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HomeMy WebLinkAbout2019/07/23 - BOH Packet MASON COUNTY • COMMUNITY SERVICES Building,Planning,Environmental Health,Community Health MASON COUNTY BOARD OF HEALTH REGULAR MEETING July 23, 2019 3:00 PM Commission Chambers 411 North Fifth Street Shelton, WA 98584 DRAFT AGENDA 1. Welcome and Introductions Scott Hilburn Chair 2. Approval of Agenda—ACTION Board Members 3. Approval of Minutes of May 28, 2019—ACTION Board Members 4. Health Officer Report Dr. Daniel Stein a. Overdose Awareness b. Other 5. Administration Report Dave Windom 6. Environmental Health Report Alex Paysee 7. Community Health Update Lydia Bucheit 8. FPHS funding Dave Windom 9. Group B Funding Dave Windom 10. Proclamation Dave Windom 11. Other Business and Board Discussion Board Members 12. Public Comments 13. Adjourn If special accommodations are needed,please contact Melissa Drewry,427-9670,Ext.589. From the Belfair area,please dial 275-4467,Ext.589;from the Elma area please dial 482-5269,Ext.589. Mason County Public Health 415 N 6`h Street, Bldg 8,Shelton WA 98584, Shelton:(360)427-9670 ext 400 ❖ Belfair: (360) 275-4467 ext 400 Elma:(360)482-5269 ext 400 FAX (360)427-7787 MASON COUNTY BOARD OF HEALTH PROCEEDINGS 411 North 5a'Street,Shelton,WA May 28,2019 Attendance: Randy Neatherlin,County Commissioner;Kevin Shutty,County Commissioner;Sharon Trask. County Commissioner;Scott Hilburn,Hospital District#1;Peggy VanBuskirk,Hospital District#2;Kathy McDowell,City of Shelton Council Member. Absent:Gary Plews,Fire Commissioner and Keri Davidson, Shelton School Board 1. Chair Scott Hilburn called the meeting to order at 3:00 p.m. 2. Approval of Agenda—Dave noted that a group was present to show a presentation and asked to add this to the agenda during the Community Health Report.Peggy/Cmmr.Trask moved and seconded to approve the amended agenda.All in favor. 3. Approval of Minutes March 26'h and May 8,2019—Peggy/Cmmr.Trask moved and seconded to approve the March 26,2019 minutes as presented.All in favor. Peggy noted that on the May 8,2019 minutes,the Board met in Executive Session until 12:10 p.m.,not noon as noted on the draft minutes.Peggy/Cmmr.Shutty move and seconded to approve the May 8, 2019 special meeting minutes as amended.All in favor. 4. Executive Session RCW 42.30.110(1)(g)Review Qualifications of Health Officer Candidates- The Board went into executive from 3:08 p.m.to 3:14 p.m. 5. Open Session-Health Officer Selection-Peggy/Sharon moved and seconded to name Dr.Daniel Stein as Health Officer of Mason County.All in favor. 6. Environmental Health Report—Alex announced that there is work being done on the sewage maintenance program including reminders and mailings.The Onsite Sewage Advisory Committee(OSAC)is assisting with this work. Alex then discussed lost funding for the Group B water systems.Normally they receive$5,000 per year from the State Department of Health,but that will not be available this year.He went on to explain that they do receive permit fees,but that money is used mainly for staff time. Alex read a letter going out to applicants for the OSAC.Peggy said she would like to see a one-year term in place for the Committee. Peggy/Cmmr.Neatherlin moved and seconded to approve a one-year term limit for the OSAC. All in favor. 7. Health Officer Report—Dr.Yu spoke to the low amount of health issues.She added that there is an active Tuberculosis case going on with a possible second,and noted that there have not been any issues with the Measles outbreak within the County.Dr.Yu stressed vaccinations for those who are not up to date or who may be around infected individuals. 8. Community Health Report—Lydia Buchheit said she didn't have additional information outside of the report sent to the Board.She said she wanted to give time to Beau Bakken and his presentation. Beau Bakken,Regional Fire Authority Chief spoke about Opioid response within Mason County.He found a student consultant lab at the University of Washington in which students take on a public issue and research the details of said issue. A presentation by Quinn Ziegler,Zane Gustafson,Karen Lobos,and Colton Meyers titled"Mason County Opioid Stakeholders Group Strategic Response Plan Recommendations"was shown. BOARD OF HEALTH PROCEEDINGS May 28,2019-PAGE 2 A discussion was had regarding staff and funding in order to move forward with suggestions from the presentation. 9. Administration Report—Dave discussed the all staff meeting held in April and briefly touched on what was discussed and the goals set for each department.He also discussed various meetings attended with the State and funding for State Public Health. 10. Other Business and Board Discussion-None. 11. Public Comments-Teri King handed out information regarding well education and announced the"State of the Oyster"study is out now. 12. Adjourn-at 4:25 p.m.Peggy/Cmmr. Trask moved and seconded to adjourn. All in favor. ATTEST MASON COUNTY,WASHINGTON BOARD OF HEALTH MASON COUNTY,WASHINGTON Melissa Drewry,Clerk of the Board Scott Hilburn,Hospital District#1 Kathy McDowell,City Commissioner Kevin Shutty,Commissioner Randy Neatherlin,Commissioner Sharon Trask,Commissioner Peggy Van Buskirk,Hospital District#2 Gary Plews,Fire Commissioner From the Director's Desk July 2019 711 - Summer is here! The work of the Foundational Public Health Steering Committee continues. In the current biennium,we received$22 million as a public health system from the legislature. In June we found that only 18.3 million was actually allocated. As the chair of the committee I recommended that we continue work currently in progress for 15 million dollars. With the remaining funds we chose to fund programs that would net a 90%match from the federal government and multiply our capability.The committee met the first week of July to address the remainder of the 22 million that was not allocated. The Office of Finance and Management knows that we are sending a technical correction to the budget and expects that it will be funded. Of the original amount Mason County received a little over$42,000. Once the technical correction is funded,that yearly amount will be $100,000. In Mason County we used the funds to support water quality work. In May I traveled to Washington DC for Puget Sound Partners Day on the Hill.After several days of work on the hill we received word that the estuary program would receive an increase in funding from 28 million to 33 million dollars. Mason County has been a recipient in the past but will need to reapply once the funds become available.The goal is to literally move upstream to ensure that we have safe water for Puget Sound and Hood Canal. Overall, I see funding in the upcoming year as fairly stable and we may see some small targeted increases. I am still concerned about the lack of funding from any source that addresses chronic health issues such as smoking, diabetes and obesity.That work will require a culture change which may dovetail well with the opioid work that is currently going on. I can see a whole person wellness effort getting started here locally.The local forum is gaining some traction and will hold a county wide public meeting this fall to launch the effort. Stand by for more news in the next couple of months In June I passed the gavel of the President position with WSALPHO (Washington State Association of Local Public Health Officials)for the upcoming year. It's sure been an exciting year. We achieved getting partnerships with DOH,the tribes, local public health, and the state board of health formalized in law. We passed funding which becomes a permanent part of the budget from the state. We also put together a new three year strategic plan for WSALPHO. Our FTE's stand at 17.65, down 2 FTE from last report Dave Windom, MSHS From the Desk of the Environmental Health Manager June 2019 and July 2019 For Board of Health July 15th,2019—by Alex Paysse June Activities: June 5th—Staff hosted an Onsite Sewage Advisory Committee meeting. June 5'—Staff hosted an Oakland Bay Clean Water District Advisory meeting. June 81—Staff hosted a booth at the Oakland Bay Day event June 2151—Staff participated in an internal training exercise for emergency response in relation to a wildfire scenario June 251—Wildfire smoke webinar hosted by Dept.of Health. June 261—Staff assisted WSU with an septic system homeowners class in Belfair. June 261—Rhonda and Jeff went to an all day soils training class.in Pt.Townsend. June 301',Wendy Jonas resigned for a position in Thurston County. July Activities: July 81—Food Rule Revision meeting with DOH July 171i-Staff hosted an Onsite Sewage Advisory Committee meeting. July 181—Annual OSS/Regional Loan Program Workshop hosted by Ecology. July 241-Staff assisted WSU with an septic system homeowners class in Shelton. Other items to note: Sustainable funding for Water Quality program—general discussion. ( t Comm " • Manager Report May-June 2019 Communicable Disease & Notifiable Conditions(3 programs-CD,TB, STD)Staff:Audrey O'Connor, Back up:Elizabeth Custis&Lydia Buchheit May-June,our communicable disease(CD)program nurse received 47 reports requiring data entry into the State database,and/or investigation and follow-up.* Reporting of Chronic Hepatitis cases began to be handled directly by the State Department of Health in 2019. Disease May-June Total to date Campylobacteriosis 2 10 ryptosporidiosis 0 1 Giardiasis 0 3 Shiga Toxin 2 0 1 Hepatitis B-Chronic 0 0 Hepatitis C-Chronic Hepatitis C-Acute 0 0 Lyme 0 0 Pertussis 0 1 Salmonellosis 2 4 Suspected rabies-PEP 0 1 recommended R/O measles 0 5 R/O mumps 0 5 Coccidiodmycosis 0 0 Influenza related deaths 0 3 uberculosis-Active/open cases 1 1 1 Vibriosis(non-cholera) 3 3 Yersiniosis 0 0 Chlamydia 25 118 Gonorrhea 11 26 Syphilis 0 4 Herpes 2 4 HIV 0 0 Totals 47 191 Maternal Child Health Staff: Elizabeth Custis Maternal Child Health Program: Our staff RN was trained in an evidence-based parenting and prevention curriculum called Incredible Years with a focus on Autism Spectrum and Language Delay Parenting Programs and Helping Preschool Children with Autism. Funding is provided by the Division of Behavioral Health Resources(DBHR)grant for prevention work. We congratulate Elizabeth Custis,for her continued education. She became endorsed by the Washington Association of Infant Mental Health for Culturally Sensitive Relationship-Focused Practice,Promoting Infant Mental Health and is now certified as an Infant Family Specialist. We are in the final process of contracting with the Division of Children Youth and Families(previously Children's Administration and Child Protective Services)to provide the Incredible Years evidenced-based program with their clients needing parenting instruction and support. ABCD Dental Program: Staff has been reaching out to community agencies to provide Medicaid dental benefit materials to providers and parents regarding dental visits for children. These dental visits should be started before a child is 1 year of age and children should have 2 dental visits per year, but many Medicaid-covered children are not participating in care. These strategies are requirements of the ABCD grant contract but it also a focus since our rates of untreated decay in children under the age of 5 are higher than average in our state.Staff provide phone assistance to families that need help in finding a dental provider that accepts Medicaid and we link them to appropriate providers near their home. Breastfeeding Collaborative: A staff RN continues to facilitate the group of Mason County providers that are collaborating to provide support for breastfeeding health. The current activities are focused on breastfeeding support group opportunities.This group is comprised of Public Health, Mason General Hospital Birth Center, Mt View Women's Clinic,Oakland Bay Pediatrics,WIC,and Shelton Family Medicine staff. Early Learning Coalition of Mason County: Elizabeth co-facilitates the coalition of community agencies and leaders which focus on the importance of early learning.The focus has been on promoting early learning support and information with our community. A 2 Community Learning Celebration took place on May 16`h,from 9:30-11 am,inviting community partners to hear about this work and to honor early learning champions in Mason County. Immunization Improvement Grant: Staff continues to meet with SPIPA(South Puget Intertribal Planning Agency)Wellness and Cancer Program Managers to work on strategies to increase HPV vaccination rates and to decrease cancer rates from the HPV virus. Staff presented HPV vaccine and cancer awareness information at a SPIPA Wellness event. Social Services Programs Housing Staff:Todd Parker Two applications to the Affordable Housing RFP have been received and are under review by the Housing and Behavioral Health Board. Youth Homeless Demonstration Project: The program coordinator assisted four community agencies to apply for federal funding to serve unaccompanied youth under an Outreach/Diversion/Youth Coordinated Entry proposal that includes 6 months of case management services and short-term(5 6 months)of HOST home assistance. The three Mason County agencies were successful in their grant proposal. Shelton Family Center is the lead agency and will subcontract with Crossroads Housing,Consejo Counseling and Coffee Oasis(serving North Mason). As of the time of the proposal there were 127 unaccompanied youth reported with 100 from the Shelton School District and 27 from North Mason School District. The agencies were awarded the requested amount of$270,000 for the first two years with funding being renewable. Community Lifeline will begin an update to their special use permit with the City of Shelton for shelter services. The Special Use Permit is currently for 6 months and they are looking to expand the duration to provide year- round services. The City increased its review fee from$1,000 to$3,400. Behavioral Health--Treatment Sales Tax(TST) Funded Staff:Todd Parker,Lydia Buchheit Behavioral Health Organization to Managed Care Organization transition is being discussed in the Housing and Behavioral Health Advisory Board and will include identification of funding gaps to focus 2020 funding priorities. Services continue for the Therapeutic Courts,Northwest Resources community care coordinator, Peninsula Community Health Services two Community Health Workers mostly serving North Mason,and Behavioral Health Resources to provide two school-based therapists in the North Mason School District and programming during the summer. Mason County Opioid Response (3 programs) Staff:Abe Gardner,Christina Miller-Shinn,Audrey O'Connor Prescription Drug Overdose Program (PDO) Funded by Department of Health Grant through 08/30/19 May and June saw business as usual for the Prescription Drug Overdose Prevention Project:overdose prevention and response workshops took place with inmates at the jail and with individuals on a drop-in basis at the Transit Center outreach table and at the Substance Use Mobile Outreach. No Community Lifeline workshops took place during this time,however there was a refresher training given to staff at the Shelton branch of the Timberland Libraries.We also presented Mason County's Opioid Response Plan to the Community Care Transition Meeting per request,which includes discharge planning staff from Mason General Hospital, RN Care Coordinators from local primary care clinics,Home Health and Hospice agency professionals,Home and Community Services, LTC Ombudsmen and reps from local skilled nursing and assisted living facilities.There was lots of interest and great 3 questions from this group.We have updated our Mason County Substance Abuse Resource Guide to reflect new programs in our region,and have distributed about 800 pamphlets within the community. We have now switched the supply of naloxone for the jail take-home project from the University of Washington's Alcohol and Drug Abuse Institute to the Department of Health's new Naloxone Distribution Program.This program comes with a new requirement that each individual must fill out a simple survey at the time of dispensing.This will lower the burden of our demand on UW's ADAL 52 new individuals were trained on overdose prevention and response,including 21 inmates.104 naloxone kits were distributed to the community-31 to new individuals and 15 were from reconnecting with previous participants for refills.There were four non-fatal opioid overdoses between these two months,and no fatal opioid overdoses.Our fatal overdose numbers are not always accurate to date due to the time it takes for toxicology reports and coroner updates,which is why the number jumped from 2 reported at the time of the last BOH update and this report, even though none occurred during this period. DEPARTMENT OF HEALTH OVERDOSE PREVENTION PROJECT Year Reported Fatal opioid Number of Number of Number of Resource non-fatal overdoses individuals Naloxone community Guides opioid trained in kits workshops distributed overdoses OD distributed response 2017 17 5 143 246 8 2100 2018 24 1 481 535 12(+41 Approx. table events) 1700 2019 23 4 260 406 8(+24table Approx. events) 2300 Comprehensive Opioid Abuse Program(COAP) Funded by Bureau of Justice Assistance through(BJA) 9/30/20 Our COAP project continues to coordinate and leverage partnerships within our community to work on systemic solutions to present gaps and barriers. Most recently we have been working with our criminal justice partners on a potential diversion program(LEAD). We are waiting for the funding and RFP process to proceed with those conversations. We continue to collect data from our substance use treatment partners and will have an end of the year report in September/October. We are currently working to complete our 6-month report for BJA. We have had incredible success with our substance use treatment provider group meeting held monthly and look forward to re-convening those meeting after a brief summer break,picking things back up in September. Our Community Stakeholders meeting continues the second Wednesday of every other month,with the next being held in July at the new Skokomish Community Center. The agenda focus will be on the Health Care Authority, Behavioral Health Organization of Thurston/Mason and the Managed Care Organizations sharing information about the changes coming around Behavioral Health transitional care for 2020. Substance Use Mobile Outreach of Mason County Funded by Health Care Authority(HCA)through 1/31/22 The Substance Use Mobile Outreach program has seen an increase in tribal member participation since moving our Skokomish location.We were approved by Squaxin Island Tribal Counsel to move our Kamilche location,which we are hoping will increase participation at that location as well.Our Shelton location is by far our busiest site.As always,we continue to focus our efforts on connecting individuals to treatment and recovery resources with the help of our community's certified peer counselor as well as our community health workers. 4 Substance Use Mobile Outreach Data May-June 2019 Program Totals (Oct 2018- June 30,2019) Number of individuals served 50 140 Mean number of individuals each 4 4 encounter is serving Number of syringes exchanged 21,620 41,019 Number of direct encounters with a Peer/CHW 32 96 (including referrals to TX,MAT, CHW,Insurance,Mental Health Total number of individuals housed 86% 79% Gender M- 19 F-31 M-54 F-86 Age range 26-35yrs.-60% 26-35yrs. -54% Substance Use Prevention (3 programs) Staff: Ben Johnson&Alison Smallwood Community Prevention&Wellness Initiative(CPWI)-Ben Johnson The Shelton and North Mason Prevention Education Partners(PEP)is a partnership of community sectors county,city state,parents, law enforcement, mental health,key community leaders,substance abuse counselors and school prevention staff.Our highest priority is to reduce underage drinking and drug use among 8th and 10th grade students. The coalition focuses on community norms,policy and data review.Reducing easy access alcohol point of sale placement in stores, reducing theft,stopping promotion and sales to underage youth and to increase Evidence based prevention programming. The North Mason Substance Abuse Prevention Strategic Plan has been completed and approved.Both North Mason and Shelton will be conducting the yearly adult prevention survey beginning in mid-August.The goal is 110 surveys for each community. Ben,the program coordinator,attended the Prevention Summit in Bozeman Montana.The focus was social norms prevention strategies. There will be one summer prevention parenting class provided by Family Education Support Services FESS in North Mason this summer called Guiding Good Choices. Tobacco&Vaping Prevention Program&Youth Marijuana Prevention Project-Alison Smallwood The coordinator attended several trainings.The first was a"Substance Abuse Prevention Skills Training"in Spokane,WA May 21"-24th. This training was required and paid through our youth marijuana prevention monies. The purpose of the training was to learn the fundamentals of substance abuse prevention theory,understanding 5 risk and protective factors,and to practice application of theory. Additionally,on June 20'staff attended an "Ethics in Prevention"training with the same funding source. Community Health Assessment and Data Staff:Alison Smallwood,Lydia Buchheit Staff continue to make updates and post announcements about special events to our Mason County Health Improvement page which can be found at the link below.We will be asking the Board of Health to declare the month of August,Overdose Awareness Month,and Public Health will be hosting some events that are advertised on the site. You may want to regularly check our new Health Improvement platform through LiveStories which is available for sharing and tracking community work to improve health outcomes.You can access it from our Public Health Page directly above the picture of our building at www.healthymasoncounty.org or directly through this link: insight.Iivestories.com/s/v2/mason-cou ntv-homepage/48b8750d-70ef-4589-84c5-Odf131766a6a/ Emergency Preparedness—Staff:Lydia Buchheit,Alex Paysee,Sunni Wood Public Health receives funding from the Department of Health to develop and maintain plans for preparedness to respond to a public health emergency in our community.The funding is also utilized for training and exercising these plans with the staff and our community partners. In June,Public Health conducted an all-staff exercise utilizing a scenario based off a scenario we and our community partners had been exercising via radio communication,of a wildfire requiring evacuation of 950 citizens. Our updated scenario included exercising activation of our Public Health Emergency Operations Center utilizing the Incident Command System (ICS)and alerting all our staff via the emergency alert system,preparing and delivering community information and education, dissemination of masks due to the smoke dangers, supporting a red cross shelter in investigating an possible communicable disease outbreak,and setting up a virtual Family Assistance Center for public calls and information. Other exercises/trainings accomplished in this past fiscal grant year included: --A state functional exercise testing the receiving of Strategic National Stockpile medications,T-Rex,for our Medical Counter Measures Plan. This plan prepares us to work with the Federal and State agencies to distribute medications for mass treatment or prophylaxis in the event of some type of exposure. --Monthly radio check-in and reporting exercises that keep us in radio contact to gain situational awareness with our community Public Health partners in the event of a community emergency. --Quarterly testing of our state/regional alert system called Secures which enables us to send and receive emergency alerts and information from the state and regional LH1 partners to our Public Health Management team. --Alert Sense Drills were conducted on 9/28/18—test alert for upcoming drills;10/18/18-test alert for earthquake drill;12/5/18-test alert for winter storm warning;1/18/19 Public Heath Reg 3 situational test alert sent;6/5/19— test alert with LHJ management team for situational awareness --Participation in NWHRN(Western WA Preparedness Coalition)Medical Surge Capacity Alert Exercises,CST I& CST 11 --All public health and Community Services staff participated in training which reviewed ICS and ESF#8 response plans, policies and procedures. --Allison Smallwood attended 4 courses in the Public Information Officer(PIO)training series. --Two EH staff attended the Environmental Health Training Emergency Response Course in Anniston,Alabama 6 PROCLAMATION AUGUST 2019 OVERDOSE AWARENESS MONTH WHEREAS,Mason County recognizes August 31 st,2019,as International Overdose Awareness Day; WHEREAS,the aim of International Overdose Awareness Day is to raise awareness,reduce the stigma of drug- related deaths,remember those who have died or suffered permanent injury because of drug overdose and encourage discussion about overdose prevention and drug policy; WHEREAS,overdose is now the leading cause of accidental death in the United States,and the fifth leading cause of death overall; WHEREAS,no community is immune to drug overdose, including our own; WHEREAS,to help raise awareness and fight the stigma surrounding overdose,community members can attend our Overdose Awareness Walk&Resource Fair in Belfair,on August 281, and in Shelton,on August 29'both starting at 4PM; NOW,THEREFORE,the Mason County Board of Health does hereby proclaim August 3 111 2019,as International Overdose Awareness Day,and the month of August,Overdose Awareness Month in Mason County.We call upon the people of Mason County to observe this month by helping our families,friends, neighbors,co-workers and leaders better understand overdose,how it affects our community,and how it may be prevented. Dated this 231 day of July 2019 Mason County Board of Health Mason County,Washington Chair Commissioner Commissioner Commissioner Member Attest: Member Clerk of the Board Health Officer For more information about the events being held on August 281 and 29',please visit healthymasoncounty.com.