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HomeMy WebLinkAbout01-2019 JAN 23 2019 MINUTES Deschutes County Health Services Public Health Advisory Board MINUTES MINUTES January 23, 2019 12:00 – 1:30pm Stan Owen, DCHS Building 2577 NE Courtney Drive, Bend Facilitator Keith Winsor, Chair Staff Coordinator Tom Kuhn, Community Health Manager Scribe Lisa Michael Next Meeting February 27, 2019 – TBD, location may be different Topic and Lead Introductions & Approval of December Meeting Minutes Introductions were made and Jim moved to approve the minutes with a minor revision to the section Brief Announcements (first paragraph the word intern should be internists). Peter seconded the motion and the minutes were unanimously approved with the correction. Brief Announcements & Unfinished Business Tami announced that Bend La Pine School District is teaming up with Advantage Dental to perform dental and sealant screenings on K-2 kids. Schools are required to notify parents two weeks in advance to obtain a consent form before the screening can take place. Heather gave an update on the measles outbreak that started in Washington state and so far there are 23 confirmed cases. Tom said we may need to reschedule the October retreat date to a different day as it was very difficult to secure a room for this past retreat. Tom gave a brief update on the current legislation: CLHO has been prioritizing certain bills in need of support from PHAB, specifically: HB 2600 – Requires LTC facilities with 6 or more residents to adopt specified protocols and procedures regarding the prevention and reporting of disease outbreaks and requires employee training to recognize and report such. Also, requires these facilities to be inspected on a regular basis by the OHA to ensure compliance with health and sanitation laws. HB 2770 – Increases tax on distribution of cigarettes, including inhalant delivery devices. HB 2233 – Provides for regulation by OLCC of consumption and sale of marijuana products at temporary events, including licensure of premises at which temporary events are conducted. Requires cannabis lounges to obtain sanitation license from OHA. A list of other bills were made available for the Board’s review. “To promote and protect the health and safety of our community.” Updated 8/4/20 Tom went over the list of criteria for the health heroes selection:  PHAB members cannot be nominated.  If a PHAB member nominates someone, then they cannot vote.  PHAB will vet all nominees to ensure they are appropriate.  Nominees should work in a Public Health or Behavioral Health associated profession.  Health Services staff can only be nominated by non-Health Services staff.  Community member(s)/organization(s) cannot nominate themselves. Tom will be rolling out the process offline in the near future and will work with Rebeckah since she has a list of organizations with potential nominees. Priority Work Group updates: Charles and Jim met with Jeremiah Brickhouse, (CIO for SCMC) to talk about their transition to EPIC. Seven of ten residents in the US have their health information data on EPIC. The only thing not shared is financial information. The goal is to interface all other information and be able to upload all data. Behavioral Health is fairly siloed and does not share information; however, there may be other opportunities to connect through other avenues. Rebeckah also noted that EPIC doesn’t necessarily connect with oral or specialty BH providers either. Jim mentioned that EPIC is not required to participate in the data share depending on credentials but there is still access to prescription monitoring. Jim and Jessica Jacks attended a lecture presented by Dr. Archie Bleyer and participated in a suicide prevention discussion afterwards. Dr. Bleyer would be happy to present at a future PHAB meeting. Tom asked if Rebeckah or Heather could connect with Jeremiah to come speak to the group as well. Charles spoke with leaders of the senior care organizations about information exchange. The annual priority meeting is coming up soon. Engaging the BOCC in 2019 Hillary spoke about engaging the BOCC and their goals. New Commissioner, Patti Adair replaced Tammy Baney, who was a huge advocate for public and behavioral health. Commissioner Adair’s priority is fire and emergency preparedness. Hillary mentioned that lobbyists will be reviewing over 2000+ bills coming through the legislature and will decide which ones to lobby for. Tom is on the legislative work team through CLHO, who is mainly concentrating on modernization, universal home visiting, and tobacco/nicotine taxes. Right now the BOCC is focusing on the following: 1. the new county judge, 2. OSU Cascades campus, 3. forest management, 4. local watershed, and 5. fire and emergency preparedness. Other main priorities include the local landfill and modernization. Hillary explained that a 10 year trend study was conducted for yearly funding purposes and although the population is vastly growing, funding has remained flat. Last year PH was able to secure an additional $1 million in funding. Our goal is to educate the BOCC on the $47.7 million funding for modernization, especially CD outbreaks, as 70% come from LTCFs. Hillary said we can get PH in front of the commissioners by holding a PH 101 orientation and having Patti Adair physically come see the operations of WIC, EH and home visiting. Rebeckah asked if there is a way to highlight the areas that only PH would do. As far as scheduling a meeting with the BOCC, we need to schedule at least 5 to 7 days in advance as the agenda can change at any given time. Hillary advised the board to be as prepared as possible about their message when meeting with the “To promote and protect the health and safety of our community.” Updated 8/4/20 BOCC to keep them engrossed in the conversation. Work sessions run from 1:30 p.m. to 4:30 p.m. on Mondays and Wednesdays and agenda items change frequently. DCPH will be holding th a preliminary budget meeting on April 18 and then will be scheduled for their budget presentation to the BOCC sometime in May or June, at which time PHAB would like to be present. Can staff possibly bring a PHAB member(s) to this presentation to develop a presence and relationship with the BOCC? Tom will provide PHAB with any relevant BOCC agenda dates in the near future. Shared Future Coalition ICAA Position Statement Karen Ard, Community Health Specialist, gave a presentation on the ICAA and HB 2233. The SFC drafted a position statement on protecting the ICAA, which focuses on smoke and second hand smoke and its harmful effects. Schools have been reporting a dramatic increase in the use of marijuana and vaping by students and Deschutes County staff are working with school youth coalitions to regulate indoor/outdoor smoking in public spaces. HB 2233 provides for regulation by OLCC of consumption and sales of marijuana products at temporary events and cannabis lounges, including the licensure of the premises at which temporary events are conducted. Lounges would be allowed to operate on the same premises as cannabis retail shops, provided that they occupy separate distinct portions of the premises. Consumers and retail shop owners are in favor of the idea since a consumer will be permitted to bring a cannabis item that was purchased from the adjoining retailer into the lounge. The proposal will also attract tourists looking for a place to consume cannabis lawfully in a safe location. The ICAA policies focus on tobacco prevention and no smoking of any kind in public places. Karen fears that these cannabis lounges and other bills like it will try to weaken the ICAA, by allowing smoking in public spaces. There is an urgent need in the school system to prevent smoking due to the rise in marijuana use and vaping on campus. PHAB can align with the ICAA or go in our own direction. PH Reaccreditation & Deschutes County Health Equity Report Channa gave a presentation on the accreditation process and announced we will reapply for reaccreditation on April 1st. Accreditation promotes consistency through health departments meeting standards and with the grant funding we receive, proves we are good stewards. Originally, DCHS was the second health department in the state to become accredited back in 2014. Evidence and research proves its importance by identifying strengths and areas in need of improvement, supporting partnerships both internally and externally, and encouraging health departments to prioritize and address concerns. As part of the process, DCHS is required to submit an annual report to the Public Health Accreditation Board and feedback is reviewed by the Public Health Quality Council and Advisory Board. There are 90 standards that need to be met and the feedback we received was very positive. Channa can send out the reports if any board members would like to review them. Internal audits have been conducted with several other counties to learn from each other and make improvements where needed. DCHS is gearing up for the state triennial review coming up at the end of April. Channa asked if PHAB wants to be updated and if so, how often? She explained that reaccreditation is different from the initial on-site review and that this time will be a virtual review. She also clarified that modernization is meeting the minimum requirements and accreditation is meeting and going above and beyond the standards, which helps in being more competitive for grant funding. In 2017, a cultural competency workgroup was formed to conduct an internal survey to assess a baseline understanding of equity within DCPH. The PH department was restructured to align with modernization and implement health equity, while striving for consistency in-house before expanding outside the agency. A health equity workgroup with community partners will be “To promote and protect the health and safety of our community.” Updated 8/4/20 starting up next month. Channa asked if PHAB had any recommendations or suggestions and will be emailing the link to Tom to distribute. The board decided once a year was a good plan for updates. In the meantime, Channa informed the board they can review health data information at www.deschutes.org/healthdata. Heather quickly mentioned that the health alert was being moved to a new platform that requires a subscription. Adjourn at 1:28 p.m. Action Items:  Replace name tags  Work on BOCC meeting dates for PHAB  Send links to equity info on the web Board Members Present: Keith Winsor, Rebeckah Berry, Sharity Ludwig, Peter Boehm, Steve Strang, Jim Powell, Charles Frazier, and Tami Pike Staff Present: Tom Kuhn, Dr. George Conway, Hillary Saraceno, Pamela Ferguson, Heather Kaisner, and Lisa Michael Guest Speakers: Karen Ard (staff) and Channa Lindsay (staff) CLHO – Coalition of Local Health Officials PHAB – Pubic Health Advisory Board LTC – Long Term Care OHA – Oregon Health Authority OLCC – Oregon Liquor Control Commission CIO – Chief Information Officer SCMC – St. Charles Medical Center US – United States EPIC – Electronic Privacy Information Center BH – Behavioral Health BOCC – Board of County Commissioners OSU – Oregon State University PH – Public Health CD – Communicable Disease LTCFs – Long Term Care Facilities WIC – Women’s, Infants, Children EH – Environmental Health DCPH – Deschutes County Public Health ICAA – Indoor Clean Air Act SFC – Shared Future Coalition DCHS – Deschutes County Health Services “To promote and protect the health and safety of our community.” Updated 8/4/20