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Home My WebLink About01-2020 JAN 24 2018 MINUTES tk edits Deschutes County Health Services Public Health Advisory Board MINUTES MINUTES January 24, 2018 12:00 – 1:30pm Stan Owen, DCHS Building 2577 NE Courtney Drive, Bend Facilitator Keith Winsor, Vice Chair Staff Coordinator Tom Kuhn, Community Health Manager Scribe Lisa Michael Next Meeting February 28, 2018 - Health Services – Stan Owen Conference Room Topic and Lead Introductions & Approval of December Meeting Minutes The Board went around the room and introduced themselves to guests. Jim motioned to approve the minutes with a minor correction in Board member attendance from last months’ meeting. Dave seconded the motion and the minutes were unanimously approved. Brief Announcements & Unfinished Business Tom announced that Dave Huntley and Stacey Witte are official Board Members as of Monday when the BOCC approved their appointment. Tom passed out a new roster for member reference. There now are 12 members, although there can be up to 15. Jim asked about systems performance metrics and how we are measuring client and clinician satisfaction. Can we follow the same metrics that Erin Hoar is using for the perinatal care program as opposed to the CCOs? Erin’s program is a good model but what exactly does it measure? Jim asked about ease of use and tangible parts of our programs. What do we really want to accomplish here? Tom said we are collecting some metrics and he will connect Jim with the appropriate quality assurance staff. George also noted that DCHS has been conducting customer satisfaction surveys. Rebeckah chimed in and said the state has quality incentive metrics for the CCOs. Priority Workgroup update: Tom created a handout outlining this year’s priority topics with a list of the Board member and their corresponding staff support member. Nancy Tyler in BH is working with Chuck and Jim on senior health. Jill Johnson is working with Rob and Dave on immunization and will be presenting at this meeting. Pamela suggested a name change from WIC to Women and Children’s Health. Tom will make up a calendar of the priorities for the year. Tom spoke about preparing for the Health Hero nominations and asked the Board if they had any suggestions for improving the process. The Board discussed expanding the candidate search to include the general public or at least to health related groups that collaborate with DCHS and PHAB. Should we more widely publicize? The Board voted on continuing with the same process but kicking out to other health related agencies. Rebeckah volunteered to help “To promote and protect the health and safety of our community.” Updated 8/4/20 spread the word, but asked for clarification on how far to expand our search. Tom asked the Board to email him their ideas and he will put a list together of agencies we will solicit candidates from. The Board spoke about holding the awards ceremony at a BOCC meeting so the Commissioners can present the awards. The Board voted unanimously for the expansion to other agencies. Immunization Priority work group update Rob, Dave and Jill gave a presentation on vaccination rates among kindergarten and school aged children. Rates are very low in Oregon as a whole, making it a top priority for the AFIX project. An outbreak of measles or pertussis would have a significant impact on our community causing widespread health problems for some student populations. Even though the immunization rate has increased for 2 year olds now, it is still low, and maintaining the CDC recommended vaccination rates of 90% or greater, will help in minimizing these types of outbreaks. Locally speaking, the west side of town has recorded the highest immunization rates. Pertussis has been most prevalent in recent years with almost 600 cases documented in 2015 triggering symptoms such as infections, hearing loss, pneumonia and encephalitis. There are two main reasons why the vaccination rates are so low: vaccinations tend to get missed. The AFIX is addressing this problem by properly documenting and tracking vaccinations in patient records, then following up with reminders to parents when these vaccinations are missed. AFIX began in May 2016 and has already seen an increase in rates by 10.8% amongst 24 month olds. The second reason is caused by taking personal exemptions from childhood vaccinations. The mindset is that vaccinations are ineffective or dangerous and parents are not educated on the importance of immunizing their children. Boost Oregon is a non-governmental organization that puts on town hall type events where parents can ask questions and receive information to take home and review. Dave and Rob spoke about the costs involved during an outbreak and the resources it takes to track and follow up on reported cases. The Board discussed speaking about the importance of immunization at grand rounds and providing an informational piece to the BOCC at one of their work sessions. Older Adult Behavioral Health Initiative Charles touched briefly on the Older Adult Behavioral Health Initiative which operates under the wing of COHC as part of a statewide program. This program identifies service gaps, seeks way to improve existing services, and expand the skills of the workforce, while helping to improve the lives of adults over the age of 60 who are experiencing behavioral health challenges and/or physical disabilities. More than 15% of the population in Oregon right now is age 65+ and national trends indicate many face such problems as depression, suicide, and drug/alcohol abuse. Angela Jensen and Mary Callison, both COHC staff, have been conducting trainings around the state for seniors with behavioral health issues. Chuck also works with the Shared Future Coalition, (SFC) which is a program designed to prevent alcohol/drug/tobacco abuse among our youth. Charles spoke about exploring marijuana and its impact on our young, especially since the human brain does not fully mature until age 24/25. The SFC has developed and is implementing an advertising campaign about all the risks of using marijuana. A new program called Connect is now available for parents and grandparents on how to talk to their children about drug use. The first meeting was held last week at the library. SFC and COHC are working together to create a new task force centered on the takemedsseriouslyoregon.org campaign. Charles suggested that PHAB invite Angela and Mary to present at a future meeting. “To promote and protect the health and safety of our community.” Updated 8/4/20 Health Equity Workgroup update Since Channa was unable to attend the meeting, Tom and Jenny decided to revisit this topic next month when Channa is available. Flu Surveillance update Jenny spoke about local flu surveillance and the various reports she has created for public viewing on the website (www.deschutes.org/flu). There are 4 different graphs that are updated every week tracking weekly tests and those that test positive for the flu, comparisons to other flu seasons, weekly ER visits and an overall summary. Jenny noted there are 4 local labs that test for influenza and this year so far there has been a huge increase in the number of tests with a high percentage of them testing positive. This flu season started out much worse than the previous 2 seasons but has tapered off considerably in the past few weeks, especially in comparison to the 2015/16 season; however, the percentage positive is the same as last year. Not every flu case is reported and ER visits only show “flu like” symptoms, not necessarily “positive” tested and does not include urgent care visits. Action Items:  Connect priority work groups with their staff counterparts.  Work with Rebeckah to send out the Health Heroes Award to a wider audience.  Connect Jim Powell with system performance staff to review metrics.  Dave Huntley to send his paper on immunizations for PHAB to review. Adjourn- 1:30 p.m. Board Members Present: Keith Winsor, Charles Frazier, Jim Powell, Steve Strang, Tami Pike, Robert Ross, Rebeckah Berry, Dave Huntley Staff Members Present: Dr. George Conway, Tom Kuhn, Pamela Ferguson, Lisa Michael Guest Speaker: Jill Johnson (staff), Jenny Faith (staff) Guests: Heather Kaisner (staff), Jan Bowers (OB/GYN Nurse Practitioner) BOCC – Board of County Commissioners CCO – Coordinated Care Organization DCHS – Deschutes County Health Services PHAB – Public Health Advisory Board BH – Behavioral Health WIC – Women, Infants, Children AFIX – Assessment/Feedback/Incentives/eXchange CDC – Center for Disease Control COHC – Central Oregon Health Council SFC – Shared Future Coalition ER – emergency room “To promote and protect the health and safety of our community.” Updated 8/4/20