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HomeMy WebLinkAbout2014 - March 19 PHAB Meeting (Joint Session) MinutesPage 1 of 3 MEETING OF THE DESCHUTES COUNTY PUBLIC HEALTH AND BEHAVIORAL HEALTH COMBINED ADVISORY BOARD Date: March 19, 2014 Time: 3:30 p.m. to 5:00 p.m. Location: Deschutes County Health Services 2577 NE Courtney, Bend, OR 97701, Stan Owen Behavioral Health Advisory Board Members Present: Jerry Lear-Chair, Kathy Walsh Vice-Chair, Roger Olson, Lorelei Kryzanek, Seth Johnson Board Members Not Present: Lori Patterson, Peter Boehm, Kristin Powers, Marianne Straumfjord Public Health Advisory Board Members Present: Jock Pribnow-Chair, Susan Keys Vice-Chair, Keith Winsor, Susan Keys, Jenny O’Keefe, Mike Shirtcliff, Holly Remer Guests Present: Matt Owen, Sarah Owen, Mike Harris, Stacey Harris DCHS Staff Present: Scott Johnson, DeAnn Carr, Barrett Flesh, Tom Kuhn, MaryAnne McDonnell, Diane Skinner Call to Order and Introductions Jerry and Jock called the meeting to order at 3:00 p.m. Review and Approval of Minutes Jerry advised that the minutes had been emailed. No one had any changes. The minutes were approved unanimously. PHAB did not have a quorum of committee members to approve minutes. Director Report Scott announced that the Health Director had been selected from the interviews held last month, and her name is Jane Smiley. He sent out the following email today: “Jane comes to us from Helena, Montana. She has served as the Administrator for the Public Health and Safety Division of the Montana Department of Public Health and Human Services for the past nine years. She manages an agency with over 50 programs, 195 employees and an annual budget of $65 million. Jane has 25 years of experience with increasing responsibilities over that time for a wide range of health positions and program areas within the State of Montana. She has a Master’s degree in Public Health with an emphasis on Health Services Administration from the University of Washington as well as a Bachelor’s degree in Anthropology and Geography from Southern Illinois University. Her professional accomplishments include helping Montana provide evidence-based programs and update its public health laws, developing a performance management system, promoting staff development and leadership opportunities, investing state resources in community-based programs, developing strong working relationship with counties, promoting public health accreditation, Page 2 of 3 representing public health with the State legislature and integrating behavioral health staff into preparedness work. I will be back in touch as Jane’s start date approaches. We’ll be sure to introduce her at team meetings and to community partners in May and early June. I spoke with Jane this week and can tell you she is very excited to take this position and to move to Central Oregon with her husband. I also want to offer a personal thanks to Tom Anderson as our County Administrator and to the Board of Commissioners for the care and focus they put into this process and for their commitment to the Department, our communities and the work you do every day. I am very confident we have a wonderful leader going forward.” Announcements 1. Tom reported the Accreditation Process has been completed on site. The visit with the Accreditation Team went well and we are awaiting results of the panel review which are expected in September. 2. Medical Marijuana Dispensaries in our community; Jessica Jacks and several members of the Public Health Advisory Board had a meeting with County Commissioners to establish no medical marijuana distributors in the unincorporated areas. There are no restrictions within Bend City Limits. 3. There was discussion about the combined meeting being eliminated and having the committee’s leadership meet quarterly. It was recommended that this discussion be continued with Jane Smiley and consider options like HS Advisory Board. Behavioral Health Medical Team Dr. Hal Sexton, the new Behavioral Health Director gave a presentation on the new medical team. He noted that Opal K. is our new child medication tele-consultant through OHSU for rural communities needing additional child Psychiatry medication advisement. Staffing currently includes: 2 Prescribing Nurse Practitioners, (one Children Services) .5 Medical Director (no direct services) 2.5 Nurses (one Assertive Community Treatment) 1 Nursing Supervisor The plan is for reciprocal care in a collaborative way for moving clients to Primary Care Physicians and then to re-open at DCBH if client presented instability behaviors/relationships, much the same as specialists are used through most insurance programs. This process will establish continuity of care and make the transition to a more integrated care model. Crisis Plan Holly McCown is the new Mobile Community Assessment Team (MCAT) Supervisor. The Mobile Crisis Team added three clinicians so that two staff are on at all times, and hired a fourth member for Crisis Services at main clinic. There is an additional case manager to help decrease law enforcement contacts and hospitalizations. The case manager can help with people in acute distress where they are evicted and at risk of losing children or with CPS involvement. Page 3 of 3 Tri County Crisis Team Grant Update DeAnn Carr stated that historically, Deschutes has provided Crisis Services in Crook County. But with increased calls coming in, the response time was varied. Crook County will develop new Countywide MCAT Services. Jefferson County is adding a Recovery Mentor. The Counties are still awaiting the grant award letter and dollars, and then contracts will be finalized. Health Heroes Tom Kuhn is looking for nominations for Health Heroes and so far has two individual nominees. He will send out another request with the form to the Public Health Advisory Board. He would appreciate nominations by Friday, March 21st. Dental Metrics “Keep doing what you’re doing and expect different results. Current dentistry philosophy is a drill looking for a hole”. The dental services need to change philosophy to fix problems and address a prevention philosophy. There needs to be a dental paradigm shift toward prevention. Preventable disease and focus needs to change to infectious disease management. Dentists are the key players in determining cancers of the mouth. Bend Treatment Center This new program in Bend is seeking the LADPC endorsement to provide medically assisted treatment for opiate addiction at 155 NE Revere, Bend OR 97701. Currently, there is no other local provider in the area and patients may currently seek help in other communities like Portland, Salem or Eugene. For $80 a week clients addicted to opiates (e.g. heroin) can begin a slow steady dose of Methadone. The dosage is then titrated to symptomology. At the end stage they are medication free and maintenance medication can take up to three years of ongoing services. Dr. John McIlveen was in attendance from Oregon Health Authority Additions and Mental Health and offered his endorsement of this center being developed to serve unmet needs in the region. Adjournment The meeting was adjourned at 5:15 These minutes were approved at the _______meeting of the Behavioral Health Advisory Board.