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HomeMy WebLinkAboutPacket Health Board Oct 29 2024Whatcom County Council as the Health Board COUNTY COURTHOUSE 311 Grand Avenue, Ste #105 Bellingham, WA 98225-4038 (360) 778-5010 Meeting Agenda Tuesday, October 29, 2024 10 AM Council Chambers / 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 Cathy Halka, AICP, CMC Council as the Health Board Meeting Agenda October 29, 2024 Call To Order Roll Call - Health Board Roll Call - PHAB Announcements Individuals who require special assistance to participate in the Council's meetings are asked to contact the Council Office at 360.778.5010 at least 96 hours in advance. This committee meeting is also noticed as a meeting of the Whatcom County Council, with the agenda limited to committee business. Public Comment Special Presentation 1. AB2024-706 Update from Public Health Advisory Board Chair 2. AB2024-707 Update from Health Director and Health Officer Discussion 1. AB2024-708 Discussion of Public Health Advisory Board Roles and Responsibilities Matrix 2. AB2024-634 Discussion of 2025 Public Health Advisory Board (PHAB) Work Plan Other Business Adiournment Whatcom County Pure 2 Printed on 413012025 • Whatcom County COUNTY COURTHOUSE 311 Grand Avenue, Ste #105 Bellingham, WA 98225-4038 (360)778-5010 • Agenda Bill Master Report File Number: AB2024-706 File ID: AB2024-706 Version: 1 Status: Presented File Created: 10/15/2024 Entered by: nervin@co.whatcom.wa.us Department: Health Department File Type: Presentation Assigned to: Council as the Health Board Final Action: 10/29/2024 Agenda Date: 10/29/2024 Enactment #: Primary Contact Email: stergnil@gmail.com TITLE FOR AGENDA ITEM: Update from Public Health Advisory Board Chair SUMMARY STATEMENT OR LEGAL NOTICE LANGUAGE: None HISTORY OF LEGISLATIVE FILE Date: Acting Body: Action: Sent To: 10/29/2024 Council as the Health Board PRESENTED Attachments: Whatcom County Page 1 Printed on 4/30/2025 • Whatcom County COUNTY COURTHOUSE 311 Grand Avenue, Ste #105 Bellingham, WA 98225-4038 (360)778-5010 • Agenda Bill Master Report File Number: AB2024-707 File ID: AB2024-707 Version: 1 Status: Presented File Created: 10/15/2024 Entered by: nervin@co.whatcom.wa.us Department: Health Department File Type: Presentation Assigned to: Council as the Health Board Final Action: 10/29/2024 Agenda Date: 10/29/2024 Enactment #: Primary Contact Email: elautenb@co.whatcom.wa.us TITLE FOR AGENDA ITEM: Update from Health Director and Health Officer SUMMARY STATEMENT OR LEGAL NOTICE LANGUAGE: None HISTORY OF LEGISLATIVE FILE Date: Acting Body: Action: Sent To: 10/29/2024 Council as the Health Board PRESENTED Attachments: Whatcom County Page 1 Printed on 4/30/2025 • Whatcom County COUNTY COURTHOUSE 311 Grand Avenue, Ste #105 Bellingham, WA 98225-4038 (360)778-5010 • Agenda Bill Master Report File Number: AB2024-708 File ID: AB2024-708 Version: 1 Status: Discussed and Motion(s) Approved File Created: 10/15/2024 Entered by: nervin@co.whatcom.wa.us Department: Health Department File Type: Discussion Assigned to: Council as the Health Board Final Action: 10/29/2024 Agenda Date: 10/29/2024 Enactment #: Primary Contact Email: elautenb@co.whatcom.wa.us TITLE FOR AGENDA ITEM: Discussion of Public Health Advisory Board Roles and Responsibilities Matrix SUMMARY STATEMENT OR LEGAL NOTICE LANGUAGE: 10 HISTORY OF LEGISLATIVE FILE Date: Acting Body: Action: Sent To: 10/29/2024 Council as the Health Board DISCUSSED AND MOTION(S) APPROVED Attachments: Roles & responsibilities matrix, Scope Differentiation for Health Board and PHAB, PHAB Scope and Role, PHAB Role Matrix 10.25.2024 for 10.29 Whatcom County Page 1 Printed on 4/30/2025 WHATCOM COUNTY U Erika Lautenbach, MPH, Director Amy Harley, MD, MPH, Co -Health Officer Health and Community Services Greg Thompson, MD, MPH, Co -Health Officer Health Board & Public Health Advisory Board Differentiation of Scope Health Board 70.05.060 Public Health Advisory Board 70.46.140 Each local board of health shall have supervision over all matters pertaining to A community health advisory board shall: the preservation of the life and health of the people within its jurisdiction and . Provide input to the local board of health in the recruitment and shall: selection of an administrative officer, pursuant to RCW 70.05.045, and • Enforce through the local health officer or the administrative officer, if any, local health officer, pursuant to RCW 70.05.050; the public health statutes of the state and rules promulgated by the state • Use a health equity framework to conduct, assess, and identify the board of health and the secretary of health community health needs of the jurisdiction, and review and recommend • Supervise the maintenance of all health and sanitary measures for the public health policies and priorities for the local health jurisdiction and protection of the public health within its jurisdiction advisory board to address community health needs; • Enact such local rules and regulations as are necessary in order to preserve, . Evaluate the impact of proposed public health policies and programs, promote and improve the public health and provide for the enforcement and assure identified health needs and concerns are being met; thereof • Provide for the control and prevention of any dangerous, contagious or . Promote public participation in and identification of local public health infectious disease within the jurisdiction of the local health department needs; • Provide for the prevention, control and abatement of nuisances detrimental . Provide community forums and hearings as assigned by the local board to the public health of health; • Make such reports to the state board of health through the local health • Establish community task forces as assigned by the local board of health; officer or the administrative officer as the state board of health may require • Review and make recommendations to the local health jurisdiction and • Establish fee schedules for issuing or renewing licenses or permits or for such local board of health for an annual budget and fees; and other services as are authorized by the law and the rules of the state board of • Review and advise on local health jurisdiction progress in achieving health: PROVIDED, that such fees for services shall not exceed the actual cost performance measures and outcomes to ensure continuous quality of providing any such services improvement and accountability. 509 Girard Street Bellingham, WA 98225-4005 WHATCOM COUNTY HEALTH AND COMMUNITY SERVICES Main Line: (360) 778-6000 www.whatcomcounty.us/health WHATCOM COUNTY Erika Lautenbach, MPH, Director Amy Harley, MD, MPH, Co -Health Officer Health and Community Services Greg Thompson, MD, MPH, Co -Health Officer Public Health Advisory Board Scope & Role PHAB Role Ultimate Assign & Review & Public Health Advisory Board Scope (Per RCW) Originating Body Key partners Decision - Lead Support Recommend maker Provide input to the local board of health in the Exec appoints recruitment and selection of an administrative x HCS Health Board Council officer (HCS Director) confirms Provide input to the local board of health in the Exec appoints x HCS Health Board Council recruitment and selection of a health officer confirms Adopt a health equity framework for community WREC health improvement x PHAB Healthy Whatcom PHAB a. Conduct an evaluation and assess community health needs of the jurisdiction x PHAB HCS PHAB using a health equity framework b. Identify the community health needs of HCS jurisdiction using a health equity x PHAB Community and PHAB framework advisory groups Community and Review and recommend public health policies and Community and advisory groups priorities using a health equity framework advisory groups County department Health Board/ (clarification: guided by Healthy Planning x x County department Legal Council Resolution, policies related to comm health, well- Health Board being- comp plan, fluoridation, etc.) HCS Health Board HCS 509 Girard Street Bellingham, WA 98225-4005 WHATCOM COUNTY HEALTH AND COMMUNITY SERVICES Main Line: (360) 778-6000 www.whatcomcounty.us/health �GOM CO WHATCOM COUNTY Health and Community Services Erika Lautenbach, MPH, Director Amy Harley, MD, MPH, Co -Health Officer Greg Thompson, MD, MPH, Co -Health Officer PHAB Role Public Health Advisory Board Scope (Per RCW) Originating Body Key partners Ultimate Decision -maker Assign & Review & Lead Support Recommend Evaluate the impact of proposed public health H Health Board/ policies and programs- assure identified health x x PHAB Health lth Board Council needs and concerns are being met Promote public participation in local public health Health Board/ needs x PHAB HCS Council Provide community forums/ hearings as assigned HCS Health Board/ x x Health Board Community and by the local health board Council advisory groups Establish community task forces as assigned by the Health Board/ local board of health x x Health Board HCS Council Review/ make recommendations to local health jurisdiction and local health board on annual x HCS Health Board HCS/ County budget/fees Review and advise on local health jurisdiction progress in achieving performance measures and x HCS Health Board HCS outcomes to ensure continuous quality improvement and accountability 509 Girard Street Bellingham, WA 98225-4005 WHATCOM COUNTY HEALTH AND COMMUNITY SERVICES Main Line: (360) 778-6000 www.whatcomcounty.us/health PHAB Role Operationalizing PHAB Tasks Public Health Advisory Board Scope Per RCW p ) Lead Assign & Review & Originating Keypartners p Ultimate Decision- Draft Outcomes avoid limitingwork Frequency q y End Product What resources are What do we need to be Support Recommend Body maker needed? successful? Provide input to the local board of health in the recruitment and x HCS Health Board Exec appoints Clear role and process for PHAB in the hiring process. As needed Documented process Current practices selection of an administrative officer (HCS Director) Council confirms Provide input to the local board of health in the recruitment and x HCS Health Board Exec appoints PHAB proposes criteria based upon values and As needed Documented process Current practices selection of a health officer Council confirms purpose of the group. W REC Adopt 2025 Adopt a health equity framework for community health improvement x PHAB A framework is proposed, approved, and implemented. Framework Training on use Healthy Whatcom PHAB Review every years a. Conduct an evaluation and assess community health needs Conduct a Community Health Assessment that Every 5 years of the jurisdiction using a health equity framework x PHAB HCS includes equity and disparity measures with Due 2025-26 CHA Report PHAB disaggregated data where possible. b. Identify the community health needs of jurisdiction using a x PHAB HCS Community and advisory Determine which needs are under the jurisdiction of Step 2 after assessment CHIP Community Engagement health equity framework PHAB public health. groups Relevant Review and recommend public health policies and priorities using a community and advisory groups Relevant community and advisory groups or department Lead when reacting to existing or emerging policies. Current and proposed health equity framework x x County Legal Delegate some policy review to Policy staff. Ongoing Documented process policies, resolutions, (clarification: guided by Healthy Planning Resolution, policies department Health Board Evaluate new policies and priorities. declarations related to comm health, well-being- comp plan, fluoridation, etc.) Health Board HCS Recommend policies and priorities from other groups. HCS Health Board/ Council Evaluate the impact of proposed public health policies and Current and proposed programs- assure identified health needs and concerns are being x x PHAB HCS Identify which policies and programs PHAB would like Ongoing Documented process policies, resolutions, met Health Board Health Board/ Council to track. declarations Promote public participation in local public health needs x PHAB HCS Leverage policy and comms to improve public Ongoing Documented process Current attempts Health Board/ Council participation. Provide community forums/ hearings as assigned by the local health x x Health Board HCS Community and advisory Timely response to health board requests. As needed Documented process board groups Health Board/ Council Establish community task forces as assigned by the local board of x x Health Board HCS Timely response to health board requests. As needed Documented process Process and guidelines health Health Board/ Council Timeline Review/ make recommendations to local health jurisdiction and x HCS Health Board Goal: Awareness Biennial budgets Documented process Determine expectations local health board on annual budget/fees Develop a timeline and educate PHAB on the process. 2025-2026 Budget trends HCS/ County Unmet needs Goal: agreed upon, relevant measures Review and advise on local health jurisdiction progress in achieving -Develop a timeline and educate PHAB on the Need to determine Current measures and performance measures and outcomes to ensure continuous quality x HCS Health Board process. frequency Documented process PM/QI Plan improvement and accountability -Include written performance measures in department HCS IreDort. WHATCOM COUNTY Erika Lautenbach, MPH, Director Amy Harley, MD, MPH, Co -Health Officer Health and Community Services Greg Thompson. MD. MPH. Co -Health Officer Health Board & Public Health Advisory Board Differentiation of Scope Health Board 70.05.060 Public Health Advisory Board 70.46.140 Each local board of health shall have supervision over all matters pertaining to A community health advisory board shall: the preservation of the life and health of the people within its jurisdiction and . Provide input to the local board of health in the recruitment and shall: selection of an administrative officer, pursuant to RCW 70.05.045, and • Enforce through the local health officer or the administrative officer, if any, local health officer, pursuant to RCW 70.05.050; the public health statutes of the state and rules promulgated by the state e Use a health equity framework to conduct, assess, and identify the board of health and the secretary of health community health needs of the jurisdiction, and review and recommend • Supervise the maintenance of all health and sanitary measures for the public health policies and priorities for the local health jurisdiction and protection of the public health within its jurisdiction advisory board to address community health needs; • Enact such local rules and regulations as are necessary in order to preserve, e Evaluate the impact of proposed public health policies and programs, promote and improve the public health and provide for the enforcement and assure identified health needs and concerns are being met; thereof • Provide for the control and prevention of any dangerous, contagious or e Promote public participation in and identification of local public health infectious disease within the jurisdiction of the local health department needs; • Provide for the prevention, control and abatement of nuisances detrimental • Provide community forums and hearings as assigned by the local board to the public health of health; • Make such reports to the state board of health through the local health • Establish community task forces as assigned by the local board of health; officer or the administrative officer as the state board of health may require • Review and make recommendations to the local health jurisdiction and • Establish fee schedules for issuing or renewing licenses or permits or for such local board of health for an annual budget and fees; and other services as are authorized by the law and the rules of the state board of • Review and advise on local health jurisdiction progress in achieving health: PROVIDED, that such fees for services shall not exceed the actual cost performance measures and outcomes to ensure continuous quality of providing any such services improvement and accountability. 509 Girard Street Bellingham, WA 9 6225-400 5 WHATCOM COUNTY HEALTH AND • j�COMMUNITY SERVICES Main Line. (360) 778-6000 www.whatcomcounty.us/health WHATCOM COUNTY Erika Lautenbach, MPH, Director Amy Harley, MD, MPH, Co -Health Officer Health and Community Services Greg Thompson. MD. MPH. Co -Health Officer Public Health Advisory Board Scope & Role PHAB Role Ultimate Assign & Review & Public Health Advisory Board Scope (Per RCW) Originating Body Key partners Decision - Lead Support Recommend maker Provide input to the local board of health in the Exec appoints recruitment and selection of an administrative x HCS Health Board Council officer (HCS Director) confirms Provide input to the local board of health in the Exec appoints recruitment and selection of a health officer x HCS Health Board Council confirms Adopt a health equity framework for community WREC health improvement x PHAB Healthy Whatcom PHAB a. Conduct an evaluation and assess community health needs of the jurisdiction x PHAB HCS PHAB using a health equity framework b. Identify the community health needs of HCS jurisdiction using a health equity x PHAB Community and PHAB framework advisory groups Community and Review and recommend public health policies and Community and advisory groups priorities using a health equity framework advisory groups County department Health Board/ (clarification: guided by Healthy Planning x x County department Legal Council Resolution, policies related to comm health, well- Health Board Health Board being- comp plan, fluoridation, etc.) HCS HCS 509 Girard Street Bellingham, WA 9 6225-400 5 WHATCOM COUNTY HEALTH AND j�COMMUNITY SERVICES Main Line. (360) 778-6000 www.whatcomcounty.us/health WHATCOM COUNTY Health and Community Services �C.OM COG S �9SNfNG'�O� Erika Lautenbach, MPH, Director Amy Harley, MD, MPH, Co -Health Officer Greg Thompson. MD. MPH. Co -Health Officer PHAB Role Public Health Advisor Board Scope Per RCW y p � � Originating Body Keypartners p Ultimate Decision -maker Assign & Review & Lead Support Recommend Evaluate the impact of proposed public health HCS Health Board/ policies and programs- assure identified health x x PHAB Health Board Council needs and concerns are being met Promote public participation in local public health Health Board/ needs x PHAB HCS Council Provide community forums/ hearings as assigned HCS Health Board/ x x Health Board Community and by the local health board Council advisory groups Establish community task forces as assigned by the Health Board/ local board of health x x Health Board HCS Council Review/ make recommendations to local health jurisdiction and local health board on annual x HCS Health Board HCS/ County budget/fees Review and advise on local health jurisdiction progress in achieving performance measures and x HCS Health Board HCS outcomes to ensure continuous quality improvement and accountability 509 Girard Street Bellingham, WA 9 6225-400 5 WHATCOM COUNTY HEALTH AND j�COMMUNITY SERVICES Main Line. (360) 778-6000 www.whatcomcounty.us/health PHAB Role Operationalizing PHAB Tasks Assign & Review & Originating Decision- UltimateDraft What resources are What do we need to be Public Health AdvisoryPer RC Board Scope P ( Lead Support Recommend Body Key Y Partners maker Outcomes (avoid limiting work) Frequency End Product needed? successful? Provide input to the local board of health in the recruitment and x HCS Health Board Exec appoints Clear role and process for PHAB in the hiring process. As needed Documented process Current practices selection of an administrative officer (HCS Director) Council confirms Provide input to the local board of health in the recruitment and x HCS Health Board Exec appoints PHAB proposes criteria based upon values and As needed Documented process Current practices selection of a health officer Council confirms purpose of the group. WREC Adopt2025 Adopt a health equity framework for community health improvement P q Y b P x PHAB A framework is proposed, approved, and implemented. p p pp p Framework Trainingon use Healthy Whatcom PHAB Review every xxyears a. Conduct an evaluation and assess community health Conduct a Community Health Assessment that Every 5 years needs of the jurisdiction using a health equity framework x PHAB HCS includes equity and disparity measures with Due 2025-26 CHA Report PHAB disaggregated data where possible. b. Identify the community health needs ofjurisdiction using x PHAB HCS Community and advisory Determine which needs are under the jurisdiction of Step 2 after assessment CHIP Community Engagement a health equity framework groups PHAB public health. Relevant Review and recommend public health policies and priorities using a community and a advisory groups Relevant community and advisory groups or department Lead when reacting to existing or emerging policies. Current and proposed health equity framework x x County Legal Delegate some policy review to Policy staff. Ongoing Documented process policies, resolutions, (clarification: guided by Healthy Planning Resolution, policies related department p Health Board Evaluate new policies and priorities. declarations to comm health, well-being- comp plan, fluoridation, etc.) Health Board HCS Recommend policies and priorities from other groups. HCS Health Board/ Council Current and proposed Evaluate the impact proposed public health policies and programs x x PHAB HCS Identify which policies and programs PHAB would like Ongoing g g Documented process P policies, resolutions, It assure identified health needs and concerns are being met Health Board to track. Health Board/ Council declarations Promote public participation in local public health needs x PHAB HCS Leverage policy and comms to improve public Ongoing Documented process Current attempts Health Board/Council participation. Provide community forums/ hearings as assigned by the local health x x Health Board HCS Community and advisory Timely response to health board requests. As needed Documented process board groups Health Board/ Council Establish community task forces as assigned by the local board of x x Health Board HCS Timely response to health board requests. As needed Documented process Process and guidelines health Health Board/ Council Timeline Review/ make recommendations to local health jurisdiction and local x HCS Health Board Goal: Awareness Biennial budgets Documented process Determine expectations health board on annual budget/fees Develop a timeline and educate PHAB on the process. 2025-2026 Budget trends HCS/ County Unmet needs Review and advise on local health jurisdiction progress in achieving Goal: agreed upon, relevant measures -Develop a timeline and educate PHAB on the process. Need to determine Current measures and performance measures and outcomes to ensure continuous quality x HCS Health Board -include written performance measures in department frequency Documented process PM/QI Plan improvement and accountability report. HCS • Whatcom County COUNTY COURTHOUSE 311 Grand Avenue, Ste #105 Bellingham, WA 98225-4038 (360)778-5010 • Agenda Bill Master Report File Number: AB2024-634 File ID: AB2024-634 Version: 1 Status: Discussed and Motion(s) Approved File Created: 09/18/2024 Entered by: nervin@co.whatcom.wa.us Department: Health Department File Type: Discussion Assigned to: Council as the Health Board Final Action: 10/29/2024 Agenda Date: 10/29/2024 Enactment #: Primary Contact Email: ELautenb@co.whatcom.wa.us TITLE FOR AGENDA ITEM: Discussion of 2025 Public Health Advisory Board (PHAB) Work Plan SUMMARY STATEMENT OR LEGAL NOTICE LANGUAGE: 10 HISTORY OF LEGISLATIVE FILE Date: Acting Body: Action: Sent To: 10/01/2024 Council as the Health Board DISCUSSED 10/29/2024 Council as the Health Board DISCUSSED AND MOTION(S) APPROVED Attachments: 2025 PHAB Work Plan Draft, Work Plan Template Whatcom County Page 1 Printed on 4/30/2025 WHATCOM COUNTY Health and Community Services To work on: Erika Lautenbach, MPH, Director Amy Harley, MD, MPH, Health Officer Public Health Advisory Board DRAFT ANNUAL WORKPLAN TOPICS 1. Declared Public Health Crises (racism, shelter, opioids, maybe food) 2. PHAB Work & Processes 3. CHA/CHIP 4. Healthcare Access 5. Equity Framework 6. Education, prevention, outreach for youth 7. Housing Learn more about: 1. CHA/CHIP 2. Community Forums 3. Justice Project 4. Equity Framework 5. WCHCS budget & Priorities Continue: • Hub and Spoke workgroup • Communications workgroup • Equity workgroup • Nominations/code changes workgroups as needed .909 Girard Street Bellingham, WA 98225-4005 WHATCOM COUNTY HEALTH AND COMMUNITY SERVICES Main Line: (360) 778-6000 www.%whatcorricounty.us/health WHATCOM COUNTY Erika Lautenbach, MPH, Director Amy Harley, MD, MPH, Co -Health Officer Health and Community Services Greg Thompson, MD, MPH, Co -Health Officer Public Health Advisory Board ANNUAL WORKPLAN Review the mission and goals of the Health Board as well as Health and Community Services. Within the scope and authority of the group, identify critical success factors- "what must be done to achieve the mission?" What should it look like in 3-5 years? ❑ Prioritize strategies to get there ❑ Discuss barriers (real and perceived) and identify who is not at the table that could provide insight Chair: WCHCS Staff: Goals Tasks Resources/expertise needed to accomplish task Contact Add or remove lines as needed- should stay within 1-4 main goals and no more than 6-8 tasks in a year. 509 Girard Street Bellingham, WA 98225-4005 nWHATCOM COUNTY HEALTH AND COMMUNITY SERVICES Main Line: (360) 778-6000 www.whatcomcounty.us/health