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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)
Meeting Minutes
Wednesday, November 13, 2019
Commissioners' Auditorium
2:00 pm
Present
Beard of Health (BOl-l): Laura Osiadacz, Brett Wachsmith, Rich Elliott, John Asriel M.D.
Absent: Cory Wright
Board of Health Advisory Committee (BOHAQ: Andrew Lyons, Kate Doughty
Public Health: Tristen Lamb, Katie Odiaga, Candi Blackford, Chelsey Loeffers, Amy Fuller, Lianne
Bradshaw, Dr. Mark Larson.
Meeting called to order at 02:02 pm
Introductions
Introductions were completed.
Minutes
Motion to approve the October 17, 2019 Board of Health meeting minutes.
Motion 11-01: Motion to approve the October 17, 2019 Board of Health meeting minutes as
presented. Rich Elliot moved to approve the October 17, 2019 Board of Health meeting minutes as
presented. John Asriel second. All approved. Motion 11-01 carried to approve the October 17,
2019 Board of Health meeting minutes as presented.
Public Comment
Public Comment open at 02:03 pm.
Public Comment closed at 02:03 pm.
BOHAC Update
Andrew Lyons, BOHAC Chair, stepped to the microphone to present a letter of support written on behalf
of BOHAC addressed to the board. This purpose of the letter was to advocate providing KCPHD with
more dedicated funding from the current admissions tax. Mr. Lyons gave a brief history of BOHAC and
the creation of the admissions tax, and its original purpose to provide stable funding for public health.
There was discussion regarding the distribution of funds from the admissions tax.
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November 13, 2019
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Department updates
Administrator update
Tristen Lamb stepped to the microphone to give the administrator update. Ms. Lamb updated the board
on the following items:
• Contracts and amendments
o Resolution coming through to give the Public Health administrator signatory authority for
approval of contracts with a value of $25,000 or less.
■ This would reduce the amount of contracts coming through the BOCC by
approximately 20 per year.
■ Developmental Disabilities contracts would still always come through the BOCC
for signature and approval as these are county agreements.
o A budget amendment request is also in process for approval.
Staff Updates
o Joyous Van Meter, the new Regional Epidemiologist, will be at KCPHD every Thursday.
Department Updates
o The annual drive thru flu clinic took place on October 25`h
■ 26% of respondents heard about the flu clinic from the new KCPHD Facebook
page.
o There is a class-action lawsuit being filed in King County against JUUL, and KCPHD
may participate in this lawsuit.
More information was requested by the board prior to making a decision as to
participate in the lawsuit or not participate.
Health Officer Update
Dr. Mark Larson stepped to the microphone and gave a brief update about vaping-related lung injuries. A
most recent finding showed the vitamin a acetate was present in the lungs of all those who were ill, and
the liquor control board will be removing this as an acceptable additive. He also noted that the first double
lung transplant due to vaping-related lung injury took place in a 17 year old. There was discussion
regarding the safety differences of smoking vs vaping, and the repercussions if the state implements a full
on ban of vaping vs restrictions.
Financial Update
Tristen Lamb presented the financial update through 3rd quarter, noting that the department is on track for
revenue, and above expected on expenditures. Ms. Lamb noted that this financial update did not include
the proposed budget amendment, nor the numbers from food permit revenue, which is primarily received
in October. Commissioner Osiadacz commended Ms. Lamb and the department for their work on the
budget.
Business
Office Closure Requests
Motion to approve KCPHD office closures on December 13, 2019 for archiving day, and January 31,
2020 for department training. The department will seek BOCC approval next week.
Motion 11-02: Motion to approve KCPHD office closures on December 13, 2019 for archiving day,
and January 31, 2020 for department training. Rich Elliot moved to approve KCPHD office
closures on December 13, 2019 for archiving day, and January 31, 2020 for department training.
John Asriel second. All approved. Motion 11-02 carried to approve KCPHD office closures on
December 13, 2019 for archiving day, and January 31, 2020 for department training.
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November 13, 2019
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2020 Budget Update and Fee Comparisons
Tristen Lamb reviewed the following items as part of the 2020 Budget Update:
• "The Gap" and what it could mean in the future of the department.
• The personnel organization chart, and updates on staffing and positions.
• Public Health core services report, and preliminary budget scenarios.
• Reviewed the proposed 2020 fee schedule, with the proposed implication of the wage survey per
the direction of the board.
■ Reviewed options for living environment fees with 100% cost recovery, and discussed options
and the effects of possible subsidizing.
o The board recommended continuing to plan for 100% cost recovery for those fees.
R nest for Loint BOCC/BOH Public Hearing for 2020 Kittitas County Public Health Fee Schedule
Approval
Tristen Lamb asked the board for approval for a joint BOCCBOH public hearing to approve the 2020
Kittitas County Public Health Fee Schedule.
Motion to approve request for joint BOCC/BOH public hearing on Thursday December 19, 2019 to
the 2U2U Kittitas Uounty Public Health Fee Schedule,
Motion 11-03: Motion to approve request for joint BOCCBOH public hearing on Thursday
December 19, 2019 to approve the 2020 Kittitas County Public Health Fee Schedule. Laura
Osiadacz moved to approve the request for joint BOCCBOH public hearing on Thursday
December 19, 2019 to approve the 2020 Kittitas County Public Health Fee Schedule. John Asriel
second. All approved. Motion 11-03 carried to approve request for joint BOCCBOH public
hearing on Thursday December 19, 2019 to approve the 2020 Kittitas County Public Health Fee
Schedule.
2020-2024 Strategic Planning
Amy Fuller gave a presentation about the KCPHD 2020-2024 strategic plan. Information presented
included why the department has a strategic plan, the history of the strategic plan, and future plans for the
department. Ms. Fuller also presented an activity for the board, the goal of which was to help determine
what the board thinks the department should prioritize in terms of which department strategies should be
done, now, next, later or never.
Other:
No Additional Business
Meeting adjourned at 3:55 pm
Brett Wachsmith, Vice -Chair of the Board of Health
Tristen Lamb, A inistrator
Kittitas County PAlic Health
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Katie Odiaga, Clerk of the Board of Health