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HomeMy WebLinkAbout02-2020 FEBRUARY 26 2020 MINUTES Deschutes County Health Services Public Health Advisory Board MINUTES MINUTES February 26, 2020 12:00 p.m. - 1:30 p.m. Stan Owen Conference Room 2577 NE Courtney Dr, Bend Facilitator Rebeckah Berry, Vice Chair Staff Coordinator Tom Kuhn, Community Health Manager Scribe Lisa Michael Next Meeting March 25, 2020 – Stan Owen Conference Room Topic and Lead Introductions and Approval of January meeting minutes The Board went around the room to introduce themselves to guests. Jim motioned to approve the minutes as submitted, which were seconded by Dave. Brief Announcements & Unfinished Business Commissioner Henderson informed the Board that he will be attending future PHAB meetings when possible and will act as liaison for the BOCC. Commissioner Adair will be acting liaison for the BHAB and attending their meetings. Dr. Conway announced that DCHS has officially hired Nahad Sadr-Azodi to replace Hillary as st the new Public Health Director. He starts on April 1 and holds three master degrees with one in health economics and has an extensive background in health equity. He is leaving his current position as the Regional Immunization Coordinator for UNICEF and has held positions for the CDC and the WHO, amongst others. He strongly supports immunization work. Charla, Peter and Sharity met with Amy from the Bend-La Pine School Board regarding SBHC contracts and reproductive healthcare. With the current superintendent leaving soon, Amy said they will introduce the idea during interviews for the new superintendent and seek out candidates in support of the program. The school board also discussed gun safety and the use of gun safes but received push back from the school superintendent. Peter and Rebeckah also met with Liz Goodrich from the Redmond School Board to discuss SBHC’s and reproductive healthcare. Currently this topic is not on the school board’s agenda. Peter and Rebeckah brought up the fact that it could help improve graduation rates and decrease teen pregnancy. With elections coming up soon, it’s a wait and see what happens scenario. Liz was open to the discussion and wants more information. She is fairly new to the school board and will try and introduce the idea to other board members. “To promote and protect the health and safety of our community.” Updated 8/4/20 Member Update: Tom announced that Stacey has officially resigned since it has been too difficult for her to attend the meetings on Wednesdays. Tom is in the process of recommending Tanya Nason from PacificSource to the BOCC. Alison Perry, founder of COVR, is here with us today and interested in becoming a member. COVR won a health hero award a few years ago. Tom said we have 11 current members and that will increase to 13 if Tanya and Alison become board members. Legislative Update: Tom gave an update on the current legislature noting that SB 1577 morphed from a flavored vaping products ban to a statewide required licensure for tobacco retailers. Dave testified on th February 6 at the legislative short session, along with Karen Ard (DCHS Tobacco Education and Prevention Specialist) and Gabriella Shirtcliff, Teen Community Health Advocate, in support of the bill. Tom also mentioned that the Republican Party walked out during the short session. Dave gave a quick rundown of his experience while testifying and said the Timber Alliance was there, along with several members of the trucking industry, who were holding a rally in protest of SB 1530 (Cap & Trade bill). He said Cheri Helt was there in support of banning the flavored th vaping products also. Karen testified that data shows in 2016, 17% of 11 graders vaped in the last 30 days, while that percentage rate went up to 28% in 2018. Vaping is the new smoking and addiction rates are climbing. Dave also mentioned that more people in England are vaping over smoking; however, they are way more regulated than we are here. Health Hero Update: Dave is putting a historical list of nominations together for the board’s review. Tom mentioned that Health Services staff can be nominated only by someone outside the agency. For now, we are going to stay with the current process, but will work on a more streamlined system starting next year in order to make the process more meaningful. Tom will be attending the BHAB meeting tomorrow and will ask for their participation. There will be a survey monkey set up for voting online for those interested. Tom suggested inviting some BHAB members to the PHAB meeting in March to discuss the candidates. Rebeckah suggested we discuss the nominees first, then vote via survey monkey. Coronavirus Update Jill Johnson, CD Supervisor, gave a status update on the current global Covid-19 crisis. DCHS is knee deep in preparations in case the virus spreads to Central Oregon. Jill explained that coronaviruses are actually quite common and that the common cold is a coronavirus. The CDC has reported there are more than 30 coronaviruses on record, however, most are very mild. There are seven affecting humans and even more in animals. Covid-19 background: The Covid-19 virus originated in China in December 2019 and has rapidly spread around the globe, including the United States. Fourteen cases tested positive in the U.S. (12 had travelled to China, while 2 were from household contact with those who had travelled to China). The mortality rate for now is 2.3% and the virus is spreading faster in a shorter time than SARS and MERS ever did. The mortality rate for SARS (2002) was 10%, while MERS (2012) was 40%. Most of the deaths reported have been elderly and immunocompromised patients and has spread by person to person contact through droplets (coughing/sneezing, etc.) mostly within 6 feet of contact. The incubation period is 2 to 14 days with 5 days being the median. “To promote and protect the health and safety of our community.” Updated 8/4/20 The CDC reports that symptoms include fever, coughing and shortness of breath. As it stands, there is no vaccine available; although, there are 12 pharmaceutical companies working diligently around the clock to develop one. Jenny Faith, DCHS Epidemiologist, is putting out a daily surveillance map. As of today, there are more than 80,000 cases globally, with more than 2,700 deaths in China. Three-thousand of these cases have been reported outside China in 37 different countries resulting in 44 deaths. The first case in South America was reported in Brazil today and every continent has been affected except for Antarctica. Travel is being restricted, especially to and from China, and Jill noted that U.S. citizens can travel from China back to the states but will be quarantined for 14 days. There are no cases in Oregon; however, there are 59 total cases in the U.S. thus far of which 42 were passengers on the Diamond Princess Cruise line. Three were evacuated from China on repatriation flights from Wuhan. The OHA will be sharing current figures starting next week and every week thereafter of those being monitored and investigated. As part of preparation and surveillance, staff has been listening in on CDC and OHA calls for the most up-to-date information every week and channeling that information through the Alert Network to area providers and partners. Staff with be hosting a meeting next week with partners to respond to inquiries and discuss logistics. DCHS is implementing OHA investigative guidelines as required by law. Jill shared a chart showing the risk designation and recommendations for monitoring various levels of infected patients. DCHS has developed an algorithm for health care providers to serve as a guideline for evaluating ill patients. Testing is currently being conducted by the CDC only, and patients must first meet the criteria in order to be tested. Jill said DCHS is trying to squash all the rumors flying around and will inform the public if a case shows up in Deschutes County. Commissioner Henderson asked if the caseload will taper off by summer due to the warmer weather. Experts says it’s too soon to tell; however, H1N1 slowed significantly during summer. Regional Health Improvement Plan (RHIP) update Rebeckah spoke about the latest update to the RHIP and explained that COHC is a non-profit community governance entity that is dedicated to improving the health of the residents of Central Oregon. COHC provides oversight of the CCO’s and the Medicaid population, and is responsible for Regional Health Assessment (RHA) and the RHIP as required by SB 648. Rebeckah explained that a health assessment is a snapshot of community health and wellness at a given point in time. The assessment describes an array of health issues, as well as social and economic factors that impact health. The complied data is the foundation for the development of the RHIP and many organization’s strategic plans. The RHA is often referred to as a Community Health Assessment, and in Central Oregon, it is a collaborative regional approach that meets the requirements for many organizations. Several agencies and partners were involved in helping to create the RHA in 2019, which includes of qualitative and quantitative data, along with multiples surveys that were conducted and collected by focus groups. Rebeckah gave examples of conditions that affect health to include: 1. Counseling and education – advice to eat healthy and physical activity. 2. Clinical interventions –medications for high blood pressure, cholesterol, diabetes, etc. 3. Long-lasting protective interventions – immunizations, smoking cessation, various interventions. “To promote and protect the health and safety of our community.” Updated 8/4/20 4. Changing the context to make individual’s default decisions healthy – Fluoridation, 0g trans-fat, iodization, smoke-free, cigarette tax. 5. Socioeconomic factors – poverty, education, housing, inequality Rebeckah spoke about the RHIP, which was just launched in 2020, and will continue through 2023. The benefits of having a health plan in place are the ability to identify strengths and weaknesses in existing services and locate gaps that we can improve upon. Periodic benchmarks are used in keeping on task. The RHIP was developed using quantitative data acquired from the RHA and use of a modified Hanlon prioritization process. Data was collected from 24 focus groups with over 240 participants throughout the region and from telephone surveys conducted by St Charles Health System. Final priorities were selected at a combined meeting with the COHC Community Advisory Council and Board of Directors. Community volunteers, content experts, and health equity reviewers create the actual document, which included 30 organizations and 75 individuals. Who uses the RHIP? CCO’s, hospitals, grant writers, public health, organizations who align their own strategic plan with the RHIP and those who address health issues in Central Oregon. The six priority areas that have been identified are: 1. Address poverty and Enhance Self-Sufficiency Metrics: a. Increase high school graduation rates among economically disadvantaged students. b. Decrease food insecurity. c. Decrease percent of residents living at poverty level and income constrained. d. Decrease housing and transportation costs as a percent of income. 2. Behavioral Health: Increase Access and Coordination Metrics: a. Increase availability of BH providers in marginalized areas of the region. b. Increase timeliness and engagement of referrals from primary care to BH specialist. c. Standardize screening processes for suitable levels of follow-up care. 3. Promote Enhanced Physical Health Across Communities Metrics: a. Decrease asthma, cancer, heart disease, and diabetes rates. b. Decrease obesity rates in adults. c. Increase fruit/vegetable consumption and physical activity in youth. d. Decrease STI’s e. Increase amount of individuals receiving an annual wellness and preventative dental visit. 4. Stable Housing and Supports Metrics: a. Reduce rent and mortgage-burdened households. b. Increase housing choices for choice voucher holders seeking a residence to lease. c. Accurately capture those experiencing homelessness in Central Oregon. “To promote and protect the health and safety of our community.” Updated 8/4/20 5. Substance and Alcohol Misuse: Prevention and Treatment Metrics: a. Reduce adult binge drinking. b. Reduce vaping and e-cigarette use among youth. c. Increase additional services for alcohol or drug dependent individuals that have been newly diagnosed. 6. Upstream Prevention: Promotion of Individual Well-Being Metrics: a. Increase letter name recognition at kindergarten level. b. Increase third-grade reading proficiency. c. Increase proportion of pregnancies that are planned. d. Increase immunization rates for two-year olds. e. Increase the number of people who feel they belong in their community. Rebeckah explained the implementation process and what happens next. Six workgroups are being formed to address each of the six priority areas. The COHC Board of Directors provides investment funding to each workgroup for projects that impact the priority area metrics. Approximately 25 to 65 people will work on each workgroup with two assigned COHC Project Managers supporting their efforts. Each COHC Project Manager will facilitate focused conversations, consensus, and structured problem-solving meetings. This process is done on a 4-year cycle. More information is available at cohealthcouncil.org. Adjourn at 1:29 P.M. Board Members Present: Rebeckah Berry, Jim Powell, Charla DeHate, Jason Jundt, Peter Boehm, Dave Huntley, Steve Strang, Tami Pike, Sharity Ludwig, Robert Ross Staff Present: Dr. George Conway, Tom Kuhn, Hillary Saraceno, Heather Kaisner, Lisa Michael Guests: Phil Henderson, Deschutes County Commissioner PHAB – Public Health Advisory Board BOCC – Board of County Commissioners BHAB – Behavioral Health Advisory Board DCHS – Deschutes County Health Services UNICEF – United Nations International Children’s Emergency Fund CDC – Center for Disease Control WHO –World Health Organization SBHC’s – School Based Health Centers COVR – Central Oregon Veteran’s Ranch SB – Senate Bill CD – Communicable Disease SARS – Sudden Acute Respiratory Syndrome MERS – Middle East Respiratory Syndrome OHA – Oregon Health Authority H1N1 – Hemagglutinin Neuraminidase RHIP – Regional Health Improvement Plan COHC – Central Oregon Health Council CCO’s – Coordinated Care Organizations RHA – Regional Health Assessment STI’s – Sexually Transmitted Infections “To promote and protect the health and safety of our community.” Updated 8/4/20