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HomeMy WebLinkAbout10-2020 OCT 24, 2018 RETREAT MINUTES Deschutes County Health Services Public Health Advisory Board Retreat MINUTES MINUTES Planning Retreat Planning Retreat October 24, 2018 9:00 a.m. – 1:00 p.m. Deschutes County Road Department TH 61150 SE 27 Street, Bend, OR 97702 Facilitators Keith Winsor, Vice Chair and Tom Kuhn, Community Health Manager Staff Coordinator Tom Kuhn, Community Health Manager Scribe Lisa Michael Next Meeting December 5, 2018, 12:00 – 1:30 p.m., Stan Owen Conference Room Objectives:  Review membership and Health Heroes Awards and identify next steps  Review work on priorities and determine direction for upcoming year  Discern proactive role with County Commissioners and identify follow-up steps Kate kicked off the meeting by informing the Board her term as Chair will be ending in December but her plan is to stay on as a member. Housekeeping Items: Appoint 2019 Vice Chair Tom reminded the board that Keith was elected Chair at the previous meeting; however, the Vice Chair position had not been filled. Tom received a nomination for Rebekah and she graciously accepted, so Tom asked the Board for a vote. Dave motioned to approve Rebeckah as the new Vice Chair and Rob seconded the motion. The Board unanimously approved. Membership review/increasing racially and ethnic diverse membership Tom asked the Board to check out the matrix and report any incorrect information to him. The Board discussed the possibility of recruiting members from the Hispanic community in order to start diversifying membership. Rebeckah asked about the socially and economically disadvantaged and the LGBT population. At the moment, approximately 15% of the population is part of a minority group and that figure is growing. Tom suggested that a workgroup be formed to improve diversity of the Board and we can further discuss this topic early next year. He will solicit current board members offline to form the workgroup to continue work on this. Jim, Keith and Kate have been reappointed by the BOCC and should be receiving letters stating such in the mail. Tom reminded the Board that a member cannot be reappointed if that member has served 8 years; however, the bylaws can change that rule. “To promote and protect the health and safety of our community.” Updated 8/4/20 Chuck has served for 9 years, so he is now the ex-officio. As it stands, the Board officially has 12 voting members, with a maximum of 15, and we must have at least 9 voting members to operate. Health Heroes selection criteria The Board discussed what the criteria should be for nominating future Health Heroes. The question was posed about whether or not DCHS staff should be allowed to nominate a Health Hero or if they should be allowed to be nominated themselves. And what about PHAB members? Should they be allowed to nominate a Health Hero or can members themselves be nominated? Can a DCHS supported group be nominated? Do we want to allow agencies outside of the health scope to nominate Health Heroes? Can a community member or organization be allowed to nominate themselves? The ultimate goal is to recognize good work and the Board discussed their role in vetting nominations on a case by case basis. Sharity asked about implementing a scoring matrix. Rebeckah has a list of criteria she will forward to Tom. Keith Winsor’s perspective on direction for PHAB in 2019: First off, Keith recognized Kate for stepping in as Chair for the last 3 years as the previous Board Chair had to step down. He thanked her for leading the Board in working on important initiatives and when Keith spoke about how in the past there was no follow-up on any of the subjects we ever discussed and now we have relevance and are getting much more involved following through. The purpose of PHAB is to provide value and guidance to the BOCC through the many diverse areas of expertise encompassing its members. Last year’s retreat was a milestone in the planning process for the year, which we should build on. Keith also spoke about being topic and process focused. We should consider topics that provide value and interest to the BOCC; for example, the impact on neighbors living next to a marijuana grow facility. Instead of exploring the big issues, we need to keep in check and drill down to the issues that are more at a local level since some of the bigger issues may be too big and out of our control. We also need to develop a focused process where we concentrate on specific objectives with a clear and measurable outcome and in order to stay on task, projects should have a deadline. PHAB’s goal should be to build credibility with the BOCC by pointing out public health issues that will help educate them on the impacts of the community’s health. Some things to consider: could PHAB do the research and provide expertise to the BOCC before bringing up our agenda items? Also, where is the feedback loop if the BOCC has never reached out to us? Could we visit with the BOCC for a brief time every month so we can be viewed as a public health resource for them? Hillary is planning on meeting with the BOCC on a regular basis so can we coordinate with her? Maybe one or two members could go to the BOCC meeting to hear the topics, find out who the contact person is, and be introduced, since there is such a big gap right now. How can the BOCC utilize us as a resource and can we establish a process? With the elections coming up and new commissioners taking over in January, it would be best to wait until after the dust settles. Review of work on PHAB Priorities in previous year:  Immunizations - (Robert and David) Rob opened up the conversation with stating that a number of things were approved and the Alert database has been cleaned up. There has been a massive effort in getting area kids immunized, which increased locally by 6.9%. The State also saw an increase, but that rate is now falling again. Rob and Dave are delaying their pitch to the BOCC until the new commissioners are elected. Boost Oregon is an organization “To promote and protect the health and safety of our community.” Updated 8/4/20 that is continually working with parents to educate them on the importance of immunizations, since there is a huge misconception that immunizations can be harmful. Rob has been speaking with legislators about requiring immunizations unless a child has a medical condition that prevents them from getting vaccinations. He wants to make the BOCC aware of monetary resources in the event out an outbreak. The Commissioners can advocate by writing a letter to the legislators and Boost Oregon.  Climate Change - (Rebeckah and Kate) Rebeckah said her team has taken baby steps this year, although she has already developed a “30 days of making change” flyer to educate and spread awareness. Tom will being taking the flyer to the BOCC for their approval. Since climate change is such an enormous topic, the focus will be on the impact that climate change has on the general population’s health. Area wildfires are a good example of this. Rebeckah will be attending a conference in mid-November and will report back.  Air Quality - (Keith and Steve) Keith has been involved with the smoke collaborative who has developed a new public information website called centraloregonfires.org.  Women’s/Children’s Health – (Charla, Sharity, Tami and Pamela) Pamela spoke for the group and said with public health programs like WIC and nurse home visiting, their project scope got too big. The team switched their focus to unintended pregnancies, specifically contraceptives in SBHCs. The RHIP Reproductive and MCH workgroup received $75k for an unintended pregnancies marketing campaign. Governor Brown is supporting a new statewide universal nurse home visiting program by budgeting over $8 million dollars so all new mothers will receive a home visit after 3 weeks of giving birth. The team will need to decide what role PHAB should take as we move forward. The RHIP Reproductive and MCH workgroup may be a better home for these efforts. Please see attached for a summary of the PHAB Women’s/Children’s Health workgroup activities the past year.  Senior Health – (Charles and Jim) Charles announced that several ongoing efforts to promote senior health are taking place on a regional and statewide level through the Older Adult Behavioral Health Initiative, including provider trainings, which are now being conducted. Charles also spoke of the recently implemented Friendship Line, which is a hotline aimed at helping older adults, specifically those who are contemplating suicide, and/or experiencing isolation or loneliness. Mary Callison and Angela Jensen from COHC are addressing these calls at a local level. Charles also mentioned that more focused training for care providers is being offered for senior behavioral health through a curriculum based health promotion program called WISE. WISE aims to help older adults become more knowledgeable about health and age related issues. The program also provides them with information and resources for maintaining a healthy lifestyle and becoming more empowered in regard to their health and any health care they may receive. Charles will provide more information about the program as it becomes available. “To promote and protect the health and safety of our community.” Updated 8/4/20 Priorities for 2019:  Immunizations (all ages) – Tami and Steve  Homelessness (Day Center & NGO Coordination) – Keith, Stacey and Dave  Air Quality (engage BOCC) – Kate, Rebeckah, Dave and Tami  Climate Change Brochure – Rebeckah and Tami Ad Hoc and Ongoing Priorities  Engage BOCC  Social Determinants of Health (Educate BOCC) – Kate, Rebeckah and Sharity  Women and Children’s Health – Pamela, Charla and Sharity  Support Public Health Program Funding – Keith and Rebeckah  Senior Health in all priorities (WISE) - Chuck, Jim and Rob  Ad Hoc Legislative (ICAA) PHAB Board Members Present: Kate Wells, Keith Winsor, Steve Strang, Charles Frazier, Jim Powell, Sharity Ludwig, Tami Pike, Robert Ross, Rebeckah Berry, Dave Huntley Staff Members Present: Tom Kuhn, Pamela Ferguson, Lisa Michael LGBT – Lesbian, Gay, Bisexual, Transgender BOCC – Board of County Commissioners DCHS – Deschutes County Health Services PHAB – Public Health Advisory Board WIC – Women Infants Children SBHC – School Based Health Center RHIP – Regional Health Improvement Plan MCH – Maternal Child Health COHC – Central Oregon Health Council WISE – Wellness Initiative for Senior Education NGO – Non-governmental Organization ICAA – Indoor Clear Air Act “To promote and protect the health and safety of our community.” Updated 8/4/20