WC CWF Health District Board Minutes - 09/08/2017September 8, 2017
vio ita Falls-vviciiha CoomyPublic - k istri L
1700 Third rkl-ur Comftru-muu Rczrm
Wichita FFalls, Texa5
Julie Gibson, D.V.M., Chair Vatari ri- i y
Davitl Cansion, PFI.Lj., vice-CMair Citizen Mt-Large-Uounq
Scott to n Restaurant Association-City
Larry ins; D.D.S Dentist-County
KeitR vvilliamson,. ysici n-City
BOARD MEMBERS EXCUSED ABSENCE:
Robin Moreno, M19A-195A, ACHE,_ oecreiary Citizen t- r -City
Kaye - dist Nurse-City
i is
Lour i I r; R.N., B.S.N. Director of Health
Amy Fagan, M,P.A AssistantDirector of Health
Woodrow W. s , Jr. Wichita County Judge
Mark uchamp Cuunty Commissioner
1. CALL TO ORDER
Dr. Julie i called rd meetirig to order at r ur m w of members was
attained.
II. APPROVAL OF MINUTES AND ABSENCES
Dr. julie GiVuionc Il- r r tMe review nti approval of minuu-ni frume meeting heldFriday July 14, 2017.
z5cou Piowman introuticea a motion to approveERe minULEb-pre5enLed and Dr. - Williamson seconded the
motion. i Me motion passeti unanimously,
/At 65 time it wa,5 noteaMe excubetln f ROOM Moreno.
Cou Kreiffler announcetl Kayen urr s Tormal rat4griation as Of Lillis morning Mat leaves"bilin upon.,
Ill. LOCAL HEALTH AUTHORITY AND ASSOUlAir_,nPrt31rmiffiERia
Lou r i b stated it is time for renewal of the Healthi t®ict c ri ct with Control Texas Medical
Foundatiur Family Health Cariturfor the paultiumu of Health Authority and Associatz; Huzzith Anthurity. Dr
zczer s ct t o Family Health Cuntzr Iritzrim Medicalire, or that serves as the Hualthbt i
e i%-'I Director and HealthAuthority he had filled'the A55ociatu Hualth Authority under the last z ntr ct. Dr.
Ebrahim will serve as theAssociate lth Authority, The ui vru-nued to bu ufficially appointedn r-
r left no reappointment was done wince the Family Health Center was not sur_ what wau t a
motion is nEwdedto cce trs i_4 er ate Health Authorityr. Ebrahim as the AssociateIt
Anthi-irity. Dr. RaM5 intfoduced a motiono approve and Dr. William3m, seconded the motion to approve
appointment r. Szczerba as the HealthAuthority and Dr. Ebrahim as the AssociateHealth thurit e
motion pmziadni c sly.
IV. EAT WELL CAMPAIGN
Amy Fagan began s with every rt-` tiOn with a reminder the Healthis`ri t does what they do and
that it is Louc ieve the HW3khtrice Vi5ion of Healthy Peuple,Healthy Community. The Eat Well campaign is
one of several campaigns that can n billboards,tIviai and radio n yr to focus in on
community n" n. As a HealthDistrict r f Health mumburit provides an abilityto engageit
others v c r Public Health and HealthDistrict icas.
The Strategic I n is important -v the Health' apartment leaders, division heads a eta . A mew process
startud to gather all staff r xi t ly 80 employees together n quarterly. The strategic n
a ruvieuwad as a reminder of the goals with how leaftru h-jp ac iuva t u goals.
Our 'Stratugic Plan:I r to®i s
Goal Foster an organizational culture of ex I nc nti us irmfrovement
• Communication n coordination i in divisionu & programs
• Staff v l - t
Using vl nc intormadon for action
Resource center
Qualityimpruvurnant plan
To "take what is being doneto do it bl-.=I- and look at what focused on to moveforward to achievethe goal.
;gal : Build kn lu u amount community rs and stakeholder rc s ar the vaiue Me nealln
district contributes to Wichitaaunty
To buildl s to help the community know aMout tMe PuBlic liDistrict and IRS worR
beingn r their health it is muchr than jst immunizations, i r z ceffificates and vvIM
Goal Increase useof t c n lc y in improve r zi n' eniciency anti service u lily
Strategy imcludea using ;5uci l media to communicate anengage t i4
In order to reach thu target populations social media will have to u usG t,-, move forward.
Community I Improvement lant (CHIP): Public Hzalth SystemStrategic Goals
Goal 1: Crzu7.ultnru in the community that supports and encourages healthy berlaviors, positive
a ity t yr ra v tivW- h-waith and access to resources for health
5-2-1-0=8 r'u sn
PorVitla Program
mccess to RealEny tootIs
Diabetes r v' i Program t ] and Diabetes- rnt Education Program (DEEP) and
Improved collaboration r diabetes
Teens int Tobacco Use( T ), Fresh, r usu t uucond hand smoke
In the past the Por Vida (For Lifer) carmijaigm wc-,5 u ula ,-r an ezitablishedn Antonio programthat hod
the appropriateuseable i li campaigndid not workit didof ri;-z5onate withl they did not li u
t e logo didnot knowt it meant it was not a good idea but a guud 5ulideffort. A los learned
meeting with the staff to talk over the issues/problems to turn it into a maw campaign that does the same thing
but
i-
ut in a different way. The new Eat Well Campaign focus is un to u ffu or highlight healthy menu optiona at
local r ur ts. The restaurants r c far have providedpositive fiia auk with given intentions
good product. The baoic premj5E of Eat Welli n local t o nts, e3tabli3hrmunts,
supermarkets anywhere food is soldr it them u i E ti SAi;5tiMg menu items that meet' standard
guidelines n criteria raved by the HealthDistrict Registered i ti i s( 's): The RD'3 enter information
into a programs y Registered Dietitians that eliminat7=5ari ur v ritism. Work is doneit
the restaurant to help identify existin items or make change5 to the a i .
+.utt Plowman cloautioned if tha r-czitmarant5 had been Emikedif any of the clientele order tIt y opti-tJM5.
Amy Fagan answered es that is part of it YOU can offer healthy options but it 6 whathe, or not tho5e options
are chosen. reminder is needed Lhat consistent 'integration oy r time from variety of boarcaui. Such as
friend Iks of a fabulous salad, heakhy eating seen on the television or heard on the radio i of mind
Melting into t uultaie of health bwcaaze it ha5 t® aboUL changing the community ttitu .
Eat Well mdvelTising
i elevision
Radio
Billboard (electronic)
- Functionality inclutles business access
grantThe only t t rod st t' Crane vvest was usea `Mat inclucerl a matcMiuenables a
public entity to advertisetHrougn oepiernUer anu OCIODer.
Eat vvell Campaign
Por Vida
Why Eat Well
Parameters
Evaluation
witM local' ®'ic FleakM z>arvices t t grant
jenny L iMe, PuBlici ci li L on Venalt ot tMe programinitial c n uL of establishments
witR iMe guiaeiines,r t rs, antl a racK cart] t r tHe corporate entities responsible t r r not
approvei t is or program. st its Ls interested i _ contract then can submit recipes li
great functionality on tRe weUsiter r tRa Businesses. Once an item hab been approved Jenny goes back with
program jauncM Rit h =1 ss s, LaUle Lents, ti ke r annotationu, coasters, posters and
inTormation pacRet. i Me goal was to Reapit consistency with the campaignoffer something i r n so
it woulu notl tMa same ann` generate some discussionr dialogue.
Engaging I in M3Kinghir Choiceb
FeedbacR Trom restaurants r r in neau
Engaging them while_ t a reataurant
The power of social media
Step t new term r u
1711anging our culture n o tion at a Lime
' Me programsr is to Meip peopleBetter cl-loices or engdge peoplei inhealthier choices.
i Me restaurants t c i i t in Y;v�i r i o fat worked, did nut work, what was liked,
iMai was incorporatea into tHe Eat vveh campaign to ro to change. A new term was learned t
Repeat tMen a Banner WiLM LMe new term's ordered it was all new territory, restaurant that partkJpates i
Eat vvell will Be matured r r a weeR or mumh With1 c n` Of the Step & Repeatbanner in the restaurant for
peopleto taRe selties to MoasL"mL it made a good choice". T t is the engagement piece in a different
vvnen tMe programs nr t rollea out peopte an social i commented how can you say McDonald's is
alt y anywMem you go Lners areOptions. TRaL 6 what we try to show andsa rs to do as in the
511113oarus,' Me logo ot L e Business, Haakh DibviCL, Health Coalition, and Eat Well are shown to imizurage
palTicipadon Because it is an enuorsernam in bome ways.
Evaluation Fqaxt ZiLOP5
- Database contains s i ili i (restaurants anti su r r ts)
Currently have 11 restaurants (23 locations) fully participating and 14 t15 l c i ) coming n<
Challenges- Menu/kem selection type of i (entr6e vs. side)
mookional weUshe components
Integration by other community partners
There r restaurants it nr s that do not meet tRe criteria r no not want to suBmii recipes to meet tMe
lzriteria.
Dr. Rains asked what is the criteria.
Scott I a if it wau t calories.
Amy Fagan reuponded that it is a mixof thing.; calories, r t, sugar, sodium. One entr6emust
have less h n 700 calories, l ss than 8 gramssatomtzd fat, 0 grom5 of trana fat, hydrogenated or partially
hydri-igunatud oils; less than 750 milligram5sodium not fried. Part of the challeng7. waa thuungmr add-
ins ando t r modifications fur racipUs, additional zritari it ;5um-w secondary items aFe shzwn on tz;
general guidelines. On the campaign in the future i n is to work with establishmentsto add a kid'scu t
a: -i � - • a r� 'i - f
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Dr. Gibson askEid if there was anything that explains ghat the chemical names are.
Amy Fagan replied no the standard generally ame is if you cannot r c it you should not eat it.
Hand s T Campaign
-Increasea ®I Illnesses
Keep it simple n little sill
a inui most common touch surfaces
Added "bathroom .cards"
Supported y EPI Giant funding
Hand washing is a fun campaign it high GI ill es it was discussed in tiny why in the worldnot
keep it simple go backuur roots l ut hand washimgi the ;realization o n puzple do not
wash their hands. Crame West was used to conceptualize the idea of a germ n in a fumto remind
peoplell those things touched arefull of germs do not forget to wash y r handu. it i simple to washo r
hands and the number one way to prevent thr-.y spread of disease. Campaium hmndouts created r the Germs
Are y, soaps, bathroom cardzi and the slime concept on how gross ; oru. The campaigns commercial
concept wao pru3umtudin the right way cute, fun andsilly hupefully it resonates withl to remem5er t
wa5h theirs. >The downsideis not to knowimpact 7,f the ccrnmercial not know if people arecManging
their behaviors. At a differenttin® with>Crane Wz3t he said that withthe n wasMing campaign i
not realize it but his wife came in mmd saiut to washr hands she han rememBeren irle nasty germ
hand so will just have to rely on th;; ftudback thurs i no way to evaluatectiv n ss.
Stroke r n
Identifying a need and using existing campaign
Target aadience idendfiCaLion
- t V, Raft, Sifiboartl
Support by Texas Healthy Communities funding
Stroke r n ss is the rociss Elue to a MigMrate T stroRe in ift community Ene campaign t live lost
it iss onic i t *_ manypeople Rave ine signs ana symptoms t say it will Be oRay. ct t srcall - I ®' or
get t to tMe Hospital for care - i l attention immetliately Lnen Erie severities n n iG Be less.
Dr. ®i s n Wen Mow i st is fast Because irle ER int real r st so is it Better to go to your noctor or the EIR.
Lin vvilliams answereat tMe t=R t h tMarn you tMinit you arevin btroKe tMey will activate their Stroke
r earn you will get a speciaj protocol evaluation anti it is Just liKe coor to cam lall time r r Mearl aLLUCRS.
/Amy Fagan saia irle Bilffloaras EMe zsiroRes ci tin Mao Monssaia AnK FiAo r WiLn no explanationf what
Y meant witM me campaign it ' s ci to actuallyx l In wflat Fmo ' meant. TRe target i s in
iMe community I as ine nationalaverages is in irle Mispanic anti -%irican-mmerican Population with
MigMer rate f strolte. I Me OeCi5ion was to focus in on Erie Mispanic zipeaRing papaiation tnrOUgfi Lelevitiion,
ratlio ant]ill o s irlai was noneit i exas Healifly CommunitiesT n s.
c n: rlowman sRel3;3o people actuallyn ifley arevi tr
Dr, vvilliams replietl no out tnere arecertain symptoms.
ou Kreintersi your aware someirling is going on, you Rnow you Uo noueelri t.
Coming n .... Community Clinical Health Bridger ; ct'(C rt
Engaging community
sing/im provingT to improve pati nt concerns
• t rue: expanaing mo0al, partnersi'lip witn staounts teacRing classes
Y Fagan explainea Erie Community Clinical l` ri - Froject tip r) wa5 i grant recalvatl ouk of 5 or
Fleanrl Districts in i exas t t EaRes wMaL tMe Districtn s Been t1oing antir t LMe last of 3 years
it proviaes some nollarsto Ouilu on wMat Mas Been Oone. iMe logo is 'EivE uv " t sit
li b i h unty. v t It y Eating mcdv ivi s- iu Tirst r to is " s ion it
s aMout wno Coes wnat, - s wrier classes, wMo nas wriat issues, wMo Mas wMat resources t l
around the room whom werein tRe same ministryno idea wMatt t offered, s exampletne v
offers the silver sneakers pro5ram. andthe Boys mnd Girlsl rogr-.m aimed at kidsr risk y
did not kn-.w 7,f the othzr3 programs end wap5 tu ruf,.-r. i ;;ar thuy arecz;ting bout they aret
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Eou Kreitlier spoRe witflMe Boam on Me i anoo ortlinanceint was revisell several years ago. 3nec i
an it Mat announcea Me MPEC was to Maven nu srlow over several rJays wiLMlive tattooing
wRicB is illegal accortling to Me orainanceit Elisallows tRose types ot temporary nts. In turn sHe emailet!t
City Manager ann got Me ffirectiveto maRe it worR so tnat tMey can ao tMe sMow., iiere, I
options to eitMer no a variance r r a one-timeevent or revision to Lne orainance.c ri it, done it
opens Mai ocor - r more ant] more it wouja Be a constant variance, revision to Me ordinanceI t rules
anti requirements i I n set iees as to meet t- ti'l anti uaiety requirement as wiLh the temporary
T000 events.
Mr. mains `expressea concern al5out LrIe st rili tinru, s . He was a Boardmember with the previous
t autoo oruinancerevision.
Lou Kreither respondetl requirememb will be Put in place to insure it is safe for the public. The Statc- 11 s the
eventeventb in oLher areas across the Stateo the intention 6 to review their requirements. c goal is to have
ordinance revision pri r to Lhe neALmeeLing so thii Boardcan vote on a recommendation to present
City Council meeting.
V. NEXT MEETING DATE
Friday November 10, 2017to s the next meeting date.
V1. ADJOURN
Dr. Julie Gibson adjourned the- meeting_ t
gutie Uiuson,, v.wr., Cnai-r pavid Cansron,t'-mu-, vice-U aft' or riovin moreno.. mn7m-r7SR,mQ.HEi
un.r.P.m.- vn.r. ..
Ck -C tarry z3oaru