HomeMy WebLinkAbout2013- October File Copy
•
Jefferson County
Board of.1[ea(th
Agenda
_Minutes
•
October 17, 2013
•
• JEFFERSON COUNTY BOARD OF HEALTH
October 17, 2013
Jefferson County Public Health
615 Sheridan St.
Port Townsend, WA
2:30—4:30 PM
DRAFT AGENDA
I. Approval of Agenda
II. Approval of Minutes of September 19, 2013, 2013 Board of Health Meeting
III. Public Comment
IV. Old Business and Informational Items
1. Affordable Care Act Update: Health Exchange Enrollment
• 2. Girls Night Out: Breast Cancer Prevention
3. Jefferson County Public Health WIC Newsletter
4. JHC meeting with JCPH
V. New Business
1. Environmental Health Fee Schedule: Proposed Adoption Schedule
2. Environmental Health Proposal for Enforcement Cost Recovery
3. Temporary Food Program Permit Activity Report
4. 2014 Jefferson County Public Health Budget
5. Federal Government Shutdown: Public Health Program Impacts
VI. Activity Update
VII. Public Comment
VIII. Agenda Planning Calendar
IX. Next Scheduled Meeting: December 19, 2013
2:30—4:30 PM
Jefferson County Public Health
• 615 Sheridan St.
Port Townsend, WA 98368
• JEFFERSON COUNTY BOARD OF HEALTH
MINUTES
Thursday, September 19, 2013
Jefferson County Public Health, 615 Sheridan Street, Port Townsend WA 98368
Board Members Staff Members
Phil Johnson, County Commissioner District#1 Thomas Locke,MD,MPH Health Officer
David Sullivan, Vice Chair, County Commissioner,District#2 Jean Baldwin,Public Health Services Dir
John Austin, County Commissioner,District#3 Jared Keefer,Env.Health Services Dir
Roberta Frissell, Citizen at large(County) Veronica Shaw,Deputy Director
Catharine Robinson,Port Townsend City Council
Sheila Westerman, Citizen at large(City)
Jill Buhler, Chair,Hospital Commissioner,District#2
Chair Buhler called the September 19, 2013 meeting of the Jefferson County Board of Health to
order at 2:35 PM. A quorum was present.
Members Present: Jill Buhler, Sheila Westerman, Roberta Frissell, Catharine Robinson, David
Sullivan, Phil Johnson,John Austin
Staff Present: Dr. Thomas Locke, Jean Baldwin, Jared Keefer
• Members Excused: None
APPROVAL OF AGENDA
Chair Buhler called for review and approval of agenda.
Member Austin requested an additional item be added under Old Business and Informational
Items, as item number one: Healthplanfinder &the Affordable Care Act.
Member Austin moved to approve the agenda as amended; the motion was seconded by
Member Frissell. No further discussion. The motion passed unanimously.
APPROVAL OF MINUTES
Chair Buhler called for review and approval of the minutes.
Member Robinson moved to approve the minutes as presented; the motion was seconded
by Member Frissell. No further discussion. The motion passed unanimously.
• PUBLIC COMMENT
1 BOH Minutes—September 19,2013
No public comment.
OLD BUSINESS AND INFORMATIONAL ITEMS
wahealthplanfinder.org and the Affordable Care Act
Karen Obermeyer reported that Jefferson County Public Health staff attended a training
regarding the upcoming changes and strategies for outreach regarding the Affordable Care Act.
Three key messages for the public:
1. Enrollment starts on October 1, 2013 and coverage starts on January 1, 2014.
2. These plans will fit into your budget.
3. "In-person assisters"will be working with the public through three local agencies.
Jefferson Healthcare,the Olympic Area Agency on Aging and JCPH will offer drop in centers,
with computers and in-person assisters for public enrollment. The target groups for in-person
assisters are families and individuals with lower incomes, language barriers, families with
children, and persons with disabilities. All enrollments will be online, through
www.wahealthplanfinder.org. A call center is available at(855) 923-4633 from 7:30 am—
8:30 pm.
Washington State School Nurse Corps Receives the Warren Featherstone Reid Award
Jean Baldwin and Dr. Locke acknowledged the prestigious Warren Featherstone Reid Award
bestowed on the Washington State School Nurse Corps. They also highlighted some of the work •
that's being done through school nurses provided by Jefferson County Public Health and at
Jefferson County's two school-based clinics.
Secure Medicine Take-back Program Follow-up: Alameda County Lawsuit Dismissed
Dr. Locke reviewed the dismissal of the pharmaceutical industry's lawsuit against the Alameda
County drug take-back programs. This lawsuit has been closely watched by the King County
Board of Health who has adopted an ordinance similar to Alameda County. The next milestone
for King County's drug take-back program will come in November,with a deadline for
pharmaceutical companies to declare plans for take-back. JCPH staff will continue to review the
progress of these measures with the Board of Health.
Fee Schedule for Pools
Chair Buhler disclosed that she has a conflict of interest with this item, having a business
relationship with the Port Townsend Athletic Club, and recused herself from chairing and voting
on this item. Vice-Chair David Sullivan will chair this matter.
Jared Keefer and Dana Fickeisen reviewed a rough draft of fee schedule proposals,to begin
planning for a public hearing in December. Staff reviewed the regulatory requirements and fees
for spas and pools under WAC 246-260. Proposed changes will include a language change from
"pools & spas"to "water recreation facilities,"which is the term used in State regulations. The
contract with the State, signed this year, requires that we comply with WAC 246-260 regarding
maximum fees that can be charged. Upon review, staff found that JCPH fees differed from the •
state fees, and that one fee is higher than the state fee. Staff made a series of recommendations
2 BOH Minutes—September 19,2013
that included use of the fee titles described in WAC 246-260, changing local fees to be consistent
• with and lower than the WAC fees (for example, add fee for re-inspections). Another option is
to adopt and use the WAC fees.
Member Austin moved to review the revised fee schedule proposals in October and to call
for a public hearing on the issue in December. Member Westerman seconded the motion.
Vice Chair Sullivan called for further discussion. No further discussion. The motion
passed unanimously.
Staff Contact Update
A current staff and clinic contact list was distributed to the Board through inclusion in the agenda
packet.
NEW BUSINESS
2014 Communicable Diseases Performance Measures Plan
Jean Baldwin and Dr. Locke updated the board on communicable diseases performance
measures issues.
JCPH has seen an increase in calls received regardingbat exposure. So far in 2013, 5 bats have
been sent to the State lab for testing; 4 were negative for rabies, 1 was a positive. Dr. Locke
reported that three public communication messages have been developed regarding bats and
rabies:
• 1. JCPH wants people to know that bats are a significant reservoir for rabies in Washington
State and that direct contact with bats should be avoided,
2. JCPH wants people to understand what "contact" is. Rabies is transmitted through saliva
or tissue or fluid with a direct connection to the central nervous system. Also, there can
be "unapparent" exposures to bats. This can occur if a bat is found in a sleeping area or
an area where potential exposure to children may have occurred. If this happens it is
important to safely catch the bat so that it can be tested for rabies. The incubation period
for rabies is variable, ranging,from 2 weeks to 7 years. More typically, it's in the 45-90
day range.
3. And finally, JCPH wants to remind people to vaccinate their pets against rabies—
exposures of cats and dogs to live bats are common.
A cluster of salmonella cases from a boy-scout camp in Enumclaw is being tracked—some of the
campers were from Jefferson County.
Update: immunization exemption rates for schools were published early in the summer. The rate
for 2012 increased from 9.5% in 2011 to 12%. Prior to 2011 the exemption rate was 16%.
The Communicable Disease Program has been using carry-over budget funding to maintain
staffing and program services, and this will come to an end in 2014. Full funding for the
Communicable Disease Program is one of the holes in 2014 JCPH budget.
• Food Program Permit Processing
3 BOH Minutes—September 19,2013
Jared Keefer reported on the evaluation of the impact of the temporary food program fee •
increases. In 2012, substantial improvements were made to the program and the program
database was changed. These changes have allowed a more streamlined process and improved
data collection. The program has partnered with WSU and with the Port Townsend Farmers
Market for public education. A revamped permit application captures more information and
increases the opportunity for food safety education. Staff presented data related to permit
tracking in 2012 and year to date information for 2013.
Contract Discussion with Jefferson County School Districts
JCPH has had contracts for providing sex education, scoliosis testing, and other school nursing
services with Port Townsend, Chimacum, Quilcene, and Brinnon School Districts for more than
25 years. In the past, JCPH has used money for children with special health care needs (federal
funding). This funding isn't available anymore and Medicaid administrative match is dwindling.
A letter regarding these funding issues (included in the Board's agenda packet) was sent to all of
the districts.
Flu Season Letter to Providers
Included in the Board's agenda packet is a letter from JCPH Communicable Disease Program
staff to area providers regarding flu and pneumonia vaccines and information about new types of
influenza vaccine available.
NACCHO 2013 Local Public Health Department Profile
Jean Baldwin reviewed the NACCHO 2013 Local Public Health Department Profile, which •
reports that 40% of all health departments nationally have reduced programs in the last year and
will continue to make reductions. One of the most impacted programs is Maternal Child Health.
Public health emergency preparedness has also been reduced substantially throughout the nation.
ACTIVITY UPDATE
None
AGENDA PLANNING CALENDAR
The November Jefferson County Board of Health meeting will be canceled due to a scheduling
conflict with the statewide WA Association of Counties meeting. Notice of the cancelation will
be given according to public meeting procedures.
NEXT SCHEDULED MEETING
Next Board of Health meeting will be held on Thursday, October 17, 2013 from 2:30—4:30 p.m.
at Jefferson County Public Health, 615 Sheridan Street, Port Townsend WA 98368
ADJOURNMENT •
4 BOH Minutes—September 19,2013
• Chair Buhler adjourned the September 19, 2013 Jefferson County Board of Health meeting
at 4:25 PM.
JEFFERSON COUNTY BOARD OF HEALTH
Phil Johnson, Member Jill Buhler, Chair
Roberta Frissell, Member David Sullivan, Vice Chair
Catharine Robinson, Member John Austin, Member
Sheila Westerman, Member
Respectfully Submitted.
Cara Leckenby
•
5 BOH Minutes—September 19,2013
JEFFERSON COUNTY BOARD OF HEALTH
MINUTES
Thursday, September 19, 2013
Jefferson County Public Health, 615 Sheridan Street, Port Townsend WA 98368
Board Members Staff Members
Phil Johnson,County Commissioner District#1 Thomas Locke,MD,MPH Health Officer
David Sullivan, Vice Chair, County Commissioner,District#2 Jean Baldwin, Public Health Services Dir
John Austin,County Commissioner,District#3 Jared Keefer,Env. Health Services Dir
Roberta Frissell, Citizen at large(County) Veronica Shaw,Deputy Director
Catharine Robinson,Port Townsend City Council
Sheila Westerman, Citizen at large(City)
Jill Buhler, Chair,Hospital Commissioner,District#2
Chair Buhler called the September 19, 2013 meeting of the Jefferson County Board of Health to
order at 2:35 PM. A quorum was present.
Members Present: Jill Buhler, Sheila Westerman, Roberta Frissell, Catharine Robinson, David
Sullivan, Phil Johnson, John Austin
Staff Present: Dr. Thomas Locke, Jean Baldwin, Jared Keefer
• Members Excused: None
APPROVAL OF AGENDA
Chair Buhler called for review and approval of agenda.
Member Austin requested an additional item be added under Old Business and informational
Items, as item number one: Healthplanfinder& the Affordable Care Act.
Member Austin moved to approve the agenda as amended; the motion was seconded by
Member Frissell. No further discussion. The motion passed unanimously.
APPROVAL OF MINUTES
Chair Buhler called for review and approval of the minutes.
Member Robinson moved to approve the minutes as presented; the motion was seconded
by Member Frissell. No further discussion. The motion passed unanimously.
PUBLIC COMMENT
1111
1
BOH Minutes—September 19,2013
• No public comment.
OLD BUSINESS AND INFORMATIONAL ITEMS
wahealthplanfinder.org and the Affordable Care Act
Karen Obermeyer reported that Jefferson County Public Health staff attended a training
regarding the upcoming changes and strategies for outreach regarding the Affordable Care Act.
Three key messages for the public:
1. Enrollment starts on October 1, 2013 and coverage starts on January 1, 2014.
2. These plans will fit into your budget.
3. "In-person assisters" will be working with the public through three local agencies.
Jefferson Healthcare, the Olympic Area Agency on Aging and JCPH will offer drop in centers,
with computers and in-person assisters for public enrollment. The target groups for in-person
assisters are families and individuals with lower incomes, language barriers, families with
children, and persons with disabilities. All enrollments will be online,through
w-ww.wahealthplanfinder.org. A call center is available at(855) 923-4633 from 7:30 am—
8:30 pm.
Washington State School Nurse Corps Receives the Warren Featherstone Reid Award
Jean Baldwin and Dr. Locke acknowledged the prestigious Warren Featherstone Reid Award
• bestowed on the Washington State School Nurse Corps. They also highlighted some of the work
that's being done through school nurses provided by Jefferson County Public Health and at
Jefferson County's two school-based clinics.
Secure Medicine Take-back Program Follow-up: Alameda County Lawsuit Dismissed
Dr. Locke reviewed the dismissal of the pharmaceutical industry's lawsuit against the Alameda
County drug take-back programs. This lawsuit has been closely watched by the King County
Board of Health who has adopted an ordinance similar to Alameda County. The next milestone
for King County's drug take-back program will come in November, with a deadline for
pharmaceutical companies to declare plans for take-back. JCPH staff will continue to review the
progress of these measures with the Board of Health.
Fee Schedule for Pools
Chair Buhler disclosed that she has a conflict of interest with this item, having a business
relationship with the Port Townsend Athletic Club, and recused herself from chairing and voting
on this item. Vice-Chair David Sullivan will chair this matter.
Jared Keefer and Dana Fickeisen reviewed a rough draft of fee schedule proposals, to begin
planning for a public hearing in December. Staff reviewed the regulatory requirements and fees
for spas and pools under WAC 246-260. Proposed changes will include a language change from
"pools & spas"to"water recreation facilities," which is the term used in State regulations. The
contract with the State, signed this year,requires that we comply with WAC 246-260 regarding
maximum fees that can be charged. Upon review, staff found that JCPH fees differed from the
• state fees, and that one fee is higher than the state fee. Staff made a series of recommendations
2 13011 Minutes—September 19.2013
41, that included use of the fee titles described in WAC 246-260,changing local fees to be consistent
with and lower than the WAC fees(for example, add fee for re-inspections). Another option is
to adopt and use the WAC fees.
Member Austin moved to review the revised fee schedule proposals in October and to call
for a public hearing on the issue in December. Member Westerman seconded the motion.
Vice Chair Sullivan called for further discussion. No further discussion. The motion
passed unanimously.
Staff Contact Update
A current staff and clinic contact list was distributed to the Board through inclusion in the agenda
packet.
NEW BUSINESS
2014 Communicable Diseases Performance Measures Plan
Jean Baldwin and Dr. Locke updated the board on communicable diseases performance
measures issues.
JCPH has seen an increase in calls received regarding bat exposure. So far in 2013, 5 bats have
been sent to the State lab for testing; 4 were negative for rabies, 1 was a positive. Dr. Locke
reported that three public communication messages have been developed regarding bats and
rabies:
41) 1. JCPH wants people to know that bats are a significant reservoir for rabies in Washington
State and that direct contact with bats should be avoided,
2. JCPH wants people to understand what "contact" is. Rabies is transmitted through saliva
or tissue or fluid with a direct connection to the central nervous system. Also,there can
be "unapparent"exposures to bats. This can occur if a bat is found in a sleeping area or
an area where potential exposure to children may have occurred. If this happens it is
important to safely catch the bat so that it can be tested for rabies. The incubation period
for rabies is variable, ranging from 2 weeks to 7 years. More typically, it's in the 45-90
day range.
3. And finally, JCPH wants to remind people to vaccinate their pets against rabies—
exposures of cats and dogs to live bats are common.
A cluster of salmonella cases from a boy-scout camp in Enumclaw is being tracked—some of the
campers were from Jefferson County.
Update: immunization exemption rates for schools were published early in the summer. The rate
for 2012 increased from 9.5% in 2011 to 12%. Prior to 2011 the exemption rate was 16%.
The Communicable Disease Program has been using carry-over budget funding to maintain
staffing and program services, and this will come to an end in 2014. Full funding for the
Communicable Disease Program is one of the holes in 2014 JCPH budget.
Food Program Permit Processing
3 BOH Minutes—September 19,21)13
Jared Keefer reported on the evaluation of the impact of the temporary food program fee
increases. In 2012, substantial improvements were made to the program and the program
database was changed. These changes have allowed a more streamlined process and improved
data collection. The program has partnered with WSU and with the Port Townsend Farmers
Market for public education. A revamped permit application captures more information and
increases the opportunity for food safety education. Staff presented data related to permit
tracking in 2012 and year to date information for 2013.
Contract Discussion with Jefferson County School Districts
JCPH has had contracts for providing sex education, scoliosis testing, and other school nursing
services with Port Townsend, Chimacum, Quilcene, and Brinnon School Districts for more than
25 years. In the past, JCPH has used money for children with special health care needs (federal
funding). This funding isn't available anymore and Medicaid administrative match is dwindling.
A letter regarding these funding issues (included in the Board's agenda packet)was sent to all of
the districts.
Flu Season Letter to Providers
Included in the Board's agenda packet is a letter from JCPH Communicable Disease Program
staff to area providers regarding flu and pneumonia vaccines and information about new types of
influenza vaccine available.
NACCHO 2013 Local Public Health Department Profile
• Jean Baldwin reviewed the NACCHO 2013 Local Public Health Department Profile, which
reports that 40% of all health departments nationally have reduced programs in the last year and
will continue to make reductions. One of the most impacted programs is Maternal Child Health.
Public health emergency preparedness has also been reduced substantially throughout the nation.
ACTIVITY UPDATE
None
AGENDA PLANNING CALENDAR
The November Jefferson County Board of Health meeting will be canceled due to a scheduling
conflict with the statewide WA Association of Counties meeting. Notice of the cancelation will
be given according to public meeting procedures.
NEXT SCHEDULED MEETING
Next Board of Health meeting will be held on Thursday, October 17, 2013 from 2:30—4:30 p.m.
at Jefferson County Public Health, 615 Sheridan Street, Port Townsend WA 98368
• ADJOURNMENT
4 BOH Minutes—September 19,2013
•
Chair Buhler adjourned the September 19,2013 Jefferson County Board of Health meeting
at 4:25 PM.
JEFFE i C I TY BOARD OF HEALTH
alr
Phil hnson, ill Buhler, hair
„
Roberta rissell, Member David ulliv. ice Chair
Z12
Arr,
Catharine Robinson, Member Jo1i Austin, Member
Sheila Westerman, Member
• Respectfully Submitted:
Cara Leckenby
41110
5 BOH Minutes—September 19,2013
•
Board of aCealth
Old Business &
Informational-Items
.agenda Item ATT., 1
•
Affordable Care .pct Update:
Wealth Exchange Enrollment
• October 17, 2013
• Washington Healthplanfinder Receives More than .10;000
Applications since Oct. 1 Launch
Many individuals continue to shop through the online health insurance marketplace
FOR IMMEDIATE RELEASE:
Oct. 7, 3:30 pm PST
OLYMPIA,Wash.—Washington Healthplanfindertoday announced more than 10,000 residents completed
• applications for health coverage since the marketplace opened on Oct. 1. Washington Healthplanfinder is the new
way for Washingtonians to find,compare and enroll in health insurance and gain access to free or low-cost health
coverage.
"The number of applications we've received is a strong start to our six-month open enrollment period,"said Richard
Onizuka, Chief Executive Officer for the Washington Health Benefit Exchange. "While we've seen a high level of
initial interest,we know that many individuals will continue to shop and wait to purchase a health plan until much
closer to the effective start of coverage on Jan. 1,2014."
Website traffic and call center volumes continue to demonstrate a high demand for more information about receiving
health coverage through Washington Healthplanfinder.The site has seen more than 837,000 total site visits and
more than 2.5 million page views.
• "Washington Healthplanfinder has been working well this first week and showing further improvements every day,"
said Dorothy Teeter,director of the Health Care Authority,which includes the Medicaid program. "It is clear that
shoppers are able to navigate the system and secure health insurance coverage that fits their needs."
Updated numbers since the Oct. 1 launch include:
Web and Call Center Data
Unique Visitors 165,332
Total Site Visits 837,152
Page Views 2,725,138
Unique Page Views 2,023,610
Accounts Created 39,115
Call Center Volume 23,243
Average Call Center Wait Times 10 min 25 sec
Enrollments Completed
Qualified Health Plans 916
Medicaid Newly Eligible/Coverage Jan. 1 5,946
Medicaid/Immediate coverage 2,594
Total 9,452_
Applications Completed*
Qualified Health Plans 10,497
"Note:Applications completed includes individuals who have completed applications but have not yet
submitted payment. Payment is due on Dec. 23, 2013 for coverage that begins on Jan. 1, 2014.Additional
• paper applications received through community organizations over the weekend are not yet reflected in the
above totals.
"In a single week,we have opened up health insurance to thousands of residents who in the past often had to do •
without timely health care because of the cost,"said MaryAnne Lindeblad, state Medicaid director."Apple Health
enrollments already appear to be matching the levels we achieved in the past with our manual systems."
While many residents are considering their options, officials from Washington Healthplanfinder urge people not to
wait until Dec.23 to sign up to ensure they are able to complete their application in time for coverage that begins on
Jan. 1, 2014.
"It's important that people have enough time to weigh their options and make an educated health coverage decision
for them and their family,"said Onizuka. "We are encouraging people to shop around and make a decision by early to
mid-December if they are able."
If children, pregnant women and family Medicaid applicants are unable to complete an application online, they can
access a paper application through the Health Care Authority website.
For more information about Washington Healthplanfinder and to enroll in health coverage, please visit
www_wahealthplanfinderorg. For more information on the status of Washington Healthplanfinder, please visit the
Exchange site at www.wahbexchanye.orginews-resources/healthplanfinder-status-updates/.
CONTACTS
Washington Healthplanfinder, Bethany Frey, (360)688-7752
Washington Health Care Authority,Jim Stevenson, (360)725-1915
About Washington Healthplanfinder
•
Washington Healthplanfinder will be a new online marketplace for individuals,families and small businesses in
Washington to compare and enroll in health insurance coverage and gain access to tax credits, reduced cost sharing
and public programs such as Medicaid. Washington Healthplanfinder began enrolling consumers on Oct. 1, 2013,for
health insurance coverage beginning on Jan. 1, 2014.The open enrollment period extends through March 31,2014.
About the Washington Health Benefit Exchange
The Washington Health Benefit Exchange is a public-private partnership established in accordance with the Patient
Protection and Affordable Care Act of 2010(ACA)with the goal to redefine people's experience with health care
through the creation of a new health insurance marketplace for individuals and small businesses.The Exchange is
separate from the state and governed by an independent 11-member board appointed by former Gov. Chris Gregoire
in Dec. 2011.
About Health Care Authority
The Health Care Authority includes the two largest state health care purchasing programs—Apple Health (Medicaid)
and Public Employees Benefits system,which handles state employee benefits. Under Medicaid expansion, income
eligibility guidelines will increase to 138%of the federal poverty level effective Jan. 1,2014, increasing state Medicaid
rolls by an estimated 328,000 individuals.
S
Board of aCeaCth
Old Business &
Informationalltems
,agenda Item # IV., 2
•
Girls Night Out:
Breast Cancer Prevention
October 17, 2013
•
Board of.7 fealth
Old Business &
Informational Items
.agenda Item # XV., 3
•
Jefferson County Public Wealth
'WIC Newsletter
October 17, 2013
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very impressive!'-Beth Ross
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"The class helped me be more creative in Lisa Mull
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experimenting.I used the Chicken Cor- "At Arran's class we learned many things,from knife skills
don Bleu recipe and learned how to make to how to make a veggie stock,even how to butcher a
a salad in 10 minutes instead of 45 whole chicken.The best thing about the class was Arran's
minutes. "-Kirsten Boulter excitement and enthusiasm about food.He LOVES food jmPOrtaiit
and cooking,he is so passionate about it!It you go to one healthcal e
of his classes you will see how much he loves it.If you J TE`v�
don't like cooking or think you can't he will change your 1 V W S
mind."-Elann Abeyta (see reverse)
A WIC Clients Breastfeeding Success Story
Allegra Coggins is one of our teen"Breastfeeding superstars". She found out she
was pregnant and knew that she wanted to breastfeed because of all the"healthy :,
benefits". In addition to WIC she qualified for the Nurse Family Partnership pro-
gram with Mary Jo Mackenzie,who is a Public Health Nurse. She would see Mary P.k
Jo weekly and that was helpful in helping her to support breastfeeding and also
about learning all about her pregnancy and taking care of her baby. She found she
was successful at feeding Brielle and she gained weight like"crazy". Brielle started
biting at 6-7 months when she got her teeth. Brielle would not take a bottle so it
was hard that week. Allegra would stop breastfeeding when she bit and told Brielle
that it"hurt". After that week the biting stopped. Another challenge that Allegra .,ti
had was going to school. Her grandmother would help her through this time by . ,
bringing Brielle in when Allegra had a break so she could breastfeed her. Allegra V=
finds that the chemical released while breastfeeding is very calming and Brielle has
4 been very healthy and she is glad that she has been successful with breastfeeding.
Brielle is now 1! We need to thank all those who help to support our breastfeeding ,eic\e‘e
moms!
a
Tha,rtkle for s�.ar�i��l Li,��wl P�‘egc '-
NEWS Flash _NEWS Flash_ NEWS Flash
ViritilASTIVIAE 111-------
October 9, 2013 is Bike or Uninsured? News you need to know below!
TO SCHOOL Walk to School Day!
http://www.walkbiketoschool.org/
YOU FREE OR AFFORDABLE HEALTH INSURAff
ARE for you and your family
HERE i / YOUR The Affordable Care Act(ACA) means that the millions
CHOOL
of uninsured Americans will now have free or affordable
options to get health insurance!
Friday Bouncy Castle is back! A,,, • Even if you were denied Medicaid before,you
Preschool Playgroup ,7 might be newly eligible!
Fridays 10am 12pm Cost$1 per child! 1` t 'V
For children under the age of 5 and their • October 1,2013:you can
apply in the new online
�� insurance marketplace
parents! (( ,4_.
Starting October 4th, 2013 1 • January 1,2014: Use your new coverage to get
Rec Center Uptown Port Townsend & b wellness visits and get healthy!
How to learn more:
Smilemobile returns November 12th • To apply in the new online insurance marketplace
WAHealthplanfinder.org
After a very successful visit to Port • To learn basic information on the law visit:
, ' ,- Townsend in July the Smilemobile www,kff.org/health-reform/
I * ', will return to Port Townsend the week
,_ • Contact Jefferson County Public Health,Jeffer-
of November 12-15 and Chimacum son Healthcare,or Olympic Area Agency on Ag-
November 18-26.
ing
For more information or to schedule Let us help you enroll!
an appointment call: Tuesday mornings,Wednesday afternoons,and al
Thursday mornings,by appointment only.
Julie at the Smilemobile at: 385-9400
1-888-286-9105
Reminder to use your Farmers Market Breastfeeding Tea
checks
` ,
• Meadow Duval's mom �' �` —
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Adrienne says,"Meadow , — �;
selected carrots at the
.� FARMERS ':_ _ , k
MARKET Farmers Market. Seeing ;� \lam�� a.
all the colorful fruits and WAS VI that Here I -� .. " .,,-
mrrtnwruuum+rrwa ^I•w<rm�m n,a. veggies at the Market ,...
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makes her excited to try �` --_-_ „,;-.1-,
resh and healthy local 'C `
food for ever ybodyt them!” ' >/ "` --
r
G i m m ��,� * Come join the breastfeeding tea fun!
is w, Don't forget to use your ,
pnldm
lvr Every you time Senior H Wednesdays 1:3m
a r:. Farmers Market checks
oucher at theVfarmers market
we
before the end of the end Jefferson County Public Health
we will match it with _ r�'�
3'g an extra
token ® of October! • Visit with other moms
And get an extra$5 • Relax&have tea
_
--xa.. token everytime you Chimacum Sunday 10-3 •
®spend at least$10 in EBT All breastfeeding,pregnant women,
at the market!limit 2 children&babies welcome
extra tokens per day Port Townsend • Ask a breastfeeding expert
Wed 2-6,SAT 9-2 Meadow age 3
Questions:385-9400
0 PUBLIC HEALTH In accordance with Federal Law and U.S.Department of Agriculture policy,this institution is prohibited from
"I"'" FOXY discriminating on the basis of race,color,national origin,sex age,or disability.
•
Board of Health
Wow Business
.Agenda Item #17.,2
•
Environmental3fealth
Proposal for Enforcement
Cost Recovery
October 17, 2013
Environmental Health proposed enforcement cost recovery
"'Description of Issue:
Setting a fee to recoup our costs where enforcement actions call for the need to file a notice of non-compliance to the
property title. It is used to inform interested parties that there is an unresolved violation of state or local code on the
property. Interested parties include the public, current and future property owners and lending institutions.
Background:
We operate from policies and procedures adopted by the BOCC, BOH, the Health Officer and JCPH Director. We have
also been working over the last several years to develop standard operating procedures to assist staff in maintaining
consistency and effectively utilizing the available tools.
Our tools include:
• Verbal and written communication supplements by educational materials and technical assistance
• Notice and Order to Correct
• Compliance Agreements—generally include timelines for correction and may include temporary mitigation
measures
• Civil Infraction (ticket)
• Referral to JC Prosecuting Attorney
• Notice to Title for Non-Compliance
• Warrant of Abatement
III1Pn many cases these tools overlap, i.e. after a civil infraction is written the client requests or is ordered to do a
compliance agreement.
Most enforcement cases require many months or years to resolve. Internally we use the Tidemark database to
document our actions.
The notice to title aids in reducing the chance that identified violations do not 'fall through the cracks' due to a change in
ownership or staff. We view it as part of the strategy to obtain movement toward corrective action. If a client is
unresponsive to the standard written notices requiring action, a letter would be sent stating that "if no response within
XX days a notice will be filed to the property and $xx will be charged to rescind the notice after the corrections are
completed".
We use the notice to property title for a variety of other programs to document conditions that exists such as the
requirement to monitor a septic system, the use of a water supply that requires treatment to meet bacteriological
standards, the presence of a meth lab, long term unresolved violations.
This tool has been under utilized to date because of the prohibitive costs to manage.
Specific Request:
Each notice is based on the individual case. It must identify the specific conditions that have been observed and actions
aken by JCPH with dates. Costs include administrative time to process (send for recording, file, etc), creating the notice
and the rescission by EH Specialist, communicating with the current or future interested parties about the notice
(options to correct/resolve), fees for recording the initial notice and the rescission. We estimate approximately 5.5 staff
hours to process, record and rescind plus the recording costs of$72/document times 2 for a total of$512.00.
•
Board of gCealth
Netiv Business
.agenda Item #17., 3
� temporary Food Program
Permit .activity Report
October 17, 2013
r
Temporary Food Establishment Program Information
Delivered on 9/19/13
Introduction
Initial time study done in 2011 and BOH fees and fee structure changed. The BOH instructed the agency
to evaluate the impacts of changes made to the fee schedule after one year. In 2012, we made
substantial operational changes to the program to increase effectiveness, improve transparency and
streamline processes. In order to account properly for that change,we postponed our evaluation until
2013.
System improvements made:
• Updated the permit tracking database used by DCD and some EH programs to the most recent
version—More functionality and data capture ability (time inputs,financial info, etc.)
• Migrated the food permit tracking into that database—less resources used, more efficient
system and streamlined permit processing
• Provided more resource information to the public via the agency website and community
workshops—reduced staff time providing information on an ad hoc basis
• Redesigned the permit applications to be more comprehensive and also a platform for
education—reduced staff time spent on permit compliance prior to the event
• We are now able to conduct a more thorough data analysis than was done in 2011. This will be an
introduction to the overall impacts of changes made to the program since 2011. As a BOH review
continues, we will detail system time inputs, permitting data, inspection data and suggested resolution.
Accompanying financial data will be included with each topic
Today's Takeaways
• Approximate 73% increase in Temp Food Permits issued (will be greater by the end of the year)
• Approximate 39% reduction in average staff time spent per permit issued
• Very wide range of time spent on permitting Temp Food Establishments (from 20 minutes to
8.92 hours/permit)
• Minimum permit expenditure—Approx. $22.33 (20 minutes), minimum permit revenue—$16.00
(Additional event permit fee)
• Maximum permit expenditure—Approx. $597.00, maximum permit revenue—$208.50
11111 • Revenue covers approximately'%of expenditures(29%gap)
'-�.1{'
Temporary Food Establishment Program Information
Delivered on 9/19/13
S
General 2011 Findings
Permits issued 146
Study Sample Size Approx. 20%of all permits issued
Mean time spent per permit (directly attributable Approx. 133.23 minutes (cost in today's dollars of
to a permit) $148.77*)
*Not inclusive of all the other programmatic expenses(admin&
overhead,general citizen inquiries,etc.)
General 2013 Findings*
*all permit activity up to September 2013
Permits issued 254 YTD (approx. 73%increase from 2011)
Approx. program expenditure $29,676.53* *includes EH Directors time when utilized
Approx. program revenue received $20,944.50
Gap $8,732.03 (-29.42%) •
Study Sample Size No sample,this is population data
Mean time spent per permit (directly attributable Approx. 81 minutes (expenditure in today's
to a permit) dollars of$98.27) (approx. 39% reduction from
2011)
Range of Minutes spent per permit 20—535 (min expenditure $22.33)
Mean time spent per permit(includes all permit Approx. 75 minutes (expenditure in today's
related activity, even those who do not obtain dollars of$83.88)
permit)
Range of Minutes spent per permit activity 10—535 (min expenditure $11.17*)*Keep in mind
that for some of the activities conducted,there was$0.00 cost
recovery
Outliers:
All County Picnic (14 hours total - $943.58, collected $128.00; 6.42 hours spent on 1 vendor-$429.92,
$16.00 collected)
Fort Discovery Unity Celebration (8.91 hours spent-$597.42, collected $139)
*Expenditures are estimated at the current hourly rate-$67.00
•
•
Board of Health
Wow Business
Agenda Item #17., 4
2014 . Iefferson County
Public Health Budget
October 17, 2013
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•
Board of Cealt(1
.�v(edict Report
•
October 17, 21913
c
• Jefferson County Public Health
September/October 2013
NEWS ARTICLES
1. "ENVIROSTARS - Certified - Dentists," Port Townsend Leader, September 11th, 2013.
2. "Gibbs Lake reopened after recent tests; Anderson still closed," Peninsula Daily News,
September 16th, 2013.
3. "Girls' Night Out has ladies feeling 'in the pink', Port Townsend Leader, September
18th, 2013.
4. "10th Annual Port Townsend Girls' Night Out," Port Townsend Leader, September 18tH
2013.
5. "Fishing season still stresses Big Quil," Port Townsend Leader, September 18th, 2013.
6. "DOE approves mill's discharge permit," Port Townsend Leader, September 18th, 2013.
7. "Health Access Fair: Got questions?," Port Townsend Leader, September 18th, 2013.
8. "Jefferson Health Care- Health Access Fair," Port Townsend Leader, September 18tH
2013.
9. "Get covered: Learn about Affordable Care Act, Sept. 26," Port Townsend Leader,
September 18th, 2013.
10. "City makes $12 million water system choice," Port Townsend Leader, September 18tH
2013.
11. "Forum on city water system is Sept. 19," Port Townsend Leader, September 18th, 2013.
S 12. "Health care act focus of seminars," Peninsula Daily News, September 231d, 2013.
13. "10th annual Girls' Night Out is Oct. 3," Port Townsend Leader, September 25th, 2013.
14. "Cop watcher, records 'geek'," Port Townsend Leader, September 25th, 2013.
15. "Raffle tickets on sale for downtown Port Townsend shopping, cancer program
event," Peninsula Daily News, September 25th, 2013.
16. "Envirostars - Certified - Dentists," Port Townsend Leader, September 25th, 2013.
17. "Local help before `Obamacare' kicks in," Peninsula Daily News, September 26th, 2013.
18. "North Olympic Peninsula gets ready for `Obamacare' -with not enough providers in
Clallam County," Peninsula Daily News, September 29th, 2012.
19. "Affordable Care Act: 4,600 local residents eligible," Port Townsend Leader, October
2nd 2013.
20. "More flu vaccine options available this season," Port Townsend Leader, October 2nd
2013.
21. "Girls' Night Out - A Day & Night of Fun & Shopping," Port Townsend Leader, October
2nd, 2013.
22. "Goodie gals," Port Townsend Leader, October 2nd, 2013.
23. " Mental illness is not a crime - but officers face it daily," Port Townsend Leader,
October 2nd, 2013
24. "New DUI laws in effect," Port Townsend Leader, October 2nd, 2013.
25. "Nonprofit's director using her cancer diagnosis to encourage others," Peninsula Daily
News, October 2nd, 2013.
26. "Get Covered Jefferson County! Health Insurance, Affordable Care Act," City of Port
Townsend Newsletter, October 2013.
27. "10th Annual Girls' Night Out-All Day Too!," City of Port Townsend Newsletter, October
• 2013.
28. "The Smile Mobile," City of Port Townsend Newsletter, October 2013.
29. "Luncheon Speakers — Oct. 28 — Erin Brown, Julia Danskin," Jefferson County Chamber
of Congress, October 2013. •
30. "Girls Out Raising Fun in PT," Peninsula Daily News, October 4th, 2013.
31. "THE SHUTDOWN, DAY 6: Jefferson, Clallam counties may take money hit if federal
impasse lasts long," Peninsula Daily News, October 6th, 2013.
32. "It's slow going in Jefferson County for Obamacare," Port Townsend Leader, October
9th 2013.
33. "Girls' Night goodies," Port Townsend Leader, October 9th, 2013.
34. "Health lesson or artists, art educators," Port Townsend Leader, October 9th, 2013.
•
•
,
•
•
ENVIROSTARS-
CERTIFIED
irow-riasnrs
Uptown Dental Clinic
385-4700
Tyler Fordham,DDS
• 385-7000 - -
Dentistry Northwest
385-1 000
Envirostars Certification is fiee and
can help you attract new customers.
PUBLIC HEALTH
•ALWAYS WORKING FOR A WIFER AND
HEALTHIER COMMUNITY'
To get certified call 379-4489 '
•
, Y
Gibbs Lake reopened after recent tests; Anderson still closed
By Leah Leach, Peninsula Daily News, September 16th, 2013
•PORT TOWNSEND — Gibbs Lake has been reopened after tests last week found algae-created toxins
to be at a safe level.
Toxins remained low in Anderson Lake, but a heavy bloom, thick with scum, convinced State Park
officials to keep the lake near Chimacum closed.
Preliminary results from King County Environmental Labs of samples taken Sept. 9 found 0.24
micrograms of microcystin per liter in Gibbs Lake, well below the recreation guideline of 6 micrograms
per liter, said Michael Dawson, lead environmental health specialist at the Jefferson County Public
Health Department.
Gibbs Lake south of Port Townsend had been closed since July 18 because of high levels of microcystin,
which can cause skin irritation, nausea and muscle weakness if touched and liver damage if swallowed
over a long period of time.
It is now posted with a caution sign.
Fishing is permitted, but fish should be cleaned well with the guts discarded, and the health department
warns that some toxin may be present in the fish tissue.
Visitors also are warned not to drink the water, not to swim or boat in areas of scum and to keep pets
and livestock away.
It was the second consecutive sample below the recreational guideline for the toxin. Because toxins can
. rise quickly, health officials wait for two such tests to confirm low levels before changing the status of a
health.
Test results for Anderson Lake also showed low levels in the second consecutive test—0.08
micrograms of anatoxin-a per liter, below the recreational guideline of
1 microgram per liter, and 0.23 micrograms of microcystin per liter.
The algae bloom has grown heavier since the last observation in August, however, and although the
species of algae has not been identified through tests, it appears to be the typical anabaena-dominated
bloom for Anderson Lake, Dawson said.
Anabaena is a species of algae that is considered to be responsible for creating anatoxin-a, a potent
nerve poison that can kill within four minutes of ingestion.
"Although toxins are low, State Parks has determined that due to the heavy bloom of toxic species, it will
keep the lake closed," Dawson said.
Anderson Lake has been closed since May 17, only three weeks into the fishing season, because of high
levels of anatoxin-a.
The 410-acre state park around the 60-acre lake remains open for hiking, biking and horseback riding. A
Discover Pass is needed to park there.
No toxins were detected in Lake Leland north of Quilcene, but because of a light bloom, it remains
posted with a caution sign.
Both anatoxin-a and microcystin are created by some strains of blue-green algae, also known as
cyanobacteria, which are usually benign but which can suddenly begin to poison the freshwater lakes
they grow in.
Scientists don't know why, although they do know that algae growth is fueled by nutrients such as •
phosphorus, which is usually found in heavy concentrations in Anderson Lake, daylight and warmth.
Testing for toxins was weekly until this year, when the state Department of Ecology cut back to funding
only monthly tests.
Toxin-producing blue-green algae has not been spotted in Clallam County.
Report algae blooms in Clallam County by phoning 360-417-2258, while Jefferson County blooms can be
reported at 360-385-9444.
For more information about Jefferson County lakes, visit http://tinyurl.com/jeffersonlakequality or phone
the office.
Managing Editor/News Leah Leach can be reached at 360-417-3531 or at leah.leachpeninsuladailynews.com.
• Girls' Night Out has ladies feeling 'in the pink'
Posted: Wednesday, September 18, 2013, Port Townsend Leader
The 10th annual Girls' Night Out, a day and night of female camaraderie and
shopping fun, is 11 a.m.-8 p.m., Thursday, Oct. 3. The theme of this year's Girls'
Night Out is "In the Pink."
More than 20 participating businesses offer special events, in-store promotions
and refreshments during Girls' Night Out.
The evening ends with a "wrap" party at 8 p.m. at Alchemy Bistro and Wine Bar,
842 Washington St., featuring a no-host bar, appetizers, desserts and door
prizes; $5 suggested donation at the door. Goodie bags, $10, go on sale on Oct.
1 . Each bag contains store coupons, Ozone socks and gifts donated by local
merchants.
Raffle tickets, $5 each, are on sale at participating Girls' Night Out stores. Winner
receives one night for two people at the Big Red Barn; a massage and facial from
LaBella Day Spa; a Khu Larb Thai gift certificate; a robe from Manresa Castle;
• and a digitally-sized image by Deja View Photography for the winner's Facebook
business profile photo.
Raffle ticket sales benefit Jefferson County Public Health's breast and cervical
cancer program and the Port Townsend Main Street Program, a 501(c)(3)
nonprofit. For a list of participating businesses and raffle ticket sale locations,
visit ptmainstreet.org. This event is sponsored by the Port Townsend Main Street
Program, Jefferson Healthcare and participating businesses.
•
for •
106 Annualr !
L
Port Townsend
Girls' Night Out
"In the to " 24-
Ma
ry Florence Mullen,1942
A Day & Night of
Girlfriend Fun & Shopping!
Thursday, Oct. 3rd
11 am-8pm
Uptown&Downtown
Specials,discounts,drawings
&treats at 30+stores!
(See list at ptmainstreet.org)
Get Your Goodie Bags at:
UPTOWN
Uptown Nutrition,1002 Lawrence St.
DOWNTOWN
About Time,839 Water St.
April Fool&Penny Too,725 Water St.
Bickie's Cotton Casuals,926 Water St.
The Clothes Horse,910 Water St.
The Green Eyeshade,720 Water St.
•
Maricee,913 Water St.
Get your"int the Pink"raffle ticket
for a chance at a$600 prize!
Available at participating stores;$S each
—an overnight fortwo at the Big Red Barn in Port Townsend,
—a portrait sitting and photo by Deja View Photography
—a massage&facial from LaBelle Day Spa
a fluffy spa robe from Manresa Castle
-dinner for two;atKhu Larb Thai •
Wrap Party at Alchemy Bistro&Wine Bar,842 Washington St.,8 pm Oct.3rd-
$5 suggested admission;door prizes,no-host bar,appetizers and dessert!
Proceeds benefit Jefferson Co.Health Dept Breast/Cervical Health Fund for
Women in need and PT Main Street Program,a 501 c3 nonprofit.
Jefferson
Healthcare
=SWEDISH Health Network Affiliate
Sponsored by PT Main Street Program,Jefferson Healthcare,OZONE Socks,
and Participating Merchants.Details at www.ptmainstreet.org
•
9// /r,
* r
Fishing season still stresses Big Quil
• Viviann Kuehl, contributor I September 18, 2013 5:00 am, Port Townsend Leader
Two years ago, Quilcene oyster beds were closed because human waste and trash polluted
the Big Quilcene River during the fall fishing season.
This fishing season, the situation is much better, with the help of two portable toilets and a
dumpster placed by Jefferson County Public Health. But problems persist.
Complaints have been made regarding illegal fishing, trespassing, littering, and poor
sanitation.
"The six weeks when the fishery is open are a short period when impacts are intense. It's an
episodic disturbance of the river," said Mark Downen, Washington State Department of Fish &
Wildlife fish biologist for Hood Canal.
Mitigating those impacts is difficult.
"The short story is that it's a federal hatchery putting a great quantity of fish into a state river
accessed through a county park and county road, bordered by private owners, and used by
two different groups — people with fishing licenses and five different tribal entities — with two
different fishing regulations," said Kathleen Kler, Quilcene resident and Jefferson County
"'larks Advisory Board member, "so trying to get all of those people involved together is
proving to be a challenge."
Still, progress has been made.
"The county has made an enormous difference, but there are ongoing issues with
compliance," said Downen. "This fishery is a privilege, a privilege that could be revoked if the
environment is not taken care of."
WDFW biologist Rick Ereth has been talking to anglers, emphasizing expectations.
"I tell people that, basically, trespassing is not acceptable, and it's better to pick up after
someone else if you see trash than to leave it, and if you see someone doing something
wrong, talk to them, and if that doesn't work, call us. If we don't keep this clean, we'll lose the
fishery," Ereth said.
Report violators by calling 911 or the Washington Department of Fish and Wildlife at 1-877-
933-9847, or by sending a text message to Tip411 (847411).
"The county has been working hard trying to find a sanitation solution. The portable toilets
ditook care of part of the problem, because the north side of the river is also heavily used,
used' being a euphemism," said Kler.
"Even if it's better now, we have to make sure it's better than that," said Ereth.
I
Signage is being added to better inform anglers of property and fishing area boundaries.
Currently, red paint on the riverbank marks the fishing zone boundary, and some signs have
been obscured by foliage.
WATER QUALITY
Michael Dawson, Jefferson County Public Health Environmental Health and Water Quality
staff, found some grant money to pay for a dumpster and two portable toilets in county-owned
Riverside Park, but this is the last year that funding is available, he said.
"Mike took it on himself to find funding sources," said Jared Keefer, JCPH Environmental
Health and Water Quality director. "He was successful, and last year it made a tremendous
difference. It didn't completely solve the problem, but it made a huge impact and kept the
shellfish beds open."
"We do weekly water quality monitoring, and all our results have been low for E. coli," said
Dawson.
Exposure to sewage or contaminated water can lead to hepatitis, diarrhea, dysentery and
other gastrointestinal maladies.
"This year the water quality has been good so far, so we are not concerned with the shellfish,
but we are concerned about these complaints we've received," said Dawson.
Thep ortable toilets and dumpster have proven popular and effective. They are available •
during the fishing season, and emptied weekly.
However, there have been problems with the dumpster.
It was pushed down off the pavement, causing service access problems. More people, other
than anglers, are using the dumpster.
"We have had instances of dumping household waste, so we will be sending dumping
tickets," said Keefer.
Illegal dumping is a civil infraction and carries a $1 ,025 fine. Currently, three citations are
being processed, he said.
"I really want to commend the community for taking the initiative to inform anglers that this is a
residential area, this is a community, not a dumping ground," said Keefer. "The community
still has been seeing garbage and solid waste being deposited in residential areas."
•
t
FUTURE PLANS
Representatives from various stakeholder groups met informally last week to initiate a
•cess involving all stakeholders to come up with solutions.
"We really do need to find a permanent solution," said Kler. "We're hoping that by inviting all
of the parties to do a small contribution we would have enough to make a commitment that
will have an ongoing impact. We're not saying a certain part is your problem, it's just a shared
problem, and can we find a shared solution?"
"The community has been dealing with this for far too long, in my opinion," said Keefer, who
has taken on the county's lead agency role. "We're looking at where we need to go to solve
the entire issue."
Downen suggests that a solution needs to be low impact, with a small footprint for this intense
episodic disturbance of the river.
Proposals include seasonal facilities and a vault toilet, and funding is an issue.
Portable toilets and dumpsters during the fishing season would be cheaper than a permanent
facility, but funding is not available on an ongoing basis, noted Keefer.
"Unfortunately, no one else has stepped up to say we will fund that," he filio date, the only permanent solution is a state Department of Health commitment to permit
and install a vault toilet at the park," said Keefer, "and with that there are maintenance costs,
which we are concerned with."
The vault toilet grant requires that a maintenance agreement and a toilet be in place by
August 2014. All of the normal permitting processes, including critical areas review and
endangered species reviews, would have to be done, and would dictate where it would be
placed, said Keefer.
Annual pumping, and a park steward to lock and unlock it and keep it clean, are anticipated. It
could be open year-round, but maintenance costs go up.
County commissioner budget priority decisions have led Jefferson County Parks and
Recreation to reduce facility maintenance costs in recent years through closure and heavy
reliance on volunteers.
Keefer is looking for any interested parties, including community groups, to come up with an
agreement.
"It's a logical place in a county park, with parking and easy access. It's not the only place, but
lie place I think we can best serve the crowds that come in," said Dawson, who hopes to get
something in place before the next fishing season.
f f
DOE approves mill's discharge permit
• By Allison Arthur, Port Townsend Leader I Wednesday, September 18, 2013
After reviewing 236 comments from 100 people and organizations, the state Department
of Ecology (DOE) is issuing a new five-year permit to the Port Townsend Paper Corp.
that allows daily discharge of 12 million gallons of treated wastewater into Port
Townsend Bay.
DOE spokeswoman Linda Kent said Monday that some "very good, detailed comments"
led to some changes in the permit, which goes into effect Oct. 1.
A requirement that the mill produce quarterly progress reports for an odor-minimization
study was added to the permit. Also added were a mixing-zone study update and
changes in monitoring and reporting requirements, including outfall evaluations, as well
as the addition of oil and grease monitoring, she said.
"A number of minor changes were also made to the permit to more accurately represent
the operation of the facility and to provide clarification," Kent wrote Monday in an email of
changes made to the permit after public comments were made.
Kent also noted that the DOE took extra steps to get the public's input on the permit
• because of the interest from the community.
The DOE released a draft in April and allowed people 59 days to comment, 29 more
days than it typically allows. A number of people came to a formal hearing in Port
Townsend June 4.
People questioned what the mill was doing to reduce the odors associated with the
aerated stabilization basin, better known locally as "the pond," which holds the 12 million
gallons of water the mill uses daily, and then some.
REACTIONS
Kevin Scott, mill spokesperson and environmental director, said Monday he had not had
a chance to review the permit so he could not comment.
Dave McWethy, a county resident who has been studying the mill's various permits,
including the discharge permit, said in an email Monday that it appeared the DOE "has
been willing to make changes due to comments that have shown specific flaws in the
proposed permit."
• "DOE has a big job to cover all bases. Rather than act defensive, they have wisely
accepted help from the public," McWethy said.
, I ,
McWethy also said he felt DOE's requirement on oil and grease containment has come
up short.
"DOE acts as if all pollutants go to the outfall at a steady stream," he said. 'If testing for
oil (quarterly) is done when no oil is present, the assumption is that there is no issue,
which doesn't pass the no-brainer standard, any more than the assumption that oil
disperses like water-soluble substances," he wrote.
MILL RESPONSE
After that June 4 public meeting, where a number of people complained about the lack of
a hotline for the public to leave comments, mill officials revised a Community Impact Line
June 11 that allows people to comment on odor or any other mill-related issue, good or
bad. The number is 379-4224.
In August, the mill announced it would be seeking help from the community in
determining whether a $150,000 trial to reduce odor is working.
The mill is pumping pure liquid oxygen into one waste stream to see if it will reduce, if
not snuff out, the smell of sulfur.
30 DAYS TO APPEAL
Although the mill's National Pollution Discharge Elimination System (NPDES) permit is to •
be issued Oct. 1, the DOE's Kent said anyone who believes the DOE has erred in
issuing the permit can appeal the decision to the state Pollution Control Hearings Board.
They would have 30 days from the date they received the notice of the DOE's intent to
issue the permit to file the appeal.
The mill's permit expired in 2009 but the mill had filed a timely request to renew it. The
DOE only recently said it had the time to review and update the permit.
Health Access Fair: Got questions?
• By Allison Arthur, Port Townsend Leader I Wednesday, September 18, 2013
Erin Brown hears four words almost every day at her job as a financial counselor at
Jefferson Healthcare: "I just don't understand."
"We get that about bills, about insurance, about their care and diagnoses," said Brown,
who was promoted to financial counseling supervisor at the hospital earlier this year.
And it was in that new capacity as supervisor that Brown started to reach out to people in
Jefferson County who could help her employees answer that four-word statement she
was hearing daily.
"I went to public health, [insurance broker] Kristin Manwaring's office, O3A [Olympic Area
Agency on Aging]. I met with each entity and I thought it would be great for people to
have the experience I did," said Brown of getting to know what each agency offered. "We
get all the same questions without knowing the full scope of what other organizations
were doing."
From those visits with other agencies, Brown came up with the idea of putting on a
Aih Health Access Fair so that the public could have one-stop shopping for information about
glir what those agencies offer.
Then came the Affordable Care Act — better known as Obamacare — and it was no
longer just a nice-to-do fair but a need-to-do-now kind of thing.
Thanks to Brown's suggestion, Jefferson Healthcare is hosting a free Health Access Fair
from 11 a.m. to 2 p.m., Saturday, Sept. 21 , in the Erickson Building at the Jefferson
County Fairgrounds in Port Townsend.
"We're all neighbors in the same neighborhood. This fair is kind of like a block party,"
said Brown of seeing her health-care-access potluck idea take shape over the last few
months.
A lot of people have a lot of questions, and the goal of the fair will be to serve up
answers to some of those questions.
So whom is the fair for?
"I want everyone to come, potential patients, people who have health issues, people who
don't have health issues, loved ones," said Brown.
"Medicaid will be expanding. There's the Health Exchange. There are specialists
regarding Medicare who can speak to Medicare supplemental plans. Kris [Manwaring] •
has specialists," she said.
And there will be an explanation of the only two health care plans to be offered in
Jefferson County, through Premera and LifeWise.
NAVIGATING IT ALL
Jefferson Healthcare chief executive officer Mike Glenn speaks at the fair, as does John
Hanson, a rural health specialist for the state Department of Health's office of community
health systems. A physician at the hospital also is expected to speak on the importance
of preventive medicine.
Brown, who is working toward a master's degree in public administration, says she
understands the frustration people have. She has been a financial services counselor
since 2009 and she's heard a lot of questions over the last few years.
"The role of a financial counselor is to help the patient navigate through their bill and also
their insurance," she said. "It's like another language. It's been helpful to have financial
counselors act as translators."
Since she was promoted to supervisor in February, two other financial counselors have •
been hired to assist people.
The hospital, Jefferson County Public Health and 03A all will have a representative
present to assist people in buying health care insurance starting on Oct. 1 , in anticipation
of health care insurance becoming mandatory in 2014.
IMPROVING COMMUNITY
It is estimated that by the end of 2013, Jefferson County will have a population of 30,800
people. Of those, roughly 4,600 people — 14.8 percent — will be uninsured.
Of those 4,600, about 1 ,900 may qualify for insurance with federal subsidies, and
another 1 ,300 may qualify under the Medicaid expansion.
Details about the new health insurance programs available through the Washington
State Health Insurance Exchange, beginning on Oct. 1 , are among the information
agencies are set to share at the Sept. 21 fair.
"Unfortunately, health care insurance can be intimidating," said Brown, adding that the
fair idea is designed to help people get the answers they need and make it all a little less
confusing.
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Understand Your Healthcare options Get Covered Jefferson County
Get all the information to enroll into the right insurance plan
for you and your family beginning October 1,2013.
Presentations by Jefferson Healthcare
Washington State Office of Community Health Systems
Assistance by Jefferson Healthcare's Financial Counselors
In-Person Assistors from Jefferson Healthcare,
Jefferson County Public Health and Olympic Area Agency on Aging
Kristin Manwaring Insurance
Healthy food demonstration by Chef Arran Stark
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Get covered: Learn
about Affordable
Care Act, Sept.26
Jefferson Healthcare
hosts a free program to
help individuals under-
stand their health insur-
ance options through the
Affordable Care Act (ACA),
6:30 p.m., Thursday, Sept.
26 at the Jefferson County
Library, 620 Cedar Ave.,
Port Hadlock.
The ACA requires indi-
viduals to have health
insurance starting in
January 2014. Washington
Healthplanfinder, a new
online resource to compare
and enroll`in plans and
determine, eligibility for
Medicaid, becomes available
for use on Oct. 1.
This free program is
presented by Erin Brown,
financial:counseling supervi-
sor at Jefferson Healthcare,
and Kristin Manwaring •
of Kristen Manwaring
Insurance. Brown reviews
how individuals can get
;assistance during open
enrollment from Jefferson
;Healthcare, Jefferson
County Public Health and
the Olympic Area Agency on
Aging.
Manwaring provides
information and answers
questions to help individu-
als understand health insur-
ance options.
For more information,visit
jclibrary.info or call '385-.
6544.
•
9//W//,3
City makes $12 million water system choice
• By Tristan Hiegler of the Port Townsend Leader, Wednesday, September 18, 2013
The Port Townsend City Council voted 6-0 Monday night to pursue membrane filtration
for the city's water system in response to new requirements by the state Department of
Health.
The city is facing state mandates to either better manage its watershed or install a
filtration system. City Manager David Timmons said the DOH's proposed control
measures for the watershed would be too expensive, so city staff recommended the
membrane filtration option.
"It's not something we can ignore or choose to ignore," Timmons said.
The city had been pursuing an ultraviolet light purification system in response to a
federal mandate regarding protection from the parasite cryptosporidium. The project —
currently at 60 percent design — is being dropped in favor of the membrane system. UV
was estimated to cost $9 million, with the membrane plan potentially making the total
$12 to $14 million.
Timmons said grants, low-interest loans and other measures could help manage costs.
He said the watershed management or filtration system decision had to be made by
Sept. 20, according to a DOH timetable, and a compliance agreement has to be in
• place in November.
Speaking for membrane filtration, Councilor Deborah Stinson said she thinks the
system would provide greater stability and predictability. She said federal and state
regulations could change in the future, costing the city more money if it's not prepared.
"The reality is the rug could be pulled out as we move forward," Stinson said. "It's my
understanding that filtration provides for a safer water system from a greater variety of
pathogens."
The forced move to a filtration system could be a "mixed blessing" going into the future,
Stinson noted.
Councilor Michelle Sandoval said that certain measures suggested by the DOH, such
as installing cameras and fences throughout the watershed that the city does not own,
would be prohibitively expensive. She said she was uncomfortable with such
"draconian" measures.
PUBLIC CONCERNS
Several people spoke up during the public comment period, urging to city to not rush its
decision.
Gretchen Brewer, Port Townsend Air Watchers, asked the council to seek more time
from DOH. She said she was worried about water pressure dropping from a new
system. She said pumping water would raise costs.
Timmons said while certain filtration methods, such as a slow sand system, would drop
pressure system-wide, the membrane system shouldn't have that issue.
Joe Breskin, who helped develop the city's 1994 watershed management plan, said the •
restrictions imposed by the DOH might not be as severe as the city fears. He said the
DOH has stated they want to work with the city.
The city, which draws its water from the Big Quilcene and Little Quilcene rivers, has a
remarkable watershed, according to Breskin. He said it has certain geological and
vegetation features that produce great drinking water. He encouraged the city to stick to
implementing portions of the management plan and to work closely with the U.S. Forest
Service.
David Goldman argued water quality and purity should be a top priority, and that the
city should be implementing every aspect of its watershed management plan.
"Nothing could be more important to health, safety and welfare than water," Goldman
said. "I think you want to be very, very diligent on this."
Most of the city's watershed is in the Olympic National Forest, managed by the Forest
Service. According to Timmons, while an agreement is in place with the service, the
agency failed to show up for the latest watershed inspection due to staff shortages and
budget cuts.
City water rates increased in September 2013, and annual customer increases are
planned to pay for system improvements. •
•
•
• Forum on city water system is Sept. 19
Port Townsend Leader, September 18, 2013 5:00 am
The Port Townsend Air Watchers sponsor a community question-and-answer
discussion called "What's in Store for City Water," tomorrow, Sept. 19.
The speakers are Ian Jablonski, the City of Port Townsend's water quality and
water distribution manager, and Joe Breskin, who negotiated the current
watershed agreement between Port Townsend and the state Department of
Health.
The forum is set for 6 p.m. at the Port Townsend Community Center, 620
Lawrence St. Learn more at ptairwatchers.org.
According to an Air Watchers release, one issue to be discussed is the 99-year
lease between the Port Townsend Paper Corp. (PTPC) and the City of Port
Townsend. The current lease expires in about seven years.
Port Townsend's municipal water is supplied by the Big and Little Quilcene rivers
through gravity. The city received water rights to the two rivers in 1927, according
• to the release. The existing surface water system has been in operation since
1928. All water flows through City Lake, which serves as an equalizing reservoir.
The Air Watchers state that other than Lords Lake and City Lake, which are
owned by the city, 95 percent of the municipal watershed is in the Olympic
National Forest, with the remainder in the Olympic National Park. Since 1966, the
U.S. Forest Service has considered Port Townsend's municipal watershed to be
a special management area within the Olympic National Forest.
In addition to serving 800,000 gallons each day to commercial and residential
users in the city of Port Townsend, 12.5 million gallons each day is provided to
PTPC, according to the release.
The City Council faces a decision, to be made by Sept. 20, in regard to state-
mandated water filtration system improvements. City water rates are increasing
in September in anticipation of the costly improvements, which now could
become even more expensive, depending on what the state stipulates.
•
I. • ,
Health care
fled insurance brokers will For more information,
be available�to help people see http:!/castellnsurance.
enroll in new :t::
coin!.
c u s age options. Beginning Oct 1,people
•
act No list is can get informatioRi from,
the state website at representatives a � seven
wahealthplanfinderorg. agencies on the North
Instead, people are
e m i n a rs encouraged to contact their Olympic Peninsula.
The agencies; and the
of S current brokers or email offices where help can be
the state at producer@wa found,are:
hbexchange.org to find one. III Olympic . Area
PENINSULA DAILY NEWS Forks Agency on Aging — 411
A town hall meeting in Sequim
Forks tonight and a free Tonight's meeting in W.Washington St.,Sequin,360-452-3221; 481 Fifth
seminar in Port Hadlock on Forks will be from 7 p.m.to Phil Castell and the staff
Thursday are among the 8:30 p.m.at the Elks Lodge, of Castell Insurance at 426 Ave., Forks, 360-374-9496;
places where people can get 941 Merchants Road. E. Washington St., Sequim, and 915 Sheridan St., Port information on the Afford- Those from 19 to 65 years have attended classes by the Townsend,360-385-2552.
II Volunteers in Medi-
able Health Care Act and old are encouraged to attend state Office of the Insurance cine of the Olympics —
the Washington . State and learn about the health Commissioner and met with 909 Georgians St., Port
Health Benefit Exchange. care insurance mandate and insurance companies that Angeles,360-457-4431.
Castell Insurance of to make an appointment to will offer health plans.
Sequim also will host Sat- look at options for health They will discuss the III Olympic Medical urday the third of four free care coverage. federal Protection and Center—939 Caroline St.,
Port Angeles,360-417-7000.
seminars on options avail- The meeting is spon- Affordable Care Act, better ■ Jefferson Health-
able.All are at the Holiday sored by Senior Information known as "Obamacare,".as care hospital—834 Sher-
Inn Express, 1441 E.Wash- & Assistance of Forks and well as the sign-up period idan St., Port Townsend,
ington St.,in Sequim. Reg- Forks Community Hospital. that begins Oct.1,the work- 360-385-2200
istration is necessary. ings of the state exchange, II Jefferson County
Beginning in January, Port Hadlock how to shop for a plan, Public Health Depart-
people may be eligible for A free seminar on the pluses and minuses of the went — 615 St., •
affordable health insurance four. levels of plans avail- Port Townsend,Sheridan St.
Washington State Health able — bronze, silver, gold 9400.
through the Affordable Benefit Exchange will be and platinum — and the
Health Care Act, which offered at the Jefferson ■ Planned Parent-
availability of tax credits.
requires people to have health County Library, 620 Cedar "My office has devoted hood of the Great North-
insurance starting in 2014. Ave.,at 6:30 p.m.Thursday. many hundreds of hours to west, Port Angeles Health
The state online The program will be pre Center—426 E.Eighth St.,
Erin learning everything possi- Port Angeles;800 230-7526.
exchange set up under the sented by Brown, ble about this subject,"Cas- ■ Forks Community
Affordable Care Act to find financial counseling super- tell said.
and purchase individual visor at Jefferson Health Saturday's seminar will Hospital, 530 Bogachiel
insurance plans is at care and Kristin Manwar be from 10 a.m. to noon at Way;S360-374-6271.
wahealthplanfinderorg. ing of Kristen Manwaring the HolidayInn Express. Some agencies may pro
-
Insurance.
site with a similar Insurance. P vide outreach and educa
Another seminar is set
address — Washington Brown will give an over for 7 p.m.Thursday,Oct.10. tion before Oct. 1.
healthplanfinder.ag -- is view of the Affordable
To register,contact Julie
not run by the state but by Health Care Act and the
a Seattle based health- Speelman at 360-683-9284
state online website. or julie@eastellinsuranee.
insurance brokerage called She also will review how corn.
the Health Insurance Team. individuals can get assis-
tance during open enroll-
ment from Jefferson Health-
care,Jefferson County Pub-
lic Health and the Olympic
Area Agency on Aging.
For more information,
uisitwww.jclibrary.info or
phone 360-365-6544.
Manwaring and her staff
are licensed insurance
agents and will be certified
with the Washington State
Exchange, according to a •
prepared statement.
The Washington Health
Benefit Exchange has said / ;�
that more than 1,000 certi- (—)0/1/
9/ 3/4
•
• ,
10th annual Girls' Night Out is Oct. 3
: hoppin 'l'un has you `ire the Pink'
•
4 pFe E � t � mr 6.
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•
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•
"In the Pink"
The 10th annual Girls'Night Out.on Oct.3.is a day and night of
shopping and dining fun to benefit healthcare for local women.
Showing off some posters are(from left)Vickie Townsend.radiology
office coordinator at Jefferson Healthcare.Sue Arthur,chair of the
Port Townsend Main Street Promotion Committee.Leesa Galloway
and Casey Wohlwend.Jefferson Healthcare mammography
technicians:and Bickie Steffana member of the Promotion Committee.
Submitted photo
• the 10th anniversary of Port Townsend Main Street's Girls' Night Out, a day and night of shopping and
dining fun in Uptown and downtown Port Townsend to benefit local women's health.
This year's theme is "In the Pink," and participants are invited to wear pink. Dozens of businesses are to offer
special events, in-store promotions and refreshments from 11 a.m. to 8 p.m., Thursday, Oct. 3.
October is Breast Cancer Awareness Month. Proceeds from goodie bags and raffle ticket sales benefit
Jefferson County Public Health's Breast and Cervical Health Program and the Port Townsend Main Street
Program, a 501(c)(3) nonprofit.
Since its inception, Girls' Night Out has raised more than $23,500 to help local women in need receive cancer
screenings through the Jefferson County Health Department. This event is sponsored by the Port Townsend
Main Street Program, Jefferson Healthcare, Ozone Socks and participating businesses.
"We have fantastic participation for the 10th annual Girls' Night Out. Thirty-three businesses throughout the
historic districts are joining in the fun, including seven stores in Uptown. We encourage women to bring their
friends and try to visit as many spots as you can Uptown and downtown at this all-day event devoted to you.
It's a great opportunity to treat yourself and visit these fun, unique businesses. Don't forget to wear pink!" says
Mari F. Mullen, executive director of the Port Townsend Main Street Program.
40any shops stay open later for Girls' Night Out, offering special sales and in-store events. Goodie bags,
available for $10, are filled with coupons, Ozone socks and gifts donated by the merchants.
The wrap-up party is at 8 p.m. at Alchemy Bistro & Wine Bar, 842 Washington St., and features a no-host bar,
appetizers, desserts and door prizes; $5 suggested donation at the door.
Raffle tickets, $5 each, buy a chance to win a prize worth $600 that includes one night for two in the Big Red •
Barn in Port Townsend; a massage and facial from La Bella Day Spa; a gift certificate for two at Khu Larb Thai;
a fluffy spa robe from Manresa Castle; and a studio portrait sitting and 8-by-10-inch photo by Deja View
Photography. Raffle drawing takes place at 5 p.m. on Oct. 11; ticket holders need not be present to win.
Uptown District participating merchants are Uptown Nutrition, Closet Space (boutique on wheels), Petals
Flower Shop, Potpourri NW Interiors, Studio Rue Salon, the Perfect Season and Uptown Fabrics.
Participating downtown merchants are Abracadabra, About Time, April Fool & Penny Too, Bickie's Cotton
Casuals, the Boiler Room, Cellar Door, Clothes Horse, Conservatory Coastal Home, Daily Bird Pottery, DiGee
Ink, Earthenworks, Elevated Ice Cream & Candy Co., Expressions, Face of Grace, Getables, Green Eyeshade,
Izadora's Tanning and Day Spa, Maestrale, Maricee, Pippa's Real Tea, Quimper Mercantile, Sea Salt Cottage,
Sideshow Variety, Summer House Design, Tickled Pink and What's Cookin'.
For program updates, visit ptmainstreet.orq.
•
•
Cop watcher, records `geek'
By Allison Arthur, Port Townsend Leader, Wednesday, September 25, 2013
tree Jefferson County Sheriff's deputies sat in a corner booth of Ferino's Pizzeria chatting nonchalantly as
Drew Hendricks told how he became what he is today: a public records geek and a cop watcher.
In another booth, Hendricks had his back to the officers as he explained that the first thing he did when he
moved to Port Hadlock a year and a half ago was to do a state Open Public Records Act request for
information on all Jefferson County and Port Townsend law enforcement officers. He asked for seniority lists;
salaries; the make, model and serial numbers of their weapons as well as the vehicles they drive; and the
records of the purchase, installation and operation of all automated license plate recognition equipment on all
Jefferson County Sheriff Office's vehicles.
He got all of the information he asked for, electronically, for free, without hassle.
A self-described anarchist who works as a printer/copy machine repair technician, general handyman, public
records geek and caretaker, Hendricks is a featured speaker at an open government discussion on Tuesday,
Oct. 1. The event is sponsored by the Washington Coalition for Open Government, the Jefferson County Bar
Association and the Port Townsend & Jefferson County Leader. The purpose of the discussion is to teach the
public how to access public documents.
"My orientation isn't really telling other people what to do," he said. That said, "I want people to understand that
we've crossed the Rubicon in terms of the death of American democracy, the death of the American Republic.
It's been a long time since we had the ability to actually affect large-scale government policy."
And the burly, bearded 45-year-old activist is trying to do just that— affect public policy, hold cops accountable
Oby prowling through public records.
NEW YORK TIMES
Hendricks' radar on cop activities extends back to his home state of Illinois. A one-time journalism student
turned nonviolent political activist, he's spent more than 30 years not just asking politely for public documents,
as he did here in Jefferson County, but also dumpster diving for shredded police reports when necessary, as
he did in Illinois, in search for the truth of how public officials are behaving in the name of the public.
Most recently, he gave some public documents, which he had acquired the documents quite by accident
through an open records request, to a New York Times reporter, Colin Moynihan.
In an article published on Sept. 2, 2013 — see tinyurl.com/n7kgtm3— Moynihan and reporter Scott Shane wrote
that the "law-enforcement-sensitive" Hemisphere Project is a data-sharing partnership between federal and
local agencies and the telecommunications giant AT&T. The project, which Hendricks found proof of while
working on another research effort, has been collecting records of phone calls made by Americans that date as
far back as 1987. That is much further back than anyone had suspected, long before the Patriot Act was
approved after the terrorist attacks of Sept. 11, 2011.
Hendricks is mentioned as a source in the New York Times story because he gave the information he acquired
through his open records search to the reporter, who then confirmed the information.
"The Obama administration acknowledged the extraordinary scale of the Hemisphere database and the
Ilusual embedding of AT&T employees in government drug units in three states," the Times article states, "but
key said the project, which has proved especially useful in finding criminals who discard cell phones frequently
to thwart government tracking, employed routine investigative procedures used in criminal cases for decades
and posed no novel privacy issues."
Hendricks said the PowerPoint presentation he found was part of a separate case he's working on about
domestic terrorism.
"Unfortunately, we live in an environment where the police are not neutral politically. They are not on the side
of protesters. They are on the side, of course, of what they would call law and order," Hendricks said, starting
to explain how he found the information used in that Times article.
"I received a large package of public records from a metropolitan police agency somewhere in the seven
Western states that are part of the Western States Information Network," he said. "WSIN is a regional data-
sharing scheme where multi-jurisdictional partners can share criminal predicate information. This is not
conviction, but criminal suspicion. It's very sensitive information."
He received a mass of 2,000 emails in one request. Whoever collected the data sent him the full texts of all
emails as well as attachments. He won't say whether the data came through postal mail or email because "it
would reveal the source, and I can't reveal the source because they're probably going to get fired whenever
their boss finds out what they sent me."
He says he got the information about a week before the story appeared in the New York Times.
Because he had read a story in the Times earlier this year about the federal Drug Enforcement
Administration's methods, Hendricks said he was aware of the significance of a PowerPoint presentation
explaining the capabilities of Hemisphere Project to other police agencies.
What does Hemisphere do that's so sensitive?
"I think it was aimed toward investigators," he said. "You can have a cell number that's no longer used and
within an hour or two hours [of using the program], you can have the cell phone number that replaced the [old]
cell." ,
In a layperson's terms, there's no point to having a burner phone — a disposable cell phone — because
Hemisphere can figure out the new number that replaced the old number, and its current location.
DOMESTIC TERRORIST
What Hendricks says ought to worry the law-abiding citizens of the United States isn't that cops are using high
tech to ferret out bad guys; it's that police also are using the same technology to target law-abiding political
dissidents — like him.
"I know for a fact that police target people who are critics of the police. They target people who are politically
divergent and what they consider political outcasts," he said. "That can be legitimate, but often it's not."
Hendricks has a three-decade-long history of protesting and social activism. He remembers listening to his
mother, a law librarian, and his father, whom he describes as a Native American buff. His mother taught him
about the current law; his father taught him about the past.
Hendricks was a hemp and anti-nuclear activist in Illinois. He was involved in the World Trade Organization
protest in Seattle in 1999.
And, more recently, he was involved with the Olympia Port Militarization Resistance (OIyPMR) and a police
watch effort in Olympia. He also worked with the Green Party of South Puget Sound to put a petition on the
ballot to rename the port the Rachel Corrie Peace Port. Corrie was a young woman from Olympia who was
crushed to death by an Israel Defense Forces bulldozer while protesting in the Gaza Strip in 2003.
I e 1
"I've been to protests a lot. I've been a documentarian of police tactics since 1993," he said. "Most of my cop
watching involved documentation, reconstruction of shredded documents, getting information from people who
didn't understand that they were sources for me."
4110d no, he said, he's never made a living as a cop watcher.
"This is activism," he said bluntly.
Although he can't prove it, he believes the Washington State Patrol may well have once labeled him a
domestic terrorist, not because he's ever been violent, but because he associates with people who disagree
with what the government is doing.
"I do not use political violence," he said.
He was arrested once in Olympia for participating in a Port Militarization Resistance event. And long ago, in
Illinois, he was handcuffed for writing in chalk on a sidewalk. He was writing the text of the First Amendment to
the U.S. Constitution.
"I was writing down my authority for writing down what I was writing down and I was arrested for writing it
down. Obviously, that was a civil disobedience action," he said.
HOW FAR TO GO
And yes, he has even done some dumpster diving in his quest. On one such occasion he was in search of
police reports he suspected authorities had tried to rewrite to justify their actions in the shooting of a 16-year-
old youth. As a result of the shooting, the youth had suffered a traumatic brain injury and is now the ward of the
state of Illinois.
Shredding a document merely targets it. If I'm looking through a dumpster and I'm looking through 400 gallons
of documents and I have 3 gallons of shredded gallons and 398 gallons of unshredded documents, which do
you think I'm going to grab? Thank you."
And he recalled enjoying the moment when a Thurston County official handed him documents that she had
redacted with white-out tape. He held the documents up to a light and easily read the reports.
Seeking public documents through open records laws is Hendricks' way of exercising his rights.
These are rights that Hendricks believes people are losing.
"We do not have free speech in the United States. You do not have privacy in the United States. Physically,
you own your body until a police officer decides you don't and he has the institutional right to make up a
bullshit story about why he attacked you, why he took you into custody, why he put you in jail and is
recommending charges against you.
"And you have no real right to challenge that unless you have the money for an attorney."
Hendricks is a nonstop quotation machine on the connection, or lack thereof, as he sees it, between the
governed and the government.
"We're living in an age where the consent of the governed is even more mythological than it has been in the
ast. In an area where counterinsurgency is applied domestically, there is no civil society anymore. We do not
ave checks or balances on our government in society."
He points to former presidential candidate Ross Perot as proof that it's not just the poor who are at risk for
running afoul of the system.
"Do you remember why he stopped running?" asks Hendricks.
There were a number of reasons given for Perot bowing out of the race, including threats to his daughter.
If people in power can threaten someone who has millions and millions of dollars, "What the hell is a group of i
citizens supposed to do that has a loser affiliation and very little money?"
When he was involved in the Olympia cop watch effort, he said, it was never infiltrated because the meetings
were covert.
"People who want to organize against the interest of the U.S. government basically have to organize as if they
are an intelligence agency," he said.
IN JEFFERSON COUNTY
Back at Ferino's Pizzeria in Port Hadlock, the sheriff's deputies finish eating and leave. No words are
exchanged.
"It's a very relaxed life compared to my Olympia days. Jefferson County is so far treating me pretty well."
"I always get index information where I live," Hendricks said. "If I'm going to be in an environment observing
officers directly, I always need to have the index information, so if I see a [cop] car, I can get the car back to
which individual it was.
"It's much easier to see a car and the license plate from 50 to 60 feet way and never be seen as a threat to the
officer."
He thinks about it for a minute. Maybe new officers have been hired since he made that request a year and a 4)
half ago.
"There have been officers who have come on line since," he said, looking up, reflectively.
The implication is there. Maybe it's time for another Open Public Records Act request.
Raffle tickets on sale for downtown Port Townsend shopping, cancer program event
By Charlie Bermant , Peninsula Daily News, September 25`h,2013
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In preparation for Girls' Night Out on Oct. 3, downtown
merchants (from left) Rosie Itti, Bickie Steffan and Sue
Arthur begin stuffing the 500 gift bags for the event. The
poster features a 1942 photo of Mary F. Mullen,the mother
of Port Townsend Main Street Executive Director Mari Mullen.
--Photo by Charlie Bermant/Peninsula Daily News
itDRT TOWNSEND — Raffle tickets are available now for the 10th annual Girls' Night Out next week that will
help raise money for cancer while offering specials and late hours at shops.
Thirty-three Port Townsend merchants are participating so far, with most selling the $5 raffle tickets.
Proceeds from the raffle tickets and gift bags now being assembled for the event will go to the Jefferson
County Public Health's Breast and Cervical Cancer Program and the Port Townsend Main Street Program,
which are sponsoring it along with participating businesses.
"It's a great way for people to see what's in the shops and allows them to reconnect with the merchants," said
Main Street Executive Director Mari Mullen, who has organized the event since its inception.
"Over time, breast and cervical cancer have become subjects that people now talk about, and how important it
is to get cancer screenings," she said.
"Events like Girls' Night Out have brought this important topic into the conversation."
This year's theme is "In the Pink," with participants encouraged to wear the color that has symbolized the anti-
cancer efforts.
uring the event, which runs from 11 a.m. to 8 p.m., businesses will offer special events, in-store promotions
IIPPnd refreshments for shoppers.
The raffle prize is a $600 value, according to Port Townsend Main Street, which will include a night in the Big
a a +
Red Barn for two, a massage and facial from La Bella Day Spa, a gift certificate for two at Khu Larb Thai, a spa
robe from Manresa Castle and a portrait sitting with 8-inch-by-10-inch image by Deja View Photography.
Volunteers are now assembling 500 gift bags —featuring socks, chocolate, postcards and other goodies —
that will be sold for $10 each, beginning Tuesday.
"Every gift bag is different but each one has a lot of fun stuff," Mullen said.
With the changing nature of local retail and fashion trends, each event differs from year to year.
"What is really fun this year is we have several uptown merchants involved," Mullen said. "So people shop up
there and have a great time and then come on downtown."
The poster for the event includes a modeling shot of Mullen's mother, Mary F. Mullen, taken in 1942.
"She was very stylish," Mullen said of her mother, who died in 2002. "And we loved to go shopping together."
For more information, go to ptmainstreet.org or call 360-385-7911.
Jefferson County Editor Charlie Bermant can be reached at 360-385-2335 or cbermant@peninsuladailynews.com.
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North Olympic Peninsula gets ready for'Obamacare'—with not enough providers in Clallam County
By Rob 011ikainen,Peninsula Daily News,September 29'",2013
The Associated Press
President Obama speaks about the Affordable
Care Act last week at a community college near
Washington,D.C.
AS THE NATIONAL debate over health care reform rages on, North Olympic Peninsula providers are bracing for a new
wave of patients who soon will be eligible for Medicaid or subsidized private insurance under the Affordable Care Act,
better known as "Obamacare."
Health care officials say Clallam County lacks enough providers to handle an estimated 6,000 to 8,000 residents who will
become insured when new individual health plans take effect Jan. 1.
"We are anticipating shortages of primary care, and it's possible that people will not immediately be able to find a medical
home," said Dr. Tom Locke, public health officer for Clallam and Jefferson counties.
"Even if they can't find a provider right away, there are still going to be enormous benefits to them."
(SEE RELATED STORY TODAY: "Q&A: Answers to your most pressing questions about you and the Affordable Care
Act," http://www.peninsuladailynews.com/article/20130929/NEWS/309299989 .)
ilifferson County has a network of primary care providers in place to treat the estimated 3,200 uninsured residents who
I qualify for Medicaid expansion or income-based subsidies, Jefferson Healthcare officials said.
According to current estimates, there are 11,000 uninsured in Clallam County and 4,600 people without insurance in
Jefferson County.
Illegal immigrants are excluded from the ACA. Others are projected to remain uninsured for various reasons—this group
includes young and single people who don't believe they require health insurance.
Under the law, failure for an individual to purchase health insurance will result in a penalty in 2014 of$95 per adult,
$47.50 per child or up to $285 per family, or 1 percent of family income, whichever is greater—a sum far less than the
annual cost of coverage.
Open enrollment for the Washington Healthplanfinder insurance exchange—an online marketplace for individuals,
families and small businesses to compare plans and pick one that works for them—begins Tuesday.
For details, visit: www.wahealthplanfinder.orq.
Those who already have insurance, including Medicare, don't need to worry about the exchange.
While primary care access remains a challenge for Clallam County and other rural areas, Locke and others said the
Affordable Care Act will keep people from going bankrupt if they have a catastrophic illness.
It also will reduce uncompensated care for hospitals, which amounts to about$10 million annually for both Olympic
Medical Center and Jefferson Healthcare.
OMC, Jefferson Healthcare and Forks Community Hospital treat every patient that comes to their emergency rooms,
• ardless of whether they can pay.
Dr. Rebecca Corley, chief physician officer at Olympic Medical Physicians, said OMC, Family Medicine of Port Angeles
and the Jamestown Family Health Clinic are actively recruiting primary care providers.
"It's a challenge to be competitive salary-wise with cities and other states that have a much higher reimbursement," Corley
said.
About 20 percent of the population lives in a rural area, Locke said, but only 9 percent to 10 percent of physicians work in
a rural area. •
Rural areas also tend to have an older, lower-income and sicker population than cities, he added.
"That's the context for this," Locke said.
"We have extreme challenges in rural areas, but the Affordable Care Act is part of the solution."
OMC Chief Executive Officer Eric Lewis, who has tracked the intricacies of health care reform for years, raised the issue
of physician shortages at the Sequim-Dungeness Chamber of Commerce meeting last week.
"Right now, the primary care system is near capacity in terms of who they can see," Locke said, "but there are serious
efforts underway to increase that capacity."
In addition to recruiting physicians, advanced practice clinicians and advanced practice registered nurses, OMC is
working on a comprehensive workforce analysis and taking part in a community health-needs assessment. A community
health summit is planned for Oct. 30.
At least initially, Volunteers in Medicine of the Olympics, or VIMO, will not be affected by the Affordable Care Act,
Executive Director Larry Little said.
The free clinic in Port Angeles provides primary care, dental care and other services to about 1,400 patients who don't
have health insurance.
"We will still continue to see the same patient population because of provider shortages here," Little said.
"With the expansion in Medicaid, at least the local hospital will be paid by many more individuals now."
VIMO is exploring the possibility of accepting Medicaid patients, but that decision has not been made.
Little said the decision to accept Medicaid payments would require "lots of consideration."
He added: "There is going to be a change, and it's going to take place on Jan. 1."
"All of a sudden, there's a bigger pool of money to provide primary care," Little said. "We just don't have the providers in
the pipeline to immediately fill that void."
Dr. Joe Mattern, Jefferson Healthcare chief medical officer, said his hospital made a "real investment" in the last decade
building up the primary care workforce in Jefferson County.
Mattern noted that Jefferson Healthcare is "already serving a good portion" of the uninsured population.
"I think we also have existing capacity to take on new patients," he added.
Jefferson Healthcare CEO Mike Glenn predicted that the Affordable Care Act will affect Jefferson County"in a very
positive way."
"Both Olympic Medical Center and Jefferson Healthcare, I think, are well-positioned to step into this phase of the
Affordable Care Act to the benefit of both of our communities," Glenn said.
Dr. Scott Kennedy, OMC chief medical officer, told commissioners at their Sept. 18 board meeting that OMC is "ready to
move into action" on the Affordable Care Act.
Locke described the current health care system as a "national scandal" because of the high costs and inability of people
with pre-existing conditions to get insurance. 1111
"I think the real goal should be universal health care access," Locke said.
VIMO's Little said the long-term vision of the Affordable Care Act"makes sense" because of its emphasis on primary care.
"If people are healthy, it's going to cost less in the long run," he said.
Ole cautioned that the long-term success of the law"remains to be seen."
When asked to predict how the Affordable Care Act will play out, Corley said: "My crystal ball has a big crack in it."
"Regardless of what our political leanings are, hopefully, at the end of the day, we as a nation will be better because of it,"
Little said.
"I really hope it works. I just want the best for us."
Options confusing? Face-to-face help
PUBLIC HOSPITALS AND other agencies on the North Olympic Peninsula offer face-to-face help about the
Affordable Care Act, aka"Obamacare,"the health-reform law or the"federal health care overhaul":
• Olympic Area Agency on Aging—411 W.Washington St., Sequim, 360-452-3221;481 Fifth Ave., Forks,360-
374-9496; and 915 Sheridan St., Port Townsend, 360-385-2552.
• Volunteers in Medicine of the Olympics—909 Georgiana St., Port Angeles, 360-457-4431.
• Olympic Medical Center—939 Caroline St., Port Angeles, 360-417-7000.
• Jefferson Healthcare Hospital—834 Sheridan St., Port Townsend, 360-385-2200.
• Jefferson County Public Health Department—615 Sheridan St., Port Townsend, 360-385-9400.
all • Planned Parenthood of the Great Northwest, Port Angeles Health Center—426 E. Eighth St., Port Angeles, 800-
230-7526.
• Forks Community Hospital, 530 Bogachiel Way, 360-374-6271.
In addition, check with your local North Olympic Peninsula insurance broker.
Brokers can help people shopping for and enrolling in insurance programs through the Washington Healthplanfinder
online insurance exchange and can answer all kinds of health insurance questions,
Many brokers are offering free seminars—look for ads and notifications in the Peninsula Daily News—plus
newsletters and info packets on the ACA.
Hospitals across the state are pulling out all the stops to have patients sign up for insurance.
Olympic Medical Center,Jefferson Healthcare and Forks Community Hospital treat every patient that comes to their
emergency rooms, regardless of whether the patient can pay.
Uncompensated care amounts to about$10 million annually for both OMC and Jefferson Healthcare.
Peninsula Daily News
Reporter Rob 011ikainen can be reached at 360-452-2345,ext.5072,or at rollikainen(a,peninsuladailynews.com.
•
Q&A: Answers to your most pressing questions about you and the Affordable Care Act
By McClatchy News Service and The Associated Press, Peninsula Daily News, September 29th, 2013-10-01
More local places to get help, information about Obamacare •
By MARK HARVEY
For Peninsula Daily News
And,for what may be the last time . . . Obamacare"!
In the interests of full disclosure, this is going to be a rather boring column because it's going to be all about
ways/dates/time/places to get help with (or just deal with) Obamacare.
I'm going to try to put everything I know about"help"and"access"in one column.
This Tuesday, Oct. 1 —"open enrollment"begins,which means you can actually do this.
If you do it before late December,your health insurance coverage, be it Medicaid or a Qualified Health Plan,will
begin Jan. 1.
If you do it after that(and you can,through March 31), your coverage will begin the first day of the following month,
e.g.,April 1 (unless you qualify for Medicaid,which can often have a three-month retroactive start date), and you will
have avoided the dreaded penalty.
You are not required to have"help."
You can go directly to www.wahealthplanfinder.org and have at it, or you could give it a shot, and if it gets too weird,
you can go looking for help.
You can also call the customer support center at 855-923-4633 any weekday between 7:30 a.m.and 8 p.m.,or you
can email it at customersupport@wahbexchange.org and get help. It's all free.
If you prefer face-to-face or more local help—it's all free—here's what you can do.
You can call any of the numbers at the end of this column, and decent people will help you. •
In the West End,you can go to or call Forks Community Hospital,530 Bogachiel Way,360-374-6271.
In the Port Angeles/Sequim area, you can call us at 360-452-3221 or come into 411 W.Washington in Sequim (I'd
call first).
In Port Angeles, you can get help from Olympic Medical Center, 939 Caroline St., 360-417-7000;Volunteers in
Medicine of the Olympics, 909 E. Georgiana St., 360-452-3078; or Planned Parenthood at 426 E. Eighth St.,800-
230-7526.
In Jefferson County,things are a bit more specific. Ready?
■ Port Townsend Community Center, 620 Tyler St.,360-385-9007—On Oct. 3, 17 and 31; Nov. 7 and 21; and Dec.
5 and 19 from 1 p.m.to 3 p.m.
✓ Tri-Area Community Center, 10 West Valley Road, Chimacum, 360-732-4822—On Oct. 10 and 24, Nov. 14 and
Dec. 12 from 1 p.m.to 3 p.m.
■ Quilcene Community Center,294952 U.S. Highway 101, 360-765-3321 —On Oct.23, Nov. 27 and Dec. 18 from
10 a.m.to 1 p.m.
• Jefferson Healthcare, 834 Sheridan St., 360-385-2200—Any weekday from 9 a.m.to 4:30 p.m.
• Jefferson Public Health, 615 Sheridan St., Port Townsend—Any Wednesday from 9 a.m.to noon or 1 p.m.to 4
p.m.,or phone 360-385-9400 for an appointment.
Remember,this is all free, and nobody will try to sell you anything because they don't have anything to sell.
They will help you navigate the"Healthplanfinder"and understand what it's saying,what it wants you to do and what
the various terms mean, but you will be The Decider.
If you decide to go to one of these locations(or to any of the agencies listed above),you'll want to know how much
money you (and everyone who lives with you) make, last year's tax filing status, Social Security numbers for
everyone applying for insurance, dates of birth and,
if you are a legal immigrant, bring the passport,alien or other immigration number.
If anyone in your family currently has any kind of health insurance, bring that info,too.
• Remember, please,that you don't have to do everything at once or decide everything at once.
If you have a computer and Internet access,you might consider going to the Healthplanfinder at the address above
and just"cruising it"—see what you see,what it says,what it seems to want from you,etc.—then go looking for
help, but if that doesn't work for you,that's fine.
Take a breath. I just did.
Look,for all the noise and the news and my incessant columns, this is not that complicated.
And for many of us, it's a huge opportunity to find health insurance,which for many of us means finding health care,
so just do it.
And if you start messing with it now, you can have some time to think and learn before we all get totally sideways with
the holidays.
Here are the two worst things you can do:a) nothing, and b)listen to rumors.
Check it out for yourself,then decide for yourself and do what you think is best for you and yours.
We can do this.
Mark Harvey is director of Clallam/Jefferson Information&Assistance,which operates through the Olympic Area
Agency on Aging. He can be reached at 360-452-3221 (Port Angeles-Sequim), 360-385-2552 (Jefferson County) or
360-374-9496 (West End);or by emailing harvemb@dshs.wa.gov.The agency can be found on Facebook at Olympic
Area Agency on Aging-Information&Assistance.
•The enrollment period begins Tuesday. How do I compare plans and sign up for individual insurance?
A. Go to the Washington Healthplanfinder—click on: www.wahealthplanfinder.orq—a one-stop shopping site that will
take care of a lot of messy details for you.
The Healthplanfinder will do some whiz-bang stuff as you shop for and enroll in insurance policies from the Washington
state Health Benefit Exchange.
You'll be able to find out, for example, if your income qualifies you for free or lower-cost insurance.
If you make less than $15,856 ($32,499 for a family of four) you likely will qualify for Medicaid, the federal-state plan that
has been greatly expanded.
If you make up to $45,950 ($94,200 for a family of four), you may get a subsidy that will reduce your premiums.
If your income is low enough, you can qualify for a second type of subsidy to help with cost sharing (out-of-pocket costs).
It also will link you with various other services, if you qualify.
(Warning: A website with a similar address—http://washingtonhealthplanfinder.orq — is not run by the state but by a
Seattle-based health-insurance brokerage called the Health Insurance Team. Don't be fooled.)
For tips on making the best use of Healthplanfinder, go to http://tinyurl.com/healthplanfindertips.
Questions also can be sent by email to customersupportCa?wahbexchange.orq.
ip.What if I don't have a computer?
A. There is now a free call center—855-923-4633 or TTY/TTD 855-627-9604—open from 7:30 a.m. to 8 p.m. Mondays
through Fridays to answer your questions, walk you through the enrollment process or suggest other resources. Help is
available in up to 175 different languages.
In addition, in each county, there is a network of face-to-face community organizations, public health agencies, insurance
brokers, community clinics and others where you can find "navigators" or"in-person assisters" who have been trained to
help you.
The state Health Benefit Exchange isn't the only way. You'll still be able to buy individual insurance through a broker or
through the insurer the same way you signed up before. But there are no subsidies for purchases outside the exchange.
Q: I'm on Medicare. Do I have to buy something??
A: The new law requires nearly everyone to have health insurance by March 31, 2014, or pay a penalty.
But if you're on Medicare, you already have insurance.
The same is true if you're on Medicaid, a military or veterans' health care program, a tribal health plan or if you have
health insurance through your current or former employer. In all those cases, you're covered and won't be penalized.
Q: So if I have insurance already,will my coverage change?
A. If you have private group insurance, chances are it won't change drastically, and it may cover more services. If you buy
your own insurance, you'll have to pick a new plan, and it, too, may cover more services.
Q: I'm uninsured. Do I have to buy insurance or pay a penalty?
A. Probably, unless you are exempt because you are one of the following: an undocumented immigrant, incarcerated, a
member of a Native American tribe, have such low income you are not required to file a tax return or are a member of a
religion opposed to acceptance of benefits from a health insurance policy.
In addition, you are excused if you are determined to have very low income and coverage would be unaffordable (more
than 8 percent of your income).
In this case, you could qualify for financial help to buy a plan through the exchange, but you won't pay a penalty if you •
don't.
Q: My employer offers a plan, but I don't like it. Can I buy an individual plan on the exchange and perhaps qualify
for a subsidy? And what about my spouse?
A. Not likely. If your employer offers meaningful, affordable coverage, you cannot qualify for a subsidy in the exchange.
A plan is considered unaffordable if the employees' share of employee-only coverage is more than 9.5 percent of their
household income or if the plan pays for less than 60 percent of covered health care expenses.
If your employer plan doesn't cover dependents or if the cost to cover you alone is unaffordable, your spouse could qualify
for subsidized coverage in the exchange.
Q: I work for a company that has about 75 workers.We don't get insurance now. Is that going to change for
2014?
A. It might, but your company won't be required to provide insurance this year. You can buy individual/family insurance on
the exchange and perhaps qualify for a subsidy.
For 2015, your company, like others with 50 or more full-time employees, will be required to buy insurance for its workers
or pay a penalty.
Q. I'm a manager of a small company with six full-time employees and five part-timers. What is our company
required to do for our employees under the federal law in the way of health care insurance?
A: You're not required to do anything, because you have fewer than 50 employees.
•
The Kaiser Family Foundation has a handy chart to walk any company through the requirements: http://tinyurl.com/pdn-
kaiserchart.
Q: I am 50-plus and work sporadically. I might make $50,000 one year but none the next year or even two. How
will my premiums/subsidies be calculated so I can afford insurance for the whole time? Is there a way to average
your income?
dikWhether you get a subsidy depends on your annual income and will be calculated on 2013 estimated income for
urance next year.
If your income changes throughout the year, you may receive more or less on your tax refund depending on your income
level.
You also may report any income changes to Washington Healthplanfinder to redetermine your eligibility. In the end, you
may owe money on your taxes or get money back. It all will be reconciled on your tax return.
Q: When I tried to get individual insurance before, I had trouble because they said I had a pre-existing condition.
Has that changed?
A: For the first time, insurers are required to accept you—at the same price as everyone else—even if you have a pre-
existing condition.
Q: If I can't be denied insurance because of a pre-existing condition,why don't I just wait until I get sick, and then
I'll buy it?
A: If you miss signing up for coverage before March 31, 2014, you'll have to wait until next fall to buy a health plan —the
next open enrollment period.
There are some exceptions, but most people will be out of luck until next year.
Also, you'll have to pay a penalty for not having coverage.
Q. So how big are those penalties if I don't purchase insurance as required?
For 2014, the yearly penalty is $95 per year for an adult, $47.50 per child and up to $285 per family, or 1 percent of
roily income, whichever is greater. That will rise in coming years.
Q.What if I'm an illegal immigrant?
A. Undocumented immigrants won't get any subsidies. Immigrants here illegally will continue to try to patch together care
in community clinics and emergency rooms.
Legal immigrants can buy insurance on the exchanges and qualify for subsidies, if their income qualifies them for help.
Legal immigrants here for five years or more can qualify for Medicaid with the same income limits as others.
Q: How much will I have to pay in premiums?
A: That depends on your age, how many people you want to cover and their ages, tobacco-use status, where you live and
whether you'd rather spend more in premiums and less in deductibles and other co-payments, or the other way around.
For most people, new plans will cover more. For older people, they may cost less. Younger people may pay more. There
won't be lifetime limits on these "essential services," and your yearly out-of-pocket expenses will be capped.
To see what plans are available in each county, you can go directly to http://tinyurl.com/approvedplans.
To see rates, go to http://tinyurl.com/plans-rates.
All plans have to cover certain health services, in addition to complying with existing state laws. Plans do not have to
include dental care fcr adults.
*ere is the list of"essential health benefits" that all plans must cover:
• Ambulatory patient services.
• Emergency services.
• Hospitalization.
• Maternity and newborn care. •
• Mental health and treatment of substance abuse disorders, including behavioral health treatment.
• Prescription drugs (See PDN story"Consumers fear what they'll pay for drugs under new health-care law":
http://tinyurl.com/medscost).
• Rehabilitative and habilitative services and devices.
• Laboratory services.
• Preventive and wellness services and chronic disease management.
• Pediatric services, including oral and vision care.
Dental benefits for kids are usually offered through a stand-alone dental plan, separate from your family's health plan.
Q: How will I know which plan is accepted by my doctor?Will we still have to call around for doctors who will
take a particular plan?
A: You can search the Healthplanfinder website (click on: www.waHealthplanfinder.orq)for a physician or provider by
name, physician ZIP code or by hospital name.
Before you buy a health plan, it's always a good idea to double check the list of hospitals, clinics, doctors and other
providers in the plan's network; that information is usually available on insurance company websites.
Q: I did the math, and it seems like a family of four(two adults age 40) and two children would pay about$12,000
a year in premiums for a silver plan, along with 70 percent of the medical costs and $1000 to $3,000 deductibles. •
That's a lot of money. I heard there are limits on how much you have to spend on premiums and out-of-pocket
expenses. Can you explain?
A: The law limits the percentage of your income that you have to spend on premiums, as well as the amount you have to
spend out-of-pocket on deductibles and cost sharing.
The premium limits vary from 2 percent to 9.5 percent, depending on income. Out-of-pocket expense limit, which changes
each year; will be $6,350 for an individual and $12,700 for a family in 2014.
Out-of-pocket expenses include money spent on reaching your deductible and cost sharing (co-insurance and co-pays)
but not premium costs. This applies to individual plans sold both inside and outside the exchange.
Q: Can you give me an example of how the out-of-pocket cap works?
A: Say you have a plan with a $2,500 deductible. You fall off your skateboard and break a lot of things you think you
might need later on in life.
If you have a"silver"-level plan that pays 70 percent, you'll pay 30 percent of your$50,000 hospital bill—you needed lots
of fixing —until you've paid out $6,350, which is your maximum out-of-pocket for the year.
Insurance kicks in at that point. You still have to pay the premiums, but you're done paying health care expenses—so
long as they are for"essential health benefits"—for the year.
I
r
Affordable Care Act: 4,600 local residents eligible
By Allison Arthur, Port Townsend Leader I Posted: Wednesday, October 2, 2013
w many of the 4,600 or so people in Jefferson County who currently do not have health insurance will seek
his week, the first week they can apply under the controversial Affordable Care Act, which was still being
argued in Congress?
"It could either be a flood or one or two people will show up. It's going to be one or the other," said Erin Brown,
a financial counseling supervisor at Jefferson Healthcare hospital who has been trained as an in-person
navigator to help people buy health insurance under the new law, more commonly known as Obamacare.
"That's what we've been told. It's not going to be a nice happy balance."
What is Brown hoping for?
"I'm hoping for a lot of people and I'm hoping those people are patient," she said.
Down and across Sheridan Street from Jefferson Healthcare at Jefferson County Public Health, where Julia
Danskin sits as public health nursing director, there's hope that people don't wait too long to enroll.
The enrollment period started yesterday, Oct. 1, and continues through March 31, according to a state website
that people can use to compare plans and buy insurance: washingtonhealthplanfinder.org.
Under the new law, an estimated 1,300 people in Jefferson County qualify for free health care under Medicaid
expansion, and another 1,900 should qualify for insurance with the help of federal subsidies.
"There's plenty of time, but don't wait too long," said Danskin. "If you don't have health insurance in place by
the end of March 2014, and you qualified for subsidized insurance premiums, you won't be able to enroll again
until October-December of 2014."
At Kristin Manwaring Insurance on South Park Avenue, off Sims Way, co-owner Kristin Manwaring hopes
ople realize her staff also is licensed to sell the insurance being offered. And like the services of the in-
eerson navigators at the hospital and the public health department, the services the private agency offers also
are free.
"It is important to note that we do not charge a fee to individuals nor does a consumer pay more for their
premiums for advice and services offered through an agent," Manwaring said.
Unlike navigators, who are paid by their public employers, agents do get paid — but by the insurer, not the
client. "Premiums are not affected by who assists you through the process."
That said, Manwaring cautions that people should not feel rushed to sign up. "[It's] not so important to do it
quickly as it is to do it wisely."
MUCH TO LEARN
There is so much to the new law that even those like Danskin and Brown, who have been trained to help
others navigate the new Affordable Care Act, still have questions. And there have been surprises for longtime
insurance agents like Manwaring.
"Every day we're learning new information and we're trying to keep up with it and go with the flow," said Brown.
At one recent forum, Brown said, a woman asked whether alternative medicine such as acupuncture is
covered. "And we don't know about that," Brown said.
What is supposed to be covered by any of the plans offered are doctor's appointments, emergency medical
care, maternity care, mental health and substance abuse treatment, prescriptions, laboratory services,
rehabilitative services, preventive and wellness checkups.
4111i Jefferson County, there are only two insurance companies authorized to offer plans through the exchange:
LifeWise and Premera.
But Manwaring notes that agents and brokers can offer plans outside the exchange, including Regence Blue
Shield, Assurant Health and Moda. In-person assistors can only help with plans within the exchange.
The plans offered in the exchange are coded like Olympic medals and are referred to as gold, silver and
bronze plans. A platinum plan also is supposed to be available, but isn't yet offered in Washington state, Brown
said.
The gold plan is less generous than the platinum plan, but is less expensive; silver is considered "moderately •
generous and moderately expensive"; and bronze is the least generous and least expensive, according to
literature on the plans.
Deductibles vary based on co-insurance rates. Plans that have lower co-insurance rates will have higher
deductibles, and plans with higher co-insurance requirements will have lower deductibles.
As of last Friday, a matter of days before the Oct. 1 rollout of the new plans, Brown said she didn't know what
the rates would be for the various plans.
"There hasn't been a lot of information released," Brown said.
Manwaring said that there is collaboration between in-person assisters like those at the hospital and health
department and insurance agents like her. People also will have an opportunity to select an agent during the
application process online.
"Only an agent or broker can make specific recommendations about which plan you should buy," she said. "In
addition, agents function as advocates bridging the communication gap between insured and insurer."
WHAT IS KNOWN
So what do Danskin, Brown, Manwaring and Margie Stewart of the Olympic Area Agency on Aging (03A), an
agency that also is dealing with the plans, wish people knew?
"What I would want people to know is that there is plenty of time to enroll," said Danskin. "Individuals and
families can start the process of enrolling Oct. 1 on the website, washingtonhealthplanfinder.org, but that
insurance coverage won't start until Jan. 1, 2014."
Danskin added that people can start to enroll online, then stop and request help if they get stuck. .
People can also go to the health department, Jefferson Healthcare and other organizations to get in-person
assistance and fill out the forms online.
Danskin noted that people on Medicare don't qualify for new insurance under the new law, but that people on
Medicare should check their Medicare Part D plan, which is a separate process.
That's a point Stewart makes as well.
"Medicare does not change. It's a separate program, but the open enrollment for the drug part of Medicare is
almost the same, from Oct. 15 to Dec. 7 and all seniors on Medicare who have a Medicare program need to
look at the programs every year because they change," Stewart said.
Back on the Affordable Care Act, Stewart of O3A, who is a State Health Incentive Benefits Advisor, noted that
all plans for children must offer dental and vision coverage, while plans for older people don't have to include
dental or vision coverage.
But what struck Stewart about all that she learned is something few people are talking about — paying for that
first month's premium.
"One of the most important things for people to know is for when people are ready to enroll, they need to pay
the first premium at the time they enroll," Stewart said. "And to do that, they're going to have to find out what
the premium will be and then come back and reopen the application.
"Once they open an account, they're going to have to make a payment and if you don't have a debit card, you
can't do it by check," Stewart said.
"It's something that hit me because I don't have a debit card," Stewart said, adding she's been told the thing to •
do is to buy a debit card at the grocery store.
Stewart also notes that once you apply for insurance and your information is in the federal system, the
information you provide will be cross-checked with information you've filed with the Internal Revenue Service,
Citizenship & Immigration Services, Social Security Administration and Department of Homeland Security.
you are legally here, you may need to have those cards scanned in, as well as your identification," Stewart
id.
ELIGIBLITY, LOOPHOLES
What Brown said she wishes people knew is that people who didn't qualify for help with insurance in the past
and were denied Medicaid may be eligible now for financial help buying insurance under the new rules.
"Let's say the reason that they were denied before is that they weren't sick enough or had too many assets.
The main difference now is that it's not dependent on assets or medical condition. That's huge," said Brown.
For Danskin of the public health department, it's about prevention and planning for staying well.
"Of course, the sooner they know they will have health insurance January 2014, the more they can plan how
they can use health insurance to stay healthy. All the insurance plans will include preventative health services,"
Danskin said. •
For Manwaring, it's the surprising loopholes in the act that she thinks more people ought to know about.
"There are two loopholes in the ACA that have significant effects on individuals and small businesses. Small
business tax credits have been available for the last couple of years since the ACA passed," Manwaring said.
"Starting in 2014, small business tax credits are available to small employers offering coverage through the
SHOP [Small Business Health Options Program]. The disadvantage for most counties in Washington, including
Jefferson and Clallam counties, is that there are no options available inside the SHOP," she said.
"Our biggest surprise was unveiling that dependents of an employee who has coverage through his/her
employer is not eligible for subsidized coverage in the exchange if the coverage offered by the employer meets
rtain standards. Our concern is that families continue to face unaffordable coverage with little to no relief,"
anwaring said.
MEDIA COVERAGE
Brown said she knows people who could be helped by the new health insurance law but who may be
intimidated by the politics and publicity surrounding it.
"I know their personal situation and know they would qualify, but with so much media attention, I'm really
concerned about misinformation and that they won't sign up for something that will be such a great benefit to
them," Brown said.
While the carrot is that people will now be able to buy insurance — regardless of preexisting conditions —the
stick is that if they don't have insurance, they will have to pay fines.
In 2014, for individuals, the fines start at $95 a year or up to 1 percent of income, and rise to $695, or 2.5
percent of income, by 2016, according to literature passed out two weeks ago at a local health access fair.
So how many people in Jefferson County will rush to buy insurance?
Brown, Danskin, Manwaring and Stewart are about to find out.
More flu vaccine options available this season
By Tristan Hiegler, Port Townsend Leader I Posted: Wednesday, October 2, 2013
gif w types of influenza vaccines are going to offer Jefferson County residents various options for protecting
iiremselves this flu season.
The federal Centers for Disease Control and Prevention (CDC) and local health officials are recommending
that anyone older than 6 months old get a flu vaccine this fall to prepare for the flu season, which typically kicks
into high gear from January to March.
"Flu vaccine nowadays should be a universal thing," according to Dr. Tom Locke, health officer for Jefferson
and Clallam counties.
"We don't have any strong evidence to recommend one over the other," Locke said of the vaccine options.
"Any type of vaccine should be effective."
One recent advancement is a vaccine that's not grown in traditional egg-cell cultures. The egg cells provide a
fertile medium for a vaccine virus to grow in, according to Lisa McKenzie, coordinator for the Communicable
Disease program at Jefferson County Public Health. She said the egg protein that ends up in the vaccines can
cause allergic reactions in a small group of people.
"That's a fairly small group of people that have that severe of an egg allergy, but now ... to have other options
coming out, it's a nice one for the egg-allergy people," McKenzie said.
What's being called the quadrivalent vaccine is another new option this season. McKenzie said this shot
provides antibodies for four strains of flu, instead of the more widely available — and cheaper—trivalent, which
covers three strains.
Flu strains are categorized into A and B types. The A strains have a higher potential for causing global
pandemics, according to Locke. The infamous H1 N1 "bird flu" strain —which wound its way from birds to swine
Ofore infecting humans — is an A strain.
hese are the pandemic strains ... they also always originate from birds [and adapt to, and pass through,
other animals]," Locke said.
He said the B strains are more stable from season to season and are less likely to mutate into new variations.
The quadrivalent vaccine covers two A strains and two B strains, Locke said, while the trivalent covers two A's
and only one B.
"Opinion is divided as to which is going to be the more effective," he said of the two options.
Also available locally is a flu mist that's applied via a nasal spray. McKenzie said that vaccination method uses
a weakened influenza virus and is recommended for ages 2 to 49. She said it covers the same strains as the
quadrivalent shot.
GETTING READY
Flu season in Washington state typically starts in late winter/early spring, according to Locke, with February
being a particularly active month.
"There's always a lot of uncertainty in terms of flu season, first and foremost when it will be. It can be anywhere
from November to March," he said, but added that nine out of the last 10 years, the influenza viruses hit in
February.
Vaccines take a couple of weeks to produce flu antibodies, McKenzie said, so getting vaccinated sooner rather
then later is a good idea.
"[The CDC] usually recommends that people get vaccinated now, September, October is a great time," she
*id.
PROTECTING INFANTS
While it isn't recommended that infants younger than 6 months old be vaccinated, Locke said they can still be
protected.
"The best way to protect the infant is for all adults and siblings and other caretakers who are around that infant
to be vaccinated," he said. "It's not only a personal benefit, it's a benefit for the family, it's a benefit for the
community at large, it's a benefit to the people who can't be vaccinated."
There are certain people, beyond those with egg allergies, who can't be vaccinated, according to Locke. So the
more people in the community who are vaccinated, the better protected those vulnerable individuals are.
"What they've found [is] if there's a higher rate of immunization in the community, it keeps down outbreaks,"
coordinator McKenzie noted.
She said that in terms of school immunizations, Jefferson County has some of the highest exemption rates in
the state, historically placing in the top five counties each year.
"We have more families who choose to only get a few vaccines for their children or none; we do run a little high
in that area compared to the rest of the state," McKenzie said. "It can cause ... more flu activity in the
community; with fewer kids immunized, it can cause ... more flu activity in the state."
WHERE TO GET FLU VACCINATIONS
Jefferson County Public Health recommends that residents, in addition to being immunized, practice good
health habits, such as washing hands, covering coughs and staying home when sick, to help stop the spread
of flu and other respiratory illnesses.
All recommended vaccines, including flu, are provided at low or no cost for Washington children through age
18.
Many health insurance plans cover flu vaccinations for adults as preventive care.
Flu vaccines are available locally from the following providers, according to the health department's website:
JEFFERSON HEALTHCARE CLINICS •
Adult and children's influenza vaccinations are available. Call your provider's office for an appointment.
Jefferson Healthcare Family Medicine: 385-3500
Jefferson Healthcare Primary Care: 379-8031
Jefferson Medical & Pediatric Group: 385-4848
Jefferson Healthcare Internal Medicine and Walk-in Clinic: 385-5330
Jefferson Healthcare, Port Ludlow Clinic: 437-5067. Walk-ins accepted.
South County Medical Clinic: 765-3111
MADRONA HILL URGENT CARE, 2500 Sims Way, Port Townsend
Flu vaccinations are available during regular clinic hours: 9 a.m.-7 p.m., Monday-Friday, and 9 a.m.-4 p.m. on
Saturday. Vaccinations are available for clients ages 3 years and older.
Flu shots cost $25. Medicare is billed; bring Medicare card. All others must pay in cash. The vaccine is
available for clients ages 3 years old and older.
PORT HADLOCK MEDICAL CARE, 121 Oak Bay Road, Port Hadlock
The influenza vaccine is available 10 a.m.-noon and 2-4 p.m., Mondays, Tuesdays, Thursdays and Fridays. No
appointment is necessary. Walk-ins are welcome. Medicare and insurances are billed (bring insurance cards),
or pay $30 cash..
QFC HADLOCK PHARMACY, 1890 Irondale Road, Port Hadlock 1111
Influenza vaccine clinic takes place 11:30 a.m.-4:30 p.m. every Wednesday. Walk-ins are welcome.
f
Medicare, Medicaid and insurance are billed; bring insurance card. Flu shots are $28; high-dose flu shots, $55;
pneumonia shots, $90. Clients must be at least 9 years old.
SAFEWAY PHARMACY, 442 Sims Way, Port Townsend
•alk-ins welcome for vaccinations. No appointment necessary. Vaccine is available daily. Medicare and most
insurance are billed; bring insurance card. Flu shots are $30; high-dose flu shots, $57. Pneumonia, Tdap and
shingles vaccinations are also available. Clients must be at least 7 years old.
TRI-AREA PHARMACY, 65 Oak Bay Road, Port Hadlock
Please call for dates and prices: 379-9800.
CHILDREN'S VACCINATIONS
State-supplied children's flu vaccinations are recommended for all children 6 months through 18 years old.
Children's vaccinations are available at the following clinics: Jefferson Medical & Pediatric Group, Jefferson
Healthcare Primary Care, Jefferson Healthcare Family Medicine and South County Medical Clinic. Call for an
appointment.
Jefferson County Public Health, 615 Sheridan St., Port Townsend has a walk-in immunization clinic from 1 to 4
p.m. every Tuesday and Thursday. No appointment needed. Call 385-9400 for information.
•
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Itti,Julia Danskin,Sue Arthur,Anne Metcalfe and BickieetProSteffan
ram(not pictured)froassembled 500 goodie bags
fillewith Ozone and local merchants intr
for the 10thvoannualnteers Girls'Night Out event,taking
placed from 11 a.m.tsockso 8 p.m.,Thursdaygiftsfrom,Oct.3.The goodie bags,$10,are available at the Clothes Horse,
Bickie's Cotton Casuals,Maricee Fashions,April Fool&Penny Too,the Green Eyeshade,About Time and
Uptown Nutrition.Girls'Night Out is a shopping event to benefit local women's health.Submitted photo
•
/ 7L71
• T •
Mental illness is not a crime — but officers face it daily
By Tristan Hiegler of the Leader I Posted: Wednesday, October 2, 2013 5:00 am
slice officers are trained to handle emergencies, but that did not make it any easier to see a man with a mental illness
attempt to cut his own throat.
Tasers and batons were deployed to subdue a 56-year-old man and knock the knife out of his hands. Law enforcement
and emergency responders were on the scene on July 15 at the Port Townsend Boat Haven after a report of a marine hit-
and-run incident.
"We had two officers, firefighters and deputies there on a very serious trauma, and an officer watching a guy cut his throat
with a steak knife right in front on him," said Luke Bogues, Port Townsend Police Department public information officer.
"This isn't a movie, this is real life. Imagine that happening in front on you."
While such dramatic cases might be the exception in Jefferson County, Bogues said these kinds of occurrences raise the
stakes when it comes to responding to people with mental health issues. (No more information on the man who cut his
own throat in July was available in the PTPD's records, such as whether he recovered, and if he did, whether he ever
returned to the Port Townsend area.)
PTPD Chief Conner Daily said he's observed an upswing in the number of mental-health-related 911 calls as the
economic recession has worn on.
For instance, Daily said, the PTPD handled 14 suicide or attempted suicide calls from May to December 2012; the
department's new record system came online that May.
To date in 2013, the department has responded to 33 suicide calls, Daily said, but added, "Our biggest problem is not the
suicides, it's people acting out."
HARD TO TRACK
Those calls are harder to track because they can be filed under a number of offenses, according to Daily.
"The frequency of calls for mental health services has increased. What you see, in my experience, is when the economy
•es bad, the first thing that goes is the services that are provided for mental health patients," Daily said.
The problem is a national one, he noted.
Basically, law enforcement personnel have two choices when confronted with a mentally ill subject: take them to the
hospital for evaluation, and/or take them to jail.
With no dedicated bed space in Jefferson County for the mentally ill, only the most potentially dangerous cases receive
treatment, according to Bogues.
Many more individuals in need of help are released back into the community because there's no other place to put them.
"There's not a mental health bed in Jefferson County. The nearest[facility] is in Kitsap County and it's nearly almost full,"
Bogues said. "We have shipped people on mental health holds across the state, across the mountains before, to Yakima.
So taxpayers are paying for that."
SAFE IN JAIL
Bogues said police who encounter someone with mental health problems generally take that person to the hospital for
evaluation. But for individuals without a family or some other support network, they might be back in police custody later
that same day or the next day, simply because there's nowhere to hold them.
Officers can respond to calls about the same individual acting out three to four times in a single day, Bogues said. He said
the more extreme cases end up in jail because that's the only local facility to hold someone who could cause harm to
themselves or others.
"When I'm looking at a situation where I have to protect the population as a whole, and I have to protect this person,
sometimes jail is the safest place for them. And I don't like doing that, the taxpayers don't like me doing that, but I don't
have a choice," Bogues said.
400EXISTING CONDITIONS
The Jefferson County Jail's population is largely made up of people with mental health or drug issues—"coexisting
conditions" to any criminal charges—according to Sheriff Tony Hernandez.
"A lot of times, mental health [issues] go hand in hand with substance abuse," Bogues noted.
Out of the jail's yearly intake of 1,300 individuals, 70 percent have coexisting conditions, said Hernandez, who joined the
Jefferson Mental Health Services board because of this law enforcement connection. He said that high number is a costly
reality for the county. •
"This 70 percent— how is it that they aren't getting treatment, they aren't getting help?" Hernandez asked. "It's much more
costly to enter them into the criminal justice system than it is to provide adequate treatment and resources for them.
"I'm not talking about a welfare system for these people, I'm talking about a treatment system that will allow them to get
over the root cause of their deviant behavior," he added.
Mental health problems can play into, or become worsened by, substance abuse, according to Daily.
"What we see right away is they're trying to self-medicate and still maintain control, and there's more acting out. The
behavior becomes more erratic, and we wind up seeing more of it," he said. "I just see a lot of people who have mental
issues who are increasingly struggling with substance abuse issues."
PERSISTENT PROBLEMS
Bogues said two issues facing city and county law enforcement are responding to issues at Jefferson Healthcare and
dealing with the same person multiple times.
The PTPD responded to the hospital 111 times from July 2012 to July 2013, Bogues said.
Then there are individuals who do something that triggers a call to police several times a month, a week or even in the
same day. According to Bogues, someone has to be proven to pose a risk of serious harm to themselves or others to be
involuntarily committed for treatment, and they must commit actual crimes to be arrested.
Many people with mental health problems simply don't meet those criteria and are released from the hospital after their
evaluations or from the jail after they no longer pose a risk. Bogues said there isn't really a "drunk tank" holding facility in
the county, except for the jail.
"It creates a lot of confusion in the public," Bogues said of the cases that can't be resolved by arrests or involuntarily
treatment. "We know what this person is doing isn't right. It's a gray area where there isn't the legal or financial resources •
to support that person."
He said the police have contacted some individuals with mental health problems numerous times over the past year.
One, a 28-year-old female, has had about 60 contacts with law enforcement for creating disturbances, trespassing
citations and other offenses.
Bogues said the woman has been arrested 15 times in the past year for theft, burglary and trespassing charges.
"She prays loudly, she yells, she screams," Bogues said of her sometimes alarming behavior, which prompts 911 calls.
A 68-year-old Port Angeles man was contacted 30 times between May and June of this year, Bogues said. Known
throughout town as"the wizard," the man carries a stuffed rabbit in a basket. The man has claimed to have magical
powers and transferred his dead wife's consciousness into the stuffed animal, which he is very protective of.
According to Bogues, "the wizard" allegedly threatened to kill someone who wanted to touch the rabbit.
"It's not our preference to charge these people criminally, because there is so much more going on than criminal intent,"
Bogues said.
POSSIBLE SOLUTIONS
The path forward is not to build more jails and incarcerate more people, Sheriff Hernandez said. While it's expensive—the
typical rate is $139 per day per person in the Jefferson County Jail—it simply doesn't help.
"We as a society and as a community, we have to decide, are we going to build a bigger jail? Are we going to put more
people in jail rather than provide the resources they need?"
Hernandez said jail may worsen an inmate's mental health issues. He said he's started alcohol treatment programs for
inmates, including having Alcoholics Anonymous volunteers visit to run programs, but more in-depth measures are
needed. •
The Jefferson Mental Health Therapeutic Court, started this year, is one such measure, Hernandez said. The program
takes suitable defendants with mental-health issues, has them plead guilty to their crimes and offers treatment.
"We're also saying we don't want to charge you with a crime, we want to treat you, we want to help you," Hernandez said.
"We got people that are true predators out there that we need to be getting and we need to be going after."
He said the Mental Health Court has no funding, and every participant, from himself to Judge Jill Landes, is volunteering
it time. The court started operating without a budget, but Hernandez said it's seen as such a potential benefit that
keholders don't mind spending the time and effort.
Officer Bogues said the 28-year-old woman who's been contacted numerous times has been accepted into the court and
seems to be improving.
"It comes down to funding priorities; funding is tight everywhere, we're going to pay for it one way or another," Bogues
said of the larger problems caused by the intersection of crime and mental health issues. "It comes down to the money,
and I understand the money isn't there. This isn't a plea for the taxpayers of Jefferson County to open up their wallets and
pour more money into a government program ... I don't have the magic answer."11
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More Information on NAMI
For information about the National Alliance on Mental Illness (NAMI) in Jefferson County, go to
namijeffcowa.org.
The phone number for the crisis hotline is 800-659-0321, ext. 1.
Support groups meet from 7 to 9 p.m. the first and third Wednesdays of each month behind the Goodwill at 884
W. Park Ave. See NAMI county website for more information.
What one person can do?
Some people don't know much about mental illness. Others have limited time to devote to learning more. The
National Alliance on Mental Illness (NAMI) suggests a few basic steps to take that can be informative and, to
some degree, even fun. Friends especially can encourage friends to take these steps to increase personal
awareness during MIAW or any time of the year.
• • Learn the symptoms of at least three mental illnesses.
• Read a book on the subject, such as The Center Cannot Hold by Elyn Saks; Crazy by Pete Earley; Divided
Minds by Pamela Spiro Wagner and Carolyn S. Spiro, M.D.; and The Soloist by Steve Lopez.
•Watch a movie on the subject(and read a fact sheet about the mental illness that's part of the plot), such as "A
Beautiful Mind," "Canvas," "Silver Lining Playbook" and "The Soloist."
• Have a conversation: Ask a family member or friend if they know anyone close to them who has experienced a 411)
mental illness. Where does a person go if they need help?What works or doesn't work in supporting treatment
and recovery?
National Mental Illness Awareness Week is Oct. 6-12
In 1990, the U.S. Congress established the first full week of October as Mental Illness Awareness Week (MIAW)
in recognition of efforts by the National Association of Mental Illness to raise mental illness awareness.
Since then, mental health advocates across the country have joined with others in their communities to sponsor
activities, large and small, for public education about mental illness. MIAW coincides with the National Day of
Prayer for Mental Illness Recovery and Understanding, Oct. 8, and National Depression Screening Day, Oct. 10.
S
r
New DUI laws in effect
Repeat offenders face higher fines; county prosecutor said intoxicated drivers are already a priority
Tristan Hiegler, Port Townsend Leader, October 2nd, 2013
More Information
View Bill 5912 and read about the new DUI law at tinyurl.com/mgotdmg.
Jefferson County DUI arrests
Year DUI arrests
2009 72
2010 75
2011 71
2012 69
2013* 62
*As of Aug. 29, 2013.
Source:Jefferson County Sheriffs Office
Iiiforcement of a new DUI law is set has begun statewide. For its part, the Jefferson County Prosecutor's Office continues
to make punishing driving under the influence a priority.
In fact, county Prosecutor Scott Rosekrans thinks the new state law might not be strict enough. Throughout his 40-year
career as a police officer, defense attorney and prosecutor, Rosekrans said he has dealt with DUIs from almost every law
enforcement view.
"Lets just enforce the laws that we have," Rosekrans said.
The bulk of the new regulations contained in State Bill 5912, signed into law July 18, 2013 by Gov. Jay Inslee, became
effective Saturday, Sept. 28. Other portions, like a statewide 24/7 sobriety program pilot project, start by Jan. 1, 2014.
Under SB 5912, DUIs are gross misdemeanors, but an offense can be upgraded to a Class C felony if a suspect has had
four or more prior offenses in the past 10 years.
The bill also adds penalty enhancements for people caught driving impaired with children under age 16 in the vehicle.
Someone with no prior offenses can face $1,000 to $5,000 in additional fines. One prior offense could net $2,000 to
$5,000 in fines. More than two offenses can lead to $3,000 to$10,000 in additional fines.
More jail time, or more time driving with a mandatory ignition interlock device, could be implemented in those cases as
well.
•
SB 5912 passed the state House 92-0 and the state Senate 46-0.
"We do take the DUI problem seriously here in Jefferson County," Rosekrans said. "As far as I'm concerned, you're as
dangerous on your first[offense] as your fifth ... I think it's one of the more serious problems we have in Jefferson
County."
TRACKING CASES •
According to Jefferson County Prosecutor's Office data, papers have been filed in 526 DUI cases from Jan. 1, 2010 to
Aug. 4, 2013.
Joe Nole, chief criminal deputy for the Jefferson County Sheriff's Office, said deputies have made 277 DUI arrests since
2010.
"The trend seems to be pretty even," Nole said, about 70 per year.
The Port Townsend Police Department made 72 arrests 2012-2013 thus far, according to Officer Luke Bogues, public
information officer.
"We do take DUI enforcement seriously. I am a standardized field sobriety testing instructor, and I will be attending drug
recognition expert[DRE] school [in September]," Bogues wrote in an email. "Along with two Jefferson County Sheriffs
Office deputies, this area will have three of the four DREs on the North Olympic Peninsula. This will aid in greater
detection and prosecution of drugged drivers."
The prosecutor's office stopped offering plea bargains on DUls and other crimes a couple of years ago to cut down on
time spent per case, according to Rosekrans.
Deputy Prosecutor Miriam Norman, who handles the misdemeanor DUI cases in Jefferson County District Court, said they
make up a good chunk of her caseload.
"About half the cases that go to trial are DUIs," Norman said.
As far as alcohol DUI cases go, Rosekrans said his office is winning the majority. Out of 23 DUI trials since 2010, 18
ended in guilty verdicts. The ones that ended in a hung jury or not guilty more mostly marijuana DUI cases, Rosekrans
said.
"What the juries are telling us is they're finding guilty," he said. "They really do take it seriously."
MARIJUANA CASES
Rosekrans said the problem with marijuana DUI cases seems to be a lack of belief with juries that marijuana can't impair
drivers to the level alcohol can.
"There probably needs to be more education for the public on the perils of smoking marijuana [and driving]," Rosekrans
said.
He added he considers DUls personally troubling because of the random nature of the crime and its consequences. He
said with intoxicated drivers, it's impossible to predict what the damages to people and property might be.
•
• r `i. f
Nonprofits director using her cancer diagnosis to encourage others
By Chore Bermam.Peninsula Daily News.October 2.2013
C
a ,
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Sound Experience Executive Director Catherine
Collins helps to raise the sails on a recent voyage
of the schooner Adventuress.
--Photo by Elizabeth Becker
PORT TOWNSEND —The director of the nonprofit that oversees the tall ship Adventuress is using her recent cancer
diagnosis to encourage others to seek early screening.
"There really has to be some good that comes out of having [expletive] cancer," said Catherine Collins, executive director
of Sound Experience, which owns and operates the historic schooner.
"I'm not the type of person who stays quiet and think if I am really open about this, it could be helpful for someone else,"
Collins said.
Collins received a diagnosis of breast cancer Sept. 25. She already had planned to attend Girls' Night Out, a cancer
fundraiser, set from 11 a.m. to 8 p.m. Thursday in Port Townsend.
Proceeds from a raffle and gift bags for Girls' Night Out, in which businesses will offer special events, in-store promotions
and refreshments for shoppers, will go to the Jefferson County Public Health's Breast and Cervical Cancer Program and
the Port Townsend Main Street Program.
41wIlins is maintaining a positive attitude. She characterizes the likely left-breast mastectomy she will undergo in the next
months as "a port-side reconstruction."
She had been told that something was amiss after her annual mammogram but chose to postpone a biopsy until the
completion of the Adventuress' annual fundraiser Sept. 20.
"I didn't have the ability to process the information until the fundraiser was over, and this was not a fast-growing situation,"
she said.
"A lot of women put off having a mammogram, and that can be a decision that is life-changing, but if you can detect it
early, it's more like going over a speed bump than hitting a wall."
It is her second bout with the disease. The first diagnosis was in 2006, a few months after she had started the job at
Sound Experience.
After radiation and chemotherapy treatments, she went into remission and was cancer-free until the most recent tests.
"I've done this twice, where I sat across the desk from the doctor and he said, 'You have cancer,- Collins said.
"And it's really hard to hear the 'C' word in those circumstances."
The type of cancer Collins has, called ductal carcinoma in situ, or DCIS, has a high instance of successful treatment,
Collins said.
Collins said every woman approaches cancer differently: Some are private about their situation, while others want to talk
to help them to process the information and provide assistance to others.
ince everyone is different, the best thing you can do for a cancer patient is to be present for them, asking them what you
want and how you can help them," Collins said.
"It may be that you just do something small, like take their dog for a walk."
1,
She said she is lucky to have a strong circle of friends and family, as well as insurance supplied by her employer.
"I don't want to get political, but if you had to approach this without insurance, it would bankrupt you," she said.
The timing of the health care discussion is really important for women, who need to understand the importance of early
411
testing."
Collins just turned 50 and characterized this milestone as entering "my decade of power, when I will apply everything I
have ever learned to do the work that I love."
"I am lucky to be surrounded by the most incredible people," she said.
"My colleagues are also my dearest friends, I have a wonderful, supportive husband and a lot of friends who have been
through the same thing."
For more information about Girls' Night Out, visit www.ptmainstreet.orq or phone 360-385-7911.
Jefferson County Editor Charlie Bermant can be reached at 360-385-2335 or cbermantApeninsuladailynews.com.
•
r Covered Jefferson County!
Health Insurance, Affordable Care Act.
Starting October 1, Washington residents will have a new way to find, compare and enroll in health
insurance. It's called Washington Healthplanfinder, and it gives individuals, families, and small busi-
ness owners the confidence to choose the plan that best fits their needs and their budget. Washing-
ton Health plan finder offers: - washington
Apples-to-apples comparisons of health insurance plans; health v' flnCl@P
Financial help to pay for copays and premiums; powered by the wash ngton Health Benefit Exchange
Expert customer support online, by phone, or in-person through a local organization, insurance
broker or agent www.wahealthplanfinder.org or Call 1-855-WAFINDER (1-855-923-4633).
For in-person assistance contact: Jefferson Healthcare 385-2200, Jefferson County Public Health
385-9400, or Olympic Area Agency on Aging 379-5064.
10`x'Annual
GIRLS' NIGHT OUT--All Day Too! 14, -
"IN THE PINK"
October 3, 11 a.m. - 8 p.m. '
It's the 10th anniversary of Port Town- kk I The Smile Mobile
Aid Main Street's Girls' Night Out—
`�=
service mobile dental office
Way and night of shopping and dining fun in Up- A full
return to Port Townsend the
town and Downtown Thursday, October 3. This will •- •� ��y •
year's theme is "IN THE PINK!"! Thirty-three busi- week of November 12 and to
nesses will offer special events, in-store promo- Chimacum the week of November 18. Call 1-888
tions and refreshments from 11 a.m. to 8 p.m. -286-9105 for an appointment. Jefferson County
Check www.ptmainstreet.org or Port Townsend Public Health is proud to partner with the WA
Main Street's Facebook page for details. Dental Foundation to provide this service to local
children in need of dental services.
October is Breast Cancer Awareness Month. Pro-
ceeds from goodie bags and raffle tickets sales
benefit Jefferson County Public Health's Breast
and Cervical Health Program for local women in
need and the Port Townsend Main Street Pro-
gram, a 501c3 nonprofit. This event is sponsored
by the Port Townsend Main Street Program, Jef-
ferson Healthcare, Ozone Socks and generous
participating businesses.
•
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LUNCHEON
SPEAKERS
Jefferson County Chamber of
Commerce luncheon meetings
are held at the Port Townsend
Elks Lodge, 555 Otto St., at .
•
noon each Monday, federal
holidays excluded. Everyone
is welcome!
Oct 7-City •
Council Forum A.`,
ZM'tf*:44-t .—
Michelle Sandoval, 1 •
Bob Jautz, Patrick
Moore, Catharine irk:, ,* ;
Robinson, Pamela - ,I. k
Adams and Harold
Sherwood answer
questions.Sponsor Port Townsend Library
Oct.14-No Meeting ,
Columbus Day holiday.
Oct.21- --
Home Rule `',*.t.
Charter ��T
Advocates for
and against ,i,-****
the Home Rules,,. ;.0
Charter proposal
for Jefferson
County exchange views. Sponsor KPTZ.
Oct. 28 - Erin r
Brown, Julia
Danskin ,
Brown, Financial
t
Counseling
`1;:s4--;--. ,1 ,
Supervisor andrs—, `
Compliance Officer
for Jefferson
Healthcare and ! ,y i%a
Danskin, Jefferson :TA,
County Public Health _
Manager, explain e # y r ,''t
the new Washington ``'
Health -Insurance ko
Exchange program i
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and the Get Covered 1 /,
Jefferson County 9 1, ��
campaign.Sponsor Seaport Landing. A
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THE SHUTDOWN, DAY 6: Jefferson,Clallam counties may take money hit if federal impasse lasts long
By Rob 011ikainen, Peninsula Daily News, October 6, 2013
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PORT ANGELES —A prolonged shutdown of the federal government would hit Clallam and Jefferson
counties' Health and Human Services Department the hardest, officials said.
In particular, the congressional impasse that began Monday threatens the Women, Infants and Children's
nutrition program, known as WIC.
County health departments distribute the federal funds to low-income mothers, pregnant women, babies and
young children within their jurisdictions.
lit's a huge deal," Clallam County Administrator Jim Jones said.
WIC provides close to a $1 million per year in benefits to Clallam County families.
Jefferson County Public Health serves 840 families on WIC.
"It's quite a few dollars a month in groceries," department Director Jean Baldwin said.
Set to expire Wednesday
Federal funding for WIC was set to expire Wednesday.
Clallam County Health and Human Services Director Iva Burks said the funding has been temporarily extended
"while they work things out in Washington, D.C."
"The state is reallocating funds and is planning on carrying it for a week," Baldwin said. "At the end of a week,
the feds are saying that they will reallocate funding to carry it until the end of October."
If the government shutdown lasts into November, however, the program will shut down, Baldwin said.
OThe actual other cuts in terms of[U.S.] Fish and Wildlife and federal EPA [Environmental Protection Agency],
all of those are just slow-downs and kind of messes we're trying to figure out —who we call and how we
interact with them," Baldwin added.
r 1t 4
Jones said the shutdown mainly affects health and human services, although the road department and juvenile
services receive a good chunk of federal money passed through the state.
Since there is a "couple months' lag" for the federal funds to reach the counties, the shutdown so far has had a •
minimal impact on county finances, Jones said.
Jefferson County Administrator Philip Morley has said the government shutdown would be "significant" if it
goes on much longer than a week.
He could not be reached for comment Friday.
Veterans
Clallam County Veterans Coordinator Tammy Sullenger has relied on the National Archives to access a
veteran's discharge papers to confirm that he or she is eligible for benefits.
"We just found out that it was shut down," Jones said Friday afternoon.
"We can't help the needy veterans at this moment."
Beyond the government shutdown, Burks and Baldwin said their departments were cut by the federal budget
sequester that took effect in March.
Reporter Rob 011ikainen can be reached at 360-452-2345, ext. 5072, or at rollikainen(,peninsuladailynews.com. •
•
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It's slow going in Jefferson County for Obamacare
By Allison Arthur, Port Townsend Leader I Posted: Wednesday, October 9, 2013
llow going: That's how officials with Jefferson Healthcare and the Jefferson Public Health Department
describe the first week of the availability of health care insurance through the historic Affordable Care Act in
Jefferson County.
"It's been a trickle so I'm really hoping that it picks up," said Erin Brown, financial counseling supervisor at
Jefferson Healthcare. "I'm hoping people are going online themselves to get the information."
The Health Benefit Exchange of Washington website, the main online site for signing up people, was not
functioning the first day insurance became available, Oct. 1.
Exchange Benefit spokesperson Bethany Frey said Oct. 8 by email that there is no information breakdown
available by county but as of Oct. 7, 10,497 people in Washington have qualified for health plans with 2,594
qualifying for immediate coverage through Medicaid.
Officials estimated early on that about 4,300 people in Jefferson County qualify for either free or subsidized
insurance through plans approved by the Exchange.
$11 A MONTH
There have been a few eager beavers.
Spur very first patient was right at our door even before we opened. We gave her the paper application and she
came back on Thursday," said Brown.
The woman and her children — a family of four—qualified for insurance and the woman's premium is $11 a
month.
"If you qualify for tax subsidies, it can be affordable," Brown said.
Julia Danskin, public health nursing director for Jefferson County Public Health, also helped one woman qualify
for free healthcare.
"She seemed really pleased. She knew her income was very low," Danskin said.
Danskin said she's probably talked to a dozen people and has helped five people but so far has helped only
that one woman who qualified for free insurance to actually enroll.
"Lots of people are calling. I'm encouraging them to try to go on and do it themselves," Danskin said.
Once a person creates an account online — at
wahealthplanfinder.org — it is possible to stop the process, save the information input so far and call for help or
ikeek free assistance at one of three agencies that have in-person navigators: Jefferson Healthcare, Jefferson
ounty Public Health or the Olympic Area Agency on Aging.
Private insurance companies, including Kristin Manwaring Insurance in Port Townsend, also can provide free
assistance with insurance plans available on the exchange.
.. +
Brown said one person came to the hospital looking for affordable insurance but because their income was
400 percent over the federal poverty guidelines, their monthly premiums were more than $400.
Brown said that she encouraged that individual to seek help through Manwaring's office because the person
might qualify for cheaper rates with an insurance company that the Exchange does not use.
FREE ASSISTANCE
In an effort to help more people sign up for insurance — all people are required to have insurance next year or
face fines — all three agencies have set up workshops to provide help.
Brown said she thinks not enough people know about the Exchange or understand how it all works.
The hospital has extended its business hours and is open until 5:30 p.m. weekdays to help people. The
navigators are people in the hospital's business office, which is on the first floor of the hospital's main building
on the water side entrance.
Hospital navigators also plan on being at the Quimper Unitarian Universalist Fellowship from 5:30 to 6:30 p.m.
Thursday, Oct. 17, and they will be at the Jefferson County Public Library in Port Hadlock from 1 to 5 p.m.
Sunday, Oct. 20 and again from 10 a.m. to 2 p.m. Saturday, Oct. 26.
"We've had a lot of people ask questions and there's a lot of people who still don't know about it," Brown
believes.
TIME, PAYMENT •
Danskin said it is her department's goal to enroll 200 people in the next six to 12 months.
Danskin said each application is different and it can take anywhere from 15 minutes to an hour and a half to
get through the application process online.
"If it's just a single adult and they file taxes by themselves, it's easier. It's harder when you talk about families
and dependents and kids," Danskin said.
People should be prepared, for example, to divide their annual income by 12 because the system wants to
know monthly income.
"It catches things. It makes sense, but sometimes you have to read what they are asking for," she said.
One thing Danskin did learn is that people do need to have a debit or credit card to actually make a payment.
And that, she said, can be a challenge for people who are "unbanked" — people who don't have a bank
account.
Once people sign up, they have until Dec. 23 to make a payment for premiums for insurance that takes effect
Jan. 1, 2014.
The open enrollment period runs through March 31, 2014. •
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Girls' Night goodies Toad Rosenow
checked out her goodie bag from Girls' Night Out Thursday,
Oct. 3. Rosenow has lived in Port Townsend for three years and
says she's participated in the event all three years. She said she
loves the socks, which she's holding up. "There's very use-
ful stuff in here," she said. All the goodie bags were sold and
more than 80 women, and a few men, attended a wrap-up party,
said Mari Mullen, executive director of the Port Townsend Main
Street Program. The amount of money raised will be known Fri-
day when a raffle is over, Mullen said. Tickets are available at
ptmainstreet.org for$5 with a prize valued at$600 to be drawn Fri-
day,Oct.11.Photo by Allison Arthur
/c/ei//
Health lesson for artists, art educators
Posted: Wednesday, October 9, 2013 5:00 am
Jefferson County Public Health offers two workshops for artists and art educators to
help them produce vibrant art while protecting themselves, their families and the
environment from toxic, corrosive and flammable chemicals.
The first workshop, which takes place from 1 to 4:30 p.m., Saturday, Nov. 2 at the Port
Townsend Community Center, is for those working in painting, encaustic, collage,
jewelry or ceramics. The second workshop, on Saturday, Feb. 8, from 1 to 4:30 p.m. at
the Cotton Building, focuses on those working in painting, encaustic, collage, jewelry or
printmaking.
At the workshops, chemical management expert Dave Waddell explains the risks
associated with typical art materials; safer chemical alternatives; and safe storage and
disposal of hazardous materials. Artists working in ceramics, stained glass and scrap
metal sculpture can be susceptible to lead poisoning. Woodworkers and metalworkers
can suffer chronic bronchitis from exposure to dusts. Photographers, woodworkers,
painters and jewelry makers are exposed to solvents, metals, dusts and other •
contaminants that can have an impact on their health.
Artists work with the same chemicals, and are exposed to the same fumes and dusts,
as employees in manufacturing and industry, but are not typically monitored for health
impacts or know all of the risks associated with the materials they use.
For more information and to register, call Pinky Feria Mingo at 379-4489 or visit
jeffersoncountypublichealth.org.
i
Temp Food Establishment Program Activities
• Introduction
Last month we presented general data regarding 2013 Temporary Food Establishment Permitting YTD.
This month we will be presenting more detailed information on the permits issued. As a BOH review
continues, we will detail permitting data, inspection data, and suggested resolution. Financial data will
be included in each topic.
As a refresher, these are the highlights from the information presented last month:
• Approximate 73% increase in Temp Food Permits issued (will be greater by the end of the year)
• Approximate 39% reduction in average staff time spent per permit issued
• Very wide range of time spent on permitting Temp Food Establishments (from 20 minutes to
8.92 hours/ permit)
• Minimum permit expenditure–Approx. $22.33 (20 minutes), minimum permit revenue–$16.00
(Additional event permit fee)
• Maximum permit expenditure–Approx. $597.00, maximum permit revenue–$208.50
(Complex Single Event and late fee)
• Revenue covers approximately 71%of expenditures(29%gap)
Today's Takeaways
• • The 2013 study is much more detailed and accurate than the 2011 (more activities tracked, not
all activities occur for each permit received)
• When grouped operationally, major time inputs have shifted in 2013 from 2011 observations
— 58% reduction in time spent in fieldwork(travel and inspections)
— Time input shifted from field work to pre-application and application
— Reflects emphasis on education and compliance prior to the event rather than during
the event (phone calls, writing, in person, more comprehensive application, etc.)
— Results in only spending extra inspection time if a food safety issue arises due to poor
food operations
• On average, the three most expensive activities conducted in 2013 are:
— Applicant Education & Compliance via phone ($23.06)
— Permit Administrative Processing ($22.23)
— Applicant Education &Compliance in person ($20.56)
• Approximate 64% reduction in mean $ of travel time (primarily due to more vendors/event)
• On average, all inspections took approximately the same amount of time regardless of permit
type (single–18min vs. recurring–17min; full price–19min vs. subsidized–15min)
• • Approximately 3%of temp food activity was spent where a permit was not issued and $0.00
revenue was generated
Temp Food Establishment Program Activities
• 2013 Findings*
*all permit activity up to September 2013
Activities tracked in order of process (10 total):
Applicant Applicant Applicant
Ed & Ed & Ed & Process Process Permit Permit Permit Inspection Travel
Payment— Payment— App App Admin
Complianc Complianc Complianc Time Time
e via phone e in person e in writing
Cash/Check Credit/Debit Intake Review Processing
Pre-application Application Processing Fieldwork
2011%of Total Activity in Operational Groups 2013%of Total Activity in Operational Groups
Pre-application 11.26% Pre-application 23.13%
Application Processing 37.53% Application Processing 55.48%
Fieldwork 51.21% Fieldwork 21.39%
III
All Tracked Activities Ranked by%of time spent
Mean$ spent per activity
Activity %of total time spent when done*:
Permit Administrative Processing 20.8% $22.23
Permit Application Review 17.5% $16.43
Applicant Education &Compliance via Phone 13.2% $23.06
Inspection Time 11.7% $18.28
Permit Application Intake 10.4% $11.17
Travel Time 9.7% $14.98
Applicant Education &Compliance In Person 5.8% $20.56
Process Permit Payment—Cash/Check 4.5% $5.58
Applicant Education &Compliance In Writing 4.0% $10.64
Process Permit Payment—Credit/Debit 2.3% $16.75
Note: Activities are tallied independent of the permit issued as some activities may not have occurred for each permit issued(e.g.Some permits required no phone calls or
in person meetings. Both credit/debit or cash/check would not be received in the same permit,unless multiple payments were taken)
Expenditures described are not inclusive of all the other programmatic expenses(admin&overhead,general citizen inquiries,etc.)
•xpenditures are estimated at the current hourly rate-$67.00
Temp Food Establishment Program Activities
Tracked Activities Conducted with$0.00 Revenues Received*
%of total Activity time
Activity spent Total $ spent*:
Travel Time 6.6% $189.83
Applicant Education &Compliance In Writing 6.5% $78.17
Inspection Time 4.3% $150.75
Applicant Education & Compliance via Phone 4.3% $167.50
Process Permit Payment—Credit/Debit 2.5% $16.75
Permit Application Review 1.9% $1.93
Process Permit Payment—Cash/Check 1.7% $22.33
Applicant Education &Compliance In Person 1.6% $27.92
Permit Administrative Processing 1.5% $89.33
Permit Application Intake 1.5% $44.67
Total 3.0% $887.75
*EH Directors time was spent but not accounted for in these activities. Expenditures are estimated at the current hourly rate-$67.00
S
°��g Ad ID: 122270
l Classified Advertising
1= E. ., �. ..; "'-L Pre-Bill
(kite trea,irer)
'\IIIV 272013
2Adams Street • Port Townsend, WA 98368 • 360-385-2900
,etterson County
Public'. ,-,f.-,00',Bill to: Sold to: Account ID: 11545
Jean Baldwin Cathy Avery
JeffCo Public Health JeffCo Public Health
615 Sheridan Street 615 Sheridan Street
Port Townsend, WA 98368 Port Townsend, WA 98368
Please pay from this Pre-Bill. Return stub with payment. Rep ID: DR Terms: Net 30
Description
Classification of Ad: 460—County Notices Zone: A
PO: JC BOH Mtg Cancellation Text: JEFFERSON COUNTY BOARD OF HEALTH MEETING
CANCELLATION T...
Charges from 10/30/2013 to 10/30/2013
Date Pub Type Description Price Discount Applied Due
10/30/13 PTL Ad LEGALS: JEFFERSON COUNTY - $9.69 -$9.69 $0.00
County Notices
!, Jefferson County $9.69 -$9.69 $0.00
Public Notices
w�114
ol -wl' NCs1
www.co.jefferson.wa.us
JEFFERSON COUNTY
BOARD OF HEALTH
MEETING CANCELLATION
The November 21, 2013 meeting of
the Board of Health has been cancelled.
The next regular scheduled meeting will be
held on December 19, 2013 at Jefferson
County Public Health,615 Sheridan St.Port
Townsend,WA.
Please return this ,._.. ...... 1222701mo nt.
'""' " '" Classified Advertising Pre-Bill
Remit Payment to:
Port Townsend Leader Amount Due $0.00
226 Adams Street
Port Townsend, WA 98368
Phone: 360-385-2900 Amount Enclosed
Fax: 360-385-3422
Issue Date: 10/30/2013
Jean Baldwin Prebill Date: 11/26/2013
0 JeffCo Public Health
615 Sheridan Street Ad # 122270
Port Townsend, WA 98368 Account# 11545
Affidavit of Publication
® STATE OF WASHINGTON)
SS
COUNTY OF JEFFERSON)
I, Donna J. Rosmaier, an employee of the Port Townsend & Jefferson
County Leader, a weekly newspaper which has been established,
published in the English language and circulated continuously as a
weekly newspaper in the town of Port Townsend in said County and
State, and for general circulation in said county for more than six (6)
months prior to the date of first publication of the Notice hereto
attached and that the said Port Townsend & Jefferson County Leader
was on the 27th day of June 1941 approved as a legal newspaper by the
Superior Court of said Jefferson County and annexed is a true copy of
theAd # laaa-gyp
SEE ATTACHED NEWSPAPER CLIPPING
As it appeared in the regular and entire issue of said paper itself not in
a supplement thereof for a period of \ weeks, beginning on the
30 day of Qct b2,( , 2013, ending on the 30 day of
oCke,hr < , 2013, that said newspaper was regularly distributed
to their subscribers during all of this period. That the full amount of
$ .(,C\ has been paid in full, at the rate of$ 7.75 per column inch
for each insertion.
Subscribed and sworn to before me this oQ(o day of NOV{Moe (2013.
a°S
P O
� �PR Y ZirY)42-4-4""
O+
Do t. J. Rosmaier
0,0020 20 o Notary Public in and for the State of Washington Residing at Port Townsend.
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