HomeMy WebLinkAbout2008-01-30 Work Session MinutesES
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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
MINUTES OF WORK SESSION
DESCHUTES COUNTY BOARD OF COMMISSIONERS
WEDNESDAY, JANUARY 30, 2008
Present were Commissioners Dennis R. Luke, Michael M Daly and Tammy
Melton. Also present were Dave Kanner, County Administrator; Erik Kropp,
Deputy County Administrator; Dan Peddycord and David Visiko, Health
Department; and media representative Hillary Borrud of The Bulletin.
Chair Luke opened the meeting at 1:30 p.m.
1. Discussion of Request for Tobacco Program Grant.
Dan Peddycord introduced David Visiko, who is the new chronic disease
coordinator for the Health Department.
Mr. Visiko gave an overview of grant applications related to chronic disease, in
particular tobacco use. (A copy of the request for applications is attached.)
The State agencies that handle various types of chronic disease are coming
together to address tobacco - related health issues. Community partners will be
involved and take appropriate training. (He distributed a fact sheet at this time,
a copy of which is attached.)
Mr. Visiko provided a sample letter to be sent to the State regarding prevention
policies. Mr. Peddycord indicated that tobacco is the strongest link with
chronic disease, and is number one cause of preventable death.
Chair Luke asked what the County's responsibility would be. Mr. Visiko
replied that County staff would need to attend training and would afford a part -
time FTE to handle the program.
Mr. Kanner clarified that the employment letter for grant - funded positions is
very specific about the position going away if the funding is discontinued.
The Board was supportive of the application.
Minutes of Administrative Work Session Wednesday, January 30, 2008
Page 1 of 5 Pages
2. Health Department Update.
A discussion took place regarding student -based health centers established at
various schools. Mr. Peddycord explained how services are provided and to
whom.
Mr. Peddycord gave an overview of the Central Oregon Health Collaborative,
and upcoming meetings with Secretary of State Mike Leavitt and
Representative Greg Walden in February.
He said that a request may come to the Commissioners for funding this program
in the future.
In regard to disaster planning and preparedness, Mr. Peddycord said that the
potential role of each department should be clarified. Each department needs to
have key staff prepared to handle any disaster that may occur, including a
disaster pack that allows these people to be at work if needed at the time of the
disaster. He added that there is a regional disaster planning group that meets on
a regular basis.
Historically COPA has not been providing full information to include in the
child immunization database.
In regard to Healthy Start Prenatal care, it is clear that it is more cost - effective
to provide prenatal care than to provide health care after birth.
Groups around the country are attempting to convince government entities that
an unborn child of an illegal immigrant should be covered for prenatal care.
This is called the SCHIP Rule and has not yet been implemented in Oregon. Of
the 190 births through the County's prenatal program, 170 were babies born to
Hispanic mothers.
Regarding the Ochoco Clinics, there are still issues to address in relation to
expenses. At this point, it does not appear there is enough energy or financial
ability to include La Pine. The Steffys, who now are struggling to run a health
clinic in La Pine, have been asked to consider whether they want to take over
the FQHC program there.
Minutes of Administrative Work Session Wednesday, January 30, 2008
Page 2 of 5 Pages
The federal funding entity is aware of the struggle to run several clinics and that
it would be difficult to include La Pine at this time, especially since La Pine has
the highest level of uninsured, underinsured and unemployed people in the
region.
Chair Luke stated that the Commissioners have been trying to get an
appropriate health care program in La Pine for a long time. Mr. Peddycord
suggested that a 501(c)3 be established to run the program to relieve the County
of liability. Mr. Kanner added that the economies of scale are so significant, it
would be impossible for two people to handle a program themselves. Mr.
Peddycord stated this would be reexamined in the next biennium.
Commissioner Daly said he thought the current grant was the last one to be
offered. Mr. Peddycord stated that there will likely be funding available in the
future, although it is unlikely that this particular grant will be allowed to sit
until it can be used.
The Northwest Health Foundation is providing a $10,000 grant for a strategic
planning update, which is due after three years.
3. Other Items.
Dave Kanner provided a draft agenda for the Commissioners' meeting
tomorrow to discuss Goals and Objectives.
Mr. Kanner stated that he is extremely pleased by the responses from
employees to the recent survey.
Commissioner Melton said that some employees could be too new to provide
accurate answer to some of the questions. There is no way to distinguish
whether the persons who replied are managers.
Commissioner Melton asked whether the individual comments could be
provided.
Commissioner Luke observed that the public survey showed that 94% of
respondents feel safe in the community; and most respondents feel excellent
services are provided by County employees. Mr. Kanner said that he had hoped
to release it to the media soon after it has been discussed with the Board.
Minutes of Administrative Work Session Wednesday, January 30, 2008
Page 3 of 5 Pages
The City of Bend has asked that a County staff person be appointed to the
Airport Neighborhood Advisory Board. Mr. Kanner suggested that Erik Kropp
might fill that role. Commissioner Luke said that Mr. Kropp will have to get up
to speed on the situation quickly, as it is a very sensitive issue and the group is
vocal and highly organized.
Regarding the proposed cable franchise fee, further discussion will take place
soon, probably at the February 11 work session.
The KIDS Center Director, Bob Smit, has indicated he would like the County to
combine some grant programs with those of St. Charles Medical Center. Mr.
Kanner stated that he would be happy to talk with them about it, but the
situation becomes difficult because they operate under different meeting and
disclosure laws than the County. Commissioner Melton said that United Way
also handles a huge amount of grant money and it would be good to know
where that funding goes. She said that the employee wellness programs might
be a good way to collaborate, but other programs might be much too
complicated to do so.
Mr. Kanner reminded the Board that there is still a vacancy on the budget
committee. Terry Pickering, Tom Zemke and Mike Maier were the applicants.
Commissioner Daly said there is some concern about Mr. Maier being
appointed due to his previous role at the County. Chair Luke stated that Mr.
Maier is very familiar with budgets. Mr. Kanner said Mr. Maier may not be
supportive of Mr. Kanner's budget recommendations. Chair Luke added that
Mr. Maier would know what questions to ask and where the red flags are. The
other budget committee members are relatively new to the process.
Commissioner Melton prefers either Mr. Maier or Mr. Pickering, in that order.
Commissioner Daly voiced concern that some people might view Mr. Maier as
not a member of the public because of his years working for the County.
This item will be on the Board agenda for Wednesday, February 6.
Being no further items addressed, the meeting adjourned at 3:15 p.m.
Minutes of Administrative Work Session Wednesday, January 30, 2008
Page 4 of 5 Pages
DATED this 30th Day of January 2008 for the Deschutes County Board
of Commissioners.
ATTEST:
Recording Secretary
Dennis R. Luke, C air
Tammy (Baney) Melton, Vice Chair
Michael M. Daly,
mmissioner
Minutes of Administrative Work Session Wednesday, January 30, 2008
Page 5 of 5 Pages
TES
{ 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., WEDNESDAY, JANUARY 30, 2008
1. Health Department Update — Dan Peddycord
2. Discussion of Request for Tobacco Program Grant — Shannon Dames
3. 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), pending or threatened litigation; or ORS 192.660(2) (b), personnel issues
Meeting dates, times and discussion items are subject to change. All meetings are conducted 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.
Deschutes County meeting locations are wheelchair accessible.
Deschutes County provides reasonable accommodations for persons with disabilities.
For deaf, hearing impaired or speech disabled, dial 7 -1 -1 to access the state transfer relay service for TTY.
Please call (541) 388 -6571 regarding alternative formats or for further information.
Deschutes County Health Department
Board of County Commissioners
Quarterly Liaison Meeting - January 30th 2007
1:30pm
• Chronic Disease Grants — David Visiko
o Requesting BOCC letter of support to apply
• Student Based Health Centers —
o Site Planning Grants awarded
o MA Lynch Elementary — Redmond (Obsidian MS)
o Pilot Butte MS — Bend (Tentative)
• Central Oregon Health Collaborative
o Ongoing Financial support as part of Departmental & County
strategy
o Secretary Mike Leavitt and Rep. Greg Walden visit in Feb.
• Disaster Planning and Preparedness for Staff
o Idea : Disaster Packs for Key staff
o Training for Key County Personnel /Dept Heads
• Child Immunization Rate Project
o Working with COPA regarding ALERT Registry — Grant
• Healthy Start Prenatal
o Last year of contract with East Cascade Women's Group
o Exploring new SCHIP Rule related to "unborn child"
• Ochoco Clinics —
• Department Strategic Planning
o NWHF Grant — Milne & Assoc.
• Public Health Advisory Board
o Next Meeting : Feb 27th, 2008
Oregon Department of Human Services, Public Health Services
Health Promotion and Chronic Disease Prevention
Request for Applications
For
Addressing the Prevention, Early Detection, and
Management of Chronic Diseases
Phase 1- Building Public Health Capacity
Based On Local Tobacco Control Efforts
Issue Date:
Applications Due:
Issuing Office:
January 7, 2008
February 18, 2008
Oregon Department of Human Services
Public Health Division
Health Promotion and Chronic Disease Prevention Section
800 NE Oregon Street, Suite 730
Portland, OR 97232
971- 673 -0984
971- 673 -0884 fax
http://oregon.gov/DHS/ph/hpcdp/index.shtml
In compliance with the Americans with Disabilities Act, this document is available in
alternate formats such as Braille, large print, audiotape, oral presentation, and electronic
format. To request an alternate format call 971- 673 -0984 or TTY 503- 731 -4031.
Table of Contents
Purpose of Funding 2
Eligibility 3
Funding 3
Key Planning Elements For A Program Addressing Prevention, Early Detection, And
Management Of Chronic Diseases 3
Program Requirements 4
Important Deadlines And Dates 5
Application Due Date 5
Award Announcements 5
RFP Question Submission Deadline 5
Chronic Disease Prevention Assessment and Planning Process 6
Application Requirements 7
Application Scoring 9
Attachment 1: Application Cover Sheet
Attachment 2: Public Health Administrator's Commitment Form
Attachment 3: Sample Budget Worksheet
Appendix A: Program Element 14
Appendix B: Training Institute Agenda
Appendix C: The Oregon Arthritis Action Plan
Appendix D: Oregon Arthritis Report
Appendix E: Oregon Asthma Leadership Plan
Appendix F: Oregon Asthma Surveillance Report
Appendix G: Geographic Disparities in Pediatric Asthma Control
Appendix H: Oregon Comprehensive Cancer Plan
Appendix I: Cancer in Oregon: A Call to Action
Appendix J: Action Plan for Diabetes
Appendix K: Diabetes Progress Report
Appendix L: Statewide Plan for Heart Disease and Stroke Prevention Care
Appendix M: Heart Disease & Stroke Report
Appendix N: Keeping Oregonians Healthy
Appendix 0: A Healthy Active Oregon: Statewide Physical Activity and Nutrition Plan
Appendix P: Oregon Overweight, Obesity, Physical Activity and Nutrition Facts
Appendix Q: Oregon Statewide Tobacco Control Plan
Appendix R: Tobacco County Fact Sheets
Appendix S: Website Resources for Chronic Disease Programs
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Purpose of Funding
The purpose of the Chronic Disease Program: Building Capacity based on Local Tobacco
Control Efforts is to assist local public health authorities (LPHAs) in planning a population -
based approach to reduce the burden of chronic diseases most closely linked to physical
inactivity, poor nutrition, and tobacco use. Such chronic diseases include: arthritis, asthma,
cancer, diabetes, heart disease, obesity, and stroke. Tobacco use is the single most preventable
cause of death and disease in Oregon. Poor nutrition and physical inactivity together are the
second leading cause of preventable death and disease.
Tobacco control efforts in Oregon are guided by the Centers for Disease Control and
Prevention's (CDC) Best Practices. The reduction of tobacco use and exposure to secondhand
smoke in Oregon demonstrates that policies and environmental and system changes are critical
in changing social norms and behavior around tobacco use and exposure. This experience
provides a solid foundation for expanding chronic disease prevention, early detection, and
management efforts for tobacco - related and other chronic diseases at the local level. In 2007,
the Public Health Division's Tobacco Prevention and Education, Physical Activity and
Nutrition, Arthritis, Asthma, Comprehensive Cancer, Diabetes, and Heart Disease and Stroke
programs agreed to pool resources and funding to address chronic disease prevention and
management through a public health approach at the local level.
The Health Promotion and Chronic Disease Prevention (HPCDP) Section will select up to 12
LPHAs to participate in a nine -month Chronic Disease Training Institute. The Training Institute
will provide training and technical assistance on community assessment and planning for local
chronic disease prevention and health promotion programs. During the institute, LPHAs will
develop a work plan specific to each locality. Curriculum in the Training Institute will be based
on CDC best and promising practices in tobacco control, physical activity, nutrition, arthritis,
asthma, cancer, diabetes, heart disease, obesity, and stroke.
At the local level, participants will develop capacity to address chronic diseases through a
population -based approach. This approach fosters new partnerships between public health and
community partners, and focuses broadly on policy and environmental changes that influence
the prevention and management of chronic diseases, rather than individual services, health
education, or access to health care.
2
Eligibility
LPHAs are designated as local lead agencies for the Chronic Disease Prevention (CDP)
programs. Only one application per LPHA will be accepted.
Funding
LPHAs can apply for up to $32,500 for the 2008 calendar year. Each LPHA must assure ghat
the CDP program is staffed at the appropriate level to participate in all required training
institutes, and to conduct work with community partners between trainings to complete a
community needs assessment and local work plan for the implementation of a Chronic Disease
program. Funds for this program element are to be directed toward: 1) personnel and 2) hosting
and attending meetings with community partners.
Participating LPHAs will be eligible to apply for CDP implementation funds upon completion
of the first year required activities. Availability of additional funds is contingent on federal
funding from the CDC - Chronic Disease Prevention and Health Promotion Division as weli as
state funding for Chronic Disease Prevention and Health Promotion Programs.
Key Planning Elements For A Program Addressing Prevention, Early
Detection, And Management Of Chronic Diseases
Public health's role for chronic disease prevention is to advance policies, establish
environments and systems that promote health, and prevent and manage chronic diseases. To
successfully adopt and develop a population -based program, the following factors are essential
elements to have in place. These key factors will be considered as part of the selection process
for LPHA applicants:
• Strong leadership able to motivate local public health authority staff and community
partners to actively participate in assessment and planning for a community focused
population -based Chronic Disease program.
• Experience in advancing tobacco policy and sustainable environmental change.
• Sufficient time, personnel, and resources dedicated to assessment and planning.
• Sufficient time, personnel, and resources to foster collaborative activities with
community partners.
• A community environment that fosters trust, collaboration, and respect among all
partners.
• High standards of professionalism supported by meaningful professional
development, collaboration and accountability.
3
• Use of data to uncover needs, set priorities, drive decisions, and evaluate
effectiveness.
Program Requirements
Local public health authorities will focus efforts on the list of activities below (a -f). Together
these activities will support participating LPHAs in the development of a local work plan to
address the community's burden of chronic diseases related to tobacco, physical inactivity, and
poor nutrition. (See Program Element 14, appendix A)
a Participating in the Chronic Disease Training Institute: The Training Institute is a
series of required trainings on best - practice interventions that address tobacco use
reduction and other disease prevention and health promotion strategies known to
decrease the burden of chronic diseases through a population -based approach.
Technical assistance and training will review current policies, systems, and
environments essential to supporting chronic disease prevention, early detection, and
management. At the conclusion of the training, participants will provide leadership for
integrating chronic disease prevention, early detection, and management into
community planning, and have the skills to assess and evaluate the community's
needs and health outcomes.
b Collaborating with community partners: Convene and facilitate partnerships with
community and health organizations representing various population groups to
promote and support tobacco use prevention, increased physical activity, healthy
eating, early detection of risk factors and chronic diseases, and availability of
resources for management of chronic diseases and risk factors, primarily through
policy, systems, and environmental change.
c Completing a Community Assessment: Conduct a community needs assessment that
assesses population -based approaches to prevention, early detection, and management
of chronic diseases. The needs assessment will focus attention where people live,
work, play, learn, and receive care in relation to tobacco - related and other chronic
diseases and risk factors.
d Gathering and Using Local Data: Identify and use various sources of data that can
inform the community about chronic disease prevalence, risk factors, management,
quality of life, disparities, morbidity, mortality, and economic burden. Sources may
include: survey data (Behavioral Risk Factor Surveillance System and Oregon Heald y
Teens), focus groups, community- generated surveys or data, health insurance claims
4
data, clinical data from a disease registry or electronic medical records, and hospital
data.
e Developing an Implementation and Evaluation Plan: Using the community
assessment and local data, conduct a planning process that results in a community
action plan to implement best - practice interventions addressing prevention, early
detection, and management of tobacco - related and other chronic diseases, where
people live, work, play, learn, and receive care. Components of an implementation
plan shall include evaluation; policy, environmental, and systems changes; and
identifying and addressing disparities.
f Promoting the Quit Line and Other Evidence -Based Chronic Disease Self -
Management Programs: Integrate the promotion of the Oregon Tobacco Quit Line
and other chronic disease self - management programs into prevention, early detection,
and management strategies for chronic diseases where people live, work, play, learn,
and receive care.
Important Deadlines And Dates
Application Due Date
Applications are due Monday, February 18, 2008 by 5:00 PM. Please send one original, six
hard copies, and an electronic copy on a CDRom.
Mail applications to: Kirsten Aird, MPH
Community Programs Manager
Tobacco Prevention and Education Program
Oregon Public Health Division
800 NE Oregon Street, Suite 730
Portland, OR 97202
Award Announcements
Applicants will be notified of their status by March 1, 2008. Funding will be available for the
year January- December 2008.
RFA Question Submission Deadline
This RFA is competitive. Questions regarding this RFA must be received by January 21, 2008.
Answers will be released on Friday, January 25, 2008. Please e -mail all questions regarding tilts
RFA to Kirsten Aird at kirsten.g.aird(astate.or.us.
5
Chronic Disease Prevention Assessment and Planning Process
Each CDP funded county will identify a "traveling team" to attend the Training Institute. The
location selected for the institutes will be a central location for funded counties. Dates for the
institutes will be finalized once the location is identified.
The traveling team will be a small group of LPHA and community partners. The HPCI)P
Section will cover the travel expenses for all team members (LPHA staff and community
members). Travel expenditures covered by the state include mileage, hotel, and meals during
the institutes. The LPHA staff time dedicated to attend the institute is covered in the grant
amount. The community partners' time dedicated to attend the institute is considered in -kind
support from the identified community partners.
Required members of the traveling team include:
• The Public Health Administrator must attend the first institute, and is encouraged to
attend all institutes
• CDP Program coordinator
• TPEP County Coordinator
• Community Partner working on strategies to prevent, improve early detection, or manage
one or more of the chronic diseases identified in this application (arthritis, asthm a,
cancer, diabetes, heart disease, or stroke) *
OR-
• Community Partner working on improving physical activity and nutrition *
OR
• Community Partner familiar with one of four settings; worksites, schools, health
systems, or livable communities. *
* Community partners are required for institutes 2 -5, but are encouraged to attend all institutes.
The Training Institute will review current policy, systems, and environmental changes essenti �l
to supporting chronic disease prevention, early detection, and self - management. At the
conclusion of the institute, participants will be community leaders in integrating tobacco - related
and other chronic diseases and risk factors into community planning, and have the ability to
assess and evaluate the community's needs and health outcomes. The agenda and learning
objectives for the institute can be seen in appendix A.
6
Staff at the Oregon Public Health Division, HPCDP Section will be available to provide
individualized, on -site, telephone, and electronic technical assistance to counties between
institutes upon request.
Application Requirem ents
Applications are due by Monday, February 18, 2008 at 5PM. Applications that arrive after
5PM on February 18, 2008 will not be included in the review process.
Please send one original application, six hard copies, and an electronic copy saved on a
CDRom. Applications can be mailed to:
Kirsten Aird, MPH
Community Programs Manager
Tobacco Prevention and Education Program
Oregon Public Health Division
800 NE Oregon Street, Suite 730
Portland, OR 97202
1. Application Cover Sheet (Attachment 1)
2. Signed Commitment forms from the Public Health Administrator and Program Manager
(Attachment 2)
3. Completed Budget Sheet (Attachment 3). Note funding for this RFP crosses over two
fiscal years. Please provide a budget for the remainder of fiscal year 07 -08 (March 1 -June
30, 2008) and for the first part of fiscal year 08 -09 (July 1, 2008 - December 30, 2008).
4. Letters of support from your County Commission and at least one community partner
(e.g. health system, school district, worksite, health organization). The letter of support
should demonstrate that the County Commission and community partners have reviewed
the county demographics highlighting the health and financial burdens related to tobacco
use, physical inactivity, poor nutrition, arthritis, asthma, cancer, diabetes, heart disease,
obesity, and stroke.
5. Statement of Need - Provide a clear statement of need describing your plan to expand
your current local tobacco prevention efforts to include efforts to promote the prevention i,
early detection, and management of chronic diseases. Please include general informatio 1
about your county's existing infrastructure, partnerships, and staffing, and describe how
targeted funds for tobacco - related and other chronic disease prevention and health
7
promotion will improve your LPHA's capacity to reduce the burden of tobacco - related
and other chronic diseases in your county. (2 page maximum, single spaced 12 point font)
6. Demographics - Provide a brief summary of your county's demographics highlighting
health disparities and economic burden related to tobacco use, physical inactivity, poor
nutrition, arthritis, asthma, cancer, diabetes, heart disease, obesity, and stroke,
specifically highlighting any disparities experienced by population subgroups. (2 page
maximum, single spaced 12 point font)
7. Statement of Readiness - Please respond to the following statements within 10 pages of
single spaced, 12 -point font text.
i. Describe actions the LPHA has previously taken to engage policy makers in
tobacco control efforts. Examples include working with a school board to
pass a gold standard tobacco -free schools policy or working with County
Commissioners to pass a policy ensuring all parks are smokefree. Describe°
the policy or administrative rule outcomes of those actions.
ii. Describe actions the LPHA has previously taken to support the collaboration
of multiple community partners to address tobacco prevention in schools,
worksites, communities, and health systems. Please provide an example of
coordination or facilitation activities in at least two settings.
iii. Describe actions the LPHA has taken to support policies, systems, or
environments that assist in the prevention and management of chronic
diseases in your community. Highlight any efforts that have engaged
multiple public and private community organizations, and describe how
working on tobacco prevention increased efforts to enhance other chronic
disease prevention and health promotion programs.
iv. Describe the leadership demonstrated by your Public Health Administrator
with community -wide, tobacco control planning and intervention efforts,
and the resulting outcomes.
v. Describe how time, staff, and resources will be dedicated to the CDP
assessment and planning process.
vi. Describe the process for how County Commissioners and community
partners were informed about this opportunity, involved in the decision to
apply for this grant, and how they intend to participate in assessment and
planning for a CDP program.
8
Application Scoring
Criteria
Points
1. Statement of Need
15
2. Description of demographics
10
3. Letters of support
15
4. Statement of Readiness
> Describe actions the LPHA has previously taken to engage policy makers in tobacco
control efforts.
10
> Describe actions the LPHA has previously taken to support the collaboration of
multiple community partners.
10
> Describe actions the LPHA has taken to support policies, systems, and environments
that assist in the prevention and management of chronic diseases in your community.
10
Describe the leadership demonstrated by your Public Health Administrator with
community -wide tobacco control efforts.
10
> Describe how time, staff and resources will be dedicated to the CDP assessment and
planning process.
10
> Describe the process for how county commissioners and community partners were
informed about this opportunity, involved in the decision to apply for this grant, and
how they intend to participate in assessment and planning for a CDP program.
10
Total Possible Points
100
9
Health Disparities and Economic Burden in Deschutes County
Tobacco Use: According to the 2007 Deschutes County Fact Sheet compiled by the
Oregon Tobacco Prevention and Education Program (TPEP): 18% of adults smoke
cigarettes compared to 20% in Oregon. 9% of 8th graders smoke cigarettes compared to
9% in Oregon. 27% of 11 th graders smoke cigarettes compared to 17% in Oregon. 13%
of babies were born to women who smoked while pregnant compared 12% in Oregon..
4% of 8th grade males use smokeless tobacco compared to 5% in Oregon. 17% of 11th
grade males use smokeless tobacco compared to 12% in Oregon. Oregon TPEP 2005
data shows 7.6% of adults use smokeless tobacco compared to 6.1% in Oregon.
Economic Burden: According to the 2007 Oregon Tobacco Prevention and Education
Program Deschutes County Fact Sheet, over $40.3 million is spent on medical care for
tobacco - related illnesses. Additionally, over $40.6 million is productivity is lost due to
tobacco - related deaths.
Physical Activity: The Oregon Healthy Teens Survey, 2005 -2006 data states that 39.1%
of Deschutes County (DC) 8t graders were physically active less than 4 days in the past
week compared to 27.2% in Oregon. Additionally, 43.9 % of DC 11th graders were
physically active less than 4 days in the past week compared to 41.8% in Oregon.
According to the 2002 -2005 Behavior Risk Factor Surveillance System (BRFSS);
DHS/Health Promotion and Chronic Disease Prevention Program 42.5% of DC adults did
not meet recommended daily physical activity levels as compared to 45.3% of Oregon.
Poor Nutrition: The Oregon Healthy Teens Survey 2005 -2006 state that 77.6% of DC
8th graders did not consume 5 fruits and vegetables daily compared to 74.7% in Oregon.
Additionally 81% of DC 11th graders did not consume 5 fruits and vegetables daily
compared to 79.7% in Oregon. According to the 2002 -2005 BRFSS; DHS/Health
Promotion and Chronic Disease Prevention Program 70.5% of DC adults did not
consume at least 5 fruits and vegetables per day compared to 74.2% in Oregon.
Arthritis: The 2005 Oregon BRFSS survey data results state that 27% of Oregonians,
over the age of 18, are clinically diagnosed with arthritis. At this time, there is no local
data for Deschutes County, however extrapolating the data may prove that it is safe to say
that higher numbers in DC due to the large population of older adults who settle in Bend,
Oregon. Economic Burden: Arthritis costs Oregonians 86 Billion dollars in total costs
(Oregon's Arthritis Program fact sheet, 2006), translating into 3.4 billion dollars here in
Deschutes County.
Asthma: The 2005 -2006 Oregon Healthy Teens Survey states that 15.8% of DC 8th
graders have a diagnosis of asthma compared to 17.1% in Oregon. Additionally, 20.3%
of 11th graders have a diagnosis of asthma compared to 19.2% in Oregon. According to
the 2005 BRFSS and DHS /Oregon Asthma Program, DC has a 6.6% ashtma prevalence
rate of for adults, compared to 8% in Oregon. Economic Burden: According to
Oregon's asthma report (June, 2007), Asthma hospitalizations in Oregon cost
approximately $23.5 million in 2005, which translates into $940,000 in Deschutes
County alone.
Cancer: The DHS- Oregon Cancer Registry (OSCaR) /Cancer in Oregon, 2003; states
that between the years 1999 -2003 DC has had 707 malignant cases of all types of
cancers, resulting in 232 deaths and a mortality to incidence ration of .39. The 2004 DHS
(OSCaR) states that between 1999 -2003 DC has had 545.5 rates of cancer cases for all
types of cancers compared to 484 in Oregon. Additionally, the largest differential in type
of cancer was identified in the same data set as prostate cancer 253.5 cases from 1996-
2003 compared to 164 cases in Oregon. Economic Burden: Cancer costs exceed 2
billion dollars in the state of Oregon (CD Summary, 2004 vo.53, #23), and for Deschutes
County totals 80 million dollars in costs.
Diabetes: The 2005 BRFSS; DHS /Oregon Asthma Program states that in DC 4.9%
adults were diagnosed with Diabetes compared to 6.7% in Oregon. Economic Burden:
The total cost for hospitalizations with diabetes as a contributing diagnosis was over $700
million per year in Oregon, translating into $28 million dollars per year in Deschutes
county (Department of Human Services Diabetes Progress Report, 2006).
Obesity: The Oregon Healthy Teens Survey, 2005 -2006 states that 19.5% of DC 8th
graders, 22.5% 8th grade males, & 16.7% 8th grade females are overweight or at risk for
overweight; compared to 25.8% 8th graders, 28.8% 8th grade males, & 22.5% 8th grade
females in Oregon. Additionally, 18.6% of DC 11`h graders, 22.3% 1 grade males &
14.8% 11th grade females are overweight or at risk for overweight; compared to 24.9%
11th graders, 30.6% 11`h grade males & 19.2% 11th grade females in Oregon. According
to the Centers for Disease Control and Prevention. State - Specific Prevalence of Obesity
among Adults in the U.S., 2005 and the MMWR September 15, 2006; 55 (No.36);
Behavior Risk Factor Surveillance System, Adult obese rates in DC is 18.3% compared
to 22.1% in Oregon. Additionally, the same data set states that DC has a 38.8%
overweight population compared to the Oregon level of 37 %.
Heart Disease: The 2002 -2005 BRFSS combined data set shows 4.3% of DC adults
diagnosed with coronary heart disease compared to 3.8% in Oregon. Economic Burden:
According to Oregon's Statewide Plan for Heart Disease and Stroke Prevention and Care
(2006) the economic burden in the State of Oregon mounts to a yearly cost of $1.1
billion in hospitalization costs for heart disease, stroke, and related diseases — translating
into $44 million spent per year in Deschutes County alone.
Stroke: The BRFSS, 2002 -2005 combined data set staes that DC has a 2.1% of its
population has had a stroke compared to 2.6% in Oregon. The Stroke death rate -age
adjusted death rate per 100,000 population- Oregon Death Certificates, 2004 identifies
60.15 in DC, while Oregon is 61.94. The Healthy People 2010 Objective is 48.
Economic Burden: When considering all hospitalizations of the most common chronic
disease the cost to Oregonians exceeds 4.1 billion dollars. In Deschutes County alone,
our costs exceed 164 million dollars per year (Keeping Oregonians Health, DHS, 2007).
Obesity, tobacco use, inactivity and poor nutrition are modifiable risk factors that
contribute directly to the high morbidity and mortality of the Chronic Diseases that
follow.
January 30, 2008
To: DHS Health Services
Dear Grant Administrator:
We are writing in support of funding Deschutes County with the 2008 Grant: Addressing
the Prevention, Early Detection, and Management of Chronic Diseases. Phase 1- Building
Public Health Capacity Based on Local Tobacco Control Efforts.
Recently, health educator Kelly McDonald, presented to the Board of County
Commissioners, the Deschutes County 2007 Health Report stating local chronic disease
data and the economic burdens that are placed on Deschutes County resulting from
chronic disease. Health educator, David Visiko followed up this presentation informing
the Deschutes County Commission of the opportunity to apply for this grant. With this
information, we believe increased funding and additional fosus in chronic disease health
areas is a vital component in protecting and promoting the health of Deschutes County
citizens. In order to continue comprehensive prevention and education efforts, it is
imperative that we have the necessary funding to support this program.
As County Commissioners, we embrace the positive outcomes of this potentially funded
Chronic Disease Program grant in working to reduce the burden of chronic diseases to
benefit Deschutes County. We strive as a community partner to support the beneficial
effects on physical & emotional outcomes, and health- related quality of life of our
citizens. Additionally, increased prevention, early detection and management of chronic
disease will result in fewer emergency (ER) visits, fewer hospitalizations, and fewer days
in the hospital, and reductions in outpatient visits thus reducing Deschutes County
healthcare expenditures.
The work of David Visiko and Deschutes County Health Department allows this
partnership with the Board of County Commissioners to influence the community toward
greater health policy, education, and social norms. The successful granting of funds to
Deschutes County will ensure that important prevention and education efforts and
community partnerships will continue. I urge you to fund this important work in our
county.
Sincerely,
Board of County Commissioners, Deschutes County, Oregon