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HomeMy WebLinkAbout2016-03 March 23 PHAB Meeting Minutes “To promote and protect the health and safety of our community.” Updated 5/3/16 Deschutes County Health Services Public Health Advisory Board MMIINNUUTTEESS March 23, 2016 12:00 – 1:30pm Stan Owen, DCHS Building 2577 NE Courtney Dr., Bend Facilitator Susan Keys, Chair Staff Coordinator Tom Kuhn, Community Health Manager Scribe Lisa Michael Next Meeting April 27, 2016 Health Services – Stan Owen Topic and Lead Introductions & approval of February Meeting Minutes The Board went around the room and introduced themselves. Jock moved to approve the minutes as submitted with a second from Jim. Unanimously approved. Brief Announcements & Unfinished Business CD Supervisor Heather Kaisner, updated the board on the status of the Zika Virus. Zika is primarily spread through two known types of mosquitoes; neither of which are found in Oregon. The virus can also be sexually transmitted from men who develop the symptoms after infection to their partners. While 80% of people who contract Zika don’t even experience any symptoms, others may which include fever, rash, joint pain and eye redness and can be mild to severe, but rarely requires hospitalization. Although evidence has not been proven and is still being investigated, there is some indication that Zika may cause birth defects like Microcephaly in unborn babies if the mother is infected during pregnancy. Very few cases have been identified here in Oregon and all have been associated with travel to areas where Zika is prevalent. Unfortunately there is no treatment or vaccine for Zika at this time; however, it can be prevented by the use of insect repellent and avoiding unprotected sex with partners infected with the virus. The CDC is providing testing for Zika on samples from suspected cases sent from state public health labs and the OHA is working with local county health departments and health care providers to identify and test patients for the virus. Several countries around the world have reported active Zika transmissions and the CDC recommends that pregnant women postpone any travel to these areas affected by Zika and to abstain from unprotected sex with partners who have recently traveled in those regions for the duration of the pregnancy. Heather said no cases have been documented in Central Oregon, but there is still a community wide concern. The local health departments are attempting to find balance and curb rumors out there to limit any fear. Tom will be working with Susan and Kate on the bylaws for Board review again at the April meeting since there has been inconsistent member attendance for the past few meetings. “To promote and protect the health and safety of our community.” Updated 5/3/16 Health Hero Award Results Tom announced Susan Keys as the individual award winner and COVR (Central Oregon Veteran’s Ranch) as the group award winner of this year’s Health Heroes. Next year, Tom would like to roll out the nominations in December so the winners can be named before public health week. Susan and COVR will receive their awards at the April PHAB meeting. Tom will run a press release in the Bulletin. Tom mentioned that PHAB tried a communitywide voting process at one time and it didn’t work too well, so PHAB should stick to our current nominating process. Susan asked the Board to email Tom with any ideas on vetting the process. Could we brainstorm sometime during the Fall to come up with some nominees instead of voting individually? Strategic Plan Input Quality Improvement Specialist Shannon Vandegriff, gave a presentation on the input provided by PHAB in regards to the RHIP. Right now we are at ground zero; however, the framework has been established and we are focusing on general goals. The RHIP was finalized last month and 5 strategies with priorities made the cut. PHAB previously identified 7 key high priority areas to address in the 2016-2020 Strategic Plan with progress reviews at least annually during the 4-year period. The plan encompasses the development of a closed loop referral system and emphasis on ACE’s (adverse childhood events), which supports multiple priority areas. Those 6 areas are: Cardiovascular Disease: Clinic and prevention roles  Encourage health care providers to increase referrals, including electronic referrals, to the Oregon Tobacco Quit Line. The County can facilitate this referral process. The RHIP will address marijuana/hookah/other smoking  Implement a community-based educational campaign on hypertension control. Also develop and expand local resources for blood pressure monitoring.  Provide assistance to patients to self-monitor blood pressure, either alone or with additional support and explore models around hypertension self-care to complement clinic activities. Diabetes: Clinic and prevention roles  Implement a DPP (Diabetes Prevention Plan).  Increase availability of diabetes self-management programs. Oral Health: Clinic and prevention roles  Education and prevention of tooth decay (breaking the cycle of infectious disease). Reproductive & Maternal Child Health:  No strategies identified at this time.  What about maternal depression input? “To promote and protect the health and safety of our community.” Updated 5/3/16 Board Members Present: Susan Keys, Kate Wells, Jock Pribnow, Charla DeHate, Mike Shirtcliff, Jim Powell, and Keith Winsor Staff Present: Tom Kuhn and Lisa Michael Guest Speakers: Heather Kaisner (staff) and Shannon Vandegriff (staff) CDC – Center for Disease Control OHA – Oregon Health Authority PHAB – Public Health Advisory Board RHIP – Regional Health Improvement Plan ODE – Oregon Department of Education BHAB – Behavioral Health Advisory Board Behavioral Health Identification and Awareness: Prevent suicidal behaviors and ideation across the age span, and also include training of providers and school personnel. Suicide prevention and primary care screening should continue to be supported and implementing a training program is the key goal. Potential RHIP strategies that may support this:  Implementation of a “Mind your Mind” campaign.  Social and emotional health curriculum taught in the schools in conjunction with the ODE standards for evidence based practices. Behavioral Health Substance Use and Chronic Pain: Clinic and prevention roles  Develop a plan for pain treatment therapy.  Develop a process and care path for affected families to impact ACE’s and behavioral health factors.  Treat the parent for substance abuse disorder with the intent of decreasing the number of ACE’s experiences and increasing the child’s buoyancy, thus improving their long- term health status. Deschutes County Health Services Strategic Plan Goals: Additional strategies that support the goals  Maternal Depression  Marijuana use and toxic smoke prevention  Provide educational programs for youth regarding marijuana use. The management team will be meeting sometime this month and will participate in 8 planning sessions to create a draft plan. A combined council meeting with PHAB and BHAB will take place May 25th to review and provide feedback on these goals. Adjourn at 1:32 p.m.