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Agenda
Please note: all Public Health Advisory Council and committee meetings are recorded. By participating in the meeting, you agree to be recorded.
Group Agreement
- Meetings are meaningful, action focused while making time for follow-up and further analysis.
- Stay on point and on time.
- Don’t stay confused – ask for clarification, avoid acronyms.
- Address the problem, not the person, be respectful.
- Assume best intentions and recognize impact.
- Move up and move back accordingly. Recognize that it can be just as challenging for someone to step forward as it is to step back.
- Bring respectful passion to the meetings.
- Learn from previous experiences and focus on moving forward. Slow down to support full participation by all group members.
- Stay engaged, speak your truth, and hear the truth of others.
- Expect and accept non-closure.
- It’s ok to experience discomfort.
- Acknowledge intent.
- Remember our interdependence and interconnectedness and share responsibility for the success of our work together.
- When speaking introduce yourself and if referring to a comment in the chat, share the content of the chat.
| Topic/Objective | Motion/ Vote | Presenter | Time | |
|---|---|---|---|---|
| I. Call to Order | Welcome to PHAC members and visitors | NA | Co-Chair Smith | 5:30 – 5:32 p.m. |
| II. Introductions & Ice Breaker Acknowledge group agreements | Activity to get better acquainted | NA | Co-Chair Knox All participate | 5:32 – 5:47 p.m. |
| III. Public Input | Public Input | NA | Co-Chair Knox Public | 5:47 – 5:53 p.m. |
| IV. Agenda approval | Are there any additions to the agenda? | X | Co-Chair Smith | 5:53– 5:56 p.m. |
| V. Minutes of Feb 10,2025 meeting | Review minutes from previous PHAC meeting | X | Co-Chair Smith | 5:56 – 5:59 p.m. |
VI. Director’s Report
| Inform PHAC members on relevant CCPHD issues | NA | Kim La Croix | 5:59 – 6:14 p.m. |
| VII. Strategic plan | Review and approve strategic plan | X | Marco Enciso | 6:14 – 6:34 p.m. |
| VIII. Immunization / school exclusion | Learn about school exclusion results | NA | Bridget Abshear | 6:34 – 6:54 p.m. |
| IX. QMHA Pilot Program | Share update on pilot to address workforce shortage | NA | Co-Chair Smith | 6:54 – 7:04 p.m. |
| X. 2025 Legislative Session Update | Learn about legislative updates | NA | Armando Jimenez | 7:04 – 7:19 p.m. |
| XI. Call for new business | New topics/issues brought forward by members Meet in person in June? | X | Co-Chair Knox | 7:19 – 7:29 p.m. |
| XII. Wrap-up and Adjournment | What would you like to learn more about? | X | Co-Chair Smith | 7:29 – 7:30 p.m. |
| Future Meetings | Time | Topic | Location |
|---|---|---|---|
| June 16, 2025 | 5:30 – 7:30 p.m. | Data presentation on heath inequities | Virtual |
| August 18, 2025 | 5:30 – 7:30 p.m. | Approval of Health Equity Action Plan | Virtual |
| October 20, 2025 | 5:30 – 7:30 p.m. | Virtual | |
| December 15, 2025 | 5:30 – 7:30 p.m. | Virtual |
Minutes
| Topic | Objective | Motion/ Vote | NOTES |
|---|---|---|---|
| I. Call to Order | Welcome to PHAC members and visitors | NA | Chair Smith called the meeting to order |
| II. Ice Breaker & Acknowledge group agreements | Activity to get better acquainted | NA | |
| III. Public Input | Public Input | NA | No public input |
| IV. Agenda approval | Are there any additions to the agenda? | X | Darcee moved to approve the agenda; Christine seconded. Motion passed. |
| V. Minutes of Feb 10,2025 meeting | Review minutes from previous PHAC meeting | Michelle moved to approve the minutes; Mimi seconded. Motion passed. | |
| Inform PHAC members on relevant CCPHD issues | Kim provided an update on federal policy changes and their impact on Clackamas County Public Health. There has been significant downsizing at the HHS, including the elimination of several key offices, which will likely have widespread impacts on public health funding and infrastructure. Clackamas County was fortunate to have spent all of its COVID-related funding, avoiding the need to return any money to the federal government. Kim also highlighted the county's efforts to provide guidance and support for staff in immigration enforcement situations. | |
| VII. Strategic plan | Review and approve strategic plan | Marco, Performance Management Coordinator, returned to present the final Public Health Strategic Plan and asked the PHAC for a letter of support for Public Health Accreditation. He highlighted the values, voted on by staff (accountability, adaptability, collaboration, connection, and equity). The plan aligns with the department's strategic plan and public health modernization. Implementation teams will implement the strategies. Question: How do you measure success? Response: While there are no metrics, there are completion dates and an annual report to hold ourselves accountable. Question: Is there potential for challenge from the federal government since the plan is rooted in equity? Response: No, the strategic plan is not federally funded and Public Health is committed to this important work. Darcee made a motion to approve a letter of support for the strategic plan; Savannah seconded. Motion passed. | |
| VIII. Immunization / school exclusion | Learn about school exclusion results | Bridget, Immunization Program Planner, presented school exclusion results for the 2024-25 school year. She highlighted the mobile vaccination events held at the Clackamas Education Service District Office and the Clackamas Free Clinic, which aimed to help students access vaccines before the school exclusion deadline. The events were well-received, with 73 patients seen across both events, and 184 vaccines administered. Bridget also noted the importance of connecting families to ongoing care. Bridget discussed the school immunization process, highlighting that the most frequent reasons for non-vaccination were the event being free and the child not having a regular doctor. She also noted that the process was helping families overcome common barriers to accessing childhood vaccines. Bridget reported that 323 schools and childcare facilities participated, with 70,000 children enrolled. 1,671 exclusion letters were mailed, with 227 students excluded on Exclusion Day. Bridget also discussed the process of non-medical exemptions, noting that the proportion of families claiming a non-medical exemption was rising. Bridget presented the trend of non-medical exemptions for vaccinations in schools, noting that if the trend continued, the overall school protection rates would drop significantly. Data on Clackamas County's kindergarten non-medical exemption rates over time, showing an increase to 11.3% in 2025. Bridget also highlighted the percentage of kindergarteners with non-medical exemptions for all vaccines, which was 6% in Clackamas County. The majority of students in Clackamas County were getting at least moderate protection from community immunity, but there were students attending smaller, tight-knit schools that were at greater risk. Question: Is there a way for people to sign up for insurance? Response: yes, future vaccination clinics will connect kids with OHP. Question: To what extent are SBHCs involved in school exclusion? Response: students 15 years of age and older can consent for their own care. SBHCs are important points of access to vaccinations. | |
| IX. Qualified Mental Health Associate (QMHA) Pilot Program | Share update on pilot to address workforce shortage | Yvonne then presented an update on a pilot project that Oregon Health Authority and the Mental Health and Addictions Credentialing Board of Oregon are working on to address workforce shortages in behavioral health care. The pilot project started at Clackamas Community College in January 2025 and will run through June 2029. | |
| X. 2025 Legislative Session Update | Learn about legislative updates | Armando provided an update on the legislative agenda for public health, highlighting key bills such as House Bill 5025, which allocates funds for modernization support, and Senate Bill 702, which aims for a statewide flavor ban. Armando also mentioned the challenges of budgeting in an unstable economic environment and the impact of federal budget decisions on state allocations. | |
| XI. Call for new business | New topics/issues brought forward by members Meet in person in June? | No members requested new business. PHAC discussed meeting in-person in June. Mimi made a motion to meet at the Public Services Building June 16; Max seconded. Motion passed. | |
| XII. Wrap-up and Adjournment | What would you like to learn more about? | Christine made a motion to adjourn at 7:15pm; Darcee seconded. Motion passed. |
| Future Meetings | Time | Topic | Location |
|---|---|---|---|
| October 20, 2025 | 5:30 – 7:30 p.m. | Approval of Health Equity Action Plan. Co-Chair Election. | Virtual |
| December 15, 2025 | 5:30 – 7:30 p.m. | TBD | Virtual |