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Home My WebLink AboutPacket Health Board Oct 3 2023Whatcom County Council as the Health Board COUNTY COURTHOUSE 311 Grand Avenue, Ste #105 Bellingham, WA 98225-4038 (360) 778-5010 Meeting Agenda Tuesday, October 3, 2023 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 Carol Frazey Kaylee Galloway Kathy Kershner CLERK OF THE COUNCIL Dana Brown -Davis, C.M.C. Council as the Health Board Meeting Agenda October 3, 2023 Call To Order Roll Call 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. Meeting Materials AB2023-490 Meeting Materials for the Health Board October 3, 2023 Public comment Public Health Advisory Board (PHAB) update Health Officer/Health Director update Whatcom Resource Information Collaborative Work Plan for 2024 Other Business Adjournment Whatcom County Page 2 Printed on 411512025 • Whatcom County COUNTY COURTHOUSE 311 Grand Avenue, Ste #105 Bellingham, WA 98225-4038 (360)778-5010 • Agenda Bill Master Report File Number: AB2023-490 File ID: AB2023-490 Version: 1 Status: Received File Created: 07/21/2023 Entered by: Department: File Type: Receipt of Document(s) Assigned to: Council as the Health Board Final Action: 10/03/2023 Agenda Date: 10/03/2023 Enactment #: Primary Contact Email: kfelbing@co.whatcom.wa.us TITLE FOR AGENDA ITEM: Meeting Materials for the Health Board October 3, 2023 SUMMARY STATEMENT OR LEGAL NOTICE LANGUAGE: None HISTORY OF LEGISLATIVE FILE Date: Acting Body: Action: Sent To: Attachments: Agenda and Packet for 10.3.2023 Meeting, Presentation for 10.3.2023 Whatcom County Page 1 Printed on 4/15/2025 WHATCOM COUNTY COUNCIL COUNCIL MEETING AS THE HEALTH BOARD JOINT MEETING WITH THE PUBLIC HEALTH ADVISORY BOARD 10:00 a.m. Tuesday, October 3, 2023 Garden Level Conference Room, Civic Building, 322 N. Commercial Street (if virtual: www.whatcomcounty.us/ioinvirtualcouncil) AGENDA ,, -- .. -_.- - 1. Roll call of Health Board members. Roll call of PHAB members. No paper 10:00-10:05 2. Public comment No paper 10:05-10:15 3. Public Health Advisory Board (PHAB) update No paper 10:15-10:20 4. Health Officer/Health Director update No paper 10:20-10:40 5. Whatcom Resource Information Collaborative Page 2 10:40-11:00 g. Work Plan for 2024 Pages 3-4 11:00-11:30 WHATCOM COUNTY HEALTH AND fjiltCOMMUNITY SERVICES HEALTH BOARD Discussion Form AGENDA ITEM #5 PRESENTERS: BOARD ACTION: October 3, 2023 Whatcom Resource Information Collaborative Kristi Slette, Executive Director of Whatcom Family & Community Network ❑ Action Item 0 Discussion ❑ FYI - Only Kristi Slette, who is leading the effort to create a Whatcom-specific, regularly updated, comprehensive resource tool will share information about the Whatcom Resource Information Collaborative (WRIC). The WRIC is responsible for leading the effort to design and launch https://whatcomresources.org/ Whatcomresources.org is the new, searchable website that intends to provide free, equitable access to human, social and health services resource information in Whatcom County. This tool is live and useable to our community at this time. The data utility, designed and overseen by the WRIC, has a limited data set within it currently. There are 206 organizational records and just shy of 700 service records. These include Basic and Emergency Human Needs and Resources for people raising or caring for children ages 0 to 18, including child and youth mental health resources. Whatcom County, Chuckanut Health Foundation and Opportunity Council have funded the demonstration pilot to this point. EQUITY CONSIDERATIONS (include data or information about how topic impacts or could impact equity, including racial equity) As a source of free, equitable access to human, social and health services information in Whatcom County, the WRIC aims to serve BIPOC and/or vulnerable populations. BOARD ROLE / ACTION REQUESTED ATTACHMENT(S) None WHATCOM COUNTY . b HEALTH AND COMMUNITY SERVICES Page 2 of 4 HEALTH BOARD Discussion Form October 3, 2023 AGENDA ITEM #6: Work Plan for 2024 PRESENTERS: Erika Lautenbach BOARD ACTION: ❑ Action Item 0 Discussion ❑ FYI -Only Whatcom County faces many pressing health -related issues requiring government action in the form of policies, financial resources, partnerships, and community education. Given that the Health Board (HB) meets four times/year, developing a work plan will help in prioritizing topics and differentiating HB discussions from County Council committee discussions. Also, because HB meetings are joint with the Public Health Advisory Board (PHAB), staff seek input from both bodies on what topics are best for joint meetings and what topics are more appropriately heard in either PHAB or Council committees. After compiling and incorporating HB and PHAB member priorities, staff will present a final workplan at the January 2024 meeting. EQUITY CONSIDERATIONS (include data or information about how topic impacts or could impact equity, including racial equity) The 2024 workplan will likely include topics that have equity components through data, community partnership, support of existing efforts like the Whatcom Racial Equity Commission, and financial or other resource allocation to BIPOC and/or vulnerable populations. BOARD ROLE/ACTION REQUESTED Discuss potential options for HB/PHAB workplan and reach consensus on priority topics. ATTACHMENT(S) Draft ideas from 2023 for consideration for 2024 (items highlighted in yellow have been completed) WHATCOM COUNTY . b HEALTH AND COMMUNITY SERVICES Page 3 of 4 2024 Health Board Workplan Ideas Health Department Operations: • Health Department strategic plan (workgroup on one strategic priority) • 2023-2024 budget outcome, org chart, and new positions • Division overview each month: Communicable Disease, Response Systems, Community Health and Human Services, Environmental Health, Financial Services, Community and Organizational Development • Recommendations on boards and commissions role/responsibilities/changes • 2024 budget overview • Guiding plans- homelessness, food policy, etc. and alignment Relevant Health and Human Services Issues • Opioid settlement and opioid prevention and intervention in Whatcom County • Children's fund implementation plan • Alternative response pilot evaluation • Revisit CHIP/Healthy Whatcom and role of PHAB • Climate and natural disaster vulnerability assessment • Next steps on environmental health climate work • Housing and homelessness • Follow up on behavioral health needs assessment • Food systems assessment Partner Issues for Engagement/Support: • Aging well briefing • Racial Equity Commission and identify opportunities for collaboration • Jail and behavioral health services ballot measure • Way Station tour and briefing Systems or Statewide Work: • Legislative agenda (workgroup to track priorities) • North Sound Accountable Communities of Health • North Sound Administrative Services Organization Page 4 of 4 Health Officer and Health Director Update Greg Thompson, Co -Health Officer Erika Lautenbach, Director Health Board Oct 2, 2023 4ifILWHATCOM COUNTY HEALTH AND COMMUNITY SERVICES Updates WNATCOM COUNTY HEALTH AND COMMUNITY SERVICES ■ Respiratory Masking Guidance for Healthcare settings ■ Overdose deaths update ■ Multi Agency Coordinating Group update Healthcare guidance - intro ■ Respiratory infections are a risk for patients and reduce healthcare capacity ■ Declared public health emergency is over, but healthcare institutions wanted more guidance around when to mask in healthcare ■ Ad Hoc working group of experts in WA ■ Adult and Pediatric infectious disease doctors ■ Infection prevention specialists ■ Inpatient, outpatient, and public health practitioners WNATCOM COUNTY HEALTH AND COMMUNITY SERVICES Masking in Healthcare ■ Long history of use of masks/respirators to prevent infections ■ Source Control ■ Personal Protective Equipment (PPE) ■ Strong evidence showing benefit for individuals and in healthcare settings WNATCOM COUNTY HEALTH AND COMMUNITY SERVICES ■ Evidence in the general population is more mixed Outcome of the Workin Grou WNATCOM COUNTY HEALTH AND COMMUNITY SERVICES ■ Determine "transmission alert threshold" based on percent of ED visits due to a specific illness ■ For COVID, Influenza, RSV ■ Indicates high-level transmission is imminent 6xp -19 as a t)ercent of ED vis Trend. Percent of COVID-19 Emergency Department Visits for North Sound 2020_2C" 2021-2022 — 2022-2023 r` I ti It f� # 1 i 1 i r + � w r � r R October Noveml:-e- December January .......... •i�� February March April Emergency Visit Date it S WNATCOM COUNTY HEALTH AND COMMUNITY SERVICES 2.7 /o �irr `xti . ..... . ....... May June July August September *North Sound region includes Snohomish, Whatcom, Island, Skagit, and San Juan Counties COVID Hospital Admissions by County WNATCOM COUNTY HEALTH AND COMMUNITY SERVICES 4P ■ Whatcom: "Low" Hospital Admissions 0 8.7 COVID admissions/100k/wk Influenza as a percent of ED visits HEALTH AND Trend: Percent of Influenza Emergency Department Visits for North Sound ----2020-2021 - - - 2021-2022 2022-2023 15% 10% 5% October November December January February COMMUNITY SERVICES March April May June July August September Emergency Visit Date RSV as a percent of ED visits Trend: Percent of RSV Emergency Department Visits for North Sound ------2020-2021 - - - 2021-2022 - 2022-2023 �x 0.5% Cko'____________________________________________________________�... ................ October November December January February March April May June WNATCOM COUNTY HEALTH AND COMMUNITY SERVICES .... .+' err. July 7 August September Updates — maskin Guidelines ■ When threshold is exceeded, participating healthcare facilities will ■ Implement universal masking in "patient care areas" ■ Patients, Staff, visitors ■ Strongly consider universal masking in non -patient care areas ■ Masking begins when: ■ disease activity exceeds threshold for any of the 3 viruses or ■ CDC COVID-19 hospital admissions level is medium or higher for a given county ■ Masking ends when all indicators are below thresholds for 2 weeks WNATCOM COUNTY HEALTH AND COMMUNITY SERVICES l' S i n a to r i e s WNATCOM COUNTY HEALTH AND COMMUNITY signatories (in alphabetical order by organization}: SERVICES Ettore Palazzo, MD, FACPr Chief Medical & Quality Officer, EvergreenHeolth Paul Thottingal, MD, FRCPCr Senior Medical Director Communicable Diseases & Organizational Preparedness, Kaiser Permanente Washington G ib M o rrow, M D, M P Hr H ea It h Offic er, Kitsap Coun ty Health District June Altaras, RN, Executive Vice President and Chief Quality, Safety & Nursing officer; and David O'BHen, MD, Chief Physician Officer, MultiCareHealth System Ma tth ew Rivara, MD, Chief Bled ical Officer, and Heather Thom asson, RN, Chief Nursing Officer, AliarthWest Kidney e'en tern Alka Atal-Barrio, MD, MMM, Chief MedicaI Officers Optum WA David Knoepfler, MD, Chief Medical Officer, Overlake Medical Center and Clinics Dr. Arooj Simmonds, MD, Divisional Chief Medical OfFic-er, Providence Swedish Puget Sound Region Thomas A. DeBord, President and CEC), Puget Sound Kidney Centers Dr. Ruth McDonald, MD, dice President and Chi-ef Medical Operations Officer, and Dr. Jeff Ojemann, MD, Senior Vice President and Chief Medical Officer, Seattle Ch ldren's Tim othy H , De II it, MD - I nterii m Chief Exec utive Off i ce r, U ITV Medicine, Harhorview MedicalCenter, UWMC Man Hake, UL+ MC -Northwest, Valley Medico Center Christopher S Ba Iiga, MD, T\ledicaI Director for fnfectIon Preventic) nr Virginia Mason Fronclscon Health ■ Tacoma -Pierce, King, and Snohomish Counties have endorsed this approach ■ WCHCS discussing with counties in the SWISS region MAC group and Overdose Death update Whatcom Overdose -related deaths (ME data) f0pitiLcl WNATCOM COUNTY HEALTH AND COMMUNITY SERVICES Number of Overdose Deaths (all drugs) Overdose Death Status e Confirmed r Probable 1 0 c� 15 14 0 11 12 101IN1111, ,10 11 n 10 8 8 E 0 6 5 3 3 lolls ■ 0 0 CL C4 � � � � � � C4 (4 � � C4 � � U� L � D 0 Z U) a� a� � Q CL 0 > c KD n L U) 2022 2023 2022 Deaths 92 2023 Deaths (to date) 75