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HomeMy WebLinkAbout2023/07/25 - BOH Packet MASON COUNTY = COMMUNITY SERVICES Building,Planning,Environmental Health,Community Health MASON COUNTY BOARD OF HEALTH July 25,2023 3:00 PM Commission Chambers HEALTH411 North 5' Street ® Shelton,WA 98584 Meeting ID: 834 8034 3274 Passcode: 721009 DRAFT AGENDA 1. Welcome and Introductions Chair 2. Approval of Agenda—ACTION Board Members 3. Approval of Minutes (May 23,2023)—ACTION Board Members 4. Health Officer Report Dr. Keri Gardner 5. Administration Report Dave Windom a. Fiscal 6. Environmental Health Report Ian Tracy 7. Community Health Report Melissa Casey 8. Other Business and Board Discussion Board Members 9. Public Comments 10. Adjourn If special accommodations are needed,please contact McKenzie Smith at(360)427-9670 ext.589 or msmithC&masoncountywa.gov Mason County Public Health 415 N 6't'Street,Bldg. 8,Shelton WA 98584, Phone(360)427-9670 ext.400 Fax(360)427-7787 MASON COUNTY BOARD OF HEALTH PROCEEDINGS 411 North 511 Street,Shelton,WA May 23,2023 Attendance: Randy Neatherlin,County Commissioner;Kevin Shutty,County Commissioner; Sharon Trask, County Commissioner;Darrin Moody,Hospital District No. 1;Peggy VanBuskirk,Hospital District No. 2; Kathy McDowell,City of Shelton;Keri Davidson,Shelton School Board;Ian Tracy,Environmental Health Manager;Melissa Casey,Community Health Manager;McKenzie Smith,Clerk of the Board;and Dedrick Allen,MasonWebTV;Rebecca Shipman,Public Health Nurse;Julie Knot,Blue Zones 1. Chair Shutty called the meeting to order at 3:00 p.m. 2. Approval of Agenda Peggy VanBuskirk/Keri Davidson moved and seconded to approve the agenda as presented. Motion carried. 3. Approval of Minutes Peggy VanBuskirk/Keri Davidson moved and seconded to approve the minutes as presented. Motion carried. 4. Health Officer Report No Health Officer report at this time. 5. Administration Report Dave Windom is working with Dr.Gardner on grant applications around syndemics and substance abuse. This grant would allow syringe exchange to also include Hepatitis C and HIV testing, STI testing,Hep C treatment,wound care,etc. The motor home could be replaced with an updated van that could be used for the syringe exchange,outreach,vaccines,A 1 C test,blood pressure, events around the County,and more. The van location would change daily but have regular routes. The population is moving from using syringes to smoking. Dr. Gardner is the lead for the program and Dave is lead for logistics. Tuberculosis has declined. The Governor's COVID-19 proclamation is ending which means changes for the healthcare industry and COVID inclusions are being removed from contracts. Evergreen Treatment Services(ETS)is sharing how they do outreach for mental health which will be coordinated with Peninsula Health. Dave shared unspent Foundational Public Health Services(FPHS)funds will be returned to the State on June 30 and a new allocation will arrive July 1. The new allocation will include an additional$100 million. Funds will also be used for Environmental Health policy and to hire a Deputy Environmental Health Manager. The Consolidated Contract"CONCON"update is done for June. Back to school vaccines are behind. Work is being done on code enforcement around solid waste and abatements, outreach to homeowner's associations is being done. A payment plan can be approved,but if it is defaulted on it will fall on the County. The 2023 County Health Rankings were released. 6. Environmental Health Report Ian Tracy gave a staffing update. The solid waste abatement process is in progress,legal is looking into the lien portion regarding property taxes and the parcel becoming County property. Previously, solid waste liens were separate from property taxes and would stay with the parcel if sold. There is the potential to do a code change if necessary. In June the annual Septic Blitz will be promoted in coordination with septic maintenance workshops hosted by the WSU Extension. New food inspection software will be implemented to allow the public to look up local restaurants and help save time for staff in the field. There were several water quality downgrades—Annas Bay,Hood Canal 5— Lilliwaup,and Hood Canal 6—Tahuya. These areas will be closed out to the nearest approval station. Microbial source tracking may help find the exact cause. The On-Site Sewage Advisory Committee bylaws were updated based on previous feedback from the Board of Health. Peggy VanBuskirk/Cn=. Trask moved and seconded to approve the update to the On-Site Sewage Committee bylaws as presented. Motion carried. Paula Johnson,an existing member of the committee, applied to serve on the On-Site Sewage Advisory Committee for another three-year term. Peggy VanBuskirk/Keri Davidson moved and seconded to approve to appoint Paula Johnson to the On-Site Sewage Advisory Committee. Motion carried. 7. Community Health Report Melissa Casey shared most programs are business as usual. The grant for the syndemic approach to infectious disease prevention and linkage to services is being worked on to expand services with testing and treatment. The grant application is due in two weeks. New classifications for WIC positions have been done for the WIC Coordinator/Supervisor and WIC Certifier. Human Resources is currently reviewing applications. The contract between the Mason County Sheriff's Office and Olympic Health and Recovery Services has been approved for the law enforcement co-responder program. There is a high mental health need. The program has two teams,and each team has clinician and peer. The next emphasis is to evaluate the work plan and see what the programs have accomplished. Insight Vision is being used to track outcomes. 8. Other Business and Board Discussion Dave introduced Julie,Executive Director for Blue Zones and ex-officio member of Mason Matters. Blue Zones has a three-year contract with Mason County to work on health and well-being of the community. 9. Public Comments No public comment at this time. 10. Adjourned at 3:56 p.m. ATTEST MASON COUNTY,WASHINGTON BOARD OF HEALTH MASON COUNTY,WASHINGTON McKenzie Smith,Clerk of the Board Darrin Moody,Hospital District#1 Kathy McDowell,City Council Kevin Shutty,Commissioner Randy Neatherlin, Commissioner Sharon Trask,Commissioner Peggy Van Buskirk,Hospital District#2 Gary Plews,Fire Commissioner Keri Davidson, Shelton School Board From the Directors Desk 71 -r1k$ July 2023 The CONCON (consolidated contract)Amendment 13 has been released effective July 15Y. We've received the contract and as of Tuesday the 18th, passed the contract through our commissioner process. Casey and I completed the Foundational Public Health Annual Report which is the switch that actually turns on much of the funding. A lag gets developed between the legislative process and the report which requires that the financial books are closed for the state fiscal year.We can't bill backwards which puts us in something bid though not nearly as bad as last year when the contract was delayed at DOH for several months. I'm working with our state organization and the Office of Financial Management to develop a solution. We'll be receiving$1.2 million in FPHS funding the same as last year,with more to follow in the August amendment. Allotments and disbursements are still being negotiated between local public health, DOH, the State Board of Health, and the tribes. Financially,we're in good shape. As we grow staffing with the infusion of new funding, we're looking at running out of space. We will explore new delivery methods that may get more public health functions out into the community. We're experimenting with some mini-grants to allow community members funding to support their activities that meet our mission statement. It's time to look at traditional public health services in a non- traditional way Our new website has been published at Mason County Community Services,WA (healthymasoncounty.com).This site is in addition to our regular county website and provides a place to showcase community efforts, data, and projects. Please explore the website and forward any comments you may have to me. I have included a recent survey result from Peninsula Community Health Services from patient-reported social determinants of health (SDOH) needs. With each patient encounter the patient was asked about SDOH needs and were those needs were the reason for that particular appointment.These needs are certainly a factor in the overall health of people in our region and information such as this assists in determining the direction of the health department. Obviously,we can't contribute to each need but it does give perspective for our direction and the need to partner with other organizations to address these needs. From the Director's Desk I SDOH Needs Identified July 2021 to June 2023 Voting 1 3 Immigration m 15 Violence/Bullying � 24 Substance Use/Recovery � 37 Cancer Screening 54 Smoking Cessation 59 Childcare/Eldercare 79 Infant/Toddler Supplies 81 Education 84 Insurance 105 Pharmacy 130 Employment 153 Counseling 167 Disability 202 Food 304* Utilities 306 Dental 339 Transportation 435 Housing/Rental 699 0 100 200 300 400 500 600 700 800 David Windom, MSHS Environmental Health Briefing TO: Mason County Board of Health FROM: Ian Tracy, Environmental Health Manager DATE: July 251h, 2023 ITEM: On-site Sewage System (OSS) Permit Extension Policy SUMMARY: During the June 141h On-Site Sewage Advisory Committee (OSAC) the Committee voted to change the OSS permit extension policy as attached. REQUESTED ACTION: Review changes and discuss. If appropriate, consider formal BoH approval. ATTACHMENTS: Draft changes to OSS Permit Extension Policy. Excerpt from Environmental Health Policy and Procedure Manual(Pg27- 28) OSS DESIGN EXTENSION A. Prior to or after expiration of an approved design,the applicant may apply for a permit extension. The permit extension shall extend the expiration of the design for up to 365 daystwo years,but not exceed five years from the signature date of the Environmental Health Specialist's site inspectionf Per WAC 246-272A- 200 4 e 4Q&AC,42.49.49} B. The application for the extension must be stamped and signed by the original designer certifying and attesting that the following conditions are true as of the date of their signature on the application: • NO part of the proposed Drainfield or Reserve area has been altered or disturbed in such a way that may render the proposed design invalid. • NO development has occurred on this parcel or neighboring parcels which would cause the proposed system to no longer meet minimum setbacks. • NO Boundary line adjustments or subdivisions have occurred which would Formatted:List Paragraph,Indent:Left: 1",Bulleted+ cause the property to fall below the minimum land area requirements of Level:1 +Aligned at: 0.79"+Indent at: 1.04" WAC 246-272A. ed n ..,., ai Fats R f the desigR. C. All approved septic designs may receive one extension. Additional extensions shall not be accepted and would instead require a renewal. Ilk MASON COUNTY Public Health&Human Services COMMUNICABLE DISEASE & OE4 HOUSING & NOTIFIABLE CONDITIONS* HOMELESSNESS 47 cases of Chlamydia Recap Fiscal Year 2023 (J u ly 2022-J u ne 2023) *CD rates are suppressed for all nonzero counts which are<10 Official PIT Count (Point-in-Time,January 2023) SUBSTANCE USE • 261 Total Households (unsheltered � � — !b and sheltered) MOBILE OUTREACH �MW 499 • 381 Total Persons (unsheltered and sheltered) r2r6'150 Emergency Shelters L •_ _• Number served: 741 ExchangedSyrin Participants • Male: 36.99% 1 Female: 61.52% Trans: 0.86% • History of DV: 52.45% • Mental Health: 25.51% OVERDOSE DATA TO ACTION SUD: 9.04% (OD2A) • Developmental & physical disabilities: 32.25% • • Chronic Health: 18.08% Successful Overdose Rapid Re-Housing Reversals with Naloxone • Number served: 299 Note that as of November,we are now collecting all • Male: 33.53% 1 Female: 66.27% overdose reversals that occurred since the last time we saw that participant.Previously we collected one • History of DV: 50.9% overdose reversal per refill engagement,so it is not accurate to compare this report with previous reports. • Mental Health: 39.8% • 341 Naloxone Kits distributed • SUD: 9.03% • 30 new people trained on overdose • Disabilities: 41.8% prevention, recognition, and response • Chronic Health: 25.75% • Re-engaged with 57 participants to give refills A, di MASON COUNTY Public Health& Human Services AtMATERNAL CHILD HEALTH Care coordination was provided for 14 Children with Special Health Care Needs clients, including transportation needs, DDA and SSI application assistance to several that were incorrectly denied services, and assisting several families needing an interpreter. Elizabeth attended the monthly Pediatric Care Coordination meeting, which is attended by Mason Health Pediatrics, South Sound Parent to Parent Birth to Three staff, Mason Health Rehabilitation Pediatric Therapies, and Early Learning and school staff. She also investigated a very high lead blood level in a child in Mason County, and reported to the state, provided recommendations, and collaborated with the medical provider for ongoing care and future testing. Elizabeth is coordinating the Immunization Improvement Plan for the county and will be submitting a proposal to the Department of Health. She will be collaborating with medical providers, the Department of Health, Care-A-Van (mobile vaccination services), school districts, and childcare facilities. SUBSTANCE USE PxmwuasEe¢iWuwnas PREVENTION COALITION VV` The Substance Abuse Prevention Coalition partnered with the City of Shelton to adopt a new No Vaping policy for all City property, specifically City Parks. Ben and Emily attended the 2023 Social Norms conference and will be working with Mason County students on a new Social Norms messaging campaign. We also partnered with the North Mason Regional Fire Authority and North Mason High School Students to present at the Annual Safety days. Over 1,000 students were trained in "who to tell" if they witnessed something that was not safe on a playground such as needles and syringes.The Mason County Substance Abuse Prevention Coalition partnered with Public Health & Human Services to host the 2nd annual Vape Training. Over 30 Mason County school staff, administration, and community members attended. A, di MASON COUNTY Public Health& Human Services RURAL COMMUNITIES OPIOID RESPONSE PROGRAM (RCORP) The Jail SUD RCORP team has seen great success in getting clients furloughs into treatment, or providing seamless transitions to treatment upon release. The team works diligently with clients after they are released into the community during the re-integration period, securing housing (often recovery housing) and employment for many, and helping break down all barriers for treatment and recovery support services.The peer from OHRS who helps staff the Substance Use Mobile Outreach has been working closely with several participants for intensive harm reduction case management.This is an invaluable part of the Mobile Outreach program, providing seamless linkages to care and providing essential resources. The Mason Health peer is on extended FMLA so this program is paused; however, the Director of Behavioral Health remains an active participant in the RCORP Consortium. MCPHHS staff submitted a No Cost Extension request to extend RCORP activities until December 2023, which was granted. BEHAVIORAL HEALTH BEHAVIORAL HEALTH & NAVIGATOR PROGRAM r, RECOVERY SUPPORT New Referrals TRANSPORTATION Age Range W W PROGRAM 608.230 7a1.290 7 transports by Gethsemane S(,5.2%, Ministry (out of county) 4 In-county transportation pilot ended in May; data being evaluated to assist in the ' planning and development of a 0-17 18-29 30-39 40-49 50-64 sustainable transportation program In August 2023, the Mason County Law Enforcement Co-Responder Program will be launched! This partnership between Olympic Health and Recovery Services (OHRS) and Mason County Sheriff's Office will add two co- responder teams - 2 Crisis Clinicians and 2 Peer Specialists - to respond to behavioral health 0E D crises and mental health related calls. The Co- Responder teams will be available in Mason New Referrals County 7 days a week, bridging a gap in access to dedicated crisis services and case management for our community.