Lessons from Malden teach volumes about how to strengthen community resilience

Monday, 02 August 2021 / Published in News + Updates

This article first appeared on the Washington State Department of Commerce website on July 31, 2021.

Commerce work with local leaders in town decimated by wildfire reveals new approaches to better serve communities in crisis

Imagine feeling the scorching heat as you stand, stranded on the nearest small patch of green alfalfa, helpless against flames consuming the house on your family’s homestead settled generations ago. Or feeling a tightening knot in the pit of your stomach as you rush to the engulfed homes and businesses of your neighbors, making sure everyone is safe from the wildfire swallowing buildings whole. Imagine, then immediately shifting gears to lead rebuilding the devastated community, all while your own family is among those who lost everything.

That was reality for the current town mayor Dan Harwood and volunteer firefighter and town councilmember Scott Hokonson last September when the Babb Road fire roared through the rural town of Malden, Washington and destroyed 80 percent of its homes and buildings in a matter of hours. The small community of fewer than 300 residents sits among the rolling hills and fields of Washington’s Palouse, about 40 miles south of Spokane.

Horse in a pasture against background of green rolling hills in Malden, WA
Less than 300 residents call tiny Malden, Washington home. The town is nestled in the green, rolling hills of the Palouse about 40 miles south of Spokane. The Babb Road wildfire erased 80% of the buildings in this quiet rural community in a matter of hours.

Harwood, Hokonson and other local leaders and teams of dedicated individuals, have been working nonstop in their efforts to rebuild and come back even stronger. That effort has also challenged state agencies to rethink what it means to serve a community in crisis.

Community needs run the gamut, small to large, simple to complex

Immediate needs following a disaster are typically clear — food, shelter, water, communication and power restoration. Then what? What about the future? The extent of the damage in the community was near total, requiring extensive ongoing long-term recovery assistance.

For months, the president’s approval for a federal disaster declaration was delayed in Washington DC, leaving the entire community wondering if or when they could access recovery funds and resources for the town and its families and businesses. This put even more pressure on state and local government agencies, led by the state’s Emergency Management Division and Commerce’s Energy Emergency Management Director, to mobilize crisis response and support for the residents of Malden and neighboring Pine City.

Following the initial wildfire response, as the community looks towards recovery, Commerce Director Lisa Brown said the first step is simple but frequently overlooked — listening. She said all too often, well-meaning agencies show up to the rescue with a standard toolkit of services and funding in hand. Communities are unique, and this one-size-fits-all solution isn’t always what a community actually needs.

“Plenty of people are willing to step up and help, but coordination is the heavy lift,” said Commerce Director Lisa Brown. “We were able to embed with the community and listen carefully to their needs. Sorting out the processes for getting what they need is something local leaders very often just don’t have the capacity to track down and do in the midst of such chaos.”

Connections more important than funding

Commerce’s Community Engagement Team arrived in Malden and met with local leaders led by Mayor Harwood and Hokonson in his role as Long-term Recovery Project Director.

“It’s important to build the relationship — one-way communication is not what they need,” said Commerce’s Community Outreach Specialist Julia Havens who serves in the northeastern part of the state. “We didn’t come in with pre-conceived notions and try to do things right away. We started slow and kept showing up.”

With such overwhelming needs, it became clear that the question of “what can I do to be helpful” would keep changing.

Hokonson expressed that the community “will take whatever you have to offer, whenever you’re ready to offer it.”

Helping the local recovery leadership team map and track their myriad needs and then organize around finding the right resources was key. Small town leaders wear multiple hats under normal circumstances, so the strain in a situation like this is overwhelming. Commerce brought together “tech teams” to address everything from housing to broadband to water infrastructure with inter-agency partners.

Some needs, such as emergency housing and communications, were straightforward. Shortly after the fire, Commerce’s Community Services and Housing Division identified funds for emergency rental assistance, and the Washington Broadband Office jumped in to negotiate with private internet service providers to get and keep the community connected.

Other essential needs continue to pop up daily amid the destruction.

When the call came “we need highway signs,” Commerce connected the town with regional transportation officials to take the lead.

Every small victory keeps the team encouraged.

“They will have a replacement flag at the post office, a new outgoing mailbox installed and now a new nearby post office is in the works. These wins help the community realize the sense of place and they matter,” recalls Havens.

Rebuilding for resilience — planning ahead to be prepared

Dozens of federal and state agencies, nonprofit and faith-based organizations and other groups have come to the table to help strengthen the community. One of those organizations is the Washington State Public Works Board, a leading member of the infrastructure “tech team” of experts involved in the ongoing recovery work.

Malden’s water system had been severely damaged in the fire, and private wells in the community were contaminated by ash and debris.

The Public Works Board was able to use its statutory flexibility to adopt a new policy to expand the funding limit of its emergency program in the case of catastrophic events, and took action to do so at their April meeting. This new policy also provided the Board with latitude to approve up to 100% grant funding to requests meeting this criteria.

As a result, Malden applied for $3.7 million in grant funding to drill a new town well, connect the private wells that had been contaminated to the system, and install additional water mains and fire hydrants to provide and increase fire protection. The board awarded full funding on May 7, Mayor Harwood signed the contract days later, and the required review processes began the next day. Completion of this project will ensure adequate water resources, public health and safety, preserve property values and support economic revitalization.

Public Works Board Chair Kathryn Gardow said, “The measure of any community is the way it handles adversity. Few towns have been tested as harshly as Malden, and their resolve and passion to rebuild after this devastating fire is clear. The Public Works Board is proud to stand with the town of Malden as it rebuilds and transitions to a brighter future and look forward to seeing Malden rebuilt better than ever.”

One wrinkle in the funding remained. In order for the funding to be used, state law requires the municipality to have an updated critical areas ordinance (CAO) in place. Malden’s CAO was last updated in 2007. Commerce connected its growth management services staff with town clerk Micki Harnois to work collaboratively on expedited completion of the new ordinance.

“Here’s an example of a government agency starting from ‘how can we make this happen’ when it could have been ‘you’re out of compliance.’ When you’re working to help a small, local community be successful, the approach has to be totally different,” Havens said.

Mayor Dan Harwood and Town Clerk Micki Harnois

Mayor Dan Harwood and Town Clerk Micki Harnois are among the dedicated leaders working tirelessly to rebuild their community where so many families lost everything.

Another consequence of the fire was that it destroyed the built and natural identifiers for land parcel boundaries. Parcel boundaries are crucial for property owners as they begin rebuilding, as well as the town and county for land use planning efforts. In February this year, Commerce provided a $55,000 grant to help Malden conduct a land survey and plan for integrating the data into their future plans, which was recently completed.

“It’s been my privilege to meet Mayor Harwood and Micki. It’s absolutely an honor to play a very small part in the recovery of Malden, not just to rebuild but to build back better,” said Commerce’s Local Government Division Director Mark Barkley, who deployed numerous team members to assist the town.

Once the request for federal disaster declaration came through 151 days later on February 4, FEMA assistance finally became available, opening a cascade of other resources that had been dependent on the federal designation. Property testing and cleanup is underway, but the list of priority infrastructure projects is long. Local leaders press on, supported by many offers of assistance from philanthropic, religious and other community partners in addition to federal and state partners.

Other long-term efforts underway include looking at affordable housing throughout the Pine Creek area. Commerce’s community services and housing staff are working with community leaders to form a low and moderate-income housing roundtable to identify resources to help address long-term needs and build community resilience for the future.

Lessons learned will guide change

Commerce team members remain engaged in various aspects of the community’s long-term recovery.

“We showed up and we stayed; we were there week after week,” said Brown.

Havens, who is embedded with the town and local long-term recovery teams, continues to attend and support daily and weekly coordination calls.

“I am inspired by those who have lost so much and yet are completely dedicated to keep moving forward. I am doing everything that I can to continue helping them get those wins,” she said.

Beyond the short-term satisfaction of helping neighbors in need, Brown said the agency gained important insights that will guide future action.

The experience raised a set of questions about helping the next community in crisis. What needs to be there, ready to go? What can be done proactively to ensure community resilience in the face of disaster?

For example, Brown notes restrictions on state funding is a challenge. “We learned there’s just not much flexible funding out there that allows us to come in and cross program or agency boundaries to get the community what they need. That’s something we’ll be exploring with legislators.”

Above all, the experience reinforced for Commerce’s entire team and their many partners that there is no substitute for the power of ongoing, trusted relationships to strengthen communities.

New flagpole installed on the site of what will be the town’s new post office.

A fresh flag waves from a new flagpole where a new post office building will soon stand, seeming to signal that Malden is on the comeback trail.

Harwood, who calls himself a “glass half full” guy, is upbeat about his community’s future, in spite of challenges still ahead for the residents of this small town who have experienced the double trauma of COVID-19 and wildfire in one short year.

In addition to completing clean up of nearly every property, construction of new water and large scale septic systems and acquisition of two new fire trucks, Harwood is bullish on opportunities that will come with the town’s future fiber-optic broadband infrastructure.

He likens the potential impact of broadband to that of rail coming to Malden in 1903. Once the Port of Whitman’s plan for connecting the community to high-speed internet is complete, Harwood envisions more folks opting for the slower pace, recreational opportunities and lower land prices of small town life in a beautiful place.

And for some who already call the town home, Harwood paints a picture of what it could mean. He thinks about training veterans struggling with PTSD to work from home, providing supplemental income, and more importantly, he said, bolstering a sometimes battered sense of self-worth.

Harwood is matter-of-fact: “Broadband changes lives.”

He also strikes a serious tone as he speaks about challenges still on the horizon, such as mental health capacity for people to be able to have a proper “debrief.” Neighbors need to talk with each other, he said, about what they went through and how they survived it, first the trauma of COVID and then the fire.

Havens and others continue to stand side-by-side with local leaders as they navigate these and other emerging needs on the road to recovery.

“Commerce is the one of the best kept secrets,” Harwood offered. “I can’t name them all, but these people are ingrained in Malden. I can’t say enough about what all the support means for our community.”

URM grocery purchases old Northwest Bedding facilities on West Plains, adds clients on coast

Monday, 21 December 2020 / Published in News + Updates

This article first appeared in the Journal of Business on October 22nd, 2020. . Written by Natasha Nellis

Spokane-based wholesale cooperative URM Stores Inc. has purchased the former Northwest Bedding complex on the West Plains to accommodate ongoing growth, as the organization expands west of the Cascade Mountains.

Located at 6102 S. Hayford Road, just west of the Amazon Fulfillment Center and north of West Plains Building Supply, the newly acquired property includes two warehouses with nearly 140,000 square feet of floor space—one with 117,900 square feet of space and the other with 16,000 square feet.

The structures will be used as additional staging and storage space, says Mike Winger, vice president of store development.

“It gives us some flexibility to better utilize the main URM facility,” he says.

A commercial change-of-use application on file with Spokane County shows tenant improvements in both structures are valued at about $12.4 million. URM purchased the 13.8-acre property for $3.7 million in September, according to Spokane County Assessor’s Office records.

The recently acquired Hayford Road structures previously operated as a boat manufacturer, Sun Runner, from 1977 to 1991 before transitioning into a Northwest Bedding manufacturing facility, says James Black III, Realtor with NAI Black who handled the transaction. The property has been vacant for roughly two years.

The expansion comes on the heels of a double-digit growth in revenues during the most recent fiscal year.

In its 2020 fiscal year ended July 31, the company experienced double-digit sales growth and closed out the year at a consolidated annual revenue of $1.3 billion, up 13% compared with 2019 revenue, Winger says.

Much of that growth is attributable to the COVID-19 pandemic, as more people cook at home and drive up sales at grocery stores, which in turn drives up sales at the wholesale cooperative, he says.

“The way the virus has impacted the restaurant trade has really changed people’s eating habits, and a lot of our retailers have experienced significant sales growth because people are now going to the grocery store and buying a lot of that center-store grocery product,” he contends.

Winger says it’s likely the new facilities will operate with a limited staff, as the facility is intended to be used as a temporary dry food storage facility. However, he adds, the significant growth and demand the company has seen this year has led to over 80 new hires at the URM headquarters, and the company is looking to add 30 to 35 additional employees before year’s end.

URM currently has over 670 employees.

In addition to eliminating periodic expenses related to off-site storage during the holiday seasons, the new facilities give URM expanded storage capabilities that Winger says will allow the company to better serve its growing client base in the large Pacific Northwest metropolitan areas.

“With the growth of our company, we’ve been pushing our trade area farther west,” says Winger. “Now, we service grocers over in the Seattle and Portland area.”

He adds that as more retailers are added to the company’s roster, the demand for specialty products could increase. The new facility will help to accommodate those products that the company headquarters, at 7511 N. Freya, currently doesn’t now.

Further, he says the grocery industry is continuously evolving, with new products being added every day, organic products growing in popularity and diversity, and ethnic foods growing in demand.

The new space will give the company the flexibility to accommodate those needs in the future as the company’s retailer base diversifies, he contends.

During the holiday season, the distributor often rents additional space to store the candy and other holiday treats the member companies only stock seasonally, Winger explains, so having the additional space will cut that expense.

The West Plains facilities currently are undergoing tenant improvements to ensure that the buildings are up to date with code requirements, he says. The buildings also aren’t connected to city water or sewer systems, and instead operate on a private well, so the company is inspecting them to ensure the life safety systems are operational, he adds.

Winger says improvements are slated to be completed by spring 2021.

“We have, for some time, been looking to see how we could expand our existing warehouse facility. We’re somewhat limited because we have the railroad property to the west of us and we have streets on either side,” he says of the company’s headquarters on Freya Avenue.

Much of the planned work is cosmetic, adds Winger. Additionally, the structure’s roof will be replaced, portions of the steel panel wall will be repaired, and the loading docks will need to be repaired or replaced to be properly sized for the company’s trucks, he says.

URM’s flagship distribution center on Freya Street is 680,000 square feet. According to the company’s website, its distribution center receives over 400 inbound truckloads weekly and ships over 450 outbound truckloads a week.

Its headquarters were established in Spokane in 1926. Since, the company has steadily expanded its space, with its last addition occurring in 2014 when the company added 77,000 square feet to its perishable groceries space.

URM services members in Washington, Idaho, Montana, and Oregon. Its offerings include dry groceries, frozen food, ice cream, deli foods, dairy products, fresh meat, general merchandise, and health and beauty aids.

The 99-year-old cooperative is a member-owned food distributor to grocers that include Center Place Market, Family Foods, Harvest Foods, Huckleberry’s Natural Market, Rosauers Supermarkets, Super 1 Foods, The Markets LLC, Town & Country Markets Inc., Yoke’s Fresh Market, and Northwest Grocers.

The company also provides supplies to two URM Cash & Carry stores.

Next year URM Stores will celebrate its 100th year, says Winger.

Colville’s cross laminated timber manufacturer will help put region on CLT map

Monday, 14 September 2020 / Published in News + Updates

This article originally appeared on KXLY.com by Derek Deis

COLVILLE, Wash. — Buildings made with cross laminated timber are already commonplace in Europe, but it’s a relatively new concept here. So to say Russ Vaagen, whose family has owned Vaagen Brothers Lumber for more than 70 years, is excited about his new venture would be an understatement.

“We could put this as the mass timber capital of North America eventually,” said Vaagen, the CEO and founder of Vaagen Timbers.

Cross laminated timber is an eco-friendly, wood panel product made from gluing layers of lumber together. Vaagen says it’s kind of like a Lego set.

“We’re actually putting together a kit that a builder can do very rapidly, high quality and goes together the same way every time,” explained Vaagen. “And so, it’s going to speed construction time up, it’s going to provide a much higher quality build, we’re going to be much more energy efficient.”

Vaagen Timbers can build its CLT panels up to 60 feet wide with varying depths. And Vaagen says it’s one-fifth the weight of steel and concrete with the same structural strength.

“So we’ll have a lighter, more nimble building. It’ll also be much better equipped to handle seismic shifts.”

And Vaagen says it can be used for all sorts of applications, including, “Mid-rise structures for commercial buildings, apartments and even homes.”

CLT panels start with pieces of lumber on the finger jointer machine.

“We take knives and we make a set of fingers. And they do just as it says, they joint together. And then we use pressure and an adhesive to tie those together,” said Vaagen.

After the wood is planed, it goes to the layup line, where Vaagen says those pieces of lumber get turned into panels.

“So we take four feet of wood, we lift it up all together, put it on the conveyor, goes and gets a layer of glue.”

A set of vacuums then lifts and places each additional layer.

“Sets it on top of that glued layer 90 degrees to the other layer, comes back through the glue, gets another long layer set back on it.”

The now heat cured panels then get cut by giant saws on the CNC line.

“We’re cleaning the cuts, we’re making the connections to go panel to panel if we’re doing a wall or a floor system,” said Vaagen.

After sanding, they’re ready to be shipped to customers.

One of the first places you’ll be able to see Vaagen Timbers’ CLT put to use is in Spokane’s Perry District, where Blockhouse – Life is building a 14 unit modular structure using CLT.”

“So we’ll make boxes basically that can be repeatable, but they can be customized,” said Vaagen. “And it’s modular. So ultimately, you could pick it up and move it and put it someplace else.”

Vaagen says Spokane, and Washington as a whole, are poised to be leaders in CLT and mass timber products. And that has him excited about Vaagen Timbers’ potential for growth.

“There’s just no losers. Everybody wins. And we’re going to be offering incredible structures for people to build with for years to come.”

Inland Northwest Economic Developments, SUMMER 2020

Tuesday, 01 September 2020 / Published in News + Updates

The following are projects, initiatives and economic developments are making news in eastern Washington and northern Idaho.

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SPOKANE, Wash. — Washington Department of Commerce has provided a $100,000 grant to support expansion and workforce training needs of SkyOne Aerospace. Founded in the Spokane Valley in 2015 with three employees, SkyOne Aerospace, specializes in customer-oriented repair and overhaul of instruments, avionics, electronics, mechanical units and hydraulic units of military aerospace aftermarket. SkyOne will purchase new equipment to meet expansion needs and hire additional skilled technicians with military aerospace experience. The company will retain 18 jobs and create 45 new jobs over the course of the next three years. Presently, 40 percent of SkyOne’s workforce are veterans, and the company is committed to hiring more, mostly from Fairchild Airforce Base. Read more on the SkyOne website.

COEUR d’ALENE, Idaho — Idaho Central Credit Union, ranked 2nd by Forbes’ 2020 Customer Satisfaction Survey, opened a branch in Coeur d’Alene at 1327 W. Appleway Avenue. This is Idaho Central’s 38th location in Idaho. The 8,600-square-foot branch has a drive-through with three lanes, an ATM and a video booth in the corner for members to access our VideoChat services. See more about ICCU’s Appleway Branch here.

PULLMAN, Wash. — With the recent successful completion of the $155M runway realignment project at the Pullman-Moscow Regional Airport (PUW), work recently began on the design and construction of a new terminal. In early August, the PUW Airport Board created a Terminal Advisory Committee to help gather community feedback and help shape the design of the $35 – 50M project. Committee members include community and university officials, key business leaders and other interest. Contact the PUW for more information.

MOSCOW, Idaho — Work continues on identifying and developing additional water supplies for the Palouse Region. Under the direction of the Palouse Basin Aquifer Committee (PBAC), an organization which includes the cities of Pullman, WA, and Moscow, ID, Latah and Whitman counties, University of Idaho, and Washington State University, a $150,000 contract was recently awarded to Alta Science and Engineering, Inc., of Moscow, ID. The study will focus on refinement of potential water supply alternatives as well as interim measure to help identify and develop additional water supplies within the Palouse Basin. Contact PBAC for more information.

SPOKANE VALLEY, Wash. — The Spokesman-Review has moved its printing operation to a new facility in Spokane Valley. It is now being printed on a press that was built in the early 2000s, and used to print the New York Times in Ann Arbor, Michigan. A second press, expected to come online this summer, will give the new company, Northwest Offset Printing, a way to print magazine-quality products. Read more in this Spokesman-Review article.

KELLOGG, Idaho —The Silver Valley Community WIFI CO-OP has recently launched to provide community Wi-Fi and free internet connections to Kellogg, Wallace, Pinehurst and Cataldo for residents to do remote learning, apply for essential services, pay bills, and perform other essential tasks. See more at https://www.svwifi.org/home.

SPOKANE VALLEY, Wash. — Spokane-based GL8 Hospitality LLC is breaking ground this week on a Tru by Hilton property in Spokane Valley, marking the brand’s first in the state. The 43,000-square-foot, four-story building will be at 13509 E. Mansfield Ave., east of CenterPlace Regional Event Center. The hotel, which will have 92 guest rooms, is expected to open in November 2020. See the full story here.

LEWISTON, Idaho – The Port of Lewiston welcomes Tsceminicum Bottling Company as its newest tenant. The full-service beverage and bottling factory produces Artesian Fusion Brand products in Aluminum, 500ml PET and PHA fully biodegradable plastic bottles, using water directly from their own Artesian well located at their factory, providing nutrient rich minerals from a deep and ancient aquifer. The bottling factory located on Colonel Wright Way will create eight full time and two part time jobs. Artesian Fusion brand products will be available in regional grocery stores and distributed through Idaho. More on Artesian Fusion here.

SPOKANE, Wash. — Palo Alto, California-based electric car manufacturer Tesla Inc. has established a service center in East Spokane.  The company is planning to install 10 more superchargers in Washington, according to its website.  Electric vehicles have grown in popularity in Washington in recent years, with over 42,500 plug-in electric vehicles registered in the state as of December 2018, according to the Washington state Department of Licensing. Over 810 of those were registered in Spokane County. Read more here.

MULLAN, Idaho — Lucky Friday mine, located near Mullan, produced 568,537 ounces of silver in the second quarter of 2020 and expects to reach full production by year-end. Lucky Friday is owned and operate by Coeur d’Alene-based Hecla Mining Co, and is the closest mine to Spokane. A Canadian company is a new investor in Hecla. Hecla Mining Co. has silver mines in Idaho, Alaska, and Mexico, as well as gold mines in Nevada and Quebec. Read the full article in the Journal of Business.

SPOKANE VALLEY, Wash. — Etailz has secured $25 million in debt financing to develop new products, expand inventory and grow retail partnerships. The new round of financing will specifically allow the Spokane Valley-based company – which partners with third-party sellers to grow their brands on Amazon, eBay and Walmart – to improve its proprietary software that discovers product trends, identifies new distributors and optimizes price positioning decisions. Etailz was founded in 2008 by Gonzaga University graduate Josh Neblett, his wife, Sarah, and angel investor Tom Simpson. Trans World Entertainment, a publicly traded company, acquired etailz in 2016 for $75 million. Etailz relocated to its 40,000-square-foot Spokane Valley headquarters in 2018. Read more here.

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Inland Northwest Economic Alliance (INEA) is a consortium of fourteen economic development agencies representing fifteen counties in the North Idaho/Eastern Washington region. The collaborative effort is aimed at building economic growth through enhancing the brand recognition of the Inland Northwest and its communities and showcasing its business value.  To learn more, visit www.inlandnorthwestregion.com.

Inland Northwest workforce training programs help close the skills gap

Wednesday, 26 February 2020 / Published in News + Updates

“The land of opportunity”— that is the promise of the United States. And one of the reasons the country has been able to deliver on that promise is that it has been able to develop the talent it needs to create wealth and to adapt to ever-changing economic realities.

— Martha Laboissiere and Mona Mourshed, McKinsey & Company

In rural regions, where populations are more dispersed and farther from major job centers, a well-trained workforce faces different challenges than those in metro areas, where people are closer to education, training, and employment opportunities.

The need, for both business and society, is clear: we need to better prepare people without college degrees for jobs with promising career paths.

KTEC students during Health Care and Natural Sciences Day at NIC

The Inland Northwest boasts 18 universities and colleges within an 80-mile radius of Spokane, accounting for nearly 90,000 students who study at area colleges and universities.

Building the talent pool for the region requires a dependable source of employees who are well-trained, ready to work and valued for loyalty. The region’s public and private higher education institutions work collaboratively with one another and the business community to ensure a workforce is developed to meet the needs of the Inland Northwest’s residents and industry.

Our region offers a wide variety of daytime and evening classes in the classroom, online course, and via correspondence.

Dream It. Do It. High School students from Idaho and Lewis Counties visiting with area employers

According to a 2019 Federal Reserve System article titled, Strengthening Workforce Development in Rural Areas, declines in prime working-age individuals and closing businesses, highlight the need for strategies that address both labor demand and supply issues.

“For these skills-oriented policies to be effective, community leaders must also implement strategies to retain skilled workers and to address nonskill barriers to work faced by vulnerable populations. Community amenities, quality job policies, transportation systems, affordable housing, health care, child care, and broadband should all be aligned with workforce development efforts.”

— Ashley Bozarth and Whitney M. Strifler, Federal Reserve Bank of Atlanta

 

There is no one solution to tackle all of the workforce issues that communities face. Take a look at the region’s offerings:

IDAHO WORKFORCE TRAINING PROGRAMS:

WASHINGTON WORKFORCE TRAINING PROGRAMS:

Collaboration between UW & Dayton brings mental health care to rural communities

Wednesday, 15 January 2020 / Published in News + Updates

first appeared in Crosscut on January 6, 2020 /  by Emily McCarty

A small team in southeast Washington is leading the charge in telepsychiatry

In tiny Dayton in southeastern Washington, the local hospital district has developed an innovative mental health program that has caught the attention of rural hospitals around the state.

The Columbia County Health System previously retained an in-house psychiatrist, but financial realities made continuing that approach impossible. CEO Shane McGuire didn’t want to give up, so he began the search for solutions.

 

Wayne Pollard teleconferences with Dr. Matthew D. Iles-Shih M.D., M.P.H. at the Columbia County Health System Clinic in Dayton, Washington December 19, 2019. (Rajah Bose for Crosscut)

Last July, McGuire found an opportunity to work with the University of Washington’s psychiatry program and its Advancing Integrated Mental Health Center (AIMS). The center’s primary focus is creating collaborative care models between primary care providers and their mental health care counterparts.

Dayton’s model weaves behavioral health care directly into primary care appointments. In Dayton, a mental health screening that indicates the patient would benefit from specialty care prompts a referral right away.

McGuire says the program extends beyond the AIMS model, because the UW psychiatrists not only support the medical staff, but also work directly with patients.

“They were willing to think outside the box for us,” he says. “I don’t think they really have a name for what they’re doing here yet.”

 

Rural Washington has struggled with behavioral health care solutions, with most citing problems in recruitment, retention and the high financial burden of providing specialty services. These hospital districts must be creative in building programs robust enough to meet basic mental health care needs, especially as Gov. Jay Inslee prepares to fully integrate behavioral health in the new year.

The 2019-2021 state operating budget provides $350.5 million to improve the mental health system, with over $35 million dedicated to community services and beds. Close to $120 million in the capital-construction budget was set aside for community-based beds to keep patients in their communities instead of being sent to Western or Eastern State Hospital.

Two bills making their way through the state Legislature would further change telemedicine for rural communities. Currently in committee is Senate Bill 5385, which seeks to pay out telehealth services at the same rate as in-person care. Senate Bill 5387, which took effect last July, allows the remote telehealth physician to access the patient’s local health records.

For now, each district is expected to find mental health solutions that will work best for them with the resources they have.

A Dayton city flag flies in front of the Columbia County courthouse
Columbia County is the third-least populous county in the state, yet hosts one of the most robust behavioral health programs in rural communities. (Rajah Bose for Crosscut)

“I think there’s 14 rural hospitals in the state that are operating in the red, year after year, working in their communities,” McGuire says. “We’re safety net organizations for our communities. We don’t turn people away.”

Rural communities are taking a variety of approaches toward mental health. Some, like Three Rivers Hospital in Brewster, provide crisis services only in the emergency room through the county health department. Newport Hospital, an hour north of Spokane, has a visiting psychiatrist once or twice a month. Cascade Medical in Leavenworth is looking at using pharmacists for more specialized prescribing assistance. Many towns have started building their mental health programs only within the past two years, starting with a few social workers, a dedicated nurse or a clinical psychologist.

But even in rural hospital districts with existing behavioral health care, psychiatrists are uncommon. Those services are usually provided by monthly visits from a visiting psychiatrist or, in more recent years, utilizing telemedicine services with psychiatrists in other cities using video conferencing.

Patients in Dayton do just that. They have access to top-tier psychiatric services from UW using Zoom, an encrypted video conferencing platform that meets federal HIPAA privacy regulations.

“You’ve got some of the best psychiatrists in the nation working in guiding the care of our patients … which is really an amazing overlap,” McGuire says.

Leading the charge is Dr. Matt Iles-Shih, an adult psychiatry and addiction specialist from the University of Washington’s Medical Center. His team initially started working in outpatient care, but this fall they rolled out inpatient services to the hospital with two additional attending psychiatrists who dedicate two hours a day.

Iles-Shih does one-on-one telemedicine for every new patient’s first appointment to start them on their course of treatment, prescribing psychotropic medication as needed or managing their current doses. About three months later, the patients will have a follow-up. If they have ongoing issues that need more treatment, repeat telehealth appointments can be made.

He also works directly with the doctors and social workers, providing curbside consultations to answer questions and provide clarification. He says this model not only benefits the patients, but allows the doctors to grow in their knowledge as well, strengthening the team across the board.

“Just through the process of clinical support that we’re doing through the program, there’s an upscaling and a sense that the PCP [primary care physician], she’s just absorbing a lot and actually changing their practice,” Iles-Shih says. “It’s not like you’re just reliant on someone else in another city, but this is an opportunity to really build up your own skills and capacities as an individual clinician.”

For outpatient needs, he communicates directly with one of Columbia County’s two social workers, Wayne Pollard and Tasha Willoughby.

Tasha Willoughby talks to high schoolers in front of a chalkboard
Social worker Tasha Willoughby talks about social work to Dayton High School students, where she or Pollard staff open office hours every Monday. (Rajah Bose for Crosscut)

On Thursday mornings, Iles-Shih video conferences with Pollard about four to eight patients. Iles-Shih will enter notes into the shared electronic database, which the patient’s primary doctors can access during regular appointments.

Physicians at Columbia County screen their patients every year for depression and anxiety. Those already in the newly created behavioral health program are rescreened with every visit. Depression and anxiety are the main diagnoses, but post-traumatic stress and bipolar disorders follow closely behind, Pollard says.

Pollard has been Columbia County Health System’s clinical social worker for the past two years. When he started, there was no program; McGuire created an entirely new system from the ground up.

The first half a year was clunky, Pollard says, but they saw the number of clients grow substantially. They hired their second social worker, Willoughby, to help handle the ever-growing caseload. Pollard averages about 60 clients, while Willoughby sees upwards of 90.

In crisis situations, where mental health services are needed as soon as possible, Pollard says the team can get patients in front of a UW specialist within two hours. This kind of expedited service from a psychiatrist is almost unheard of in rural health systems, he says.

There are no face-to-face psychiatrists in the area, Pollard says, and while the Tri-Cities offers such services, patients may have to wait up to a year to see one.

“It’s unusual that I could see somebody last week and tell her, ‘There’s a spot to see Dr. Matt next week. Let’s get you in front of him,’ ” he says. “That just doesn’t happen anywhere. People are blown away that they’re in front of this super specialist psychiatrist within a week or two.”

Both social workers are also certified in EMDR, or eye movement desensitization and reprocessing, commonly used to treat trauma.

“We are offering a specialty care here, which is very hard to find anywhere, much less than little Dayton, to have some EMDR therapists dealing with psychological trauma [and] PTSD symptoms,” Pollard says.

The wraparound care patients receive doesn’t stop at counseling, psychiatry and primary care services. The team also includes Paul Ihle, another social worker at Columbia County. He helps clients in everything from insurance complications to housing, but Dayton has him fill a unique need with mobile outreach, which provides transportation assistance for appointments.

About half of Ihle’s clients need transportation because of their mental health, and people were missing appointments because they lacked transportation, Ihle says. So the hospital licensed him to drive a hospital van, including for referrals outside of the community. They’ve brought patients from as far away as UW Medical Center in Seattle and Moscow, Idaho.

“The state provides People for People services, but it has a very rigid criteria for qualifying,” he says. “Some people are successful meeting that criteria, but there’s always circumstances that set up insurmountable hurdles to being successful and it tends to hit most profoundly the sick and the disabled and the poor.”

McGuire has also expanded into the local high school, down the road from the hospital. Pollard or Willoughby spends every Monday at the school with an open-door policy for students to talk about everything from standard “high school drama” to drug use and problems at home, Pollard says. They work with students over 13 years old. so the students can access services without needing parental permission, allowing students to drop in during school hours.

CEO Shane McGuire stands outside the Dayton clinic

CEO Shane McGuire has lived in Dayton for 16 years and been at Columbia County Health for almost 10 of those. He says they don’t turn people away and their services are unique: people come from as far as Walla Walla. (Rajah Bose for Crosscut)

“We are surprised at the amount of kids coming to see us already,” Pollard says. “We just started at the beginning of the year and easily there’s five or six kids popping in every day, which is pretty significant with being brand new there.”

McGuire wants to make sure the services are available to Columbia County’s whole network of services, so the staff also visits the nursing home attached to the hospital. Therapy is more difficult with cognitive issues, Pollard says, but they attend monthly psychotropic meetings where Iles-Shih is present via video conferencing.

This comprehensive behavioral health care all stems from McGuire, Pollard says. He made an effort to build a program, starting at square one.

“He’s wanting to do much more than the minimum of what’s required in any community. … He has a heart to see people get better,” Pollard says. “He gets the support from the board and a small community here who just want … people feeling as good as they can, instead of shoving this under the carpet like we’ve done for hundreds of years.”

 

America’s Most Beautiful Hills — The Palouse

Friday, 10 January 2020 / Published in News + Updates

45 Most Beautiful Places in the US to Add to Your Bucket List Right Now first appeared in Country Living Lyndsey Matthews and Jennifer Aldrich

Number 7/45:

America’s Most Beautiful Hills

Where: The Palouse

Why We Love It: Located in Idaho, Washington, and Oregon, the Palouse is a lush area that features rolling hills. According to The Seven Wonders of Washington State website, “The hills were formed over tens of thousands of years from wind blown dust and silt, called ‘loess.'”

most beautiful places america palouse

Getty Images

Washington Commerce introduces “Thrive!” to help high-growth businesses expand

Tuesday, 17 December 2019 / Published in News + Updates

First appeared on Washington Department of Commerce website on Dec. 17, 2019.

OLYMPIA, WA – Expanding on the success of its original economic gardening program, the Washington Department of Commerce has developed Thrive!, a new program to help second-stage companies increase revenues and position for growth.

Based on the Edward Lowe Foundation’s System for Integrated Growth (SiG) framework, Thrive! connects chief executive officers to subject matter experts who provide them with data, analytics, best practices and strategies that are typically only available to larger corporations. This actionable information can be used to overcome roadblocks related to human resources, finances, operations, marketing, sales, international trade and other business issues.

“Since its introduction three years ago, Commerce’s second-stage program has helped 39 businesses across the state find innovative ways to increase growth and revenue,” said Lisa Brown, Commerce director. “Where the original program focused solely on external issues, Thrive! examines internal and external roadblocks to growth, since one can often affect the other.”

Research shows that historically, companies that have completed a second-stage program like Thrive! experience a 15% to 30% increase in revenue.

The ideal candidate for Thrive! is a company that’s been in operation in Washington for at least two years, has between six and 99 employees, achieved $1 to $25 million in annual revenue and has demonstrated an appetite and aptitude to handle additional growth.

To help offset the $4,275 cost of the program, Commerce contributes $1,275 to pay for the initial needs assessment call with the team leader as well as a strengths-weaknesses-opportunities-threats (SWOT) analysis call with a team of experts assigned to address identified business issues. Based on these calls and the resulting work plan, the CEO can move into the research phase of Thrive!, which entails up to 33 hours of professional research time. Thrive! is conducted entirely by phone and a secure online portal created especially for each participating company. Thrive! requires approximately eight to 12 hours of the CEO’s time over the course of four to eight weeks.

More information about Thrive! as well as a link to the application for the program is available at http://startup.choosewashingtonstate.com/programs/thrive/. Contact Susan Nielsen at [email protected] for eastern Washington Thrive! opportunities.

Region’s 2020 Economic Forecast Looks Very Much Like 2019

Thursday, 12 December 2019 / Published in News + Updates

First appeared in The Coeur d’Alene Press, December 12, 2019 at 5:00 am | By MIKE PATRICK Staff Writer

COEUR d’ALENE — Same ‘ol-same ‘ol looks pretty sweet.

Speaking to a packed house of 215 business people and community leaders Wednesday, economist Dr. John Mitchell said there’s little reason to expect the nation’s unprecedented 126-month expansion to come to a screeching halt. What we saw in 2019 should look a lot like what we see in 2020, he said.

Dr. John Mitchell delivers his keynote to Coeur d’Alene Chamber of Commerce (Loren Benoit, Coeur d’Alene Press)

In his annual Coeur d’Alene Chamber of Commerce breakfast address at the Best Western Plus Coeur d’Alene Inn, the veteran fiscal forecaster predicted economic growth might slow a bit but continue heading in the right direction.

“The things we traditionally worry about at the moment are not happening,” he said.

Sure, there’s some uncertainty with impeachment proceedings, Mitchell acknowledged. Angst ebbs and flows with international trade and tariff talk, too.

It’s always possible the market could see a big dip, or threats emerge to upend the tax system or the medical system. And of course, Mitchell had to raise the specter of a black swan event — some disaster that nobody sees until after it’s already happened — no matter how unlikely.

“I worry about… people’s willingness to take chances and invest,” he conceded. “That’s a threat.”

But having covered the big scary stuff, Mitchell’s forecast had a calming effect.

“The things that preceded many other recessions don’t seem to be there,” he said.

Nationally, Mitchell pointed to GDP slowing slightly next year but strong employment and low inflation propelling a steady course.

Close to home, Mitchell unwrapped a Christmas package of economic positivity.

He cited Idaho’s 2.1 percent population growth as No. 1 in the nation, tied with Nevada.

Idaho’s job growth for the year through October was a sturdy 2 percent, good for eighth in a nation where all 50 states showed job growth in 2019. Mitchell charted Kootenai County job growth for three years, from October 2016 through October 2019, and tallied 8.4 percent growth, with construction and leisure/hospitality leading the way.

The local housing picture is especially bright — if you’re looking at the value of your property rather than your tax bill, anyway. According to Mitchell’s research, the Coeur d’Alene metro area had the fourth highest housing appreciation rate in the country as of the year’s third quarter. Chico, Calif., rising from the ashes of the Paradise Fire, led the way with a 14.25 percent appreciation rate. Boise (11.81) was second, followed by Idaho Falls (11.33) and Coeur d’Alene (10.85). Demonstrating the growth power of the Northwest, Spokane was fifth in the nation (9.36).

Growth is also visible throughout Kootenai County, as building permits attest. Mitchell said residential building permits are up 11.5 percent year over year.

“The forces that have been driving the county would seem to be intact,” he said, pointing to confident employed consumers, an aging population in the higher cost areas, the many attributes of the region, and simply rising with the tide of continued national economic expansion.

He’s got some numbers to back that all up. Looking at 2010 through 2018, Mitchell showed a positive population change in Kootenai County. Making babies was responsible for 3,822 new faces, while net migration brought in 19,111 during that period, he said. That added up to a 16.6 percent increase, well ahead of Idaho’s strong 11.9 percent population growth.

Growth is evident not just in bodies but bank accounts. According to Mitchell’s research, Kootenai County residents’ personal income was up 7 percent last year. He noted that the big uptick isn’t all from hard-working employees getting raises or better-paying jobs, either: dividends, interest, rents and transfer payments are boosting the bankroll of retirees.

“Old people save a lot,” he said.

Worries over deficit spending haven’t slowed the overall economy, and the dreaded “R” word has somehow been held at bay. Mitchell called “recession headlines very common in 2019,” but said the warnings are often a reflection of political rather than economic interests.

“I always have in the back of my mind, ‘What’s the person’s agenda?’” he said. “The recession just keeps getting pushed further and further out.”

With some effort, the economist who has been making similar presentations for 47 years strained to see dark clouds, let alone black swans, on the 2020 horizon. However, all economic expansions end sometime.

“I don’t think it’s going to be in 2020,” Mitchell said, “but it’s out there somewhere.”

Chewelah’s Creative Economy is recognized by Washington State

Wednesday, 07 August 2019 / Published in News + Updates

The City of Chewelah has been designated a certified Creative District by the Washington State Arts Commission. The Creative District program, which began just last year, is a platform for communities to grow their creative economies. A Creative District is a geographically defined area where art, cultural, social, and economic activity takes place. It includes cultural facilities, artists, creative industries and other businesses that support these activities. It helps to encourage job growth and educational and cultural opportunities.

With a population of 2,600, located 45 miles north of Spokane, Chewelah has approximately 90 community arts and cultural events per year. These events range from a traditional skills retreat that teaches blacksmithing and woodcarving to the Chewelah Chataqua, an annual arts and music festival drawing approximately 25,000 visitors to the town in mid-July.

“We are looking forward to utilizing the designation as a catalyst for Chewelah to become a “beacon” for artisans, entrepreneurs, tourism, and continued economic growth.”

—Mike Bentz of the Chewelah Chamber of Commerce.

The Chewelah Chamber of Commerce  the lead organization, but the Collaborative Partners included business leaders, artisans, and cultural leaders. “The local Collaborative Partners are both humble and proud of this achievement,” Bentz said.

“We are looking forward to utilizing the designation as a catalyst for Chewelah to become a “beacon” for artisans, entrepreneurs, tourism, and continued economic growth,” said Bentz. “Since we heard the good news, the excitement level has become contagious.”

Creative Districts program manager Annette Roth said she’s pleased to see both cities receive certification.

“Although these communities are very different from each other, they both demonstrate how they can use a program like ours to create a vision for the future that is reflective of their community values and use their creative assets to grow their local economy”

— Annette Roth, Creative Districts Program Manager at ArtsWA

ArtsWA’s Creative District program supports designated communities with grant funding opportunities, technical assistance, training, wayfinding signage and more. The designation for each community lasts for five years.

The Creative District program began in 2018. It is a platform for communities to grow their creative economies. A Creative District is a geographically defined area where art, cultural, social, and economic activity takes place. It includes cultural facilities, artists, creative industries and other businesses that support these activities. It helps to encourage job growth and educational and cultural opportunities.