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HomeMy WebLinkAboutSEPT 27 2017 MINUTES Deschutes County Health Services Public Health/Behavioral Health Advisory Boards MINUTES MINUTES September 27, 2017 12:00 – 1:30pm Stan Owen, DCHS Building 2577 NE Courtney Drive, Bend Facilitator Kate Wells, PHAB Chair Staff Coordinator Tom Kuhn, Community Health Manager Scribe Lisa Michael Next Meeting October 25, 2017, 9:00am – 1:00pm, location TDB Topic and Lead Introductions & Approval of August Meeting Minutes Introductions were made to guests and guest Board members. Steve motioned to approve the August PHAB minutes with a second from Charla. The PHAB Board unanimously approved the minutes as submitted. Brief Announcements & Unfinished Business Kate spoke of a new CMS Innovation grant that the State will be receiving in order to implement and test the State Health Care Innovation Plan. The Oregon Coordinated Care Model proposes to use the state’s purchasing power to realign health care payments and incentives so that state employees, Medicare beneficiaries, and those purchasing qualified health plans on Oregon’s Health Insurance Exchange, will have high quality, low cost health insurance options that are sustainable over time. The Coordinated Care Model will focus on integrating and coordinating physical, behavioral, and oral health care; shifting to a payment system that rewards quality care outcomes rather than volume; aligning incentives across medical care and long-term care services and supports; reducing health disparities and partnering with community public health systems to improve health. OHSU will be working with 7 Counties in the participating plan year to start in 2018. Tom announced that there may be two new potential members: Stacey Witte, Executive Director of Homeless Outreach for Bend Church, and Dave Huntley who is a retired Epidemiologist and joining us here today. He also reminded the Board about the retreat next th month on October 25 from 9 a.m. to 1 p.m. The location is yet to be determined. Tom will email the Board as soon as he secures a location. “To promote and protect the health and safety of our community.” Updated 8/4/20 Themes and Strengths Assessment Channa lead the Boards in completing a themes and strengths assessment. She will be compiling the results and creating a report with information from all three counties to be available for Board review once she receives the data from Jefferson and Crook Counties. This assessment serves as an addendum to the 2015 RHA. Channa and the Board brainstormed the following health matters: What are the major health concerns in the community?  Climate Change is an emerging threat with no existing resources/ capacity to address it  Continuity of vaccination across the county. Often more affluent areas have lower rates  STI are increasing  Long Term Care Facility outbreaks are increasing  Social Problems that have arisen from the recent political climate o Bullying of Latino children/families o Some families want to remain on the “down Low” due to worry about deportation  Marijuana legalization and the increased number of dispensaries has become a topic of concern. Some people even miss out on employment opportunities because marijuana is detected on a drug screening  Youth experience increase stress at school, including academic pressure. This pressure comes from schools, families, society, and students themselves.  Deschutes County has historically experienced alcohol abuse, even before the upsurge in breweries.  Opioid use/abuse is on the rise  Smart phones and mental health are an emerging threat o social isolation o blue wave length and health threats What do you consider barriers to health and health care?  Fast food is cheaper than veggies  Lack of access to healthy food  Fear of deportation  Language and culture barriers  Lack of information about available services  Navigation of the health care system is difficult  Difficulty in finding information about the efficiency, effectiveness, and quality of local doctors and services  Youth and young adults especially experience barriers to accessing services; lack of health literacy  Services are often perceived as too expensive  Individual market tends to be more underinsured/ higher deductible  Housing shortage and affordability  Build environment: lack of bike lanes/stress getting around town  Few affordable childcare options  Low SES = more barriers  Stigma about accessing School Based Health Centers o Need to decrease stereotypes “To promote and protect the health and safety of our community.” Updated 8/4/20 How is quality of life perceived in our community?  This varies by the haves and have-nots  Being Latino, even if an American citizen, can result in decreased quality of life (QoL) due to perception by others of immigration status  Housing and homelessness greatly impact overall QoL  More help is needed for older citizens who don’t have access to enough services  In La Pine and Sunriver: o Very high Medicare population, and more difficult to access services o More affluent people are starting to retire in Sunriver  Mid-level professionals are being forced to move out of the area (county) due to prohibitive cost, including La Pine  Bend does not have much of a “middle class” o Rich: Good QoL, and more investment in “affluent” activities (i.e. golf) o Poverty: High cost of living impacts all classes but the “rich”  Lack of ethnic diversity is a cultural impediment  ACEs: trauma and toxic stress affect QoL across the lifespan A pilot survey will be sent out comparing qualitative versus quantitative data. Adjourn- 1:28 p.m. PHAB Board Members Present: Kate Wells, Rebeckah Berry, Steve Strang, Charla DeHate, Tami Pike BHAB Board Members Present: Roger Olson, Barbara Balz, Tina DeSouza Staff Members Present: Dr. George Conway, Tom Kuhn, Hillary Saraceno, DeAnn Carr, Pamela Ferguson, Heather Kaisner, Alisha Edgmon, Lisa Michael Guest Speaker: Jenny Faith (staff) and Channa Lindsay (staff) Guests: David Huntley PHAB – Public Health Advisory Board CMS – Centers for Medicare/Medicaid OHSU – Oregon Health & Science University BHAB – Behavioral Health Advisory Board RHA – Regional Health Assessment STI – Sexually Transmitted Infection SES – Socioeconomic Status QoL –Quality of Life ACEs – Adverse Childhood Experience. “To promote and protect the health and safety of our community.” Updated 8/4/20