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Home My WebLink AboutMAY 24 2017 MINUTES Deschutes County Health Services Public Health Advisory Board MINUTES MINUTES May 24, 2017 12:00 – 1:30pm Stan Owen, DCHS Building 2577 NE Courtney Drive, Bend Facilitator Kate Wells, Chair Staff Coordinator Tom Kuhn, Community Health Manager Scribe Alisha Edgmon (Fill in) Next Meeting June 28, 2017, Health Services – Stan Owen Topic and Lead Introductions & Approval of April Meeting Minutes Kate Wells Agenda adjustment- first Accountable Health Communities Project nd Dr. Ross move to approve and Keith Winsor 2; All agreed. Brief Announcements & Unfinished Business -PHAB By-Laws update – Tom was at the Commissioners business meeting they approved the by-laws and will have a final copy next meeting for our review. They suggested bringing the health heroes to the business meetings as well. -PHAB Retreat update – Hillary and Tom met with Susan, she is not ready to re-join PHAB yet however she will help plan the retreat in late October. Tom will start working on some dates and will include members to be on the retreat planning committee. -Prescribed Burns update- Deschutes collaborative prescribed burns have been a lot more than normal this year. Next month a member of the nature conservancy will come speak at PHAB. They usually send out a press release to notify public of upcoming prescribed burns. The only news station for a live news feed is KTVZ. Sheriff’s dept. released an app that includes fires. Raptor Emergency Management program coordinates data in real time. Heather stated there is an eclipse update site that Tom will send out the link. Ochinsky was a guest speaker at the River House, talking about increasing our immunization rates for ages 2 years. He also presented on Polio. All local clinics were invited, a lot of physicians, public health, school nurses, COHC group members showed representation. Charles said he contacted the Sheriff’s dept. to make sure they include pharmacies in the emergency planning; to have extra supplies on hand in case the deliveries can’t be made during the Eclipse time frame. Accountable Health Communities Project Kate Wells/George Conway OHSU to develop a proposal put out by CMS accountable health community program a research study looking at the impact health related social needs and navigation services. We are the only awardee out of 20 nationwide. Goal is to treat as many Medicaid and Medicare clients as possible. OHSU model will be acting as the backbone for the project, there are 9 counties involved. (handout provided by Kate) Local implementation workgroups and a statewide committee are in place to guide the work. There are 5 core social determinants housing “To promote and protect the health and safety of our community.” Updated 8/4/20 instability, food insecurity, interpersonal violence, transportation, utilities. The protocol to screen clients can be tailored to our community. The screening questionnaire is not available on their website yet for viewing. George does not think this will be a hard sell to the commissioners as we have the structure already set up to do this and BH is doing some of this now for the CCBHC. The project is just a referral services and not actually persuading the entities to full fill housing. This conversation should be happening with Dr. Goldberg present as well. Dr. Ross suggested using the grant dollars to fund stuff we are already doing. The screening has to be connected with a clinical visit could be on the phone could be in person. We looked at this as a community before the State got involved; Kate has gotten involved to connect them with the right people. Is the population preselected or is this across the board screening? Yes it is across the board regardless of payer. The grant dollars were figured by the population and estimated the amount of money based on a per-screening. Marijuana Committee Update/proposal Kate Wells/Tom Kuhn/Charles Frazier We have a sub-committee that was started by Susan Key The shared future coalition has a committee as well that Charles is going to serve on as a liaison and bring back action items for us. The focus of the meeting was of increasing concern on the impact of marijuana on the young developing brain. Started looking at the database available and the holes locally in that database. In starting to do research he came across a national institute of drug abuse website on the front page of handout you can find a 50 page summary of the current issues involving marijuana and youth. Charles printed out a brief version for a handout. The shared futures coalition committee is working on a philosophy of persons of interest over young people primarily their parents to get them to talk about drug use with focus on marijuana. Provided handout about the connect program and local stats. They have also created a marijuana talk kit; handout provided. Research has shown that grandparents have had the most impact on youth in preventing drug use. We want to provide parents and young kids a balanced picture. George stated that we have policy partners that work with the commissioners that could help get that message out. Have not discussed yet any legislature decisions in the committee. The law enforcement is struggling with how quickly it’s all moving and the state and federal laws. The right to grow marijuana where ever they want will continue to be put in front of the legislature. Being brought to legislature now is they want to have a designated smoke area outside of the dispensaries; they don’t have any data yet if it has been approved. Legislative Updates-Handout Tom didn’t receive a ton of information this time. There haven’t been as many bills moving as in the past. Public health modernization there’s going to be help to alleviate the 1 million short fall in CO. 50 million approx. could be going to public health (possibly in a competitive grant). Tobacco retail licensure; Oregon Nurses Association working an amendment to get the good parts back in, it passed with the amendment and is referred to joint ways and means. Bill 307 weakens the clean air act- is being referred to marijuana regulation at this time. Tobacco 21 bill have to be 21 to purchase tobacco moved without amendment looks like that will go through. If Tom gets good solid updates he will email them out as they come. 2919 nothing new on that either. Naloxone, we have had an up kick in clients, found out from the state OHP covers it fully and can prescribe it and a lot of clients are willing to go get it at the pharmacy. It is free if they are on OHP, Mosaic will sign them up if they are non-OHP. Let Tom know if you hear of a bill in particular interest. “To promote and protect the health and safety of our community.” Updated 8/4/20 Action Items:  Adjourn- 1:16 Board Members Present: Kate Wells, Jim Powell, Keith Winsor, Charles Frazier, Robert Ross, Rebeckah Berry, Steve Strang, Sharity Ludwig, Staff Members Present: Tom Kuhn, George Conway, Alisha Edgmon Dan Emerson, Heather Kaisner, Jenny Faith, Tami Pine Guest Speaker: Guests: BOCC – Board of County Commissioners PHAB – Public Health Advisory Board SB – Senate Bill AFIX – Assessment/Feedback/Incentives/eXchange CMS – Centers for Medicare/Medicaid Services MACC – Multi-agency Coordination Center CLHO – Coalition of Local Health Officials PH – Public Health HB – House Bill CCO – Coordinated Care Organization OHA – Oregon Health Authority “To promote and protect the health and safety of our community.” Updated 8/4/20