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I'LL TALK LOUDER.

[00:00:02]

THANK YOU.

GOOD AFTERNOON,

[CALL TO ORDER]

ONE AND ALL.

UM, IT'S A LITTLE AFTER TWO 30 AND WE'LL CALL THE, UM, TRAVIS COUNTY, AUSTIN, TRAVIS COUNTY PUBLIC HEALTH COMMISSION TO ORDER WITH A QUORUM OF FIVE RIGHT NOW, EXPECTING MAYBE ONE OR TWO OTHERS AS WE GO ALONG.

UM, I'M GONNA LOOK AT THE AGENDA AND SEE IF WE CAN, UM, FIRST OF ALL, CALL TO ORDER, WHICH WE'VE DONE.

UM, IS THERE ANY PUBLIC COMMENT

[PUBLIC COMMUNICATION: GENERAL]

TODAY? YES.

WE HAVE ONE PUBLIC COMMENT.

MM-HMM, .

OH, WONDERFUL.

WELCOME.

GOOD AFTERNOON.

THANK YOU FOR THE OPPORTUNITY TO COME IN AND SPEAK TO YOU.

MY NAME IS SHANNON JONES.

I USED TO BE THE FORMER PUBLIC HEALTH DIRECTOR FOR THE CITY OF AUSTIN, TRAVIS COUNTY, AND I WANTED TO COME TODAY TALK A LITTLE BIT ABOUT, FIRST OF ALL, TO COMMEND YOU ON THE WORK THAT YOU'VE CONTINUED, YOU'VE DONE.

UH, WE WERE PART OF THE EFFORT TO GET THE COMMISSION UP AND OPERATING, UH, MANY YEARS AGO, SO I'M QUITE PROUD TO SEE WHERE IT'S GONE.

UH, THIS COMMISSION IDEA ORIGINALLY CAME OUT OF THE FACT THAT THERE WERE COMMISSIONS LOOKING AT PUBLIC SAFETY EDUCATION, LIBRARIES AND OTHERS.

THERE WAS NOTHING ON PUBLIC HEALTH.

AND CERTAINLY AS A PUBLIC HEALTH PERSON IN THE COMMUNITY OF PUBLIC HEALTH PROFESSIONALS, WE FELT IT WAS NECESSARY TO DO THAT.

AND THE GOAL WAS HOPEFULLY TO ADVANCE POLICIES THAT WOULD IMPROVE THE HEALTH STATUS OF THE ENTIRE POPULATION, BUT PARTICULARLY FOR POPULATIONS OF COLOR.

SO, I'M GLAD TO SEE THAT IT'S UP AND OPERATING, BUT I WOULD ENCOURAGE YOU TO CONTINUE TO FOCUS ON THOSE DISPARATE ISSUES.

ONE OF THE REASONS ALSO IS THE FACT THAT AS PART OF THE INITIAL ACCREDITATION, PUBLIC HEALTH, WE WERE ONE OF, UH, FIVE, UH, HEALTH DEPARTMENTS TO BE ACCREDITED IN TEXAS AT THEIR ORIGINAL ACCREDITATION BY THE PUBLIC HEALTH ACCREDITATION BOARD, THE IMPORTANCE OF HAVING COMMUNITY INVOLVEMENT AND ENGAGEMENT.

AND AS COMMISSIONERS, I WOULD ENCOURAGE YOU ALL TO CONTINUE TO MAKE SURE THAT THE COMMUNITY, AND I DON'T MEAN JUST THE BIG COMMUNITY, BUT THE COMMUNITY OF RESIDENTS AND CITIZENS AND ORGANIZATIONS ARE AWARE OF PUBLIC HEALTH INITIATIVES IN THE COMMUNITY.

IT'S SO VERY IMPORTANT WHEN YOU LOOK AT THE DATA AS WE'LL SEE TODAY, I'M SURE THAT DISPARATE ISSUES IN POPULATIONS AND IN OTHER AREAS CONTINUE TO BE DIFFERENT.

AND IF, IF THE PUBLIC HEALTH AGENCIES ARE NOT ENGAGED IN ADDRESSING THOSE, THOSE DIFFERENCES WILL CONTINUE TO EXIST.

UM, I JUST WANTED TO COME FORTH AND THANK YOU AGAIN AND ADVOCATE THAT YOU CONTINUE TO WORK WITH, AS I UNDERSTAND, WITH OTHER AGENCIES WITHIN, UH, THE CITY AND THE COUNTY TO ADVOCATE AROUND HEALTH ISSUES, PUBLIC HEALTH ISSUES PARTICULARLY, AND THOSE DISPARITIES.

SO WITH THAT SAID, THANKS AGAIN FOR THE OPPORTUNITY.

I JUST WANTED TO COME BY AND SAY HELLO AND SIT IN AND SEE THE RESULT OR THE UPDATES ON THE CHA CHIP.

THANK YOU.

THANK YOU VERY MUCH, MR. JONES.

AND CAN I JUST SAY NUMBER ONE, THANK YOU FOR YOUR PRIOR SERVICE AS A LEADER IN, IN PUBLIC HEALTH AND OUR COMMUNITY, NUMBER ONE.

AND I GUESS NUMBER TWO, YOU REMAIN, I BELIEVE, I, I UNDERSTAND AS A, UM, A BOARD MEMBER OF COMM OF, UM, CENTRAL HEALTH.

YEAH.

SO WE APPRECIATE YOUR SERVICE THERE.

AND I WOULD THIRDLY INVITE AND, AND, UM, AND HOPE THAT YOU MIGHT COME BACK FROM TIME TO TIME AND TELL US HOW WE'RE DOING.

SO WE'D WELCOME THE FEEDBACK AND HELP US KNOW THAT WE'RE WORKING IN THE RIGHT WAY TO, TO MEET THE, UM, THE VISION THAT YOU JUST SHARED.

THANK YOU VERY MUCH.

I TRULY APPRECIATE THAT.

THANK YOU.

ARE THERE OTHER REQUESTS FOR PUBLIC COMMENT? OKAY, SO WE'LL TAKE THAT AS A NO, I THINK THAT THE THIRD ITEM

[1. Approve the minutes of the Public Health Commission Meeting on January 3, 2024.]

HERE IS TO APPROVE THE PRIOR MINUTES.

I DON'T KNOW IF YOU'VE HAD A CHANCE TO, UH, REVIEW, BUT, UM, I'LL PAUSE FOR A MO FOR A MOMENT IF ANYONE NEEDS TO, TO GLANCE AT 'EM.

AND OTHERWISE WE'LL LOOK FOR A MOTION FOR APPROVAL OF THE PRIOR MINUTES.

I'LL MOVE THE MOTION.

THANK YOU.

UH, IT'S BEEN MOVED.

IS THERE A SECOND? SECOND.

THANK YOU.

ALL IN FAVOR.

PLEASE, UM, SAY AYE, OR RAISE YOUR HAND IF YOU'RE REMOTE OR DO BOTH.

CAN WE DISCUSS IT REAL QUICK? I APOLOGIZE.

YEAH.

IS THERE'S DISCUSSION? YEAH, JUST ON THE SECOND PAGE, APPROVAL OF MINUTES.

IT SAYS ON THE JANUARY 3RD MEETING, WE APPROVE THE JANUARY 3RD MINUTES, BUT OBVIOUSLY THAT'S WHAT WE'RE DOING TODAY.

UH, SO I THINK THE SECOND LINE MIGHT NEED TO BE MOVED UP.

RIGHT.

SO YOU'RE SAYING ON ITEM NUMBER ONE, IT SHOULD HAVE BEEN THE APPROVAL OF THE DECEMBER MEETING, AND WE WERE APPROVING THE DECEMBER MEETING ON JANUARY.

IS THAT WHAT YOU'RE YOU'RE, YOU'RE POINTING OUT, CORRECT.

SO ACTUALLY, UM, WITH THE LANGUAGE THAT WE ARE, YOU KNOW, SET TO FOLLOW WITH THE CLERK'S OFFICE, UM, SO WE APPROVED THE JANUARY MINUTES, NO, I'M SORRY, THE DECEMBER MINUTES IN JANUARY.

SO, UM, THAT WAY THAT IT'S, UM, SET OUT IS ACTUALLY CORRECT.

UM, AND IT HAS BEEN SO IN, IN PREVIOUS AGENDAS, I MEAN, SORRY, IN, UH,

[00:05:01]

MINUTES.

THAT'S THE HOW WE'RE SUPPOSED TO FOLLOW IT.

OKAY.

I'M JUST GONNA DISCUSS IT.

SO GO AHEAD.

YEAH, SORRY.

SO, SO THE APPROVAL OF MINUTES WAS APPROVED, THE MINUTES FROM THE REGULAR MEETING ON JANUARY 3RD, BUT THIS WAS THE JANUARY 3RD MEETING, SO WE CAN'T APPROVE THE MINUTES FOR THE MEETING WE'RE HAVING, RIGHT? YES.

SO THE MEETING TOOK PLACE ON JANUARY 3RD, AND THAT'S THE DAY THAT WE APPROVED THE MINUTES FOR DECEMBER 6TH.

SO IT'S LIKE, KIND OF LIKE LOOKING BACK.

SO I SEE, SO IN YOUR MINUTES, YOU'RE SAYING ON THE 3RD OF JANUARY WE APPROVED THE MINUTES FOR DECEMBER 6TH? THAT IS CORRECT.

EVEN THOUGH IT'S, UM, UM, YOU HAVE TO KIND OF SWIM THROUGH THOSE TWO PARAGRAPHS TO GET TO IT.

YES, .

OKAY.

THANK YOU.

YEAH, IT DOES KIND OF READ, I'LL READ IT SPECIFICALLY.

SORRY TO DIRE APPROVE THE MINUTES OF THE AUSTIN TRAVIS COUNTY PUBLIC HEALTH COMMISSION REGULAR MEETING ON JANUARY 3RD.

IT'S, YOU, YOU MIGHT SAY DURING THE JANUARY 3RD MEETING, WE APPROVE THE MINUTES FOR THE DECEMBER 6TH FOR CLARITY, BUT THAT'S, THAT'S, UM, ANYWAY, I, DOES THAT MAKE SENSE? YEAH, NO, THAT MAKES SENSE.

UM, I CAN CHANGE THE LANGUAGE A BIT, UM, JUST SO IT CAN BE EASIER TO FOLLOW IN THE FUTURE.

THANK YOU.

UM, BUT YEAH, SO IN JANUARY WE WENT AHEAD AND APPROVED THE MINUTES FOR DECEMBER.

GREAT.

THANK YOU FOR CLARIFYING.

ANYBODY ELSE HAVE A COMMENT OR THOUGHT ON THE, UM, THE PRIOR MINUTES? IF NOT, WE HAVE A MOTION.

WE HAVE A SECOND AND THERE'S NO MORE DISCUSSION.

I'M SORRY, GO AHEAD.

NO, I'M SORRY.

ONE MORE THING.

UH, JUST, UH, COMMISSIONER SHAW'S NAME IS MISSPELLED, UH, IN THE, THE ATTENDANCE SECTION.

THAT'S ALL I'VE GOT.

THANK YOU.

THANK YOU.

APPRECIATE THE ATTENTION TO DETAIL.

ARE THERE OTHER COMMENTS OR QUESTIONS WITH THAT? UM, ALL IN FAVOR, PLEASE.

MOTION, UH, PLEASE SAY AYE OR, UM, HOLD UP YOUR HAND TO INDICATE AFFIRMATIVE.

ANY OPPOSED? MOTION CARRIES.

THANK YOU.

I WANTED TO, UM, DIGRESS TO WELCOME THE OTHER MEMBERS AND, AND CERTAINLY, UH, CHAIR WALLACE.

THANK YOU FOR, UM, JOINING IN THE OTHERS.

AND, UM, I'M IN YOUR CHAIR TODAY, SO I'M DOING MY BEST TO UPHOLD THE STANDARD, BUT, UM, UM, ANYWAY, WELCOME YOU AS WELL.

UM, SO THE NEXT ITEM IS DISCUSSION

[2. Presentation by Austin Public Health on 2022 Community Health Assessment findings from assessment conducted in the Austin community.]

OF THE, UM, A PRESENTATION OF THE AUSTIN PUBLIC HEALTH PRESENTATION BY THE AUSTIN PUBLIC HEALTH ON, UM, BY AUSTIN PUBLIC HEALTH ON THE 2022 COMMUNITY HEALTH ASSESSMENT FINDINGS.

WILL THAT BE, AND WHEN YOU REMIND US OF YOUR NAME AND POSITION.

THANK YOU.

JUST FOR CLARITY.

YES, I WILL.

UM, CAN YOU HEAR ME OKAY? YES.

AWESOME.

GOOD AFTERNOON, HONORABLE COMMISSIONERS, LADIES, GENTLEMEN, AND OTHERS.

I'M CORD DODO PLANNING AND EVALUATION UNIT MANAGER FROM AUSTIN PUBLIC HEALTH, WHICH ALSO HOUSES CEE PROGRAM.

I'M HERE TODAY AT YOUR INVITATION TO SHARE OUR 2017 AND 2022 CHILD FINDINGS WITH YOU.

THE COMMUNITY HEALTH ASSESSMENT CHAIR IS ALSO KNOWN AS COMMUNITY HEALTH NEED ASSESSMENT.

CHIN, FOR THE PURPOSE OF THIS MEETING, ONLY CHILD WILL BE USED THROUGHOUT THIS PRESENTATION.

UNLIKE INDIVIDUALS HEALTH ASSESSMENT, WHICH IS GENERALLY CONDUCTED IN CLINICAL SETTING, SUCH AS, UH, HEALTH CENTERS AND HOSPITAL CHAIR IS COMPLETELY DIFFERENT ACCORDING TO CDC CHA REFERS TO A STATE, TRIBAL, LOCAL, OR TERRITORIAL HEALTH ASSESSMENT THAT IDENTIFIES KEY HEALTH NEEDS AND ISSUES THROUGH SYSTEMATIC COMPREHENSIVE DATA COLLECTION AND ANALYSIS.

NEXT, PLEASE.

I WANTED TO INFORM YOU THAT OUR INTERIM CHURCH CHIEF PLANNER COULD NOT BE HERE WITH ME TODAY BECAUSE EACH FACILITATING OUR MONTHLY CHURCH CHIEF CORE COORDINATING COMMITTEE MEETINGS, ALSO THE 2022 CHART BOOK, WHICH YOU CAN SEE HERE, IS A VERY THICK BOOK IS OVER 160 PAGE LONG.

AND AS SUCH 20 MINUTE PRESENTATION IS JUST A HIGH LEVEL OVERVIEW OF ITS CONTENT.

THE OBJECTIVES OF THIS PRESENTATION INCLUDE BACKGROUND, CHARGE, DEFINITION, AND STRUCTURE, 2022, CHILD METHOD, CHILD FINDINGS, STAKEHOLDER SUMMIT, AND PRIORITY AREA RANKING,

[00:10:02]

AND CHIEF TIMELINE.

AND NEXT STEP, NEXT PLEASE, IS THE 2022 AUSTIN TRAVIS COUNTY CHAIR INVOLVED SEVERAL STAKEHOLDERS INCLUDING HEALTH CENTERS, HOSPITAL, ACADEMIA, SCHOOL, LOCAL SCHOOL DISTRICT, COMMUNITY BASED ORGANIZATIONS, GOVERNMENT AGENCIES, TRAFFIC COUNTY, HHS, AND AUSTIN PUBLIC HEALTH.

TO DATE, WE HAVE 11 PARTNER ORGANIZATIONS AND WE ARE PLANNING TO EXPAND IT TO BRING MORE COMMUNITY BASED ORGANIZATIONS ON BOARD.

FOR NOW, WE HAVE THOSE 11, UH, PARTNERS THAT ARE SESSION SETTING, AUSTIN PUBLIC HEALTH, AUSTIN TRANSPORTATION DEPARTMENT, BILL SCOTT, AND WE, HEALTH CAPITAL, METRO CENTRAL HEALTH, AND , SAN DAVID FOUNDATION.

AND THE, LIKE, WHY ARE WE CREATING A COMMUNITY HEALTH ASSESSMENT? A COMMUNITY HEALTH ASSESSMENT GIVES ORGANIZATIONS SUCH AS A PH AND HHSA COMPREHENSIVE INFORMATION ABOUT THE COMMUNITY'S CURRENT HEALTH ISSUES, NEED AND, UH, PROBLEMS. IN TURN, THIS INFORMATION CAN HELP WITH DEVELOPING A COMMUNITY HEALTH IMPROVEMENT PLAN BY JUSTIFYING HOW AND WHERE RESOURCES SHOULD BE ALLOCATED TO BEST MEET COMMUNITY HEALTH NEED.

IN ADDITION, CHILD WAS ESTABLISHED TO OBTAIN AND MAINTAIN PA ACCREDITATION SATISFY REQUIREMENT FOR GRANT NO-PROFIT ORGANIZATIONS H HS AC ACCREDITATION ENGAGE COMMUNITY MEMBERS ON HEALTH ISSUES AND SOCIAL DETERMIN ON HEALTH CHAIR.

ALSO HELP US UNDERSTAND HEALTH DISPARITIES IN COMMUNITIES ENABLES LEADERS TO ESTABLISH HEALTH PRIORITIES BASED ON COMMITTEE NEED, COLLABORATE, AND WORK WITH, UH, NEW PARTNERS, AND STRENGTHEN THE ABILITY TO SUCCESSFULLY COMPETE FOR FUNDING OPPORTUNITY.

NEXT, PLEASE.

FOR THE BACKGROUND AND BETTER UNDERSTANDING PURPOSES, WE WANTED TO BRIEF TO GIVE YOU A BRIEF OVERVIEW OF 2017 CHILD, WHICH WAS FIRST, WHICH OUR FIRST COMMUNITY HEALTH ASSESSMENT OF KIND DURING THE 2017 CHILD A TEAMS WERE IDENTIFIED, INCLUDING INEQUITY IN SOCIOECONOMIC LEVEL AND HEALTH IMPACT, EDUCATION AND WORKFORCE DEVELOPMENT, EFFORT, HEALTHCARE ACCESS AND AFFORDABILITY, TRANSPORTATIONS MENTAL HEALTH AND WELLBEING, ACCESS TO SAFE RECREATION SPACES, ACCESS TO HEALTH, FOOD, AND HEALTH.

THE FOUR PRIORITIES AREA THAT WERE DEVELOPED WERE ACCESS TO AN AFFORDABILITY OF HEALTHCARE, CHRONIC DISEASE, SEXUAL HEALTH, AND STRESS, MENTAL HEALTH AND WELLBEING.

THE FOUR GROUPS WERE ESTABLISHED, FOUR GROUPS WERE ESTABLISHED TO FOR EACH PRIORITY AREA AS A RESULT.

NEXT, PLEASE.

NOW THE 2022 TRIAL, THE 2022 TRIAL TOOK PLACE DURING AN UNPRECEDENTED TIME IN HUMANKIND, I MEAN, DURING COVID-19 PANDEMIC, DURING WHICH GOVERNMENT RESTRICTION AND SOCIAL ISOLATION WERE COMMONPLACE.

IT WAS DIFFICULT OR EVEN NOT PERMISSIBLE TO GATHER PEOPLE TOGETHER FOR A FOCUS GROUP OR ANY OTHER SOCIAL GATHERINGS.

NEVERTHELESS, WE GET, WE GOT THE JOB DONE FOR THE 2022 CHART.

WE FOLLOWED NATURE MAP FRAMEWORK, WHICH IT'S A COMMUNITY DRIVEN STRATEGIC PLANNING PROCESS FOR IMPROVING COMMUNITY HEALTH.

THE JUNE 22 INCLUDED THREE MAIN ASSESSMENT THAT PROVIDED A COMPREHENSIVE PICTURE OF HEALTH IN THE COMMUNITY, THEIR COMMUNITY PARTNER ASSESSMENT, COMMUNITY, UH, STATUS ASSESSMENT AND COMMUNITY CONTEST ASSESSMENT.

AND I'M GONNA EXPLAIN, UH, EACH OF THEM.

FIRST COMMUNITY PARTNER ASSESSMENT.

UM, IT'LL REFER TO COMMITTEE, IT, IT DEFINE AS COMMITTEE PARTNERS THAT LOOK CRITICALLY WITHIN THEIR OWN SYSTEM AND PROCESSES AND ASSESS THEIR RISK, THEIR ROLE IN THEIR COMMUNITY HEALTH AND WELLBEING.

SECOND, COMMUNITY HEALTH STATUS, IT'S ABOUT QUANTITATIVE DESCRIPTION OF THE STATUS OF THE COMMUNITY, SUCH AS COMMUNITY DEMOGRAPHICS, HEALTH STATUS, AND OTHER CONTRIBUTING FACTORS.

THIRD, COMMUNITY CONTEXT ASSESSMENT IS ABOUT, ABOUT, IT FOCUSES MAINLY ON HISTORICAL ANALYSIS AND PERSPECTIVE FROM COMMUNITY MEMBERS WITH LIVED EXPERIENCE.

TO ACCOMPLISH THESE TASKS, SIX BASIC STEPS MUST BE FOLLOWED IN CHRONOLOGICAL ORDER.

THEY ARE, ONE, DEFINE THE COMMUNITY.

TWO, DECIDE ON THE SCOPE.

[00:15:01]

THREE, IDENTIFY ASSET.

FOUR, MAKE CONNECTION WITH PARTNER AND COMMUNITIES.

FIVE, COLLECT, ANALYZE DATA, CEASE, BUT NOT THE LEAST, PRODUCE A REPORT AND MAKE IT AVAILABLE FOR A WIDE DISSEMINATION.

NEXT, PLEASE.

THE 2022 CHILD UTILIZE SOCIAL DETERMIN OF HEALTH FRAMEWORK TO COLLECT MOSTLY QUALITATIVE DATA AND REVIEW AND SUMMARIZE LITERATURES AND PUBLICATIONS FROM GOVERNMENTAL AGENCIES AND NONPROFIT ORGANIZATIONS.

THE COMMUNITY PASS PARTNER ASSESSMENT INCLUDED A TOUR OF, UH, UH, 27 PARTICIPANTS TO HELP TO HELP IDENTIFY ORGANIZATIONS TO INVOLVE IN THE COMMUNITY HEALTH EMPLOY PLANNING PROCESS.

THIS PROCESS IDENTIFI THE PRIORITY OF ENGAGING DIRECT SERVICES PROVIDERS, ORGANIZATION AFFILIATED WITH SCHOOL DISTRICT RESIDENT VOLUNTEERS, GRASSROOTS INITIATIVE, AND FAITH BASED ORGANIZATIONS.

PARTICIPANT PART, UM, FOCUS ON PRIORITIZING ALL THE ADULT BLACK, INDIGENOUS PEOPLE OF COLOR, ASIAN COMMUNITY AND BEHAVIORAL HEALTH AND OTHER GROUPS.

THE COMMUNITY STARTED ASSESSMENT INVOLVED THE ANALYSIS OF EXISTING SOCIAL AND HEALTH DATA.

THIS DATA WERE DRAWN FROM STATE, COUNTY, AND LOCAL SOURCES SUCH AS THE US CENSUS AND COUNTY HEALTH RANKINGS, TEXAS DEPARTMENT OF STATE AND HEALTH SERVICES, AUSTIN AREA SUSTAINABILITY INDICATORS, PROJECT, BEHAVIORAL RISK FACTORS, SURVEILLANCE SYSTEM, AND VITAL STATISTICS BASED ON BIRTH AND DEATH CON, UH, RECORD.

THE COMMUNITY CONTEST ASSESSMENT INVOLVES SEVERAL QUALITATIVE METHODS, INCLUDING KEY INFORMATIVE INTERVIEWS WITH COMMUNITY LEADERS FOR A TOTAL OF 20 PEOPLE.

IN DEPTH INTERVIEWS WITH COMMUNITY MEMBERS, TWO PEOPLE PARTICIPATED, AND SEVEN SOCIAL DETERMINATE OF HEALTH FRAMEWORK.

THERE WERE ALSO SEVEN FOCUS GROUP THAT WERE HELD WITH COMMITTEE MEMBERS WITH FOR TOTAL OF 48.

PARTICIPANT.

A RADIO TALK SHOW.

THREE PEOPLE PARTICIPATED A VIRTUAL COMMUNITY FORUM WITH COMMITTEE MEMBERS AND, UH, LEADERS, 16 PEOPLE, AND FOLLOW OUTREACH CAMPAIGN A THROUGH OF 23.

THEIR GOAL WAS TO ELICIT PARTICIPATION'S PERCEPTION OF COMMUNITY STRENGTHS, NEED AND OPPORTUNITY FOR CHANGE THEIR CONTENT ANALYSIS OF LOCAL ASSESSMENT, PROVIDE THE IMPORTANT CONTENT REGARDING PRIORITY COMMUNITIES AND TOPICS.

NEXT, PLEASE FINDING.

NOW LET'S DIVE INTO THE 2022 CHILD DRIVE FINDING.

NEXT, PLEASE.

AFTER THE ANALYSIS OF ALL THE DATA COLLECTED, VARIOUS KEY TEAMS WERE IDENTIFIED IN MODERN HEALTHY FOOD ACCESS.

IN 2019, ONLY 15.6% REPORTED EATING FIVE DAILY SERVINGS OF FRUIT AND VEGETABLES.

A DECLINING TREND SINCE 2011, HOUSING ABOUT 65% OF TOTAL RESPONDENT, WHICH ABOUT 1100.

RESPONDENT REPORTED SPENDING OVER 30% OR MORE OF THEIR MONTHLY INCOME ON HOUSING.

AND 17% REPORTED SPENDING ABOUT 50% OF MORE OF THE MONTHLY INCOME ON HOUSING IN AUSTIN.

WHITE HOUSEHOLD FACE SEVERE CAUSE BURDEN 15% OF THE TIME.

THIS COMPARED TO 25% OF THE TIME FOR BLACK AFRICAN-AMERICAN HOUSEHOLD, 23% FOR LATINO HISPANIC HOUSEHOLD, 20% OF ASIAN HOUSEHOLD.

YOU ALL ALREADY KNOW ABOUT THE AFTERMATH AND IMPLICATION OF COVID-19 AND MV INDIVIDUALS AND COMMUNITY SUFFERINGS C 19 AND IMAGES PREPAREDNESS WERE ALSO HIGHLIGHTED.

SOME COMMUNITY MEMBERS STATED THAT LIFE-SAVING RESOURCES, INCLUDING COMMUNICATION TOOLS FOR LOWER INCOME RESIDENT PEOPLE WITH LIMITED ENGLISH PROFICIENCY AND COMMUNITIES OF COLOR WERE NOT AVAILABLE OR INADEQUATE AT BEST, ESPECIALLY DURING COVID-19 AND THE WINTER STORM.

UH, URINE LESS PLEASE.

MENTAL HEALTH, THE PERCENTAGE OF PEOPLE WHO SELF-REPORTED FIVE OR MORE DAYS OF POOR MENTAL HEALTH IN THE PAST 30 DAYS IN TRAVIS COUNTY WENT FROM 21.9% IN 2019 TO 26.9% IN 2020.

ADDITIONAL BARRIERS INCLUDE PHOTO ID, CRITICAL, UH, IDENTIFIED DOCUMENT TO SECURE HOUSING AND HEALTHCARE RESOURCES.

AND AT THE SAME TIME, THEY HAVE DIFFICULTY OF SECURING IDENTIFIED

[00:20:01]

DOCUMENT TO GET STATE ID FOR HISTORY OR, UH, HOMELESSNESS.

SO THEY WANT YOU TO PROVIDE I ID IN ORDER FOR YOU TO QUALIFY FOR SERVICES.

AT THE SAME TIME, THEY WANT YOU TO PRODUCE DOCUMENT TO GET ID.

SO PEOPLE ARE CALLED IN THE MAIL, THEY DON'T HAVE ANY OF THIS.

OR IF YOU HAVE ONE, THEN GOOD LUCK.

SO YOU CAN SEE HOW PEOPLE WERE STRUGGLING, TRIED TO FIND OUT WHAT'S GOING ON, BUT REALLY THE SYSTEM IS LIKE THE SYSTEM WAS AGAINST THEM.

THE BUILT ENVIRONMENT, TECHNOLOGY AND COMPUTER ACCESS LIMITED INTERNET.

INTERNET ACCESS WAS AN ISSUE FOR LOW INCOME RESIDENT AND MORE DIFFICULT IN RURAL AREAS AND IMPORTANT RESOURCES FOR ACCESSING, ACCESSING INFORMATION AND RESOURCES, STAY CONNECTED AND PARTICIPATING IN REMOTE EDUCATION AND WORK TRANSPORTATION.

40% KNEW THAT THEIR COMMUTE TIME WAS LONGER THAN 30 MINUTES AND 81% REPORTED PRIMARILY DRIVING ALONE TO WORK LANGUAGE BARRIERS.

36% PERCENT OF TRAVIS COUNTY RESIDENT WERE NOT ENGLISH SPEAKERS.

PHYSICAL ACTIVITY BARRIERS INCLUDE WORKING MULTIPLE JOBS, UM, HOW LIMITED, UH, FOR HOURS, UH, LIMITED CAPACITY, AS WELL AS, UH, FEELING UNSAFE IN THEIR NEIGHBORHOOD.

UH, ALSO WERE MAJOR ISSUES, RACISM AND DISCRIMINATION.

A CODE FROM COMMUNITY LEADERS INCLUDE CODE.

WE SEE AND HEAR A COMPLAINT ABOUT WATER AND, UH, AIR QUALITY.

IN DELL VALLEY.

WE HEAR THERE'S A LOT OF DESERT AND SWAMPS WHERE MARGINALIZED COMMUNITY IS BEING PUSHED TO LIVE.

CHOICES ARE NOT GOOD THERE IN TERMS OF FOOD QUALITY AND LIFESTYLE.

THERE IS ENVIRONMENTAL RACISM, ECONOMIC ISSUES, ALL OF THESE CRITICAL HEALTH FACTORS.

AND HOW THIS STRUCTURE IS SET UP IS HAVING AN ADVERSE, UH, UH, IMPACT CLOSE CODE SAFETY, GUN VIOLENCE, GUN VIOLENCE AND POLICE BRUTALITY CAME UP.

BUT CRIME TREND HAVE REMAINED STABLE.

HOWEVER, CRIME BOOKING WHERE BY RACE WAS HIGHER FOR AFRICAN AMERICAN TWO AND HALF TIMES MORE OFTEN THAN THE Y COUNTERPART, WHICH IS CONSISTENT TREND THROUGHOUT THE COUNTRY.

YES, PLEASE.

OVERALL, THE TWO, THE TOP TWO HEALTH PRIORITY AREAS FOUND DURING THE STAKEHOLDER SUMMIT ARE MENTAL HEALTH AND SOCIAL DETERMINANT OF HEALTH.

THESE ARE CONSIDERABLE AREAS WHICH REQUIRE MAJOR UNDERTAKING.

WHILE THESE ARE CONSIDERED MOST IMPORTANT ISSUE FOR STAKEHOLDERS, WE SHOULD NOT OVERLOOK OR UNDERESTIMATE HOW OTHER NEED OF THE COMMUNITY AS EVIDENCED BY OTHER TEAMS SUCH AS HEALTH, EDUCATION, CULTURAL COMPETENCY, HEALTHCARE ACCESS AND HOUSING.

WE WILL DISCUSS, UH, THE MAIN, THERE ARE TWO MAIN PRIORITY AREAS IN MORE DETAIL IN THE NEXT COUPLE SLIDE.

NEXT PLEASE.

FOLLOWING THE CHILD FIGHTING AND, UM, THE MAP PROCESS, A PARTNER SUMMIT WILL HELP TO NARROW DOWN THIS FIGHTING AND START THE PRIORITIZATION PROCESS.

THE FIRST PRIORITY WE WANT TO TALK ABOUT IS SOCIAL DETERMIN OF HEALTH.

THIS IS HUGE AND WE COVER ALMOST ALL AREAS OF HUMAN LIFE AS A LEADER BY THE PSYCHOLOGIST ABRAHAM MASLOW, IN HIS HIERARCHY OF NEED IN 1943 OR NEARLY EIGHT DECADE AGO, BUT IS STILL RELEVANT TODAY.

TO ILLUSTRATE THIS POINT, CDC DEFINES SOCIAL DETERMINANT OF HEALTH AS CONDITIONS IN THE PLACES WHERE PEOPLE LIVE, LEARN, WORK, AND PLAY, THAT AFFECT A WIDE RANGE OF HEALTH AND QUALITY OF LIFE.

RISK AND OUTCOMES.

SOCIAL DETERMIN OF HEALTH CAN BE GROUPED INTO FIVE DOMAINS.

FIRST, ECONOMIC STABILITY IN THE UNITED STATES.

ONE IN 10 PEOPLE LIVE IN POVERTY.

ANY PEOPLE CAN'T.

MANY PEOPLE CANNOT AFFORD THINGS LIKE HEALTHY FOOD, HEALTHCARE, AND HOUSING.

SECOND, EDUCATION, ACCESS AND QUALITY.

PEOPLE WITH WITH HIGHER LEVEL OF EDUCATION ARE MORE LIKELY TO BE HEALTHIER AND LIVE LONGER.

THIRD, HEALTHCARE ACCESS AND QUALITY.

MANY PEOPLE IN THE UNITED STATES DON'T GET THE HEALTHCARE SERVICES THEY NEED.

NEIGHBORHOOD AND BUILD ENVIRONMENT, THEIR NEVER NEIGHBORHOOD PEOPLE LIVE IN HAVE A MAJOR IMPACT ON THEIR HEALTH AND WELLBEING.

SOCIAL AND COMMUNITY CONTEXT.

PEOPLE'S RELATIONSHIP AND INTERACTION WITH FAMILY, FRIEND, COWORKERS AND COMMUNITY MEMBERS CAN HAVE A MAJOR IMPACT ON THE HEALTH AND WELLBEING IN PRACTICAL

[00:25:01]

TERMS. EXAMPLE OF SOCIAL, DETERMINANT OF HEALTH INCLUDE SAFE HOUSING, TRANSPORTATION, NEIGHBORHOOD, ENVIRONMENTAL, ENVIRONMENT, FREE FROM FREE OF RACISM, DISCRIMINATION, VIOLENCE, GOOD EDUCATION, GOOD JOB, AND GOOD INCOME.

ACCESS TO NUTRITIOUS FOOD AND PHYSICAL ACTIVITY.

OPPORTUNITY ENVIRONMENT THAT IS FREE OF AIR POLLUTION AND POLLUTED WATER.

PEOPLE HAVE LITERACY SKILLS AND HAVE ACCESS TO LANGUAGE INTERPRETATION AND DOCUMENT TRANSLATION.

SO NOW LET'S DIVE INTO MENTAL HEALTH.

OUR SECOND PRIORITY AREA IS MENTAL HEALTH, WHICH IS ANOTHER BIG AND LESS DEFINED AREA.

ACCORDING TO C, D, C, MENTAL HEALTH INCLUDE OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELLBEING.

IT AFFECT HOW WE THINK, FEAR AND ACT.

IT ALSO HELP DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE HEALTHY CHOICES.

MENTAL HEALTH IS IMPORTANT AT EV EVERY STAGE OF LIFE FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.

MENTAL HEALTH IS AN IMPORTANT PART OF OUR OVERALL HEALTH AND WELLBEING.

AND AS SUCH, MENTAL HEALTH ARE AMONG THE MOST COMMON HEALTH CONDITION IN UNITED STATES.

HOW COMMON ARE MENTAL HEALTH ILLNESSES? MENTAL HEALTH ILLNESSES ARE PREVALENT IN UNITED STATES.

MORE THAN 50% WILL BE DIAGNOSED WITH MENTAL ILLNESS OR DISORDER AT SOME POINT IN THEIR LIFETIME.

ONE IN FIVE AMERICANS WILL EXPERIENCE A MENTAL HEALTH ILLNESS IN A GIVEN YEAR.

ONE IN FIVE CHILDREN, EITHER CURRENTLY OR AT SOME POINT DURING THEIR LIFE, HAVE HAD A SERIOUSLY DEBILITATING MENTAL HEALTH ILLNESS.

AND ONE IN 25 AMERICANS LIVE WITH A SERIOUS MENTAL ILLNESS SUCH AS SCHIZOPHRENIA, BIPOLAR DISORDER, OR MAJOR DEPRESSION.

THE QUESTION IS NOW WHAT CAUSED MENTAL HEALTH? THERE'S NO SINGLE CAUSE OF MENTAL HEALTH.

SEVERAL FACTORS CAN CONTRIBUTE TO RISK, UH, FOR MENTAL HEALTH, SUCH AS EARLY ADV, EARLY ADVERSE LIFE EXPERIENCE, SUCH AS TRAUMA OR HISTORY OF ABUSE.

EXPERIENCE RELATED TO OTHER ONGOING HEALTH CONDITIONS SUCH AS CANCER OR DIABETES, BIOLOGICAL FACTORS OR CHEMICAL IMBALANCES IN BRAIN, IN THE BRAIN, USE OF ALCOHOL OR DRUG HEAVY FEELING OF LONELINESS OR ISOLATION, AND ALSO ALL OF WHICH ARE CONTRIBUTING FACTORS.

NEXT, PLEASE.

NOW, WHEN CHARGE IT, AS YOU CAN SEE, THERE ARE TOO MANY ISSUES AND PROBLEMS TO BE ADDRESSED AT ONCE, WHICH ARE WAY BEYOND THE CAPACITY OF SHIP, LET'S BE HONEST AND FACING, HOWEVER, IS UP TO THE SHIP COMMITTEE MEMBERS TO DEVELOP A, A STRATEGY, A STRATEGY THAT PRIORITIZES THE NEED OF THE COMMUNITY, WHICH IS EXACTLY WHAT WE ARE CURRENTLY DOING.

THE CHIEF GOAL IS TO IMPROVE COMMUNITY HEALTH BY BUILDING ON PASTURE FINDINGS AND, UH, SUCCESSFULLY IMPLEMENT, UM, IMPLEMENTED, UM, THEIR STRATEGY TO THE COMMUNITY TEAM.

AND, UH, A PH LEADERSHIP CHURCH PARTNERS, ONCE AGAIN HELD A TWO HALF DAY SUMMIT THIS PAST OCTOBER TO FURTHER NARROW DOWN THE HR FINDING INTO THREE PRIORITY AREAS THAT WILL HELP US DEVELOP MATIC GOALS.

AND OBJECTIVE.

THERE ARE THREE PRIORITY AREAS WE ARE CURRENTLY WORKING ON INCLUDE MENTAL HEALTH, ECONOMIC STABILITY, AND BUILT ENVIRONMENT.

THE NEXT STEP IN THE CHIEF DEVELOPMENT IS TO FINALIZE THE RESPECTIVE PRIORITY AREA GOALS, OBJECTIVE AND STRATEGIES.

THE AIM IS TO HAVE THE CHIP COMPLETED AND THE FINAL, THE FINAL REPORT PUBLISHED BEFORE SUMMER IN MAY, 2024.

NEXT, PLEASE.

WE WOULD LIKE TO ACKNOWLEDGE OUR INAUGURAL CHURCH TEAM, INCLUDING MY PRODUCERS, WHO IS NOW THE ASSISTANT DIRECTOR, CASSANDRA DEON.

WE WOULD ALSO LIKE TO THANK THE CHAIRSHIP GROUP, UH, WORK GROUP AND COMMITTEE MEMBERS, PARTNER ORGANIZATIONS, A PH, VOLUNTEERS COMMITTEE, HEALTH WORKERS AND PLANNING AND EVALUATION UNIT TEAMS FOR THEIR CRITICAL ROLE DURING THIS PROCESS.

A SPECIAL, UH, THANKS TO DR.

WS, WHO WAS THE KEYNOTE SPEAKER AT THE 2022 CHARTERSHIP STAKEHOLDER SUMMIT.

[00:30:01]

ADDITIONALLY, WE WANTED TO EXTEND OUR GRATEFUL APPRECIATION TO THE STEERING COMMITTEE CHAIR, THE A PH DIRECTOR, A STIR UNDER HER LEADERSHIP.

THE CHAIRSHIP IS CONTINUING TO MOVE FORWARD THERE, DESPITE MANY CHALLENGES, INCLUDING LIMITED HUMAN RESOURCES AND EMPLOY EMPLOYEE JOURNALS TO THOSE WHO ARE STANDING BY OR WATCHING.

I WILL SAY THAT THERE ARE PLENTY OF OPPORTUNITIES FOR COLLABORATION.

PLEASE GET INVOLVED AND STAY INFORMED.

THANK YOU SO VERY MUCH FOR INVITING US TODAY.

I'M NOW OPEN TO YOUR QUESTION AND COMMENT.

ANY COMMENT WE HAVE.

THANK YOU.

THANK YOU VERY MUCH FOR THAT PRESENTATION AND, UM, HAVING BEEN A CONSUMER OF THE COMMUNITY HEALTH ASSESSMENT OVER THE YEARS, I'VE, UM, ALWAYS NOTED, UH, DIRECTOR STEWART'S NAME AT THE TOP.

SO WE APPRECIATE YOUR LEGACY OF, UM, WORK IN THIS ARENA, UM, OVER THE YEARS TO PRODUCE THIS, UM, YOU KNOW, IMPORTANT DOCUMENT, WHICH IS, AS YOU SAY, 150 SOME ODD PAGES AND APPRECIATE YOUR SYNOPSIS HERE TODAY.

YEAH, EXACTLY.

AND IN A VERY SUCCINCT FORM.

UM, SO THANK YOU FOR THAT.

AND LEMME JUST PAUSE AND NOW INVITE, UM, COMMISSION MEMBERS FOR QUESTIONS, COMMENTS.

I'LL LEAD OFF WITH CHAIR WALLACE, IF YOU HAVE ANYTHING.

I APPRECIATE IT.

UM, YEAH, DEFINITELY A COUPLE THINGS.

ONE, IN, WHEN YOU'RE LISTING THE 11 PARTNERS, UH, OUTSIDE OF ANY CITY OF AUSTIN DEPARTMENTS OR REPRESENTATIVE HEADS, IS THERE REPRESENTATION FROM THE OTHER CITIES IN, UM, IN PILLAR REPRESENTATIVES FROM THE EXTRATERRITORIAL JURISDICTION? 'CAUSE I MEAN, YOU LISTED OFF QUITE A FEW ORGANIZATIONS, BUT THESE ARE ALSO THE SAME ORGANIZATIONS.

WE'RE TALKING ABOUT TRYING TO FIGURE OUT HOW TO BETTER BRIDGE, HOW TO BETTER ENHANCE WHEN IT COMES TO THE, UH, THE, THE OTHER PARTS OF THE COUNTY.

AND SO I'D BE INTERESTED IN WHAT TYPE OF REPRESENTATION FROM THOSE CITIES AND THOSE ETJ AREAS ARE A PART OF THIS CHILD SHIP, UH, UH, UH, COMMITTEE GROUP THAT'S COMING TOGETHER TO TALK ABOUT THE AREAS OF NEED.

THANK YOU SO VERY MUCH CHAIR FOR YOUR QUESTION.

AS YOU CAN SEE, SHIP IS STILL IN, IN, IN, IN THIS, UH, INFANCY.

UH, THIS IS OUR SECOND, UH, CYCLE.

AND FOR NOW, UM, OUR PARTNERS ARE LOCATED IN THE AREA IN AUSTIN AND TRAVIS COUNTY AREAS.

UM, LAST MONTH WE HAD DISCUSSION WITH, UH, THE STEERING COMMITTEE DURING WHICH, UH, WE STRESSED THE NEED TO, UH, TO EXPAND, UH, YOU KNOW, ORGANIZATION, UH, AND INVITE MORE COMMUNITY BASED ORGANIZATION.

SO THAT IS ALREADY IN WORK.

WE WILL EXPAND THE COMMITTEE TO INCLUDE MORE COMMUNITY BASED ORGANIZATIONS.

RIGHT.

I, I, I THINK, LET ME GET A LITTLE BIT MORE SPECIFIC IN MY RESPONSE.

IF, IF THERE'S NOT A REPRESENTATIVE DESIGNATED BY EACH CITY COUNCIL FOR THE COUNTY, AND IF THERE'S NOT A DESIGNATED REPRESENTATIVE IN THE ROOM FOR EACH ETJ AREA, THEN I THINK YOU'RE, YOU'RE MISSING A LOT OF INPUT OF WHAT IS THE ACTUAL NEED AND CONCERNS OF THOSE SPECIFIC AREAS.

I UNDERSTAND THAT MAJORITY OF THE, THE, THE ENTITIES REPRESENTATIVE ARE MORE REGIONAL.

UH, THEY, THEY OPERATE OR HAVE MOUS AND AGREEMENTS TO PROVIDE SERVICES IN THOSE AREAS, BUT THEY'RE NOT IN THOSE AREAS.

LIKE THE CITY COUNCIL LEADERSHIP IS TALKING WITH THOSE ACTUAL COMMUNITY INDIVIDUALS.

UM, SAME THING AS IDENTIFYING A REPRESENTATIVE THAT MAY BE FACILITATING A, UH, A HEALTH COLLABORATIVE MAY NOT NECESSARILY BE THE RIGHT PERSON AS DESIGNATED BY, YOU KNOW, A, A, A, UM, A SMALL COMMUNITY OF WHO THEY WOULD SAY IS HAVING A BETTER DIALOGUE OR CONNECTION OF THE NEEDS AND THE CONCERNS OF THAT LOCAL GOVERNMENT.

YES.

UM, CHAIR, I UNDERSTAND YOUR CONCERN.

WHILE, UM, THEY MIGHT NOT HAVE REPRESENTATION ON, ON THE COMMITTEE, UM, DURING OUR ASSESSMENT, UH, WE TRY HARD TO MEET, UH, COMMITTEE MEMBERS WHERE THEY ARE.

UH, THAT'S WHY YOU CAN SEE MY PRESENTATION THAT, UH, WE USE DIFFERENT METHOD, UH, TO REACH THOSE COMMUNITIES TO MAKE SURE THAT WE ARE GETTING INPUT FROM THEM.

SO YEAH, THEY ARE NOT, THEY WERE NOT, THEY MIGHT NOT BE ON THE TABLE RIGHT NOW, BUT AT LEAST THEY HAVE CONTRIBUTED ONE WAY OR ANOTHER IN THE, TO THE, IN THE PRODUCTION OF THIS DOCUMENT.

SO THE IDEAS, THOUGHT AND INPUT WERE INCLUDED, UH, IN THIS REPORT.

DR.

AND THEN MY LAST QUESTION BE IS WE GOT A LOT OF, UH, FROM, FROM YOUR PRESENTATION OF CONSENSUS OF ISSUES AND CONCERNS AND AREAS OF NEED, WHICH ARE VERY ALIGNED WITH A LOT OF THE OTHER REPORTS, BUT WHAT SO FAR

[00:35:01]

HAS BEEN, UH, UH, UH, PASSED ALONG TO THE PARTNERS THAT YOU'RE SAYING ARE CONVENING THAT PROVIDE THESE RESOURCES AS IMMEDIATE IMPACTS TO, UH, MITIGATE SOME OF THOSE ISSUES.

UM, I, I DIDN'T SEE THAT PART HIGHLIGHTED IN YOUR PRESENTATION AS FAR AS STUFF THAT IS BEING WORKED ON RIGHT NOW AND, AND, AND STUFF THAT THE TEAM IS LOOKING AT AND NEEDS TO COME BACK, UM, TO, TO PROVIDE RECOMMENDATIONS OF WAYS THAT THEY CAN IMPACT THINGS WITHIN THEIR LEVEL OF AUTHORITY AND, AND OVERSIGHT ON DR.

.

YES, PLEASE.

SO, I'M, I'M SORRY, DR. WALLACE, I'D LIKE TO JUST REVISIT NUMBER ONE.

I THINK YOUR SUGGESTION IS A GOOD ONE.

UM, JUST WANTED TO INCLUDE THAT THE STEERING COMMITTEE HAS NO CITY COUNCIL OR TRAVIS COUNTY COMMISSIONER REPRESENTATION AT THIS TIME.

IT'S REALLY THE AGENCIES THAT ARE DOING THE WORK, INCLUDING THE HOSPITALS.

SO, UM, PART OF WHAT, UH, DR.

DOTO MENTIONED WAS THE, UH, DISCUSSION OF THE CHANA, WHICH IS THE COMMUNITY HEALTH NEEDS ASSESSMENT THAT IS DONE BY THE HOSPITALS, AND THEY ALSO HAVE FOCUS GROUPS.

AND SO THE IDEA IS TO GET THAT COMMUNITY INPUT AND SEE THE NEEDS THAT THEIR PATIENTS ARE EXPERIENCING AND THEN ATTEMPTING TO ADDRESS THOSE NEEDS.

YOU KNOW, THE TABLE IS BIG AND CAN ALWAYS GET BIGGER BECAUSE PUBLIC HEALTH IS NOT, AS YOU KNOW, ABOUT NARROWING THE, UH, NUMBER OF PEOPLE THAT CAN HELP.

IT EMBRACES EVERYONE LIKE TO THE TABLE AND SAY, YOU KNOW, PRIVATE BUSINESSES, EDUCATION, EVERYONE SHOULD COME TO THE TABLE AND ADDRESS THESE ISSUES BECAUSE WE ALL IMPACT THE ISSUES, INCLUDING PUBLIC SAFETY.

SO, YOU KNOW, WE DEFINITELY WELCOME INVITING ANYONE TO THE, THE ROOM, THE CHARGES THAT THE STEERING COMMITTEE HAS TO CONSIDER WHAT THE RECOMMENDATIONS ARE, AND THEN, UH, ADDRESS THOSE NEEDS.

AND SO THAT'S PART OF THE CONVERSATION AS WELL.

WHAT ARE WE DOING? WHAT IS EACH OF US, EACH OF OUR INSTITUTIONS DOING TO ADDRESS THE NEEDS THAT ARE BEING RAISED TO THIS LEVEL? AND I'LL LET COCHO ADDRESS NUMBER TWO.

NO, THANK YOU SO MUCH.

UH, ANNA, UM, CHAIR TO YOUR SECOND POINT OR SECOND QUESTION.

UM, THE 2027 CHAIR HAS SOME, YOU KNOW, UM, AREAS THEY PRIORITIZE FOR AREAS.

AND AS A RESULT, WE HAVE ESTABLISHED FOUR WORK GROUPS.

UH, ONE, UH, IN MODERN, UH, WE HAVE, UH, CHRONIC DISEASE AND SEXUAL HEALTH.

AND THOSE WORK GROUP ARE STILL ACTIVE AS I I, AS I I MENTIONED BEFORE, THIS IS, UH, THIS PROGRAM, THE CHURCH IS STILL IN ITS INFANCY.

SO WE ARE CONTINUOUSLY TRYING TO IMPROVE HOW WE CAN BETTER, BETTER SERVE OUR, YOU KNOW, UM, OUR COMMUNITY.

AND ALSO WE ARE IN THE PROCESS OF, UH, DEVELOPING A PLAN ON HOW TO MONITOR AND EVALUATE THE PROGRESSES THAT WE ARE MAKING.

UM, YOU KNOW, SO IT'S WHAT WE ARE DOING WITH THIS NEW CHART COMING UP AND THE NEW, UH, CHIP, UH, WE PLAN TO ADDRESS ALL THOSE ISSUE SOMETHING THAT WE HAVE MISSED IN THE PATH.

WE TRY TO INCLUDE ALL THOSE, UH, IN OUR NEW CHIP PROCESS.

THANK YOU.

THANK YOU, SIR.

OTHER QUESTIONS? NOTHING ELSE FROM ME, VICE CHAIR.

THANK YOU.

OTHER QUESTIONS OR COMMENTS? I HAD TWO QUESTIONS, PLEASE.

YEAH.

UM, SO EAR, THANK YOU FOR THE PRESENTATION BY THE WAY.

UH, EARLY ON YOU MENTIONED THAT THE IN COMMUNITY ENGAGEMENT PROCESS IS SOMETHING THAT YOU ARE EXPANDING WITH EVERYONE THAT IS GETTING PUSHED OUT BECAUSE OF HOUSING CONCERNS TO THE, MAYBE NOT TRAVIS COUNTY AREA, AND THEY WERE AUSTIN RESIDENTS RECEIVING SERVICES FROM AUSTIN.

HOW ARE YOU ALL POTENTIALLY GONNA BE ADDRESSING THAT IN YOUR IMPLEMENTATION? AND I HAVE ONE MORE QUESTION AFTER THAT.

, THAT'S A GREAT QUESTION.

AND AS YOU CAN SEE, UH, I HAVE LIMITED RESOURCES.

AND WHEN IT COME TO HOUSING, AS YOU KNOW, IT'S BIGGER THAN ONE PERSON.

UH, EVEN THE CITY CANNOT HANDLE IT.

SO, UH, , UM, BUT YOU KNOW, YOU ARE MAKING A VERY GOOD POINT.

UM, THAT'S WHY MY PRESENTING, I STRESS THAT WE TRY HARD TO REACH, UH, PEOPLE WHERE THEY ARE.

UM, SO, UM, THAT'S WHAT THIS DOCUMENT, WE TRY TO PUBLISH IN SUCH A WAY THAT REACH A WIDE, UM, YOU KNOW, AUDIENCE, UH, BY, YOU KNOW, HOW, WHAT DID WE DO IT, WE PRINT, UH, WE HAD THE PRINTOUT COPIES, WE POSTED ONLINE.

WE WENT TO ACADEMIA FOR PRESENTATION.

WE ALSO WENT TO THE LIBRARY.

WE, WE, WE BROUGHT, UM, SOME PRINTED COPIES SO THAT PEOPLE CAN, CAN HAVE ACCESS.

AND ON TOP OF THAT, LIKE WE MENTIONED, WHEN WE FINISHED WITH THE, THE CHIEF, THE NEW CHIEF, NOW WE PLAN TO EXPAND AND REACH COMMUNITY AND PRESENT TO THEM WHAT, YOU KNOW, WE FOUND AND HOW WE CAN COLLECTIVELY ADDRESS ALL THOSE NEED.

YES, SOME PEOPLE MAY NOT BE AROUND IN

[00:40:01]

AUSTIN AREA, BUT WE WILL TRY HARD TO REACH PEOPLE WHO LIVE IN WITHIN THIS JURISDICTION.

UH, ONE WAY OR ANOTHER TOO, MAYBE ONLINE COMMUNICATIONS, UH, RADIO, UH, YOU KNOW, ALL MEANS SOCIAL MEDIA AND THE LIKES.

THANK YOU.

UM, AND MY FOLLOW UP QUESTION IS MAYBE A LITTLE BIT MORE, UM, SPECIFIC.

YOU WERE COMMENT FROM THE FOCUS GROUP PARTICIPANT ABOUT ACCESSING HEALTHY FOODS.

I KNOW THAT'S SOMETHING WE'VE HAD PRESENTED TO THE COMMISSION.

UM, FROM A, A POLICY SYSTEMS ENVIRONMENTAL APPROACH.

WHEN YOU'RE LOOKING AT THE IMPLEMENTATION PROCESS, ARE YOU ALL GOING TO BE IDENTIFYING DIFFERENT POLICIES OR SYSTEM, UM, AREAS OF CONCERN THAT ARE MAKING IT CHALLENGING FOR FOLKS TO ACCESS THESE FRESH FOODS OR HEALTHY FOODS IN THEIR COMMUNITIES? AGAIN, UH, THANK YOU FOR THAT QUESTION.

WE ARE STILL WORKING ON THE CHIP.

WE ARE STILL DEVELOPING THE CHIP.

IT'S NOT COMPLETED HERE.

SO I'LL BE HAPPY TO COME BACK HERE AND SHARE WITH YOU, UM, WHAT WE FOUND, WHAT WE ARE DOING, AND THE STRATEGIES MOVING FORWARD.

THANK YOU.

YOU BET.

OTHER QUESTIONS, COMMENTS? I'M SORRY.

SURE.

PLEASE GO.

THANK YOU.

AND THANK YOU AGAIN FOR THAT PRESENTATION AS WELL.

I'M CURIOUS, I KNOW THAT THIS IS THE SECOND OR THIRD HAW THAT WE'VE DONE.

UM, CAN YOU NAME ANY SUCCESSES THAT WE'VE HAD SINCE THE LAST HAW? UH, ANY DIFFERENCES? HAS ANYTHING ELSE OR RISEN AS AN ISSUE OR HAVE THINGS IMPROVED AT ALL COMPARED TO THE, THE PREVIOUS CHAS AND CHIPS? THANK YOU FOR THAT QUESTION.

UM, LIKE I SAID, UM, ONE OF THE SUCCESSES, IT WAS THAT, UH, WE WERE ABLE TO CREATE A WORK GROUP TO WORK ON ON DIFFERENT, UH, AREAS.

UM, LIKE I SAID, CHRONIC DISEASE.

WE HAD ACTIVE, UH, WORK GROUP, UH, ADDRESSING THOSE ISSUES, SEXUAL HEALTH.

UM, SO IN TERMS OF SUCCESSES, SUCCESSES, UH, THIS IS ONE OF THE AREAS THAT WE FELL SHORT, I'LL BE HONEST WITH YOU.

AND, UH, THAT'S WHY I MENTIONED THAT, UM, IN THE NEW CHIP, WANT TO MAKE SURE THAT WE INCLUDE EVALUATION AND MONITORING SO THAT WE CAPTURE ALL THE SUCCESSES AND FAILURES OR AREAS FOR IMPROVEMENT.

I'D LIKE TO TAG ON TO THAT.

I THINK THAT THE WORK THAT AUSTIN PUBLIC HEALTH STARTED DOING WITH COMMUNITY HEALTH WORKERS AND INCREASING THAT WORK, UH, WAS DUE TO ONE OF THE WORKING GROUPS, UM, IN THE, THE CHA THAT, UH, IS REFERENCING.

AND, UM, YOU KNOW, SEEING, UH, A COALITION OF COMMUNITY HEALTH WORKERS GET TOGETHER AND, UH, WORK TOGETHER REALLY IMPROVES OUR COMMUNITY BECAUSE THEY'RE THE ONES THAT HAVE THE BOOTS ON THE GROUND AND ACCESS TO OUR COMMUNITY MEMBERS.

SO I, I THINK THAT WOULD BE ONE SUCCESS.

THANK YOU FOR, FOR REMINDING ME ABOUT THAT.

AND IF I, IF I MAY JUST ADD ONE MORE PLEASE ON, UM, IT MIGHT BE HARD TO PROVE A DIRECT, UH, CAUSAL RELATIONSHIP, BUT I THINK THE WORK OF THE CHIP HAS DEFINITELY INFLUENCED WHAT WE HAVE AS A COMMUNITY HAVE DONE IN TERMS OF FOOD INSECURITY.

UM, IF YOU LOOK AT THE INVESTMENTS THAT CITY COUNCIL HAS MADE, UM, TO HOPE FOOD INSECURE COLLEGE STUDENTS, UM, THE PILOT PROJECT TO, UM, HAVE, UH, UH, CONVENIENCE, STORE STOCK, HEALTHY FOOD OPTIONS, UM, I THINK IS DIRECTED TOWARDS THE WORK THAT HAPPENED, NOT ONLY WITH THE CHIP, BUT IN OTHER PLACES IN COMMUNITY, WE'VE BEEN ABLE TO, UM, INFLUENCE THOSE RESOURCE, UH, ALLOCATIONS.

SO I CHARGE THAT AS A SUCCESS.

YEAH.

THANK YOU, DR.

STREP.

AND ALSO PEOPLE, MANY PEOPLE IN ORGANIZATION USE THE CHURCH HIP REPORT, UM, AS A WAY OR A TOOL TO REQUEST FUNDING FOR THEIR PROGRAMS. MM-HMM.

.

SO YOU MIGHT, WE MIGHT NOT HAVE, IT MIGHT NOT HAVE DIRECT IMPACT ON US, BUT PEOPLE ARE USING INDIRECTLY TO, TO IMPROVE THE LIFE OF OUR COMMITTEE MEMBERS, RIGHT.

OTHERS? YES, PLEASE.

OH, KILLIAN, YEAH.

KILLIAN, UM, COMMISSIONER KILLIAN, PLEASE.

YEAH, ABSOLUTELY.

I'M JUST GONNA SAY, UM, JUST KIND OF FULL DISCLOSURE, LIKE, YOU KNOW, OBVI NOT ONLY AM AMONG AN CITY OF AUSTIN EMPLOYEE, BUT I ALSO PARTICIPATED IN THE STEERING COMMITTEE FOR THE LAST SHIP ROUND, AND DEFINITELY IN THAT SEXUAL HEALTH, UM, YOUTH AND, UM, THAT SEXUAL HEALTH YOUTH AND COMMUNITY HEALTH WORKER PART, UM, JUST AS THEY MENTIONED, A LOT OF AGENCIES, ESPECIALLY OUR, UM, STI AND HIV AGENCIES USE THE TRO CHIP, UM, AND COUPLE IT WITH THE HIV CLINIC COUNCIL'S NEEDS ASSESSMENTS, UM, AND USE THAT TO IMPLEMENT PEER SUPPORT IN THE AREA.

SO I THINK, UM, COACH JOE'S RIGHT THERE, UM, ARE SOME SUCCESSES AND THE CHIP IS USED, ESPECIALLY THE LAST GO AROUND, UM, FOR JUSTIFICATION OF SOME CHANGES THAT HAVE BEEN IMPLEMENTED IN THE AREA.

I JUST DON'T THINK THAT THE CITY

[00:45:01]

HAS, UM, DONE A GOOD JOB OF KIND OF LIKE LOGGING THOSE LEAD THOSE, UM, THOSE WINS, UM, BECAUSE THERE ARE MULTIPLE AGENCIES USING IT.

LIKE THE CHIP ISN'T JUST FOR THE CITY OF, UH, YOU KNOW, THE CITY EMPLOYEES.

IT'S FOR, YOU KNOW, THE WHOLE COMMUNITY, THE HOSPITALS, OTHER AGENCIES AND SUCH.

AND SO I THINK, UM, KIND OF MOVING FORWARD, MAYBE THERE SHOULD BE LIKE A DASHBOARD OR SOMETHING WHERE THOSE WINS COULD BE CLOCKED AND MORE EVALUATED CAN HAPPEN, UM, AS THEY MOVE INTO, UH, THE NEXT ONE.

VICE CHAIR.

YES, PLEASE.

YEP.

I, I WAS GONNA ADD THE SAME THING AND BASICALLY SAY, IT DOESN'T SEEM THAT THERE MAY BE A CLEAR, UH, DEFINITION OF SUCCESS AND FAILURE, UH, REGARDING THE CHILD SHIP.

AND SO, UH, IF, IF SUCCESS IS SUPPOSED TO BE MORE OF, UH, UTILIZATION BY OTHER ORGANIZATIONS FOR INCORPORATION, OR LIKE, MY MINDSET IS KIND OF WAS THINKING SUCCESS AS, UH, HOW HAS SERVICES IMPROVED SINCE THE LAST TIME? RIGHT? AND I THINK BEING ABLE TO LEVEL OUT AND BE ABLE TO SAY, THIS IS WHAT SUCCESS IS ON THE DIFFERENT LEVELS OF THE CHILD SHARE AND WHAT IS IMMEDIATE IMPACT? WHAT IS IMPLEMENTATION INCORPORATION, WHAT IS, UH, UTILIZATION FOR GRANTS AND FUNDING TO NEW PROGRAMS TO HAVE RESULTED IN OTHER THINGS THAT MAY NOT BE DIRECT AND INDIRECT UTILIZATION OF THE CHILDRE.

THANK YOU.

I WOULD JUST ECHO THAT, YOU KNOW, AS WE TALK ABOUT METRICS, UM, AND, AND, AND MAYBE SURROGATE METRICS, YOU KNOW, I, UM, I THINK WE'RE ALL SORT OF EXPRESSING THE, THE, THE HUNGER FOR A METRIC WHICH SAYS, YOU KNOW, TONIGHT OR YESTERDAY OR LAST YEAR THERE WAS 10,000 HYPERTENSIVE PATIENTS, AND I'M JUST MAKING THIS UP, AND THIS YEAR THERE'S 9,500, SO WE IMPROVE SOMETHING BY 5% OR, OR SOMETHING LIKE THAT.

AND MAYBE THAT'S REALLY HARD TO DO, BUT, YOU KNOW, IT SEEMS LIKE WE'RE ALL ASKING FOR SOMETHING THAT'S JUST MY TERRIBLE EXAMPLE.

BUT, UM, YOU KNOW, UM, MAYBE WE WANNA LEARN ALSO HOW, WHY THAT'S A, A REALLY DIFFICULT THING TO DO.

BUT, YOU KNOW, WE HAVE, UM, NUMBERS OF SERVICES IS A, IS AN END POINT, BUT THAT'S A SORT OF A SERVE 'CAUSE YOU, BECAUSE YOU'RE NOT, YOUR GOAL IS NOT TO DO MORE SERVICES, YOUR GOAL TO DO MORE SERVICES SO YOU CAN CHANGE PEOPLE'S LIVES OR HELP SOMEBODY DO SOMETHING THEY CAN'T DO RIGHT NOW OR WHATEVER THAT WOULD BE, YOU KNOW, SO GETTING TO THE, THE END POINTS AS OPPOSED TO SURROGATE END POINTS AS METRICS IS, IS SOMETHING THAT WOULD BE, I THINK, UM, YOU KNOW, A GOAL.

I'M NOT SURE THAT WE CAN DO THAT DIRECTLY, BUT I, I THINK THAT'S WHAT WE'RE SAYING.

CHAIR WALLACE, IS THAT KIND OF WHAT YOU'RE INFERRING OR PART OF THAT? YEAH, AND I DON'T WANNA SPEAK FOR ANYBODY ELSE, BUT THAT'S INITIALLY FROM A COMMENT FROM, UM, MEMBER COMB, UM, THAT'S WHAT I KIND OF GOT THE ASSESSMENT FROM.

BUT THEN HEARING FROM, UH, MEMBER KILLING, YEAH.

YEAH.

THE TWO DIFFERENT SIDES OF IT.

AND SO WANNA MAKE SURE NO ONE'S READING THIS AND SAYING THERE'S NO PROGRESS BECAUSE THEY'RE VIEWING IT WITH A DIFFERENT LENS THAN WHAT IS INTENDED FOR.

YEAH.

AND THERE IS PROGRESS, OBVIOUSLY.

AND, AND, AND TO, TO YOUR POINT, UM, COMMISSIONER, UM, CHAIR IS DESIGNED TO SERVE A BROADER COMMUNITY.

SO TOO OFTEN, I, I, YOU KNOW, I AGREE WITH YOU THAT WE NEED A BETTER WAY TO, UM, TRACK PROGRESS.

UM, BUT UNLESS YOU PROVIDE DIRECT SERVICES, SOMETIMES VERY DIFFICULT YEAH.

TO SEE EVIDENCE OR IMPACT.

UH, SO, UH, YOU KNOW, LET'S BE HONEST ABOUT THIS.

I KNOW IT'S DIFFICULT LIKE THAT, LIKE I MENTIONED DURING OUR CHIEF RIGHT NOW, COMMITTEE MEMBERS WILL PUT OUT BIG IDEAS, AND WHEN YOU ASK THEM WHAT WOULD BE THE GOAL AND OBJECTIVE TO BE SPECIFIC, THEY'LL NOT GIVE YOU ANYTHING BECAUSE IT'S VERY HARD TO COME WITH SOMETHING SPECIFIC THAT CAN BE IMPLEMENTED AND TRACKED.

RIGHT? SO I'M NOT SAYING THAT WE SHOULD NOT TRY, WE WILL DO OUR BEST, BUT SOMETIME IMPACT MAY NOT NECESSARILY BE A DIRECT IMPACT FROM THE CHIEF BECAUSE WHEN PEOPLE ARE USING THE CHIEF, FOR INSTANCE, TO APPLY FOR GRANT AND IMPROVE SERVICES, WE MIGHT NOT BE AWARE OF THOSE PROGRESSES, AND THEREFORE WE MIGHT NOT BE ABLE TO CAPTURE THOSE OUTCOMES.

BUT WE'LL TRY HARD AND AGAIN, TO MAKE SURE THAT WE ARE TRACKING PROGRESS AND, UH, AREA FOR IMPROVEMENT.

OF COURSE.

AND AGAIN, JUST FOR MY GOAL AND CLARIFICATION, I WAS JUST THINKING IN TERMS OF SORT OF, YOU KNOW, A, A, UM, AN ASPIRATIONAL GOAL, NOT, NOT A DON'T DO SOMETHING UNLESS YOU CAN SHOW SOMETHING, BUT JUST AS A, AS A, AS A, YOU KNOW, AS PART OF THE PROCESS TO ASPIRE TO BE MEASURING THINGS.

BUT THAT'S NOT IN ANY WAY IN FURTHER, WE WOULDN'T DO A PROGRAM OR ALL THE PROGRAMS THAT WE'RE TALKING ABOUT, YOU KNOW, UM, WITH THE METRICS THAT WE HAVE CURRENTLY, YOU KNOW, WE MIGHT BE ABLE TO LOOK AT CHANGES IN OUR SVI SCORES OVER TIME OKAY.

SINCE WE ARE ADDRESSING SOCIAL DETERMINANTS.

YEAH, SURE.

AND THAT'S A DECADE LONG PROCESS PROBABLY, SO WE'RE NOT GONNA CHANGE IT THIS WEEK OR THIS YEAR, YOU KNOW.

OKAY.

SO I JUST HAVE ONE OTHER COMMENT TO MAKE SINCE I'LL, I'LL JUST ACT AS THE CHAIR TODAY, AND SO I'LL TAKE THAT PREROGATIVE

[00:50:01]

IS THAT, YOU KNOW, WE DO HAVE THIS INSTITUTION CALLED UNIVERSITY OF TEXAS NEAREST AND THE DELL MEDICAL SCHOOL.

AND, YOU KNOW, I THINK THEY ARE ALSO HUNGRY FOR POPULATION HEALTH, AND I KNOW THAT WE'RE CONNECTED TO THEM THROUGH THE, THE CHILD AND OTHER THINGS, BUT I WAS JUST THINKING THAT, YOU KNOW, THEIR, THEIR DEPART VARIOUS DEPARTMENTS, DEPARTMENT OF PUBLIC, UH, POPULATION HEALTH AND, AND ALL OF THEIR, THEIR, UM, CLINICAL DEPARTMENTS PROBABLY WOULD, AS IT RELATES TO THE HEALTHCARE SIDE OR THE POPULATION HEALTH SIDE, MIGHT BE SOMETHING THAT WE COULD ALSO, YOU KNOW, UM, LOOK AT AS A RESOURCE.

AND I'M SURE WE ALREADY DO, AND I'M PROBABLY JUST SAYING THE OBVIOUS, BUT, BUT, UM, YOU KNOW, TRYING TO HELP THEM BE MORE, UM, YOU KNOW, UM, INVIGORATED TO SORT OF COME UP WITH A NOVEL IDEA OR TECHNOLOGY OR SOMETHING THAT WOULD HELP THIS WHOLE WORK THAT WE'RE DOING.

UM, I TOTALLY AGREE.

I, I BELIEVE WE DO HAVE REPRESENTATION FROM THE UT MEDICAL SCHOOL ON, UH, THE STEERING COMMITTEE.

YOU KNOW, WE'RE PARTNERING WITH THEM ON PANDEMIC, UM, EQUITY RESPONSE.

UM, BUT IT'S KIND OF LIKE WHAT DR.

WS ALLUDED TO.

THIS IS A CROCKPOT MEAL, RIGHT? YEAH.

WHERE WE'RE NOT GOING TO ACHIEVE THE OUTCOMES IN A SHORT TIME PERIOD, LIKE POPULATION OUTCOMES ARE REALIZED OVER TIME.

UM, AND SO WE JUST NEED TO MAKE SURE THAT WE'RE DOING A BETTER JOB OF ABOUT EXPLAINING THAT, UM, AND PROBABLY LEAN INTO ARTICULATING THE PROCESS OUTCOMES THAT WE ARE REALIZE IN THE SHORT TERM.

YEAH.

LIKE THE INCREASE IN SERVICES, THE PARTNERS THAT ARE AT THE TABLE, UM, THE POLICIES THAT ARE IMPLEMENTED, AND THEN THE LONGER TERM OUTCOMES THAT WE'LL SEE IN POPULATION HEALTH.

SO, LOVE IT.

DULY NOTED.

THANK YOU FOR THAT.

THANK YOU.

ANY OTHER COMMENTS OR THOUGHTS ON THIS? MAYBE ONE LAST ONE, CHAIR WALLACE, YOU'D SAID SOMETHING ABOUT, YOU KNOW, UM, YOU KNOW, THE, UM, HOW DO THEY PRIORITIZE THINGS THAT ARE COMING OUT OF THE CHA? AND I THINK THE RESPONSE WAS THAT, YOU KNOW, THERE'S A LOTS COMING IN IN THE CHIP, THE, UM, IMPROVEMENT PLAN IS GONNA BE OUT THERE.

BUT I WAS JUST GONNA REPEAT THAT ONE MORE TIME.

OBVIOUSLY YOU'VE GOT A COMMUNITY HEALTH NEEDS ASSESSMENT AND, UM, AND I JUST WONDERED IF THERE'S A, A FAST TRACK FOR ANY OF THE HIGH PRIORITY THINGS THAT WOULD COME OUTTA THAT MAYBE THERE'S NOTHING THAT THAT'S, THAT'S THAT NEW OUT OF THE PROCESS.

AND SO YOU'D SAY, WELL, WE'RE ALREADY AWARE OF, OF, UM, SOCIAL DETERMINANTS AND WE'RE ALREADY AWARE OF BEHAVIORAL HEALTH AND, AND SO, UM, YOU KNOW, THERE'S NO RED LINE NEW CRITICAL THING, SO THERE'S NOTHING THAT WOULD BE RESPONSIVE TO THAT.

BUT AM I THINKING ABOUT THAT THE RIGHT WAY? IS THERE ANYTHING THAT, THAT WOULD, THAT WOULD BE SURFACING IN THE, IN THE, UM, CHA THAT WOULD, WOULD BE WANTED TO BE PRIORITIZED MORE QUICKLY CONVEYED TO THE, THE, UH, OTHER AGENCIES AND, AND, UM, PROVIDERS ACROSS THE COMMUNITY? I THINK MY ONLY RECOMMENDATION TO BOTH DIRECTOR STIR UP AND, UH, DR.

WA AND, UM, UH, FORGET THE NAME OF THE GENTLEMAN DOING A PRESENTATION, UH, UH, I THINK DEFINITELY WHAT YOU'RE TALKING ABOUT, THE, THE POPULATION HEALTH AND THE WELLNESS TRAJECTORY THAT IS REQUIRED TO SHOW THAT IMPROVEMENT.

UH, DEFINITELY, YOU KNOW, THAT'S WHERE THE MAJORITY OF THE COLLECTIVE IS AT RIGHT NOW, FOCUSED ON AND THE PURPOSE OF THE CHILD SHIP.

BUT I THINK BY INCLUDING IN REPRESENTATIVES FROM THOSE LOCAL CITIES IN THE DECJ AREAS, THEY CAN BE ABLE TO HELP WITH MORE OF THE SHORT TERM, UH, WINS AND SUCCESSES.

THEY CAN BE ABLE TO PROBABLY HELP BETTER IDENTIFY, UH, WHAT THINGS WERE IMPLEMENTED, WHAT NEW PROGRAMS WERE ESTABLISHED, WHAT LOCAL ORGANIZATIONS, HOW THEY WERE UTILIZING THE INFORMATION FROM THE CHILD CHIP AND WHAT, WHAT GRANTS THEY APPLIED FOR AND SO FORTH.

AND PROBABLY CAN HELP WITH SOME OF THE MORE SHORTER TERM IMPACTS AND STRIVES.

UM, SO THAT WAY IT DOESN'T TAKE YOU OFF COURSE WITH THIS LONGER TRAJECTORY OF THE, THE INTENT OF THE CHOP SHIP.

AND I REALLY APPRECIATE YOUR SAYING THAT WE HAVE STARTED TO DO THAT IN THE WORK GROUP THAT I'M INVOLVED WITH FOR MENTAL HEALTH AND SPECIFICALLY REACHING OUT TO SOME OF THE CITIES IN THE UNINCORPORATED AREA SO THAT WE CAN MAKE SURE THAT THERE'S A VOICE AT THE TABLE THAT CAN SPEAK TO THE NUANCES OF EACH AREA.

BEAUTIFUL.

BEAUTIFUL.

ALRIGHT.

THANK YOU SO MUCH.

THANK YOU FOR THE PRESENTATION AND FOR THE DISCUSSION AND FOR THE LEADERSHIP ACROSS THIS WHOLE TOPIC.

THANK YOU FOR INVITING ME WITH THAT, WE'LL MOVE ON TO THE NEXT AGENDA ITEM,

[3. Discuss the recommendation to add representative of Public Health Commission to the Joint Sustainability Committee and take possible action to select a representative and alternate from our board.]

IF THAT'S ALL RIGHT.

WE HAVE A DISCUSSION AND ACTION ITEM, WHICH IS NUMBER THREE TO, UH, LOOK AT THE JOINT SUSTAINABILITY COMMITTEE AND TAKE A POSSIBLE ACTION TO SELECT A REPRESENTATIVE AND AN ALTERNATE FROM OUR BOARD.

IS THERE A PRESENTATION? YES.

HI, SORRY.

UH, VICE CHAIR, UH, COMMISSIONERS, STAFF MEMBERS.

MY NAME IS CHARLOTTE DAVIS AND, UH, I APPRECIATE YOU HAVING ME TODAY.

I REPRESENT DISTRICT ONE ON THE RESOURCE MANAGEMENT COMMISSION, AND I REPRESENT THE RESOURCE MANAGEMENT

[00:55:01]

COMMISSION ON THE JOINT SUSTAINABILITY COMMITTEE.

AND SO TODAY I'M HERE TO TALK TO YOU A LITTLE BIT ABOUT THE JSC AND TELL YOU WHY YOU SHOULD APPOINT A MEMBER FROM THIS BODY TO JOIN THE JSC.

NEXT SLIDE, PLEASE.

SO, THE PURPOSE OF THE JOINT SUSTAINABILITY COMMITTEE IS TO ADVISE THE CITY COUNCIL ON MEMBERS, UH, MATTERS RELATED TO CONSERVATION AND SUSTAINABILITY, UH, AND ALSO TO MAKE POLICY, PROCEDURE, AND BUDGET RECOMMENDATIONS AROUND THE IMPLEMENTATION OF THE CLIMATE EQUITY PLAN.

NOW YOU CAN DIVE INTO THE AUSTIN CLIMATE EQUITY PLAN IN DETAIL ONLINE.

UM, IT'S, IT'S AVAILABLE, BUT AT A HIGH LEVEL.

THE OBJECTIVE IS FOR THE AUSTIN AREA TO ACHIEVE NET ZERO GREENHOUSE GAS EMISSIONS BY 2040 WITH A FOCUS ON A JUST AND EQUITABLE TRANSITION, MEANING, UH, DOING THAT WITH, UH, BY WHILE ELIMINATING DISPARITIES THAT CAN BE PREDICTED BY RACE.

NEXT SLIDE.

SO TODAY, THE JOINT SUSTAINABILITY COMMITTEE IS COMPOSED OF 18 MEMBERS, 12 OF WHICH ARE FROM VARIOUS BOARDS AND COMMISSIONS.

UM, I WON'T READ THEM ALL OUT LOUD, BUT THEY'RE LISTED HERE.

UH, IN ADDITION TO THOSE 12 MEMBERS, THERE ARE SIX, UH, ADDITIONAL APPOINTEES, ONE FROM THE CITY COUNCIL AND FIVE FROM THE MAYOR'S OFFICE.

AND THOSE MEMBERS WERE ADDED IN ORDER TO IMPROVE THE, THE RACIAL DIVERSITY OF THE JOINT SUSTAINABILITY COMMITTEE, AS WELL AS TO, UH, TO IMPROVE THE COMMUNITY STAKEHOLDER ENGAGEMENT.

UM, AND IF YOU GO TO THE NEXT SLIDE, WHAT, UH, WE'RE RECOMMENDING IS TO INCLUDE A MEMBER FROM THE PUBLIC HEALTH COMMISSION ON THE JOINT SUSTAINABILITY COMMITTEE.

UM, AND I WILL TELL YOU WHY I THINK THAT THAT IS, UM, SOMETHING THAT OUGHT TO HAPPEN.

UM, WE CAN GO TO THE NEXT SLIDE, AND IT'S BECAUSE CLIMATE CHANGE IS A PUBLIC HEALTH ISSUE, AND IT'S NOT SOME FAR OFF FUTURE ISSUE.

IT IS HAPPENING NOW.

IT IS HARMING AND HURTING AND KILLING PEOPLE TODAY IN CENTRAL TEXAS.

UM, I'M SURE MANY OF THE MEMBERS HERE UNDERSTAND THAT THERE'S MANY, MANY WAYS THAT CLIMATE CHANGE AFFECTS BOTH INDIVIDUAL AND PUBLIC HEALTH.

BUT TO JUST TO TOUCH ON A FEW, UM, AIR QUALITY, THE SAME ACTIVITIES THAT CAUSE CLIMATE CHANGE, NAMELY BURNING FOSSIL FUELS, ALSO, UM, LEAD TO DEGRADED AIR QUALITY, ALSO PUT POLLUTION IN THE AIR FROM PARTICULATE MATTER TO GROUND LEVEL OZONE.

AND THESE ARE LINKED WITH HIGHER RATES OF RESPIRATORY ILLNESSES, INCLUDING ASTHMA AND LUNG CANCER.

UM, SECONDLY, HEAT WAVES, AS WE ALL WHO LIVE IN CENTRAL TEXAS, ARE AWARE, HEAT WAVES ARE BECOMING MORE INTENSE, BECOMING MORE FREQUENT.

AND THIS IS ESPECIALLY DEADLY FOR VULNERABLE POPULATIONS INCLUDING, UM, OLDER ADULTS, PEOPLE WHO WORK OUTSIDE, UM, PEOPLE EXPERIENCING HOMELESSNESS, PEOPLE WITH DISABILITIES, UM, AND PEOPLE SUFFERING FROM MENTAL ILLNESSES.

UM, AND IT JUST A NOTE ON, ON MENTAL ILLNESS, AS IT IS A, A PRIORITY AREA FROM THE CHA, UM, YOUNG PEOPLE ARE EXPERIENCING ANXIETY AROUND CLIMATE.

THERE'S A, A TERM CALLED CLIMATE GRIEF, UM, THAT HAS TO DO WITH THE, THE DESPAIR THAT PEOPLE FEEL ABOUT THE FUTURE.

UM, BUT IN ADDITION TO JUST STRESS AND TRAUMA FROM, FROM WEATHER RELATED DISASTERS, UM, THERE ARE STUDIES THAT ARE INDICATING THAT PEOPLE WITH SCHIZOPHRENIA, FOR EXAMPLE, ARE MORE LIKELY TO DIE DURING HEAT WAVES.

UM, ANTIPSYCHOTIC MEDICATIONS THAT ARE USED TO TREAT CONDITIONS LIKE DEPRESSION.

SCHIZOPHRENIA CAN AFFECT THERMAL REGULATION, WHICH PUTS PATIENTS AT ELEVATED RISK OF DEATH DURING HEAT WAVES, UH, SEVERE STORMS, WHETHER IT'S, UH, ICE, UH, FLOODING, UM, THEY CAN CAUSE POWER OUTAGES, THEY CAN DISRUPT CRITICAL INFRASTRUCTURE, MAKING IT HARDER FOR SICK PEOPLE TO GET MEDICAL CARE.

AND THEN FINALLY, UH, IF WE'RE TALKING ABOUT DISPARITIES, CLIMATE CHANGE IS A THREAT MULTIPLIER.

IT WORSENS, UH, HEALTH DISPARITIES BECAUSE THE COMMUNITIES THAT ARE MOST HARMED BY ITS EFFECTS ARE LOW INCOME AND BLACK AND BROWN COMMUNITIES.

IF YOU THINK ABOUT WHO LIVES CLOSE TO POWER PLANTS, WHO LIVES CLOSE TO HIGHWAYS, WHAT NEIGHBORHOODS LACK THE TREE CANOPY, THAT HELPS TO ALLEVIATE THE URBAN HEAT ISLAND EFFECT.

UM, IT REALLY IS, UH, AN ISSUE THAT, UM, MERITS A LOT OF, UM, YOU KNOW, A LOT OF HELP AND, AND WE NEED ALL HANDS ON DECK, FRANKLY.

UM, SO NEXT SLIDE.

SO, UM, IF YOU ARE MOTIVATED TO WORK ON SUSTAINABILITY, UM, FROM A PUBLIC HEALTH PERSPECTIVE, I, UM, BY SERVING ON THE

[01:00:01]

JSCI, I REALLY IMPLORE YOU TO TO CONSIDER DOING SO.

UH, AS FAR AS THE TIME COMMITMENT GOES, WE MEET MONTHLY ON THE FOURTH WEDNESDAY AT 6:00 PM UH, IT'S IN A HYBRID FORMAT.

UH, IN ADDITION TO THE MONTHLY GENERAL BODY MEETING, WE HAVE WORKING GROUPS.

UM, TODAY WE HAVE WORKING GROUPS THAT ARE AROUND THE VARIOUS SECTIONS IN THE CLIMATE EQUITY PLAN.

UH, AND THOSE MAY MEET, UH, ONE TO TWO TIMES PER MONTH.

SERVING ON A WORKING GROUP IS NOT REQUIRED, BUT IT IS A GOOD WAY TO, TO REALLY LEARN ABOUT AND, AND INFLUENCE HOW LOCAL GOVERNMENT, UH, CAN, UH, THE POLICIES CAN ADDRESS THE CLIMATE CRISIS.

NEXT SLIDE.

UM, SO I KNOW THIS WAS POSTED AS A, AS A POSSIBLE ACTION.

THERE'S NO ACTION TO BE TAKEN TODAY.

I DON'T PRETEND TO BE AN EXPERT ON THE LONG AND INVOLVED PROCESS THAT, UH, IT TAKES TO, UM, TO CHANGE BYLAWS AND, AND HAVE A MEMBER, UH, JOIN THE JSC.

BUT AT A HIGH LEVEL, THESE ARE A FEW OF THE STEPS THAT NEEDS TO HAPPEN.

FIRSTLY, THE, THE JOINT SUSTAINABILITY COMMITTEE APPROVES AMENDMENTS TO ITS BYLAWS TO INCLUDE A MEMBER FROM THE PUBLIC HEALTH COMMISSION.

UM, FUN FACT, WE ACTUALLY DID TAKE THAT VOTE IN OUR JANUARY 24TH MEETING, AND I WAS LATER INFORMED OR MADE AWARE OF THAT THERE DUE TO A PROCEDURAL, UM, ISSUE WITH THE POSTING LANGUAGE.

UH, WE'RE GONNA HAVE TO RETAKE THAT VOTE, BUT IT WAS UNANIMOUS, AND I CERTAINLY EXPECT THAT TO, TO PASS IN AT OUR FEBRUARY, UH, MEETING AS WELL.

UM, AND THEN THERE'S A NUMBER OF STEPS WITH AUDIT AND FINANCE AND CITY COUNCIL APPROVALS.

SO ASSUMING ALL OF THOSE STARS ALIGN AND THERE IS INTEREST, UH, FROM THIS BODY IN, IN JOINING THE JSC, UM, MY HOPE IS THAT, UH, THEY, THE MEMBER COULD START SERVING BY THIS SUMMER.

NEXT SLIDE.

SO, I WILL LEAVE YOU WITH THE WORDS OF DR.

ROBERT BULLARD.

HE IS THE FATHER OF ENVIRONMENTAL JUSTICE.

UM, AND HE SAID THAT THE CLIMATE CRISIS IS A HEALTH ISSUE, A PHYSICAL ISSUE, AND A MENTAL HEALTH ISSUE.

AND SO IF THOSE THINGS ARE IMPORTANT TO YOU, UH, PLEASE CONSIDER AMPLIFYING YOUR IMPACT ON YOUR COMMUNITY BY JOINING THE AUSTIN JOINT SUSTAINABILITY COMMITTEE.

THANK YOU FOR YOUR TIME.

I WELCOME ANY QUESTIONS OR FEEDBACK.

THANK YOU SO MUCH FOR THAT, UM, PRESENTATION AND FOR THIS CONVEYANCE OF AN INVITATION.

UM, I DON'T WANNA SPEAK OUT OF TURN.

I'LL, I'M GONNA ASK CHAIR WALLACE TO GO AHEAD AND SPEAK FIRST IN ONE SECOND, BUT I, I CAN'T IMAGINE WE WOULDN'T BE TERRIBLY INTERESTED IN, IN, UM, IN, IN THE OPPORTUNITY CHAIR.

WALLACE, DO YOU HAVE ANY COMMENTS BEFORE WE GO TO OTHERS? NO.

UH, WE HAD HAD A MEETING, UM, WHEN THIS WAS INITIALLY, UH, UH, UH, HAD TO REACH OUT, UH, UH, INTEREST.

AND WE SAT DOWN AND WE TALKED.

AND REALLY IT BOILS AROUND MAKING HEALTH AN INTENTIONAL CONVERSATION.

UH, PRETTY MUCH EVERYTHING THAT HAPPENS FROM AS STATED ECONOMIC DEVELOPMENT INFRASTRUCTURE, UH, DIFFERENT SERVICES OR PROGRAMS ALL HAVE SOME TYPE OF IMPACT ON HEALTH, UH, AND THE DESIRE TO ACTUALLY HAVE A HEALTH LIAISON TO REALLY PULL THAT PIECE OF THE CONVERSATION INTO THE DIFFERENT, UH, AGENDA ITEMS AND THINGS THAT ARE GOING ON.

SO IT'S NOT JUST A SECONDARY THOUGHT PROCESS, UM, BUT IT BECOMES MORE OF A BROUGHT OUT PART OF A DISCUSSION, UH, WITH EVERYTHING THAT IS GOING ON.

THANK YOU.

YES, I, I TOTALLY AGREE.

I THINK, UM, THE JSC WOULD BENEFIT GREATLY BY HAVING A PUBLIC HEALTH VOICE ON THAT COMMITTEE AND ALSO THE RESIDENTS OF, OF AUSTIN AND CENTRAL TEXAS WOULD BENEFIT FROM HAVING THAT, THAT INTEREST REPRESENTED.

SO WE'RE ON THE SAME PAGE WITH THAT.

THANK YOU.

THANK YOU.

OTHER COMMISSIONERS WITH COMMENTS OR THOUGHTS? I DON'T SEE ANY OTHERS.

UM, I WOULD JUST LIKE TO SAY THANK YOU FOR THE PRESENTATION.

UM, TOTALLY AGREE WITH THE CHAIR AND, UM, WITH THE, REALLY APPRECIATE THIS INVITATION.

UM, ONE OF THE THINGS THAT WE TALKED ABOUT WHEN WE WERE GOING OVER THE CHART WAS LOOKING AT, UM, OVER TIME LOOKING AT CHANGES IN OUR SVI, BUT THERE IS ALSO AN EJI THAT'S AVAILABLE.

SO I THINK THAT THAT'S GOING TO BE SOMETHING THAT WE CAN ALSO, UM, LOOK AT AS WE MAKE THE CHANGES THAT ARE NECESSARY TO DECREASE CARBON EMISSIONS AND TO REALLY MONITOR THOSE ASPECTS OF CLIMATE HEALTH THAT WE'RE ALREADY MONITORING AND SEEING, UM, THAT WE CAN MAKE THE IMPACT FAVORABLY FOR THE CITY AND THE COUNTY.

SO THANKS TO FOR THIS CONVERSATION, AND AGAIN, CHAIR WALLACE, I'LL LEAVE IT TO YOU