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HomeMy WebLinkAboutM102011JEFFERSON COUNTY BOARD OF HEALTH MINUTES Thursday, October 20, 2011 - 2:30 PM — 4:30 PM Public Health Conference Room, 615 Sheridan Street, Port Townsend Board Members Phil Johnson, Vice Chair, County Commissioner District #1 David Sullivan, County Commissioner, District 42 John Austin, County Commissioner, District #3 Roberta Frissell, Citizen at large (County) Sheila Westerman, Citizen at large (City) Kristen Nelson, Chair, Port Townsend City Council Jill Buhler, Hospital Conunisstoner, District #2 Staff Members Thomas Locke, MD, MPH Health Vicer Jean Baldwin, Public Health Services Director Julia Danskht, Nursing Services Director Vice Chair Phil Johnson called the meeting of the Jefferson County Board of Health to order at 2:35 PM. A quorum was present. Members Present: Phil Johnson, David Sullivan, John Austin, Sheila Westerman, Roberta Frissell, (Kristen Nelson and Jill Buhler, arrived late) Staff Present: Dr. Thomas Locke, Jean Baldwin, Julia Danskin, Veronica Shaw APPROVAL OF AGENDA Member Austin moved to approve the agenda for the October 20, 2011. BOH Meeting; the motion was seconded. The motion passed unanimously. APPROVAL OF MINUTES Member Austin moved to approve the minutes for the September 15, 2011 BOH Meeting; the motion was seconded. The motion passed unanimously. None PUBLIC COMMENTS OLD BUSINESS and INFORMATIONAL ITEMS Correspondence — Department of Health Dr. Locke announced that Jefferson County has been renewed as a Geographic Primary Care Health Professional Shortage Area. This designation allows an enhanced reimbursement for primary care services delivered by rural health clinics, higher Medicare payments for physicians, and eligibility for recruitment of National Health Service Corps -sponsored practitioners. BOH Minutes October 20, 2011 Frances Joswick, Chair of the Substance Abuse Advisory Board presented a letter that the Substance Abuse Advisory Board sent to the legislature requesting the current recommended budget cuts not be implemented for essential substance abuse and mental health services. Ms. Joswick requested that Dr. Locke, Ms. Baldwin, and the Board also submit a letter to support the efforts of the Substance Abuse Advisory Board. There was discussion as to what needs to be included in the letter, where reductions are possible, revenue sources and the importance of focusing on community impacts when we face huge cuts. A draft letter will be included in the November agenda packet. Regulation of E -Cigarettes and Single Cigarettes Ms. Danskin presented a tobacco awareness handout. The handout covers how to report a violation of smoking in public places and states that the sale of single cigarettes is illegal. It addresses what an e -cigarette is and law concerning the sale and use of E -cigarettes. King County has adopted rules which make it illegal to sell e -cigarettes to minors, via vending machine, offer free or discounted e -cigarettes or to use e -cigarettes in any area where smoking is prohibited by law. The Board discussed the benefit of adopting an ordinance such as King County's. 2011 Gins Night Out Report Ms. Danskin announced that she received an e-mail stating that JCPH will be receiving a check for over $3,000 from proceeds at Girls Night Out. Kitsap Public Health District Strategic Plan at a Glance Dr. Locke included a copy of the 2011-2021 Strategic Plan at -a Glance for Kitsap County. The plan presents a vision for what Kitsap Public Health should look like in five years. Jefferson County is facing many of the same issues that the Kitsap County Health District addressed in their strategic plan. Staff Stars Ms. Baldwin congratulated four JCPH employee's for their recent accomplishments. Margie Boyd, Environmental Health Specialist, received the solid waste trophy, Ms. Danskin received the trophy from Main Street Program, Ms. Shaw, partnering with the Department of Health, CDC, and other county health departments has completed the Immunization Billing Resource Guide; Tammy Pokomy was recognized for the technical writing of the manual. Quen was invited by Dr. Robert Anda (CDC) to join with him in presenting at the Alberta Family Wellness Initiative on the topic of Adverse Childhood Experiences (ACES). This was a huge honor in recognition of her leading role in bringing ACES into practice in Jefferson County. The event was broadcast and will be posted online. 2 BOH Minutes October 20, 2011 Port Townsend Paper Company Solid 'Waste Permit Update A copy of a recent letter sent by Dr. Locke to the Port Townsend Paper Company was included in the Board packet as an information item. The State Department of Ecology and Jefferson County Public Health are in the process of reviewing the classification of the Company's solid waste landfill and have determined that it should be reclassified from an inert waste to a limited purpose landfill. Dr. Locke advised the Board that the Jefferson County Solid Waste Code has a two step appeals process for regulatory decisions. The first step is an administrative hearing before the health officer. The second step involves an appeal before the local board of health. Should the PortTownsend Paper Company decide to appeal the reclassification decision, the issue could eventually come before the Board. New Business Proposal to Combine City and County Solid Waste Enforcement Ms. Baldwin discussed a letter to the City Council that was included in the agenda packet which outlined the current solid waste enforcement jurisdictions between the City and County. Ms. Baldwin clarified the scope of JCPH's authority and work and discussed the proposal to combine City and County solid waste enforcement efforts. WA State Public Health Indicators Dr. Locke presented 3 graphs from the recently updated version of the Washington State Local Public Health Indicators. Dr. Locke included 3 graphs in the agenda packet as examples of how Jefferson County compares to other counties and to the State average. The graphs showed that Jefferson County has lower teen pregnancy rates and more years of healthy life expected at age 20 than the State average. Teen alcohol use is higher than the State average. Dr. Locke stated that the Public Health Indicators system was created to track changes in key measures of community health status. All data and graphs can be found on line at vwww.fortress.wa.gov. EPA Homeowner Process Report Linda Atkins, Environmental Health Specialist, updated the Board on the status of upcoming changes to the onsite sewage code. She announced they will be assembling an advisory board to prepare the onsite sewage code that would allow homeowners to do their own monitoring inspections. She informed the Board that Environmental Health has continued to work with Online RME, a computer data entry company, and Clallam County regarding the way homeowners will input their data in the computer. She has been in contact with Clallam County on the status of their pilot program for online education for homeowner inspection. Ms. Atkins also informed the Beard that she has attended two realtor meetings in an effort to educate professionals in the county on ways to access septic records and monitoring inspections on line. Member Westerman recommended that an ad be run in The Leader posting the positions on the advisory board. In addition Member Buhler suggested that the applicants must have specific qualifications to be chosen as a part of the advisory board. 3 BOH Minutes October 20, 2011 Ms. Atkins concluded by stating that the hope is to bring the revisions of the code to the Board by February 2012. Environmental Health Time Study Report Veronica Shaw reported that a unit cost study is nearly completed to be used to establish fees. Environmental Health Fees Ms. Baldwin reported that the time study is tied to proposed revisions of the Environmental Health Fees. After completion of the time study, a fee schedule change will be brought to the November Board meeting. Nurse Family Partnership — Regional Approach Ms. Baldwin informed the Board that she has been involved in several meetings with counties that are interested in becoming involved with Nurse Family Partnership. Ms. Baldwin reported that a discussion has been started with the Port Gamble S'llallam Tribe, who has a grant, staff and approval from tribal council, but they do not have staff trained in supervision. JCPH has trained supervisory staff but is losing funds to pay for the position, so they are discussing working with the tribe to do the supervision, which would help the tribes to get started. Ms. Baldwin stated that they will be making the same proposal to the hospital and other Tribes in Clallam County. ACTIVITY UPDATE Member Austin suggested that after hearing a talk on the cleanup of water quality on Discovery Bay this may be a worthwhile topic for a presentation to the BOH. Member Austin informed the Board that the new Board of Health Director will be; at JCPH October 21, 2011. Chair Nelson asked the status of the Environmental Health Director position being filled. Ms. Baldwin stated that they will be performing a second interview of an applicant in November. AGENDA PLANNING CALENDAR The next scheduled BOH meeting will be held Thursday November 17, 2011 from 2:30 — 4:30 PM at Jefferson County Public Health, 615 Sheridan Street, Port Townsend, WA. SOH Minutes October 20, X2011 Chair Nelson adjourned the JEMRSON COUN Kristen Nelson, Chair Jill B er, Member Roberta Frsseli, Member Sheila Westerman, Member ADJOURNMENT BOH meeting at 4:30 pm. ARD OF HEALTH Phil Johnson, Vice -Chair J Austi Member David Sullivan, Member BON Minutes October 20. 2011