Translate
Attend the meeting
Free language assistance services are available for this meeting. Contact Marc Czornij at mczornij@clackamas.us (48-hour notice needed).
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 | N/A | Co-Chair Knox | 5:30 – 5:32 p.m. |
| II. Introductions & Ice Breaker Acknowledge group agreements | Activity to get better acquainted | N/A | Co-Chair Smith All participate | 5:32 – 5:47 p.m. |
| III. Public Input | Public Input | N/A | Co-Chair Knox Public | 5:47 – 5:53 p.m. |
| IV. Agenda approval | Are there any additions to the agenda? | X | Co-Chair Knox | 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
| Update PHAC on fiscal year 2026 budget | N/A | Kim La Croix | 5:59 – 6:14 p.m. |
| VII. Presentation: Population Health Trends in Clackamas County | Learn about population health trends in Clackamas County | N/A | Lindsey Snyder, Jenny Masculine | 6:14 – 6:59 45 minutes |
| VIII. Discussion: Population Health Trends in Clackamas County | Group discussion on drivers of population health trends | N/A | Jamie Zentner, Marc Czornij All participate | 6:59 – 7:14 p.m. |
| IX. 2025 Legislative Session update | Learn about legislative updates | N/A | Armando Jimenez | 7:14 – 7:24 p.m. |
| X. Call for new business | New topics/issues brought forward by members | X | Co-Chair Smith | 7:24 – 7:29 p.m. |
| XI. Wrap-up and Adjournment | What would you like to learn more about? | X | Co-Chair Knox | 7:29 – 7:30 p.m. |
| Future Meetings | Time | Topic | Location |
|---|---|---|---|
| August 18, 2025 | 5:30 – 7:30 p.m. | Review draft of Health Equity Action Plan | Virtual |
| October 20, 2025 | 5:30 – 7:30 p.m. | Approval of Health Equity Action Plan | 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 Knox 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 | Savannah moved to approve the agenda; Pam seconded. Motion passed. |
| V. Minutes of Apr 21, 2025 meeting | Review minutes from previous PHAC meeting | Mimi moved to approve the minutes; Savannah seconded. Motion passed. | |
| Update PHAC on fiscal year 2026 budget | Kim provided an overview of the budget challenges facing the division. The division had an $800,000 budget gap due to rising costs and flat or reduced funding for most grants. They received about half of the requested funds from the Health, Housing, and Human Services Department but did not receive additional county general funds. To balance the budget, they had to eliminate five positions, including two filled positions and three vacant positions. Kim discussed the decision criteria used to minimize operational impacts and preserve roles that protect health and safety. She mentioned that they will start planning for the next fiscal year soon and will continue to make budget adjustments as they hear about federal changes. Kim asked for advice from the group on how to handle future budget challenges and prioritize public health services. Members suggested leveraging technology to help with workload distribution and streamline processes as well as utilizing volunteer support at vaccination clinics. | |
| VII. Presentation: Population Health Trends in Clackamas County | Learn about population health trends in Clackamas County | Jenny, Population Health Epidemiologist, presented an overview of the epidemiology team and their work in the county. She emphasized the importance of social determinants of health in their approach, explaining how non-medical factors significantly influence health outcomes. She highlighted the challenges in measuring these factors and the need for thoughtful interpretation of health data, especially when working with underserved communities. Jenny presented demographic and health data for Clackamas County, which has a population of 421,401, making up 9.9% of Oregon's population. The median household income is over $100,000, and the median home cost is about $630,000. The county has a 17.6% racial minority population, with 9.6% identifying as Hispanic or Latino. She also discussed health indicators, highlighting strengths such as high rates of health insurance coverage and internet access, as well as areas for improvement like childcare costs. Jenny then presented data on low-birth-weight babies and overdose death rates, noting disparities among racial and ethnic groups and between urban and rural areas. Lindsey, Public Health Epidemiologist, presented data on suicide fatalities and climate-related health issues in the county. The Suicide Fatality Review Committee analyzes risk and protective factors, with mental health challenges and healthcare system difficulties being prominent risk factors. For climate-related health issues, she discussed seasonal hazards like cold-related illnesses in winter and heat-related illnesses in summer, showing how extreme weather events correlate with spikes in hospital visits. The data is used to inform public health interventions and emergency preparedness planning. | |
| VIII. Discussion: Population Health Trends in Clackamas County | Group discussion on drivers of population health trends | Jamie, Health Equity & Partnership Supervisor, discussed the epidemiologists’ presentation as part of developing a Health Equity Action Plan for the Public Health Division. The plan covers various health outcomes and risk factors that disproportionately affect certain groups, including communities of color, younger and older age groups, and people living in poverty. Marc, Population Health Program Planner, facilitated a discussion focusing on what from the presentation resonated with the group, what was driving the health inequities, and what data they thought was missing. Risk and protective factors for suicide and disparities in locations of overdose fatalities resonated with the group. Members identified several factors driving the inequities, such as lack of access to culturally appropriate resources, impacts of the pandemic on mental health, and systemic issues in healthcare. Participants raised questions about measuring upstream factors, the role of poverty, and the need to include data on dental health in future analyses. | |
| IX. 2025 Legislative Session Update | Learn about legislative updates | Armando, Population Health Manager, provided an update on the legislative session and its impact on public health funding. He reported that despite initial optimism, it is unlikely that public health will receive additional investments beyond current service levels. Key funding requests for modernization, addiction prevention, WIC support, and home visiting are not expected to be approved. Bills for public health workforce investment and vaccine financing failed to progress. The tobacco flavor ban bill has been amended in a way that significantly weakens it. Despite these setbacks, Armando noted that relationships with public health champions have been strengthened, which may be leveraged for future support. | |
| X. Call for new business | New topics/issues brought forward by members | Mimi mentioned that additional data presentations would be helpful. Kim suggested keeping policy and budget updates on the agenda as well as an update on the opioid settlement in the fall or new year. Question was asked whether Yvonne heard back about the grant for the community college walking path benches that PHAC sent a letter of support for in the spring. Yvonne stated she hadn’t heard but was expecting to soon. PHAC and staff members expressed their gratitude for Pam’s contributions as she is retiring at the end of June. | |
| XI. Wrap-up and Adjournment | What would you like to learn more about? | Pam made a motion to adjourn at 7:28pm; Savannah 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 |