Counties. campuses. It provides a See page 2 for more! -------------------------------------- Prevention Through Safe School Assessments DCBH has partnered with Bend-La Pine, Redmond, and Sisters' School Districts to provide Safe School Assessments. When a student has presented with threatening or violent behavior, the school will perform a preliminary risk screening. If the risk screening is "elevated," the school will request a Safe School Assessment through DCBH. A Safe School Assessment may also be requested by the Juvenile Department if a student commits a crime during school, or on the school grounds which is deemed violent or aggressive. This in-depth assessment involves interviewing the student, his/her family, school staff, and collecting other collateral information from outside individuals or agencies. All of the information and sources assist in determining the student's rating. The assessment will rate a student as Low, Moderate, High, or Very High risk to themselves Conducting Internal Monitoring and Auditing is the fifth element of an effective compliance program. Monitoring is an ongoing process of reviewing the agency Aud ,iting consists of conducting reviews of records, billings, and other risk areas to determine compliance with legal requirements . QM completes random audits, and quarterly data integrity audits to verify adherence to applicable regulations, policies, and procedures. Audits that have been operations and processes in order to determine conducted over the 2013 potential needs and areas for improvement. year have shown continued or others. A detailed report is then distributed to the school with recommendations for how to accommodate the student and their needs. These recommendations may include placing the student in an alternative school, mental health services, or placing the student on a behavior contract. Since December 20 II, there have been 118 referrals from schools for Safe School Assessments. Most students fall within the "Moderate Risk" category and are able to return to school with additional supports and resources in place. Only two students in the past two years have been elevated to "Very High" risk, and transitioned to long term residential care due to their needs. Safe School Assessments are a perfect example of the prevention efforts DCBH are creating to keep our children, school administration, and community safe. Thank you C&F providers! I I For more info on tbe Safe Scbool Amance, visit I : I bttp:llwww.hdesd .org/services/safe-school-alliance : I Compliance Corner II II improvement in reaching our overall agency goal of 90%. DCBH 2013 Data Integrity Rates April 2013: Pilot that served to make corrections in Profiler & contributed information to agency trainings. July 2013: 68% October 2013: 80% January 2014: TBD Contad Melanie Kna/I ifyou have any questions or feedback regarding the QM Newslellers. 541-322-7426 -Melanie.Knall@deschutes.org November 21, 2013 Jerry Perez, State Director BLM Oregon 1220 S.W. 3rd Avenue Portland, OR 97204 Robyn Thorson, Director Pacific Region U.S. Fish and Wildlife Service 911 N.E. 11th Avenue Portland, Oregon 97232-4181 Brent Fenty, Executive Director Oregon Natural Desert Association 50 SW Bond Street, Suite 4, Bend, OR 97702 RE: Oregon Desert Trail Dear Mr. Perez, Ms. Thorson, and Mr. Fenty, On November 15, 2013 the Oregon Natural Desert Association (ONDA) in coordination with several conservation organizations submitted a formal request to the Bureau of Land Management (BLM) and U.S. Fish and Wildlife Service (USFWS) to establish an 800 mile trail system across multiple counties in Central and Eastern Oregon. ONDA specifically requested BLM and USFWS consider the route as a "connecting trail" under the National Trails Act. As proposed, the route encompasses portions of Deschutes, Harney, Lake, and Malheur counties. It is being promoted as a "great way to get people to parts of Eastern Oregon," and "create an awareness of the high desert to permanently protect some of the places and match the conservation steps some other places have taken.,,1 Local governments within the proposed trail system desire to be engaged in an open dialogue with ONDA, its partners, BLM and USFWS. A regional trail network on federal lands raises several questions that should be discussed with elected officials, state and federal agencies and local residents. County commissioners and courts representing the four affected counties respectfully request convening public forums in Bend, Burns, Lakeview, and Vale so affected stakeholders can understand: 1 http://seattletimes.com/html/outdoors/2021500664oregondeserttrailxml.htm I • If a trail system of this scale is recognized in BLM's various resource management and land use plans. • If not, is a National Environmental Policy Act process required? • Who manages signage for an Oregon Desert Trail? • How is information conveyed during the fire season of the threat of wildfires, or in the circumstances of a drought, no open fires? • How is public life and safety addressed in a regional trail? • Where are the logical points of access for emergency medical service? • How are conflicting uses managed, recognizing that grazing and irrigation may be proximate to the proposed route? • How have communities along the Pacific Crest Trail, Continental Divide Trail, and Appalachian Trail adapted to summer visitation? • What are their success stories? What are their challenges and lessons learned? If you have questions related to this request, please contact Steve Grasty, Harney County Court Judge (Steve.grastv@co.harney.or.us, 541-573-6356), who is also coordinating with Deschutes, Lake and Malheur counties. SincerelYI Representing Deschutes County Date Representing Harney County Date Representing Lake County Date Representing Malheur County Date DESCHUTES COUNTY HEALTH SERVICES PERFORMANCE MANAGEMENT PROGRAM Presentation to the Board of County Commissioners January 6, 2014 PERFORMANCE MANAGEMENT PROGRAM PM Team Compliance Quality/ Outcomes Contracts Audits Training Performance Evaluation Data Utilization BENEFITS OF A ‘PM’ PROGRAM Assists agency to: Ensure meaningful and efficient use of tax payer dollars Maintain compliance with rules and Achieve positive audit results, greatly reducing risk of financial payback Provide excellence in all services – Continuous Quality Improvement (CQI) Achieve an admirable reputation in the community Promote an agency culture of integrity and accountability PERFORMANCE METRICS DCHS metrics of excellence for both Behavioral and Public Health 43 performance indicators were selected based on staff goals as well as performance measures set forth by the state and the CCO Categorized into the 5 domains of healthcare quality: Access Utilization System Performance Outcomes Customer Satisfaction Are people able to ACCESS the help they need when they need it? Do as many people as possible UTILIZE high quality and cost effective services? Does our SYSTEM PERFORM in a way that meets standards for excellence, best practice, compliance and efficiency? Do our programs meet the intended OUTCOMES for a high performing organization? Are people who receive our services SATISFIED with their experience? Are people able to ACCESS the help they need when they need it? Do as many people as possible UTILIZE high quality and cost effective services? Does our SYSTEM PERFORM in a way that meets standards for excellence, best practice, compliance and efficiency? Do our programs meet the intended OUTCOMES for a high performing organization? Are people who receive our services SATISFIED with their experience? Are people able to ACCESS the help they need when they need it? Do as many people as possible UTILIZE high quality and cost effective services? Does our SYSTEM PERFORM in a way that meets standards for excellence, best practice, compliance and efficiency? Do our programs meet the intended OUTCOMES for a high performing organization? Are people who receive our services SATISFIED with their experience? Are people able to ACCESS the help they need when they need it? Do as many people as possible UTILIZE high quality and cost effective services? Does our SYSTEM PERFORM in a way that meets standards for excellence, best practice, compliance and efficiency? Do our programs meet the intended OUTCOMES for a high performing organization? Are people who receive our services SATISFIED with their experience? Are people able to ACCESS the help they need when they need it? Do as many people as possible UTILIZE high quality and cost effective services? Does our SYSTEM PERFORM in a way that meets standards for excellence, best practice, compliance and efficiency? Do our programs meet the intended OUTCOMES for a high performing organization? Are people who receive our services SATISFIED with their experience? Are people able to ACCESS the help they need when they need it? Do as many people as possible UTILIZE high quality and cost effective services? Does our SYSTEM PERFORM in a way that meets standards for excellence, best practice, compliance and efficiency? Do our programs meet the intended OUTCOMES for a high performing organization? Are people who receive our services SATISFIED with their experience? QUARTER 1 HIGHLIGHTS July-October 2013 PERFORMANCE METRICS Are people able to ACCESS the help they need when they need it? Do as many ple as possib 1.25% BH clinician cancellation rate (< 1.5%) 8.1% BH appointment no-shows (< 8%) 117% of target 99% of target 2656 Public health appointments completed (target 2725) 86 Communicable Disease cases responded to within 10 days (target 100% of cases) 100% of target 97% of target Do as many people as possible UTILIZE high quality and cost effective services? Do as many ple as possib 2193 Public health office visits filled (target 4403) 3911 Enrolled in WIC (target 4088) 70% Acute psychiatric hospitalizations first year ACT 3909 Supported housing days (target 4102) 95% of target 96% of target 50% of target Area of opportunity Does our SYSTEM PERFORM in a way that meets standards for excellence, best practice, compliance and efficiency? Do as many ple as possib 160 Families engaged with children in BH services (target 230) 24 Supervisors have desired staff ratio 1:7-10 staff (target 29) 1624 PH claims paid for services rendered (target 1673) 7 Meaningful Use Objectives met (target 8) 88% of target 70% of target Area of opportunity 83% of target 97% of target Do our programs meet the intended OUTCOMES for a high performing organization? Do as many ple as possib 22 Clients in Supported Employment are employed (target 16) 4 EASA clients had psychiatric admissions (target 7.5 or fewer) 136% of target 91% WIC mothers initiating breastfeeding (target 90%) 10 New mothers in Nurse Family Partnership delivered at full term (target 9) 101% of target 111% of target 147% of target Are people who receive our services SATISFIED with their experience? Do as many ple as possib 82% School Based Health Center clients claim: Needs were met Healthier because of SBHC Comfortable using SBHC 90% Developmental Disabilities Intake surveys with a score of at least 18 out of 20 CCO Incentive Measures Do as many ple as possib 100% Children in DHS custody have MH assessment – in 60 days (target 52%) 91% Received mental health follow-up after hospitalization discharge within 7 days (target 68%) CCO measure CCO measure HOW WE USE THE DATA •Engage staff in the process •Highlight success •Encourage accountability Staff •State •CCO •Other funding sources •Advisory Boards and Quality Councils Reporting •Data-driven decisions •Looking ahead Strategy DISSEMINATION Monthly data-specific meetings Quarterly Data Integrity Audits - BH Quarterly Publication of Performance Metrics- BH &PH Website Newsletters Performance Boards BHAB and PHAB BHQC and PHQC Board of Commissioners With these performance management activities… DCHS is positioned to be a high-performing, efficient and reputable system of quality health care. This increases… Funding Community Trust Quality of Life for County Residents Corporate Integrity PERFORMANCE MANAGEMENT CONTACTS Michael Ann Benchoff, LMSW, CPHQ, CHC Candidate DCHS Program Support Manager & Compliance Officer michaelann.benchoff@deschutes.org Stephanie Sundborg DCHS Program Analyst Stephanie.sundborg@deschutes.org PERFORMANCE MANAGEMENT QUESTIONS???