Loading...
HomeMy WebLinkAbout_Signed Joint Meeting Minutes 01-30-17ARLINGTON Public Schools Skagit Regional Health Skagit Valley Hospital • Skagit Regional Clinics SKAGIT REGIONAL HEALTH BOARD OF COMMISSIONERS CASCADE VALLEY HOSPITAL BOARD of COMMISSIONERS ARLINGTON CITY COUNCIL, and ARLINGTON PUBLIC SCHOOLS BOARD of DIRECTORS January 30, 2017 — 6:30 p.m. Byrnes Performing Arts Center —Arlington High School CASCADE Hns�riral VXLEY anti Claus The Skagit County Public Hospital District No. 1 Board of Commissioners, Snohomish County Public Hospital District No. 3, Arlington City Council, and the Arlington Public Schools Board of Directors held a joint meeting on January 30, 2017 at the Byrnes Performing Arts Center —Arlington High School, 18821 Crown Ridge Blvd., Arlington, WA, to discuss matters of mutual interest. Skagit County Public Hospital District No. 1 hosted, and Cascade Valley Hospital VP of Operations, Jola Barnett, called the meeting to order at 6:30 p.m. The Pledge of Allegiance followed. Skagit County Public Hospital District No. 1 approved the agenda as proposed. Jola Barnett then welcomed all who were present and asked attendees to introduce themselves. In attendance: Skagit County Public Hospital District No. 1 Commissioners: Peter Browning, Jim Hobbs, Bruce Lisser COO: Jim Geist Snohomish Countv Public Hospital No. 3 Commissioners: Dr. Tim Cavanagh, John Meno Administrator: Clark Jones Arlington Public Schools Board Members: Ursula Ghirardo, Bob McClure, Jim Weiss, Kay Duskin, Dr. Jeff Huleatt Student Advisor: Edward Radion Superintendent: Dr. Chrys Sweeting Citv of Arlineton Council Members: Debora Nelson, Marilyn Oertle, Chris Raezer, Jesica Stickles, Sue Weiss, Mike Hopson, Jan Schuette Mayor: Barb Tolbert City Administrator: Paul Ellis Also present were Skagit County Public Hospital District No. 1 staff members Jola Barnett and Michelle Sand; Snohomish County Public Hospital District No. 3 staff member Ardis Schmiege; Arlington Public Schools staff members Gary Sabol, Mike Johnson, Kathleen Ehman, Deborah Borgens, Eric DeJong and Julie Davis; City of Arlington staff member Heather Logan, City Attorney Steve Peiffle, members of the Snohomish County Health District, North Snohomish County Outlook, and several other members of the public. GENERAL UPDATES Historical Recaa of Joint Board Activities — Paul Ellis Paul recapped some of the joint efforts including building the High School and Presidents Elementary, the Pioneer Elementary ball fields, community classes at Weston (City and School District); ambulance services, hospital project 2004 — 2005, hospital expansion 2010 (City and Hospital District); and many additional joint projects between the City, School District and Hospital District including employee training, emergency management, purchasing, BPAC construction, snow removal, crack sealing, parking lots, IT departments, computing, recycling, fire extinguishers, wetland project, shredding, and the OSO land slide. Clark Jones mentioned how valuable these relationships have been over the years, especially during the hospital expansion and the Oso aftermath. He strongly encouraged Skagit County Public Hospital District No. 1 to continue to participate in joint activities. General Legislative Roundtable: Public Hospital District No. 1, Skagit County —Jola Barnett Jola reported on the proposed cuts to the Governor's budget including cutting payments to hospital - based clinics and making significant investments in behavioral health funding. Some clinics operated by hospitals receive additional income through hospital -based status. Many of these clinics are the main or only source of specialty services for Medicaid and Medicare enrollees and, in some communities, a main source of primary care as many private practices limit the number of Medicaid patients they see. The Smokey Point Clinic, Darrington Clinic and the CVH Wound Care program could be affected by the cuts. The proposed cuts threaten access to these services and, if access is compromised, patients may turn to emergency departments or delay treatment which drives up the cost of care. This budget envisions a significant shift in the delivery of treatment by moving patients out of the state hospitals and into smaller facilities across the state. The budget includes $2.6M in funds to create nine 16-bed treatment facilities and an additional $72M in state funds to go toward adding 60 new supportive living beds, adding more than 300 new long-term beds such as in adult family homes, assisted living facilities, skilled nursing facilities, enhanced service facilities and supportive housing. All of this will be beneficial to acute care hospitals needing to discharge complex patients. The budget proposes about $1M in state funds to combat the opioid epidemic and continues the Safety Net Assessment providing a significant level of care to low-income, uninsured and vulnerable populations and approximately $13M in new appropriation authority of non -state revenue for infrastructure replacement, operational improvements and outreach for the Washington Health Benefit Exchange. Public Hospital District No 3, Snohomish County —Clark Jones Clark reported that although the District no longer operates the hospital and clinics, they still have a strong interest in the community. Clark is currently working part time and Ardis Schmiege is the person running and managing the day-to-day operations. The District has relocated to the Whitehorse building and they will have new email addresses soon which will be communicated as appropriate. A Board Retreat was recently held where the role of the Board was discussed. PHD No. 3 Board Chair Tim Cavanagh - Running a small hospital in the current environment is tough. The goal of the Board was always to insure Arlington has health care for the long term, thus the affiliation with Skagit Regional Health. The Board wants to stay actively involved in Arlington. The Board members, as well as Clark and Ardis, and CVH Foundation members Kay Duskin and Jim Rankin all participated in the recent Board retreat. Discussion centered around identifying services that could be provided including mental health, drug addiction, community education and diabetes education. The Board intends to work closely with the Foundation to help fund these services and a mission and values statement is currently being developed. There was recently a meeting with the Resource Manager for Snohomish County to identify smaller programs, what may be needed, what is the fit, areas for immediate impact, etc. The Board is excited to continue to be an active player in the health of Arlington and welcomes any input, ideas, etc. City_ of Arlington — Paul Ellis Paul turned the floor over to Mayor Tolbert. Barb stated this has been an interesting legislative session with big items to deal with. The city plans to take a protective stance regarding housing and mental health. Awaiting the McCleary decision. Protecting shared state -city partnerships through shared revenue sources. Working with a lot of others to secure funding for SR 530 improvements and the expansion of SR 531. Advocating to expand educational opportunities through AMTEK into Arlington. Resiliency efforts continue to support additional funding to expand the Law Enforcement Academy. The City is not finding a pool of experienced law enforcement officers and is having to train their own. Sharing in the state revenues for liquor and marijuana sales; the state budget is just under $1M. The City opposes any unfunded or underfunded mandates. Supports the modernization of the Public Records Act, which hasn't been updated in 40 years, to include charges for complex digital data and for an alternative dispute resolution system. Arlington Public Schools — Dr. Chrys Sweeting There are big education topics and bills to support and enhance career technical education (CTE). There is legislation, Senate Bill 6455, to mitigate a teacher/educator shortage, which includes expanding alternative certification routes and an emergency certification process for substitutes. There are bills to address statewide minimum standards and training for paraeducators but the question is "How will this be funded?" HB 1059 was adopted by the House to delay the Levy Cliff one year until 2019. The levy cliff is the 4% reduction in levy lid from 28% to 24%. Legislators are working on how to fund public education. The McCleary v. State lawsuit was filed in 2012. The Supreme Court upheld in 2012 that it is the paramount duty of the State to fully fund basic education. Dr. Sweeting read a statement from Carter McCleary that has been published in several newspapers. Carter, who was 7 years old when his family filed the lawsuit, is now a senior at Chimacum High School. He expresses his frustration that this is taking so long and hopes legislators won't delay any longer. 3 Innovative Student -Focused Priorities — Dr. Chrys Sweeting/Kathy Ehman A PowerPoint presentation was reviewed and included: Current Innovative Student -Focused Programs including home -based partnerships; on-line learning; project -based learning; the Advanced Manufacturing Training and Education Center (AMTEC) at Weston High School; development of FFA leaders in the agricultural industry; technology; robotics; Presidents Elementary students' visit to the mobile Seattle Children's Science Adventure Lab; and the Sno-Isle Tech Skills Center opportunities. The Board is also considering the Open Doors Youth Reengagement Program for next year. The program will provide opportunities for those students 16-21 who dropped out of school or have a credit deficit to get them ready to take the GED or earn enough credits to graduate. Hospital Update —Service Line_ Development —Mich - elle Sand Michelle introduced Jim Geist, the new SRH Chief Oerations Officer. Jim stated he is impressed with both hospitals. The culture at CVH is amazing. It is a beautiful facility and has a family like atmosphere. He is looking forward to assisting with growing services in the community. Michelle reported on the EPIC implementation. EPIC is the electronic medical record being used by most hospitals along the 1-5 corridor and once implemented will allow for access and communication across these facilities. The go -live target is October 1. There are currently two main service line projects — Orthopedics and Obstetrics & Gynecology. Locums have been providing Orthopedic services to cover for providers that have left and are actually producing higher volumes. We are hoping to "land" a couple of these Locum providers to become permanent. We are excited to implement a mid -wife program with two midwives on staff. We are also partnering with SRH for a cardiologist who visits CVH a couple days a week. Also looking at partnering for primary care, endocrinology and urology. We have been meeting with the group building the new Smokey Point Behavior Hospital to form a good relationship and are very excited about this collaboration. Economic Development — Barb Tolbert/Paul Ellis Retail focus efforts are going along at a good pace. Looking at infrastructure for retail development. Also working on a gap analysis to determine what's missing and we are in the beginning stages of developing a marketing plan. Looking at housing and population growth and focusing on creating more diverse housing opportunities. Growth creates jobs and we want to make sure we can create space for employers as well as providing housing, including smaller housing units. Areas we can work together include health and human services and public safety. Recently participated in a four-hour poverty simulation. The unique stresses of homelessness, mental health and drug abuse issues and restricted choices affects kids in schools, emergent care, etc. We can have a bigger impact on these issues by all working together collectively. Heather Logan stated the City has received a small grant from the United Way and they are working with a Consultant with the Everett Community Streets Initiative. Arlington has a high level of challenges including homelessness, drug addiction and mental health issues. The consultant is developing a list of questions to get the right answers for what is best provided in Arlington and a list of key partners regionally. The consultant is talking to people, touring homeless camps, etc. The goal is to report back to the City Council in June or July and present the data to make informed decisions for the 2018 budgets. Any questions or suggestions can be directed to Heather. Together we can come up with better community action to try to resolve our issues. 4 General Announcements Barb reported there are three more months in the "America's Best Community" competition. She thanked all of the partners that have participated. The final competition will be held in April in Kirkland.. Commissioner Bruce Lisser asked about the homeless issue and the behavioral health and housing components. Response was we are working to inform ourselves in order to determine the right approach. Housing Hope has locations in Everett and Smokey Point. Numbers are estimated to be 246, but we are waiting for numbers from the county. Adjourn The meeting was adjourned at 7:28 p.m. The next meeting is scheduled for October 30 and the School District will host. Dr. Jeff WGIAW President Arlington Public Schools Board of Directors Ms. Barbara Tolbert, Mayor City of Arlington Mr.ArL/e Lisser, Board Secretary Skagit County Public Hospital District No. 1 Board of Commissioners Dr. Chrys eeting, Superintendent Arlington Public Schools Mr. Steve Peterson, Board Secretary Snohomish County Public Hospital District No. 3 Board of Commissioners