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HomeMy WebLinkAboutM121516JEFFERSON COUNTY BOARD OF HEALTH MINUTES Thursday, December 15, 2016 Jefferson County Public Health, 615 Sheridan Street, Port Townsend WA 98368 Board Members Phil Johnson, County Commissioner District #1 David Sullivan, Chair, County Commissioner, District #2 Kathleen Kier, County Commissioner, District #3 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 Vicki Kirkpatrick, Public Health Dir Tammey Newton, Community Health Dir Veronica Shaw, Public Health Deputy Dir Michael Dawson, WQ Manager Jenny Matter, Clerk of the Board Chair David Sullivan called the December 15, 2016 meeting of the Jefferson County Board of Health to order at 2:36 p.m. A quorum was present. Members Present: John Austin, David Sullivan, Jill Buhler, Sheila Westerman, Kathleen Kler Members Excused: Phil Johnson, Catharine Robinson Staff Present: Michael Dawson, Tom Locke, Vicki Kirkpatrick, Tammey Newton, Jenny Matter APPROVAL OF AGENDA Chair Sullivan called for review and approval of the agenda for the 12/15/2016 meeting. Chair Sullivan moved to add New Business, Item 5: Electronic Medical Records. Kathleen Kler motioned to approve the agenda. The motion was seconded by Jill Buhler. No further discussion. The motion passed unanimously. APPROVAL OF MINUTES Chair Sullivan asked for approval of the minutes of the October 20, 2016 and November 3, 2016 meetings of the Jefferson County Board of Health. Jill Buhler motioned to approve the minutes; the motion was seconded by Kathleen Kler. No further discussion. The motion passed unanimously. PUBLIC COMMENT Al Bergstein, representing Jefferson County Citizens for Health Care Access, said their group is interested in helping with implementation of the CHIP and would like to hold a community meeting. The meeting would be held to hear concerns from residents as to what's happening with medical and health care at the national level, to roll out the CHIP, and to listen and talk about other community health issues. Mr. Bergstein wanted to inform the Board because there is some question about ownership of the meeting. A date has not been set for the meeting, but he thinks it will take place in later February or early March. Sheila Westerman asked if Mr. Bergstein's group took minutes so the Board could better understand the issues they are interested in. Mr. Bergstein said he will send the minutes to Jenny to forward to the Board. Mr. Bergstein also wanted to inform the Board about the free dental van ran by Alise Moss Vetica, which will offer free dental care to the homeless. Kathleen Kler has also been working with her and was aware of this. Chair Sullivan asked about the status of the CHIP. Vicki Kirkpatrick said there will be a conference call between the city manager, the county administrator, the CEO of the hospital, and Dr. Locke on Monday (December 19th) OLD BUSINESS AND INFORMATIONAL ITEMS 1. Ordinance No. 06-1103-16 An Ordinance to Amend Fee Schedule for Jefferson County Public Health Dr. Tom Locke, Health Officer, informed the Board of two items related to Ordinance 05-1103- 16, which was passed by the Board on November 3, 2016. The first issue was a "scrivener's error" where the wrong ordinance number was used when the Annual Fee Indexing ordinance was cited in the document. The second issue was that the fee schedule approved with ordinance 05-1103-16 needed to be signed and submitted as a separate ordinance (16-1103-16). 2. Three County Coordinated Opioid Response Project Update Dr. Locke introduced the newsletter on the Three County Coordinated Opioid Response Project. The newsletter is the first to be issued and is intended to give greater detail of what is planned for the project. Kathleen Kler attended the third meeting of the project on December 14, 2016 and reported that there is an intensely hard working group involved, consisting of the police, EMS, hospitals, providers, emergency rooms, health departments, the OCH, and Salish Behavioral Health. They have already sent out one survey to providers and had a great response. Another survey will be provided for emergency medical professionals and others working with opioid users. Ms. Kler reported that Julia Danskin applied for a grant several months ago and the county recently received 100 naloxone injectable kits. Staff have been working with the police and sheriff to distribute them to law enforcement. The summit for the project will be held at the Kingston Community Center. Ms. Kler will send Ms. Kirkpatrick the website to RSVP. There are only 200 spaces available. There was a discussion about heroin, fentanyl, and carfentanil, and the over prescription of opioids. Ms. Kler said that, in our three counties, the majority of opioid misuse is from over prescribing by doctors and dentists. 2 NEW BUSINESS 1. Resolution to the Washington State Legislature re: Foundational Health Services Vicki Kirkpatrick presented a resolution in support of funding foundational public health services. The Department of Health, local public health officials, and other health organizations in Washington State have spent the last two years in the process of defining "foundational public health services and capabilities." This is now a topic of conversation at the national level that resides within the Public Health Accreditation Board. In Washington State, the Department of Health has requested additional funding from the legislature to support these foundational services. In support of this request, Ms. Kirkpatrick presented a resolution for the Board to sign. Ms. Kirkpatrick reviewed the history, and current state, of public health funding in Washington State. At the present time, public health has a responsibility to provide services for 55 functions distributed between six program areas - communicable disease control, chronic disease and injury prevention, maternal child and family health, access to clinical services, environmental public health, and vital records. Ms. Kirkpatrick reported that, with the current funding, there is a disproportionate amount of time responding to problems instead of preventing them, although the primary goal of public health is aimed at prevention. In addition, the long term viability of the clinics and the ability to respond to an emergency situation are threatened with reduced funding. After identifying foundational services and additional important services, and comparing them to the current services available, it was determined that the gap was over 100 million dollars. For the 2017-2019 biennium the total funding requested for local public health was around 54 million dollars, aimed primarily at communicable disease and chronic disease prevention. The governor's budget released yesterday was around 20 million dollars for local public health and a little over six million dollars for the state health department as a down payment for foundational public health services. The purpose of the resolution brought to the Board by Ms. Kirkpatrick is to support the state- wide effort in asking the legislature to provide a critical down payment for funding foundational public health services and capabilities. Sheila Westerman expressed her concern over submitting resolutions (such as this one) without a way to fund them. The Board agreed to add the following sentence to the resolution, "The Jefferson County Board of Health is ready to stand with the Legislature to support sustainable public health funding and identify the resources necessary to fund it." Sheila Westerman motioned to adopt the Resolution to the Washington State Legislature re: Foundational Health Services. The motion was seconded by Kathleen Kier. No further discussion. The motion passed unanimously. 2. Resolution to the Washington State Legislature re: Legal Age for Tobacco and Vapor There was a brief discussion by the Board in support of raising the age to 21 for Tobacco use and Vaping. 3 Jill Buhler motioned to adopt the Resolution to the Washington State Legislature re: Legal Age for Tobacco and Vapor. The motion was seconded by Kathleen Kler. No further discussion. The motion passed unanimously. 3. Kitsap Board of Health Secure Medicine Return Ordinance Dr. Tom Locke gave a brief history of the ordinance requiring safe medicine disposal that was recently signed by the Kitsap Board of Health. The issue was originally brought forward by the King County (WA) BOH and Oakland, CA. After a lengthy legal battle with the pharmaceutical industry, they won the lawsuit and the ordinance will take effect January 2017. There was a brief discussion about the importance of having secure ways to dispose of medicines and the need for educating the community about the risks of storing unused medications in the home (unintentional overdose and misuse by children). John Austin and Michael Dawson mentioned the risks to the environment, particularly waterways and fish. The Board agreed to wait and see how the ordinance is implemented in both Kitsap and King counties before taking action in Jefferson County. 4. Affordable Care Act: Washington State Impacts of "Repeal" and Potential Options for "Replace" Dr. Locke updated the Board on the current thinking regarding upcoming changes to the Affordable Care Act due to the new administration at the Federal level. In general, it is thought that there won't be any significant changes in 2017 because those contracts have already been agreed upon. The earliest changes may be seen are in 2018. However, there is talk of taking the next three years to come up with a plan. The trend seems to be going to more of a State or Region focused system rather than a national reform model. In Washington State, some of the best practices from the Affordable Care Act (ACA) have been codified into Washington State law. The real concern is over the expanded Medicaid enrollment that the ACA sponsored, where Washington State has nearly 30% of the population enrolled and many could lose their benefits. 5. Electronic Health Records Vicki Kirkpatrick reported that, because the person who did medical billing resigned, they had an opportunity to look at the medical billing process and explore more efficient options. Medical billing was one of the many tasks the previous Financial Operations Coordinator was responsible for. Prior to pursuing other options, Tammey made sure it was approved by the Union and since the position will still be filled, it was approved by them. The current company (eMDs) that provides electronic health record software for Public Health also offers a module to do billing and reconciliation. They have offered a $46,005 savings ($15,335 per year x 3 years) if the contract is signed by the end of the December. Kathleen Kler asked about the total cost. Tammey provided the Board with information regarding the previous costs associated with having a Financial Operations Coordinator and using eMDs for electronic health records. She also spoke about some of the soft savings (e.g., using a cloud based server). 2 ACTIVITY UPDATE Michael Dawson reported that the Water Quality staff had their final meeting for the Hood Canal Clean Streams project on December stn at the Quilcene Community Center. Unfortunately, it was snowing that day and there wasn't as much participation as they would have liked. Their final report for the project will be available on the JCPH website in January. PUBLIC COMMENT There was no public comment. AGENDA PLANNING CALENDAR First meeting in January will select officers. NEXT SCHEDULED MEETING The next Board of Health meeting will be held on January 19, 2016 from 2:30 — 4:30 p.m. at Jefferson County Public Health, 615 Sheridan Street, Port Townsend, WA. ADJOURNMENT Chair Sullivan adjourned the December 15, 2016 Jefferson County Board of Health meeting at 4:10 p.m. JEFFERSON COUNTY BOARD OF HEALTH Excused Phil Jo n, Me er Davi u 1 an, hair Excused Catharine Rob* Non, Vice -Chair 1 41 Jo q Austin, ember J' Buhler, Member �kLll � Sheila Westerman, Member Kathleen Kler, Member Respectfully submitted Jenny Matter 5