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• 2022 Expenses <br />• 2022 Revenue <br />• Kittitas County Budget vs. Actuals for 2022 <br />• Admissions Tax <br />Ms. Loeffers noted that the health department does have to receive funding from the county for local control to <br />remain at the county level. If there was no funding from the county the state would assume control over the local <br />health department. <br />NEXUS Program Wrap Up Presentation <br />Lauren Wickerath and Anthony Morgan presented the NEXUS project overview. The project was a collaboration <br />with University of Washington, Center for Disease Control, NASEN, and NYU. Health surveys were presented to <br />clients, rapid testing for HIV antibodies and HCV antibodies, and incentives were given out. The original goal was to <br />survey 150 participants, but reduced it to 100 to make the goal more achievable. 96 participants registered, 86 of <br />those participants were eligible, and 85 surveys were completed. Testing results found 2 new reactive clients for <br />HIV, 15 clients reactive for Hepatitis C, HCV Antibody, and 9 clients detected RNA for Hepatitis C HCV RNA. All of <br />those clients were referred for confirmatory testing and treatment with a provider. Overall findings that almost half <br />of those surveyed reported having adverse childhood events and trauma, often using drugs alone, and using mixture <br />of drugs with fentanyl. Project NEXUS allowed the Exchange to expand hours for the community that allowed for an <br />increase in traffic and increased education for community members. <br />There were 6 US Syringe Services Programs chosen to participate in the survey among underrepresented people <br />who use drugs in Washington, Montana, California, Wisconsin, Connecticut, and North Carolina for a total of 1,576 <br />surveys. The survey showed there was more methamphetamine use among Western sites. Opioid overdose was <br />more common than stimulant overdoses and most people who used drugs had acquired naloxone, but there is still <br />an unmet need. <br />Board of Health Annual Orientation part two <br />Chelsey Loeffers presented the Local Board of Health Orientation Part Two. This presentation focused on the Role <br />of the Board of Health and information on the following: <br />• Where do Local Health Jurisdiction's come from <br />• The six functions of public health governance <br />• Powers and duties RCW 70.05 <br />• Board of Health Membership RCW 70.05.030- three county commissioners and three community member <br />positions <br />• Director/Administrative Officer duties <br />• Health Officer duties RCW 70.05.050 and RCW 70.05.070 <br />• WSALPHO Local Board of Health Training dates for 2023 <br />• National Association of Local Boards of Health dates for 2023 <br />Strategic Plan Presentation <br />Erin Moore gave a brief overview of where the health department is in its process for the midcycle review of the <br />2020-2024 Strategic Plan. <br />After the group brainstormed and prioritized work within the department it was narrowed down to: <br />• Customer Service: Customer feedback, Customer service Survey, Stakeholder meetings, Partner agencies <br />■ Standardization: Onboarding/Cross training, Communications, Policies/procedures, Fee-based activities, <br />Performance Evaluation <br />• Needs: Workforce development, FPHS Funding, Mental Health <br />Mrs. Moore discussed the outline and workplans. She also noted that the goal is to have accountability and develop <br />a useful strategic plan. <br />Social Determinants of Health Presentation <br />Cambron Walker presented on Social Drivers of Health. Mrs. Walker noted that Education Access and Quality, Health <br />Care and Quality, Neighborhood and Built Environment, Social and Community Context, and Economic Stability all <br />play a role in social drivers of health. Mrs. Walker also reviewed factors that goes into the drivers of health and <br />approximately the percentage of effects they play on an individual. She also presented information on how health <br />