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Home My WebLink About2013 - May 22 PHAB Meeting Minutes“To promote and protect the health and safety of our community.” MMIINNUUTTEESS May 22, 2013 12:00 – 1:30pm Deschutes County Health Services, Stan Owen Room Item Facilitator Kim Curley Reynolds, Chair Meeting Coordinator Tom Kuhn Scribe Lisa Michael Next Meeting June 26, 2013, 12:00-1:30pm, DCHS, Stan Owen Agenda Items/Discussion/Motions Topic and Lead 1 Approval of Minutes from April Meeting Susan motioned to approve the minutes with a second by Jock. Unanimously approved by all. 2 Brief Announcements Tom showed the slides from the Black Plague presentation that took place at McMenamin’s during Public Health Week. Brenda Johnson, DCHS Health Educator, announced she attended an annual conference two weeks ago in Portland to honor trainers, coordinators and leaders involved in the Living Well program. While there, Kim (PHAB Board Chair) was nominated to receive a state award as a master trainer, which Brenda presented to her personally. Tom informed the Board that Dr. Drew and Dr. Rosenthal have both submitted their resignations due to other commitments. Tom noted that the Board needs to discuss membership options. Jock expressed his disappointment in Water Fluoridation Measure 26-151 that failed in Portland by a 40/60 vote. He believes that this measure was doomed from the start since the supporting coalition hesitated in promoting their position. Evidence has shown that trace amounts of fluoride already exist in the drinking water as a natural element and have been documented elsewhere as beneficial. Kate thought there was a lack of funding to fully advertise. A smile survey conducted in Portland in 2012 revealed a decrease in tooth decay without the use of fluoride over the past 5 years. The first Oral Health Coalition meeting got underway yesterday and the Oral Health Summit will be held on September 12th and 13th at SCMC. 3 Regional Worksite Wellness Toolkit Therese Madrigal, DCHS Health Educator, informed the Board of a regional initiative regarding healthy worksite wellness, which has been 3 years in the making. A tool kit geared towards small business that is easily accessible and low/no cost to employees, while incorporating local resources and technical support is being developed in a tri-county effort. Deschutes County Health Services Public Health Advisory Board “To promote and protect the health and safety of our community.” DCHS has a Well Connect site on the intranet for employee access to health newsletters, information on health conditions and some of the top diseases, as well as weight management and wellness classes/recipes, etc. The new toolkit will be available for importing from the website. Therese is in charge of keeping the website up-to-date and will soon strategize a marketing pitch to all the local Chambers of Commerce to inform their business members. 4 HCI Website Carly Rachocki, an AmeriCorps volunteer from Crook County, gave a presentation on a new website she is working on called Healthier Central Oregon. Carly has been compiling health statistics to form a “dashboard” of vital information used in tracking local community health. This website consists of various county health measures and where each community stands in each health related category. Carly has been applying various indicators to include economic, demographic, environmental and social, just to name a few. She is responsible for the upkeep of the local website www.healthiercentraloregon.org. Marketing efforts to promote this site are just getting underway and several counties are jumping onboard. The Central Oregon Health Council will be launching a press release in the near future to advertise the site. Tom will email the Board with a link to the website for their review and contact information for Carly. 5 Budget Committee Presentation Sherri and Scott spoke about the steps involved in the budget process that was just submitted to the Budget Committee yesterday. Each department within the County presents their budget narratives to a panel of 3 citizen volunteers and the BOCC for consideration. Projected cuts in federal and state funding, as well as increased operating expenses, PERS payments and employee health care costs are making for some challenging times. Some of the key points introduced in the narrative for FY14 are: OHP is forecasting a 20% growth in enrollment starting in January, which equates to nearly 30,000 clients in the tri-county area alone. Staffing needs will increase in behavioral health, while decreasing in public health due to a decline in revenue resulting in minimal layoffs. The two largest sources of revenue for PH are the State of Oregon and Deschutes County. Tom Anderson has recommended increasing reserves from the CGF by almost $400,000 to assist in underfunded programs; however, state funding is anticipated to decrease by almost $250,000. BH relies on the same funding sources but is expected to remain even in CGFs, while state funding, (including resources from the FMP), will be based on the 2013 Oregon Legislative decision. New Developments: DCHS is planning to merge with the ELC in establishing a new program called the Early Learning Hub, which in turn will be replacing the CFC. This program is designed to ensure that kindergarten aged children will be ready to start school and are raised in a healthy stable environment. The new Sisters SBHC will open sometime in 2014 as the State has awarded a grant for funding its construction, while the downtown Annex building is set to be remodeled in order to accommodate department and staff changes. Due to the rapid growth in client visits at the SBHCs, the BOCC is granting $500,000 to assist in sustaining this program. Scott will be emailing the Board with updates on developments at the Lynch SBHC. A new MCH project, funded by COHC, will be in the works resulting in additional nursing staff. A new BH Access Team initiative is being formed to provide treatment services, as well as outpatient and specialty care for high risk clients. 6 Membership Review Tom noted that Dr. Rosenthal and Dr. Drew have recently resigned, which currently leaves the Board with a total of 13 members. The Bylaws state that a minimum of 9 and a maximum of 15 are required. Five members are coming up for reappointment in August. Jane recently informed Tom that she will be resigning after 8 years of service. Tom asked Kim, Chuck and Katrina if they would consider serving another term and all said yes. Tom went over the membership matrix and asked the Board to update their contact information. The Board discussed the possibility of internal membership recruitment as opposed to recruiting from the outside. “To promote and protect the health and safety of our community.” Tom asked the Board to email him contact information for any possible new members. Tom brought up the subject of holding a meeting in another location sometime this summer. Kim can provide a van for carpooling if needed. 7 Suicide Prevention Taskforce update Susan stated that the SPT is moving ahead and two meetings have been conducted so far since the last PH-BH joint session. The main topics of discussion are action and priority areas, specifically education. The taskforce questioned if some providers would be willing to accept clients on a pro bono basis. If so, can these providers be listed on the website? Susan also relayed that the taskforce has been discussing ways to close any gaps in service and how to arrange for required follow-up. A clinician survey was suggested to examine areas that may need consideration. Jessica Jacks will continue working on substance abuse and suicide prevention, even if funding is no longer available to continue operating the CFC. 8 Adjourn at 1:29 p.m. Board members present: Kim Curley Reynolds, Jock Pribnow, Charla DeHate, Lorie Weber, Katrina Wiest, Keith Winsor, Mike Shirtcliff, Susan Keys, and Charles Frazier Staff present: Scott Johnson, Tom Kuhn, Kate Moore, Sherri Pinner, Therese Madrigal, Brenda Johnson, and Lisa Michael Guests: Carly Rachocki (Crook County) DCHS – Deschutes County Health Services PHAB – Public Health Advisory Board SCMC – St. Charles Medical Center BOCC – Board of County Commissioners PERS – Public Employees Retirement System FY – Fiscal Year OHP – Oregon Health Plan PH – Public Health CGF – County General Fund BH – Behavioral Health FMP – Federal Medicaid Plan ELC – Early Learning Center CFC – Children & Families Commission SBHC – School Based Health Center MCH – Maternal Child Health COHC – Central Oregon Health Council SPT – Suicide Prevention Taskforce