WC CWF Health District Board Minutes - 05/20/2011WICHITA FALLS - WICHITA COUNTY PUBLIC HEALTH BOARD MINUTES
May 20, 2011
Wichita Falls- Wichita County Public Health District
1700 Third Street - Parker Conference Room
Wichita Falls, Texas
MEMBERS PRESENT: Board Members
Bryan Press, Vice Chair
Robin Moreno, M.T., Secretary
Clay Clark, D.V.M.
Tracy Hill, D.D.S.
MEMBERS ABSENCE EXCUSED:
Richard Sutton, M.D., Chair
David Carlston, Ph.D.
Lauren Jansen, Ph.D.
Lou Franklin, R.N., B.S.N.
Amy Cone, M.P.A.
Ahmed Mattar, M.D.
Kevin Hugman
Dorothy Roberts -Burns
Ray Gonzales
Director of Health
Assistant Director of Health
Health Authority
Assistant City Manager
Council Liaison
County Commissioner
I. CALL TO ORDER & INTRODUCTIONS
Vice Chair Bryan Press called the Board of Health meeting to order at 12:15 pm after a quorum of members
was attained.
11. APPROVAL OF MARCH MEETING MINUTES AND ABSENCES
Bryan Press called for the review and approval of minutes from the last meeting held on March 25, 2011.
Dr. Hill introduced a motion to approve the minutes as presented and Robin Moreno seconded the motion.
Motion passed unanimously.
At this time it was noted the excused absence of Dr. Sutton, Dr. Carlston, and Dr. Jansen.
III. STRATEGIC PLANNING & ACTION IN PUBLIC HEALTH
Amy Cone, Assistant Director of Health, gave a presentation that provided an update on the previous
strategic planning and action in public health topic. She reminded the board of the vision of the Health
District, which is "Healthy People - Healthy Community ", and the mission of prevention, promotion,
protection. The plan of action that was discussed at the late presentation was to release and discuss
results of the National Public Health Performance Standard Assessment Initiative and to form a health
coalition.
Mobilizing for Action through Planning and Partnerships (MAPP) is a strategic process used to identify
activity and action to make improvement in our public health. This is done by identifying and engaging
community partners to address community issues. This approach uses the public health system to develop
and implement universal goal, objectives and outcomes. There are four assessments that are integral to the
MAPP cycle: the local public health system assessment, community health status assessment, the forces of
change assessment and community themes and strengths assessment. The first assessment was
conducted in the summer of 2009, and the data from that was used to identify gaps. The primary issue
identified during that process was the lack of a community health assessment. Dr. Harlow, a professor at
MSU, who facilitated the first assessment prepared a community health assessment that examined a variety
of data and information regarding Wichita County. The report was distributed in early May to key leaders in
the community, the media and was posted on the Health District's website.
Ms. Cone reviewed the information presented in the Community Health Status Assessment, which include
health outcomes, health factors, health behaviors, social and environmental factors and the physical
environment. She reminded the board that there were some things to consider when reviewing the report,
such as that there are limitations associated with the data that was gathered and that not all factors were
researched and included. A summary slide was presented detailing the key health status areas: premature
mortality, morbidity, health behavior, clinical care, social /economic, physical environment, and unsafe sex.
The chart included how Wichita County compared with other counties in Texas. One area (clinical care)
exceeded standards /national target values, and the rest were reported as not meeting those standards.
Health Outcomes are measures of how healthy a county is and some of the factors associated with
premature death were discussed. A key concern was the reporting of poor mental health days and poor
physical health days, as self- reported by those studied. Health Factors are various things that influence the
health of a county. Health Behaviors are things that may affect the overall health and well being of the
population. Activities such as alcohol and tobacco use as well as unsafe sex were discussed. Also, the high
rate of clinical care available in the county was discussed. The high rate of Chlamydia and gonorrhea cases
for Wichita County was reported and the rate of incline over the past seven years was noted as troubling.
Data regarding the physical environment, including access to healthy foods and liquor store density, was
presented and discussed.
Next steps were presented to the board. The community themes and strengths assessment and the forces
of change assessments will be completed in the next year. Information gathered from all four assessments
over this period of time will be used to make strategic choices regarding activity and direction. Community
leaders in health will be brought together to discuss these various topics. Ms. Cone discussed the voluntary
accreditation process that is new to public health. The Public Health Accreditation Board has just finished
the beta testing process and will be releasing the final information, including fees and requirements, soon
for health departments at all levels (local and state) to decide if they want to participate in the accreditation
process.
Board members were asked to e-mail or call Ms. Franklin with any suggestions or comments on the
proposed changes to the ambulance ordinance. The final ordinance revision will be presented to the board
at a later date for final comments and recommendations prior to being presented to the City Council.
IV. NEXT MEETING DATE
June 24, 2011
V. ADJOURN
Bryan Press requested a motion to adjourn. The motion was made by Dr. Clark and seconded by Robin
Moreno. The motion carried and the meeting was adjourned at 12:45 p.m.
Richard Sutton, M.D., Chair, Bryan Press, Vice Chair, or Robin Moreno, M.T., Secretary
Public Health Board
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