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Home My WebLink About2014 - June 25 PHAB Meeting Minutes “To promote and protect the health and safety of our community.” MMIINNUUTTEESS June 25, 2014 12:00 – 1:30 p.m. Stan Owen, Deschutes County Health Services Item Facilitator Jock Pribnow, Chair Meeting Coordinator Tom Kuhn Scribe Lisa Michael Next Meeting July 23, 2014, Health Services, Stan Owen Agenda Items/Discussion/Motions Topic and Lead 1 Introductions & Approval of Minutes from May meeting Lorie motioned to approve the minutes as submitted with a second by Mike. The minutes were unanimously approved. 2 Brief Announcements Tom mentioned that past board member Reverend Jane Dey passed away a month ago today. Jane was a retired Registered Nurse who worked primarily in public health. She worked for the Johnson County Kansas Health Department, American Nurse’s Association and was Chief of Bureau of Community Health Nursing for the Missouri Department of Health from 1976 to her retirement in 1992. She was ordained a deacon in 1993 at her church in Missouri and served as a deacon of her church in Sisters. With all her experience in public health, she was a tremendous asset to PHAB and will be greatly missed. Tom notified the Board that Jane Smilie wasn’t able to attend the meeting as she was in Salem for a meeting with the State and is still very busy meeting with community partners. Jock mentioned a recent article in the Bulletin about Susan Keys and her work in suicide prevention. Jock spoke about the need to be alert to E-cigarettes and guns as a public health concern. On average, there are 3.85 deaths and 4.76 injuries per day for youth age 0 to 17 nationwide (data corrected by Jock 6/27/14). At this time, E-cigarettes are legal to sell to those under the age of 18, but are not allowed to be sold from vending machines. The Feds are working on prohibiting sales to this age group. Tom announced that a new Tobacco Cessation Health Educator will be coming on board next week. Charla announced that the La Pine Community Health Clinic just received permission from their oversight to become the medical sponsor for the SBHC starting in July. They are still working on bringing Gilchrist up to speed. The nurse there just retired in June. Deschutes County Health Services Public Health Advisory Board “To promote and protect the health and safety of our community.” 3 Accreditation Earned! Laura Spaulding shared the exciting news with the Board that DCHS met the requirements for accreditation. Deschutes County is the second county in Oregon so far to become accredited behind Marion County and 44th in the nation. DCHS scored 95%, while Marion scored 99%. The Public Health Accreditation Board was extremely pleased with our work after undergoing an extensive, multifaceted evaluation process to ensure we performed at a level of meeting a strict set of nationally recognized, evidence-based standards and measures. The next requirement now will be to submit an annual plan for the next five years addressing areas identified by the Public Health Accreditation Board in need of improvement, our accomplishments and any new program developments, as well as continued conformity of these standards and measures. After five years, we are required to rebuild all our documentation and submit again for reaccreditation. Becoming an accredited heath facility means we are demonstrating increased credibility and accountability to the clients we serve and our partner organizations, while also tending to our funds appropriately. It also significantly improves our chances for receiving federal and state grant funding. Crook County has also applied for accreditation and is still waiting to receive their results. 4 Taskforce on Future of Public Health meeting Commissioner Tammy Baney, who is the Taskforce Chair, gave an overview on the future of public health. HB 2348 originally introduced the task force in 2013 seeking to create eight public health regions, later being amended to having the task force study Oregon health services and making recommendations to legislature. The responsibility of public health services in each county will be transferred to one of the eight regional Public Health Authorities. The task force must submit their first report to the legislature by October 1st, 2014. They have been charged with determining the fundamental components for every health department across the state and focusing on recommendations that: a) define and create a public health care system; b) investigate the creation of regional and consolidated structuring; c) collaborate and share services with partner organizations, and d) are supported by best practices. Commissioner Baney mentioned there are fifteen members on the task force. Four of the members are elected officials, while others are from various county public health departments and organizations throughout the state. Several meetings have taken place in Salem and Portland to discuss planning strategies, the role of government public health, health system transformation, and structure and funding of local and state public health systems. A draft conceptual framework for government public health services has been developed that centers around the Triple Aim. For the time being, the core foundational programs are CD, EH, prevention and health promotion and access to clinical services. Commissioner Baney reported that Washington, Idaho and Ohio have all created models that the task force is interested in exploring. She asked the Board to review these foundational pieces and report back to her if anything may be missing. Keith suggested we initiate more communication between committees and elected officials about utilizing our advice. Tom wants to schedule an offline meeting with the Board and will email the 5/23/14 conceptual framework document for review. 5 Community Paramedic Program Doug Kelly from Redmond Fire & Rescue presented on a new program where designated paramedics will be taken out of the 9-1-1 environment and will be assigned to work as in-home caretakers for Medicaid patients who suffer from COPD, Diabetes or CHF. They plan to go live in mid July starting out as a one year pilot program with two part-time paramedics who will be working in the Redmond area only. If operations are sustainable after the first year, they will continue to branch out to other areas. St Charles Medical, Mosaic and Pacific Source are all onboard as partnering organizations. Doug mentioned they received a $182,000 grant from Pacific Source and COHC to help with funding. The purpose behind in-home care for these patients is to reduce hospital emergency visits and readmissions and provide the best care at the lowest cost. “To promote and protect the health and safety of our community.” For now, Doug said they will be starting out with a patient base of between 10 and 20. The paramedics are being trained to provide a full scope of medical services allowed by the state and will be given full access to patient information. Doug was invited to present again in the future to give the Board an update on their progress. 6 Marijuana Update Jock sent out an email to the Board with a follow-up to Jessica’s presentation in May, specifically focusing on the draft rules about THC infused products attractive to youth. He has been doing extensive research and reviewed the medical marijuana initiatives coming up for vote. Jessica previously asked for a PHAB statement on SB 1531, which is open until August 22nd for public comment. Jock submitted the statement to the Board for review and everyone agreed on the verbiage. The three recent proposed initiatives are now down to one and the target signature figures have been obtained. Charles mentioned that MMD operators should be required to undergo an educational component to learn about the risks and impact on our youth. He will follow through with Jessica on his ideas . 7 Meeting adjourned at 1:34 p.m. Board Members present: Jock Pribnow, Charles Frazier, Mike Shirtcliff, Lorie Weber, Keith Winsor, Holly Remer, and Charla DeHate Staff Members present: Tom Kuhn, Pamela Ferguson and Lisa Michael Guest Speaker: Tammy Baney (Deschutes County Commissioner), Doug Kelly, Redmond Fire & Rescue and Laura Spaulding (staff) PHAB – Public Health Advisory Board E-cigarettes (electronic) SBHC – School Based Health Center DCHS – Deschutes County Health Services HB – House Bill CD – Communicable Disease EH – Environmental Health COPD – Chronic Obstructive Pulmonary Disease CHF – Congestive Heart Failure COHC – Central Oregon Health Council THC – tetrahydrocannabinol SB – Senate Bill MMD – Medical Marijuana Dispensary