North Central Public Health District Special Board of Health Meeting

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North Central Public Health District Caring For Our Communities North Central Public Health District Special Board of Health Meeting April 27, 2015 8:00AM 9:00AM AGENDA - 1. Presentation of Wasco County Public Health Project Plan by Tyler Stone, Wasco County Administrative Officer Working draft document included for discussion purposes Note: This agenda is subject to last minute changes. Meetings are ADA accessible. If special accommodations are needed please contact NCPHD in advance at (541) 506-2626. TDD 1-800-735-2900. NCPHD does not discriminate against individuals with disabilities. **If necessary, an Executive Session may be held in accordance with: ORS 192.660 (2) (d) Labor Negotiations; ORS 192.660 (2) (h) Legal Rights; ORS 192.660 (2) (e) Property; ORS 192.660 (2) (i) Personnel**

Division Mandated programs are highlighted in yellow 7141 Admin Director WORKING DRAFT ONLY Program (definition) Benchmark Result/Outcome (timeframe) Health Officer Healthy Start Ensures compliance, appropriate public health practice, professional accountability, public health accreditation work Enforces Public Health Laws-provides consultation on public health practice, provides clinical services as needed Provide on site health screenings at preschools; home visits & family support services for high risk families-gilliam, Sherman and Wheeler Counties though a contract with NCESD Early Education Annual screenings at each elementary school All identified children will receive further evaluation to FTE State (Wasco) State (Sherm + Gilliam) Total District Fees (YTD) Other revenue School Nursing Health teaching, health promotion, health screenings in the schools-care planning for students with medical needs, consultation with school staff All students with identified health concerns will have written protocols School staff will support children with health protocols during school hours Septic Systems Site evaluations, Authorizations, repair permits, technical assistance Construction permits for new systems and repairs All T.C. response w/in 1 working day. Site evals w/in 1 work week. 90% compliance

Division WORKING DRAFT ONLY Program (definition) Benchmark Result/Outcome (timeframe) Sexually Transmitted Diseases Examinations and treatment for various sexually transmitted diseases. Trace contacts and initiate or refer for treatment where appropriate. All women < 25 yrs of age seen in reproductive health clinic will be screened annually for Chlamydia (Ct). All positive Ct clients will be offered EPT. All STD lab results will be submitted to OHA within 2 weeks of report. Persons with reportable STD's will receive timely treatment, education and partner notification to reduce morbity. FTE State (Wasco) State (Sherm + Gilliam) Total District Fees (YTD) Other revenue Solid Waste Management Vital Records WIC 7142 Health Officer is Chair of Solid Waste Advisory Committee(SWAC); SWAC admin. support. Birth & Death Certificate filings; Certified copies for 1st 6 months after the event-sherman and Wasco Counties Assessment, nutrition and health education and counseling to new families, food vouchers for pregnant and breastfeeding women and children 5yrs, referrals, monthly classes Convene Board meeting 2 x yr #s of income eligible children in district * Reduce the # of children 2-5 who are considered to be obese by 2% #s of children enrolled on program * current rate is 21.5% with BMI 85th & 94th% and 19.1% w/bmi > 95% 3.39 $163,402 $10,987 $174,389 N/A

Division WORKING DRAFT ONLY Program (definition) Benchmark Result/Outcome (timeframe) Maternal Child Health/Child & Adolescent Health 7143 Nursing Services Reproductive Health Drop in Immunizations against vaccine prventable diseases, home visits by public health nurse during pregnancy and after the baby is born Review and monitor medication administration; Staff training; Immunizations and TB testing and reading. Physical exams, follow-up and health education; pregnancy testing and counseling; birth control information & counseling; contraception services *increase abstinence from cig. smoking during pregnancy; increase rate of breastfeeding at 6 months; FTE State (Wasco) State (Sherm + Total Gilliam) $14,412 $24,447 $38,859 $34,352 $13,783 $48,135 7144 Breast and Cervical Cancer Breast and cervical cancer screening for low Program income women forty and older. State Support State Support for Communicable Disease $28,327 $4,088 $32,415 surveillance & response, STD's and TB case management (TB skin testing, case monitoring 7145 and medication). TB Case Management TB skin testing, case monitoring and medication. $1,016 $1,016 District Fees (YTD) Other revenue 7146 Environmental Health License and inspect restaurants; plan reviews; food borne disease invest. Food Handler permits Education, testing and issuing of permits. Short term food licenses Inspect other public food service facilities (ie. Food booths). Schools & child care License and inspect other public food service inspections facilities. 7148 Perinatal Home visits by public health staff during pregnancy and after the baby is born. $1,706 $3,015 $4,721

Division WORKING DRAFT ONLY Program (definition) Benchmark Result/Outcome (timeframe) Public Health Emergency Preparedness 7149 Medical Reserve Corps Emergency Preparedness; All-Hazards planning; Public Health Emergency Response, CD Outbreak control Credentialing & training of volunteer medical staff in case of a disaster 7152 Health Promotion Healthy Weight Collaborative CM for high utilizers of health services Healthy Women Get Ready 7153 Immunization Special Payment Education about and administration of vaccines; public education; enforcement of school immunizations; technical assistance for healthcare providers who provide vaccinations. 7154 Caccoon Care Coordination for families that have children with special health needs. Community Connections Multidisciplinary team collaborate to promote optimal health and development in children and youth with special health needs. Tobacco Prevention & Education 7155 Public Water Systems 7156 Babies First 7158 Reduce youth access to tobacco products; Create additional tobacco-free environments; Decrease advertising and promotion of tobacco products; Link to already existing cessation programs Sampling, monitoring, & tech. assist. for public water systems; TA for private water systems; water borne disease investigation Case Management and follow-up home visits by a public health nurse to families of newborn infants with health risks to prevent developmental delay. District Immunization target rate YTD Immunization rates FTE State (Wasco) State (Sherm + Total Gilliam) $74,768 $76,731 $151,499 1.58 $11,097 $6,844 $17,941 $59,600 $34,066 $93,666 $29,103 $13,080 $42,183 $5,403 $9,544 $14,947 7159 Oregon Mothers Care Assists women in accessing early prenatal care and Oregon Health Plan. $3,120 $5,018 $8,138 Totals $426,305 $201,604 $627,909 District Fees (YTD) Other revenue

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