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HomeMy WebLinkAboutPacket Health Board Feb 1 2022Whatcom County Council as the Health Board COUNTY COURTHOUSE 311 Grand Avenue, Ste #105 Bellingham, WA 98225-4038 (360) 778-5010 Meeting Agenda Tuesday, February 1, 2022 10 AM Virtual Meeting VIRTUAL MEETING - VIEW ONLINE 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 February 1, 2022 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. Public Comment Public Health Advisory Board (PHAB) Update Big Work 2022 Health Board Composition COVID update Adjournment Whatcom County Page 2 Printed on 21912024 WHATCOM COUNTY COUNCIL SPECIAL COUNCIL MEETING AS THE HEALTH BOARD 10:00 a.m. Tuesday, February 1, 2022 Council Chambers, 311 Grand Avenue (if virtual: www.whatcomcounty.us/loinvirtualcouncil) AGENDA Meetin_g Topics 1. Roll Call 2. Public Comment 3. Public Health Advisory Board (PHAB) Update 4. Big Work 2022 5. Health Board Composition 6. COVID update Whatcom County ,l HEALTH Department Pages Time no ppr 10:00-10:05 no ppr 10:05-10:15 no ppr 10:15-10:20 pg 2 10:20-10:45 pg 3-11 10:45-11:15 pg 12 11:15-11:30 HEALTH BOARD Discussion Form February 1, 2022 AGENDA ITEM #4: Big Work for 2022 PRESENTERS: Erika Lautenbach BOARD ACTION: Action Item 0 Discussion FYI - Only The COVID-19 pandemic has stalled much of the Health Department's strategic and operational work, but there are opportunities and deadlines for some major efforts in 2022. The work falls into three categories: strategic, operational, and workforce. This briefing will highlight some of this work, and identify potential areas for Health Board involvement. EQUITY CONSIDERATIONS (include data or information about how topic impacts or could impact equity, including racial equity) Key strategic work in 2022 will incorporate equity, including the existing work on CHNCHIP, the Strategic Plan, consideration of Health Board/PHAB membership, support for and participation in Racial Equity Commission stakeholder group, and work relating to children and families. Workforce development initiatives will include opportunities for hiring staff that better reflect the diverse populations in Whatcom County, and training and practice to provide more inclusive and trauma -informed services. BOARD ROLE/ACTION REQUESTED Update/Discussion only ATTACHMENT(S) None Whatcom County ' ll HEALTH Department 2of12 HEALTH BOARD Discussion Form AGENDA ITEM #5 PRESENTERS: BOARD ACTION: February 1, 2022 Health Board/Public Health Advisory Board Composition Erika Lautenbach Action Item Q Discussion FYI - Only In 2021, the Washington State Legislature took two significant actions regarding public health. First, they passed a budget that included a significant and permanent increase in funding for foundational public health services (FPHS). This resulted in the Whatcom County Health Department (WCHD) having the ability to hire seven new positions, as approved by the Whatcom County Council in the 2022 mid -biennium budget. Second, they passed a policy bill that requires both non -charter and charter counties without a community advisory board to change their composition to include non -elected members. In counties like Whatcom, where there is a community advisory board (Public Health Advisory Board (PHAB)), the Health Board is not required to change its composition. There are, however, requirements for community advisory boards, so either the Health Board will need to change its composition or the PHAB will need to make changes in some of its operations. If the Health Board chooses to incorporate the requirements of state policy bill (1152), those changes would include: • Non -elected members of the Health Board must equal the number of elected officials on a local board of health. Elected members of the local board of health may not constitute a majority. • Non -elected members include three categories: o Public Health, health care facilities, and providers; o Consumers of public health; or o Other community stakeholders, including non-profit organizations, armed services members, the business community or the environmental public health regulated community. • Each of our federally recognized tribes also must have a representative selected by the American Indian Health Commission. • County Council would set terms, compensation or reimbursement and process for how applicants will be approved and appointed. • Only county and city elected officials on the Health Board would vote on decisions relating to setting or modifying permit, licensing, and application fees imposed by the Health Department. If the Health Board chooses not to incorporate requirements, changes the PHAB would need to incorporate (by January 1, 2022) are: • Provide input to the local board of health in the recruitment and selection of an administrative officer, pursuant to RCW 70.05.045, and local health officer, pursuant to RCW 70.05.050 fitWhatcom County HEALTH Department 3of12 • Use a health equity framework to conduct, assess, and identify the community health needs of the jurisdiction, and review and recommend public health policies and priorities for the local health jurisdiction and advisory board to address community health needs • Evaluate the impact of proposed public health policies and programs, and assure identified health needs and concerns are being met • Promote public participation in and identification of local public health needs • Provide community forums and hearings as assigned by the local board of health • Establish community task forces as assigned by the local board of health • Review and make recommendations to the local health jurisdiction and local board of health for an annual budget and fees • Review and advise on local health jurisdiction progress in achieving performance measures and outcomes to ensure continuous quality improvement and accountability. • The advisory board shall consist of nine to 21 members appointed by the local board of health. The local health officer and a member of the local board of health shall serve as ex officio members of the board. EQUITY CONSIDERATIONS (include data or information about how topic impacts or could impact equity, including racial equity) The legislation for Health Boards includes a requirement that consumers be included on the board, which provides opportunities for people with lived experience to weigh in on health policy matters countywide. The legislation states that: • `It is strongly encouraged that individuals from historically marginalized and underrepresented communities are given preference." The legislation for Community Health Advisory Boards includes a specific requirement to use a health equity framework for identifying and addressing community health needs. The legislation also reinforces the importance of diversity on the advisory board, including the following requirement: • "The local health jurisdiction and local board of health must actively recruit advisory board members in a manner that solicits broad diversity to assure representation from marginalized communities including tribal, racial, ethnic, and other minorities." BOARD ROLE / ACTION REQUESTED Review new requirements and identify next steps Set timeline for decision -making ATTACHMENT(S) Engrossed Second Substitute House Bill 1152 (2021 Legislative Session) Statewide matrix of current Board of Health composition Whatcom County ' ll HEALTH Department 4of12 FINAL BILL REPORT E2SHB 1152 C205L21 Synopsis as Enacted Brief Description: Establishing comprehensive health services districts. Sponsors: House Committee on Appropriations (originally sponsored by Representatives Riccelli, Leavitt, Stonier, Ormsby, Lekanoff, Pollet, Bronoske and Bateman; by request of Office of the Governor). House Committee on Health Care & Wellness House Committee on Appropriations Senate Committee on Health & Long Term Care Senate Committee on Ways & Means Background: Department of Health. The Department of Health (DOH) administers various programs and services that promote public health through disease and injury prevention, immunization, newborn screening, professional licensing, and public education. Public health services are provided primarily by a decentralized system of 35 local health jurisdictions, the DOH, and the Washington State Board of Health (State Board). Local Health Department or District. Counties' legislative authorities are charged with establishing either a county health department or a health district to assure the public's health. Local health departments and health districts may take various forms and include a single county health department or district, a combined city and county health department, or a multi -county health district. Each local public health jurisdiction is governed by a local board of health (board), the membership of which depends on whether the county is a home rule county or part of a local health district. For example, in home rule counties, the membership of the board is governed by the county charter. Elected officials from cities and towns in the county may be appointed to the board. The board may also include individuals who are not elected This analysis was prepared by non partisan legislative staff for the use of legislative members in their deliberations. This analysis is not part of the legislation nor does it constitute a statement of legislative intent. House Bill Report - 1 - E2SHB 1152 5of12 officials, but such individuals may not constitute a majority of the board. In non -home rule counties that are not part of a local health district, the county's board of commissioners constitutes the board. The county may expand the membership of the board to include elected officials from cities or towns. The board may also include individuals who are not elected officials, but such individuals may not constitute a majority of the board. Each local health jurisdiction must appoint a local health officer, who must be an experienced physician or osteopathic physician who has a Master of Public Health degree or equivalent. Foundational Public Health Services. "Foundational public health services" is defined as a limited statewide set of defined public health services within the following areas: control of communicable diseases and other notifiable conditions; chronic disease and injury prevention; environmental public health; maternal, child, and family health; access to and linkage with medical, oral, and behavioral health services; vital records; and cross -cutting capabilities including assessing the health of populations, public health emergency planning, communications, policy development and support, community partnership development, and business competencies. "Governmental public health system" means the DOH, the State Board, local health jurisdictions, sovereign tribal nations, and Indian health programs located in Washington. Funding for foundational public health services must be appropriated to the Office of Financial Management (OFM). The OFM may only allocate funding to the DOH if the DOH, after consultation with federally recognized Indian tribes, jointly certifies, with a state association representing local health jurisdictions and the State Board, to the OFM that there has been an agreement on the distribution and uses of state foundational public health services funding. If joint certification is not provided, the appropriation for foundational public health services lapses. Summary: Public Health Advisory Board. The Public Health Advisory Board (Advisory Board) is established within the Department of Health (DOH). The Advisory Board consists the following members appointed by the Governor, in addition to four nonvoting, ex officio legislative members: • the Governor's Office; • the Director of the State Board of Health (State Board) or the Director's designee; • the Secretary of Health (Secretary) or the Secretary's designee; • the chair of the Governor's Interagency Council on Health Disparities; • two representatives from the tribal government public health sector selected by the American Indian Health Commission; • one member of the legislative county authority from an Eastern Washington selected by a statewide association representing counties; • one member of the legislative county authority from a Western Washington selected House Bill Report - 2 - E2SHB 1152 6of12 by a statewide association representing counties; • on organization representing businesses in a region of the state; • a statewide association representing community and migrant health centers; • a statewide association representing Washington cities; • four representatives from local health jurisdictions representation counties of a certain size and location selected by a statewide association representation local public health officials; • a statewide association representing Washington hospitals; • a statewide association representing Washington physicians; • a statewide association representing Washington nurses; • a statewide association representing Washington public health or public health professionals; and • a consumer nonprofit organization representing marginalized populations. The Advisory Board must: • advise and provide feedback to the governmental public health system and provide formal public recommendations on public health; • monitor the performance of the governmental public health system; • develop goals and a direction for public health and provide recommendations to improve public health performance and to achieve the identified goals and direction; • advise and report to the Secretary; • coordinate with the Governor's Office, DOH, State Board, local health jurisdictions, and the Secretary; • evaluate public health emergency response and provide recommendations for future response, including coordinating with relevant committees, task forces, and stakeholders to analyze the COVID-19 public health response; and • evaluate the use of foundational public health services funding by the governmental public health system. The DOH must provide staff support for the Advisory Board. Local Boards of Health. In addition to existing members of the local board of health (board), each board must include members from the following three categories (who may not be elected) that are selected consistent with State Board rules: • public health practitioners, employees of health care facilities, and health care providers, which include: medical ethicists; epidemiologists; individuals experienced in environmental public health, such as a registered sanitarian; community health workers; holders of master's degrees or higher in public health or its equivalent; employees of a hospital located in the county; and physicians or osteopathic physicians, advanced registered nurse practitioners, physician assistants, nurses, dentists, naturopaths, or pharmacists, holding an active or retired state -issued license in good standing; • consumers of public health, which include residents who have self -identified as House Bill Report - 3 - E2SHB 1152 7of12 having faced significant health inequities or as having lived experiences with public health -related programs; and other community stakeholders, which consist of persons representing the following types of organizations: community -based organizations or nonprofits that work with populations experiencing health inequities in the county; active, reserve, or retired armed service members; the business community; or the environmental public health regulated community. If the number of board members selected from these three categories is evenly divisible by three, there must be an equal number of members selected from each of the three categories. If there are one or two members over the nearest multiple of three, those members may be selected from any of the three categories. However, if the board demonstrates that it attempted to recruit members from all three categories and was unable to do so, the board may select members only from the other two categories. There may be no more than one member selected from one type of background or position. If a federally recognized Indian tribe holds reservation, trust lands, or has usual and accustomed areas within the county, or if a 501 organization registered in Washington that serves American Indian and Alaska Native people and provides services within the county, the board must include a tribal representative selected by the American Indian health commission. The number of members selected from the three categories and the tribal representative (if required) must equal the number city and county elected officials on the board. At the first meeting of the board of health, the members must select a chair to serve for a period of one year. Any decision by the board related to the setting or modification of permit, licensing, and application fees may only be determined by the city and county elected officials on the board. A local board of health comprised solely of elected officials may retain its composition if the local health jurisdiction had a public health advisory committee or board with its own bylaws established on January 1, 2021. By January 1, 2022, the public health advisory committee or board must meet the requirements for community health advisory boards established in the act. A local board of health comprised solely of elected officials and made up of three counties east of the Cascade Mountains may retain its composition if the local health jurisdiction has a public health advisory committee or board that meets the requirements established in the act for community health advisory boards by July 1, 2022. If such a local board of health does not establish the required community health advisory board by July 1, 2022, it must comply with the requirements for elected and unelected membership established in the act. Any future changes to local board of health composition must also meet the requirements for elected and unelected membership. The State Board must adopt rules establishing the appointment process for members of the board who are not elected officials. House Bill Report - 4 - E2SHB 1152 8of12 Community Health Advisory Boards. A community health advisory board must: • provide input to the local board of health on the selection of administrative officers and local health officers; • use a health equity framework to assess community health needs and review and recommend public health policies and priorities; • evaluate the impact of proposed public health policies and programs; • promote public participation in and identification of public health needs; • provide community forums and hearings as assigned by the local board of health; • establish community task forces as assigned by the local board of health; • review and make recommendations on the annual budget and fees; and • review and advise on the jurisdiction's progress in achieving performance measures. An advisory board must consist of nine to 21 members appointed by the local board of health. The membership must be diverse and include: • members with expertise in and experience with health care access and quality; physical environment; housing, education, and employment; business and philanthropy; communities that experience inequities; and government and tribal government; • community members with lived experience in the above areas; • consumers of public health services; and • community stakeholders including nonprofit organizations, the business community, and those regulated by public health. The jurisdiction's local health officer and a member of the local board of health must serve as ex officio members of the board. At the first meeting each year, the advisory board must select a chair and vice chair. Staffing for the advisory board must be provided by the local health jurisdiction. Votes on Final Passage: House 56 41 Senate 26 22 (Senate amended) House 60 37 (House concurred) Effective: July 25, 2021 July 1, 2022 (Sections 3-6) House Bill Report - 5 - E2SHB 1152 9of12 UP owon WSRLPHO 1MSMIRTMI SfAIE 8550� 11R I OF LRCRL P BLIC if iL R C f CIR_R Washington State Local Board of Health Composition C: 1-22-2021; U: 5-21-21 Local Total County City Tribal Health Community Advisory Expanded Notes Health Members Elected Elected care/ Member Board LBOH Jurisdiction Officials Officials Medical Needed �. 3 3 Yes • 6 3 3 Yes • 6 3 Yes Both county's commissioners make up LBOH 8 4 4 Yes 2 county and 2 city representatives from • each county 7 3 1 1 2 Yes 5 5 X No • 3 3 Yes • 3 3 Yes • 5 3 2 Yes Retired nurse and former public health staffer 7 1 6 Yes 3 • 3 Yes • 5 3 1 1 1* X No 5th voting Board member is a Whidbey Health Hospital District Commissioner (elected by district), Commanding Officer of Naval Hospital Oak Harbor is invited to serve as an ex-officio member of the Board, Health Officer is the Executive Secretary of the Board 7 3 1 1 2 Yes 7 3 4 Yes 3 3 2 X No Medical members: Physician specializing in harm reduction, and nurse who is hospital's Emergency Department Director 5 3 2 Yes Current citizen members are both MPH 3 3 X No 3 3 Yes 10 of 12 vP owon WSRLPHO 'jgrwinCROn 5fpfE BSSOCr TIOP BR LRC RL PUBLIC if iL-R L; PCIR_S • 6 3 1 2 2 Yes Citizen members are fire district commissioner, school board member • 9 • • 6 3 Yes* have until 7/1/22 to create a LPHAB Each county has two members and a city member : 7 3 1 1 2 Yes Healthcare member is currently a practicing ARNP 3 3 Yes 11 3 and one alternate 5 and three alternates 3 Yes Alternates also attend meeting, 2 of the healthcare members are voting, one is a non -voting member 7 3 1 3 Yes 3 3 1 1 X Yes No bylaws in place for local PH advisory board 3 3 Yes 15 5 10 X No 12 3 6 3 X Yes • 8 4 2 1 1 No— interpreting as 70.08 LHJ County: 3 council members and executive City: Tacoma council and mayor Healthcare: Pierce Co Medical Society Community: Towns Association • 3 3 Yes * currently exploring expansion ordinance 3 3 X No u 3 3 X No 7 7 X No 3 3 Yes 7 3 2 2 Yes County Health Department County Health & Human Services Health District 11 of 12 HEALTH BOARD Discussion Form February 1, 2022 AGENDA ITEM #6: COVID update PRESENTERS: Erika Lautenbach, Dr. Greg Thompson BOARD ACTION: Action Item 0 Discussion FYI - Only The COVID-19 pandemic has continued to impact Whatcom County and has had amplified impacts on healthcare delivery in recent months with the Omicron surge. The Health Department Director and Health Officer will update on case rate trends, testing, vaccine, healthcare capacity, isolation facilities, and other topics associated with COVID-19. EQUITY CONSIDERATIONS (include data or information about how topic impacts or could impact equity, including racial equity) COVID-19 has disproportionately impacted vulnerable populations and the presentation will cover how the Health Department is prioritizing our work to meet the needs of such populations. BOARD ROLE/ACTION REQUESTED Update/Discussion only ATTACHMENT(S) None Whatcom County ' ll HEALTH Department 12of12