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HomeMy WebLinkAbout04-2020 APRIL 24, 2019 MINUTES Deschutes County Health Services Public Health Advisory Board MINUTES MINUTES April 24, 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 May 22, ,2019 – Stan Owen Conference Room Topic and Lead Introductions & Approval of January & March Meeting Minutes Introductions were made and Steve motioned to approve the minutes for January, while Jim seconded the motion. Jim motioned to approve the minutes for March and Keith seconded the motion. Both sets of minutes were unanimously approved. Brief Announcements & Unfinished Business General Announcements – None at this time. Legislative Updates – Rob asked where things stand on the immunization bill. Tom said that Jill Johnson was giving public testimony in support of HB 3063 today in Salem. Karen Ard testified against SB 639, which died along with HB 2233. Keith and Tom testified back in March in a Ways and Means Committee hearing supporting Public Health Modernization, while Dr. Ross and Dave drafted a letter to legislators in late March pertaining to the immunization bill. Jim provided testimony as a private citizen on the importance of immunizations and school board alertness. Pamela announced that SB 526 (home visiting postnatal bill) is going through the Ways and Means Committee with a $4 million dollar placeholder budget. The total budget will be $8 million, with another $4 million coming from Medicaid. Deschutes County is the first in the state to implement this program. The State wants to know how we are doing on our perinatal program. The RHIP group donated $200k; however, $700k is still needed to extend the program for 3 more years. Home visiting nurses are conducting 2 hour visits to screen mom and baby, check out the home environment and connect these families to other services. th Bend La Pine Schools April 9 Board meeting - th On April 9, Dave Huntley attended a school board meeting in support of HB 3063 and Representative Cheri Helt gave her support as well. HB 3063 was referred to the Ways and Means Committee and the outcome is yet to be determined. Tom said it may be a simple majority vote, but will update the Board when he hears more. “To promote and protect the health and safety of our community.” Updated 8/4/20 Brief Priority Work Group updates – Tom asked the board members to recap what project they are working on. Keith, Dave and Stacey are working on local homelessness, while Pamela is working on MCH, although her project has shifted more toward the RHIP. Jim is working on senior health and LTCFs. Charles, who was also working on senior health with Jim before he left the board, was in contact with Carrie Edwards from SCMC to discuss LTCFs, so Jim will connect with her. Tom spoke about having Charles come for a meeting to thank him for all his hard work. Rob and Dave have been working diligently on the immunization campaign. Steve piped up and said he was thrilled how much more active the board has been over the past year. Hillary asked Tom to organize a meeting between the PHAB and the BOCC in order for PHAB to reintroduce themselves sometime in late May or early June after the budget is complete. Commissioner Adair asked if PHAB could write a letter in support of SB 27 increasing the fees for public drinking water systems since fees have not been raised since 2007. Tom drafted a letter for PHAB’s review. He asked the Board to contact him with any thoughts on the matter. RHA Feedback Request – Rebeckah spoke about the RHA/RHIP feedback request. Deschutes, Crook, Jefferson and North Klamath Counties, as well as Warm Springs, are collaborating on the assessment. Rebeckah noted that this is the third time this has been done. The 2015 assessment was 90 pages and has now grown to over 250 pages with the 2019 plan. Rebeckah asked if PHAB could review and make any recommendations by next Friday, when the draft is due by 10 a.m. There is an option to download and track changes in Word, which is the preferred method. th The final draft will be ready for review on May 16 with a published version available sometime in August. Tom sent out the draft to PHAB for those members who want to review the plan. Any revisions need to be sent back to him. Jim asked if PHAB should concentrate on any specific areas. Rebeckah said the hope is to have the next version of the RHA (2023) online only, with data updated as it becomes available. Veggie Rx Hannah Brzozowski, Veggie Rx Program Director, gave a PowerPoint presentation on the High Desert Food & Farm Alliance (HDFFA). Their mission is to support a healthy and thriving food and farm network in Central Oregon through education, collaboration and inclusivity. HDFFA is focusing on fresh food drives, free 6-week long cooking classes, agricultural support and produce prescription. Veggie Rx is a fruit and vegetable program designed to improve the health of food insecure clients by providing them with vouchers for produce to increase their consumption of fresh fruits and vegetables. Hannah showed the Board the model for the Veggie Rx and explained that 50+ providers participate in the program serving over 300 clients. So far to date, almost 150 clients filled out the enrollment application and 94 were eligible. Close to 90 of those clients participated in the program with a graduation rate of approximately 80%. The majority of the clients who participated were mostly those who reported an annual income of less than $25k and were between the ages of 55 and 65. Several of these clients had some kind of health issue like diabetes, heart disease and/or obesity. The HDFFA targets those clients who are on OHP, Medicaid and SNAP and are food insecure. The Rx program provides clients with a $20 a week voucher for fresh fruits and vegetables at local farmer’s markets and $185 worth in total for completion of the entire 8 week program. The program has proven to increase participant consumption of fresh produce by 1.3 cups per day and change the mindset of most clients that fruits and vegetables are an “To promote and protect the health and safety of our community.” Updated 8/4/20 important part of a balanced diet. The program reported a significant impact by providing fresh food to those who typically can’t afford it. Ninety-seven percent of the vouchers were redeemed and 33% of participants reported being less worried about food insecurity or having the funds to buy food. Hannah spoke about the impact on nutrition education and cooking classes. Clients were taught how to stretch their budget and make meals for an entire family and 95% of those who participated, valued the classes, while 33% increased their knowledge of cooking, food safety and storage. Participants also said their overall health went from poor to good and even excellent for some, after two months on the program. Clients reported that having access to fresh produce, receiving education on cooking and proper food safety, along with the social aspect of shopping at local farmer’s markets, has been quite helpful in achieving their goals of reaching a healthier lifestyle. Hannah said the impact locally has drawn over $11k into the Bend famer’s market, which in turn has circulated over $20k back into the economy. Approximately, 95% of farmer’s participating in the program found it to be quite successful. Hannah also noted there were some gaps in the program that need addressed such as sustainable funding, the need for a flexible model to meet community needs, recruitment and retention of more men into the program and more flexible eligibility criteria. Recommendations for funding involve statewide collaboration and established metrics. Another suggestion was to talk to providers to see exactly who needs help and adapt to those needs. Since more women than men are graduating the program, the HDFFA wants to work more closely with providers who engage with the male patient population in order to recruit more men into the program. Hannah said they also need to define a clear target audience with more concise eligibility criteria with practitioners. The objectives for 2019-2020 are to provide eight sessions of fresh food access, 1-on-1 support and tips for eating healthy from a registered dietician, referrals to health care providers and community partners, and provide a direct tie to locally grown produce. The Mobile Market Model is a program that will run year round starting in June with an enrollment target of 100 participants. Participants can shop the Fresh To You Truck at Mosaic Medical in Prineville and everyone receives a biweekly Fresh Harvest Kit for 4 months. The Fresh Harvest Kits consist of seasonal produce, staple ingredients, recipes and 2 meals, which provide 4 servings per meal. Health Heroes Award Tom mentioned that almost all the nominations were cast from someone within their own organization, so this year we are going to allow it. Tom said we may revise this rule to allow it for future nominations as well. There were 3 individual nominations (Jessica LeBlanc from Mosaic Medical, Wendy Jackson from COPA, and Laurie Slye from Partners in Care), and 2 group nominations (Pacific Crest Affordable Housing and St. Charles Volunteer Services). Tom gave the Board the option of reviewing the candidates and voting now at the meeting with limited Board members present, or he could send out a survey monkey so the entire Board would have the opportunity to review and make their choices. The Board members who are familiar with the nominees briefly discussed their experience with them. It was then decided to vote via survey monkey. Tom will send out the survey as soon as possible. Adjourn at 1:29 p.m. Board Members Present: Keith Winsor, Rebeckah Berry, Steve Strang, Jim Powell, Robert Ross, Kate Wells, Charla DeHate “To promote and protect the health and safety of our community.” Updated 8/4/20 Staff Present: Hillary Saraceno, Tom Kuhn, Pamela Ferguson, Lisa Michael Guests and Guest Speakers: Hannah Brzozowski (HDFFA), Jennifer Geisen (BMC), Irene Dudley (COPA) HB – House Bill SB – Senate Bill RHIP – Regional Health Improvement Plan MCH – Maternal Child Health LTCFs – Long Term Care Facilities SCMC – St. Charles Medical Center PHAB – Public Health Advisory Board BOCC – Board of County Commissioners EPIC – Electronic Privacy Information Center Rx – Prescription OHP – Oregon Health Plan SNAP – Supplemental Nutrition Assistance Program COPA – Central Oregon Pediatric Association “To promote and protect the health and safety of our community.” Updated 8/4/20