Umatilla County
EOCCO Citizens Advisory Council
Friday April 11, 2014
St. Anthony Hospital
Attendees:
Nikki Coe, Advantage Dental; Rod Harwood, St. Anthony Hospital; Lisa Garcia, St. Anthony Hospital; Sandy Ryman, GOBHI; Kathy Thomas, Good Shepherd Medical Center; Kathryn Chaney, Domestic Violence Services; Carol Speed, GOBHI; Carolyn Mason, Umatilla County Human Services; Heidi Eidler, Eastern Oregon Center for Independent Living; Sheila Scott, Eastern Oregon Center for Independent Living; Amy Boudreau, Lifeways; Lori Hardgrave, St. Anthony Hosptial; Marci McMurphy, CAPECO; Linda Olson, Department of Human Services; Lolly Torres, Department of Human Services – Self-Sufficiency Program; Marina Cassandra, Oregon Health Authority – Cover Oregon; Juli Gregory, Good Shepherd Medical Center; Colin Dumont, Eastern Oregon Alcohol Foundation; Rick George, Lifeways; Sarah Williams, Umatilla County Public Health; Kevin Campbell, GOBHI (by phone)
Call to Order
Chairman Rod Harwood called the meeting to order at 0831.
Introductions
Self-introductions were given by all attendees.
Approval of Minutes
Rod Harwood called for a review of minutes or any additions to the agenda. No additions were made. No corrections to the previous month’s minutes were noted. Lisa Garcia moved to approve the minutes; Amy Boudreau seconded. Minutes were approved.
Identified Gaps & Recommended Preventative Health Care Practices
Community Members Feedback
Rod Harwood called for community member’s feedback. There were no community members present at the meeting.
Around the Room
Lisa Garcia commented that Lifeway’s and We Care are working on an agreement to support integration of mental and physical health.
Juli Gregory reported she and Heidi Eidler had met with Marina Cassandra from Cover Oregon.
Kevin reported there has been significant growth Oregon 600,000 lives to 850,000 lives.
Heidi Eidler reported EOCIL is now going out to enroll clients at the Umatilla County Jail. Heidi also reported the costs of care are going up. Clients have reported there are now co-pays for medications and services where there had been no cost previously.
Lifeways is having difficulty getting urine drug screens paid for. Kevin Campbell stated they would look into this more. He suggested one reason for this issue may be the patients they are having difficulty with are those who are dually covered by Medicare and Medicaid.
Sarah Williams reported UCHD has had good experiences with immunization payments through the CCO.
Marci McMurphy stated Area Agency on Aging will be receiving additional funds to do more with preventative health with seniors and the disabled. She stated CAPECO and the Area Agency on Aging will be looking to work with partners to implement best practices. She also reported a medical person has been hired to be a driver. Marci McMurphy reported the individual is BLS certified and has EMT training. She noted there is uncertainty in how to deal with HIPPA issues and is looking for any suggestions. Rod Harwood encouraged CAPECO to lay their plan out in a PICO manner in order to truly measure and track the interventions. Marci McMurphy stated they must prove to the state the interventions are working. Sandy Ryman inquired if this funding came out of HB5030 which focused on prevention for seniors and adults with disabilities. Marci replied she was not certain and will report on this in the future.
Dr. Boudreau stated there is a need for non-medical transportation to help relieve the isolation of members (particularly seniors) in the community.
Action Item: Kevin Campbell will look into reasons for denial of drug screen claims.
Community Health Improvement Plan
Sarah Williams stated there are four PICO statements in the packet (see attachments). She asked the group to review the statements. Sandy Ryman recommended adding the children’s health statement to the priority needs. Sarah Williams will make the recommended changes and send the PICO’s to Sandy for final distribution to the RCAC. It was recommended that the group make a formal motion to move the four PICO statements forward. Lisa Garcia moved the statements be moved forward after the recommended change was made. Lori Hardgrave seconded. The motion was approved.
Action Item: Sarah Williams will make the revision and send the PICO statements to Sandy Ryman no later than Thursday April 17, 2014.
Report on Transformation Grant Applications
Sandy Ryman stated she does not know who applied but invited all to share.
Sarah Williams gave a brief overview of the Community Health Worker (CHW) proposal put forth by UCHD and Lifeways. The idea is to train a member of the community who might not necessarily be highly qualified to do case management type work. Rick George gave brief overview of qualifications and expectations of this position. One key responsibility will be identifying access points in the community to help to streamline referral and intake and utilization processes. Rick George stated it is hard to specifically define all aspects of this position at this point because it is new; we don’t know exactly how this will look. He further stated the idea of CHW’s is a new rollout across the state. Rod Harwood inquired about caseloads. Rick George stated this is unknown at this point. Sandy Ryman stated that depending on the roles caseloads can look very different. Rick George also reported Lifeways and GOBHI are committed to funding CHW positions regardless of grant receipt. Kevin Campbell stated a crucial reason for the application for the grant was to allow these CHW’s to serve all individuals not just OHP members. This is critical as we work to change the trajectory of individuals health status to achieve the triple aim.
Colin Dumont reports EOAF has applied for two grants. The first is a position known as a Recovery Navigator. This position will be associated with detox program will be a mechanism to ensure people get to referral destinations. Currently, follow up once clients are discharged is virtually non-existent. Where follow up is available, it is not possible to produce data about effectiveness. Colin Dumont further noted EOAF is seeing a lot of recidivism and this would be a way to mitigate (hopefully) this. The specifics this position is largely up in the air. The vision is to connect clients to the community. Again, Colin Dumont stated this position is new and will be developed as the program evolves. The second grant is requesting funds to purchase AV equipment to facilitate Mental Health consultation. This would improve accessibility to services, particularly for those with co-occurring illness.
Kevin reported there has been about 2.7 million dollars requested. There are about 1.6million dollars available, which means only about 60% of grants will be funded.
Early Learning HUB
Shelly Liscomb presented information about the evolving Early Learning HUB. Rod Harwood provided Shelly Liscomb background on the LCAC. Shelly gave brief background on the Blue Mountain Early Learning HUB. She noted the group started meeting in January. They are currently working to prepare goals, indicators and outcomes as they wait to apply to be an official early learning HUB in Oregon. She stated the Blue Mountain Early Learn HUB was not selected for the first round of HUB’s, but the second round application has been submitted. It is anticipated the group will be approved during this round of application. The group has identified three areas in which to focus: Health, Safety and Education. By focusing on these three areas, the group will work to make sure kids are ready to go to kindergarten. Measurable outcomes for each area have been selected for different age ranges. The overall goal is to improve 3rd grade reading level. The Blue Mountain Early Learning HUB involves Umatilla, Morrow, and Union Counties. Discussion about various early learning opportunities throughout the county followed.
Violence Prevention Assessment
Rod Harwood gave an update on the grant application. He noted this is a process and more than just pursuing a grant. The initial motivation was funding through Catholic Health Initiatives (CHI), but that is a great opportunity for the community. Rod Harwood reported the grant is a two phase process. The first phase is an assessment phase which helps to determine what the level of violence is in the community. The initial portion which is due April 25, 2014. The assessment process must include feedback from the community. At this point the plan is to hire a coordinator to help with the assessment. Rod Harwood again reminded the group that it is important to do the assessment process and let the data drive the decisions. He further noted the plan must be collaborative and must be self-sustaining after 3 years. Rod Harwood also reported there are two OHSU nursing students who will be helping with the project. Anyone who is interested in helping with this project should contact Rod Harwood.
Good of the Order
Nikki Coe, regional manager for Advantage Dental, introduced herself. She stated Advantage Dental operates an office in Hermiston. They are also opening a clinic in Milton-Freewater. The proposed opening date for the Milton-Freewater clinic is June. Nikki Coe reported on Advantage Dental history and service area. She noted Advantage Dental’s focus is on prevention and providing service in rural areas.
Kathryn Chaney noted April is Sexual Assault Awareness month.
Linda Olson stated April is also Child Abuse Awareness month.
Next Meeting
The next meeting of the Umatilla CAC will be Friday May 9, 2014 in Hermiston at Good Shepherd Medical Center, Conference Center 2 at 0830.
Meeting was adjourned at 1019.