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MASON COUNTY BOARD OF HEALTH
SEPTEMBER 29, 1994
The Board of Health was called to order at 10:00 a.m. by Chairperson William O. Hunter, with
Board Members Porter and Faughender in attendance.
ATTENDANCE: William O. Hunter, Chairperson
Mary L. Faughender, Board Member
_ Laura E. Porter, Board Member
Dr. Mark E. Trucksess, Health Officer
Brad Banner, Health Services Director
Steve Kutz, Director of Nursing
Wayne Clifford, Staff
Sean Hanlon, Journal
HEALTH OFFICER'S REPORT
Dr. Trucksess supplied the Board with copies of a recent newsletter written by the tobacco
industry. He noted that the state law prohibiting smoking in any public office except in
designated space with proper ventilation to the outside goes into effect October 1st. The Board
acknowledged the county's awareness/preparation of this fact. Dr. Trucksess reported that state
statistics indicate that 4 out of the top 5 leading causes of death are roughly related to tobacco,
therefore, tobacco usage needed to be addressed.
The Board was informed by Dr. Trucksess that he had been contacted by the Thurston County
Health Officer regarding a two-county, three-hospital disaster-preparedness plan. Dr. Trucksess
stated he would ensure that the proper departments received the information, noting that this type
of project was not currently included as part of the Mason County Health Officer's duties.
The August, 1994, Communicable Disease Report was given.
HEALTH CARE REFORM
A report regarding health care reform on the state and federal levels was given by Dr. Trucksess.
A copy of the state's Uniform Benefits Package outline was presented. He reported that it would
be a collaboration between public, private and community volunteer groups, and the Health
Department would need to understand how they interrelate. Public health services would be
changing, and the department's responsibility would need to be defined. The government intends
to increase the public fund portion, however, accountability would be directly linked with the
receipt of the additional funding.
The goals were to define the program, meet capacity standards, link assessment with policy
development, administration, health promotion, health protection, as well as access and quality.
The changes would be phased in during the next 6 years. The key points to focus on were to
be knowledgeable about the program and the new laws, and most importantly the public health
improvement plan. The department would need to understand its own capacities, now and in the
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September 29, 1994 - Page 2 of 3
future, and finances would need to be under control. This program would involve the Board of
Health as well as the staff. The need to know our community was important and to understand
how its changes were affecting the department, so that a vision could be developed. He stated
that retreats may be needed in order to create the vision statement.
Mr. Trucksess stated that training classes would be provided through the Department of Health
starting in December, with a second series beginning in March, and a significant number of staff
should attend each series. Steve Kutz agreed that the Health Department employees should
attend this training in order to understand their roles. Board Member Porter commented that if
significant numbers of staff would be attending, they needed to look at changing the operation
of the department on those days, with adequate notice to the public. Mr. Kutz agreed, noting that
this would not only affect the nursing division. Brad Banner remarked that he and Mr. Kutz
would be working on a plan regarding the training which would be presented during a briefing.
The Board noted that legislation may change some of the aspects of this reform, however, the
county's responsibility may not. Board Member Porter stated that she would prefer that the staff
attend the early session of training so that the department could be part of the development,
advocating issues which were important to Mason County. She noted that in our county there
was a higher rate of suicidal and accidental death than in other areas, and these facts needed to
��.. be addressed. Mr. Banner stated that if the funding was based on how well the department meets
the plan, they may be disadvantaged as a small county. Board Member Porter stated that it
should be understood why the small counties, rural areas, were unable to be involved in the
policy planning/writing. She noted that Mason County needed a clear voice. Mr. Kutz suggested
that the Board draft a letter explaining their position, which could be read aloud at the next
planning meeting in October. Board Member Porter stated that written testimony could be given
without someone from the department being present, which would enforce their reason for the
letter being written. She stated that staff support in writing the draft would be necessary.
REVISED VARIANCE POLICY FOR SRL PROGRAM
Brad Banner asked the Board to consider amending the department's policy regarding the
extension of payments pertaining to the Mason County Water Quality Improvement Fund
applicants.
Board Members Porter/Faughender moved/seconded that the Board adopt the policy
revision as presented with the inclusion of an update of the income criteria, using the
previous source. Motion carried unanimously.
DRINKING WATER ADVISORY BOARD
Mr. Banner presented a list of proposed Drinking Water Advisory Board members. This listing
included drillers, designers, residents, a representative from the water industry, and an
environmental health staff member for a total of 10 members with 5 being a quorum. He noted
that the names represented those people who were attending the meetings and who were
MASON COUNTY BOARD OF HEALTH
�} September 29, 1994 - Page 3 of 3
interested in being appointed. The Board discussed the public representation, noting that they
wanted it increased.
Board Members Porter/Faughender moved/seconded that the Board appoint the following
persons to the Drinking Water Advisory Board: Ron Wiley, Driller; Bill Neal, Jr., Driller;
Mike Davis, Driller; Reg Hearn, Designer; Layle Tahja, at-large; G. John Brush, at-large;
Mike Cofield,water industry; Carolyn Jensen, staff; and two vacancies to be filled with at-
large members. Motion carried unanimously.
LOWER HOOD CANAL WATER SHED-GENERAL SEWERAGE PLAN
Wayne Clifford presented the Lower Hood Canal Watershed General Sewerage Plan.
Chairperson Hunter asked that the word "additional" or "new" be added to Page 2, (i) in referring
to no treated water in the Canal. He noted that Alderbrook was doing this, and they have
additional capacity beyond what they were presently using. He also questioned the cost
effectiveness for the residents. He stated the words "without additional funding" or "cost
prohibitive" should be added. Board Member Porter stated that on the top of Page 3, it appeared
to be saying that there had been no previous policy. Mr. Clifford replied that he was not
implying there was not a policy previously, but he wanted this document to stand alone. A cover
letter was presented for signature. Board Member Porter stated she wanted a sentence added to
relate the fact that this expansion would occur as part of the growth-management capital facilities
plan and analysis project being undertaken via a professional services contract with K.C.M..
MEETING CONTINUED
Board Members Porter/Faughender moved/seconded that this meeting be continued until
October 3rd, 1994, at 10:45 a.m., in the Commissioners' Chambers in order for the Board
to make a decision regarding the Scroggs appeal. Motion carried unanimously.
MASON COUNTY BOARD OF ALTH
William O. Hunter, Chairperson
Respectfully Submitted,
Laura E. Porter, Boar - tuber
Lorraine Coots M. Faughender. Board Member