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Home My WebLink About02-2020 FEB 28 2018 MINUTES Deschutes County Health Services Public Health Advisory Board MINUTES MINUTES February 28, 2018 12:00 – 1:30pm Stan Owen, DCHS Building 2577 NE Courtney Drive, Bend Facilitator Tom Kuhn, Community Health Manager Staff Coordinator Tom Kuhn, Community Health Manager Scribe Lisa Michael Next Meeting March 28, 2018 - Health Services – Stan Owen Conference Room Topic and Lead Introductions & Approval of January Meeting Minutes The Board went around the room and introduced themselves to guests. Jim motioned to approve the minutes as submitted. Rebeckah seconded the motion and the minutes were unanimously approved. Brief Announcements & Unfinished Business Tom said he cast the net with Rebeckah’s help for the health hero nominations and has already received 3 nominations so far. He reminded the Board to get their nominations in right away if they wanted to be considered. Tom will be meeting with Kate and Keith in early March to discuss the priority workgroup calendar. Tom and Jim met with BH staff to discuss the Older Adult Initiative. George announced there will be a Pints for Polio fundraiser hosted by the Rotary Club on Saturday which helps fund a cooperative effort for the CDC global wide. Polio is still highly prevalent in Pakistan, Afghanistan, Chad and Nigeria. Immunization Priority work group follow-up Dave referred to Section 3 of the Bylaws and identified what responsibilities he thought could be considered by the PHAB and the BOCC regarding immunization legislature. PHAB is requesting the following considerations: 1. Recommend that the Commissioners support legislation that eliminates the non-medical exemption for vaccinations (the state has eliminated the non-medical exemption for meningococcal); 2. Work with all schools and childcare facilities that have vaccination rates below 90% to increase and maintain their rates to 90% or greater over the next two years; 3. Continue the AFIX program; and 4. Initiate an independent parent vaccination education program similar to Boost Oregon or use Boost Oregon to help educate parents on vaccinations. A new infection preventionist will be coming on board in the next few weeks to help Jill with immunization education. The next step is to schedule a meeting at the BOCC work session to work on legislative items after Dave’s paper has been finalized. “To promote and protect the health and safety of our community.” Updated 8/4/20 Older Adult Behavioral Health Initiative The state has developed a program to invest in senior behavioral health to better meet the needs of older adults and people with disabilities by improving access to care, and by making sure that providers work together to provide coordinated, high-quality physical and behavioral health care. The goal is to improve quality of life for older adults and over time, through sharing and adoption of best practices, the cost of care will actually be reduced. Professionals who specialize in behavioral health for older adults will be placed in local and regional community mental health programs. Their role will be to improve the ability of each community’s behavioral health system to provide the type of services older adults need. They will work closely with local aging services staff as well as primary care providers and hospitals. Angela Jensen and Mary Callison are COHC social workers that cover the tri-county region. th Angela announced that as of January 15, the state ruled out the old BH initiative, so she and Mary are working to identify gaps in services encompassing such issues as older adult mental illness, anxiety, hoarding and depression. They are working with PSU to develop data analysis to report what gaps exist and where. The three primary goals of the OABHS are to: 1. Network for better coordination among behavioral health, aging services, primary care providers and hospitals, 2. Facilitate complex case consultations, and 3. Provide community education and awareness and workforce development. Since fall 2015, more than 3,000 professionals have been trained in older adult behavior issues statewide. Mary noted that a th training in Prineville is coming up on April 17 to talk about dementia, depression, suicide, th substance use disorders, etc. Also, on April 9, Dr. Patrick Arbore will be presenting on depression and suicide prevention in Prineville. The OABHI is also trying to work with higher learning institutions to attract students by offering internships and incentives since there is such a mass turn over in the BH field. Three facilities in Bend will be performing the “Echo” system, which is a telephonic training system. The Institute on Aging has developed a “Friendship” hotline, which is the only accredited crisis line in the country for people aged 60 and over and adults 18 or older living with disabilities. They are the only 24/7 hotline that also makes on-going outreach calls to lonely older adults and those contemplating suicide. Health Equity Workgroup update Channa and Jenny gave a PowerPoint presentation about the health equity work being done. DCHS is focusing on accreditation and modernization to improve how we address health equity, Public Health Accreditation Board standards and re-accreditation, and public health modernization by monitoring health status and tracking conditions that influence health. A preliminary survey was sent out to public health staff to track the current understanding and use of equity. Channa is working on reviewing one or two policies every month for ongoing equity integration and has modified the new employee orientation process to discuss equity called the life course game. An internal page for staff has been set up on the intranet and a county wide newsletter is in place containing equity information, while an external website for social determinates data (poverty and health) has been created and will continually expand with new resources assessing local poverty, income, health and education. Moving forward into 2018, there will be multiple QI projects with before and after results to include the BAR HII assessment, surveys, staff focus groups, interviews, internal document reviews, equity in hiring practices, etc. “To promote and protect the health and safety of our community.” Updated 8/4/20 Collaborating Partner Equity Assessment Drew asked for assistance from PHAB to create a list of community contacts who address th health inequities. He would like to compile the list by March 9 in order to contact them to discuss promotion of health equity in all their policies. Action Items:  Reconvene with Dave and Rob to package Immunization Paper for BOCC  Priority Calendar completion  Follow up with Channa and Drew about Partner Equity Assessment Adjourn- 1:30 p.m. Board Members Present: Chuck Frazier, Tami Pike, Rebeckah Berry, Stacey Witte, Steve Strang, Jim Powell, Rob Ross, Dave Huntley Staff Members Present: Tom Kuhn, Dr. George Conway, Pamela Ferguson, Lisa Michael, Heather Kaisner Guest Speaker: Angela Jensen (COHC), Mary Callison (COHC), Jill Johnson (staff), Channa Lindsay (staff), Jenny Faith (staff), Drew Docter (staff) Behavioral Health Advisory Board Members: Roger Olson, Peter Boehm, Georgette Vodhi Guests: Jan Bowers, Kaitlyn Bertholet, Ken Scholz BH – Behavioral Health CDC – Center for Disease Control PHAB – Public Health Advisory Board BOCC – Board of County Commissioners AFIX – Assessment, Feedback, Incentives, eXchange COHC – Central Oregon Health Council PSU – Portland State University OABHS – Older Adult Behavioral Health Specialist OABHI – Older Adult Behavioral Health Initiative DCHS – Deschutes County Health Services QI – Quality Improvement BAR HII – Bay Area Regional Health Inequities Initiative “To promote and protect the health and safety of our community.” Updated 8/4/20