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HomeMy WebLinkAboutM061517JEFFERSON COUNTY BOARD OF HEALTH MINUTES Thursday, June 15, 2017 Jefferson County Public Health, 615 Sheridan Street, Port Townsend WA 98368 Board Members Kate Dean, County Commissioner District #1 David Sullivan, County Commissioner, District 42 Kathleen Kier, County Commissioner, District #3 Catharine Robinson, Chair, Port Townsend City Council Sheila Westerman, Citizen at large Jill Buhler, Hospital Commissioner, District #2 John Austin, Vice -Chair, Citizen at large Staff Members Thomas Locke, Health Officer Vicki Kirkpatrick, Public Health Dir Stuart Whitford, Env. Health Dir Veronica Shaw, Public Health Deputy Dir Michael Dawson, WQ Manager Jenny Matter, Clerk of the Board Vice -Chair John Austin called the June 15, 2017 meeting of the Jefferson County Board of Health to order at 2:32 p.m. A quorum was present. Members Present: John Austin, Kate Dean, David Sullivan, Jill Buhler, Kathleen Kler Members Excused: Catharine Robinson, Sheila Westerman Staff Present: Tom Locke, Vicki Kirkpatrick, Veronica Shaw, Stuart Whitford, Michael Dawson, Jenny Matter APPROVAL OF AGENDA Vicki Kirkpatrick requested to make an award announcement prior to Item III to accommodate the recipient's clinic schedule. Vice -Chair Austin asked for approval of the Agenda of the June 15, 2017. Member Kate Dean motioned to approve the agenda as amended. The motion was seconded by Member David Sullivan. No further discussion. The motion passed unanimously. APPROVAL OF MINUTES Jill Buhler asked to add clarification to the second sentence on page 3, under item 5. Vice -Chair Austin asked for approval of the minutes of the April 20, 2017 meeting of the Jefferson County Board of Health, as amended. Member Jill Buhler motioned to approve the minutes as amended; the motion was seconded by Member Kate Dean. No further discussion. The motion passed unanimously. Vicki Kirkpatrick announced that Jefferson County Public Health had been identified as a Breastfeeding Friendly Washington Clinic at the gold level. Ms. Kirkpatrick recognized Kathy Anderson, JCPH's WIC Nutritionist, who led a collaborative effort to apply for and receive the award. PUBLIC COMMENTS There was no public comment. OLD BUSINESS AND INFORMATIONAL ITEMS 1. Smile Mobile in Port Townsend, June 18-30 Vicki Kirkpatrick announced that the Smile Mobile will be parked in the Jefferson County Public Health parking lot and offering services to children (birth through high school) and pregnant women. Dr. Tom Locke added that the Smile Mobile has been updated to serve more people with newer technology. 2. WA. Dept. of Health Transformation Talks Dr. Tom Locke informed the Board about a series of webinars offered through the Department of Health to address healthcare reform and health systems transformation. Dr. Lock gave a brief history of how the mission of Public Health has changed over the years and added that, currently there is some uncertainty as to how public health will fit into healthcare transformation. The webinars have been provided by the DOH to address this issue. Board members had questions about the availability of exchange health care insurance providers in the tri -county area. Dr. Locke said it's predicted that private insurance plans will pull out of the exchange and managed care providers will most likely fill the void. Vicki Kirkpatrick explained how plans are selected by the Healthcare Authority within various counties in Washington State. 3. Salish Behavioral Health Organization Update Commissioner Kathleen Kler:informed the Board that our region (through the Salish BHO) has been offered afinancial incentive to become a mid -adopter of the State Directive to fully integrate physical health, mental health and substance abuse for the Medicaid population. For the Salish BHO to be accepted as a mid -adopter, each of the three counties must agree independently and send a letter to the State. Thus far, there have been many discussions on the pros and cons of becoming a mid -adopter, but no clear path to a final decision. The Commissioners asked members from the healthcare community in Jefferson County to provide input to their decision. Jenn Wharton (Jefferson Healthcare), Ru Kirk (Discovery Behavioral Health), Dunia Faulx (Jefferson Healthcare), and Ford Kessler (Safe Harbor / Beacon of Hope) were in attendance and provided their opinion on becoming a mid -adopter. The Board and those in attendance discussed their experience with managed care organizations, funding implications of adopting or not adopting the State's Directive, and their concern over how crisis services would be impacted. A discussion ensued regarding the integration, 2 administration and funding of crisis services and the unknown conditions of how crisis services will be designed and provided. Vicki Kirkpatrick clarified state and federal funding and administrative options for Medicaid eligible and illegible populations, and how different counties have chosen to administer crisis services. Dr. Locke informed the Board that other States have opted to use Medicaid Accountable Care Organizations instead of Managed Care Organizations. He stressed the importance of innovation and collaboration, as well as a fundamental shift from the "Barriers to Utilization" model Managed Care organizations have traditionally used to payments systems that provide direct incentives to health care providers to control costs and improve quality. NEW BUSINESS 1. Washington Association of Counties (WSAC) Public Health Strategy Kathleen Kler reported that a funding strategy has not been developed to fund public health for Washington State and that many other states are having difficulty funding public health. Kate Dean reported, that while on a recent legislative steering committee call, she heard that the revenue projection for the State is lower than previous years. Vicki Kirkpatrick shared a document showing a visual of how funding affects public health services. 2. Washington Association of Local Public Health Officials (WSALPHO) Summer Conference Highlights Vicki Kirkpatrick announced that the report to the legislature directed by a proviso in the 2016 supplemental state budget, A Plan to Rebuild and Modernize Washington's Public Health System, had been released and is available online at: http://www.doh.wa.gov/Portals/ I /Documents/ I 200/FPHS-PublicHealthModemizationPlan2OI6.pdf . Some of the topics covered in the report were also discussed at the conference. This included the concept of shared services, which many jurisdictions are already doing successfully. There was concern about how shared services will be defined and if jurisdictions will lose the ability to independently define their shared services process. The two other main topics of discussion were about how to fund foundational public health services capabilities and public health as the Chief Health Strategist. Board members had questions about the function of the Chief Health Strategist and Ms. Kirkpatrick noted that more work needed to be done to define the roles and responsibilities of the Chief Health Strategist. 3. Olympic Regional Tribal -Public Health Collaboration and Mutual Aid Agreement Dr. Locke reported that the American Indian Health Commission received a grant to revise the operational plan for the Olympic Regional Tribal -Public Health Collaboration and Mutual Aid Agreement. Representatives from the regional tribes and the tri -county area, including Dr. Locke and Stuart Whitford from Jefferson County, participated in 4 day -long work sessions to revise the operational plan. Once is it is finalized, Dr. Locke will provide the website where it is located. 3 4. Olympic Community of Health (OCH) Update Dr. Locke, as a member of the opioid response project steering committee, reported that all three work groups (prevention, access to treatment, overdose prevention) are moving forward at a rapid pace. There was a brief discussion on opioid response activities in other areas and fentanyl and carfentanil overdose. 5. Washington State Legislature Update Stuart Whitford reported that no progress has been made with the bill for Hazardous Substances Tax. There was a brief discussion on the impact of the Hirst decision on budget negotiations. Dr. Locke reported that House Bill 1427 will allow local health officers to have access the prescription monitoring program, which is a data base of opioid prescriptions dispensed by pharmacies. This will allow local health officers to follow up on overdose events. The program also automatically sends out notices to prescribers if there is an overdose related death. The Board discussed the implications to Jefferson County Public Health if a state budget is not agreed to by June 30th and necessary preparations. ACTIVITY UPDATE Kate Dean inquired about the results of the Healthy Youth Survey. Vicki Kirkpatrick said that it will be discussed at the July BOH meeting. Kate Dean also asked about the status of the Duckabush downgrade. Michael Dawson reported that the shellfish beds have not been closed yet and they are in the process of submitting the closure response plan. A public meeting is planned for late July. Dr. Locke asked to be excused from July BOH meeting to attend a family reunion. PUBLIC COMMENT There was no public comment. AGENDA PLANNING CALENDAR There were no agenda planning updates. NEXT SCHEDULED MEETING The next Board of Health meeting will be held on Thursday, July 20, 2017 from 2:30 — 4:30 p.m. at Jefferson County Public Health, 615 Sheridan Street, Port Townsend, WA. 4 ADJOURNMENT Vice -Chair John Austin adjourned the June 1611, 2017 Jefferson County Board of Health meeting at 4:37 p.m. JEFFERSON COUNTY BOARD OF HEALTH "/& 'J ' Kate D4ulivan, mbe I Buhler, Member Excused David Member Sheila Westerman, Member Excused Catharine Rbinson, Chair Jo ust n, Vice -Chair 4 Kath n Kler, Me ber Respectfully submitted Jenny Matter 5