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HomeMy WebLinkAbout2015-10 October 28 PHAB Meeting Minutes “To promote and protect the health and safety of our community.” Updated 12/15/15 Deschutes County Health Services Public Health Advisory Board MMIINNUUTTEESS October 28, 2015 12:00 – 1:30pm Stan Owen, DCHS Building 2577 NE Courtney Dr., Bend Facilitator Jock Pribnow, Chair Staff Coordinator Tom Kuhn, Community Health Manager Scribe Lisa Michael Next Meeting December 9, 2015, Health Services – Stan Owen Topic and Lead Introductions & Approval of September Meeting Minutes The Board went around the room and introduced themselves. Jim moved to approve the minutes as submitted with a second from Charla. Unanimously approved. Brief Announcements & Unfinished Business Charles briefly commented on last months’ SBHC presentation inquiring about the level of parent involvement regarding students who visit the center. Pamela noted she had responded to Charles’ concern in writing. During the discussion, Charla chimed in and explained that in some cases and depending on the child’s age, state law does not require a parent’s consent for their child to visit a SBHC unless the child agrees to it. For example, in a domestic abuse case, a child may not want their parents to know they are seeking medical attention through a SBHC and therefore the SBHC is not required to inform the parent. Tom announced that Susan volunteered to take over as Chair and that Kate agreed to be Vice Chair if no one else was considering the position. Tom asked for a motion to approve the new officers starting in January 2016. Mike moved to approve and Susan seconded with a unanimous vote. Tom mentioned that the next meeting will be held December 9th due to the Thanksgiving holiday. Jim announced there will be two County Planning Commission meetings on November 12th and 19th to discuss the logistics of commercial marijuana sales. He asked if any Board members would care to give input as they are open to suggestions. The City of Bend Planning Commission is also meeting on November 9th to review task force recommendations. “To promote and protect the health and safety of our community.” Updated 12/15/15 Prescription Drug Abuse update Guest speaker Jessica Jacks gave a follow-up to the Heroin presentation given by Karen Tamminga last month. Jessica, along with commentary from Charles, Susan and Rebeckah, spoke about the increased use of opioids in the U.S, which has tripled from 1997 to 2006 resulting in higher death rates. For every 1 prescription opioid overdose death in 2010, there were 15 abuse treatment admissions, 26 emergency room visits, 115 who abuse or are dependent and 733 nonmedical users resulting in $4.5 million in health care related expenses. New Federal laws require that prescriptions be written and personally submitted for filling at the pharmacy as an added security measure. Doctors are no longer allowed to just call in pain medications. A 2013 study showed that of all patients receiving pain medications on a continual basis; the age group of those 55 to 64 (or 32%) received the most with an average of 5 prescriptions a year. Jessica presented a shaded map of Oregon indicating the number of residents receiving opioids in 2013 in all 36 counties. Although, Deschutes County was listed as somewhere in the middle on this map, we are the third highest in the state for youth prescription drug use. Jessica reiterated Karen’s presentation from last month on the top 6 drugs clients are being treated for in Deschutes County. These are (ranking from highest to lowest): 1. Alcohol (which far exceeds the others on this list) 2. Amphetamines/methamphetamines 3. Marijuana/Hashish 4. Heroin 5. Other Opiates and synthetics 6. Cocaine When surveyed about where patients are getting their narcotics, over 50% said from friends or family. Other sources include doctors (sometimes multiple), drug dealers, or the internet. A student wellness survey was conducted in 2014 of 8th grade student drug use. To no surprise, alcohol came out way on top, with marijuana use coming in second. Deschutes County was 4% higher than the statewide average for alcohol use. Jessica spoke about possible solutions to the opioid misuse problem: 1. Reduce the pills in circulation by better prescribing practices and use of the RX drug monitoring program and better provide education; 2. Reduce the volume of pills by better controlling the disposal of unused medication; 3. Provide non-opioid pain treatment therapies and increase reimbursement for using alternative methods; 4. Educate the public about the problem. A Pain Standards Task Force (PSTF) has been formed to work collaboratively to improve the health and wellbeing of local non-cancer patients in chronic and persistent pain. Current efforts include working towards communitywide safe prescribing practices, providing pain management classes for primary care patients, providing support for Deschutes County Living Well with Chronic Conditions, which offers tools for helping patients deal with their pain, promotion of screening tools to detect drug abuse, and local area police departments maintaining the pill disposal programs, just to name a few. “To promote and protect the health and safety of our community.” Updated 12/15/15 Board Members Present: Jock Pribnow, Susan Keys, Keith Winsor, Charles Frazier, Charla DeHate, Mike Shirtcliff, Jim Powell, Steve Strang, Katrina Wiest Staff Present: Tom Kuhn, Pamela Ferguson, Lisa Michael Guest speakers present: Jessica Jacks (staff), Rebeckah Berry (COHC), Sarah Worthington (staff), Whitney Malkin (staff) SBHC – School Based Health Center RX – prescription PSTF – Pain Standards Task Force DPP – Diabetes Prevention Program CDC – Center for Disease Control DCHS – Deschutes County Health Services OHA – Oregon Health Authority PIO – Public Information Officer Diabetes Prevention Program (DPP) update Guest speaker Sarah Worthington spoke about a new pilot program sponsored by the National DPP and led by the CDC. Currently, 1 in 10 people have diabetes and only 11% are aware of it. By 2025, it is estimated this figure will double to 1 in 5 if no lifestyle changes are made. Seventy-nine million people are prediabetic, meaning glucose levels are high, but not high enough to be diagnosed with actual diabetes. This population is at a higher risk for strokes and heart disease and cost the health care system almost 2.5 times in health care expenses compared to those without diabetes. Lifestyle changes and losing a mere 7% of body weight has been shown to significantly reduce the risk of Type 2 diabetes by nearly 58%. The DPP has been designed to monitor patients for a year or longer by conducting weekly sessions with 6 months of follow-up. The group sessions are led by Lifestyle coaches with a primary goal of healthier eating, 150 minutes of weekly exercise and reduction in a client’s weight. The first cohort launch is anticipated for January 2016. Even though the program will be supported by staff and technical resources, trained lifestyle coaches, data collection and analysis software, DCHS is still in need of classroom space, community partners and patient referrals . The OHA is helping to fund the pilot program through June 2016; however, in order to continue the program beyond that, proof of sustainability will be required. As of this date, services will be free and only available to adults 18 and over. Staff is still working on all the details. New Deschutes County PIO Whitney Malkin, who replaced Anna Johnson as the new County Public Information Officer, addressed the Board by giving a brief summation of her background. Whitney is a native of Bend and her work experience includes acting as Public Affairs Specialist for the FBI in Washington DC and as the Marketing and Communications Manager for Pacific Source. She possesses a Master’s Degree in Strategic Communications and a Bachelor’s Degree in Journalism. She will be responsible for managing all media and public relations, employee communications, and various other related duties. Adjourn Meeting was adjourned at 1:15 p.m.