HomeMy WebLinkAboutPHAB 11-07-23 Retreat Minutes
Deschutes County Public Health Advisory Board
Retreat Minutes
November 7, 2023
In Attendance:
Tami Pike
Melissa Brewster
Peter Boehm, MD
Lindsay Atagi
Sarah Baron
Robert Ross, MD
Colleen Sinsky
Erin Gage Fitzpatrick
Carmen Madrid
Heather Kaisner
Tom Kuhn
12:00 pm - 12:15 pm: Welcome and Socializing (Tom Kuhn)
● Informal networking and socializing
● Opening welcome remarks, setting context & intention of retreat, brief introductions.
12:15 pm - 12:30 pm: Review of Past Work Discussion (Colleen Sinsky, PHAB Vice-Chair)
● Reflect on PHAB presentation topics and PHAB actions (attached)
● Highlight key accomplishments and milestones from the past year.
○ Questions for discussion: Which were the highlights? What issues did we have
an impact on?
12:30 pm - 12:45 pm: Vision of PHAB (Heather Kaisner, Public Health Director)
o See attached presentation
o PH Modernization
PH requirements; what we have to be doing; what we are striving for; emerging
public health crisis’s as we move forward with our ‘have to’s’
o A lot of us are exhausted and a lot of what we have been doing is re-grouping
o Moving forward we need to build back up public trust
o Public Health is our community based health and we need to be at the table to solve
these problems as a community; not just falling on PH
o We can get education and communication out to the people who need it and weed
through the noise
o Intergovernmental agreement with OHA
o Deschutes county is lucky that we have a BOCC that supports PH generously
o Focusing on how we can continue the core community engagement and outreach
post-COVID
o PHAB advocacy and all steering the ship in the same direction in our respective
agencies
o How can we make sure that our PH and healthcare community are all aligning in our
goals
12:45 pm - 1:00 pm: New Bylaws & Moving Forward (Tom Kuhn)
● Highlight the new action-oriented section of updated bylaws (selection attached)
○ Questions for discussion: What stands out? Comments?
■ A) The last sentence about ONLY WHEN in alignment with the BOCC has
always been a difficulty for PHAB
● We can advocate for commissioners to support our PH programs
● BOCC can decide to not support a program
■ G) Hard to tie prevention into dollars; is there a clear list of indicators for
this data are there gaps in this data
● RHA and COHC has been the holder of the data with over 100
indicators
○ DC Epi Adrienne has also put together dashboard and quick
data indicators for us
● Challenging to get the data and a grasp on surveillance
● We need real time data (overdose great example) to make
accurate action plans
● Would like the Epis to engage more with PHAB; maybe every 1 or 2
meetings
■ Heather would like PHAB to be the messengers out into the community
of PH programs and services
○ Maybe just 1 presentations where we can reflect back on the presentations
○ Who is not at the table who needs this data and who is already doing this work
and where can we help them
1:00 pm - 1:20 pm: Setting the Vision (Colleen Sinsky)
● Reflecting on the updated bylaws selection and on Heather’s comments,
○ Questions for discussion: How do you see PHAB’s role in the long-term goals
and vision for public health in the county?
○ What would you like to see PHAB accomplish or shift in the upcoming year?
1:20pm - 1:50 pm: Strategies and Action Plans – Divide into groups (Tom Kuhn)
○ What can we realistically accomplish? Where can we make the most impact?
Example: CBO work in the future
○ How could PHAB meeting agendas evolve to better enable this vision?
○ How can you personally support PHAB’s mission?
○ Groups report back
● Do we set up a sub-committee to set up meetings with Mathew and the COHC and
then bring that to PHAB
● Or a sub-committee work with community engagement and CBOs
● Would rather have tasks forces instead of committees so they are advocating for
certain initiatives
○ If there is a value add to support certain programs then is a subcommittee
needed
1:50 pm - 2:00 pm: Wrapping Up & Recap (Colleen Sinsky & Tom Kuhn)
● Summarize key takeaways from the retreat.
● Discuss next steps and assignments.
● Closing remarks and gratitude.
PHAB Presentation History
Starting February 1, 2022
Meeting PH Manager (if
Presentation Presenter(s)
Date staff)
2/1/22 Wildfire Smoke Public Info Ed Keith, Deschutes County Forester
Campaign
Homelessness Dave Huntley, PHAB Chair
COCC ARPA Application update Sarah Baron, Assistant Professor, COCC
3/1/22 Increase in Congenital Syphilis Kathy Christensen, Supervisor, Rita BACHO
Cases in Oregon STD/HIV & Adolescent Health
Food Security Adrea Lovejoy, EHS III Tom Kuhn
4/5/22 Reproductive Health and STI Anne Kilty, Manager, DCHS PH Clinical Anne Kilty
update Services
Homelessness Minimum Care Dave Huntley, PHAB Chair
Paper Update
5/6/22 Responding to COVID at Bend La Tami Pike, RN, Assistant Director of
Pine Schools Health Services BLPS
Residency Program at St. Charles Robert Ross, MD, St. Charles Health
System
Homelessness Standards of Care Dave Huntley, PHAB Chair
Public Health Accreditation Jaclyn Alfaro, Management Analyst Tom Kuhn?
Update
6/7/22 The Peaceful Presence Project Elizabeth Johnson, Erin Collins,
Introduction Peaceful Presence Project
Stabilization Center Update Holly Harris, Behavioral Health
Program Manager
Health Heroes Award Recap Tom Kuhn
8/2/22 Deschutes County Health Services Laurie Hubbard, CD Prevention Rita Bacho
Harm Reduction Program Coordinator
Substance Misuse Prevention in Julie Spackman, Community Health Jessica Jacks
Deschutes County Strategist III
9/6/22 Climate & Health Program update Sarah Worthington, Climate & Health Emily Horton
Coordinator (T Kuhn)
Emergency Preparedness Carissa Heinige, Emergency Emily Horton
Program update Preparedness Coordinator (T Kuhn)
Low COVID-19 Mortality Rates in Mathew Christensen, Ph.D., Tom Kuhn
Deschutes County Epidemiologist
10/4/22 hMPXV/Polio updates Rita Bacho, Public Health Program Rita Bacho
Manager
COVID-19 Vaccine update Emily Horton, Public Health Program Emily Horton
Manager
Retreat Planning & Updates Dave Huntley, PHAB CHair
12/6/22 County Budget Process Dan Emerson, DC Budget Manager;
Cheryl Smallman, Health Services
Business Officer
Oral Health in Central Oregon Mary Ann Wren, Advantage Dental
2/7/23 PHAB Priorities Data & Discussion Mathew Christensen, PhD, Tom Kuhn
Epidemiologist
Wildfire Planning Update for Sarah Worthington, MPH, RD, Climate Emily Horton
2023 & Health Coordinator
3/7/23 Central Oregon Regional Health Laura Hart, Public Health Management Tom Kuhn
Assessment (RHA) Update Analyst
Emergency Preparedness & Emily Horton, DCHS Program Manager Emily Horton
COVID-19 Recovery Program
PHAB Reset - Housekeeping Tom Kuhn Tom Kuhn
4/4/23 Public Health Workforce – Sarah Baron, MPH, EdD, Assistant
American Rescue Plan Highlights Professor, COCC
PHAB Priorities – Tom Kuhn Tom Kuhn
Recommendations for Process
Moving Forward
5/2/23 Oregon Health Plan Tricia Wilder, Director, Central Oregon
Redetermination CCO
Family Connects Central Oregon Toni Whitehead, RN, Family Support Anne Kilty
(FCCO) Update Services Supervisor
6/6/23 Healthy Schools Update Aimee Snyder, DrPH, CHES, Prevention Jessica Jacks
Supervisor
Overview of UpShift – Changing Heather Tang, MHA, CPS, Community Jessica Jacks
Responses To Youth Substance Health Strategist
Use
8/1/23 Deschutes County Vital Records Kelly Eckerman, Supervisor Tom Kuhn
update
Executive Session Called for By-Rob Ross, PHAB Chair
Laws Review
9/5/23 Drug Overdose Deaths & Mathew Christensen, PhD, Tom Kuhn
Hotspots Epidemiologist
Housing Barrier Busting Fund Colleen Sinsky, PHAB Vice Chair,
Central Oregon FUSE
10/3/23 Regional Health Assessment Laura Hart, Management Analyst, Heather
(RHA) Update Adrienne Hoyt, PhD, Epidemiologist, Kaisner/Tom
DCHS Kuhn
COVID 19 Update Emily Horton, PH Manager Emily Horton
Housing Barrier Busting Fund Colleen Sinsky, PHAB Vice Chair,
(continued) Central Oregon FUSE
PHAB Actions since February 2022
PHAB Action Lead
Homelessness Minimum Care Standards Advisory document Dave Huntley
Former PHAB Chair
(link)
Public Health Workforce grant through Deschutes County Sarah Baron
COCC, Assistant Professor of Public Health
from the American Rescue Plan Act (ARPA)
Advocating for Public Health budget Tom Kuhn
Program Manager PH Community Health
updating By-Laws Led by Tom Kuhn
with Rob Ross & Colleen Sinsky
Health Heroes Awards Led by Tom Kuhn
supporting PH Accreditation Led by Tom Kuhn
Selection from PHAB Bylaws 2023 Update
RESPONSIBILITIES
PHAB’s responsibilities include providing advice, leadership and guidance in support of the DCHS’s Public
Health mission.
PHAB shall:
A. Inform the Board of County Commissioners (BOCC), the County Administrator, and DCHS
Leadership about emerging public health threats, legislation, and health issues in need of attention.
Take action only when in alignment or directed by the BOCC.
B. Work cooperatively with the Behavioral Health Advisory Board and other DCHS advisory groups to
promote service integration, Department benefit and accountability as well as operational efficiency
and effectiveness.
C. Promote the public health programs, services, and educational opportunities provided by DCHS
within the community.
D. Participate in developing and endorsing the priorities and services provided or sponsored by DCHS,
including health assessment review, health improvement plan development, and strategic planning.
E. Assist DCHS in fulfilling the requirements necessary to be designated as a National Public Health
Accreditation Board Accredited Health Department (http://www.phaboard.org/)
F. Recommend advocacy positions for the resources necessary to assure the provision of essential public
health functions. This includes, but is not limited to supporting Public Health budget requests made
during the Deschutes County annual budget process.
G. Monitor health status indicators that will help to identify community health problems and work
towards identifying a solution that can be recommended to the BOCC and DCHS Leadership.
H. Determine priorities that surface organically in the community in order to be relevant, timely, and
responsive.
I. Follow DCHS established communication protocol when acting as a PHAB Member in
communicating with the Board of County Commissioners, the County Administrator, and
Legislature.
J. Actions to be taken by PHAB will include, but are not limited to:
1.Provide relevant information and when appropriate, recommendations to the Board of County
Commissioners through presentations and informational letters,
2.Advocate on legislation that may impact public health,
3.Write letters of support for vetted grant applications and programs that will positively impact
public health.
4.Respond with appropriate action on information and requests presented to PHAB by persons
who are well informed on public health matters, including those brought by PHAB Members.
5.Support and amplify public awareness campaigns from DCHS, when requested.
6.Support interagency efforts related to public health promotion.
7.Other tasks as requested by the BOCC and DCHS.
About the Deschutes County Public Health Advisory Board
The Public Health Advisory Board is established to enhance community relations with Deschutes County
Health Services to increase public knowledge about public health issues and assist in the betterment of
services provided by the department. The Board also advises the Board of County Commissioners
concerning matters of public health and the operation of the public health system in Deschutes County.
Responsibilities: The Advisory Board’s responsibilities include providing advice, leadership, and guidance in
support of the Health Services Department’s mission.