Skagit County Board of Health May 7 th, 2015
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1 Skagit County Board of Health May 7 th, 2015
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4 Steering Committee Report- Bill Hinkle Provide agendas and timely notes before and after the Steering Committee Title s with Action Requested, Information, and Provide Deadlines The Role between the PHT and the Skagit County Board of Health (pending) Provide PHT with updated budget Discussed Survey work that is underway
5 Proposed Business Sub-Committee Report Terry Belcoe, Lisa Janicki and Jennifer Johnson 2 meetings to discuss formation Draft Charter for review Year 1 Goal, complete assessment Co-draft final Charter with Business Group Messaging health to the business community Business Metrics Business Carousel? Trust consensus about going forward?
6 Decisions will be based on reaching consensus, defined as general agreement or majority of opinion of the attending membership. If an issue has significant disagreement or dissent, Trust members will continue to deliberate until members feel confident in the decision. Voting by majority will be used as a last resort in order to keep momentum going.
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10 15 Minutes
11 Environment Health Forces of Change Presentation
12 Emergency Medical Services Forces of Change Presentation
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14 How does Criminal Justice Intersect with Health Planning? Concerns: High medical and BH needs HIPPA, PRIA & Litigation Continuity of Care: Jail treatment is part of a movie, not a photograph Partnerships (Programming/Health Education) In-House care delivery
15 Skagit County Public Health and Community Services Environmental Public Health Corinne Story Forces of Change
16 We are Environmental Public Health
17 What is Environmental Public Health? Keeping people healthy Outside influences impacting human health Food Safety Solid & Hazardous Waste Drinking Water Living Environment On-site Sewage Systems Animal Disease Swimming Pools and Spas Recreational Shellfish
18 A little different than environmentalists
19 Who do we serve? Anyone and everyone who drinks water, eats food, throws anything away, swims or does their business in Skagit County Cities too We are more than permits
20 How do we fit in with the Population Health Trust? We are foundational public health Protecting infrastructure of daily life Data Driven Population Based Prevention Focused
21 Trending. Chronic Disease Prevention Built Environment Climate Change. while maintaining the gains we ve made Drinking Water Sewage Food Garbage Animal Disease
22 Factors Shaping Environmental Public Health Prioritizing and becoming more efficient as resources decrease. (not always a bad thing) Web-based education Food workers Septic systems Working with partners to assure foundational Environmental Public Health programs remain
23 Education Enforcement Goal Number One Goal Number Two KEEP PEOPLE WELL Objective : Educate all those with whom we come into contact about their role in keeping people well. Objective: Instill in every person we meet a sense of their personal responsibility for public health. ESTABLISH AND MAINTAIN A LEVEL PLAYING FIELD Objective : Fair and consistent enforcement of public health laws.
24 Forces of Change Instill in every person we meet a sense of their personal responsibility for public health. Education Internal More Fun Enforcement External Less Fun
25 How will Environmental Public Health goals be influenced AND influence the Population Health Trust objectives? Build on successes of Environmental Public Health Environmental Public Health integrated with new population health efforts Environmental Public Health becomes visible Prevention education Effective Dynamic and adaptive Based on data and measured by outcomes
26 Corinne Story Environmental Public Health Manager Public Health & Community Services (direct) , x 1550 corinnes@co.skagit.wa.us EH@co.skagit.wa.us Thanks!
27 Skagit County Emergency Medical Services Forces of Change
28 Who are we and what do we do?
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30 We are responsible for:
31 We are responsible for:
32 We are responsible for:
33 We are responsible for:
34 We are responsible for:
35 Who does EMS serve?
36 We serve:
37 We serve:
38 We serve:
39 We serve:
40 We serve:
41 Trends & factors shaping EMS:
42 Trends & factors shaping EMS:
43 Trends & factors shaping EMS:
44 Trends & factors shaping EMS:
45 Trends & factors shaping EMS:
46 Trends & factors shaping EMS:
47 Trends & factors shaping EMS:
48 Trends & factors shaping EMS: Payer Mix Changes Most aspects of the Affordable Care Act were implemented in January 2014, and we have since been noticing some changes and new trends in our clients' payer mix. We are seeing an overall increase in Medicaid transports, as well as an increase in Medicaid fee schedule write-offs as a result. We are also noticing an increase in Medicare, a decrease in commercial insurance, and a decrease in private pay accounts. Some of our clients have realized only a slight decrease in overall revenue.
49 So what are the goals in EMS?
50 Goal #1 Getting the right resources to the right patient at the right time
51 Goal #1 Getting the right resources to the right patient at the right time
52 Goal #2 Reducing calls
53 Goal #2 Reducing calls
54 We did not find abusers. What we found were chronically ill people who just got lost in the system - Elizabeth Fagan, M.D.
55 How will we achieve goal #1? Getting the right resources to the right patient at the right time through Countywide epcr system BLS integration Criteria based dispatching
56 How will we achieve goal #2? Reducing calls through Direct referrals pathways Boots on the ground PDSA cycles Data Analysis
57 Where EMS is going?
58 Where EMS is going? We must evolve into true Paramedics
59 Where EMS is going? We must evolve into true Paramedics Para = an extension of Medic = physician
60 Where EMS is going? We must evolve into true Paramedics Para = an extension of Medic = physician The paramedic serves as an "extension of" a physician. We serve as her eyes, ears, and hands in the prehospital setting physician s absence. The physician guides us with a set of instructions or "protocols" which help us know what she wants done in certain situations. The paramedic can also contact the doctor by phone or radio or video conferencing for instructions for particularly difficult scenarios consultation regarding the best course of treatment and/or transport options based on the individual patient s needs.
61 Thank you! Discussion / Questions?
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