ARCHULETA COUNTY PUBLIC HEALTHI DEPARTMENTTRANSITIONAL  ADVISORY COMMITTEE MEETING MINUTES  June 12,2023  The Archuleta County Public Health Department Transitional Advisory Committee heldar regular meeting on June 12, 2023. Chairperson Sally Kennedy called the meeting to order at 9:01 a.m., noting committee members Sally Kennedy present. Committee Members Susanne Bryant,  Ashley Wilson and Andrea Phillips attended via Zoom. Disclosures and/or Conflicts ofInterest Approval or Adiustments to Agenda  There were none.  Committee Member Susanne Bryant moved to approve. the agenda as presented. Committee Member Sally Kennedy seconded the motion and it carried unanimously.  Public Comment There were: none. County Manager Comments Not an action item. Not an action item. Consent  County Public Health Director Comments  A. Review and Approval ofMeeting Minutes from June 5, 2023.  Committee Member Susanne Bryant moved to approve the consent agenda. Committee Member Andrea Phillips seconded the motion and it carried  unanimously. New Business  A. Community Connections- - Single Point of Entry (Elderly) and Programs for Children with  Disabilities -I Lana Burns. Not an action item. B. Emergency Preparedness - Ryan Foster. Not an action item. .F Full Program Analysis of Environmental Health. Not an action item.  Committee Member Ashley Wilson moved to table the program analysis of Committee Member Andrea Phillips seconded the motion and it carried D. Full Program Analysis of Chronic Disease, Injury Prevention and Behavioral Health  environmental health to a further meeting date.  unanimously.  Promotion. Not an action item.    Additional Committee Member Comments  There were: none.  The next meeting will be on Monday, June 19, 2023 at 9:00 a.m.  With no further business coming before the committee, Chairperson Sally Kennedy adjourned the  meeting at 10:05 a.m.  Approved this 19th day of] June, 2023. Aasknes Kemnedy.Chaiperson  Sally  2    Archuleta County Public Health Department Transition Advisory Committee Meeting  June 12, 2023 Notes: County Manager Comments:  Have been in conversations with County IT about the infrastructure at the gth street location and  what the needs for that building will be. County Public Health Director Comments:  Compiling and researching funding opportunities in order to create a timeline of application  deadlines. Will send out to TAC WIC application was submitted  Initial Comments:  Sally -Oral health is part of chronic disease and wanted to make sure that we, get to it: is regional, do we know how that is going to look. LaPlata County was going to be the lead for that for the! 5 county region.  Ity will: stay regional. New Business: Lana Burns:  Community Connections - 5 county program as well. Serve birth to death, someone who has a Role is to make sure that those with disabilities that are. severe they are trying tol keep people in Biggest need is having enough providers through an agency to provide the home services. Archuleta County Adult about 100> 20-30 people are not: served on our list. Health Dept had an arm that provided that care 8-9 years ago. Visiting Angels do not take Medicaid sO cannot provide services.  disability and also qualifies for Medicaid. their home and not be placed in long term care.  Children birth-18, respite/daycare is high need. There is not a program here in Pagosa Springs. Ac caregiver that was full time could serve 7-81 folks (3 would make al big difference). Some need Sally: What are the qualifications?: state has a program that will train people because it would be al Medicaid fully funded arm. Could be al high school diploma along with state training. Could possibly partner with existing agencies and offer space to house people in AC.  help a couple of hours a week.  Ryan Foster:  Emergency Management related to health department. During the pandemic helped set up One project moving forward would be coordinating and having trainings (table top or full scale field exercise) doing this with EMS and Fire, to help us be more prepared moving forward. ESF 8 exercise; practicing with medical emergencies, including communications going down. Sally questions - gaps that were identified after the pandemic, how did, this all enfold.  testing sites.  Public Health role would be emergency support function 8  Having plans in place.    Derek: AC emergency management was not activated as at fulle emergency site, Public Health was the lead organization, public health ist typically not a lead, but for pandemici it was. Emergency AC phone tree and 24 hour phone support in the beginning as well as testing sites. County did employ part time person to coordinate testing sites and a group of individuals additional people that were volunteers/IPHD. Had a system at the fair Once it slowed down, State paid for the mobile testing and vaccine sites. Sally:wast there a debriefing around what did well, what needs improvement?  management was the support for public health.  grounds for testing.  Derek: Basic, SJBH did their own analysis. We to have a better system to track and help our most vulnerable population, across all emergency management for evacuations, for medical emergencies, others. Identifying transport limited populations. Sally: Volunteer medical core. There are multiple agencies that have lists oft these people: Meals on Wheels, Visiting Angels, Community connections ect, need someone to coordinate those lists and have a person or part time position for some of1 this Ryan: Looking at starting a Citizen emergency response team with Robin at CSU Derek: likely will need support for wildfires with air quality and evacuations. Sally: concerns over communications. going down and the ability to communicate between  coordination.  extension, could be another versatile group.  emergency services.  Derek: there are numerous redundancies in our emergency radios, but fiber cables make us vulnerable. County is has a starlink backup system for when cable goes down. Sally: other gap was that phones were. not being answered. at the Health Department during the  pandemic.  Ashley: Have we received the Emergency plan from SJBPH?  Derek: No, county is in the process of revamping out emergency management plans for Sally: Problem with the Pandemic Response as we hire a medical director what was there perception of the pandemic an what could have been done better. There was tension between what was being done federally and what local response should have been. Andrea: There are teams with the knowledge and the science, does not believe that the county should deviate from the direction at those levels with those resources.  county, but does not really address public health response.  Full Program Analysis: Environmental Health  Tabled until the 26th.  Full Program Analysis: Chronic Disease and injury prevention Sally has thei form filled out, will send to the group  Focusing on risk assessment of chronic disease and behavior management. Lack data on many  of these areas.    First step would bei to collect and analyze data over the next 61 months. SJBPH has an MOU with Axis for behavioral health- -that is something we could also Risk assessments can be done on Chronic disease, there are tools that could be used asa  have an MOU. patient self-report. Look into SAMSHA, grant