HomeMy WebLinkAboutMarch PacketKittitas County
Public Health
Department
To Protect and Promote the Health and the Environment of the People of Kittitas County
BOARD OF HEALTH SPECIAL MEETING
AGENDA
Wednesday, March 19, 2025
Commissioners' Auditorium and WebEx
10:00am
Introduction of Guests
Minutes:
■ Approval of December 19, 2024 Board of Health minutes
• Approval of December 19, 2024 Joint Board of Health and Board of County Commissioners
Public Hearing minutes
Public Comment
Department Updates
• Health Officer Update (20 minutes)
■ Director/Administrative Officer Report (30 minutes)
• 2024 Year End Finance Report (10 minutes)
■ 2024 Communicable Disease Surveillance Report (15 minutes)
Vector Program Presentation (15 minutes)
Other Business
Board of Health Member Updates (10 minutes)
Conclude
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Kittitas County
Public Health
Department
To Protect and Promote the Health and the Environment of the People of Kittitas County
KITTITAS COUNTY BOARD OF HEALTH (BOH)
Public Hearing
Meeting Minutes
December 19, 2024
Commissioners' Auditorium
10:00 am
Present
Board of Health (BOH): Laura Osiadacz, Brett Wachsmith, Danielle Bertschi, Linda Navarre, Dede Utley
Absent: Cory Wright
Public Health: Candi Blackford, Kasey Knutson, Jesse Cox, Chelsey Loeffers, Erin Moore, Katie Odiaga,
Kelly Bacon, Kate Johnson, Jessica Santos, Dora Beukelman, Lauren Wickerath, Emma Madland,
Mackenzie Carter, Lianne Bradshaw, Cambron Walker, Rebecca Moon, Whitney Wheelock
Joint BOCC/BOH public meeting called to order at 10:00 a.m.
Jesse Cox stepped to the podium and reviewed the 2025 Kittitas County Public Health Fee Schedule staff
report. Mr. Cox discussed the background of the fee schedule and noted that in 2016. Kittitas County
Public Health adopted a new fee calculation model to ensure compliance with a 100% cost recovery
approach. This model requires that all fees for services be calculated based on actual costs, including the
tracking of time for staff effort and associated labor and non -labor expenses. The methodology used
ensures transparency and accuracy in fee development. The model is updated regularly to reflect
changes in labor costs. Mr. Cox noted that based on the information provided the health department
would recommend the following:
d The Board of Health approve and recommend adoption of the 2025 Kittitas County Public Health
Fee Schedule to the Board of County Commissioners.
The Board of Health approve and sign a resolution adopting the 2025 Kittitas Couty Public
Health Fee Schedule, effective January 1, 2025.
The Board of County Commissioners sign a resolution adopting the 2025 Kittitas Couty Public
Health Fee Schedule, effective January 1, 2025.
Public comment open: 10:03 a.m.
Public comment closed: 10:03 a.m.
12.01: Motion to approve Board of Health Resolution 2024-005 Adopting the 2025 Public Health Fee
Schedule. Laura Osiadacz moved to approve Board of Health Resolution 2024-005 Adopting the 2025
Public Health Fee Schedule. Danielle Bertschi second. All approved. Motion 12.01 carried to approve
Board of Health Resolution 2024-005 Adopting the 2025 Public Health Fee Schedule
12.02: Motion to approve the Board of County Commissioners Resolution 2024-223 Adopting the 2025
Kittitas County Public Health Fee Schedule. Laura Osiadacz moved to approve the Board of County
Commissioners Resolution 2024-223 Adopting the 2025 Kittitas County Public Health Fee Schedule.
Brett Wachsmith second. All approved. Motion 12.02 carried to approve the Board of County
Commissioners Resolution 2024-223 Adopting the 2025 Kittitas County Public Health Fee Schedule.
Public Hearing Concluded at 10:04 a.m.
Laura Osiadacz, Commissioner, Chair
Chelsey Loeffers, Director
Kittitas County Public Health
Candi Blackford, Clerk of the Board of Health
Kittitas County
Public Health
Department
To Protect and Promote the Health and the Environment of the People of Kittitas County
KITTITAS COUNTY BOARD OF HEALTH (BOH)
Meeting Minutes
December 19, 2024
Commissioners' Auditorium
Present
Board of Health (BOH): Laura Osiadacz, Brett Wachsmith, Danielle Bertschi, Linda Navarre, Dede Utley
Absent: Cory Wright
Public Health: Candi Blackford, Kasey Knutson, Jesse Cox, Chelsey Loeffers, Erin Moore, Katie Odiaga,
Kelly Bacon, Kate Johnson, Jessica Santos, Dora Beukelman, Lauren Wickerath, Emma Madland,
Mackenzie Carter, Lianne Bradshaw, Cambron Walker, Rebecca Moon, Whitney Wheelock
Brett Wachsmith called the Board of Health meeting to order at 10:04 a.m.
Approval of Minutes
Brett Wachsmith asked for a motion to approve the September
meeting minutes as presented.
12.01: Motion to approve September 19, 2024, meeting minutes as presented. Danielle Bertschi moved
to approve the September 19, 2024; Board of Health meeting minutes as presented. Linda Navarre
second. All approved. Motion 12.01 carried to approve the September 19, 2024; Board of Health
meeting minutes as presented.
Public Comment:
Open at 10:05 a.m.
Closed at 10:05 a.m.
Department Updates
Director Update
Chelsey Loeffers provided the following updates:
Staffing Updates
• Jess Santos: Communications Coordinator started in November.
■ Kasey Knutson: Moved over to Human Services Manager in November.
■ Emma Madland: Human Services Administrative Specialist started in December.
• Eli Martinez: Program Specialist (COVID-19 data) started in December.
Funding Updates
Communications Grant from DOH for opioid and fentanyl awareness, prevention, and education
campaigns:
• Awarded $26,414 to develop an educational toolkit and media, focus on risks, reducing stigma,
expand awareness and prevention, and substance use disorder (SUD) treatment resources.
Air Quality Grant Award:
• We have been awarded over $104,000 from the Department of Ecology for the Air Quality for
Overburdened Communities grant. This funding will focus on planning and designing projects to
reduce emissions of air pollutants, with community engagement as a central component.
Pollution Prevention Assistance (PPA) Grant Application:
• In January, Environmental Health will apply for the PPA Grant with the Department of
Ecology. This grant supports a partnership with Department of Ecology (DOE) to assist small
businesses in reducing toxic chemical use, safely managing dangerous wastes, and protecting
water quality. The program is entirely education -based, providing businesses with the
knowledge and tools to implement sustainable practices that prevent pollution.
Departmental Updates
• All staff retreat was on September 27, 2024:
• Completed annual training on HIPAA and records management review.
■ Harm reduction team naloxone training.
• Strategic planning updates.
• Presentation from Dr. Larson.
■ Training from Nash on behavioral styles and how we show up, work together, emphasize
strengths.
• Flu Clinic:
o The annual flu clinic was held on October 25, 2024, and was successful. Kelly Bacon will
present on the clinic later in the meeting.
• Annual Archiving Day December 13, 2024:
■ Stop the bleed training provided for the Management team and Environmental Health. We plan
to bring training to full staff.
• Archived records, completed destruction logs, cleaned out emails, and prepped for 2025.
Nash training:
• Total of 10 days, over 80 hours of training over summer/fall
o Decision making, accountability, communication, working as a team, supporting staff
Strategic planning:
• The department has decided on three overarching categories of work to focus on:
o Workforce development and professional environment.
o Streamline Administrative Processes.
o Organizational Infrastructure with focus on capacity building around FPHS categories and
human services.
Division/Program Updates
Health Promotion
• Health Promotion partnered with FISH Food Bank for their FARM4FISH program for the 2nd year
in a row. Gardens at Wippel Park and out front of the Morris Sorenson building. They grew over
20 pounds of fresh produce was donated to FISH.
■ The team attended the Washington State Public Health Association (WSPHA) conference in
October. Rebekah Moon and Cambron Walker presented at WSPHA and received great feedback
for their presentation.
Nea Alfaro attended Ellensburg Downtown Trick or Treating (October 31st) and distributed 575
toothbrushes and 144 toothpastes as part of her outreach for the Access to Baby and Child
Dentistry (ABCD) program. Many thanks to The Red Pickle for allowing KCPHD to hand out
toothbrushes and toothpaste from their location.
Environmental Health
Environmental Health has been actively working on several key initiatives to improve public health and
enhance program efficiency:
• Automated Permit Renewal Notifications
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In collaboration with SmartGov and key staff, we are planning on implementing automated
permit renewal notifications. These notifications will be sent directly to establishments,
streamlining the renewal process, and improving compliance.
Cistern Program Development
We are further developing the cistern program, designed to provide an alternative water source
in areas where traditional water systems are not feasible. We are currently working with a
developer to launch the first cistern project in the county.
Tick Surveillance Plans
Environmental Health is planning to conduct tick surveillance in the coming year to monitor tick
populations. We are coordinating with state officials to secure funding for this important work.
Communicable Disease
Harm Reduction
■ From September 1- November 30, the Harm Reduction team has distributed 496 naloxone kits
through the Syringe Service Program (SSP) and community naloxone trainings.
• Participants reported 41 opioid overdose reversals using SSP distributed naloxone during that
time period.
• 5 SSP participants have been tested with rapid Hep C testing at SSP and referred for treatment
as appropriate.
• 34 SSP participants were referred to medications for opioid use disorder and SUD treatment,
and 378 referrals to other social support services.
Providing care navigation for 5 participants.
• Worked with partners to increase the hours to be open during lunch, aligning with other
programs that clients may be attending on site such as recovery meetings.
• Organize visits with BOH members.
Communicable Disease:
■ Offered COVID and Influenza vaccines at our county jail.
• Hosted two DOH Care -A -Van events offering all childhood immunization, COVID-19 vaccines,
and Mpox vaccines.
• Staff continue to manage outbreaks. Pertussis information is coming up later in the agenda.
CYSHCN:
Whitney Wheelock is doing outreach to providers to educate them on how to refer CYSHCN to
resources, and she was featured on Dr. Merrill-Steskal's radio show.
PH Infrastructure
• Assessment Coordinator, MacKenzie Carter, continues to work on strategic planning, building
out objectives, and workgroups.
• She is planning community presentations on the CHA and the CHIP. She is also working on the
CHIP monitoring and evaluation plan and collecting data from the first year's activities.
• Epi, Lianne Bradshaw, just finished a project around overdose deaths with a pilot cohort with
DOH. We are working on a department data policy. Data utilization and stewardship are hot
topics within the public health system.
• Emergency management is updating our emergency plans including Emergency Operations Plan,
Integrated Preparedness Plan, Flu Clinic AAR, as well as working on increasing activities for the
Medical Reserve Corps.
Kelly Bacon was just accepted to attend a training at Texas A&M in June where they have a
"Disaster City. They are an Emergency Management training campus that has as real as it gets
scenarios (real airplanes, collapsed buildings, train derailments, etc.). This is a unique
opportunity, and Ms. Bacon was selected out of many applicants.
• Communications Coordinator has hit the ground running and is working hard on a department
Communications Plan that aims to increase engagement and trust with the community as well
as streamline internal communications processes such as social media and brand guidelines.
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Human Services
The department has successfully brought on Emma Madland as the Human Services
Administrative Specialist. She has already attended two different board meetings and is here at
BOH for introductions.
• Kasey Knutson hosted a DD networking event with local employers to increase community job
carves.
Committee Updates
• 1/10th Advisory Committee
o Awards were presented and the county is in contract negotiations with award
recipients. 13 applicants, 8 awardees for a total of $2m. The following received awards:
• Boys and Girls Club, Community Builders, Comprehensive Healthcare,
HopeSource, KCFOA, KCRCO, Kittitas County Superior Court, Upper Kittitas
County Senior Center
• Public school districts receiving noncompetitive funding, all have opted in, total
of $624,000
o The committee has vacant seats currently and will be recruiting for multiple seats in the
new year.
• Homelessness and Affordable Housing
o The Affordable housing RFP for $250,000, specific to increasing the available inventory
of affordable housing in Kittitas County through the acquisition, rehabilitation, and
construction of affordable housing is open until January 24, 2025, at 5:OOpm.
o The committee added one new committee member and have applicants for the other
vacant seats.
• DDAC
o DDAC is just about to finalize the County Plan for Developmental Disabilities (also known
as the biennial plan) so we can put forth to BOCC. This is an active group of individuals
who have already completed some of the activities identified in the plan.
• VAB
o The Veterans Advisory Committee had a quarterly meeting. No new updates.
Health Officer Update
Dr. Mark Larson updated the board on the following:
• Avian Influenza: Discussed the increase of disease in other states and testing for cows and raw
milk. Washington does have a migratory bird issue and expects cases to increase in Washington
State.
• Pertussis: Noted that there was a positive case in Kittitas County and the department was
working to mitigate spread. Dr. Larson discussed community risk, and the goals of the
department are:
o To reduce transmission
o Keep kids in school
o Regain trust of community
The group discussed increases in RSV and Influenza I the community as well.
Quarter 3 Finance Presentation
Katie Odiaga reviewed the quarter 3 financial update:
• Revenue: Budget vs. Actuals
■ Expenses Budget vs. Actuals
No questions from the board.
2025 Budget Review Presentation
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Chelsey Loeffers gave a brief presentation/discussion about the Public Health 2025 Budget that outlined
the following:
• 2025 Budget Breakdown.
• Estimated Total Revenue Breakdown.
■ 2025 Preliminary Budget Breakdown.
• Estimated Total Expenses Breakdown.
• Admissions Tax $100K Breakdown.
• Fund Balance and restricted Uses.
• New Positions for 2025.
■ Vacant Existing Positions.
Ms. Loeffers also discussed the new Human Services final 2025 Budget:
• 2025 Budget Breakdown Estimated Revenue.
■ Primary Revenue Sources.
• Total Budget Breakdown Estimated Expenses.
• Community Contracts.
Ms. Loeffers reviewed staffing for Public Health and Human Services. No questions from the board.
Emergencv Management Presentation
Kelly Bacon presented on the 2024 Drive-Thru Flu Clinic. Ms. Bacon noted that the flu clinic is an annual
event and provides free flu vaccine to the public. The event also serves as a single point of distribution
exercise for Public Health, our partners, and volunteers. The planning for the clinic starts early in the
year with securing vaccine, establishing a location, identifying staff positions, and any additional
resources needed. This year the clinic included a Disability and Inclusion Officer to the Incident
Command Structure ensuring accessibility and inclusion are considered in all logistical operations and
coordinated with disability service providers. Ms. Bacon reviewed the command and general staff duties
from the start of planning to the day of the event. After the event is finished, there is a meeting to talk
about improvements. This is called the After -Action Report Improvement Plan. This will be used to help
improve the event for the next year.
New Development connection to public sewer or allow Large On Site Sewage System (direction)
Jesse Cox requested that the Board of Health provides direction to either: Require connection to public
sewer for new developments when feasible and allowed by the sewer utility or allow Large Onsite
Sewage System (LOSS) as an alternative. Mr. Cox reviewed the process and noted that under WAC 246-
272A-0025(3) new developments within a serviceable distance (200') of an established public sewer
system are typically required to connect to that system unless otherwise authorized by the Board of
Health. The regulation intends to ensure public health is protected by utilizing centralized wastewater
treatment where feasible if the sewer utility allows the sewer connection.
Currently, Kittitas County does not have an adopted policy explicitly addressing this scenario, which has
created a need for a decision to ensure clarity and consistency moving forward. Mr. Cox noted there is a
current situation that requires direction from the board. The board discussed risks and potential
stakeholders for future discussions. The board agreed to go with no policy action today and continue to
address requests on an ad -hoc basis with Health Officer discussion. The board gave direction to staff to
bring this discussion to CDS and the planning commission.
Other Business
Annual Election for the Vice Chair of the Kittitas County Board of Health
The group discussed the Vice Chair position and nominated Dede Utley to be the Board of Health Vice
_Chair for 2025.
12.03: Motion to elect Dede Utley as the Board of Health Vice Chair for 2025. Linda Navarre moved to
approve Dede Utley as the Board of Health Vice Chair for 2025. Danielle Bertschi second. All
Approved. Motion 12.03 carried to approve Dede Utley as the Board of Health Vice Chair for 2025.
Member Updates
Concluded at 11:28 a.m_
Laura Osiadacz, Commissioner, Chair
Chelsey Loeffers, Director
Kittitas County Public Health
Candi Blackford, Clerk of the Board of Health
KITTITAS COUNTY
BOARD OF COUNTY COMMISSIONERS
STAFF REPORT FOR
BOARD OF HEALTH
Public Health Office
BOARD OF HEALTH DATE: 3/19/25
TOPIC: March Health Officer Report
ACTION REQUESTED: No Action — Information Only
LEAD STAFF: Dr. Mark Larson
RECOMMENDATION:
No action recommended at this time.
BRIEFING SUMMARY:
Quarterly update on topics of interest and potential health concern for KCPHD, the Board
of Health, and the citizens of Kittitas County.
• March update will focus on measles.
BACKGROUND:
n/a
DISCUSSION:
n/a
FISCAL IMPACTS:
n/a
ATTACHMENTS: none
Legal consultation? n/a: Legal Request n/a
Finance consulted? n/a
Page 1 of 1
Public Health Office "Study Session Staff Report", 12/23/2024
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KITTITAS COUNTY
BOARD OF COUNTY COMMISSIONERS
STAFF REPORT FOR
BOARD OF HEALTH
Public Health Office
BOARD OF HEALTH DATE: 3/19/25
TOPIC: March Director/Administrative Officer Report
ACTION REQUESTED: No Action — Information Only
LEAD STAFF: Chelsey Loeffers
RECOMMENDATION:
No action recommended at this time.
BRIEFING SUMMARY:
■ Quarterly update on the activities of the Kittitas County Public Health Department.
• March Department Update attachment includes staffing updates, department updates, and
division/program updates.
■ Meeting presentation will provide an update on potential fiscal impacts of changes in
Federal and State funding sources.
BACKGROUND:
n/a
DISCUSSION:
n/a
FISCAL IMPACTS:
Impacts are not yet known.
ATTACHMENTS: March Department Updates
Legal consultation? n/a : Legal Request n/a
Finance consulted? n/a
Page 1 of I
Public Health Office "Study Session Staff Report", 12/23/2024
11
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Kittitas County
Public Health
weWdrtment
Environmental Heakth
March 2025
Department Updates
Collaboration with the Community Development Services Department (CDS)
One key area of partnership with CDS has been improving and refining processes for Preliminary
Site Analysis (PSA). PSA) is a required review before construction or development in Kittitas
County, managed by CDS. It allows county departments to identify project specific requirements
early, helping property owners navigate permitting efficiently.
For EH, the PSA helps determine septic system and water supply requirements before construction
begins. For example:
• A shop with a bathroom may require septic system adjustments
• Additional bedrooms often trigger the need for a septic permit to expand capacity
• Accessory Dwelling Units (ADUs) can trigger a needed change to both the water system
requirements and septic expansions.
Historically, PSA comments from Public Health were generic, leaving property owners unaware of
potential septic and water system requirements. To improve this, EH is expanding its PSA role by
providing project specific guidance, helping applicants understand and address their needs
upfront, reducing delays and compliance issues. This is a collaborative effort with the CDS
department to improve overall customer service and the quality of the product provided to the
public.
Separately, we have adopted a new template for all land use comments, which better aligns with
CDS workflows. Our goal is to standardize operations related to land use and conditional use
permitting comments, ensuring consistency across all responses.
New Funding from Department of Ecology
We have been actively working to secure funding for the Air Quality program and are currently
finalizing contract details. Additionally, we are still awaiting a decision on our Pollution Prevention
Grant application, which if awarded, will provide funding for the EH Coordinator position to work
with local small quantity producers to ensure that environmental pollutants are safely disposed of
through our solid waste system.
EH Specialist III Early Successes
Our new EH Specialist III has been closely collaborating with the EH Manager to refine program
policies and procedures. This work is focused on identifying areas for improvement, standardizing
processes, and reducing processing times while maintaining consistency in our work products. As
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a result, we have been able to analyze specific programs and begin tracking data that will inform
future decision -making. With these refinements underway, the EH Manager has been able to
dedicate more time to identifying new revenue sources and strengthening relationships with
community and agency partners. This includes developing long term educational outreach
programs and enhancing overall program development.
Future Efforts in Education
Looking ahead, the division is prioritizing an expansion of environmental health education. The
rationale behind this initiative is that a well-informed public will have fewer compliance issues,
reducing the need for mitigation and enforcement efforts. By increasing awareness of permitting
requirements and safe environmental practices, we anticipate a long-term decrease in
enforcement actions, leading to a more proactive and engaged community.
Emergency Preparedness and Response
Kelly Bacon, our Local Emergency Response Coordinator, is Working on Public Health Emergency
Response (PHEP) deliverables, which include updates to the Emergency Operations Plan, an
Integrated Preparedness Plan, reinvigorating our local Medical Reserve Corp program, and
planning tabletop exercises and community events. She is also coordinating training opportunities
with both our local EM program and regional partners for KCPHD and county staff, and training on
our Salamander EM software.
Assessment
Assessment Coordinator MacKenzie Carter is in the thick of strategic plan and trying to get our
goals all to a place where we can form work groups and plan activities to meet the goals and
objectives that have been identified. We are in the beginning stages of a Behavioral Health Needs
Assessment, which will include multiple opportunities for community input in the form of key
informant interviews, community survey, and focus groups. The data gathered through this
assessment will help inform future behavioral health programs and funding priorities. MacKenzie is
also working with Kittitas County Health Network on gathering data from the first year of
Community Health Improvement Plan (CHIP) work and connecting with community partners on
CHIP data.
Epidemiology
Epidemiologist Lianne Bradshaw has been working on a data use policy, a data handbook, data
menu, and staff training around these topics. She has also been working with various staff on
pulling data to support their programs or grant applications and working on monthly and an annual
Communicable Disease report.
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Communications
Our new Communications Coordinator, Jessica Santos, has hit the ground running, and has
immediately put her communications expertise to work for the department. She is working
diligently on a communications plan for the department, which includes developing strategy
around the way we engage with the public, how our communications build and repair trust,
developing our brand voice for consistency, and guidelines for all of our communications activities.
She is working on a campaign for National Public Health Week in April and has some really fun
ideas that involve staff showing and telling the public what KCPHD does (besides Covid). She has
also made great improvements to our social media presence, including the creation of a KCPHD
Instagram page. If you don't follow us already, please do! Liking and sharing our posts will help us
reach a wider range of our community! Our Instagram is at
htt s;JI . Aw.instagram..com/kittita ublichealth/.
Homelessness and Affordable Housing Advisory Committee (HAHC)
The most recent request for proposals (RFP) was released and the county received two
responses. HopeSource and Habitat for Humanity both submitted a proposal. This cycle is
specific to affordable housing projects and was set at a total of $250,000. Committee
members will complete their proposal review and recommendation to the BOCC at their
April meeting.
■ The committee is currently full at 9 members, including representatives from Upper County
and individuals with project management backgrounds in building and engineering. Staff
and committee members used the updated member recruitment process and received
positive feedback.
■ Brittany Bouchouari (HopeSource) and Lily Frey (City of Ellensburg) presented survey
information results from the assessment phase of the Kittitas County Five Year
Homelessness and Affordable Housing plan. The Five Year Plan is a mandated activity of
HAHC, and is presented to and adopted by the BOCC every five years.
1/10th of 1 % Mental Health and Chemical Dependency Tax Advisory Board (1 /10th Board)
■ KCPHD has compiled the first year of data provided by subcontractors from last year's RFP
process. Data sheets are available for each subcontractor and presentations for the 1 /10th
Advisory Board from those agencies are ongoing.
■ The Advisory Board has added three new committee members and is actively recruiting for
one remaining vacancy.
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■ KCPHD staff researched definitions in the Revised Code of Washington to assist with future
direction around terms such as substance use disorder treatment, prevention, and the like.
KCPHD will work with the prosecutor to make recommendations to the BOCC for future
guidelines with project proposals.
Developmental Disabilities
Laurie Holt has accepted the position as DD Specialist and will begin April 1. We are
excited to have Ms. Holt join our team; she has years of experience working within a local
school district in the special education field.
Work is already underway with the Developmental Disabilities Advisory Committee (DDAC)
for the state required Developmental Disabilities Biennial Plan for Kittitas County (recently
approved resolution by BOCC). Work is also underway to solidify the use of designated
property tax revenue, referred to as millage, for developmental disabilities related activities.
KCPHD is working with the BOCC to distribute funds to community partners and to support
the work of the Biennial Plan.
Consistency Across Committees
The initial goal for Human Services was to establish consistent process and protocol across all
committees and boards, so that boards could focus time and energy on their specific committee
topic. As such, all boards and committees have updated bylaws, RPF processes, meeting minutes
reviewed, website reviewed, and new recruitment and onboarding processes. Staff have received
positive feedback from committee members regarding the work to clearly define processes and
create consistency for all human services board and committees.
Increased Community Engagement Goals
Social media and website information has been developed to increase outgoing information about
when our committee meetings occur, what it looks like to attend an open public meeting,
committee and board vacancies, along with highlights of the work being done by the committees.
Communicable Disease
Communicable Disease
Medical Assistant Whitney Wheelock is keeping busy with STI reports and communicable disease
investigations, and Communicable Disease Manager Kate Johnson has led three outbreaks from
January to current:
o Norovirus in a Longterm Care Facility
o Influenza Ain a Longterm Care Facility
o Pertussis in the CWU Rugby team
Childhood Vaccinations
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We started up our Childhood Immunization Clinic at KCPHD. Our first clinic date was February 24th
We have them scheduled weekly through Marchand are working on the schedule for April and May.
We offer childhood vaccines by appointment only.
Children and Youth with Special Health Care Needs (CYSHCN) Program
Whitney was able to participate with a new provider training provided through University of
Washington and DCYF Complex Needs Training Series - Spring Quarter 2025. She will also be
attending future trainings with The Washington State Department of Children, Youth and Families
(DCYF) to support and train childcare workers who care for young children with complex needs.
These trainings will be facilitated by the UW Haring Center and focus on deepening the provider's
knowledge in several areas related to individualizing instruction and supporting social -emotional
Learning.
Harm Reduction and Overdose Prevention Program
From January 1, 2025, to present we have distributed 122 doses of Naloxone in our
community. In addition, we have been approved by the DOH for Naloxone self -serve boxes
along with the naloxone to fill them. We are working on our wish list of places we would like
to have these distribution boxes in our community and look forward to working with
community partners across the County to increase access to Naloxone.
On February 6th, Lauren tabled at the Ellensburg High School Prevention Coalition Resource
Fair presenting our harm reduction program with local behavioral Health and Substance
Use resources. She distributed Naloxone kits along with health promotion resources and
other fun swag.
■ Dora Beukelman is currently working with 5 participants who she serves as a peer navigator
to help with job applications, housing, treatment and other services and resources
participants may need.
Upcoming Community Forum
The Harm Reduction program is preparing for our community forum with local medical providers
prescribing Medications for Opioid Use Disorder (MOUD) and to answer questions community
members may have. The forum is scheduled for May 8th1h at 7pm at Hal Holmes, and BOH
members are highly encouraged to share the information and attend if interested.
Potential New Funding
We have been accepted as one of the sites for a continuation of the NEXUS project. NEXUS is a
national research study working to capture surveillance information from people who use drugs on
HIV/Hepatitis C status, other health issues associated with injection drug use, and to better inform
understanding of barriers to accessing prevention and treatment programs. KCPHD was selected
as a NEXUS partner in 2020, and is excited to be offer the opportunity to partner again. Currently we
are working through the contract negotiation process with support from the Prosecutor's Office.
Training and Professional Development
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Whitney Wheelock, Lauren Wickerath, and Dora Beukelman were able to attend the three-day
conference put on by WSALPHO. From Whitney, "I learned some great pointers and helpful tips
specific to implementation and planning, SMART goals, and learned great ways to use data and
dialogue in multiple ways so that it's done in a professional clear matter. We learned some other
great lessons and tips on how to maintain a healthy work life harmony in the fields of public health".
Training and Professional Development
Nea Alfaro and Rebekah Moon recently attended the Agents of Change conference. This year's
theme was: Exploring the Intersectionality of Public Health Solutions for a Healthier Future.
Cambron Walker attended WSALPHO's Learning Symposium that focused on program planning and
evaluation.
Injury Prevention
i The division has distributed 5 car seats to children in need since the beginning of the year as
part of their Childhood Injury Prevention program.
6 Rebekah Moon wrote a Health Watch article for the Daily Record on Children's Mental
Health and why it is so important.
Nutrition and Physical Activity
Cambron Walker was invited to present to a National Association of State Public Health
Nutritionists (ASPHN) Weight Inclusive Workgroup on Trauma Informed Nutrition as part of her
Supplemental Assistance Program Education (SNAP-ED) grant. As part of her work with SNAP -Ed,
Cambron is working on a social marketing campaign (Healthy Choices Catch On) that focuses on
the promotion of physical activity and the consumption of fruits and vegetables.
Rebekah Moon has partnered with the "What's Cooking?" class that is hosted by Eastside
Opportunity Organization, a local 501 c3. She is doing this as part of her home food safety program
(SNAP -Ed). She is helping them add home food tips to their available recipes and connecting them
with a variety of kitchen tools that support food safety at home.
Access to Baby and Child Dentistry
Nea Alfaro wrote a Health Watch article for the Daily Record on Children's Dental Health and why
baby teeth are so important as part of her work with the Access to Baby & Child Dentistry (ABCD)
grant. As part of her outreach plan for the ABCD program, Nea sent out 780 post cards to Kittitas
County families with young children to remind them about the importance of scheduling preventive
dental appointments.
17
Administration and Veterans Services ProaraM
Veterans Services Program
Our local Veterans Service Officer (VSO) Timothy Paxton, and our State VSO partner Eddie Vader,
continue to assist Kittitas County veterans to file disability benefits claims with the Washington
State Department of Veteran's Affairs. Eighty-eight claims have been filed in the last two quarters,
and a total of $482,440.21 has been awarded to veterans as a result of these claims. This funding
means that more local veterans are better able to support themselves. This also means that most
recipients no longer qualify for the indigent veteran voucher program.
We area Lso starting our venture into capturing better data for our veterans and services provided.
We are in the early stages and working closely with Assessment Coordinator MacKenzie Carter;
more to come!
Training and Professional Development
Public Health Technician Nicole Paxton also attended the WSALPHO Learning Symposium and was
able to participate in Public Health 101 sessions. We are always thrilled with our front desk staff are
able to participate in trainings and expand their public health knowledge to better serve our
customers.
Passports — maybe!
KCPHD has applied to the United States Department of State to be able to issue passports at our
front desk. The Kittitas County Clerk recently ended their passport program due to lack of capacity,
and KCPHD hopes to be able to take over that program for the community. It is unclear, however,
whether we will qualify. There may be a conflict due to also issuing vital records which are required
in the passport application process.
In
KITTITAS COUNTY
BOARD OF COUNTY COMMISSIONERS
STAFF REPORT FOR
BOARD OF HEALTH
Public Health Office
BOARD OF HEALTH DATE: 3/19/25
TOPIC: 2024 Year End Financial Report
ACTION REQUESTED: No Action — Information Only
LEAD STAFF: Chelsey Loeffers/Katie Odiaga
RECOMMENDATION:
No action recommended at this time.
BRIEFING SUMMARY:
■ Year End Financial update of the Kittitas County Public Health Department.
• 2024 ended under budget on both revenue and expenses.
• No notable revenues, notable expenses include new mobile vaccine fridges, capital
replacement of a 2009 vehicle, and new Emergency Response software and equipment.
BACKGROUND:
n/a
DISCUSSION:
n/a
FISCAL IMPACTS:
No significant impacts to 2024 year end. Impacts are not yet known for 2025 and beyond.
ATTACHMENTS: March Department Updates
Legal consultation? n/a
Legal Request n/a
Finance consulted? n/a
Page 1 of 1
Public Health Office "Study Session Staff Report", 12/23/2024
19
Kittitas County Public Health
Budget vs. Actuals: 2024 KCPHD BUDGET - FY24 P&L
January - December 2024
Total
Income Actual Budget % of Budget
333 FEDERAL FUNDING
Noses
333.10.56 DSHS SNAP Ed
36,716
47,711
77%
Funds Ra1'knrver
333.210.27 COVID GAP FUNDING
45,898
47.454
97%
Funding Ended 06130124
49.133
333.93.069 PHEPR LHJ Funding
40,508
82%
333.93.268Immunizations
3R72
6,160
53%
333.93.268. COVID-19 Vaccine Outreach
118,977
300.000
40%
333.93.324 FFY20 ELC #4 COVID
20.647
25.000
83%
333.93.35 COVID Workforce Development
109,155
i$5,000
fib%
333.93.391 COVID-19 Health Disparities
16,933
11.000
145%
Funding Ended 06/30/24
333.93.525 In Person Assister
2.000
0%
Funds Rollover
333.93.778 Medicaid Administrative Match
40.000
75%
29,840
333.93.778B Medicaid Revenue (ABCD Fed)
8,969
6.344
141°%
333.93.912 HRSA Opioid Implementation
61,000
41,000
149°%
333.93.967 PH INFRASTRUCTURE DEVELOPMENT
100.000
0%
Funds Rollover
333.93.994 MCH Block Grant
45.953
30,196
152°%
346.264 Fed DOH Fee for Service
1,700
2.500
68%
334 STATE FUNDING
334.03.10.2 Well Delegation Grant
10,725
15.579
69%
334.04.91 ZOONOTICS
4.200
9,750
62%
334.04.91S SSP SYNDEMIC
61,753
75.600
82%
Funds Rollover
334.3.1 LSWFA Grant
45,600
63,870
71%
Funds Rollover
334.4.9 Group B Program - CONCON
25,230
25.000
101°%
334.4.93 TOBACCOIMARIJUANA PREVENTION
18,161
16,000
114°%
334.6.901 Oral Health (ABCD State)
8,969
6.344
10 %
346.265 State DOH Fee for Service
1,700
2,600
68%
336 STATE IMPACT PAYMENTS
336.4.24 General Public Health Funding 198,979
198.979
100%
336.4.25 Foundational PH Services 1,583,000
1,583,000
100%
337 INTERLOCAL GRANTS
337.01 Law and Justice Grant
2,000
2,000
100°%
337.0100 FISH RX Produce
2.295
2,295
1DO%
320 LICENSES & PERMITS
321.20 PH Licenses & Permits
289,634
221,645
1311A
322.90.04 EH Non Business Permits
242,584
323,485
75%
346.22 Environmental Inspection Fee
181,663
206,255
68°%
346.23 Vital Records Fee
64,599
60,468
197%
360 MISC REVENUE
361.11 Investment Income
40,417
40,000
101%
397.211 Admissions Tax Contribution
100.000
100.000
1DO %
640 Services
35,00D
Air Purifiers for Distribubon
Total Income 3,455,077 3,823,168 "DA
20
Kittitas County Public Health
Budget vs. Actuals: 2024 KCPHD BUDGET - FY24 P&L
January - December 2024
Atprb Budget " of Budget
�
50098DepartmentallndirectCosts
261,179
270,046
97%
51001 Salaries
1,862,384
97%
1,801,236
517 ETF Expenses
143,615
100%
143,615
52001 Benefits Expense
699,487
856,814
82%
53101 Office Supplies
9,975
3,100
322%
53104 Food / Refreshments
1,371
53106 Clothing
3,080
Air Purifiers to distribute
53115 Operating Supplies
70,979
4,663
19,636
5,945
361 %
78%
53201 Fuel
53561 Minor Office Equipment
11,283
4,150
272%
EM Printer and Supplies
53562 Minor Office Furniture
24,840
7,600
327%
EH Desks/Dividers
53563 Minor Computer Equipment
1,651
53569 Minor Misc Equipment
325
54101 Professional Services
153.545
342,637
45%
54127 Shredding Services
951
950
100%
54132 Interpreter Services
19
54141 Advertising -general
3,981
700
569%
Grant Specific Deliverables
54199 Central Services Indirect Costs
235,128
243,318
97%
54202 Postage
1,197
1,668
72%
54204 Cell Phone
7,630
8,125
94%
54301 Travel
41,456
30,708
135%
54501 Operating Rental/Leases
5,256
4,565
115%
54509 Event Center Rental
125
54591 Interfund Office Rent
52,780
70,884
74%
54601Insurance
73,224
75,000
98%
54702 Waste Disposal
1,217
1,500
81%
54813 Equipment Maintenance Agreement
5,839
4,300
136%
54902 Dues & Subscriptions
5,696
8,850
64%
54905 Printing
2,791
2,550
109%
54906 Registration
38,400
15,760
244%•
54916 Computer Software Subscription
15,984
EM Salamander Subscription
54917 Notary Bond License Registratio
247
56401 Office Equipment
13,471
Mobile Vaccine Fridges
56408 Vehicles
27.143
Replacement of 2009 Escape
57501 Capital Leases
4,565
0%
54806 Vehicle Maintenance
6,426
4,300
149%
54913 Vehicle Washes
65
1N20WE Expenses 3,726,268 3,993,6E;9 93%
21
KITTITAS COUNTY
BOARD OF COUNTY COMMISSIONERS
STAFF REPORT FOR
BOARD OF HEALTH
Public Health Office
BOARD OF HEALTH DATE: 03/19/2025
TOPIC: Kittitas County 2024 Communicable Disease and Sexually Transmitted
Infection (STI) Review
ACTION REQUESTED: No Action — Information Only
LEAD STAFF: Lianne Bradshaw
RECOMMENDATION:
No action recommended at this time.
BRIEFING SUMMARY:
■ Overview of preliminary communicable disease & STI cases reported to the Kittitas
County Public Health Department for the year of 2024.
• Kittitas County Public Health Department (KCPHD) saw mostly Covid-19, chlamydia,
and campylobacter, among other diseases.
■ Slightly more in-depth data and information regarding rates of STIs for current and
previous years.
BACKGROUND:
This overview of our 2024 communicable disease cases will provide insight into the types of
illnesses impacting our community. These are diseases that Washington Administrative Code
Chapter 246-101 outlines as reportable conditions. These diseases are of public health
significance and may pose a threat to public health if not investigated and addressed.
These diseases range from common foodborne illnesses to vaccine -preventable diseases. Being
aware of the trends in our county and being able to identify when cases are above a certain
threshold are important to understand and stay aware of. Staff conduct continuous surveillance to
help mitigate larger outbreaks and reduce negative community impacts.
DISCUSSION:
■ Data notes and disclaimers
■ WAC, what is a notifiable condition, how are they determined?
■ Flowchart of how a disease is reported
■ What was most reported in 2024? General disease and STI
■ Overview of 2024 General Communicable Diseases
Page 1 of 2
Public Health Office "Study Session Staff Report", 12/23/2024
22
• 2024 vaccine -preventable diseases
• 2024 Outbreaks
2024 STI overview
■ Breakout of each STI, including state and county trends, demographics where
available, etc.
FISCAL IMPACTS:
None
ATTACHMENTS:
Legal consultation? N/A : Legal Request # N/A
Finance consulted? N/A
Page 2 of 2
Public Health Office "Study Session Staff Report", 12/23/2024
23
KITTITAS COUNTY
BOARD OF COUNTY COMMISSIONERS
STAFF REPORT FOR
BOARD OF HEALTH
Public Health Office
BOARD OF HEALTH DATE: 3/19/2025
TOPIC: Vector Program Overview
ACTION REQUESTED: No Action — Information Only
LEAD STAFF: Melissa Schumaier, Environmental Health Specialist III
RECOMMENDATION:
No action recommended at this time.
BRIEFING SUMMARY:
Melissa Schumaier will provide an overview of the Kittitas County vector program, including
how vector -borne disease patterns change over time and how these changes impact disease
reporting. She will also compare local vector occurrences to those in other countries to provide
context on regional trends.
The presentation will cover:
■ General Vector Program Overview
• Mosquito Program Overview
i Tick Surveillance Program
Melissa will present comparative data on tick populations and the diseases they can carry,
as well as what trends are expected locally. This will help clarify the scope of tick -
related public health risks in Kittitas County
BACKGROUND:
The vector program in Kittitas County is funded through grants from the Department of Health.
Because funding levels fluctuate annually, the programs activities vary from year to year. This
year, Kittitas County is one of only two counites in the state receiving funding specifically for
tick surveillance.
DISCUSSION:
Page 1 of 2
Public Health Office "Study Session Staff Report", 12/23/2024
24
Vector -borne diseases are constantly evolving, and surveillance is essential to understanding how
they spread. By tracking changes in mosquito and tick populations, the county can contribute to
larger public health efforts and better anticipate potential disease risks.
As part of this year's tick surveillance effort, Melissa will conduct fieldwork, including tick
dragging, to collect samples for lab testing. The collected ticks will be sent to the state for
analysis, with the state epidemiologist handling the results. This data will contribute to statewide
public health decisions related to vector control and disease monitoring.
FISCAL IMPACTS:
None
ATTACHMENTS: none
Legal consultation? N/A : Legal Request # N/A
Finance consulted? N/A
Page 2 of 2
Public Health Office "Study Session Staff Report", 12/23/2024
25