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Tacoma‐Pierce County Board of Health
Study Session – 07/21/2021 Page 1 of 1
Study Session Agenda July 21, 2021 3‐5 p.m.
Remote Attendance Only Dial in: 253 215 8782 Passcode: 575390 Meeting ID: 992 6138 9468
I. CALL TO ORDER
II. ROLL CALL
III. COVID‐19 Update
[Anthony L‐T Chen, Director of Health] [Kejuan Woods, COVID‐19 Response ‐ Deputy Operations Chief]
IV. COVID‐19 Budget: Response and Recovery
[Christopher Schuler, Finance and Operations] [Stephanie Dunkel, Communicable Disease Assistant Division Director] [Benjii Bittle, Business Development Manager]
V. 2020 Pierce County Community Health Improvement Plan (CHIP): Community in the center
[Karen Meyer, Community Health Assessment Coordinator] [David Reyes, University of WA‐Tacoma, School of Nursing and Healthcare Leadership] [Troy Christensen, Rainbow Center]
VI. Executive Session
VII. Adjournment
3629 South D Street, Tacoma, WA 98418Board of Health Clerk, (253) 649‐1502
Board MembersChair, Derek Young
Vice Chair, Catherine UshkaKeith Blocker
Marty CampbellBruce Dammeier
William Hirota, MDPatricia Johnson
Dave Morell
COVID-19 Update
Anthony L-T ChenKejuan WoodsBoard of Health Study SessionJuly 21, 2021
AgendaCOVID-19 response.
• Updates.
• Transition planning.
• Questions.
Task Force Story Board
Vaccination data PC WA State
Total residents fully vaccinated.
45% 51%
Total residents with at least 1 dose.
52% 56%
Residents 12+ with at least 1 dose.
62% 66%
Roadmap to Recovery data Trend
Cases per 100k, 14 days .
66.9
Hospitalizations per 100k, 7 days .
2.9
Outbreaks Trend
Schools 1
Businesses 17
Data updated: July 16, 2021
Actions from prior meeting
• School-based clinics in motion.• Addressing communication needs for those on the fence about vaccine. • Seeing incentive options.
Notable areas of interest
Data trends
• Majority of hospitalizations 50-64 yrs. and non-vaccinated. • School outbreaks negligible after summer break began.• Case rates are relatively low but increasing. Fife, Lake Tapps, Bonney
Lake, Frederickson have the highest rates.• Vaccination rates held steady from previous week among racial/ethnic groups.• Total vaccine coverage in Communities of Focus is low but weekly uptake
outpaces county average.
Equity issues and disparities
• Black and Latinx vaccination rates lagging county average but not getting worse.
• White vaccination rate both lagging and slowly declining.• Black cases are recently increasing.
Areas with low vaccine uptake
• Spanaway, Parkland, Lakewood.• Rural areas in South and east County.• Communities of Focus: Springbrook and White River lowest among COF.
Key observations
• Rural white populations remain highest for being on the fence about vaccine; groups with highest risk often have the lowest vaccination rates.
• County faith leaders and business continue to engage and mobilize to promote outreach and vaccine uptake. Trusted messengers continue to promote vaccine through personal stories about their own vaccine experiences. Leaders are mobilizing to share messages, ideas, and opportunities for outreach.
• Hospitalization percentage among COVID-19 cases continues to be between 8-10%, higher among unvaccinated and older age groups.
Transitions and Recovery• Goal 1—Department recovery: Internal focus on staff and
Department services moving out of full response.
• Goal 2—Community recovery: External focus on community recovery from COVID-19 effects and how our Department will respond.
Navigating Change
(Effort divided by Value is greater than Resistance to Change.)
VE RC
Response and Recovery PlanningQuestions for discussion:
• What do you see and hear from the community about recovery?• What do you hear from community members about needs?
• What core public health focus areas should we prioritize?
• Where do you envision we will be as a community at the end of the recovery process?
Questions?
COVID-19 Budget:Response and Recovery
Chris SchulerStephanie DunkelBenjii BittleBoard of Health Study SessionJuly 21, 2021
Agenda
• COVID-19 response and recovery.
2020 response costs • $69.5 million.• Pierce County and
Health Department.
• CARES—$68.6M.• FEMA—$693k.• State and other—
$170k.
• Contact tracing.• Testing.• Isolation and
quarantine.• Public education.
2021 response costs
• Vaccine clinics.• Contact tracing.• Community engagement
and public education.• Back-to-school testing.• Data and reporting.• Flu immunizations.• Isolation and quarantine.• Continuity of operations.
2021 response funding
• Federal (through state).• FEMA.• State.• ARPA.
• Federal (through state).• FEMA.• State.• ARPA.
Currently projected at $72.2M.
Budget update• 2021 estimated response costs
$72.2M.
• State: 1.4M
• Federal (through state): $27.4M.
• Potential FEMA reimbursement: $30M.• DOH process and agreement
requirements.• Reimbursement pending eligibility.• Large dollar amount agreements.• Multiple risks affecting
reimbursement.
• 2021 funding gap: $14.8M.
72.2
421.55
27.4
1.4
30
2021 RESPONSE EXPENSE
PROJECTION
ANTICIPATED REVENUE
FEMA
State
Federal
PC ARPA
TPCHD Flex
Pierce County
Existing ARPA proposals
Department recovery.
Youth resilience.
Racism response.
Family Resource Centers.
Additional needs
Response.
Recovery.
COVID-19 recovery needs
Strategic Initiatives:• Health Equity.• Racial Justice.• Healthy, Resilient Children and
Youth (HRCY).• Community behavioral health
and wellbeing.• COVID-19 and other
communicable diseases.
COVID-19 recovery needs proposal examples
• Ongoing vaccine support, disease investigation and reporting.
• Community engagement.• Support partners’ initiatives.• Outreach to rural residents,
communities of color.• Behavioral health.
• Family Resource Centers.• Increased fentanyl deaths.
• Restaurant fee waivers.• Facility capital improvement
needs.
2020 Pierce County Community Health Improvement Plan (CHIP):Community in the center
Karen Meyer, Community Health Assessment CoordinatorDavid Reyes, UW Tacoma, School of Nursing and Healthcare LeadershipTroy Christensen, Rainbow Center
Board of Health Study SessionJuly 21, 2021
Our plan for you today
• CHIP refresher.• CHIP priorities and strategies.• Community engagement strategies during COVID-19.
Create Vision.
Assess.
Identify priorities.
Formulate goals and strategies.
Plan, implement,
evaluate.
CHIP process
What will we do? Why will we do it? What will improve?• Assess community
health.
• Develop priorities for action.
• Help identify strategies to address priorities.
• Share our results with the community.
• Learn the needs of communities.
• Build public trust.
• Public Health Accreditation requirement.
• Community health.
• Use of community-driven priorities for decision making.
• Use of policy, system and environmental changes to address priorities.
The results we’re looking for
Who we heard from
Turn priorities into action
• Communities identify what is important to them.• Have access to adequate resources.• Build partnerships. • Make relevant decisions.
• Policy, systems and environmental change promote wellbeing.
Communities identify what’s important
• Communities of Focus:• Testing sites.• Need for and distribution of personal protective equipment.• Information dissemination.• Mobile vaccine clinics.• Participatory policy-making polling.• Listening sessions.
University of Washington TacomaBSN Community Assessment Practicum
Communities of Focus: COVID-19 effects
• Key findings: • People living in COF need more physical, mental health and
financial assistance.
• Recommendations: • Assess needs. • Build bonds between the Health Department and COF. • Provide resources.
Community benefit strategies• Social and environmental
development of urban green spaces.
• Accessible high-speed internet.• Community health information
resources.• Behavioral health services access
for youth and young adults.• Routine behavioral health risk
screening for school-aged youth.• Youth-oriented care coordination
from an acute setting to home-based management.
Policies, systems and environments promote wellbeing
• Participatory policy-making pilot.
• Existing data sources.• Community voice.• Evidence-based
policies.
Local government policy collaboration
Objective: Diverse representation on City of Tacoma and Pierce County volunteer and appointed boards and committees.
Demonstrates Health in All Policies.
Multiple community partners.
Community voice at the center
Intentional engagement. 1. What opportunities do
you have for engaging constituents?
2. How do you listen to the needs of the community?
3. How can we help?
Recommendations.
Actions.
