Summary of June 13, 2012 PLVC Wellness Committee Meeting

Beach Club, 5 - 7 PM

Prepared by: Ursel Krumme, Education Resource Center

Present: Chair Tom Stone; Forum Co-Chairs: Tom Boughner & Peggy Schafran; Education Resource Center/Website: Ursel & Gunter Krumme; Support Groups Coord: Kathy Traci; PLVC Director/Liaison Lois Ruggles; Barrie Gustin; Faye Beuby Absent: Barbara Berthiaume

I. Introduction: 1st Anniversary Meeting!
Following introductions -- and a special welcome to Lois Ruggles, new representative/ liaison to Port Ludlow Village Council replacing Art Zoloth who resigned -- Chair Tom Stone gave a brief history of the Wellness Committee. In his position as PLVC President early Winter 2011, Tom said he “had been thinking of what we do for the Community e.g, Trails, Disaster Preparedness, Natural Resources [Iron Quarry] and worked with Gunter & Ursel Krumme to establish a Wellness Committee.” Tom sent out an invitation to the Community via a Voice article for an organizational meeting of health advocates to work on the establishment of such a Committee. About 30+ residents showed up at the Bay Club on April 5, 2011, supported the development of such a Committee, and brain-stormed ideas for a list of 18 high priority health topics that should be addressed.

A Mission Statement was subsequently approved by a new PLVC Wellness Committee -- “to assist residents to access health information that would assist them in making personal health choice” -- with work carried out through three tracks coordinated by the following Volunteers:

1. Wellness Forums: at least quarterly: Tom Boughner & Peggy Schafran;
2. Education Resource Center: health pamphlets/Notebooks compilations: Ursel Krumme & Peggy Schafran; and new Website www.plhealth.org: Gunter Krumme
3. Support Groups: assist existing and establish new ones as needed: Kathy Traci

Tom S. volunteered to be Chair of the Wellness Committee and asked Gunter for assistance in facilitating communications with the Voice, new website plhealth.org, portludlowtoday.com website, newspapers, etc.. Tom S. also requested a $1,000 budget from the Council for 2011-2012 -- approximately $300 for each track -- which was approved. He asked coordinators of the 3 tracks if PLVC had reimbursed them for costs incurred and each stated they had. Tom said the purpose of today’s meeting was to review what was accomplished and determine if we would continue or disband as a Committee.


II. Wellness Forums: Report by Tom Boughner/Peggy Schafran

Tom Boughner reported that 5 Forums were held from October 2011 to April 2012 (after 1st Forum was cancelled in July due to unexpected illness of its speaker). Four Forums-- organized by Tom B -- were held every 2 months on a Wednesday from 6-8 PM and addressed the theme “Aging in Place“ (see website for flyers, presenter details and educational resources for each topic). Tom B. said these four topics were among the 18 high priority ones identified at the April 5, 2011 organizational meeting:

1) Balance and Fall Prevention, Oct. 12, 2011, by PL Active Life’s Physical Therapist Dr. Michael Harberpointner;

2) How to Survive as a Family Caregiver, January 11, 2012, by Home Instead Sr Care’s Sandy & Tom Boughner; O3A’s Sr. Info Specialist Heaven Gregg; and JHC’s Home Health Dir. Keri Johns, RN, MS

3) Improving Quality of Life in the Face of Life-threatening illness with Palliative Care, March 7, 2012, by HMC Palliative Care’s Med. Dir. Dr. Beverly JeffsSteele and JHC Home Health & Hospice’s Chief Med. Dir. Dr. Joe Mattern III and Golda Posey, RN, MS;

4) Aging in Place with a Senior-Friendly Home Remodel, June 6, 2012, by Bluebills Fall Prevention Coord. Marvin Segar; Living Independently by Design’s Jac Osborn; and ADM Architecture’s Aaron Murphy.

The fifth Forum -- organized by Peggy Schafran-- was held on a Wednesday from 10-Noon at the convenience of the speakers:
5) Coffee with the CEO’s of Harrison Medical Center & Jefferson Healthcare, April 11, 2012 by Scott Bosch and Mike Glenn.

A. Discussion/Review of 2011-2012 Wellness Forums:

Tom B. said that as a Committee of the Port Ludlow Village Council, the Wellness Forums were scheduled alternatively at either the Beach or Bay Club so there was no room charge; also, that the costs incurred for the coffee and refreshments had been covered by PLVC‘s budget of $300.

Tom B. and Peggy reported that they consistently received positive feedback from those who came to the Forums which was likewise agreed upon by other members of the Wellness Committee at today’s meeting. The format of using a panel of speakers for most of the topics -- including presenters from both Jefferson and Harrison at the same Forum -- was well received by residents. Tom B. also remarked how well all groups of speakers worked with each other beforehand!

Sign-in sheets showed that over 300 residents attended these sessions (ranging from 35 to over 100 attendees per Forum). Publicity included posting flyers at the Beach & Bay Clubs and in the Village; articles on plhealth.org & portludlowtoday.com, in the Voice, Pt Leader and PLVC’s email blasts to 800 residents by Jack McKay; also announcements with handbills distributed at the 1st Wednesday luncheons and also some telephone call reminders to residents by Peggy.

There was a lively discussion regarding how better we could promote attendance. A training session for the desk people at the Beach & Bay Club was suggested when residents ask questions and to refer them to the www.plhealth.org website. Another idea was to tap into church groups. Better coordination for scheduling dates with other groups was another suggestion and Kathy Traci reported she found the Monday afternoon time slot to be the best for scheduling her new support groups.

It was unanimously agreed that residents would benefit from a telephone reminder and even an offer for a ride to the scheduled Forums. Tom S. mentioned that the new red-cover PLVC Phone Directory with updated #’s of residents would make such a “telephone tree” easier to implement. Several residents have also expressed to Wellness Committee members a desire to help and it was felt that giving telephone reminders to residents for Health Forums would be a great way for these volunteers to assist us!

ACTION: There was unanimous approval by all present at today’s meeting to continue to offer future Wellness Forums to our Port Ludlow community. Tom B. stated he would continue to prepare the distinctive (excellent!) flyers with the healthy “apple” logo prepared by his office staff member Angela and articles for the Voice; Peggy would continue posting flyers in the community; and other Committee members would assist with communications for plhealth.org, portludlowtoday.com, PLVC’s email “Blast”, PT Leader, announcements to groups with hand-bills etc.

B. Topics for Second Year of Wellness Forums:

Questions raised included: what are the priorities of identified topics for next year? How often? What time? Should we re-cast some topics by outstanding presenters (e.g, Dr. Michael Harberpointner)? Discussion for the second year of topics subsequently took into consideration the initial list of 18 compiled at the organizational April 5, 2011 meeting as well as input from members at today’s meeting. The importance of including exercise/ nutrition content in Forums was emphasized. NOTE: presenter info/ contact #‘s are added to these Minutes from Resource Center for easier access.

1) Alternatives to Aging at Home. Tom B. stated he would like to focus on “moving to the next phase -- the continuum of care -- when aging at home is not possible" e.g., retirement/ assisted living communities (e.g., Seaport Landing, Victoria House), skilled nursing/ long-term care (e.g, Life Care Center/ Martha & Mary) etc. and added he already had several speakers in mind. Ursel suggested an ”Overview of the Quality Criteria/ Assessment Process“ for assisted/ long-term care could be given by highly-recognized Jefferson County’s Ombudsman, Jane Meyer, 360-417-8556; meyerja@dshs.wa.gov

2) Diabetes Prevention & Control/Nutrition-Exercise. This Forum would address high priority Topic # 18 “Wellness Programs”. Possible speakers from Jefferson Healthcare:
(a) Wes Schott, ARNP at Port Ludlow’s Primary Care Clinic, 437-5067/ wschott@jgh.org. Tom B. shared he received excellent feedback on Wes’ presentation on “Diabetes: Understanding Tools for Prevention & Maintenance” at Port Townsend’s March 24th Health & Safety Fair (corroborated by Ursel who also attended the session).

(b) Diabetes Wellness Program’s Certified Diabetes Educators Amber Benner RN, BSN @: 360-385-2200 ext 1240; abenner@jeffersonhealthcare.org; and Irene Marble, RD, Dietician ext 2728; imarble@jeffersonhealthcare.org . Patient Education Self-Care Workbook used in program -- "Living Well with Diabetes" -- emphasizes learning about Carb counting, meal planning and individualized exercise programs.

3) Cardiac Protocols and Rehabilitation/ Exercise. This Forum would address high priority Topics # 7 ”Heart & Stroke Protocols” (Stroke topic would be deferred to another time) and # 8 “EMT & Paramedics Protocols in P.L” (see website for a description of the 2009 RPI: Rapid Process Improvement Protocols for Heart Attacks developed in a week-long process by Jefferson Healthcare, Port Ludlow Fire & Rescue [PLFR], Harrison Medical Center and Kitsap Cardiology. Protocols include EKG evaluation by a JHC ER physician, Paramedics [now trained] administering clot-buster medications if indicated, and PCI [Percutaneous Coronary Intervention/ stenting] occurring within an ideal 90-minute window [Harrison’s average time less than 90 min.]

(a) Cardiac Protocols: Possible speakers who helped develop RPI Protocols:
-- Tim Manley, Paramedic & Supervisor of PLFR’s Medical Services (c/o Brad Martin, Fire Chief 360-437-2236); and
-- Dr. David Tinker, Kitsap Cardiology, Bremerton , 360-373-2547 (was also a speaker on “Cardiovascular Disease“ at Jefferson Healthcare’s 3rd Annual Symposium May 12, 2012). Postscript: Paula Dowdle, JHC's COO, announced in an email: "Beginning today, June 18, Kitsap Cardiology will see patients at the Jefferson Healthcare Port Ludlow Clinic 2 Mondays a month! We are very excited to bring this service to the Port Ludlow community!"

(b) Cardiac Rehabilitation/Exercise-Nutrition: Possible speaker: Jefferson Healthcare’s Wellness Program’s Judy King, RN, Cardiac Coordinator: 360-385-2200 Ext. 1230 [can see Voice website for Michael Graham's June 2012 article p.9 for a description of this rehab program 6 weeks following his discharge from triple coronary artery bypass surgery at Harrison Medical Center; he cites research that "found that patients who participate in 30 to 35 sessions of cardiac rehab after a cardiac event have better outcomes for the next 4 years compared to those who did not attend or attended fewer sessions"] This comprehensive program includes cardiac monitored exercise sessions as well as education on lifestyle changes [incl. eating heart-healthy food using the DASH plan] that help patients manage their heart disease and decrease risk for progression"

4) Elder Care Health Laws. This Forum would address high priority Topic # 17 “Legal Documents & Aging.” Speakers could cover areas such as the HIPPA law, living wills, DPOA for Health Care, POLST forms etc.

5) Understanding Medicare. This Forum would address high priority Topic # 15 “Understanding Medicare/ Insurance”. Speakers could cover, for example, what criteria need to be met for the SNF benefit of 3 weeks care at no cost e.g. in-patient (vs. out-patient status) when hospitalized x 3 consecutive midnights; being “homebound”/ having a ‘face-to-face’ meeting with physician to obtain a rehab home health referral etc. Speakers mentioned: Mark Harvey who addressed a CEA group 1-2 years ago (is Director of the Clallam/Jefferson Information and Assistance program); a SHIBA representative such as Director Marg Stuart from Sequim (a representative also comes to the Tri Area Community Center every other week per Peggy) Postscript: Tom B., in an email 6/29, asked for committee feedback re “With yesterday's Supreme Court decision on the Affordable Care Act, another topic [area] we could consider is what changes as the ACA is implemented -- once the experts have it figured out.”

6) Other Topics: -- Faye Beuby recommended having Exercise exclusively as a topic and Tom S. said he would like to see Michael Harbinpointner return on a different topic than balance and fall prevention in this arena. All agreed such a Forum would allow Michael Harbinpointner -- so well received last year-- to be invited back as a presenter. Postscript: Tom B. scheduled Michael Harbinpointner’ with his physical therapy team specialists for the 1st 2012-13 Wellness Forum -- “Return to Active Life! The Importance of Exercise as we Age”; it will be held at the Beach Club on Monday, September 24th from 3:30 - 5 pm.

-- Dementia as a repeat topic was also suggested with Peggy saying she would be sure that the likewise well received speaker Gail Bosch from 2010 would be glad to return.


III Education Resource Center: Report by Ursel & Gunter Krumme, Peggy Schafran

Ursel distributed a detailed 2-page Summary of the work accomplished (click!):

1) Compiling/ packaging health information in binders and on a new website www.plhealth.org : a General Wellness Resource Notebook was placed at the Beach & Bay Clubs April 2011 and 8 Health Topic Wellness Resource Notebooks were compiled around the Forum presentations plus Cardiac & Stroke Protocols, Navigating Medicare's Skilled Nursing or Rehab Care, Maintaining Your Personal Health Record, Breast/ Other Major Cancers, and Wellness Programs.

2) Helping residents access/ use health information compiled:
a) Multiple articles were written by Wellness Committee members for the monthly Voice from April 2011 through June 2012 and in the PT Leader from Aug 2011 to March 2012;

b) Posters were developed and displayed, with pamphlets distributed, at the five health forums and 2 Fairs: Festival by the Bay and Jefferson County’s Wellness & Safety Fair (PLVC Wellness Committee booth sponsored by Tom Boughner’s Home Instead Senior Care Co); and

c) Wellness information was shared at monthly 1st Wednesday luncheons and at meetings with individuals and families by Peggy & Ursel.

NEW for a 6-month trial period beginning May 2012: ½ glass bookcase at Beach Club displaying posters, topic Notebooks, handbills, and health pamphlets!


IV. Support Groups: Report by Kathy Traci
Kathy reported that the WALI: We Are Losing It (weight!) #1 group, meeting at the Beach Club, decided to come under the umbrella of the PLVC Wellness Committee. A second and third WALI group was established at the Bay Club but due to subsequent scheduling conflicts of some members one group was lost. Judy McKay and Ruth Anne Hansen’s Breast Cancer group also came under the umbrella of the PLVC Wellness Committee. An offer was made by Ruth Ann and Judy to establish a new group but there were no residents who responded to the Voice article for this offer.

Another offer to establish a Caregiver’s group for residents with chronic illnesses e.g. Parkinsons, Multiple Sclerosis etc, also had no takers, possibly due to the “Living Well with Chronic Illness” series under contract in Port Ludlow (both Kathy Traci and Sandy Boughner are facilitators for this series). Kathy also shared that following a presentation at the Unitarian Assembly Fair about a “Caregiver Community” she had talked with the new ECHHO Director to do a trial in Port Ludlow for a “Volunteer Relief for a Caregiver” program but volunteers would need training and ECHHO cover insurance.

A new Brain & Aging Study Group was established, is scheduled 2x/ month on a Monday from 4 - 5 PM at the Bay Club, and has had 3 meetings. Format is to view a lecture -- accompanied by a 4- page handout -- from Great Courses DVD about how to keep the brain active followed by a discussion. Postscript: Kathy reported in Aug Voice article (p.8) there will be a summer break with sessions re-starting 2nd Monday in October.


V. Summary: Tom Stone, Wellness Committee Chair:

Tom S. commended everyone for the tremendous amount of work accomplished and voiced everyone’s consensus to continue the work of their track! There was a lengthy, enthusiastic discussion regarding how to better communicate the Wellness Committee’s work done for the health forums, education resource center and support groups.

The suggestion to draft something in writing to submit to Bev Browne, Editor of the Voice, for inclusion as a 2-page insert at least 2 times/ year was unanimously supported. Tom S. gave an example of what to include in the insert: Did you know we talked about Palliative Care in a Health Forum and do you know what it is? Ursel & Peggy gave another example: Did you know you need to have an in-patient status (vs. out-patient) when admitted to the hospital to qualify for your 3-weeks’ rehab Medicare benefit at a Skilled Nursing Facility post hospitalization? etc Such an insert --similar to the Voice’s Recycle one or the Calendars -- could be removed and serve as a ready reference for residents.

ACTION: Chair Tom Stone will work with Ursel on a 2-page write up/ summary of wellness information/ education resources and explore how to get it placed as an insert into the Voice.

Respectfully submitted for additions/corrections via email to Committee Members August 10, 2012
by U. Krumme, krumme(at)telebyte(dot)com (C: 206-605-1957)

Return to PLHealth.org (Home Page)

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