HomeMy WebLinkAboutBoard of Health Jan 29 2024Whatcom County
Council as the Health Board
COUNTY COURTHOUSE
311 Grand Avenue, Ste #105
Bellingham, WA 98225-4038
(360)778-5010
Minutes - Final
Monday, January 29, 2024
10 AM
Civic Center Building Conference Room / Hybrid Meeting
JOINT HEALTH BOARD/PUBLIC HEALTH ADVISORY BOARD MEETING -
HYBRID MEETING (PARTICIPATE IN -PERSON, SEE REMOTE JOIN
INSTRUCTIONS AT www.whatcomcounty.us/joinvirtualcouncil, OR CALL
360.778.5010)
COUNCILMEMBERS
Barry Buchanan
Tyler Byrd
Todd Donovan
Ben Elenbaas
Kaylee Galloway
Jon Scanlon
Mark Stremler
CLERK OF THE COUNCIL
Dana Brown -Davis, C.M.C.
Council as the Health Board Minutes - Final January 29, 2024
Call To Order
Roll Call
Health Board Chair Barry Buchanan called the meeting to order at 10:01
a.m. in a hybrid meeting.
Present: 6 - Barry Buchanan, Tyler Byrd, Todd Donovan, Kaylee Galloway, Jon Scanlon,
and Mark Stremler
Absent: 1 - Ben Elenbaas
Roll call of PHAB members
The following Public Health Advisory Board members were present:
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Meeting Materials
AB2024-{�08
Public comment
• Teri Bryant
• Sterling Chick
• Madison Emry
• Joni Hensley
• Chris Kobdish
• Michael Massanari
• Guy Occhiogrosso
• Emily O'Connor
• Adrienne Renz
• Julie Terry
• Shu-Ling Zhao
Meeting Materials for Health Board January 29, 2024
This agenda item was RECEIVED.
The following people spoke:
• Barry Wenger
• Misty Flowers
• Natalie Chavez
Hearing no one else, Buchanan closed the public comment period.
Health Officer/Health Director update
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Council as the Health Board Minutes - Final January 29, 2024
Amy Harley, Co -Health Officer, reported on the respiratory virus season
and stated emergency room visits due to infection of influenza and
respiratory syncytial virus (RSV) are still above the threshold and
COVID-19 is hovering just under the threshold for what they call
widespread community transmission. She also spoke about a story by King
S News reporting that overdose numbers in Whatcom County are higher
than that in King County and stated there may be some inaccuracies in how
they reported or in how they interpreted information on our county's
dashboard.
Erika Lautenbach, Health and Community Services Director, referred to the
department report (on file in the meeting materials) and spoke about issues
encountered from the recent cold weather snap that impacted Health and
Community Services staff. She noted that 60 to 70 percent of staff worked
outside of regular hours and she thanked them.
Harley and Lautenbach answered questions about immunization rates,
scheduling an after -action report on the severe weather to the Council in the
coming weeks, what the long-term plans are for severe weather shelters
after the lease runs out for the State Street facility, whether we have the
resources to keep the staff for the shelter, scheduling a Council or Health
Board discussion about facilities, staff, and resources for next winter, and
whether there is anything the Health and Community Services Department
would need from the Council if there was another cold snap to be able to
stand the shelter up again. Lautenbach stated there is also a broader
conversation to be had about responsibilities and roles within county
government in general, and whether or not one department should be
managing this entire emergency response on behalf of the County.
Public Health Framework and Local Practice Alignment
Erika Lautenbach, Health and Community Services Director, read from the
"Health Board Discussion Form' starting on page 9 of the meeting materials
(on file) on how the Health and Community Services Department is working
to align with national public health frameworks.
Donovan pointed out that the presentation did not seem to point to the
Health Department being the sole lead on emergency response and severe
weather shelters.
Lautenbach answered which division in Health and Community Services is
taking the lead on the department's strategic priority of "Community
Partnerships & Engagement" (from page 18 of the meeting materials), and
stated it is the work of every division. She answered what the relationship is
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Council as the Health Board Minutes - Final January 29, 2024
between the onsite sewage supervisor and team and the Planning and
Development Services Department, and stated they have a staff member
with expertise embedded in the Planning Department. She answered what
the proposed new Environmental Public Health supervisor would do, and
stated they intend on splitting the Food and Living Environment program
into two programs.
Emily O'Connor spoke about there not being numbers in the presentation
that help break things down so they are measurable and identify things that
are quantifiable, such as gaps where they need to invest more resources.
PHAB Role, Subgroups, Plan for Year
Sterling Chick and Erika Lautenbach presented (on file, starting on page 19)
on the Hub and Spoke Model, the flow chart between relevant bodies, the
driving state laws behind these changes, and the 2024 sub -groups the Public
Health Advisory Board (PHAB) is forming to become compliant with state
law.
Chick spoke about the duties given to the PHAB per state law, the role of
the Health Board (supervisor and enactor) and the PHAB (reviewer and
organizer), and how the P14AB can fulfill its role of organizer by being the
hub in the hub and spoke model.
Hensley asked what the difference is between the at -large PHAB positions
and PHAB members who are part of the "spoke" advisory groups. She also
asked what the expectations are of at -large members such as herself.
Lautenbach stated all me_.mbers were at -large hPfom. the high and spnke
model. Their goal is to ultimately not have at -large members, but to have a
true hub and spoke. These new members were appointed by the Council but
if they have an interest in joining another advisory board that does not have a
representative to fill that spoke role, that would be fantastic. The P14AB will
eventually phase out of having so many at -large members.
Julie Terry asked what kind of role they see the Peace Health representative
filling and she and Lautenbach discussed that role.
Donovan asked where the Health Board and Council are in the PHAB
models and how one group reports to the other. He asked about the
workflows represented on page 23 of the meeting materials and asked if
they are looking for a preferred workflow or whether these are just three
different ways of working together.
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Chick spoke about the interactions between the various groups.
Donovan stated the Council does not always hear directly from the advisory
boards and Chick stated that an evolving role of the PHAB is to get
information from the advisory boards to the Health Board and Council more
efficiently.
Lautenbach read from the "Public Health Advisory Board Sub -Group
Options" starting on page 25 of the meeting materials.
Work Plan and HB/PHAB Coordination for 2024
Chick spoke about how many times the PHAB meets.
Lautenbach stated the PHAB talked about the idea of having a Healthy
Children's Fund conversation with the Child and Family Well -Being Task
Force in a joint meeting.
Buchanan stated he would like to hear something about the opioid crisis at
every meeting and review what is going on in the community as well as the
state and nation.
Hensley stated she would like to see more community partnership so that
the community knows what is going on here. Buchanan spoke about the
importance of communications and Chick stated the hub and spoke model
could help with that.
Buchanan stated they are going to also want to keep a close eye on the
status of and plans for sheltering for the next season.
Donovan asked if they could get feedback from some of those boards and
commissions that are part of PHAB about what they see as resource needs
for housing security.
Scanlon stated he would like to look at existing assessments and plans that
look at needs in our community regarding public health and identify where
gaps are.
O'Connor stated she would like to put filter on the PHAB's time to work on
actionable items and prioritization and not just status updates on the state of
challenges in our community.
Scanlon stated he agrees and would like to find out where people in the
community or in government feel like they are held back by policy or
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Other Business
Adiournment
budget.
Members discussed how the PHAB can interact with the other advisory
groups and how they can work within the hub and spoke model, how the
PHAB will collaborate with the Health Board and Health and Community
Services staff, how to make sure the subgroups have the resources they
need to be able to do what they are charged with doing, examples of
successful collaboration with groups last year, and the hope that PHAB can
take the input from the spoke groups, view them within a larger
community -wide view, and then prioritize with that perspective in mind.
There was no other business.
The meeting adjourned at 11:27 a.m.
The County Council approved these minutes on February 6, 2024.
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Dana Browv `g6n6eil Clerk Barry anan, Health Board Chair
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Kristi Felbinger, Minutes Transcription
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