1200 King County King County Courthouse 516 Third Avenue Seattle, WA 98104 Meeting Agenda Committee of the Whole
Councilmembers: Joe McDermott, Chair; Reagan Dunn, Vice Chair; Claudia Balducci, Rod Dembowski, Jeanne Kohl-Welles, Kathy Lambert, Dave Upthegrove, Pete von Reichbauer, Girmay Zahilay
Lead Staff: Jake Tracy (206-263-0875) Committee Clerk: Marka Steadman (206-477-0887)
9:30 AM Wednesday, June 16, 2021 Virtual Meeting
REVISED AGENDA
PUBLIC NOTICE: The Committee of the Whole meetings will be held virtually until further notice. To help prevent the spread of the COVID 19 virus, the Chambers will be closed and all committee members and staff will be participating in the meeting remotely. The live feed of the video conference will be streaming on the King County Council's website and on KCTV Channel 22. Ways to provide public comment are noted below.
Pursuant to K.C.C. 1.24.035 A. and F., this meeting is also noticed as a meeting of the Metropolitan King County Council, whose agenda is limited to the committee business. In this meeting only the rules and procedures applicable to committees apply and not those applicable to full council meetings.
HOW TO PROVIDE PUBLIC COMMENT: The Committee of the Whole values community input and looks forward to hearing from you on agenda items.
There are two ways to provide public comment:
1) In writing: You may comment in writing on agenda items by submitting your written comments to [email protected] or by going to https://kingcounty.gov/council/committees/cow.aspx and selecting "Click Here to Submit Written Public Comment". If your comments are submitted before 8:00 a.m. on the day of the Committee of the Whole meeting, your comments will be distributed to the committee members and appropriate staff prior to the meeting.
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2) Orally during the meeting by phone or computer: You may provide oral public testimony during the meeting by connecting using the ZOOM application at https://zoom.us/ and the meeting identification and password below.
Meeting ID: 927 8441 3094 Passcode: 529790
If you do not have access to the ZOOM application, you can connect to the meeting by calling 1-253-215-8782 and using the meeting ID and password above. Connecting in this manner, however, may impact your ability to be unmuted to speak.
You are not required to sign up in advance. During this period of virtual meetings, public comment will be limited to items on the meeting agenda.
You have the right to language access services at no cost to you. To request these services, please contact our Language Access Coordinator, Reeni Nair, at 206-477-4978, or [email protected], by 8:00 a.m. the day prior to the meeting.
If you do not wish to be called upon for public comment during the meeting, please help us manage the callers and use one of the options below (Live Streaming or King County TV Channel 22).
HOW TO WATCH/LISTEN TO THE MEETING: There are two ways to watch or listen in to the meeting if you don't wish to provide public comment:
1) Stream online via this link https://livestream.com/accounts/15175343/events/4485487 or input the link web address into your web browser.
2) Watch King County TV Channel 22 (Comcast Channel 22 and 322(HD), Wave Broadband Channel 22)
To show a PDF of the written materials for an agenda item, click on the agenda item below. 1. Call to Order
2. Roll Call
3. Approval of Minutes
June 2, 2021 meeting pp. 4-6
4. Public Comment
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Briefing
5. Briefing No. 2021-B0081 (No materials)
Executive COVID-19 Response Dwight Dively, Director, Office of Performance, Strategy and Budget
6. Briefing No. 2021-B0092 pp. 8-26
Harborview Annual Report SEIU 1199NW WA Federation of State Employees/AFSCME Council 28 Steffanie Fain, President, Harborview Board of Trustees Sommer Kleweno-Walley, Interim CEO, Harborview Medical Center
DISCUSSION ONLY
7. Proposed Ordinance No. 2021-0232 pp. 27-28
AN ORDINANCE proposing to amend the King County Charter to utilize ranked-choice voting for the election of county officers, including the King County executive, the King County assessor, the King County director of elections, the King County councilmembers and the King County prosecuting attorney, effective January 1 following the council's adoption of an ordinance approving protocols for ranked-choice voting; amending Section 610 of the King County Charter; and submitting the same to the voters of the county for their ratification or rejection at the November 2, 2021, general election.
Sponsors: Mr. Zahilay Miranda Leskinen, Council staff
Contingent upon referral to the Committee of the Whole.
Other Business
Adjournment
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COW Meeting Materials Page 3 June 16, 2021 1200 King County King County Courthouse 516 Third Avenue Seattle, WA 98104 Meeting Minutes Committee of the Whole Councilmembers: Joe McDermott, Chair; Reagan Dunn, Vice Chair; Claudia Balducci, Rod Dembowski, Jeanne Kohl-Welles, Kathy Lambert, Dave Upthegrove, Pete von Reichbauer, Girmay Zahilay
Lead Staff: Jake Tracy (206-263-0875) Committee Clerk: Marka Steadman (206-477-0887)
9:30 AM Wednesday, June 2, 2021 Virtual Meeting
DRAFT MINUTES
1. Call to Order Chair McDermott called the meeting to order at 9:32 a.m.
2. Roll Call Present: 9 - Ms. Balducci, Mr. Dembowski, Mr. Dunn, Ms. Kohl-Welles, Ms. Lambert, Mr. McDermott, Mr. Upthegrove, Mr. von Reichbauer and Mr. Zahilay
3. Approval of Minutes Councilmember Dunn moved approval of the May 19, 2021, meeting minutes. There being no objections, the minutes were approved.
4. Public Comment There were no members of the public present to provide public comment.
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Discussion and Possible Action
5. Proposed Ordinance No. 2021-0184
AN ORDINANCE proposing to amend the Preamble to the King County Charter to include among the charter goals, equitable government, a strong urban and rural economy and superior quality of life and to make a grammatical correction; and submitting the same to the voters of the county for their ratification or rejection at the November 2, 2021, general election.
Sam Porter, Council staff, briefed the committee and answered questions from the members. Councilmember Balducci moved amendment 1. The amendment was adopted.
This matter was expedited to the June 15, 2021, Council agenda.
A motion was made by Councilmember Balducci that this Ordinance be Recommended Do Pass Substitute. The motion carried by the following vote:
Yes: 9 - Ms. Balducci, Mr. Dembowski, Mr. Dunn, Ms. Kohl-Welles, Ms. Lambert, Mr. McDermott, Mr. Upthegrove, Mr. von Reichbauer and Mr. Zahilay
6. Proposed Ordinance No. 2021-0185
AN ORDINANCE proposing an amendment to the King County Charter to update the charter, clarify terms and bring the charter into compliance with state law, as it pertains to referendum, initiative and charter ballot measure timelines; amending Sections 230.40, 230.50, 230.50.10, 230.60, 230.70, 230.75 and 800 of the King County Charter; and submitting the same to the voters of the county for their ratification or rejection at the November 2, 2021, general election.
Jake Tracy, Council staff, briefed the committee and answered questions from the members. Councilmember Balducci moved striking amendment 1. The amendment was adopted.
This matter was expedited to the June 15, 2021, Council agenda.
A motion was made by Councilmember Balducci that this Ordinance be Recommended Do Pass Substitute. The motion carried by the following vote:
Yes: 9 - Ms. Balducci, Mr. Dembowski, Mr. Dunn, Ms. Kohl-Welles, Ms. Lambert, Mr. McDermott, Mr. Upthegrove, Mr. von Reichbauer and Mr. Zahilay
Other Business There was no further business to come before the committee.
Adjournment The meeting was adjourned at 10:00 a.m.
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Approved this ______day of ______
Clerk's Signature
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June 16, 2021
Agenda Item No. 5 Briefing No. 2021-B0081
Executive COVID-19 Response
There are no materials for this item.
COW Meeting Materials Page 7 June 16, 2021 2021-B0092 “Dealing with the COVID-19 pandemic means dealing “This is what community “Your approach to helping our community through a with a certain suddenness that is business as usual at caring, equitable lens really struck a deep and Harborview, the only Level 1 adult and pediatric trauma care and collective lasting chord with us and we thank you for allowing center for Washington, Alaska, Montana and Idaho.” liberation can look like.” us to be a part of your extraordinary team.” – Community Organizer – Local Community College Professor
“You are great partners “We would like to express our “The hospital has an entire “Thank you for all that most sincere appreciation for you and the staff have in responding to the the excellent Harborview – floor dedicated to COVID-19 done to have many of pandemic and in UW medical team and their patients, it’s also getting our constituents have working to advance work of testing our residents praise for the way it is access to the vaccine.” for COVID-19.” – Local Community racial justice and equity.” – South King County Mayor & protecting its medical staff.” College Professor – Community Health Official Community Health Leader
“Kudos to your teams “The first thing you notice in the Covid-19 unit at “With the first COVID-19 vaccine doses in for developing a Washington administered to frontline medical successful model of the Harborview Medical Center is the sheer workers…Harborview Medical Center’s Director community testing!” amount of equipment…All around is a sense of of Infection Control Dr. John Lynch believes – Local Federally we’re looking at a…time that spells the Qualified Health Center purpose, of professionalism and determination.” beginning of the end of the pandemic.”
We were so grateful to work alongside such thoughtful providers “Staffed by Public Health, Harborview Medical Center, the Seattle Fire Department, who were so willing to take the time to learn and better and Medical Teams International… They have identified more than 400 sites across understand how to work with our students and population.” the county where they could target services to people living unhoused.” – Local AutismCOW-Focused Meeting Healthcare Materials Organization Page 8 June 16, 2021 Harborview Medical Center
KING COUNTY COUNCIL COMMITTEE OF THE WHOLE Sommer Kleweno-Walley, Interim Chief Executive Officer Steffanie Fain, Board of Trustees President JUNE 16, 2021
COW Meeting Materials Page 9 June 16, 2021 Key Points OUR PARTNERS
We are living through the greatest public • King County Council health crisis of our lifetimes. • King County Executive • King County voters Harborview’s mission of providing healthcare • Our faculty & staff to the most vulnerable among us has never • HMC Board of Trustees been more important. • Labor partners SEIU 1199NW, SEIU 925, WFSE The success of this mission is due to the strong partnerships among many organizations and entities supporting Harborview.
3 COW Meeting Materials Page 10 June 16, 2021 Future of Harborview
KING COUNTY BOND FUNDED FACILITY IMPROVEMENTS UPDATE
Current Bond Program Activities Bond Program Activities On the Horizon • Planning and sequencing that ensures the hospital’s • Selection process for RFP operational needs are met during construction • Developing community engagement • Establishing a Major Institutions Master Plan and small business plans (MIMP) work group to support meeting the City’s • Drafting sequencing options MIMP requirements • Developing predesign elements • Bond Program Oversight Committee established; held first meeting • Project management request for proposal drafted and on the street
4 COW Meeting Materials Page 11 June 16, 2021 Future of Harborview
HARBORVIEW PLANNING
Clinical Strategic Planning Process Maleng Bed Capacity Project • Assessing key service lines across the • Increase capacity through creation organization that will be associated with bond- of 40 new Single Patient Rooms funded capital projects • Funded with $75M from HMC • Utilize community-needs assessment data, along • Project plan underway with internal and external stakeholder feedback • Collaborating with front-line staff and providers to collect input and inform planning
5 COW Meeting Materials Page 12 June 16, 2021 COVID-19 Update
Harborview has played a leading role in the pandemic response.
Our commitment to caring for vulnerable populations, equitably, has remained consistent throughout:
Initial Response, Testing, and Surge Planning
Vaccination Delivery and Partnerships
6 COW Meeting Materials Page 13 June 16, 2021 COVID-19 Update
Initial Response, Testing & Surge Planning
• First in North America to have strike teams testing individuals in their homes • Mobilized quickly to set up testing resources to reach vulnerable communities • Implemented surge plan focused on reconfigured hospital layouts to accommodate patients • Developed the Washington Medical Coordination Center in partnership with WA DOH, WA Hospital Association, NW Healthcare Response Network, and Regional Disaster Coalition to balance census and the impact of COVID patients in hospitals throughout the state during the pandemic 7 COW Meeting Materials Page 14 June 16, 2021 COVID-19 Update
Vaccine Delivery & Partnerships
Vaccine Delivery • Using a multi-modal approach to vaccine distribution • Mobile vaccine teams • Community vaccination clinics • Hospital-based specialized clinics at Harborview • Strong partnerships with Public Health – Seattle & King County, City of Seattle, and community-based organizations and foundations.
8 COW Meeting Materials Page 15 June 16, 2021 COVID-19 Update
9 COW Meeting Materials Page 16 June 16, 2021 Strategic Planning Process
Collaborating with the Board of Trustees
Clinical Programs
Equity, Diversity & Inclusion
Level 1 Trauma Status Review
10 COW Meeting Materials Page 17 June 16, 2021 Clinical Programs
Drive growth across key clinical programs:
• Orthopedics: capitalizing on our incredible surgical talent to enhance care of all orthopedic injuries • Neuroscience: developing and marketing a brain aneurysm center • Cardiology: growing cardiac procedural capacity to better support our mission population • Spine: expanding our surgical spine care
11 COW Meeting Materials Page 18 June 16, 2021 Behavioral Health Institute
Ballmer Gift Funding and Legislative Initiatives
$5.5 Million to Build BH Apprenticeships $1.8 Million Legislative Budget Proviso • Partnering with Health Care Apprenticeship • Develop new curriculum for law Consortium, Washington Council for Behavioral enforcement /corrections officers Health, SEIU 1199 Multi Employer Training • Evaluate behavioral health inequities Fund, and the Workforce Training and Education Coordinating Board, and King County $410,000 Legislative Budget Proviso $2.8 Million to Improve Crisis Diversion System • Work with UW Evidence Based Practice Institute to produce report on best • Enhance the crisis response system practices for virtual behavioral health • HB 1477 named HMC as facilitator of Statewide services for children workgroup
12 COW Meeting Materials Page 19 June 16, 2021 Equity, Diversity & Inclusion
EDI is built into Harborview’s mission. It is a fundamental part of how we engage, interact, and care for our community and region. EDI Focus & Goals • Advance equity in patient care across Harborview • Build/strengthen relationships with BIPOC, LEP, gender diverse, and homeless communities • Foster workplace environment where all feel safe, respected and supported • Ensure our policies and practices focus on equity, social and health justice
13 COW Meeting Materials Page 20 June 16, 2021 HMC Trauma Overview
High volume, high acuity HMC’s Critical Care Harborview Trauma & Burn Level I Adult & Pediatric expertise is essential: programs recognized Trauma & Burn Center globally for quality of care Surgical Critical Care and innovation. ~ 6,000 Neuro Critical Care Trauma and Burn admissions per year in the trauma registry Medical Critical Care Burns and Pediatric Top 10% of Level 1 trauma 1,000 Critical Care of these are pediatric patients centers across the U.S. for Cardiac Critical Care risk adjusted mortality in 50% the American College of of seriously injured patients are Surgeons Trauma Quality transfers from other parts of Improvement Program Washington, Alaska, Montana, & Idaho
14 COW Meeting Materials Page 21 June 16, 2021 Washington State Trauma System
Washington’s Trauma System was designed to be inclusive with a single Level I, regional level II coverage, and level III, IV, V programs to cover suburban and rural areas across the State.
• Five levels of trauma make up the Washington State system providing varying types of care and access • The Secretary of Health determines a minimum and maximum number for how many trauma centers exist within each level of the system taking into account population need and geographic locations • Distribution of these trauma centers is under the purview of the Secretary of Health
LEGEND Level I Level II Level III Level IV Level V
15 COW Meeting Materials Page 22 June 16, 2021 DOH Min/Max Review
DOH is developing methodologies to inform and support decisions regarding the number and location of Level 1 & Level 2 trauma centers within the state.
Goals for new methodology regarding Min/Max:
Provide access to Level 1 or 2 trauma care for Current State: Level I/II access within 60 min of injury: 85% population 95% of the population in Washington within 60 min. of injury
Ensure optimal patient outcomes by maintaining the volume of injured patients in current well-performing level 1 and 2 centers.
COW Meeting Materials Page 23 June 16, 2021 16 CONFIDENTIAL WORKING DRAFT Current State: Level I,II,III access within 60 min, 98% population BOARD OF QUESTIONS?TRUSTEES UPDATE
17 COW Meeting Materials Page 24 June 16, 2021 QUESTIONS?
COW Meeting Materials Page 25 June 16, 2021 THANK YOU
COW Meeting Materials Page 26 June 16, 2021 1200 King County Courthouse KING COUNTY 516 Third Avenue Seattle, WA 98104 Signature Report
Ordinance
Proposed No. 2021-0232.1 Sponsors Zahilay
1 AN ORDINANCE proposing to amend the King County
2 Charter to utilize ranked-choice voting for the election of
3 county officers, including the King County executive, the
4 King County assessor, the King County director of elections,
5 the King County councilmembers and the King County
6 prosecuting attorney, effective January 1 following the
7 council's adoption of an ordinance approving protocols for
8 ranked-choice voting; amending Section 610 of the King
9 County Charter; and submitting the same to the voters of the
10 county for their ratification or rejection at the November 2,
11 2021, general election.
12
13
KING COUNTY COUNCIL KING COUNTY, WASHINGTON
______
1
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Claudia Balducci, Chair ATTEST:
______
Melani Pedroza, Clerk of the Council
APPROVED this _____ day of ______, ______.
______
Dow Constantine, County Executive
Attachments: None
2
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