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HomeMy WebLinkAboutM032014JEFFERSON COUNTY BOARD of HEALTH MINUTES Thursday, March 24, 2014 Jefferson County Public Health, 615 Sheridan Street, Port Townsend WA 98368 &ffAffm_k9rs PhU Johnson, County Canunksloner District #! David Sullivan, Chair, County Commissioner, District #2 John Austin, County Commissioner, District #3 Roberta Frisseif, ridzen at large (County) Kris Nelson, Port Townsend City Council Sheila Westerman, Me Chair, Citizen at large (City) Jill Buhler, Hospital Commissioner, District #2 StWjMembers Thomas Locke, MD, MPH Healtk Offleer Jean Baldwin, Publk Health Services Dir Julia Danskin, Nursing Services Dir Jared Keefer, Env. Health Services Dir Veronica Shaw, PubUc Heatth Deputy Dir Chair Sullivan called the March 20, 2014 meeting of the Jefferson County Board of Health to order at 2:30 PM. A quorum was present. Members Present: David Sullivan, Phil Johnson, John Austin, Sheila Westerman Staff Present: Thomas Locke, Jean Baldwin, Julia Danskin, Veronica Shaw Members Excused: Jill Buhler, Roberta Frissell, Kris Nelson APPROVAL OF AGENDA Chair Sullivan called for review and approval of agenda for 3/20/2014 meeting. Chair Sullivan suggested moving Presentation of Public Health Hero Awards to first item on the agenda. Chair Sullivan suggested moving New Business item, "Nurse Family Partnership Advisory Committee Recruitment" from item 4 to 1. Member Austin suggested adding The Featherstone Award to information items. Member Westerman moved to approve the agenda as amended; the motion was seconded by member Johnson. No further discussion. The motion passed unanimously. NEW BUSINESS Presentation of Public Health Hero Awards for 2414 National Public Health week is April 7-13, 2014. Jefferson County identifies community -wide "Public Health Heroes" to honor during this week. This year, with implementation of the Affordable Care Act {ACA} a high Priority, staff recommended that the 2014 honorees should include the local volunteers and Jefferson County Public Health and Jefferson Healthcare employees who have diverted their normal work -flow in order to be available to the public to Delp them enroll in ACA options, as "In Person Assisters." Jefferson County, with this help, was able to enroll a notably significant number of people, and will continue to enroll community members as long as possible. APPROVAL OF MINUTES Chair Sullivan called for review and approval of the minutes of the 2/20/2014 meeting of the Board of Health. Member Johnson moved to approve the minutes as presented; the motion was seconded by member Westerman. No further discussion. The motion passed unanimously. PUBLIC COMMENT Dionne Duchene: Concerned about a home on the rental market which she almost rented, which was an alleged former meth lab. Barry Ellis: Rented a home which was an alleged former meth lab. He reported that he experienced ill health effects during his time in that rental. Mr. Ellis submitted documents to the Board and recommended that this property be posted as unfit for habitation. Marla Althouse: Expressed concerns regarding the Pork Townsend Paper Corporation landfill permit which is in mediation. OLD BUSINESS ANIS INFORMATIONAL ITEMS Jefferson County Board of Health Membership Recruitment The terms of two appointed positions on the B014 have expired. The positions have been posted in the Leader. Interviews will be held with Dr. Locke and a member of the BOH. Expanded Veterans Administration Clinic Opens in Part Angeles for Olympic Peninsula Veterans Dr. Locke reviewed the clinic operations, which will serve the entire Olympic Peninsula. There are a great number of retired veterans on the Olympic Peninsula, often without medical coverage, and this will be a much needed service. Additional .Agenda Item: Featherstone Award The Washington State Board of Health is responsible for forwarding nominations for the Featherstone Award. Nomination period is currently open for the Featherstone Award, noting the significant contributions to public health. Featherstone Reid was Dr. Locke's mentor on the State Board of Health. Next month, staff will bring a nomination for the Jefferson County Board of Health's endorsement. NEW BUSINESS Nurse Family Partnership (NFP) Advisory Committee Recruitment Yuko Umeda presented information about the regional NFP partnership for with the Port Gamble S'Klallam Tribe and Kitsap County Public Health. A new advisory board is being formed for the regional NFP program, with representatives from Jefferson County, Kitsap, and Port Gamble. She is recruiting members for this advisory board and asks board members to consider joining the advisory board and to forward information on others who may be interested in joining the board. As these are regional meetings, the meeting places will likely move locations from meeting to meeting. Chair Sullivan notes that this program is critical and important in Jefferson County. 2413 Performance Measures: Family and Maternal -Child Health, Communicable Disease, Family Planning, and Community Prevention Programs 2013 Performance Measure Reports were included in the Board's packet. Staff reviewed highlights from, the reports. Family and Maternal -Child Health: Family and Maternal -Child Health programs consist of maternity support services, infant case management, Women Infant and Children (WIC), Child Protective Services (CPS) family work, Nurse Family Partnership, and children with special health needs. The number of clients served was lower in 2013. The birth rate is decreased in Jefferson County. The data collection system has been changing, and data reporting will change. Ahs. Umeda encourages the Board to lend its support to state and federal Maternal Infant Home Visiting funding. Communicable Disease and Immunization Program: Communicable Disease program key notes: 1.) Staff have been following cryptosporidiosis case numbers that had averaged 7-8 per year per year. Last year, only 2 cases were reported. 2.) There were 78 Chlamydia cases in 2013, up from 50 cases in 2012. The program promotes screening and testing of partners. Immunization program key notes: 1.) Over the last 3 years, the numbers have stabilized in the proportion of childhood immunization given out here, and in the clinics. Having the walk-in clinic available for immunization is a plus. 2.) With the Washington immunization registration, there have been system updates and trainings for staff. 3.) A new item (goal 7, page 3 of the performance measures), is a report, available by county, to look at the completeness of immunizations for different age groups within any county. 4.) Several free vaccine programs for adults. Sixty-three free immunization doses were given in 2013. Targeted Clinic Services.- Family ervices.Family planning numbers decreased slightly and then increased slightly in 2013. Implementation of the new electronic health record (eMD) impacted program volume. The Breast and Cervical Health program will be absorbed by the Affordable Care Act, as those clients can now be seen by general practitioners. Funding for BCHP is mostly Federal, with a small amount from State. Foot care clinic numbers are decreasing. Outreach efforts will be increased. There was a staff change, which affects the numbers reflected in the report. School Based Clinic numbers are up. Prevention: The Drug and Alcohol prevention contract has seen many changes. A year ago, the Port Townsend School District chose not to offer matching funds to establish a coalition for a full- time intervention specialist when the match amount increased from $6,000 to $12,000 for the year. Port Townsend School District withdrew, and since then no information has been available regarding, prevention activities in the district. Chimacum School District, however, is now a partner and information regarding prevention activities can be monitored. There's no information about where Part Townsend school children are receiving prevention services, School health screening and human growth development are two in -school programs. The School -nurse corps, funded by the State, is another in -school program, and will likely lose funding. Tobacco prevention funding is no more. When complaints are made, JCPH enforces the glean air act. Dental care and prevention is a great need in Jefferson County. However, there are no dentists in Jefferson County who serve clients with Medicaid insurance. A dental clinic which accepts Medicaid has opened in Port Angeles, and has a wait list of 400. This continues to be a problem for which a solution must be found. 2014 Legislative Session Wrap-up 2544 -Newborn screening Member Austin noted the successful forward legislative movement of the newborn screening bill which requires that newborns be screened for a number of health problems, even when not born in a hospital. 6065 -Tanning deviceslUV radiation Member Austin noted the forward legislative movement regarding the bill requiring minors to obtain a prescription to obtain tanning services. Dr. Locke reported on two bills that made it through the legislature: the bill that created/promoted integration between medical, chemical dependency, and mental health services, and a bill regarding the healthcare innovation plan. Jefferson Healthcare - Jefferson County Public Health Community Health Needs. Assessment Project Update A report regarding demographic work undertaken by the Jefferson Healthcare/Jefferson County Public Health workgroup has been included in the Board's packet. The next meeting of this group will address mental health, health care access, and mortality data. The workgroup will be ending, and will conclude with action items for policy makers and community leaders. ACTIVITY UPDATE Clean water district fees will be addressed during a public hearing at the Jefferson County BQCC regular meeting. No items for update. PUBLIC COMMENT Barry Ellis. Notes that PierceCounty has an aggressive policy regarding meth house issues. Gretchen Brewer, Expressed concerns about the Affordable Care Act (ACA). She has read there is a provision within Medicaid law that stipulates monies can be recovered by the Federal Government via claims on individual estates. Also, she noted concern about the PTPC and mediation regarding inert and limited purpose designation. Julia iDanskin responded to the comment regarding ACA estate recovery, which applies to 55 to 64 year= olds. The State agreed to change the legislation, and Julia can provide further details. Estate recovery will only apply to long-term care. AGENDA PLANNING CALENDAR The WSAC November 20'h, 2014 meeting is in conflict with the November 20th, 2014 Board of Health meeting. Member Johnson moved to cancel the November 20th, 2014 meeting of the Jefferson County Board of Health. Member Austin seconded the motion. No further discussion. The motion passed <unanimously. NEXT SCHEDULED MEETING Next Board of Health meeting will be held on Thursday, April 17th, 2014 from 2;30 — 4:30 pm. at Jefferson County Public Health, 615 Sheridan Street, Port Townsend WA. NEXT SCHEDULED MEETING Next Board of Health meeting will be held on Thursday, April 17th, 2014 from 2:30 — 4:30 p.m. at Jefferson County Public Health, 615 Sheridan Street, Port Townsend WA. ADJOURNMENT Chair Sullivan adjourned the March 20, 2014 Jefferson County Board of Health meeting at 4.00 PM. JEFFERSON COUNTY BOARD OF HEALTH Phil Johnson,"ember It Buhler, Member Roberta Frissell, Member 4XV45 p Dad Sullivan, hair Kns Nelson, Member John Austin, Member Sheila S rrr es a ice Chair Respectfully Submitted: Cara Leckenby