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HomeMy WebLinkAbout032105 Retreat Notes JEFFERSON COUNTY BOARD OF HEALTH 2005 Retreat - Notes Thursday, April 21, 2005 Board Members: Phil Johnson, Member - County Commissioner District #1 David Sullivan, V't-e Chairman - County Commissioner District #2 Pat Rodgers, Member - County Commissioner Distzict #3 Geoffrey Mas<;, Chairman - Port Townsend City Council Jill Buhler, Member. Hospital Commissioner Distzict #2 Sheila Westerman, Member- Citizen at Ult;ge (City) Roberta Fnsse!1, Member - Citizen at Large (County) Sta(fMembers: Jean Baldwin, Health & Human Services Director Mike McNickle, Environmental Health Director Julia Danskin, Nursing Services Director Thomas Lacke, MD, Health Officer Board members present were Phil Johnson, David Sullivan, Pat Rodgers, GeoffMasci, Jill Buehler, Sheila Westerman and Roberta Frissell, Staff members in attendance were John Fischbach, Tom Locke, Jean Baldwin, Mike McNickle, Julia Danskin and Veronica Morris- Nakano. There was a quorum. DISCUSSION ITEMS . Mission and name of agency: "Jefferson County Health and Human Services" is not necessarily recognizable as the name for public health services. The mission statement was also reviewed. Suggested by Board for staff to return at next meeting with name and mission revised and to come forward with suggestions for adoption. . 2004 Performance Measures: reviewed end-of-year summary of all HHS Board of Health reporting programs. Discussion followed on if we are measuring the right things; can we measure outcomes and not just activities; can we move toward measuring public health value to the community and the individual- if not, at what point do we look at discontinuing programs. Benefit is thought to be invisible yet performance measures continue to look at services being provided towards a goal, so we might want to talk about redefining the goals more. There was also discussion about best practices and measuring best practices. . The invisible messages of public health: the need to increase marketing and get the community to appreciate services and there was a need for an ongoing outreach to keep people interested in public health. There was discussion about press releases, web sites and entire issues of communication. Also feedback forms following up from customers so that positive and negative feedback could be heard and acted on. HEALTH BOARD RETREAT NOTES - April 21, 2005 Page: 2 . General Fund & Jefferson County HHS programs: how each program met the Public Health standards and what percent each program's expense is funded by County general fund. This graph allows all to see the cost of each program and how much general fund money supports the five key areas. The actual dollar amounts of general fund are available and will be provided at the June meeting. PRIORITIZATION The Board discussed prioritization (notes were made onto a flip chart). Themes included: . Statewide funding of public health as a system: issues that this Board needed to address were policy making and having the budget conform to policy. . Family planning and environmental health are big issues for Board in times of decreased revenue and increased demand. Public health staff may need to be more vocal to promote public health. . Communicating with the public and staff to show support - maybe an annual newsletter in order to educate the public. . Safety of staff and looking at the most impact for and benefit for the limited resources. . Best practices and retaining best practices for long-term benefit. i.e. Best Beginnings, Big BrotherslBig Sisters, Project Alert, Peer-in and other programs. . Substance abuse prevention. . Community needs; health access and senior health issues should be addressed by the BOH throughout the year - these are health impacts to citizens. . Prevention and community marketing remained consistent themes. . There was support to continue with direct services. . Work force development and retention. There was concern about infrastructure and maintaining workforce. . Public health standards - after the State finishes the report it will come back to the BOH. . Safety and the Latimore report - threat and violence and how to train staff; involving staff in communication; having a zero tolerance with the BOCC support and some type of statement; a need for systems change around weapons, but since that may be impossible there's a need for ongoing discussion about safety training for people as they work in the field, the buildings or other places. . Substance abuse - the State Division of Alcohol and Substance Abuse contracted formerly with the County for treatment and prevention services. Now that treatment services are privatized, a Commissioner thought that planning for prevention and treatment are not aligned in the community. The Substance Abuse Board is currently providing advise to the Commissioners on substance abuse treatment and prevention yet few of them attend the BOH or know about the other prevention services going on in the community under the BOH direction, either in JCHHS or other community services through funding that comes through JCHHS. There was a minimum amount of discussion to actually look at the substance abuse RCW, meet with David Alvarez and see if the HEALTH BOARD RETREAT NOTES - April 21, 2005 Page: 3 Substance Abuse Board as it currently stands appointed by the Commissioners, is the appropriate way to handle and ongoing community health problem. . Emergency preparedness was briefly discussed, reviewing the 3 day activation of the joint Emergency Operation Center and JCHHS Emergency Coordination Center to combat an infectious disease. Discussion was tabled for another meeting to talk about the legal powers and duties of BOH and assessment capacity for JCHHS. JEFFERSON COUNTY BOARD OF HEALTH ~1 ~? j?// ~' Commis i~~van, Vice-Chairman , ,- L)~l, \J___ \.\_ ( '~"v \'...-' Roberta Frissell, Member ~~ Patrick M. Rodgers, Member Sheila Westerman, Member tJ7)l~ Phil JOhnso(1~ember ; ,