Loading...
HomeMy WebLinkAboutM021816 - Attachment to MinutesJEFFERSON COUNTY BOARD OF HEALTH MINUTES Thursday, February 18, 2016 Jefferson County Public Health, 615 Sheridan Street, Port Townsend WA 98368 DRAFT Board Members Phil Johnson, County Commissioner District #1 David Sullivan, Chair, County Commissioner, District #2 Kathleen Kler, County Commissioner, District 0 Catharine Robinson, Vice -Chair, Port Townsend City Council Sheila Westerman, Citizen at large Jill Buhler, Hospital Commissioner, District #2 John Austin, Citizen at large Staff Members Thomas Locke, Health Officer Jean Baldwin, Public Health Dir Julia Danskin, Public Health Manager Jared Keefer, Env. Health Dir Veronica Shaw, Public Health Deputy Dir Michael Dawson, WQ Manager Dunia Faulx, Community Health Dir Chair David Sullivan called the February, 2016 meeting of the Jefferson County Board of Health to order at 2:30 p.m. A quorum was present. Members Present: John Austin, Phil Johnson, Catharine Robinson, David Sullivan, Sheila Westerman, Kathleen Kler Staff Present: Jean Baldwin, Denise Banker, Michael Dawson, Dunia Faulx, Lori Fleming, Jared Keefer, Tom Locke, Philip Morley APPROVAL OF AGENDA Jean Baldwin, Director, Jefferson County Public Health, informed the Board that additional information was distributed to be added to packet materials under the Community Health fees Policy update agenda item. Chair Sullivan asked for approval of the February 18, 2016 Agenda. Member Kler motioned to approve the agenda as amended; the motion was seconded by Member Westerman. No further discussion. The motion passed unanimously. APPROVAL OF MINUTES Chair Sullivan asked for approval of the minutes of the January 21, 2016 meeting of the Jefferson County Board of Health. Vice -chair Catharine Robinson, Port Townsend City Council, noted an inconsistency in the minutes regarding the terms used to indicate motions and approvals, and asked that this inconsistency be corrected. It was decided the phrasing would be "asked for approval," "motioned to approve," and "the motion was seconded." Chair Sullivan asked for approval of the minutes of the January 21, 2016 meeting of the Jefferson County Board of Health as amended. Member Kler motioned to approve the minutes as amended; the motion was seconded by Member Austin. No further discussion. The motion passed unanimously. PUBLIC COMMENT There was no public Comment OLD BUSINESS AND INFORMATIONAL ITEMS 1. Deputy Mayor Catharine Robinson Appointed to the Board of Health The Board congratulated and welcomed Ms. Robinson. 2. Jefferson County Board of Health Roster The roster was presented to the Board. There was no comment. 3. January 28, 2016 CHIP Vaccine Hesitancy Training with Dr. Ed. Marcuse Ms. Baldwin reviewed a recent training attended by health professionals in the community as part of the Jefferson County Community Health Plan's immunization initiative. The speaker was Dr. Ed Marcuse, MD, MPH, Professor of Pediatrics and Adjunct Professor of Epidemiology at the University of Washington and Associate Medical Director, Quality Improvement at Seattle Children's Hospital. His special interest area is pediatric immunization. The focus of his presentation was research on factors that drive parental resistance to vaccination, a phenomenon known as "vaccine hesitancy". Dr. Marcuse advised the group on how to help parents overcome their hesitancies. Effective communication by a trusted health advisor, unified messaging by the entire health delivery team, and ease of availability were noted as effective tools. Fear tactics were dismissed as ineffective. Focusing on groups that don't harbor deep philosophical resistance to vaccination was emphasized as the best strategy to increase community immunization levels — a key goal in the control of vaccine preventable disease outbreaks. 4. Yearly Public Records Request Summary Denise Banker, Health Assistant, reported on the number of public record requests and their associated costs for the year 2015. There were fewer requests as compared to 2014 and this is due to continuing efforts to make records available to the public via on-line access. 5. Nurse -Family Partnership (NFP) Update Ms. Baldwin reported to the Board on the importance of the Nurse Family Partnership, a maternal and early childhood health program that links at -risk, first-time parents to specially trained maternal and child health nurses. The program documented long-term success for first- time mothers, their babies, and society. Dr. David Olds, the program's founder, recently contacted a former Jefferson County Public Health employee, Quen Zorrah, to discuss her foundational research into Adverse Childhood Experiences (ACEs), and her work on the NEAR@Home Toolkit developed by Health Resources and Services Administration Region X. K The acronym NEAR stands for Neuroscience, Epigenetics, Adverse Childhood Experiences, and Resilience. The NEAR toolkit is a training manual designed, reviewed, and tested that guides professionals through processes to safely and effectively talk about the trauma of Adverse Childhood Experiences. Ms. Baldwin emphasized the effectiveness and importance of this evidence -based program, which is supported by Federal grants to state programs. Dunia Faulx, Community Health Director, will attend Nurse -Family Partnership training in Denver, Colorado in March. 6. Board of Health Action Items Ms. Baldwin presented the Board with a review of the actions it took in 2015. NEW BUSINESS 1. 2016 Environmental Health Performance Measures Jared Keefer, Environmental Health Director, and Michael Dawson, Water Quality Manager, presented end -of -year Environmental Health Performance Measures to the Board. Beginning with Solid Waste and working their way through Food Safety, Drinking Water, Onsite Sewage, Septic Operations & Monitoring programs, and Water Quality. Misters Keefer and Dawson explained to the Board successes achieved and struggles faced by each program within the division of Environmental Health. Performance Measures are posted to the Jefferson County Public Health website. It was noted that cuts to funding at the State level have impacted program effectiveness. Mr. Keefer assured the Board that proposals were before the Legislature to re- establish funding for Hazardous Waste prevention and clean-up. 2. Proposal: Joint Meeting JCPH Board of Health and JHC Board of Commissioners Ms. Baldwin suggested to the Board that it schedule a joint meeting with the Jefferson Healthcare Board of Commissioners to hear the finalized report from the four Community Health Improvement Plan (CHIP) groups that have been working to develop strategies to address prioritized community health needs and timelines to implement these strategies. The CHIP groups seek the respective Boards input on their identified action steps. The Board expressed support for this meeting. Member Jill Buhler, Hospital Commissioner, assured the group of Jefferson Healthcare's interest in a joint meeting. Times and locations for the meeting were touched upon and plans were initiated to further the proposal. 3. Community Health Fees Policy Update Ms. Baldwin explained to the Board language changes in the Community Health Fees Policy and asked that the updated Policy be signed. Chair Sullivan asked for approval of the updated Community Health Fees Policy. Member Kler motioned to approve. Member Phil Johnson seconded the motion. No further discussion. The motion passed unanimously. 4. Syringe Exchange Services Adds Naloxone Distribution Dr. Tom Locke, Jefferson County Public Health Officer, handed out a press release announcing the availability of Naloxone through the JCPH Syringe Exchange Program. Funding for 25 naloxone kits, each containing two syringes for injection of the drug, has been provided through donation from the Center for Opioid Safety at the University of Washington. A training session is required before this injectable form of naloxone can be provided. Dr. Locke emphasized that naloxone is not a cure for overdose; rather it is a lifesaving antidote that buys the user the time to get to additional medical treatment. Vice -chair Robinson noted her relief that an initial fee associated with acquisition had been dropped. The Substance Abuse Advisory Board, of which she is a member, had been concerned the fee would present a barrier to most opiate users. 5. Opiate Overdose Reporting — Clallam County Model Dr. Locke reported to the Board that opiate overdose has been made a notifiable condition in Jefferson County. JCPH followed Clallam County's model and reporting form. 6. Influenza Update Dr. Locke reported to the Board that influenza, while late, has arrived in our area. Cases have been reported in neighboring counties as well. Influenza B, a traditionally less serious strain, has been the predominate strain detected. There have been a few cases of H1N1 influenza identified in children; this is being carefully tracked by healthcare professionals. 7. Press Release for Public Health Heroes Ms. Faulx updated the Board on the status of the Public Health Heroes nomination process. Wednesday, March 9 is the due date for all nominations. The workgroup will present nominations for a vote to the Board at its March 17th meeting, and awardees will be invited to the April Board of Health meeting to receive their certificates. ACTIVITY UPDATE Member Kler motioned the Board to acknowledge retiring Director Jean Baldwin's contributions to Jefferson County Public Health. The motion was seconded by Jill Buhler. Member John Austin, Citizen, offered, on behalf of the entire group present, his thanks to Baldwin, particularly to her dedication and service to Jefferson County and Community Health. Austin further lauded Baldwin's ability to maintain high quality services in the face of budget restrictions and funding gaps. The entire group applauded Ms. Baldwin's achievement. 11 PUBLIC COMMENT There was no public comment. AGENDA PLANNING CALENDAR End -of -year Community Health Performance Measures will be presented at the March 17th meeting of the Jefferson County Board of Health. Philip Morley, Jefferson County Administrator, updated the group on the ongoing selection process regarding the Public Health Director open position. It was decided that Chair Sullivan would sit on the selection committee in place of Kathleen Kler, whose schedule conflicts with the desire to expedite the process. NEXT SCHEDULED MEETING The next Board of Health meeting will be held on Thursday, March 17th, 2016 from 2:30 — 4:30 p.m. at Jefferson County Public Health, 615 Sheridan Street, Port Townsend, WA. ADJOURNMENT Chair Sullivan adjourned the February 18th, 2016 Jefferson County Board of Health meeting at 4:30 p.m. JEFFERSON COUNTY BOARD OF HEALTH Catharine Robinson, nn Jo n ; Austin, Member I J Vice -Chair dtlp_ J0 Buhler, Member Sheila Westerman, Member k�. k�-6�L Kathleen Kler, Member Respectfully submitted D. Banker JEFFERSON COUNTY BOARD OF HEALTH Community Health Fees All of the services/fees listed for Jefferson County Public Health and Community Health are set as follows: A comprehensive analysis will be completed, at a minimum, every two (2) years to review rates for clinical services, including family planning services and immunization programs. Fees for medications, antibiotics and treatment methods will be based on cost of acquisition. All fees for vaccines not subsidized by the Vaccine for Children or Washington Vaccine Association will be based on the cost of the vaccine, shipping and handling, and allowable market reimbursement rates. Laboratory Services are based on the actual fees of laboratory contractors. Price lists are available upon request. Office visit fees are calculated and reviewed annually and are based on cost analysis. In the event the cost analysis exceeds the contracted private insurance provider rates or market rates, the lower of the rates will apply. The Federal Poverty Guidelines is used to establish the sliding fee scale, annually. A copy of the sliding fee schedule will be available upon request. The sliding fee schedule will not be offered for privately purchased vaccines administered for international travel or outside laboratory cost. Certain service fees may be waived, including but not limited to communicable disease prevention services, medication, laboratory services, or vaccines to prevent outbreaks of communicable disease. Services for vaccines subsidized by the Vaccines for Children or WA Vaccine Association and Family Planning Services will not be denied due to a client's inability to pay. Board Members David Sullivan, County Commissioner District #2, (Chair); Sheila Westerman, Citizen; Phil Johnson, County Commissioner District #1; Kathleen Kier, County Commissioner District #3; Catharine Robinson, Port Townsend City Council (rice -Chair); Jill Buhler, Hospital Commissioner, John Austin, Citizen 615 Sheridan • Castle Hill Center • Port Townsend • WA • 98368 (360) 385-9400 Jefferson County Public Health will automatically implement future modifications to fees for vaccines, medication, and medical supplies when any of the following changes occur: There is a change in the actual cost of the service provided by an outside vendor, the supply, medication, vaccine, laboratory charges, or shipping and handling costs. 2. The Federal Poverty Level Guidelines change. 3. The maximum allowable Medicaid reimbursement rate changes and is more than market rate. Chair, Jefferson County Board of Health Jefferson County Health Officer 2 l Date 2 I Vl <<o Date Board Members David Sullivan, County Commissioner District #2, (Chair); Sheila Westerman, Citizen; Phil Johnson, County Commissioner District #1; Kathleen Kler, County Commissioner District #3; Catharine Robinson, Port Townsend City Council (Vice -Chair); Jill Buhler, Hospital Commissioner; John Austin, Citizen 615 Sheridan • Castle Hill Center • Port Townsend • WA • 98368 (360) 385-9400