HomeMy WebLinkAboutM082114JEFFERSON COUNTY BOARD OF HEALTH
MINUTES
Thursday, August 21, 2014
Jefferson County Public Health, 615 Sheridan Street, Port Townsend WA 98368
Board Members
Phil Johnson, County Commissioner Distrlct #1
David Snitivan, Chair, County Commissioner, District #2
John Austin, County Commissioner, District #3
Sally Aerts, citizen at large
Kris Nelson, Port Townsend City Council
Shelia Westerman, Hce-Chair, Citizen at large
Jill Buhler, Hospital Commissioner, District #2
called the August .21, 2014
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Thomas Locke, MD, MPH Health !3, f,�%er
Jean Baldwin, Public Health Services Dir
Julia Danskln, Public Health Manager
Jared Keefe, .Env. Health Services Dir
Veronica Shaw, Public Health Deputy Dir
of the agenda far the
esterman, Phil
Member Buhler to give the Board an update on the new Supreme Court Ruling — added as item
seven to New Business.
Member Nelson moved to approve the agenda; the motion was seconded by Member
Buhler. The motion passed unanimously.
APPROVAL OF MINUTES
Chair Sullivan called for review and approval of the minutes of the 7/17/2014 meeting of the
Board of Health.
Chair Sullivan corrected the minutes to reflect that Member Westerman recommended removing
the identification of county (Aerts) and city (Westerman) on the member list.
Chair Sullivan presented a statement to be added to the minutes, reflecting a discussion the
Board had during item three of New Business: Chimacum Prevention Coalition Strategic Plan.
The statement is as follows:
"The Board discussed how overstating dangers from marijuana use could undermine credibility
of educators and education materials at a time when scientific research is revealing legitimate
concerns regarding the use of marijuana by youth,"
Member Johnson moved to approve the minutes, the motion was seconded by Member
Westerman. No further discussion. The motion passed unanimously.
No Public Comment.
PUBLIC COMMENT
OLD BUSINESS AND INFORMATIONAL ITEMS
1. Port Townsend Pa ir" poration setts int Agreemelll
fer, Diraoi' of Edronmental and Water ty; JCPH; provided die
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Board � a copy of the Patownsend Corporatiot# ettlemen# Agreempnf. The
appeal prpc ss is over and the permit has been issued.
2 Correspondence OOH
Julia Danson, Pubfi6-Hem Manager, JCPH, art Wined the ohrd that two thank:you
letters were.sent to �eopi o resigned; from the' ��ubstance Abuse Advisory Bond
(SAAB): l ,tris Barnett an& Marko. , : s D in announced that the SAAR now
has vacancies.
'NEW -,,8
USINESS
1. Proposed Revisions to Jefferson County Solid Waste Code
Mr. Keefer provided the Board with the Jefferson County Solid Waste Code, with the
following changes:
a. Additional Language to definition of junk vehicle
b. Changed the format to the definition of junk vehicle
c. Deleted the duplication of language in the section titled "Denial of Property
Access" (8,10.950) (3) (c)
d. Added a Hearing Procedures section for Appeals of NOCV, Enforcement Action
or other Public Health Action (8. 10.950) (7) (a) (iii)
e. Edited the Appeals of NOCV, Enforcement Action or other Public Health Action
(8.10.950) (7) (b), (i), (iii) and (iv) to be consistent with other portions of the
ordinance, current practice and other Public Health Programs.
f. Added a procedure section (vi) to 8.10.950 (7) (d) for Board of Health hearings.
g. Updated the titles of the Board of Health members on the last page.
Member Buhler recommended adding the words "or more" in the junk vehicle section so
that it now reads "For enforcement purposes, possessing three (3) or more junk cars on a
single property of any size is not allowed under this regulation."
Member Westerman asked Mr. Keefer to return to the Board with a scientific reason as to
why pet feces, especially dog droppings, shall not be disposed of into a sanitary sewer
(unless approved by the sewer purveyor), storm sewer, or on-site sewage system.
Dr. Locke was asked why section 8. 10.950 (7) (d) (vi)(F) prohibited cross-examination of
witness. Dr. Locke explained this prohibition means that the two opposing sides can't ask
questions of each other. Only the Board can ask questions. This is designed to give the
Board the ability to gather the information it needs in a non -adversarial fashion.
Member Buhler suggested the formatting of 8.10.950(6) (d) (ii) be changed so that (ii)
becomes "(e) re -inspection." which would in turn make (iii) change to (ii), and adjust all
subsequent letters fpllowing (e).
MemtierNestermgn movettto scheduleablic hearten the Solid Waste. Code as
provided iib the hat, dout for4e Septe er 2014 Bo meeting. The motion was
seconded by Member Johnin. The mn sed unaattmously.
J;: School Based He" Centers Review
Karen Obermeyer,;)=iealth Educator, JC1I I, said marts ph s, started in Chimacum,
Port Townsend, at_ Quilcert, She shad +413-2014 S�aol Based Health Centers
�,
Participation Reports. Ms. Obe meyer r urrtgd tl at 75 students were served for.primary
medical tate in the county. i c ed on enrollment nttthbers (fades 9-12), approximately
40%, of the Chirnaeum school body and 30% of the ?fort Tonsend school body accessed
P' health services, resulting ivisits per yM. (D to for mental health services
o b o
will not be available until late fall.)She reported that the top student concerns at clinic
visits are reproductive health, sports physicals, injuries, immunizations, and flu/cold,
while the top clinician addressed issues are reproductive health, sports physicals,
vision/hearing/blood pressure screening, injury, and immunization. Ms. Obermeyer noted
that over time, the frequency of visits is decreasing because students and providers are
establishing a relationship that allows for more efficient visits.
Additionally, Ms. Obermeyer informed the board of the Healthy Community
Funding Grant, which allows them to work with the school districts on projects related to
school health, such as a walking audit for Chimacum primary, updating the Port
Townsend School District wellness policy, and working on target goals for getting farm -
to -school foods included in the cafeteria.
The Gimme 5 program, also funded by Healthy Communities, UGN, and
Jefferson Healthcare, matches the amount a WIC family receives in their farmers' market
checks. Ms. Obermeyer informed the Board that the redemption rate of farmers' market
checks increased from 59% to 861/o after the introduction of the program. In June, 70
packets were given to qualifying WIC families, and as of this week they have 100
additional packets to distribute.
3. EH Hourly Rate for Technical Staff
Mr. Keefer presented the Board with the proposed Environmental Health Hourly Rate
Fee increase. The current rate is $57.44 per hour and is insufficient to cover program
costs. The proposed rate increase is to $85 per hour. When asked about the Board of
Health's fee setting authority, Dr. Locke explained that Boards of Health are authorized
to assess fees to cover the full cost of the enforcement of public health codes. Fees are not
allowed to generate revenue in excess of program costs. Member Westerman suggested
Mr. Keefer adjust the "Plan, Document and WaiverNar ance Review" to reflect the
increased hourly rate.
Member Nelson moved to schedule a public hearing on the EH Hourly Fee Schedule
as provided in the handout for the September 18, 2014 BOH meeting. The motion
was seconded by Member Westerman. The motion passed unanimously.
4. Community Health Improvement Plan – Activity Update
Jean Baldwin, Director, JCPH, shared the Drai, Community l alth T�mpmvetttent Plan ;
with the' Board. The, group nO5, led by Je n Heaithcaxd'Jt"pl 1, reviewed fhe
results o `the corm unity health assessmet i44voted to identify the following goals as
top priorities:
a. Aess to mental health and substance abuse care
b. Nu tion/ Eiercise throughout lift cycle
c. Access to
d. Ini zations
Underlyin'these trap issues are the ongoing rootWises that Impact health—Academic,
economic, snd hong—and;nust be atddsse�- the community as a whole
Ms. Bald* provided the Board witlt ti chart showing the overlap of Enol pnonttes
COMP ared to national and state strategies. The Board will be`provided with a fact',sheet
based on the data when it becomes available.
5. Communicable Disease Update
Dr. Locke presented the YTD WA State STD Services information on Gonorrhea to the
Board. He reported that cases have tripled from 2413 (3 cases) to 2014 (9 cases), but that
this is still a small number of cases. Dr. Locke stated that the Jefferson County rate has
typically been much lower than the neighboring counties of Ktsap and Clallam because
of the availability of family planning services, high rates of screening, and the ability to
detect and treat cases therefore causing a °lower risk of exposure. The primary control
strategy is to get as close to universal screening as possible. The increased rates of
gonorrhea in Jefferson County appear linked to methamphetamine use and,JCPH has
implemented a free urine screening as part of its syringe exchange program.
6. Regionalization of Medicaid and Behavioral Health
Ms. Baldwin shared a letter written on behalf of the Board of County Commissioners for
Kitsap, Clallam, and Jefferson Counties, Dr. Locke drafted the letter, which goes on
record to state that they do not support a 10 -county Accountable Community of Health
(ACH), and urges the Washington State Health Care Authority (HCA), and Department
of Social and Health Services (DSHS) to support a three -county ACH. Dr. Locke
informed the Board that we are still interested in working with the 10 -county ACH but
that key stakeholders in the 3 counties felt it was necessary to formally put the HCA on
notice that we did not support designation of a 10 county ACH.
7. WA State Supreme Court Ruling on Psychiatric Boarding
Member Buhler informed the Board and expressed her concern of the Washington State
Supreme Court ruling, which cites psychiatric boarding as unlawful. This law states that
hospitals can't hold anyone involuntarily for more than three hours if they do not have an
inpatient bed available to refer them to. Ms. Buhler informed the Board that the hospital
has called a meeting with the Police Chief, ER Staff, and Nursing Staff. More
information will be reported at next month's Board meeting.
ACTIVITY UPDATE
Intal Health: is three
repairs, rss are i
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The next Board of Health meeting will be held on Thursday, September 18, 2014 from 2:30 —
4:30 p.m. at Jefferson County Public Health, 615 Sheridan Street, Port Townsend, WA.
ADJOURNMENT
Chair Sullivan adjourned the August 21, 2014 Jefferson County Board of Health meeting
at 4;24 p.m.
JEFFERRSON COUNTY BOARD OF HEALTH
PhilJohnso Member ill Buhler, Member
Sally
Kris Nelson, Member
Sheila Westerman, 'Vice Chair
Respectfully Submitted;
David Sullivan, Chair
6a -
Jo Austin, Member