HomeMy WebLinkAboutPC Agenda 10-07-2015
621 Sheridan St.
Port Townsend WA 98368
P: 360-379-4450
F: 360-379-4451
plancomm@co.jefferson.wa.us
Jefferson County Planning Commission MEETING AGENDA
Tri-Area Community Center
October 7, 2015
6:30 pm
OPENING BUSINESS
Call to Order/Roll Call
Approval of Agenda
Staff Updates
Commissioner Announcements
6:45 pm
DISCUSSION
Topic Speaker Page(s)
COMPREHENSIVE PLAN UPDATE
Improved Health Through
Planning
Jared Keefer, EH Director 1 - 19 Karen Obermeyer, Comm. Health
Review Chapter 4 David W. Johnson, DCD Planner 20 - 26
UDC AMENDMENTS
Sign Code Joel Peterson, DCD Planner 27
8:00 pm
OBSERVER COMMENT
When the Chair recognizes you to speak, please begin by stating your name and address.
Please be aware that the observer comment period is:
• An optional time period dedicated to listening to the public, not a question and answer session. The
Planning Commission is not required to provide response;
• Offered at the Chair’s discretion when there’s time;
• Not a public hearing – comments made during this time will not be part of any hearing record;
• May be structured with a three-minute per person time limit.
8:15 pm
CLOSING BUSINESS
Summary of today’s meeting
Follow-up action items – Review Chapters 5 and 6
Discuss option of meeting in Brinnon on October 21st
Agenda Items for November 4th meeting at 6:30 pm at the Tri-Area Community Center
8:30 pm ADJOURNMENT
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PRIORITY: ACCESS TO PREVENTIVE CARE
FACTS
JEFFERSON COUNTY HAS
FEDERALLY DESIGNATED
HEALTH PROFESSIONAL
SHORTAGE AREAS FOR
PRIMARY CARE AND
DENTAL CARE1
53% OF ADULTS REPORT
HAVING DENTAL INSURANCE;
62% REPORT A DENTAL
CLEANING IN THE PAST YEAR2
60% OF LOW-INCOME
PREGNANT WOMEN START
PRENATAL CARE IN THE 1ST
TRIMESTER; 80% OF HIGHER
INCOME PREGNANT WOMEN3
59% OF ADULTS AGE 65+
REPORT GETTING A FLU SHOT
IN THE PAST YEAR; 71%
REPORT EVER HAVING A
PNEUMONIA SHOT2
ON AVERAGE EACH YEAR, 6
JEFFERSON ADULTS AGE 65+
DIE FROM ACCIDENTAL FALLS4
58% OF ADULTS REPORT A
ROUTINE MEDICAL CHECK-UP
IN THE PAST YEAR; 43% OF
ADULTS WITH HIGH SCHOOL
EDUCATION OR LESS2
2014 DATA REVIEW AND PRIORITIES PROCESS FACILITATED BY JEFFERSON HEALTH CARE AND JEFFERSON COUNTY PUBLIC HEALTH
Analysis and fact sheet produced by: Siri Kushner, Kitsap Public Health District
2014 JEFFERSON COUNTY HEALTH PRIORITIES
OVERVIEW:
Preventive care includes an array of services intended to reduce the risk of dis-
ease. These include dental cleanings, screening tests, counseling, immunizations
or medications to prevent disease, detect health problems early, or provide infor-
mation to support good health-related decision making. Preventive services also
include interventions and information to reduce the risk of injuries.
DRAFT ACTION AREA IDEAS:
DENTAL:
PRENATAL:
SENIORS:
Fewer Jefferson County pregnant women start
prenatal care during the first trimester com-
pared to previous years and the rates are much
lower for pregnant women on Medicaid.
Jefferson County has fewer dental providers
than deemed necessary for a population of its
size. Over time, fewer Jefferson adults have
been getting annual dental cleanings.
While the health of seniors is largely deter-
mined by their experiences and choices over
their lifetime, continued focus on disease and
injury prevention are critical.
BACKGROUND: In Spring 2014, a group of community data users led by Jefferson Health Care and Jefferson Public Health reviewed
the findings from a community health assessment to develop a list of top issues and final priorities.
Sources: 1.http://hpsafind.hrsa.gov/HPSASearch.aspx. 2.Behavioral Risk Factor Surveillance System. 3.WA State Dept. of Social and Health Services, Characteristics of Women Who Gave Birth. 4. Death Certificate Database.
77
80
50
60
70
80
90
100
1992-94 1995-97 1998-00 2001-03 2004-06 2007-09 2010-12
% o
f
a
l
l
b
i
r
t
h
s
1ST TRIMESTER PRENATAL CARE
Source: Birth Certificate Database
Jefferson County Washington State
Jeffersonrate statistically decreasing since 1992-94.
62%68%
50%
60%
70%
80%
90%
100%
2001 2004 2008 2010
ADULTS REPORTING DENTAL CLEANING IN PAST YEAR
Source: BRFSS
Jefferson County Washington State
77
%
95
%
76
%
59
%
72
%
past year
dental check-
up
regular
healthcare
provider
past year
medical check-
up
past year flu
shot
ever had
pnuemonia
shot
JEFFERSON COUNTY ADULT AGE 65+ PREVENTIVE CARE
Source: BRFSS
YOUNGER ADULTS:
While the landscape of health care affordability
and accessibility are in transition under the
Affordable Care Act, many younger adults have
historically low rates of preventive health and
dental care access.
63
%73
%
51
%
32
%
past year dental
check-up
regular healthcare
provider
past year medical
check-up
past year flu shot
JEFFERSON COUNTY ADULT AGE 18-64 PREVENTIVE
CARE Source: BRFSS
Planning Commision Meeting 10/07/2015 16 of 27
PRIORITY: ACCESS TO MENTAL HEALTH AND SUBSTANCE USE CARE
FACTS
JEFFERSON COUNTY IS A
FEDERALLY DESIGNATED
MENTAL HEALTH
PROFESSIONAL
SHORTAGE AREA1
1 IN 10 ADULTS REPORT
POOR MENTAL HEALTH AT
LEAST 14 OF THE PAST 30
DAYS; 1 IN 5 ADULTS
REPORT EVER BEING
DIAGNOSED WITH
DEPRESSION2
1 IN 3 10TH GRADERS
REPORTS BEING DEPRESSED
24% REPORT SERIOUSLY
CONSIDERING SUICIDE IN
THE PAST YEAR3
1 IN 8 RESIDENT DEATHS
ARE RELATED TO ALCOHOL
OR DRUGS4 3 IN 4 DRUG
RELATED DEATHS ARE
ADULTS AGES 45 TO 645
25,000 SYRINGES WERE
EXCHANGED AT THE COUNTY
SYRINGE EXCHANGE
PROGRAM IN 20136
15% OF 10TH GRADERS
REPORT SMOKING IN THE
PAST MONTH3
2014 DATA REVIEW AND PRIORITIES PROCESS FACILITATED BY JEFFERSON HEALTH CARE AND JEFFERSON COUNTY PUBLIC HEALTH Analyses and fact sheet produced by: Siri Kushner, Kitsap Public Health District
2014 JEFFERSON COUNTY HEALTH PRIORITIES
OVERVIEW:
Poor mental health and substance use are critical health problems for Jefferson
County residents. Youth and adults are equally affected and our systems do not
currently provide enough care to meet the needs of our residents. Long term
poor mental health and substance use are linked to poor physical health and
premature death.
DRAFT ACTION AREA IDEAS:
MENTAL HEALTH:
SUBSTANCE USE:
TOBACCO USE:
At Chimacum schools, a community coalition is
working to reduce student drug and alcohol use.
School Based Health Clinics at Chimacum, Port
Townsend and Quilcene schools are working
with students to address substance use and
mental health issues.
A workgroup comprised of JHC, Jefferson Mental
Health and JCPH has started working to address
appropriate access to mental health services to
reduce inappropriate emergency department use,
improve outpatient care, and improve well-being
for Jefferson residents with mental illness.
Health Care Providers and Public Health nurses
are working to address tobacco use throughout
pregnancy. OB care and Nurse Family Partner-
ship are working together to offer more support
to decrease smoking during pregnancy.
BACKGROUND: In Spring 2014, a group of community data users led by Jefferson Health Care and Jefferson Public Health reviewed
the findings from a community health assessment to develop a list of top issues and final priorities.
796
1496
2009 2010 2011 2012 2013
CLIENTS SERVED BY JEFFERSON MENTAL HEALTH
Source: Jefferson Mental Health
45%
22%
2002 2004 2006 2008 2010 2012
12th GRADERS BINGE DRINKING IN PAST 2 WEEKS
Source: Healthy Youth Survey
Jefferson County Washington State
19%
9%
1992-94 1995-97 1998-00 2001-03 2004-06 2007-09 2010-12
WOMEN SMOKING DURING PREGNANCY
Source: Birth Certificate Database
Jefferson County Washington State
Sources: 1.http://hpsafind.hrsa.gov/HPSASearch.aspx. 2.Behavioral Risk Factor Surveillance System. 3.Healthy Youth Survey. 4.WA State Dept. of Social and Health Services. 5.Death Certificate Database. 6.Jefferson County Public Health.
Planning Commision Meeting 10/07/2015 17 of 27
PRIORITY: IMMUNIZATIONS
FACTS
OUT OF 39 COUNTIES:
30TH FOR % OF
KINDERGARTENERS WITH
COMPLETE IMMUNIZATIONS
24TH FOR % OF
KINDERGARTENERS WITH
INCOMPLETE IMMUNIZA-
TIONS
38TH FOR % OF
KINDERGARTENERS EXEMPT
FROM IMMUNIZATIONS1
48% OF JEFFERSON
KINDERGARTENERS START
SCHOOL WITH COMPLETE
IMMUNIZATIONS; 86% IN
WASHINGTON STATE1
22% OF JEFFESRON 6TH
GRADERS HAVE COMPLETE
IMMUNIZATIONS; 82% IN
WASHINGTON STATE1
41% OF ADULTS REPORT
GETTING A FLU SHOT IN THE
PAST YEAR; 30% AMONG
LOW-INCOME2
5,067 VACCINES WERE
ADMINISTERED TO CHIL-
DREN AGE 18 AND UNDER BY
JEFFERSON COUNTY HEALTH
CARE PROVIDERS IN 20133
2014 DATA REVIEW AND PRIORITIES PROCESS FACILITATED BY JEFFERSON HEALTH CARE AND JEFFERSON COUNTY PUBLIC HEALTH
Analysis and fact sheet produced by: Siri Kushner, Kitsap Public Health District
2014 JEFFERSON COUNTY HEALTH PRIORITIES
OVERVIEW:
Immunizations are considered one of the 10 great public health achievements of
the 20th century. In the early 1900’s infectious diseases were common causes of
morbidity and mortality. Vaccine schedules recommend vaccinations for infants,
children, adolescents, adults and travelers. To prevent disease now and in the
future, vaccination must continue. The more people who are vaccinated, the low-
er the risk of exposure to vaccine-preventable diseases. Vaccines are developed
in accordance with the highest standards of safety and continually monitored for
safety and efficacy. As with any medical procedure, vaccination has some risks as
well as substantial, proven benefits.
DRAFT ACTION AREA IDEAS:
PROVIDERS/SCHOOLS:
COMMUNITY:
Consistent messaging about benefits, costs, and access by MD’s, RN’s, midwives,
Public Health nurses
Ensure all vaccines are available at all local clinics
Identify access points for target populations (new babies, school-age children, ado-
lescents, pregnant women, travelers)
Include information about the new state law as part of school orientation
Publicize local immunization rates
Reach out to community organizations and networks to help disseminate information
Utilize the web and social media to disseminate information
Research successes from other communities that could work locally
BACKGROUND: In Spring 2014, a group of community data users led by Jefferson Health Care and Jefferson Public Health reviewed
the findings from a community health assessment to develop a list of top issues and final priorities.
Sources: 1.WA State Department of Health 2.Behavioral Risk Factor Surveillance System. 3.Jefferson County Public Health.
71
%
70
%
70
%
68
%
69
%
92
%
92
%
91
%
92
%
93
%
DTaP/Td Pertussis Polio MMR Hep B
KINDERGARTEN STUDENT IMMUNIZATION RATES BY
VACCINE, 2012-13 Source: WA State Dept. of Health
Jefferson County WA State
27
%
27
%
85
%
85
%
83
%
85
%
86
%
96
%
96
%
96
%
DTaP/Td Pertussis Polio MMR Hep B
SIXTH GRADE IMMUNIZATION RATES BY VACCINE,
2012-13 Source: WA State Dept. of Health
Jefferson County WA State
Planning Commision Meeting 10/07/2015 18 of 27
PRIORITY: HEALTHY LIVING, DIET AND EXERCISE ACROSS THE LIFESPAN
FACTS
OVER HALF OF 8TH AND
10TH GRADERS REPORT AT
LEAST 60 MINUTES OF PHYSI-
CAL ACTIVITY DAILY YET ONLY
1 IN 10 REPORT DAILY
PHYSICAL EDUCATION CLASS
AT SCHOOL1
83% OF ADULTS REPORT
ANY PHYSICAL ACTIVITY IN
THE PAST MONTH; 70%
AMONG ADULTS WITH HIGH
SCHOOL EDUCATION OR LESS2
ONLY 29% OF ADULTS2 AND
1 IN 3 YOUTH1 REPORT AT
LEAST 5 SERVINGS OF FRUITS
AND VEGGIES DAILY
4,400 JEFFERSON RESI-
DENTS EXPERIENCE FOOD IN-
SECURITY—NOT HAVING
ENOUGH OR NUTRITIONALLY
ADEQUATE FOODS3
FEWER THAN HALF OF
ADULTS ARE AT A HEALTHY
WEIGHT; ABOUT 3 IN 4
YOUTH2
THE TOP 4 CAUSES OF
DEATH AND TOP 3 CAUSES
OF HOSPITALIZATION ARE
CHRONIC DISEASES4,5
2014 DATA REVIEW AND PRIORITIES PROCESS FACILITATED BY JEFFERSON HEALTH CARE AND JEFFERSON COUNTY PUBLIC HEALTH
Analysis and fact sheet produced by: Siri Kushner, Kitsap Public Health District
2014 JEFFERSON COUNTY HEALTH PRIORITIES
OVERVIEW:
Healthy eating and physical activity contribute to decreasing the risks of chronic
diseases and overweight/obesity. Regular physical activity can improve health
and quality of life at all ages. Many social and physical factors influence the diet
and exercise choices individuals make; knowledge, skills, social support, policies,
cost, access, safety, etc.
DRAFT ACTION AREA IDEAS:
OPTIMIZE SCHOOL NUTRITION:
COMMUNITY INITIATIVES TO PROMOTE PHYSICAL ACTIVITY:
YOUTH OBESITY INITIATIVE:
Inventory school-based programs and community recreational opportunities. Promote
“exercise prescriptions” for children and adults. Promote community competitions
(fun runs, pedometer competitions, organizational weight loss programs). Explore best
practices regionally and nationally to increase physical activity across all age groups.
Develop diet profile of Jefferson County students
— food vendors, food sources, nutritional balance.
Survey successful programs in Washington State
and nationally to optimize school nutrition. Pro-
mote community-based programs to expand use
of locally grown foods, vegetables, and fruit and to restrict sugar sweetened
beverages, high carbohydrate meals, and low nutrition snacks.
Promote best practice initiatives to give over-
weight/obese youth access to non-stigmatizing
exercise and nutrition programs. Promote screen-
ing of at-risk obese youth for diabetes, hyper-
lipidemia, and hypertension and initiation of ap-
propriate treatment.
BACKGROUND: In Spring 2014, a group of community data users led by Jefferson Health Care and Jefferson Public Health reviewed
the findings from a community health assessment to develop a list of top issues and final priorities.
Sources: 1.Healthy Youth Survey. 2.Behavioral Risk Factor Surveillance System. 3.Food Lifeline. 4.Death Certificate Database. 5.Inpatient Hospitalizations (CHARS).
71,616 79,437
Chimacum Port Townsend
NUMBER OF SCHOOL MEALS SERVED, 2012-13 SCHOOL
YEAR Source: WA State Office of the Superintendent of
Public Instruction
29%
24%
0%
10%
20%
30%
40%
2004 2006 2008 2010 2012
8th GRADERS WHO ARE OVERWEIGHT OR OBESE
Source: Healthy Youth Survey
Jefferson County Washington State
Planning Commision Meeting 10/07/2015 19 of 27
TO: Planning Commission
FROM: David Wayne Johnson, Associate Planner
DATE: October 7, 2015
RE: Natural Resource element review for the Comp Plan Update ______________________________________________________________________________________
At one time, Jefferson County was almost exclusively a “resource extraction economy.” Logging, fishing, shellfish harvesting, farming and mining dominated. Today our natural resources are still a
significant part of the land area of our County, as well as being historically, culturally and economically
important. That is why they must be protected so they remain economically viable, as well as conserved for future generations to use and enjoy. Although not required under GMA, Jefferson
County determined our natural resources are so important to the County, that they deserved their own element in the Comprehensive Plan.
As part of our periodic Comp Plan Update, I will guide us through a review and discussion of the Natural Resource element as it is today and point out areas that may need revision, deletion or
addition, which we can include in the Update.
The attachment includes sections of code from the UDC as well citizen-proposed changes to the Comp Plan, which we will discuss.
Please read the entire Natural Resource element before the meeting on October 7, 2015.
Staff looks forward to discussing this topic with the Planning Commission at that meeting.
Planning Commision Meeting 10/07/2015 20 of 27
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TO: Planning Commission
FROM: Joel Peterson, Associate Planner
DATE: September 28, 2015
RE: 1) Introduction of Proposed UDC Text Amendment to Sign Code, JCC 18.30.150, to Allow Changing Message Signs in Rural Residential Zones for Public Purpose Facilities.
2) Proposal for Public Hearing at Planning Commission November 4 or December 2, 2015 ______________________________________________________________________________________
Review of Issues:
The Jefferson Transit Authority (JTA) has developed their bus facilities at Four Corners on a Rural
Residential 1:10 parcel under a Conditional Use Permit. JTA is proposing to install a changing message sign along Four Corners Road in front of the new facility, but that type of sign is not allowed in
a residential district. JTA is in the process of applying to DCD for a Unified Development Code (UDC) amendment
to change the regulations—allowing changing message signs in residential districts for public
purpose facilities.
The proposal is subject to review under SEPA (State Environmental Policy Act).
No application has been received as of this date. The proposal will be evaluated with
Comprehensive Plan policies regarding “Rural Character”, Public Purpose Facilities, and other
applicable sections in the Land Use and Rural Element. A related subject that will be briefly discussed to eliminate it from the scope of the review is the
evaluation of rural commercial boundaries, and the constraints of expanding the Logical Outer
Boundary of the Four Corners Local Area of More Intensive Rural Development (LAMIRD) will
be addressed. Refer to rural commercial lands designation in Chapter 3 of the Comprehensive Plan, beginning page 3-9.
The review will include evaluating alternative locations for the JTA sign in appropriate zoning
districts as part of the alternatives analysis.
Public Hearing Schedule: A 60-day Notice of Intent to Amend the UDC will be initiated with the Notice of Public Hearing at the
Planning Commission. Analysis of the proposal will need to be complete and a staff report available to
the public at the time of the Notice. A public hearing scheduled for November 5 is requested by the applicant, but may not allow sufficient time to prepare a thorough analysis.
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