THURSTON COUNTY
BOARD OF HEALTH

Meeting Minutes
January 19, 1999

Members Present:

Chairman Judy Wilson
Commissioner Diane Oberquell
Commissioner Kevin O'Sullivan

Election of Chairman and Vice Chairman for 1999

Commissioner Oberquell MOVED TO ELECT COMMISSIONER JUDY WILSON AS CHAIRMAN OF THE BOARD OF HEALTH FOR 1999. Commissioner O'Sullivan SECONDED THE MOTION. THE MOTION CARRIED. Commissioner O'Sullivan MOVED TO ELECT COMMISSIONER DIANE OBERQUELL AS VICE CHAIRMAN OF THE BOARD OF HEALTH FOR 1999. Commissioner Wilson SECONDED THE MOTION. THE MOTION CARRIED.

Approval of the Agenda

Pat Libbey requested Item VIII, Thurston County Community Health Task Force, be moved to the first item of business. There being no other changes, the agenda was approved as submitted.

Approval of the Minutes of December 7, 1998

Commissioner Oberquell MOVED TO APPROVE THE MINUTES AS SUBMITTED. Commissioner Wilson SECONDED THE MOTION. THE MOTION CARRIED.

Audience Reports and Requests

There were no audience reports or requests.

Correspondence

There was no correspondence.

Thurston County Community Health Task Force: Access to Care

Sherri McDonald, Deputy Director, explained that the Thurston County Board of Health convened the Thurston County Community Health Task Force in 1994 for the purpose of identifying, assessing and prioritizing current conditions and risk factors effecting the health of the Thurston County community. At that time, access to primary medical and dental care was not considered a list of priority health problems because of Health Care Reform, which was subsequently repealed in 1995. The current clinical capacity for uninsured and underinsured people in Thurston County is not sufficient to meet the needs of the community, and so the Task Force is being reconvened to examine the issue. A draft Agenda of the first meeting was distributed and discussed. Chairman Wilson indicated she will attend the meeting to be held on Tuesday, January 26, 1999 from 5:30 to 7:00 P.M. in Building One, Room 280 of the Courthouse Complex. Also distributed was a fact sheet identifying the problem, explaining the issue and describing recent work related to the Task Force.

Introduction and Comments from Mary Selecky, Acting Secretary, Washington State Department Of Health

Pat Libbey introduced Mary Selecky, Acting Secretary of the Washington State Department of Health (DOH). Ms. Selecky responded to an inquiry of the Board concerning DOH's Shellfish Program, specifically affecting Henderson Inlet, identifying the breakdown in communication that occurred and plan for alleviating similar problems in the future. Ms. Selecky introduced Jennifer Tebaldi, Director of the Shellfish Program, who summarized events that took place. It was agreed that in the future, the local health department and Board of Health will be notified directly prior to notifying a grower of a change in the management plan and closure criteria on all conditionally approved shellfish growing areas. Commissioner Oberquell asked Ms. Tebaldi regarding degradation of the Nisqually Reach. Ms. Tebaldi provided information on DOH's efforts in the area and will follow up with DOH staff on Commissioner Oberquell's concern. Mr. Libbey assured those present that DOH's determinations were not being questioned, just the manner of communication.

Acting Secretary Selecky presented Board members with copies of the 1998 Public Health Improvement Plan (PHIP). The work included in the plan was initiated by the 1993 Washington State Legislature and has become a framework for collaborative work on health improvements, at the community and organization levels and including local and state government. Mr. Libbey later indicated that DOH will be printing off a summary and Thurston County portion of the PHIP for wider distribution.

Acting Secretary Selecky also provided an update on the recently released draft of the statewide salmon strategy developed by Governor Gary Locke's Joint Natural Resources Cabinet.

Chairman Wilson expressed frustration with the ability to accomplish tasks included in the State Septic System Operation and Maintenance requirements. Ms. Selecky responded indicating the question will be taken to DOH and an appropriate way to answer the question will be determined.

Overview of 1999 HIV/AIDS Issues in Thurston County

Kathleen Eussen, Director of Nursing/Personal Health, provided an introduction on the overview of HIV/AIDS services in the community and explained how HIV and AIDS is changing. Erik Landaas, Health Educator, was introduced and presented information on HIV and AIDS. Components of the presentation included: HIV/AIDS Facts, Key Issues, Changes in the HIV/AIDS Epidemic, Thurston County's Response to Changes, and the Case Management Model Change. Other HIV/AIDS staff present were also introduced.

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Amendment #3 to the Contract with Washington State Department of Health for HIV CARE Act Funds
Commissioner Oberquell MOVED TO APPROVE AND EXECUTE AMENDMENT #3 OF CONTRACT NO. 3041-05186 WITH WASHINGTON STATE DEPARTMENT OF HEALTH IN THE AMOUNT OF $11,839 FOR THE PERIOD OF APRIL 1, 1997 THROUGH MARCH 31, 1999. Commissioner O'Sullivan SECONDED THE MOTION. THE MOTION CARRIED.

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Municipal Services Contract with Sigafoos and Witcher Counseling Services
Commissioner Oberquell MOVED TO APPROVE AND EXECUTE THE CONTRACT WITH SIGAFOOS AND WITCHER COUNSELING SERVICES FOR HIV/AIDS CASE MANAGEMENT SERVICES TO ELIGIBLE INDIVIDUALS IN THE AMOUNT OF #14,000 FOR THE PERIOD OF JANUARY 1, 1999 THROUGH DECEMBER 31, 1999. Commissioner O'Sullivan SECONDED THE MOTION. THE MOTION CARRIED.

Director's Report

Mr. Libbey asked for feedback on the format change of providing an update on a specific issue along with supplying action items. The Board responded favorably.

Mr. Libbey indicated that Darrell Cochran will follow up on the train noise issue.

Staff is moving ahead on scheduling and preparing for a Henderson Inlet meeting.

Proposed Changes in Chemical Dependency RFP Process

Donna Bosworth, Chemical Dependency Program Manager, explained that at their January 5, 1999 meeting, the Thurston/Mason County Chemical Dependency Advisory Board voted to modify the RFP process for chemical dependency treatment and prevention services. Rather than conduct an RFP process every two years, it is being requested that services go out to bid every other biennia (4 years). Ms. Bosworth provided the Advisory Board's justification for making such a change and the benefits associated with doing so. Regardless of the process, contracts would still be written for two (2) years only with contract renewal language included. Ms. Bosworth reviewed with the Board current services and funding amounts. When discussion was complete, the Board agreed to the change in the process.

Health Officer's Report

Dr. Diana Yu, Health Officer, reported that she is working with Department Hazardous Waste staff and the State Medicaid Office concerning problems with unclear policies around the medical issue of children being found at drug labs.

Adjournment

There being no further business, the meeting was adjourned.

ATTEST

THURSTON COUNTY BOARD OF HEALTH

Clerk of the Board of Health

JUDY WILSON, Chairman

Date: February 16, 1999

DIANE OBERQUELL, Commissioner

 

KEVIN J. O'SULLIVAN, Commissioner