HomeMy WebLinkAbout12-2020 DEC 5 2018 MINUTES
Deschutes County Health Services
Public Health Advisory Board
MINUTES
MINUTES
December 5, 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 January 23, 2019 – Stan Owen Conference Room
Topic and Lead
Introductions & Approval of August Meeting Minutes
Introductions were made and Jim motioned to approve the October minutes with a minor
revision to add the good job Kate did during her tenure as Chair. Rebeckah seconded the
motion. The Board unanimously approved the minutes with the revision.
Brief Announcements & Unfinished Business
Jim spoke with some independent interns about seniors and continuity of care and the fact that
SCMC is moving forward in providing records access to providers to track a patient’s history
and diagnoses. Access to long term care records in OCHIN/EPIC is still lacking, but trying to
integrate with hospitals and clinics. Chuck will be reaching out to see where things are.
Chuck announced that the Shared Future Coalition pain management task force has been
holding their meetings at 7:00 a.m. on Wednesday mornings and has been making progress on
pain management issues. They are in the process of discussing an aggressive program for
st
2019. A Pain 101 collaboration conference with the state will take place May 29-31.
Tom noted that Hillary was unable to attend today’s meeting to speak about engaging the
BOCC. She plans on attending the next PHAB meeting in January. In the meantime, we can
work offline for any other related issues that may arise.
Rebeckah announced she is still working on the climate change brochure. She and Tom will
discuss in further detail offline.
There was a short discussion about the 2019 PHAB meeting dates. Tom said the most popular
date from the board survey is the third Tuesday of the month; however, several members still
can’t make it that day, so Tom decided that the current dates and times are the best option.
One possible option is to activate a call in conference for members who cannot attend.
Priority Workgroup Updates:
There was nothing to report this month except that Keith, Stacey and Dave met and came up
with some great ideas they will share at another meeting.
“To promote and protect the health and safety of our community.” Updated 8/4/20
Rebeckah recently attended an APHA conference. She also attended the conference last year
which focused mainly on climate change. She mentioned there were 14 timeslots with
breakout sessions and about 100 different topics of discussion under each timeslot. The topics
of interest to her were fruits/vegetables and food insecurities, trauma and resilience, policy and
community health, air quality, physical activity and chronic diseases, multi-sector partnerships,
and emerging tobacco products. The highlights of the conference were participatory budgeting
control (spending wisely) and health equity, which was addressed at all sessions. Rebeckah
can offer more information about her experience at a future meeting if the board is interested.
She did hear of a new idea she wanted to briefly share. During a county’s budget session,
community members can help decide how to spend a certain percentage of a health
department’s budget. Staff and community members brainstorm and develop ideas, then both
parties vote on where the money will be spent. The Administrator or BOCC has the option to
determine if this process is feasible or not. PHAB may be included as the first steps in advising
the BOCC on budgetary decisions. Departments may be at the beck and call of the BOCC;
however, there is a charter or statutes that say we as a board, can advise the BOCC in times of
a serious health related issue.
EISO Grant
Jessie Terpstra and Holly Nyquist presented on EISO, (Early Intervention Services and
Outreach) program for HIV clients. HIV is a virus that attacks the immune system through
certain bodily fluids and contaminated needles. HIV starts in an acute state, then progresses
to a chronic condition, which then turns into AIDS. HIV can be transmitted by sexual contact,
sharing needles to inject drugs, and mother to baby during pregnancy, birth or breastfeeding.
HIV is not transmitted by air or water, saliva, sweat, tears, insects, pets, or sharing toilets, food
or drinks. Close to 7000 Oregon residents have been living with HIV since 2015 and there are
approximately 237 new cases each year, of which 12% are women. In Central Oregon,
Deschutes County has the highest HIV rate. Statistics report that 87% are men, 83% are
white, 69% are men having intercourse with other men, and 81% of women who acquire HIV
do so through heterosexual intercourse or drugs, etc. Our goal is to end new infections by
2021 and ensure all those with HIV are living as healthy as possible. We all have an HIV status
and every 6 out of 10 people have never been tested. One in seven are unaware they are
even infected. Everyone should get tested on a regular basis. There are several methods to
protect oneself in the prevention of HIV, such as condoms, needle exchange programs, and
PrEP or PEP, which can help stop transmissions. PrEP is a pill taken daily and is 92% effective
or 70% effective in those injecting. There is no risk of transferring when treated. The OHA
awarded a tri-county one-time 5 year community outreach grant. A community advisory board
was formed comprised of members of the LGBT community, Mosaic Medical, the Latino
Community Association and the Human Dignity Coalition. The project will provide outreach,
testing and education, social marketing, disease investigation services, provider engagement
and referral services. Testing is taking place at various sites and pop up testing is imminent.
Holly, Deschutes County Disease Investigation Specialist, said there are currently 600+ cases
of Chlamydia. At one time OHA had four statewide investigators but is now down to only one.
Counties must now perform their own investigations without any additional funding from OHA.
Holly spoke about the need to get tested as part of one’s routine care. Providers should screen
their patients for STIs based on their sexual history and offer PrEP to those who are at high
risk of HIV. Providers are also required to report these cases following the CDC guidelines.
“To promote and protect the health and safety of our community.” Updated 8/4/20
Holly also mentioned that syphilis is on the rise and documented cases have risen significantly
over the past decade. Unfortunately, the EISO grant focuses only on new HIV cases and
providing treatment. The next step is to meet with providers about their needs and provide
resources, a quick guide and EMR.
PHAB Retreat Review
The Board briefly discussed a legislative bill in the works that could negatively impact the ICAA.
Marijuana smoke cafes are holding special events allowing free rein of indoor smoking. Smoke
and stay hostels are following suit and also pose a threat to the ICAA. Studies show that toxic
chemicals are exhaled when smoking marijuana. Our goal is to support and promote the ICAA
and discourage any indoor smoking, while marijuana retailers are pushing to align with the
alcohol industry by allowing it through the legislative process.
Adjourn at 1:30 p.m.
Action Items:
Put together 2019 PHAB Master Calendar
Meet with Keith and Rebeckah to strategize PHAB
Board Members Present: Keith Winsor, Kate Wells, Jim Powell, Charles Frazier, Rebeckah Berry,
Robert Ross, Tami Pike
Staff Present: Tom Kuhn, Dr. George Conway, Pamela Ferguson, Lisa Michael
Guest Speakers: Jessie Terpstra (staff) and Holly Nyquist (staff)
SCMC – St. Charles Medical Center OCHIN – OR Community Health Info Network
BOCC – Board of County Commissioners PHAB – Public Health Advisory Board
APHA – American Public Health Association HIV - Human Immunodeficiency Virus
AIDS – Acquired Immune Deficiency Syndrome OHA – Oregon Health Authority
LGBT – Lesbian, Gay, Bisexual, Transgender STIs – Sexually Transmitted Infections
CDC- Center for Disease Control EMR – Electronic Medical Records
ICAA – Indoor Clean Air Act
“To promote and protect the health and safety of our community.” Updated 8/4/20