[CALL TO ORDER]
[00:00:05]
I NOW CALL THE OFFICE OF TRAVIS COUNTY PUBLIC HEALTH COMMISSION MEETING FOR WEDNESDAY, JULY 10TH, UH, IN ORDER AT 2 31.
DO WE HAVE ANY PUBLIC COMMENTS? NO PUBLIC COMMENTS.
[1. Approve the minutes of the Public Health Commission Regular Meeting on June 5, 2024.]
FOR THE MINUTES FOR THE PUBLIC HEALTH COMMISSION REGULAR MEETING ON JUNE 5TH, 2024.DO I HAVE A MOTION ON THE FLOOR? SO MOVED.
DO I HAVE A SECOND? AND SECONDED? ANY QUESTIONS TO THE MOTION? QUESTIONS? TO THE MOTION? THERE BEING NONE.
ALL THOSE IN FAVOR RAISE YOUR HAND THEN OPPOSING MOTION PASSES.
[2. Presentation on neighborhood pharmacy program by Samuel Poloyak with the University of Texas at Austin – College of Pharmacy.]
PRESENTATION ON NEIGHBORHOOD PHARMACY PROGRAM BY SAMUEL P*****K, POLLAK.WITH THE UNIVERSITY OF TEXAS AT AUSTIN COLLEGE OF PHARMACY.
UH, THANK YOU ALL FOR THE OPPORTUNITY TO COME AND PRESENT TODAY ABOUT THE THINGS THAT WE'RE DOING IN THE COLLEGE OF PHARMACY AS IT RELATES TO PUBLIC HEALTH IN AUSTIN, TRAVIS COUNTY.
UH, I'VE BEEN THE DEAN FOR ABOUT FOUR YEARS NOW.
I'VE HAD THE GREAT PLEASURE OF BEING PART OF A COLLEGE OF PHARMACY THAT IS ONE OF THE BEST IN THE NATION AND THE BEST IN TEXAS.
AND WE REALLY HAVE HAD AN OPPORTUNITY TO CONDUCT RESEARCH IN, IN CLINICAL PRACTICE AND, AND ALSO EDUCATE ACROSS THE ENTIRE GAMUT OF PHARMACY.
UH, OUR RESEARCH STARTS IN THE BEGINNING OF VERY BASIC SCIENCE RESEARCH, DISCOVERY OF CHEMISTRY AND NEW DRUG THERAPIES ALL WAY THROUGH IMPLEMENTATION, CARE AND PRACTICE IN HOW WE CAN INTERVENE IN PUBLIC HEALTH AND HEALTH OUTCOMES.
SO WE DO A BIT OF EVERYTHING FROM THE BENCH TO THE BEDSIDE TO THE COMMUNITY AND EVERYTHING IN BETWEEN.
SO THAT'S A JUST AN OVERVIEW OF WHAT WE HAVE IN THE COLLEGE.
I'M NOT GONNA GIVE YOU THE OVERVIEW OF EVERYTHING.
UH, I REALLY WANT TO TALK ABOUT TWO SPECIFIC PROJECTS.
UM, AND THE TWO PROJECTS HAVE ONE THING IN COMMON, AND THAT'S ANSWERING THE MAJOR QUESTION OF THE FACT THAT IN THE UNITED STATES, WE SENSE 17.3% OF OUR GDP ON HEALTHCARE.
AND THE BENEFIT WE GET FROM THAT IS TO GET, WE GET TO LIVE THREE YEARS LESS THAN MOST OTHER, UH, DEVELOPED NATIONS.
SO WE HAVE THIS INCREASED COSTS, UH, OF CARE.
AND THE COST OF CARE IS NOT NECESSARILY YIELDING THE BENEFIT OF THE OUTCOMES.
SO WE HAVE TWO PARTICULAR PROJECTS THAT ARE AIMED AT BEING ABLE TO KIND OF RIGHT THE SHIP.
AND ONE IS CALLED TEXAS FARM CARE.
AND THE OTHER IS, IS, IS PUTTING, UM, UH, SMART DEVICES IN THE HANDS OF HOMELESS.
AND I'LL, I'LL REFER TO IT MAINLY AS ICAN, AND I'LL EXPLAIN ICAN, UH, THE DESCRIPTION OF WHAT THAT IS IN JUST A MINUTE.
BUT WE'LL START OFF WITH, UH, TEXAS FARM CARE.
SO WITH TEXAS FARM CARE, IF YOU THINK BACK TO WHEN COVID PANDEMIC WAS OCCURRING, THERE WAS A MAJOR QUESTION OF WHICH HEALTHCARE PROFESSIONAL WAS GONNA ADMINISTER THE MAJORITY OF THE VACCINE VACCINES WHENEVER THE VACCINES FIRST CAME OUT.
HOW ARE WE GONNA DO IT? HOW ARE WE GONNA MOBILIZE? UM, PROUD TO SAY THAT MY PROFESSION ADMINISTERED 85% AND PHARMACISTS ADMINISTERED 85% OF VACCINES, UH, THAT WERE ADMINISTERED TO THE COVID VACCINE.
UM, SO WE WERE THE WORKFORCE THAT DID THAT.
AND, BUT AT THE SAME TIME, THERE WERE A LOT OF EARLY USE AGREEMENTS WHERE WE ACTUALLY COULD HAVE HAD, UH, INTERVENED FOR THERAPY.
BUT THERE'S A MAJOR BARRIER IN THAT BEING ABLE TO INTERVENE AND, AND PROVIDE, UM, PAXLOVID AND OTHER MEDICATIONS FOR PATIENTS THAT HAD COVID.
AND THAT WAS THAT WE DIDN'T HAVE LABORATORY VALUES IN THE COMMUNITY, AND WE HAD TO BE ABLE TO CHECK LIVER FUNCTION TESTS AND KIDNEY FUNCTION TESTS IN ORDER TO BE ABLE TO PROVIDE THAT MEDICATION.
THE REASON I, UH, GAVE THAT BACKDROP IS THAT, UH, IF WE USE THAT SAME POWER, IF WE CAN ADMINISTER 85% OF VACCINES, THINK OF THE INTERVENTIONS AND OUTCOMES THAT COULD HAPPEN FOR DIABETES AND FOR HYPERTENSION.
UM, PHARMACISTS ARE THE MOST ACCESSIBLE HEALTHCARE PROFESSIONALS.
IF YOU NEEDED TO SEE A HEALTHCARE PROFESSIONAL RIGHT NOW, YOU COULD WALK OF, OF A FEW BLOCKS, YOU'D BE IN A PHARMACY AND YOU COULD TALK TO THE PHARMACIST.
THAT IS THE ACCESS THAT IS THE OPPORTUNITY AND REALLY CHANGING BEHAVIOR AND CHANGING THERAPY.
UH, REALLY WE HAVE TO LEVERAGE EVERYTHING WE HAVE IN OUR HEALTHCARE INSTITUTIONS IN ORDER TO BE ABLE TO DO THAT.
SO TEXAS FARM CARE IS AIMED AT BEING ABLE TO BREAK THE BARRIER OF HAVING MEDICATION, UH, DATA ACCESS THAT ACCESS TO THE MEDICAL RECORDS IN HOSPITALS AND CLINICS, BUT PROVIDING THAT IN THE COMMUNITY, IT SOUNDS SIMPLE, BUT IT'S BEEN A BARRIER THAT'S BEEN, HAS EXISTED FOR QUITE A LONG TIME, AND IT'S NOT AN EASY BARRIER TO OVERCOME.
SO WE'VE APPROACHED THIS, UM, THIS PROBLEM BY BEING ABLE TO WORK WITH, UH, INITIALLY TERRYTOWN PHARMACY.
UH, WE'VE PARTNERED WITH, UH, TO DO THE PROOF OF CONCEPT.
SO WE HAVE TERRYTOWN ON BOARD.
WE'RE WORKING ALONGSIDE ALSO WITH HEB.
'CAUSE AFTER WE DEMONSTRATE PROOF OF CONCEPT IMPLEMENTATION IN TARRYTOWN, WE'RE LOOKING TO BE ABLE TO EXPAND TO TARRYTOWN TO EXPAND TO HEB, BOTH IN THE AUSTIN AREA, AND THEN ALSO TO THE STATE AND ACROSS THE STATE, AND CAN ACTUALLY DO LARGER, UH, LARGE CHAIN IMPLEMENTATION.
WE'RE ALSO WORKING WITH PIONEER, WHICH, UH, IS PART OF RED SALE THAT MAKES THE, BASICALLY THE COMPUTATIONAL PLATFORM FOR TERRYTOWN THAT DOES THE PRESCRIPTION PLATFORM TO GET THE INFORMATION INTO THEIR SYSTEMS SO THE PHARMACISTS CAN ACCESS IT.
AND WE'RE WORKING WITH WATERSHED.
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AND WATERSHED REALLY IS THE, IT WORKS WITH BOTH THE PAYERS AND THE HEALTH PLANS AS WELL AS THE HOSPITALS IN ORDER TO PROVIDE THE DATA, EITHER IN THEIR OWN PLATFORM FORMAT OR INTEGRATED WITH RED SAIL AND PIONEER IN ORDER TO GET THE DATA AND GET THE INFORMATION TO THE HEALTHCARE PRACTITIONERS THAT NEED IT.SO THE OPPORTUNITY IS TO BE ABLE TO BREAK, UH, THE TECHNOLOGICAL INFORMATION BARRIER, UH, THROUGH WATERSHED.
AND THEY ALREADY HAVE WHAT THEY'VE DONE THIS ALREADY.
SO IT IS A COMPANY THAT SPECIALIZES IN BEING ABLE TO A, WORK WITH THE PAYERS TO BE ABLE TO MAKE IT HAPPEN, AND ALSO WORK WITH THE HEALTHCARE ENTITIES TO BE ABLE TO PROVIDE THAT DATA AND INFORMATION AND THEN DO HAVE IT.
SO IT'S AN ACTIONABLE PLATFORM THAT IS ACCESSIBLE BY PHARMACISTS AND THEIR BUSY WORKFLOWS IN ORDER TO BE ABLE TO GET THE INFORMATION THEY NEED ABOUT THE ME PATIENT'S MEDICATION RECORD.
UH, WE'VE ALREADY, I SAID WE'VE HAD ENOUGH RESEARCH STUDIES THAT HAVE BEEN CONDUCTED IN PHARMACY.
WE'VE PUBLISHED ENOUGH PAPERS TO SHOW THAT IF WE DID THIS, WE CAN HAVE IMPACT.
UM, ONE STUDY WAS IN JAMA, UM, ONLINE THAT EMPHASIZED THAT A PHARMACIST DETECTED 50%, UH, 50% IMPLEMENTATION OF PHARMACIES DETECTING HYPERTENSION AND TREATING HYPERTENSION WOULD SAVE IN THE UNITED STATES IN ORDER OF $1.14 TRILLION IN THAT PUBLICATION.
IN HYPERTENSION, WE HAVE MANY EXAMPLES OF THE COST SAVINGS CAN HAPPEN IN DIABETES AND IMPROVING CARE.
THE GOAL IS THAT IF WE'RE GONNA IMPROVE BEHAVIORS OF INDIVIDUALS ADHERENCE TO MEDICATIONS, COMPLIANCE WITH PREVENTABLE DISEASE, THAT TAKES A DAILY, WEEKLY, AT LEAST MONTHLY INTERACTION, NOT EVERY SIX MONTHS OR EVERY YEAR INTERACTION IN ORDER TO CHANGE BEHAVIOR.
THAT MEANS YOU NEED AN ACCESSIBLE HEALTHCARE PROFESSIONAL.
AND I WOULD ARGUE THAT PHARMACY IS THAT ACCESSIBLE HEALTHCARE PROFESSIONAL, BUT WE DON'T HAVE ACCESS TO THE RECORDS TO BE ABLE TO PROVIDE THAT LEVEL OF CARE.
SO THE OVERALL GOAL OF TEXAS FARM CARE IS TO BREAK THAT MOLD.
WE'RE WORKING RIGHT NOW, UH, WITH THOSE PARTNERS IN ORDER TO BE ABLE TO CREATE THE PLATFORM.
AND I KIND OF MET SAID THIS ALREADY, BUT I'LL REITERATE, WE'RE DOING PROOF OF CONCEPT IMPLEMENTATION IN, IN, IN AN INDEPENDENT PHARMACY WITH TERRYTOWN, WITH THEN SCALING, UH, TO BE ABLE TO SHOW THE PLATFORM CAN WORK IN A REGION OF HEB AND THEN, UH, EXPAND, UH, TO, UH, A WHOLE CHAIN WIDE, WHAT THE REAL ULTIMATE GOAL WOULD BE.
IF WE CAN SHOW THIS ACROSS THE STATE OF TEXAS, THEN IT WOULD BE A MODEL FOR THE ENTIRE UNITED STATES OF BEING ABLE TO PROVIDE THAT LEVEL OF CARE, STARTING WITH DIABETES MANAGEMENT AND HYPERTENSION, BUT COULD EXTEND TO MANY OTHER DISEASE STATES.
I'LL HIT ON THE SECOND PROJECT TOO 'CAUSE THEY'RE RELATED.
AND THEN I'LL, I'LL PAUSE FOR ANY QUESTIONS, THOUGHTS, UH, FEEDBACK, UH, INTERACTION.
UH, THE SECOND PROJECT IS, IS, UH, A PROJECT BY TISH MOBA WHO HAS AN A HRQ GRANT FED, UH, FEDERALLY FUNDED GRANT, UH, AS PROOF OF CONCEPT AS WELL.
AND HERE IT'S ABOUT CARING FOR OUR MOST VULNERABLE POPULATION OF HOMELESS INDIVIDUALS THAT HAVE, UH, NO ACCESS, NOT ONLY TO HEALTHCARE, BUT TO COMMUNICATION WITH THE WORLD.
THE PREMISE OF HER RESEARCH HAS BEEN PUTTING SMART DEVICES IN THE HANDS OF HOMELESS IN THE AUSTIN AREA IN ORDER TO RECONNECT TO SOCIETY AND BE ABLE TO, THE ORIGINAL PROJECT WAS REALLY ABOUT MEDICATION ADHERENCE AND ACCESS TO THERAPY, BUT IT'S EXPANDED TO MANY, MANY OTHER FACTORS OF RECONNECTING A DISCONNECTED POPULATION.
UH, HER PROJECT IS, SHE'S DEVELOPED, UH, THROUGH THE TEAM, TRULY INFORMED BY PERSONS EXPERIENCE HOMELESSNESS TO ACTUALLY DESIGN THE APPS.
AND THEY'VE CAME UP WITH THE APPS, THE PHONE DESIGN.
THEY DID A FULL IMPLEMENTATION.
THEY ACTUALLY USED FAITH-BASED ORGANIZATIONS IN ORDER TO BE ABLE TO REACH OUT TO THE COMMUNITY IN ORDER TO BE ABLE TO HAVE THE, THE SMART DEVICES IN THE HANDS OF THE INDIVIDUALS TO BE ABLE TO USE THEM TOO, RATHER THAN REQUIRING TO COME TO CLINICS OR OTHER INTIMIDATING VENUES IN ORDER TO BE ABLE TO GET ACCESS TO THOSE DEVICES.
IT WAS, UH, THE PROJECT ITSELF I CAN IS INTERACTIVE CARE COORDINATION AND NAVIGATION.
THAT IS JUST THE, THE PROJECT OF BEING ABLE TO PUT THE DEVICES IN THE HANDS OF THE INDIVIDUALS WHO CAN USE THEM.
IT WAS SO SUCCESSFUL AMONGST THE HOME, THE HOMELESS POPULATION IN THE AUSTIN AREA, THAT SHE HAD A WAIT LIST FOR PARTICIPATION IN THIS STUDY WHERE SHE HAD TO ACTUALLY HAVE, CONTAIN A WAIT LIST IN ORDER TO BE ABLE TO, TO MEET THE DEMAND.
SOME OF THE OUTCOMES OF THE PROJECT, UH, THAT SHE HAS SEEN, UH, HAVE, IT'S BEEN IN ONE OF HER STUDIES, SHE HAD SIX OF THE 30 PARTICIPANTS MOVE INTO HOUSING AND FIVE GAIN EMPLOYMENT, UH, AT, DURING THEIR TIME IN ICAM BECAUSE OF, AND THEY ACCREDITED THAT TO THEIR ABILITY TO BE RECONNECTED WITH SOCIETY AND BE ABLE TO MAKE THE CONNECTIONS TO BE ABLE TO EXPAND THEM INTO BOTH HOUSING AND INTO, UH, EMPLOYMENT.
AND IN TERMS OF COSTS, THEY LOOKED AT, UH, REDUCING HOSPITAL COSTS AND HOSPITAL VISITS.
AND THEY HAVE A SAVINGS THAT IS BASICALLY OVER EIGHTFOLD.
SO EVER, FOR EVERY $1 SPENT ON ICAN, IT SAVED $8 AND 57 CENTS, UH, FOR EVERY $1 INVESTED IN ICAN.
N THIS PROJECT IS, IS REALLY BEEN FIRST INITIATED AS PROOF OF CONCEPT.
SO THE BIG QUESTION IS IN, IN ACADE ACADEMIA IN GENERAL, THIS MIGHT BE AN OVERGENERALIZATION.
WE'RE GREAT AT DOING THE RESEARCH, IMPROVING THE COST SAVINGS AND GETTING THE PUBLICATION.
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STEP TO BE ABLE TO DO IMPLEMENTATION AT THE SCALE OF BEING ABLE TO THEN TAKE THAT AND DO IT AS AN IMPLEMENTATION LEVEL THAT REALLY MAKES AN IMPACT ON SOCIETY.UH, THE, THE, UH, GOVERNMENTAL INSTITUTIONS LIKE NIH AND HRQ ARE REALLY INTERESTED IN FUNDING THE RESEARCH OF THE PROOF OF CONCEPT.
AND THERE'S LESS INTEREST OR ABILITY TO FUND AND SUPPORT THE IMPLEMENTATION THAT'S GONNA MAKE THE TRUE IMPACT OF THE COST SAVINGS.
SO WE'RE WORKING WITH THE PAYERS AND WORKING WITH WATERSHED BECAUSE THE PAYERS ARE VERY INTERESTED IN REDUCING HEALTHCARE COSTS.
THAT CAN BE DONE THROUGH BOTH THE TEXAS FARM CARE PROJECT THAT I HAD MENTIONED TODAY, AS WELL AS THE, THE ICAN PROJECT WITH TISH GBAS WORK, UH, PARTICULARLY SINCE TISHA'S WORK HAS PASSED THE PROOF OF CONCEPT PHASE AND HAS PROVEN THE COST SAVINGS AND ALSO PROVEN THE IMPACT ON SOCIETY.
SO THOSE ARE THE OVERVIEW OF THE TWO PROJECTS.
SO THE MOST OUTREACHING AND OUR HEALTH OUTCOMES, UH, WITH TISHA'S WORK, AS WELL AS OUR PHARMACY PRACTICE, UH, TRANSFORMATION IN OUR TEXAS FARM CARE PROPOSAL.
AND I'M HAPPY TO ANSWER ANY QUESTIONS OR ADDRESS EITHER ONE OF THE PROJECTS THAT I HIGHLIGHTED TODAY.
I, I BELIEVE THIS IS THE TOPIC THAT YOU HAD REQUESTED, SO I'LL, UH, PAUSE ON MY QUESTIONS AND DEFER TO YOU TO, TO OPEN US UP.
SO FIRST OF ALL, DEAN, SO THANK YOU SO MUCH FOR BEING HERE.
UM, VERY EXCITING CONVERSATIONS, BOTH PROJECTS.
UM, I'M NOT SURE, YOU KNOW, WHAT WE CAN DO TO, AS YOU KNOW, AS A COMMISSION TO, TO HELP IN ANY WAY.
THE CERTAINLY THE FIRST ONE THAT, YOU KNOW, WASN'T SURE THE, WHAT THE NEXT STEPS NEED TO BE AND, AND, AND ALL TO, TO, TO BROADEN THAT.
BUT HAVING A, UM, YOU KNOW, A, A NEXT STEP PILOT OR PROOF OF CONCEPT WITH, UH, WITH A LARGE BROCHURE LIKE HHEB IS VERY EXCITING.
AND, AND I GUESS WE'D BE, WE'D LOVE TO FOLLOW THAT ALONG TO HEAR HOW, YOU KNOW, THE IMPACT WOULD BE, UM, ACROSS, UM, YOU KNOW, THE AREAS OF, OF, YOU KNOW, THE WHOLE GEOGRAPHY OF, OF CERTAINLY AUSTIN ARE THE, THE AREAS OF NEED, THE MOST NEED, YOU KNOW.
AND THE SECOND ONE, I GUESS IS THE, UM, I'M NOT SURE I HAVE A SPECIFIC QUESTION, BUT, UM, WHEN YOU THINK ABOUT SCALING THE ICAN, N IS IT ICCN? I THINK TECHNICALLY THE ACRONYM IS I-C-C-A-N, BUT THEY SAY ICAN.
SO I THINK CARE COORDINATION IS, UH, FSED TOGETHER IN THEIR, IN THEIR ACRONYM.
AND, AND I WONDERED IF YOU'VE, UM, YOU KNOW, UM, THOUGHT ABOUT OR HAVE APPS FOR THINGS NOT JUST ABOUT MEDS AND REFILLS, BUT, YOU KNOW, PATIENT SAFETY ALERTS, MAYBE WAYS TO DELIVER MONEY, MAYBE DELAY WAYS TO SORT OF, YOU KNOW, EXPAND OUT THE OFFERING OF THAT.
HAS THAT BEEN SOMETHING THAT'S BEEN LOOKED AT FOR THE POPULATIONS YOU'RE TRYING TO SERVE? YEAH, NO, THAT'S A, THAT'S A GREAT QUESTION.
'CAUSE IT STARTED OFF AS BEING ACCESS TO HEALTHCARE.
IT STARTED OFF AS MEDICATION ADHERENCE.
UH, THAT WAS HOW THE PROJECT WAS ORIGINALLY CONCEIVED, UH, BY TISHA'S, UH, RESEARCH GROUP.
BUT IT EXPANDED INTO FOOD PANTRIES, PRELOADED APPS, UH, FIND HELP ASSISTANCE FOR PARTICIPANTS IN IDENTIFYING ADDITIONAL RESOURCES, AUTOMATED MEDICATION, ADHERENCE, ADHERENCE, APPOINTMENT, TEXT MESSAGE REMINDERS.
AND IT'S NOT ON MY LIST HERE, BUT IF I REMEMBER CORRECTLY, TISH BROUGHT UP THE BUS PASSES.
UM, WAS ALSO ANOTHER PIECE THAT ACTUALLY CONNECTED NOT ONLY TO A REGION, BUT ACTUALLY HAVING MOBILITY TO BE ABLE TO, UH, SEE THE OPPORTUNITIES THAT ARE THERE FOR THOSE INDIVIDUALS.
SO IT, IT STARTED OFF REALLY WITH THE MEDICATION ADHERENCE PIECE THAT I HAD MENTIONED HERE.
BUT IT EXPANDED INTO RECONNECTING A DISCONNECTED COMMUNITY.
UH, TISH TELLS A VERY MOVING STORY OF ONE PARTICULAR, UH, PARTICIPANT IN THE STUDY THAT SAID IT WAS THE FIRST TIME SHE EVER HEARD HER GRANDCHILD SPEAK.
IT SHOWS THE LEVEL OF DISCONNECTION, AND I THINK WE ALL KNOW, BUT THOSE STORIES REALLY HIT HOME IN TERMS OF THE RECONNECTION THAT OCCURS.
SO IT REALLY IS A RECONNECTION TOOL THAT CAN DECREASE THE OVERALL COSTS.
'CAUSE THE ONLY WAY THE HOMELESS INDIVIDUALS RECEIVE CARE, THEY GET SO ILL THAT IT'S STRAIGHT TO THE ER.
AND WE KNOW THE ER COSTS ARE THE MOST EXPENSIVE PIECES OF OUR, OUR HEALTHCARE SYSTEM IN TERMS OF RECEIVING THAT TYPE OF CARE.
SO BEING ABLE TO ACTUALLY RECEIVE CARE SOONER AND EARLIER, IT, IT REALLY DOES PAY THE DIVIDENDS OF BEING ABLE TO PUT THE SMART DEVICES BACK IN THE HANDS OF INDIVIDUALS IN ORDER TO RIGHT THE SHIP, UH, IN THEIR LIVES AND IN THEIR CARE.
TWO, TWO QUICK OTHER QUICK THOUGHTS.
UM, ONE, FIRST OF ALL, THANK YOU AND CONGRATULATIONS ON THIS INNOVATION THAT THE SCHOOL OF PHARMACY IS BRINGING TO OUR COMMUNITY, FOUNDATIONALLY WONDERFUL.
UM, I WONDERED IF SECOND, IF, UM, YOU KNOW, THE DENSITY OF PHARMACIES IS, IS GEOMETRICALLY, IS GEOMETRICALLY SOMEWHAT SYMMETRIC, IF THAT MAKES ANY SENSE ACROSS OUR, OUR, UM, YOU KNOW, INTER, UM, GEOGRAPHY.
JUST THINKING ABOUT, UM, YOU KNOW, UM, HOW IT WOULD SERVE ALL COMMUNITIES IF THAT WAS TO BE PILOTED.
AND THAT, THAT'S A CONCERN TOO.
THIS IS, UH, RELATED AND, UH, SOMEWHAT RELATED AND SOMEWHAT UNRELATED IN THAT THE MAJOR CHANGE THAT'S HAPPENING IN COMMUNITY PHARMACIES IN PARTICULAR ARE THE CLOSINGS THAT YOU HEAR IN THE NEWS ON A REGULAR BASIS OF THE MAJOR CHAINS.
AND THAT CREATES DESERTS IN TWO AREAS, ONE IN INNER CITY AND THE SECOND IN RURAL AREAS.
THOSE ARE THE TWO WHAT QUOTE UNQUOTE
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PHARMACY DESERTS ARE BEGINNING TO EMERGE.IT IS, YOU KNOW, STILL A CASE WHERE THE, ONE OF THE MOST RECENT STUDIES ESTIMATED THAT 90% OF THE US POPULATION LIVES WITHIN FIVE MILES OF A PHARMACY.
SO THE ACCESSIBILITY IS STILL THERE FOR THE MAJORITY OF THE POPULATION, BUT WHAT WE'RE SEEING ARE GREATER DISTANCES IN THOSE AREAS WHERE WE HAVE PHARMACY DESERTS.
THE REALITY IS THOSE PHARMACY DESERTS ARE HEALTHCARE DESERTS.
SO IT IS BEYOND JUST THE ACCESS.
WE DO STILL HAVE FOOTHOLD IN THOSE AREAS.
UM, THE IMPORTANT PIECE IS MANY INDEPENDENTS ARE VITAL TO THOSE COMMUNITIES.
SO THERE IS AN INDEPENDENT PHARMACY COMPONENT AND MANY OTHER COMPONENTS THAT ARE IMPORTANT TO MAINTAIN.
BUT BEING ABLE TO HAVE WAYS OF CONNECTING EITHER THROUGH THE HEALTHCARE OR BEING ABLE TO PROVIDE THAT HEALTHCARE TO THOSE COMMUNITIES WHERE OTHER PRACTITIONERS MAY NOT EXIST IS IMPORTANT.
AND THAT HELPS WITH TEXAS FARM CARE.
AND THEN BEING ABLE TO CONNECT THROUGH, UH, THE REMOTE METHODS THAT WE HAVE, UH, THROUGH THE ICAN WORK, I THINK, UH, TOGETHER CAN HELP AT LEAST, UH, MEET SOME OF THOSE VOIDS IN OUR CARE.
UNFORTUNATELY, THEY'RE MORE BUREAUCRACY.
UM, UH, ESPECIALLY SINCE THE, UM, THE NATURE OF THE COMMISSION IS REALLY IN COLLABORATION ON THE PUBLIC POLICY SIDE, RIGHT? MM-HMM.
SO, UH, ONE, I I HIT BOTH OF THE TOPICS THAT YOU BROUGHT UP, BUT I, I WANT TO PROBABLY TALK THIS FIRST ONE, UH, THAT WE'RE ALREADY ON RIGHT NOW.
HOW COMPARABLE OR, UH, REPRESENTATIVE IF IS IT, OF THE ACTUAL POPULATION IN GENERAL? UM, 'CAUSE I THINK THAT'S ONE KIND OF KEY THING.
IF, IF THE AGENCIES AREN'T ALREADY DOING SOME TYPE OF SIMILAR TYPE OF A, UH, UH, PROJECT OR A FUNCTION OR, OR RESOURCE, THEN I THINK THAT'S GONNA BE ONE KEY THING OF INFORMATION IS, UH, IS IT JUST THOSE THAT SIGNED UP? IS IT JUST WITH THOSE FROM DIFFERENT ORGANIZATIONS THAT YOU PARTNER WITH? OR IS IT REALLY, UM, REPRESENTATIVE OF THAT SAMPLE POPULATION? BECAUSE I THINK THAT DOVETAILS INTO A COUPLE AREAS WHEN YOU'RE STARTING TO TALK ABOUT IT AND SAFETY.
RIGHT? UM, ESPECIALLY IF THEY'RE IN DIFFERENT TYPES OF ENCAMPMENTS THAT ARE NOT NEXT TO ELECTRICITY AND SO FORTH.
UM, YOU KNOW, MY MOTHER'S GONNA HATE HEARING THIS ON HERE, BUT, YOU KNOW, SHE, SHE LOVES TO HAVE THE IPAD AND THE IPHONE, BUT THEN ALSO HATES TO DEAL WITH TRYING TO FIGURE OUT HOW TO USE THE IPAD.
UH, AND THEN I THINK JUST THE SAFEKEEPING PIECE, RIGHT? UH, MOST OF US EITHER HAVE THE CAR OR A HOUSE AND SO FORTH, BUT AGAIN, YOU KNOW, DEPENDING UPON WHAT TYPE OF EQUIPMENT THEY'RE GETTING, DOES THAT MAKE THEM MORE JEOPARDY, UH, MORE IN JEOPARDY OF BEING, UH, UH, HELD UP OR THEIR STUFF BEING STOLEN AND SO FORTH, RIGHT? MM-HMM.
AND I THINK THOSE ARE GONNA BE SOME VERY KEY COMPONENTS WHEN WE'RE TALKING ABOUT WHERE, FROM A PUBLIC, PUBLIC HEALTH ASPECT IN THE DIFFERENT AGENCIES THAT HAVE THE OWN SYSTEMS, UH, THAT IF THIS IS SOMETHING THAT THERE'S OF INTEREST TO BE ABLE TO PARTNER WITH OR BE ABLE TO COLLABORATE WITH.
AND THAT COLLABORATION PIECE WILL GO TO THE SECOND TOPIC THAT YOU BROUGHT UP.
UM, BEING ABLE TO REALLY ADDRESS THOSE ASPECTS.
'CAUSE IT'D HATE TO HAVE, UH, THE AGENCIES MOVING FORWARD IN, IN TRYING TO, YOU KNOW, SUPPORT IN THIS ASPECT, CREATE ACCESS IN THIS ASPECT, BUT THEN UN UNINTENTIONALLY CREATE PROBLEMS OR, UH, FUND SOMETHING THAT CAN'T BE FULLY UTILIZED, UH, DUE TO THE TECHNICAL, UH, HINDRANCES THAT DO COME WITH IT.
I'LL START OFF WITH THE SAMPLING BIAS AND THEN GET INTO THE LOGISTICS OF, OF IMPLEMENTATION.
I THINK THE, THAT, IF I, IF I CAPTURED THAT CORRECTLY, THE, THE SAMPLING BIAS, UH, IS A REAL QUESTION.
UH, PARTICULARLY FOR, YOU KNOW, WE'RE GONNA START IN TARRYTOWN FOR TEXAS FARM CARE.
UH, THAT, THAT'S AN, BUT THAT'S REALLY MORE IMPLEMENTATION, IMPLEMENTATION LOGISTICS.
AND IT'S THE OPPORTUNITY OF AN INDEPENDENT THAT IS VERY ON THE CUTTING EDGE OF PHARMACY PRACTICE THAT IS DOING IMPLEMENTATION.
SO THAT WILL HAVE THAT AS WE START TO GO OUT TO A EB, WE'LL BE MUCH MORE COGNIZANT OF IT TRULY BEING MORE OF A ALL OF AUSTIN REPRESENTATION OF THE IMPACT AND NOT NECESSARILY PICKING STORES THAT ARE GOING TO HELP US GET THE BEST DATA TO GIVE THE BIGGEST DELTA, WHICH IS WHAT SCIENCE WANTS.
RIGHT? THAT MAY NOT BE GOOD FOR IMPLEMENTATION.
UM, BUT REALLY, I REALLY FOCUS ON, YOU KNOW, THE, THE ICAN WORK.
UH, THEY, UH, I HAVE SOME OF THE ANSWERS.
I, I DON'T KNOW THE ANSWER ON THE RECHARGING UNFORTUNATELY, AND CAN GET BACK TO YOU.
BUT I CAN SAY THAT THE, THE, THE SMART DEVICES, SECURITY OF SMART
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DEVICES WAS A SIGNIFICANT ISSUE.AND WHAT THEY DID WAS THEY WORKED WITH, THEY HAVE LITERALLY, UH, FOLKS, PERSONS WHO EXPERIENCED HOMELESS THAT SERVE ON THEIR ADVISORY COMMITTEE, THAT HELPED ADVISE THE WAY IN WHICH IT WAS IMPLEMENTED, CREATED AND USED.
SO THAT MEANT THAT THE APP WAS, THE FIND HELP WAS THE ONE RESOURCE TO GO GET EVERYTHING AND BE ABLE TO MAKE IT EASY TO USE AND FINDABLE AND FUN, UH, SUPPORTED WHEN THEY DID THE APP DESIGN.
SO THEY LITERALLY HAD FEEDBACK ON WHAT WAS GOOD ABOUT IT, WHAT WAS HARD TO USE ABOUT IT.
AND THEY TOOK ALL THAT FEEDBACK AND DID THE DESIGN WITH THE FEEDBACK FROM INDIVIDUALS.
AND THERE'S A REALLY GREAT VIDEO I COULD SHARE THAT, UH, THEY'VE CREATED THAT KIND OF, THAT DESCRIBES ONE INDIVIDUAL IN PERS IN PARTICULAR THAT TALKS ABOUT THE WAY IN WHICH THEY, THEY'VE HELPED WITH THAT.
THE, UH, RECOMMENDATION OF PERSONS EXPERIENCING HOMELESSNESS WAS TO ACTUALLY HAVE LITERALLY A LEG HOLDER FOR THE SMART DEVICE.
SO IT WASN'T SEEN IN A POCKET.
IT WASN'T ABLE TO KNOW THAT SOMEONE HAD IT.
'CAUSE THERE WAS THE, THE CONCERN ABOUT SECURITY OF THE DEVICE ITSELF AND POTENTIAL, YOU KNOW, STEALING OF THE DEVICES, ET CETERA.
THAT WAS ACTUALLY A DESIGN ELEMENT THAT WAS INCORPORATED INTO THE STUDY, UH, IN ORDER TO ACCOUNT FOR THAT.
SO THE, THE GOOD I, AND THE REALLY IMPLEMENTATION EVEN OF THE, THE, THE DISTRIBUTION, NOT FROM HOSPITALS, NOT FROM CLINICS, BUT ACTUALLY DISTRIBUTION FROM FAITH-BASED ORGANIZATIONS, WAS PART OF THE DESIGN IN ORDER TO BE ABLE TO REACH THE COMMUNITIES THAT THEY WANTED TO BE ABLE TO REACH.
SO I KNOW THAT IF, UH, TISCH WAS SITTING HERE RIGHT NOW, TISCH M SHOULD BE ABLE TO ANSWER ALL THOSE QUESTIONS EVEN BETTER THAN I, INCLUDING THE POWER QUESTION.
'CAUSE THEY'VE TAKEN ALL OF THESE THINGS INTO CONSIDERATION.
BUT YOUR, HEY, YOUR QUESTIONS ARE OUTSTANDING BECAUSE THAT'S THE DIFFERENCE BETWEEN CONDUCTING THE RESEARCH STUDY AND DEMONSTRATING THE COST BENEFIT AND THEN MOVING TOWARDS IMPLEMENTATION, WHICH IS THE NEXT GOAL OF HER RESEARCH.
BUT I KNOW THEY'RE BEGINNING TO WORK ON EACH ONE OF THOSE, AND I'M SURE I COULD CONNECT HER OR BE ABLE TO GET SOME OF THOSE ANSWERS TO THE COMMISSION IF, IF THAT HAPPENS.
AND THEN FOR YOUR OTHER PROJECT THAT YOU'RE TALKING ABOUT, UH, ONE I KNOW, DO YOU HAPPEN TO KNOW BATHROOM DIAGNOSTICS? I HAVE NOT, NO.
UH, THEY'RE ALSO DOING A PILOT WITH HEB, UH, BUT THEIRS IS MORE ON THE BLOOD DRAW ASPECT.
AND IF IT'S, UH, UH, POTENTIALLY CAN, UH, REVOLUTIONIZE NOT HAVING TO DO BLOOD DRAW THROUGH A NEEDLE AND SYRINGE, BUT THROUGH THE FINGER ON A LITTLE ASPECT THERE.
NOW, WHEN IT COMES TO THE PUBLIC HEALTH SIDE PIECE HERE, UM, YOU KNOW, THERE'S, THERE'S ALREADY THIS KIND OF A, UH, COLLABORATION THAT HAPPENS WITH THE DIFFERENT AGENCIES, BUT STILL HAVING THE COMPARTMENTALIZATION OF THE MEDICAL RECORDS.
AND SO I THINK IT'D BE INTERESTING.
NOW I'M GOING FROM NOT HAVING A TRAIN OF THOUGHT HERE, BUT IT'D BE INTERESTING TO FIGURE OUT FROM WHAT YOU'RE DOING AND HOW YOU'RE OPERATING WITH HEBS, POTENTIALLY, I'M ASSUMING DOWN THE ROAD, MAYBE WALMARTS AND SO FORTH, THAT'S MORE ACTUALLY IN THE COMMUNITIES, WHICH IS GONNA BE A LITTLE BIT HARDER FOR AN AGENCY TO SET UP SO MANY DIFFERENT CLINICS AND SO FORTH.
WHERE COULD THERE POTENTIALLY BE OVER TIME? HOW ARE THE AGENCIES PARTNERING WITH HBS AND WALMARTS AND SO FORTH AND THEIR HEALTH DEPARTMENTS, UH, TO HELP BRING TOGETHER MORE OF THAT INFORMATION AND, AND, AND COHESIVENESS OF, OF, OF INFORMATION, PROBABLY A LONGER TERM TYPE OF A DISCUSSION.
UM, BUT THAT MAY BE ONE OF THE MOST VIABLE WAYS WHERE THE COMMISSION AND THE AGENCIES CAN BE A LITTLE BIT MORE ON THE COMMERCIAL SIDE OF BRINGING WHAT'S HAPPENING COMMERCIALLY TO WHAT IS ALSO BEING FUNDED THROUGH THE PUBLIC HEALTH SYSTEM.
AND SO IT'S MORE OF A CONNECTED UNIT THAN TWO SEPARATE ONES.
UM, BUT I WOULD DEFER ALL THIS TO YOU, SIR, TO, TO KIND OF FLESH THROUGH IT SINCE THIS WAS AN, AN ITEM OF VERY, UH, INTEREST FOR YOU.
AND THEN MAYBE BE ABLE TO TRY TO BRING IT BACK MM-HMM.
UH, BUT WITH THAT, THAT'S ALL MY QUESTIONS, UNLESS SOMEONE ELSE? YES, SIR.
UH, THANK YOU FOR THE PRESENTATION.
I'M CURIOUS ABOUT THE PHARMACY WORKFORCE.
YOU HAD MENTIONED THAT PHARMACISTS GAVE 85% OF THE COVID VACCINES DURING THE PANDEMIC, UM, BUT ALSO WITHIN THE PAST YEAR WITH PHARMACIES CLOSING, I KNOW THAT THERE ARE A LOT OF PHARMACISTS HAVE PROTESTED AGAINST DOING IMMUNIZATIONS BECAUSE OF ALL THE WORK IT TAKES.
SO I'M CURIOUS HOW YOU ENVISION THE PHARMACY WORKFORCE BEING DEVELOPED TO BE ABLE TO ACCOMMODATE THESE TYPES OF THINGS IF THERE ARE ALREADY NOT WANTING TO DO VACCINATION? RIGHT.
YEAH, AND I WOULD, I WOULD, UM, ONLY CAVEAT THE NOT WANTING TO, TO THE FACT THAT THERE'S THE DEMAND FOR DISTRIBUTION.
THAT IS A PART OF THE COST MODEL, AND I WON'T GET INTO ALL THIS, BUT THE PBMS AND THE, THE DEVOL, THE ONLY WAY TO MAKE THE PROFIT MARGIN BASED ON DISPENSING IN PHARMACIES RIGHT NOW IS THROUGH VOLUME.
[00:25:01]
PRESCRIPTION VOLUME AND A NUMBER FILLED IS THE, IS THE ONLY PROFIT, AND THE PROFIT MARGIN IS SHRINKING BASED ON PBMS. AND I COULD, I WON'T, I WON'T BELABOR THAT POINT ANYMORE.SO THE REALITY IS THE PRESSURE IS ON THE PRIMARY JOB, AND NOW THE, THE VACCINATION WAS ON TOP.
AND SO IT WAS NOT SO MUCH THE, THE LACK OF BEING ABLE TO WANT TO DO VACCINATIONS.
IT'S THE LACK OF BEING ABLE TO COUNSEL ANYMORE BECAUSE OF THE TWO ON TOP MEANT THE ONLY THING YOU COULD DO IS THE MECHANICS OF BOTH VACCINATING AND DISPENSING WITHOUT BEING ABLE TO CARE FOR YOUR PATIENTS.
AND ULTIMATELY, WE'RE TRAINING HEALTHCARE PRACTITIONERS.
MY ANSWER IS, LET'S GET REIMBURSED FOR DOING COGNITIVE SERVICES THAT IMPROVE PATIENT OUTCOMES AND NOT FOR DISPENSING, LET'S, UH, REMOVE THE PHARMACIST FROM THE PRODUCT.
I, I'D LOVE TO SEE, UH, TO BE HONEST, I DON'T THINK THAT THAT'S OUR GOAL.
I THINK OUR GOAL IS TO OPTIMIZE THERAPY, UM, AND WE CAN AUTOMATE PROVIDING THE CARE, PROVIDING THE MEDICATION.
UH, IN THE IDEAL WORLD, THERE IS A, UM, A DECREASE IN APPLICATIONS FOR PHARMACY.
I'M PROUD TO SAY THAT WE ARE FILLING OUR CLASS THIS YEAR FOR THE FIRST TIME IN THE FOUR YEARS THAT I'VE BEEN DEAN.
SO WE, UH, WE'RE HAVING AN UPTICK IN OUR APPLICATIONS HERE IN TEXAS, IN, IN OUR INSTITUTION.
SO THE, THE, THERE IS SOME STABILIZATION OF WHAT HAS BEEN A BIT OF A REDUCTION IN THE WORKFORCE.
WE'RE GONNA SEE SOME REDUCTION IN WORKFORCE.
UM, BUT AT THE SAME TIME, I THINK THE REAL GOAL IS TO CHANGE THE WAY IN WHICH REIMBURSEMENT HAPPENS, BECAUSE ULTIMATELY, PAYERS ARE GOING TO PAY FOR IMPROVED OUTCOMES.
AND IF PHARMACISTS ARE DEMONSTRATING THAT WE'RE THE MOST ACCESSIBLE HEALTHCARE PROFESSIONALS THAT CAN IMPROVE THOSE OUTCOMES, THERE IS A DIFFERENT COST MODEL THAT SHOULD EXIST.
THAT'S PART OF WHAT IS UNDERPINNING TEXAS FARM CARE.
IN ORDER TO PROVE THAT, TO PROVE THOSE OUTCOMES IN ORDER TO FIND A WAY OF REIMBURSEMENT THAT SEPARATES FROM MEDICATION.
IT'S A BIT OF A PROOF OF CONCEPT MODEL TO THEN BE EMPLOYED ACROSS STATE TO SHOW THAT THERE IS SOMETHING TO QUOTE, BE PAID FOR BY THE HEALTHCARE ENTITIES AND PROVE, PROVE IT NOT JUST IN A PUBLICATION OR IN A CHERRY PICK PAPER, BUT ACTUALLY IN SOCIETY AND ACTUALLY PROVE THOSE COST SAVINGS ARE REAL AND THOSE OUTCOMES ARE IMPROVED.
WHEN WE DO THAT, I THINK WE CAN WRITE THE SHIP IN, I'M SORRY I'VE USED THAT TERM ONE TOO MANY TIMES, BUT WE CAN ACTUALLY FIX THE MODEL SO THAT WE'RE NOT JUST GETTING REIMBURSED BASED ON A PBM AND COST PER PRESCRIPTION AND A DISPENSING OR VOLUME OF INDIVIDUALS VACCINATED.
WE CAN PROVIDE CARE AND FOCUS ON CARE FIRST.
UM, THAT WAS A LONG ANSWER, AND HOPEFULLY I, HOPEFULLY I GOT TO YOUR POINT, BUT YOU, YOU'RE BRINGING UP TWO VERY IMPORTANT POINTS FOR A PROFESSION OF PHARMACY RIGHT NOW.
NO, I THINK IT'S ONE OF THE BEST ANSWERS RIGHT THERE.
I THINK IT REALLY HELPS HONE IN PROBABLY EVEN MORE SO OF WHAT YOU'RE BRINGING UP AS FAR AS, UH, FUNDING RFPS, OPPORTUNITIES AND SO FORTH WHEN YOU'RE TALKING ABOUT ENHANCING RIGHT.
AND, UH, TRUST AND, UH, CHANGING THE, THE PERCEPTIONS OF THE COMMUNITY AND, YOU KNOW, IN THAT ASPECT, RIGHT? MM-HMM.
AND SO I'D BE INTERESTED, HOW DOES THAT GET FLESHED OUT A LOT MORE? SO I THINK IT MAKES IT EASIER FOR, UH, INVOLVEMENT TO TRY TO FIND WAYS TO BE ABLE TO HELP SUPPORT, BECAUSE THAT'S REALLY THE, THE, THE ULTIMATE INTENT AND EFFORT HERE.
UH, COMMISSIONER POINDEXTER, AND THEN OVER TO DR.
UM, I'LL GO WITH MY SHORTER QUESTION FIRST.
MY OTHER QUESTION, I'LL COME BACK, UH, FOR PROJECT TWO, YOU MENTIONED, YOU KNOW, THERE'S WAYS TO GET THIS COMMUNICATION OUT.
DO YOU HAVE RELATIONSHIPS ALREADY WITH INSTITUTIONS THAT HAVE CHWS OR COMMUNITY HEALTH WORKERS IN PLACE? I BELIEVE THAT WE DO.
UM, THIS IS ANOTHER QUESTION I PROBABLY WOULD HAVE TO DEFER ON, BECAUSE I BELIEVE THAT, UM, THE INITIAL EFFORT WAS WITHIN AUSTIN, AND I KNOW THAT IT'S NOT JUST A PHARMACY PROJECT.
SO I KNOW THERE'S COLLABORATIVE AGREEMENTS BOTH WITHIN THE AUSTIN REGION, BUT EXACTLY WHO AND WHAT TO WHAT EXTENT.
I CAN'T, UH, FULLY, I DON'T WANNA MISSPEAK AND SAY YES AND BE WRONG,
SO I'M GONNA BE A LITTLE BIT MORE CAUTIOUS AND SAY I CAN GET AN ANSWER FOR YOU ON THAT.
'CAUSE MY, I THINK SOME OF THE CONVERSATION THAT WE'RE HAVING, AT LEAST WITH THE COMMISSION AROUND WHAT COMMUNITY HEALTH WORKERS ARE DOING, HOW THEY CAN CREATE A ROLE AND BE IMPACTFUL IN OTHER WAYS, UM, I DON'T KNOW THAT PHARMACY IS TECHNICALLY SOMETHING THAT CHWS TYPICALLY FOCUSED ON OR SUPPORT, BUT THAT MIGHT BE SOMETHING THAT WE COULD USE AS A RECOMMENDATION WHEN WE'RE HAVING THOSE CONVERSATIONS OF CREATING THOSE CONNECTIONS, OPENING UP THE CONVERSATIONS, UM, AT LEAST FROM THAT SORT OF AN IMPLEMENTATION STANDPOINT.
MY NEXT QUESTION IS A LITTLE BIT LENGTHIER.
BUT, UH, IT IS MORE RELATED TO, AND I'M GONNA NERD OUT FOR ONE SECOND, BUT, UM, PREVIOUS HEALTHCARE WORKER HERE.
SO, UH, WHEN YOU'RE TALKING ABOUT DOING THIS, THIS PROCESS WITH, UM, YOUR FIRST PROJECT AND GETTING MORE ACCESS TO THOSE RECORDS, I'M SPECULATING, BUT I'M GUESSING I'M RIGHT ON THIS, THE DATA SHARING IS PRIVILEGED BY THE EMRS AND THE OWNERS OF EHR.
SO WHEN WE'RE LOOKING AT IMPLEMENTING SOMETHING LIKE THIS, THAT'S GONNA BE REALLY, REALLY CHALLENGING.
BUT ARE THERE WAYS TO POTENTIALLY LOOK AT VALUE-BASED CARE MODELS THAT COULD POTENTIALLY TALK TO POLICY AND
[00:30:01]
CONNECT RELATIONSHIPS WITH, LIKE YOUR ARCS OR YOUR ASCENSIONS WHO WOULD BE MORE WILLING TO INVESTIGATE SOMETHING LIKE THAT WITH YOU? YEP.THAT IS THE BIGGEST, UH, HURDLE WHENEVER WE STARTED TO ONLY TALK ABOUT THIS WITH HEB AND WITH TARRYTOWN AND WITH, UM, AND EVEN WITH RED SALES SLASH PIONEER, WHICH IS THE, THE SOFTWARE MANAGEMENT IN THE COMMUNITY.
THE MISSING PIECE WAS HOW DO WE WORK WITH THE HEALTHCARE PLANS AND HOW DO WE WORK WITH THE HOSPITALS ABOUT DATA SHARING? AND THAT'S WHEN WE HEARD ABOUT WATERSHED.
UM, SO WATERSHED HAS, UM, HAS, HAS, UH, BUILT THAT ALREADY, THE TWO, NOT FOR PHARMACIES PER SE, BUT FOR CLINIC COMMUNICATIONS WITH, UH, AMBULATORY CARE SITES, WITH COMMUNICATIONS WITH HOSPITAL DATA, IN ORDER TO HAVE THOSE MEDICAL RECORDS SHAREABLE ACROSS THEIR PLATFORM.
AND THEY DO IT IN A WAY THAT THEY'RE NOT NECESSARILY COLLECT, UH, COLLECTING THE DATA FOR THEIR OWN PURPOSES OF THE DATA COLLECTION AGENCY IN ORDER TO SELL THE DATA, UH, TO BE QUITE, UH, BLUNT.
UM, THEY'RE DOING IT IN A WAY THAT PROTECTS THE, THE, THE HEALTHCARE INFORMATION FOR ONLY THE PRACTITIONERS THAT ARE SEEING THE DATA AND THE INFORMATION FOR THE CARE OF THE PATIENT.
UM, AND THEY'VE, THEY'VE BROUGHT THAT UP.
WE ACTUALLY, THE, I BELIEVE THAT, UM, THERE'S A RELATIONSHIP, AN MOU IN PLACE THAT WAS JUST RECENTLY EXECUTED WITH, UM, WITH, UM, AND I DON'T WANNA MISSPEAK, BUT IT WAS EITHER WITH DEL ME OR IT WAS WITH, UH, SEAT ASCENSION, BUT I'M NOT A HUNDRED PERCENT SURE THAT IS IN PLACE TO ACTUALLY BEGIN TO DO THIS ACROSS SOME OF THE CLINIC SETTINGS.
NOW, WHAT WE'RE LOOKING AT IS BEING ABLE TO DEVELOP A SIMILAR RELATIONSHIP ACROSS HEALTHCARE ENTITIES DO IT.
SO THAT'S, THAT'S PART OF THE PART OF THE ANSWER.
AND I THINK THE OTHER PART OF THE ANSWER IS WHAT YOU HAD JUST MENTIONED AND BEING ABLE TO LOOK AT IT IN TERMS OF THE VALUE.
THERE ARE, UM, LOCAL HEALTH INFORMATION EXCHANGES, OF COURSE, AND IT MAY BE THAT THERE ARE SOME CONSTRUCTS THAT THE PHARMACY WOULD WANNA POSITION ITSELF INTO AS, AS AN ENTITY, IF THAT MAKES SENSE.
THAT HAS, YOU KNOW, UM, SOMEHOW A CARE MODEL SUCH THAT THAT LIVENS THEIR RIGHT TO ACCESS THE LOCAL HIE SO THAT YOU WOULDN'T BECOME, WOULDN'T BE A GAME OF GOING TO EVERY, EVERY CLINIC OR EVERY HOSPITAL AND TRYING TO GET ACCESS TO RECORDS.
BUT WE HAVE, THAT'S WHY THE HEALTH INFORMATION EXCHANGE HIES EXIST.
AND THERE ARE NATIONAL CLEARINGHOUSE HIES, AND THERE'S CERTAINLY LOCAL ONES.
AND SO, AND WATERSHED'S TERRIBLY FAMILIAR WITH ALL OF THIS.
SO THERE MAY BE SOME STRATEGIES THAT TAKE AWAY SOME OF THE BURDEN OF INFORMATION ACCESS THAT WOULD BE, UM, YOU KNOW, WAYS TO, TO GET THERE MORE QUICKLY.
WA WATERSHED, AND I HOPE HE DOESN'T MIND ME QUOTING HIM, BUT HIS, WHAT WAS, UH, WELL, WE'RE KIND OF LIKE AN HIE ON STEROIDS IS WAY THEY, THEY DEFINE THEMSELVES IN SOME WAYS, IN, IN WHAT THEY ARE LOOKING TO DO IN THAT IT'S MORE THAN WHAT HAS BEEN PROVIDED JUST WITH THAT.
BUT THEY ACTUALLY HAVE THE RELATIONSHIPS WITH THOSE GROUPS IN ORDER TO BE ABLE TO DO IT.
SO WE WE'RE STILL IN DEVELOPMENT, AND YOU PROBABLY SENSE THAT, BUT THE DEVELOPMENT PLAN IS SUCH THE, TO GET PAST THOSE HURDLES SO WE CAN ACTUALLY GET THE INFORMATION OUT INTO THE COMMUNITIES.
BUT I THINK THERE ARE, THERE ARE, THERE ARE PROBABLY HURDLES WE STILL HAVE TO FIND, BUT AT LEAST SOME OF THEM, I THINK WE'VE FOUND THAT PLAYERS THAT CAN HELP US CLEAR THEM.
AND I, I THINK IN THIS SENSE, JUST KEEPING IN MIND THAT IT'S GONNA BE MORE SO, ESPECIALLY FOR, FOR THIS PARTICULAR AUDIENCE, RIGHT? IT'S THE AGENCIES HAVING TO GO THROUGH WHATEVER, UH, POLITICAL APPROVALS AND SO FORTH AS FQHCS, AS MENTAL HEALTH AUTHORITIES, AS A HEALTH DEPARTMENT, THAT A ST.
DAVID'S, UH, HEALTHCARE SYSTEM AS A NONPROFIT, UH, FOUNDATION DOESN'T NECESSARILY MAY HAVE SIMILAR, YOU KNOW, PROTOCOLS AND PROCESSES AND PROCEDURES.
SO I THINK, YOU KNOW, DEFINITELY GREAT RECOMMENDATIONS AS FAR AS WHAT YOU'RE ALREADY DOING.
I THINK IN THIS SENSE, IT'S KIND OF WHAT IS VIABLE, WHAT ARE THE BARRIERS, WHAT ARE THE HINDRANCES? AND THEN WHAT ARE THE POTENTIAL WAYS OF SUPPORTING, EVEN IF IT IS AT A DISTANCE, BECAUSE POLITICALLY AND JURISDICTIONALLY OR IT, IT JUST CAN'T HAPPEN.
SO MY, UH, MY FOLLOW UP TO THAT IS, DO YOU KNOW OF, OR ARE YOU LOOKING AT ANY OF THE POLICIES FROM THE LOCAL OR COUNTY LEVEL THAT WOULD AFFECT YOU BEING ABLE TO ACCESS THIS DATA OR MOVE FORWARD WITH YOUR RESEARCH? YEAH, FOR THE, FOR THE FIRST PROJECT, I BELIEVE THAT, UM, WE HAVE LOOKED AT IT FROM A STAND.
SO THERE WERE TWO DIFFERENT PATHS.
ONE, IF IT WAS JUST INFORMATION ON LFTS, AND, AND THAT'S ALL THE VERY SPECIFIC CODES THAT WERE JUST BEING PROVIDED BASED ON PATIENT CARE, WHICH IS ONE POSSIBILITY THAT WOULD BE A LIMITED ASK OF LIMITED CONCERN OF BEING ABLE TO CREATE THOSE PARTNERSHIP RELATIONSHIPS VERSUS SEEING BROADER BASE MEDICAL RECORD ACCESS.
THOSE ARE THE KIND OF THINGS THAT WE'RE AT THE STAGE OF WORKING WITH WATERSHED TO BEGIN TO, TO DETERMINE WHAT, WHAT SHOULD WE DO? WHAT COULD WE DO AT A MINIMUM, WHAT SHOULD WE DO? AND THOSE QUESTIONS ARE WHERE WE'RE ANSWERING RIGHT NOW IN ORDER TO GET AN IDEA OF THE SCOPE AND THE SCOPE OF THE IMPACT.
OF COURSE, THE MORE ACCESS TO INFORMATION, THE MORE IMPACT.
[00:35:01]
THE MORE COMPLICATIONS WE MAY HAVE IN BEING ABLE TO CREATE THOSE RELATIONSHIPS AND, AND, AND, UH, CONCERNS AROUND, UH, DATA, UH, TRANSFERS AND DATA INFORMATION, UH, SHARING.THE, THE NICE PART, YOU KNOW, MAYBE I'M RELYING ON WATERSHED A BIT TOO MUCH.
UH, I DO HAVE THE CONFIDENCE THAT THEY HAVE BUILT THIS AND IMPLEMENTED IT FOR OTHER ENTITIES.
SO IT WAS WITHIN THEIR PLATFORM.
SO RIGHT NOW, THE WORST CASE THE PHARMACIST WOULD BE GOING FROM THEIR PLATFORM, THEY, YOU ALWAYS USE TO HAVE TO GO TO ANOTHER PLATFORM TO LOOK, UM, IF IT'S EASY TO USE, MAYBE THAT'S NOT TOO BURDENSOME WITH THE WORKFLOW, WHICH IS A CHALLENGE IN PHARMACIES AS WE MENTIONED EARLIER.
UM, BUT IT MAY ALSO BE A POSSIBILITY TO BE ABLE TO, TO INTEGRATE IT WITHIN PIONEER WITHOUT FIRST ISOLATED BITS OF INFORMATION, WITHOUT IT CREATING TOO MANY OF THE LOGISTICAL ISSUES.
SO, THE ANSWER, THAT WAS A LONG ANSWER TO SAY NO, NOT YET,
WA I'M HAPPY TO HEAR YOU TALK ABOUT WATERSHED.
UM, WE'VE BEEN IN CONVERSATION ABOUT THAT ISSUE SINCE, FOR THE LAST TWO YEARS, AND VERY HAPPY THAT UT IS SIGNED, AND WE HAVE OTHER PARTNERS THAT ARE SIGNING, UM, AND WATERSHED WILL ALLOW THE EXCHANGE OF INFORMATION THAT'S PERTINENT TO THE PROVIDER'S LEVEL OF SECURITY CLEARANCE.
SO, UM, I'M SURE THAT YOU'LL BE ABLE TO WORK THAT OUT AND HELP TO COORDINATE CARE MUCH BETTER.
I'M SORRY THAT I CAME IN LATE.
I HOPE I CAN GET A CHANCE TO LOOK AT YOUR NOTES.
UM, QUESTION ABOUT, UM, PROOF OF CONCEPT, AND I'M REAL, I'M INTERESTED, AND YOU MAY HAVE ALREADY MENTIONED IT IN FINDING OUT WHERE WE'RE GOING FROM TARRYTOWN MM-HMM.
BUT I ALSO WANNA POINT OUT THAT WATERSHED IS NOT JUST FOR PEOPLE EXPERIENCING HOMELESSNESS, IT WILL BE FOR EVERYONE.
SO IT WILL HELP TO BETTER COORDINATE CARE FOR ALL RIGHT.
SO THE, THE PLAN OF THE PROJECT WAS STARTING FOR ONLY IMPLEMENTATION AND LOOKING AT OUTCOMES, BUT CLEARLY IT'S GONNA BE A SELECT GROUP OF, UH, POPULATION FOR OUTCOMES, UH, BY WORKING WITH TERRYTOWN.
TERRYTOWN IS VERY PROGRESSIVE IN PHARMACY CARE.
AND WORKING WITH AN INDEPENDENT THAT'S VERY PROGRESSIVE IN FORWARD THINKING OF HOW TO PROVIDE HIGHER LEVEL CARE WAS ATTRACTIVE FOR IMPLEMENTATION.
SO, AND THEY WERE WILLING, WHICH IS ALSO IMPORTANT TO HAVE A WILLING PARTNER.
SO WE, WE HAD A WILLING PARTNER THAT WAS WILLING TO BASICALLY DEMO, UH, WORK WITH PIONEER IN RED SAIL AND HAD THE CONNECTIONS TO TRY TO INTEGRATE, TO WORK OUT ALL THE THINGS THAT IF WE, IF WE WENT TO HEB AND I LOVE HEB, IT'S THE ONLY PLACE I GO.
UM, BUT IF WE WENT TO THEM AND SAY, LOOK, WE WANNA TAKE ONE OF YOUR STORES AND IMPLEMENT IT, THEY WOULD SAY, WHAT DO YOU WANT IMPLEMENT? AND WHAT, HOW ARE YOU GONNA DO IT? HOW MUCH OF MY PERSON'S TIME ARE YOU GONNA USE? AND THEY RIGHT, RIGHTFULLY SHOULD, BECAUSE THEY HAVE A LARGE OPERATION TO RUN, THERE'S A DIFFERENCE WHEN YOU COME BACK TO HEB AND SAY, WE'VE JUST IMPLEMENTED, THIS IS HOW WE'RE GONNA DO IT.
WE WANT TO TAKE IT WITH THIS STORE, AND WE HAVE THESE, THIS SUPPORT, HOPEFULLY 'CAUSE WE'RE LOOKING AT GETTING N-A-C-D-S FOUNDATION FUNDING OR POTENTIALLY GETTING OTHER FUNDING TO SUPPORT THIS, AND WE HAVE THE MONEY TO DO IT, AND WE HAVE THE PEOPLE TO COME IN.
CAN WE COME INTO YOUR STORE, IMPLEMENT THIS, AND MAKE IT ACTIONABLE AND SHOW YOU HOW TO USE IT? WE ALREADY HAVE IT DEPLOYED, AND THIS IS THE SAVINGS THAT WE HAD, AND THIS IS HOW WE'RE ABLE TO BILL FOR SERVICES.
THAT'S A WHOLE DIFFERENT CONVERSATION WITH HGB.
SO THE GOAL IS TO DO THE IMPLEMENTATION AT THE LEVEL OF TERRYTOWN AND WORK OUT THE LOGISTICS OF, OF DOING THIS, DEMONSTRATING THAT WE CAN DO IT AND SAVE THE MONEY AND MAKE THE IMPACT, AND THEN TAKE THAT PLATFORM AND SAY, OH, NOW WE WANT TO DO IT, FIRST OF ALL, IN A REGION OF HEB, UH, FIRST TO STORE, OBVIOUSLY, THEN A REGION, WHICH WOULD BE AUSTIN, THEN TRAVIS COUNTY, AND THEN EXPAND BEYOND, YOU KNOW, ACROSS HEBS IN TEXAS AND DEMONSTRATE WE COULD DO IT ON A MUCH BROADER BASIS, UH, LONG-TERM.
THAT'S THE, THE REAL GOAL IS TO SHOW WE COULD DO IT ACROSS THE STATE AND THEN SHOW THAT TO THE UNITED STATES, WHICH WILL BE GREAT.
SO, UM, WHEN YOU'RE TALKING ABOUT PROVIDING THE BREAK, YOU KNOW, THE DATA AND, AND THE ANALYSIS OF THE DATA, YOU WILL HAVE DISAGGREGATED DATA, CORRECT? YES.
THE, THE, THAT'S A QUESTION I WOULD NEED TO DIG INTO A BIT MORE TOO.
BUT MY, MY THOUGHT IS THAT WE'RE, WE, THE ONLY TIME YOU CAN ACTUALLY HAVE THAT IF FOR, IF YOU HAVE DATA THAT'S ASSOCIATED, AND YOU'RE ACTUALLY GONNA BE TYING THAT FOR RESEARCH PURPOSES, YOU'RE GONNA NEED TO HAVE CONSENT.
AND I THINK THAT'S WHERE THE QUESTION WAS GOING.
AM I CORRECT? WELL, FOR DISAGGREGATED DE-IDENTIFIED DATA, YOU SHOULD BE FINE.
SO I'M, I'M GUESSING, I'M, I'M GUESSING IF WE WANTED IT TO BE NON DISAGGREGATED DATA, WE WOULD NEED TO HAVE
BUT TO BE HONEST, IF WE SOMEDAY ACTUALLY HAD THE PLATFORM, UH, EXISTED, THAT WAS NOT RESEARCH.
WE COULD ASK FOR INDIVIDUALS INTERESTED IN PARTICIPATING AND ACTUALLY OPEN THE COMMUNITY FOR RESEARCH.
AND I THINK COMMUNITY PHARMACIES WOULD BE A GREAT HUB FOR BEING ABLE TO COLLECT INFORMATION LIKE THAT AND DO LARGER BASE RESEARCH.
BUT THAT'S A, THAT'S A GOAL BEYOND THE PROJECT THAT WE'RE IMPLEMENTING.
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THAT IT WILL BE DE-IDENTIFIED AND DISAGGREGATED? I, THIS IS WHERE I'M STARTING TO GO ON A BRANCH.AT LEAST I KNOW WHEN TO BE QUIET.
I APPRECIATE EVERYBODY'S TIME.
THANK YOU FOR THE OPPORTUNITY.
[3. Presentation on food insecurity and gap in food funding by Joi Chevalier with Austin’s Hub for Food Access, Equity & Resilience.]
PRESENTATION ON FEUD INSECURITY AND GAP IN FOOD FUNDING BY JOY CHEVALIER.HOPEFULLY I SAID THE LAST NAME CORRECTLY.
WELL, THIS IS WEIRD BECAUSE I'M USED TO BEING ON THE OTHER SIDE OF THIS
UM, I WAS JUST SAYING, I'M USED TO BEING ON THE OTHER SIDE OF THE TABLE HERE TODAY, SO IT'S VERY STRANGE.
I'M THE FOUNDER AND CEO OF THE COOK'S NOOK HERE IN AUSTIN.
AND, UH, I ALSO HAPPEN TO BE THE, UH, CHAIR OF THE AUSTIN TRAVIS COUNTY FOOD POLICY BOARD.
UM, BUT I'M HERE TODAY WITH MIKE COOK'S NOOK HAT ON TO TALK TO YOU SPECIFICALLY ABOUT THE CPAN PROGRAM, WHICH HAS BEEN A LONGSTANDING PROGRAM.
I'M GONNA ASK, IS THAT FORWARD? SORRY.
UM, WHICH HAS BEEN A PROGRAM THAT HAS BEEN QUITE SUCCESSFUL AND HAS BEEN RUNNING SINCE 2020.
UH, IT WAS ORIGINALLY A PROGRAM DEVELOPED TO PROVIDE PREPARED MEALS AND NUTRITION ACROSS TRAVIS COUNTY.
I, MYSELF WAS SICK WITH COVID.
I HAD BEEN A GLOBAL PRODUCT MANAGER FOR 20 YEARS, AND IMMEDIATELY SAW A NEED, AS I SAW, AND, UH, ALSO A RECOVERING DIABETIC AND SAW THE NEED, UM, FOR PREPARED MEALS, STRUCTURED, PREPARED MEALS, PROGRAM AND INTERVENTION.
UM, AND IT WAS ACTUALLY PICKED UP BY TRAVIS COUNTY AFTER IT, I WROTE IT UP AND SUGGESTED IT, UM, TO THE CITY AND TO THE COUNTY, UH, THE CFAN PROGRAM, WHICH ACTUALLY STOOD, UH, STANDS FOR THE SUPPLEMENTAL EMERGENCY FOOD ACCESS NETWORK.
UM, UH, STARTED IN APRIL OF 2020 AND HAS RUN CONSECUTIVELY SINCE.
IT HAS BECOME A CORE PROGRAM, UH, AROUND, UH, FOOD, UH, ACCESS, UH, AND INSECURITY AROUND, UH, TRAVIS COUNTY.
I WANNA MAKE SURE I GET THERE.
UM, AND IN GENERAL, THE COOKS, NO.
WHAT WE DO IS WE ACTUALLY DEVELOP NUTRITION INTERVENTIONS, UH, THAT OUR PARTNERS USE IN THEIR TARGETED AND VULNERABLE COMMUNITIES, UH, WHERE THEY'RE TRYING TO MAKE AN IMPACT AND CHANGE OUTCOMES.
TYPICALLY, WE WORK WITH, UM, HOSPITAL SYSTEMS. WE ARE IN A VARIETY OF STUDIES IN TEXAS AND IN KENTUCKY, UH, FOCUSED ON FOOD AS MEDICINE.
UM, WE WORK WITH, UH, PAYER PROVIDERS WHO ARE TRYING TO DEVELOP THE RIGHT AND TARGETED INTERVENTIONS THAT ACTUALLY MAKE SENSE, THAT ACTUALLY AFFECT, UM, THE NONCLINICAL
UM, AND IN THIS CASE, THE VERY FIRST VERSION HAPPENED TO BE WITH TRAVIS COUNTY.
UM, AND IT IS, I'M GONNA SKIP THIS VERY QUICKLY.
UM, THE PROGRAM, UM, ACTUALLY, UH, CONTINUES TODAY, UH, IS DELIVERED, UM, OVER A MILLION MEALS TO AUSTIN AREA FAMILIES.
AND WHAT WE DO IS WE ACTUALLY HAVE DESIGNED A PROGRAM THAT ACTUALLY NOT ONLY PROVIDES CULTURALLY RELEVANT NUTRITION, UH, TO THOSE COMMUNITIES, BUT ACTUALLY LEARNED AND CREATED THE NETWORK OF TARGETED COMMUNITIES WHO NEEDED THAT NUTRITION THE MOST.
IT BECAME INCUMBENT UPON US TO DEVELOP THAT NETWORK, AND IT IS PRIMARILY WITHIN THE EASTERN CRESCENT AND RURAL AREAS OF TRAVIS COUNTY, UH, TO ACTUALLY, UH, IMPROVE, UH, FOOD INSECURITY AND PROVIDE FOR THOSE WHO MIGHT HAVE A HEALTH CONDITION, UM, NUTRITION THAT ACTUALLY WOULD SUPPORT, UH, THEIR, THEIR, THEIR LIFE IN, IN, IN THAT, IN THAT, UH, WITH THAT PARTICULAR CONDITION.
UM, THE, THERE ARE, AT THIS TIME ALMOST A 60 DIFFERENT ORGANIZATIONS THAT HAVE MORE THAN 60 DIFFERENT, UH, CBOS IN THE AUSTIN TRAVIS COUNTY AREA, UH, WHO ARE PARTICIPATING.
AND THE NUTRITIONIST MOVED THROUGH THE CBOS WITHIN THE TARGETED COMMUNITIES, UH, THEMSELVES, WHO HAVE THE TRUST, UH, TO BE ABLE TO PROVIDE THAT NUTRITION WITHIN THEIR COMMUNITIES AND WITH THE WRAPAROUND SERVICES AND PROGRAMMING, UH, IN SUPPORT OF THAT.
UM, SO WHERE YOU MIGHT HAVE A COMMUNITY, UH, FOR INSTANCE, UH, WHERE, UH, THERE IS A MATERNAL HEALTH CONCERN THAT IS THE FOCUS SAY OF SAFFRON TRUST, UH, WHO IS ONE OF THE CBOS
[00:45:01]
WITHIN THE TRAVIS COUNTY PROGRAM.AND THEY WORK EXCLUSIVELY WITH THOSE MOTHERS IN OTHER COMMUNITIES, SAY, LIKE ELW.
IT PRIMARILY WORKS, UM, WITH, UM, IN A COUPLE OF WAYS THROUGH ELWIN ON THE SOUTH SIDE, UH, THROUGH THE HOUSING, UH, COMMUNITIES THAT ELWIN SUPPORTS, BUT ALSO THROUGH THEIR REMOTE PANTRY.
SO WE PROVIDE TO THE ORGANIZATIONS ON BEHALF OF TRAVIS COUNTY, UH, AND ENSURE THOSE ORGANIZATIONS WHO ARE ALREADY EMBEDDED IN THOSE COMMUNITIES HAVE A WAY OF PROVIDING NUTRITION ALONG WITH THE OTHER SERVICES THAT ARE BEING PROVIDED.
SO HOW DOES IT, UM, BASICALLY WORK? UM, WE WORK WITH THOSE ORGANIZATIONS TO DEVELOP WHAT IS THE NUTRITION EXPERIENCE THAT WANTS TO BE GIVEN? WHAT IS THE CULTURALLY RELEVANT EXPERIENCE THAT WOULD KEEP PEOPLE WITHIN THE PROGRAMMING THAT FOOD AND THE NUTRITION ACTUALLY, UM, SMELLS, TASTES, AND, AND, AND GIVES THE EXPERIENCE THAT THEY WOULD EXPECT TO HAVE, UM, THAT IS MADE WITH THEIR INTERESTS IN MIND.
UM, WE THEN FIGURE OUT WHAT IS THE DISTRIBUTION MODEL? IN THE CASE OF C FAN, THAT DISTRIBUTION MODEL IS THROUGH THE TRUSTED CBOS.
FOR SOME PARTNERS THAT MIGHT ACTUALLY BE THROUGH MALE UPS DIRECTLY AT THEIR DOOR.
AND ACTUALLY IN THE TRAVIS COUNTY CA PROGRAM, THERE IS A PERCENTAGE, UH, THAT ACTUALLY DOES RECEIVE A NUTRITION DIRECTLY AT THEIR, AT THEIR DOOR DUE TO DISABILITY OR OTHER INFIRMITY MAYBE, UH, IMMUNOCOMPROMISED, UH, BEING IMMUNOCOMPROMISED THAT REQUIRES THAT, UH, WE WORK WITH THEM TO DEVELOP WHAT IS THE ENGAGEMENT MODEL, NOT ONLY OF THE DIRECTORS AND LEADERS OF THE PROGRAMS WITHIN THE CBOS, BUT ALSO THE, UH, PARTICIPANTS WITHIN THAT PROGRAM.
UM, AND ALSO THE, THE METRICS DEVELOPMENT IS ALSO A PART OF THAT.
WHAT ARE THE OUTCOMES THAT ARE BEING LOOKED FOR WITHIN THAT COMMUNITY? FOR TRAVIS COUNTY'S PROGRAM, IT IS A COMMUNITY, A COMMUNITY BASED PROGRAM.
AND SO THE OUTCOMES AND METRICS WERE AROUND FOOD INSECURITY.
IT IS AROUND REACH, UH, INTO, UM, NOT ONLY, UH, WITHIN, UM, THE CITY OF AUSTIN, BUT ALSO, UH, TO RURAL TRAVIS COUNTY IS A REQUIREMENT.
AND SO FOR THEM, IT WAS ABOUT SUPPORTING COMMUNITY.
I'LL TELL YOU A LITTLE BIT ABOUT ANOTHER PROGRAM THAT'S SLIGHTLY DIFFERENT.
UM, AND THEN WHAT ARE THOSE OUTCOMES? ARE THOSE OUTCOMES PRIMARILY, UH, EMOTIONAL SUPPORT BASED? UM, WHAT DOES THAT, WHAT DOES THAT LOOK LIKE? AND SO WHEN WE TALK ABOUT WHAT IS THE NUTRITION, THAT'S INCREDIBLY IMPORTANT BECAUSE WHAT, WHAT IS OFTEN ASKED IS, HOW DO YOU DEVELOP CULTURALLY RELEVANT NUTRITION? AND, AND WHAT DOES THAT MEAN AND WHAT DOES THAT MEAN IN THE FACE OF HEALTH EQUITY? AT THE END OF THE DAY, A HEALTH EQUITY IS LOOKING TO, UM, CHANGE THE OUTCOMES.
AND IN ORDER TO CHANGE THOSE OUTCOMES, YOU, YOU HAVE TO BE AN ORGANIZATION THAT IS NOT ONLY REFLECTIVE OF THAT COMMUNITY, CAN HEAR AND LISTEN TO THE CONCERNS OF THAT COMMUNITY, UH, DEVELOP, IN THIS CASE, THE NUTRITION THAT ACTUALLY MAKES SENSE WITHIN THAT, WITHIN THAT COMMUNITY, UM, TO THE OUTCOMES THAT THAT COMMUNITY IS INTERESTED IN.
AND THAT'S WHAT OUR CULTURE CUISINE MEALS ARE ABOUT, THAT ARE IN THE TRAVIS COUNTY PROGRAM.
UM, THE MEALS REFLECT, UM, THE AMAZING PALATE
UM, AND THAT ALSO INCLUDES THE GLOBAL INFLUENCES THAT ARE PARTICULAR TO AUSTIN, TRAVIS COUNTY AS WELL.
AND SO IT IS A VARIETY OF NUTRITION THAT GOES OUT ON A WEEKLY BASIS, UH, TO THOSE COMMUNITIES.
UH, CURRENTLY THERE ARE 30 DIFFERENT CBOS AROUND AUSTIN, TRAVIS COUNTY, THAT ARE IN, UH, THIS PROGRAM.
THAT'S A PRETTY CONSISTENT AVERAGE NUMBER EVER SINCE 2020.
AND AS I'VE SAID, WE'VE SEEN OVER A HUNDRED DIFFERENT CBOS OVER THE LIFE OF THIS, OVER THE LIFE OF THIS PROGRAM.
UM, WE'VE TALKED ABOUT THE PARTNERS A LITTLE BIT, UM, AND, UM, THE PARTNERS RANGE.
UH, IT, THE BIGGEST CHALLENGE, OF COURSE, IS TO, IF YOU'RE LOOKING TO BE IN TARGETED COMMUNITIES, AND IN THIS CASE, TRAVIS COUNTY WAS VERY CONCERNED ABOUT MOTHERS, ABOUT THOSE IN IMMUNOCOMPROMISED, ABOUT THOSE WHO MAY BE UNHOUSED, UH, THOSE WHO MAY BE IN RECOVERY.
THERE WERE 15 DIFFERENT, UM, VULNERABLE COMMUNITIES THAT TRAVIS COUNTY WAS LOOKING TO MAKE SURE WERE VISIBLE THROUGH, THROUGH THIS PROGRAM.
AND THUSLY, THE PARTNERS REPRESENT CBOS WHO ALREADY HAVE TRUSTED RELATIONSHIPS, UH, WITHIN THOSE, WITHIN THOSE COMMUNITIES.
SO THE LOCATIONS OF THOSE COMMUNITIES, AS WE TALKED ABOUT, UM, YOU SEE ARE PRIMARILY AGGREGATED, UH, WITHIN THE EASTERN CRESCENT, UH, ALL THE WAY OUT TO DELL VALLEY, TO MAINOR, TO WEBER.
UM, THE BIGGEST CHALLENGE WHEN YOU'RE TRYING TO DEVELOP AN EQUITABLE MODEL OF DISTRIBUTION, NOT JUST THE NUTRITION, BUT ALSO THE DISTRIBUTION ITSELF, IS THAT YOU HAVE TO HAVE PARTNERS IN THOSE COMMUNITY SPACES AND TO FIND THEM IF THEY'RE UNKNOWN.
AND I THINK THIS WAS THE VALUE THAT THIS PARTICULAR PROGRAM BOUGHT BROUGHT TO TRAVIS COUNTY, UM, AND MAKE THOSE ORGANIZATIONS VISIBLE ALL
[00:50:01]
THE WAY OUT, UH, INTO MORE RURAL SECTIONS, UH, OF THE COUNTY.UM, IF YOU NOTE HERE, NEARLY 20% OF ALL THE NUTRITION WERE DISTRIBUTED OUTSIDE OF ANY OF THE CITY OF AUSTIN ZIP CODE, WHICH IS ACTUALLY QUITE CONSIDERABLE, UH, IN ORDER TO BE ABLE TO GET THAT OUT THERE.
AND THEN 2% DIRECTLY TO THOSE, UH, WHO MIGHT BE HOME BOUND OR HAVE OTHER, OTHER ITEMS THAT KEEP THEM, KEEP THEM AT HOME.
UM, I LISTED SOME OF THE POPULATIONS, THOSE WHO ARE FOOD INSECURE, QUARANTINE, UM, THOSE WITH DISABILITIES, UH, PEOPLE IN RECOVERY, UM, EVEN THOSE WHO ARE RECENTLY ARRIVED WITHIN THE COMMUNITY WHO HAVE SEVERE, UH, NUTRITIONAL ACCESS NEEDS, UM, AND NEED.
AND THE NUTRITION IS USED TO HELP, UH, DRIVE TO THE WRAPAROUND SERVICES THAT WILL ACTUALLY PROVIDE SUSTAINABILITY AND SECURITY FOR THOSE POPULATIONS.
AND OF COURSE, WITH ALL ANY SDOH FACTORS, YOU KNOW, SUPPORTED HOUSING AND TRANSPORTATION WERE KEY, WERE KEY PARTS AND KEY COMMUNITY, UH, UH, VULNERABLE POPULATIONS, UM, THAT THE COUNTY WANTED TO, WANTED TO AFFECT.
SO, PARTICULARLY IN THE CFAM PROGRAM, UM, WHAT ARE THE CHARACTERISTICS OF THOSE WHO ARE IN THE PROGRAM? UM, MANY PEOPLE THINK OF, UH, FOOD AS MEDICINE, WHICH IS THIS, THIS IS ABOUT, UM, YOU KNOW, UM, TRYING TO DISTINGUISH THAT FROM HOW IS IT SIMILAR OR DISSIMILAR FOR SOMETHING LIKE MEALS ON WHEELS? I, I THINK THIS REALLY TALKS ABOUT THAT.
IF YOU NOTICE, NEARLY 80% OF THE POPULATION IN, IN THE CAN PROGRAM ARE ACTUALLY NOT ELDERLY AT ALL.
HOUSEHOLDS, THESE ARE YOUTH, THESE ARE, THOSE MAY BE INDEPENDENT, THEY MAY BE UNHOUSED.
UM, BUT THIS IS A SIGNIFICANT SECTION OF, OF A POPULATION, UH, IN TRA ACROSS TRAVIS COUNTY, UM, THAT HAVE BEEN PARTICIPATING IN THIS PROGRAM.
UM, YOU'LL ALSO SEE THE INCOME, UH, UM, INCOME, UM, BREAKDOWNS HERE AS WELL, UH, NOTING, UM, THEIR RELATIONSHIP TO THE, UH, FEDERAL POVERTY, UH, GUIDELINES, UM, AND OF COURSE, UM, ETHNICITY AND, AND RACE BREAKDOWN.
UH, IN MANY WAYS YOU'LL SEE THE COMMUNITIES THAT ARE DISPROPORTIONATELY, UH, AFFECTED, UM, BY FOOD INSECURITY.
AND SO THIS PROGRAM WAS, UH, DEVELOPED TO, UH, REALLY AFFECT AND SPEAK TO, UM, AND ACTUALLY FIND, UH, AT THE END OF THE DAY, UM, AND MAKE SURE THAT THEY WERE ASSOCIATED WITH THOSE PARTNER ORGANIZATIONS.
UM, AND THE NUTRITION AND THE WRAPAROUND SERVICES, UH, HAPPENED TOGETHER, UM, FOR THE CAN PROGRAM, UH, IT HAS HAD A HIGH LEVEL OF, UH, CLIENT SATISFACTION OVER THE YEARS, UM, THROUGH THE ORGANIZATIONS.
UM, WE ACTUALLY DO, UH, FEEDBACK AND, AND, AND MAKE SURE THERE'S A FEEDBACK LOOP AROUND THAT THROUGH THE ORGANIZATIONS, UH, TO US AND THEN BACK TO THE ORGANIZATIONS WHERE WE HAVE COMMUNICATIONS WITH THE EDS, THE PROGRAM LEADERS, THE SITE LEADERS, MAYBE IN THE, IN THE, IN THE PROGRAM.
AND, AND ULTIMATELY TO, TO THE, THE END CLIENTS WHO ARE, WHO ARE PARTICIPATING.
UM, THIS IS AN AMAZINGLY HIGH, UH, AS OTHER PROGRAMS OF HIS TYPE.
THIS WAS ONE OF THE FIRST IN THE UNITED STATES THAT WAS ACTUALLY SPONSORED BY A MUNICIPALITY.
UM, AND SO IT HAS BECOME A, A MODEL IN, IN, IN MANY WAYS ON ON, ON HOW TO DO THIS AND WITH A HIGH LEVEL OF SATISFACTION AND EN AND ENGAGEMENT.
UM, SO THIS PROGRAM, UH, CONTINUES.
UH, BUT THIS PROGRAM IS IN AT RISK THIS YEAR OF ENDING.
IT WAS ORIGINALLY STARTED WITH ARPA DOLLARS, AND I COME TO THE LEAD, I BURIED THE LEAD OF THE STORY.
UH, THIS PROGRAM, UH, UH, MAY BE COMING TO THE END OF ITS LIFE.
UM, UH, AS IT WAS, I MENTIONED ARPA DOLLARS.
UH, TRAVIS COUNTY IS CONSIDERING, UM, CONTINUING THIS PROGRAM, BUT THE IMPACT OF THIS PROGRAM ACROSS THE COUNTY IS, IS SIGNIFICANT.
I'M GONNA SKIP IT 'CAUSE YOU DON'T HAVE THIS, THIS SLIDE VERY QUICKLY, BUT, AND GET TO THE NEED VERY QUICKLY, AND I'LL COME BACK TO ANOTHER PROGRAM HERE IN A SECOND.
UM, BUT THE PROGRAM ACTUALLY IN FACT, OVERLAPS, UH, FAIRLY HIGHLY WITH THE WORK THAT CENTRAL HEALTH ALREADY DOES IN SOME OF THESE COMMUNITIES.
AND THE RECOMMENDATION HAS BEEN TO CONTINUE THIS PROGRAM THAT IS CONTINUED IN PARTNERSHIP, UH, WITH CENTRAL HEALTH, SINCE THEY ARE IN SOME OF THOSE COMMUNITIES ON WHAT HAVE TIGHTER, UH, CONNECTIONS WITHIN THOSE COMMUNITIES.
UH, FOR INSTANCE, UM, MATERNAL HEALTH CLINIC IN DEL VALLEY ACTUALLY IS IN THE, IN, IN THE CA PROGRAM PRESENTLY, THE BLACK MEN'S HEALTH CLINIC JUST RECENTLY JOINED IN THE PROGRAM TO PROVIDE NUTRITION SUPPORT, UH, OF THE MEN WHO, WHO ARE ASSOCIATED
[00:55:01]
WITH THAT CLINIC.UH, THERE'S ALSO DAY, UH, CONVERSATION WITH THE DAVID POWELL CLINIC.
EVEN THOUGH THE PROGRAM TIMELINE, UH, TECHNICALLY ENDS AT THE END OF THE SEPTEMBER, THERE ARE STILL, UH, ORGANIZATIONS AND PROGRAMS THAT ARE LOOKING TO BECOME A PART OF THE, OF THE C, OF THE CA PROGRAM.
AND THEN OF COURSE, I MENTIONED THE TARGETED, UH, COMMUNITIES THAT SAFFRON WOMEN'S TRUST, UH, AND, UH, EL SAMARI ALSO SUPPORT.
THEY BOTH ARE ALREADY, UH, IN, IN, IN THE PROGRAM.
BUT WE ALSO KNOW THAT A SIGNIFICANT PORTION OF THE POPULATIONS THAT THESE ORGANIZATIONS AND CLINICS WORK WITH ALSO HAPPEN TO BE A PART OF CENTRAL HEALTH.
UM, WE HAVE TALKED TO CENTRAL HEALTH, UH, ABOUT WHAT WOULD IT LOOK LIKE AS PART OF THE HEALTH EQUITY, UH, INITIATIVE THAT THEY'RE HAVING, THAT THEY'RE BEGINNING, WHAT WOULD IT LOOK LIKE TO INCLUDE, UH, TARGETED NUTRITION INTERVENTIONS AS A PART OF THEIR WORK, AS A PART OF, UH, KEEPING, UH, UH, COMMUNITIES ENGAGED, UH, TYING THAT WITH THE HEALTH, THE CLINICAL SIDE, UH, AND DRIVING HEALTHCARE OUTCOMES.
UM, AND THEY ARE GETTING BACK TO US ABOUT THAT.
ACTUALLY, WE, UH, ARE HAVING ANOTHER CALL WITH THEM NEXT WEEK AROUND THAT.
UM, BECAUSE PART OF THEIR INITIATIVE, OF COURSE, IS TO DEMONSTRATE THOSE OUTCOMES, UM, NOT ONLY THE NONCLINICAL, UH, OUTCOMES, BUT ALSO CLINICAL OUTCOMES, UH, TIED WITH THAT.
UM, EVENTUALLY WE'D LOVE TO SEE THIS PROGRAM EXPANDED.
UH, WELL CONTINUE, BUT EXPANDED THROUGH CENTRAL HEALTH OUTSIDE OF THESE FOUR POPULATIONS THAT ARE BROUGHT UP HERE TO GO BACK TO ITS ORIGINAL MANDATE OF THAT LARGER LIST OF WHAT, WHAT THAT POTENTIALLY, WHAT THAT POTENTIALLY LOOKS LIKE.
AND THEN THE LAST THING I'LL JUST SHOW YOU IS A SLIDE THAT YOU GUYS PROBABLY DO NOT HAVE, AND I DON'T KNOW IF YOU GUYS CAN THEY SEE THIS? YES.
THIS IS ACTUALLY, UH, THE NUMBERS FROM A DIFFERENT PROGRAM.
IF, UH, THE CURRENT CA PROGRAM IS ABOUT COMMUNITY HEALTH, THIS OTHER PROGRAM THAT WE'VE ACTUALLY DEVELOPED IN COMBINATION WITH ASCENSION IS ACTUALLY FOCUSED ON POSTPARTUM MATERNAL HEALTH.
IT IS A VERY SPECIFIC POPULATION AND A PROGRAM, UH, DEVISED FOR MOTHERS FOR EIGHT WEEKS, UH, POSTPARTUM, UH, IN COMBINATION WITH WORK WITH THE CHW WHO, WHO ATTENDS AND SEES THE MOTHERS, BUT ALSO PROVIDE THE MOTHER AND HER HOUSEHOLD, UH, NUTRITION FOR EIGHT WEEKS.
AND WE KNOW A MOTHER IS MORE LIKELY TO GIVE AWAY HER NUTRITION.
SO PART OF THE DESIGN OF THIS PROGRAM IS TO EXTEND IT NOT ONLY WITH THE MEALS, UH, BUT ALSO WITH OUR ELEMENTS, WHICH IS OUR, OUR CUT VEGETABLES AND GRAINS, SO THAT THE NUTRITION CAN BE EXTENDED TO THE OTHERS.
AND WE KNOW THAT SHE'S KEEPING, MAKING SURE THAT SHE'S EATING THE NUTRITION THAT'S PROVIDED TO HER.
UM, THIS, THIS STUDY, UH, IS SLATED TO SEE 208 MOTHERS, UH, UNTIL JUNE OF NEXT YEAR.
IT IS ALSO PARTIALLY FUNDED BY AN A HA GRANT, AN AMERICAN HEART ASSOCIATION GRANT, UM, THAT ACTUALLY WAS, UH, SO, UH, AWARDED JUST THIS YEAR TO EXTEND THIS PROGRAM, UH, TO THOSE MOTHERS AT ANY GIVEN TIME.
THERE ARE ABOUT 32 MOTHERS ANY GIVEN WEEK IN THE PROGRAM, ALONG WITH THEIR HOUSEHOLDS AND SUPPORT.
UM, AND THIS PROGRAM, TOO, HAS BECOME A NATIONAL MODEL.
HOW DO YOU, UH, ATTEND TO, UH, POSTPARTUM MATERNAL HEALTH, UH, TO UNDERSTANDING WHAT THEIR SUPPORTS ARE, TO UNDERSTANDING WHAT THEIR EMOTIONAL AND MENTAL STATES ARE TO ENSURE DURING THAT CRITICAL TIME, UM, THAT THEY ARE, UH, OH.
ALSO BREASTFEEDING RATES ARE ASSOCIATED WITH THAT AS WELL, THAT SHE'S GETTING THE NUTRITION THAT SHE ACTUALLY NEEDS IN ORDER FOR HER AND THE BABY TO BE SUCCESSFUL.
UM, SO TWO DIFFERENT PROGRAMS I SHOW YOU, BUT THE PRIMARY PROGRAM, OF COURSE, IS THE CAN PROGRAM AND THE CONTINUATION OF THE CA PROGRAM, THE COMMUNITY BASED PROGRAM, UM, UH, FOR THIS YEAR.
UM, I THINK THAT'S PRIMARILY IT.
I KNOW I SKIPPED A COUPLE OF THINGS IN THE CONVERSATION.
I'LL APOLOGIZE TO, UH, FOR THAT.
BUT HAPPY TO COME BACK TO, TO SOME OF ANY OF THOSE ITEMS. NO, APPRECIATE IT.
CAN YOU, UH, GO TO THE SUPPLEMENTAL EMERGENCY FOOD ACCESS NETWORK SLIDE? YEAH, I THINK, OH, I DON'T HAVE REFER TO THAT.
AND, UH, COMMISSIONERS AND, AND TEAM, IF YOU RECALL LAST MEETING, THIS CAME UP AS A IMMEDIATE ITEM FOR US TO GET INFORMATION ON, UH, AND THEN HOPEFULLY COME UP WITH SOME RECOMMENDED SOLUTIONS IN THE COLLABORATION WITH OUR, UH, AGENCY REPRESENTATIVES.
UH, AS MENTIONED, THERE IS GOING TO BE A FUNDING GAP.
UH, I KNOW YOU HAVEN'T MENTIONED HOW MUCH WE'LL, WE'LL GET TO ALL THAT.
UM, BUT, YOU KNOW, WE MAY NOT BE ABLE TO MEET
[01:00:01]
THE FULL GAP, BUT HOW CAN WE AT LEAST BE ABLE TO SUPPORT AND SUSTAIN, UH, UNTIL OTHER FUNDING OPPORTUNITIES OR, UH, BEING ABLE TO BETTER ALIGN WITHIN SOME OF THE BUDGET PROCESS FOR NEXT YEAR? UH, IS, IS MORE, IS MORE, UH, VIABLE.UH, THE KEY THING I WANTED TO HIGHLIGHT ON THIS SLIDE, UM, IS THE IMPACT OF THIS ORGANIZATION.
AND, UM, YOU KNOW, JOY DEFINITELY GONNA ASK YOU TO SPEAK JUST TO THE STRUCTURE OF THE ORGANIZATION IN A SECOND.
BUT IF YOU LOOK AT THE SECOND PARAGRAPH, SECOND SENTENCE, THAT THIS PROGRAM SERVES ON AVERAGE 3000 HOUSEHOLDS WITH 2,700 MEALS EACH MONTH THROUGH ALMOST A HUNDRED DIFFERENT SITES.
OVER THE LIFE AND DURING THE LIFETIME OF THE PROGRAM, IT'S ACTUALLY PRETTY, LIKE I SAID, PRETTY CONSIDERABLE.
UH, THESE DAYS WE DO ANYWHERE FROM FOUR TO 6,000 MEALS, UH, A WEEK, UH, ACROSS TRAVIS COUNTY, WHICH IS DISTRIBUTED AGAIN, THROUGH THE ORGANIZATIONS.
UM, WE DO DELIVER TO THOSE ORGANIZATIONS OURSELVES, THE NUTRITION NUTRITIONIST, PREPARED EVERY DAY, UH, AND BROUGHT AND BROUGHT TO THOSE ORGANIZATIONS.
THEY MAY FREEZE HOLD, IT JUST DEPENDS ON HOW THEY'RE ACCESSING THOSE WITHIN THEIR, WITHIN THEIR COMMUNITIES.
UM, IT'S AMAZING TO HEAR THE FEEDBACK.
YOU CAN GO PLACES AND FOLKS WILL SAY, OH, YOU'RE WITH THE COOKS, YOU GUYS, YOU, WE JUST HAD SOME OF YOUR MEALS JUST THIS PAST WEEK.
UM, WHICH IS, WHICH IS LIKE, YOU KNOW, IT'S, UM, TRULY HUMBLING.
BUT IT ALSO DEV, UH, DEMONSTRATES THE REACH OF THE PROGRAM, UH, TO A VARIETY OF DIFFERENT TYPES OF HOUSEHOLDS.
UH, EVEN IF YOU GO TO, TO MAINOR, UH, DALE VALLEY, UH, ROUND HORNSBY BEND ALL THE WAY TO THE CENTER TO CENTER OF AUSTIN WAS ACTUALLY INTERESTING.
I WAS, UM, I LIVE UP UP BURNETT ROAD IN CENTRAL AUSTIN ALLENDALE, AND ACROSS THE WAY AS THE EPISCOPAL CHURCHES, AND YOU GUYS KNOW IT, JUSTIN LANE.
AND I WAS IN THERE ONE DAY AND DISCOVERED A SET OF MEALS THERE THAT WERE BEING USED IN THE COMMUNITY THROUGH THERE.
I WAS LIKE, OH, WOW, THAT'S INTERESTING.
UM, YOU KNOW, SO IT IS ONE OF THOSE THINGS, YOU NEVER KNOW WHERE THE NUTRITION IS GOING TO END UP, BECAUSE NOT ONLY DO THE ORGANIZATIONS HAVE THOSE THAT THEY ENGAGE ON THE REGULAR, BUT NUTRITION WILL BE MOVED TO OTHER HOUSEHOLDS, AND IT DOES GET PASSED AROUND, UM, WHICH IS ACTUALLY QUITE FASCINATING.
AND SO WHAT I REALLY WANTED TO HIGHLIGHT HERE IS THAT, YOU KNOW, WE USUALLY HAVE ORGANIZATIONS COMING AND SPEAKING TO WHAT THEY'RE DOING KIND OF MORE, UH, AS AN ORGANIZATION THEMSELVES, WHERE THIS IS A NETWORK.
UH, AS YOU SEE, UH, WHEN IT TALKS ABOUT CULTURALLY APPROPRIATE AND SO FORTH.
THERE'S DIFFERENT ORGANIZATIONS ENGAGING WITH THE DIFFERENT POPULATIONS OF NEED WITHIN, UH, WITHIN THIS AREA OF SOCIAL DETERMINATIVE HEALTH.
SO ONE, HOW DO WE SUPPORT A NETWORK, RIGHT? THAT THAT IS ENGAGING.
UH, TWO, IF YOU CAN GO TO THE, THE, THE SLIDE WHERE IT HAD THE, UH, CENTRAL HEALTH, UH, AM I GOING THE WRONG OR NO? YEAH, KEEP GOING.
IT WAS LIKE ONE OF YOUR LAST ONES.
UM, IN, IN THIS SENSE, I THINK THE WAY THAT, UH, COOKS NOOK IS SET UP, THERE MAY BE SOME RESTRICTIONS IN FUNDING, ESPECIALLY THROUGH THE PUBLIC AGENCIES OF IT, NOT NECESSARILY HAVING ITS OWN 5 0 1 3 C STATUS.
AND SO LOOKING AT HOW DOES THE NETWORK STILL STAY IN, IN INTACT, BUT THE FUNDING MECHANISMS, HOW DO WE LOOK AT ALTERNATIVE FUNDING MECHANISMS TO THE NETWORK? AND SO IT'S STILL DOING WHAT IT NEEDS TO DO, EVEN IF IT'S, UH, SUBCONTRACTED TO COOKS, NOOK AND SO FORTH.
BUT HOW DOES, WHAT THIS EFFORT IS, AND I KNOW A LOT OF THE AGENCIES HAVE THEIR OWN FOOD DISTRIBUTION PROGRAMS AND RFPS AND CONTRACTS TO KIND OF HELP SERVE IN DIFFERENT ASPECTS OF SOCIAL DETERMINANTS OF HEALTH, BUT I THINK THERE'S A WAY HERE TOO, MAYBE EVEN COUPLING FOOD ACCESS, UH, AND FUNDING FOR THE FOOD AND ACCESS TO THE FOOD WITH ALSO HEALTH ENGAGEMENT.
RIGHT? UM, AND SO HOW CAN WE HAVE A DISCUSSION WHERE IT'S MORE THAN JUST FUNDING FOR FOOD, IT HAS SOME OTHER IMPACTS ENABLED WITH IT BY THIS OPPORTUNITY OF POTENTIALLY LOOKING AT MULTIPLE DIFFERENT WAYS OF FUNDING, AND THEN BEING ABLE TO ADD BASED UPON HOW THE FUNDING IS GOING, CERTAIN AGREEMENTS WITH COOK'S, NOOK OF CERTAIN TYPES OF ENGAGEMENTS WHERE THERE'S, THERE, THERE, THERE'S MORE OF AN IMPACT, MORE OF AN INTENTIONAL ENGAGEMENT.
[01:05:01]
AND SO WITH THAT, I KIND OF OPEN THE FLOOR TO THIS DISCUSSION 'CAUSE, UH, I WOULD LIKE TO BE ABLE TO NEXT MONTH HAVE MORE OF A ACTION ITEM OF, OF WHAT IS VIABLE, UH, PLUS WITH THE, THE AGENCIES HERE, WHAT IS VIABLE TO, WITHIN YOUR LEVEL OF AUTHORITY THAT MAY NOT NECESSARILY HAVE TO GO TO THE COMMISSIONER'S COURT OR TO CITY COUNCIL, UH, WHAT IS MAYBE AVAILABLE WITHIN YOUR CURRENT BUDGET OR CERTAIN PROGRAMS OR, UH, CERTAIN FUNDERS THAT MAY BE ABLE TO GET COUPLED IN THE, IN THE INTERIM.UH, SO THEN I THINK YOUR FUNDING ENDS IN OCTOBER.
EFFECTIVELY THE END OF THE END OF THE FISCAL YEAR.
SO BASICALLY A, A SHORT TERM FIX TO WORK OUT A LONGER TERM SOLUTION.
UH, AND, AND AGAIN, I KNOW WITH, UH, CENTRAL HEALTH, RIGHT, AS YOU'RE LOOKING AT YOUR, AS YOU ALREADY HIGHLIGHTED, WHERE WITHIN THERE, AND I KNOW Y'ALL GETTING READY TO GO WITHIN YOUR BUDGET PROCESS, COULD THERE BE SOME COLLABORATIVE OPPORTUNITIES THERE AS WELL? SO WITH THAT, I'LL BACK OFF THE MIC
ANY, ANY THOUGHTS, QUESTIONS? UH, HAVE THERE ANY DISCUSSIONS ON BRINGING IN THE PRIVATE, UH, SECTOR TO SEE IF FOOD RETAILERS WOULD BE WILLING TO DONATE, COME TOGETHER TO FUND YOUR NETWORK? WE HAVE NOT.
UM, AS, AS THE CHAIR MENTIONED, THE, THE COOK'S NOOK IS ACTUALLY A, A SOCIAL IMPACT BUSINESS.
AND SO, UH, I AM, AS I SAY, UH, CHARGED WITH NOT ONLY BUILDING THE COMPANY, BUT ALSO MUST SCALE THE IMPACT IN OUR COMMUNITIES AS PART OF THAT.
AND THAT'S, THAT'S PART OF THE, THE, UH, CHARTER AND REMIT OF OUR, OF OUR COMPANY.
I HAVE NOT, UH, SOUGHT OUT RETAILERS, UH, TO SUPPORT THIS, THIS, THIS PROGRAM.
UM, BUT THAT MAY, THAT MAY BE, THAT MAY BE AN OPTION AS THE PROGRAM WAS SO EMBEDDED, UH, IN THE M IN THE CITY AND IN THE COUNTY, LITERALLY
UM, YOU KNOW, WE DIDN'T HAVE TO DO THAT INITIALLY, BUT THAT MAY BE AN OPTION AT THIS, THIS POINT TO TALK TO, TALK TO THE RETAILERS.
YOU KNOW, THIS PROGRAM ORIGINALLY, UH, BEGAN TRYING TO FIGURE OUT HOW TO IMPROVE WHAT THE SUPPLY CHAIN WAS ACTUALLY ABLE TO DO AT THE BEGINNING OF COVID, BECAUSE PERFECTLY LOVELY FOOD THAT THEY WERE GOING TO DISTRIBUTE WAS SITTING IN WAREHOUSES.
AND WE PUT IT TOGETHER AND SAID, YOU CAN CREATE A NETWORK AND THIS TYPE OF PROGRAM THAT WOULD BE HIGHLY IMPACTFUL.
UM, A MUCH OF THAT SUPPLY CHAIN, UM, OF COURSE, HAVE GONE BACK IN, IN THE BUSINESS, BUT THAT MAY BE AN OPPORTUNITY TO GO AHEAD AND, AND HAVE THAT CONVERSATION WITH SUPPLY CHAIN.
I THINK THAT THE BIGGEST KEY THOUGH, AND WE BROUGHT IT UP, IS THAT THIS IS STILL TIED TO THE COMMUNITY AND THE OUTCOMES IN THOSE, IN THOSE COMMUNITIES, WHETHER IT'S THE, UH, NONCLINICAL DRIVERS, UM, AND THE WRAPAROUNDS THAT ARE ASSOCIATED WITH THAT TO BE IMPACTFUL, OR THE CLINICAL SIDE, DEPENDING ON IF THAT'S THE WAY THAT THE PROGRAM ENDS UP, ENDS UP GOING AND IT'S, AND IT'S TARGETING IN THE FUTURE.
UM, AND THOSE, UH, RETAILERS AND SUPPLY CHAIN MAY BE LESS INVESTED IN THAT, IN THAT, IN THAT WAY.
THAT MAY BE THE BIGGEST CHALLENGE AROUND THAT
JUST HAD A QUESTION REGARDING, ARE YOU, UM, CONNECTED TO THE FOOD PLAN THAT'S BEING DEVELOPED RIGHT NOW WITH THE CITY OF AUSTIN? ODDLY ENOUGH, SO YES.
I'M THE CHAIR OF THE AUSTIN TRAVIS COUNTY FOOD POLICY BOARD, SO ABSOLUTELY.
WELL, I MEANT THE ORGANIZATION, NOT YOU SPECIFICALLY, SO, NO, SO THE, THE, THE COOK'S NOOK IS, IS NOT, THE FOOD PLAN IS BEING DEVELOPED AS A COMMUN TRANSPARENT COMMUNITY EFFORT WITH THE FOOD POLICY BOARD.
UM, AND A CAC WAS DEVELOPED FOR THAT, UH, IN ORDER TO GET TO ITS VISION GOALS, STRATEGIES IN THE ISSUE GROUPS THAT ARE NOW, UM, YOU GUYS MAY KNOW WE'RE AT THE, IN THE FINAL STAGES OF THE, THE, THE REGIONAL FOOD PLAN.
THE REGIONAL FOOD PLAN DOES HAVE A STATED, UH, STRATEGY AND GOAL IN IT AROUND FOOD ACCESS, BUT IT'S NOT TIED TO ANY PARTICULAR EXISTING PROGRAM OR INSTITUTIONS, UH, IN ANY OF ITS STRATEGIES.
IT IS GENERALLY WHAT IS THE FOOD PLAN THAT'S NEEDED FOR AUSTIN TRAVIS COUNTY, AND WOULD THIS TYPE OF PROGRAM BE REPRESENTATIVE OF THAT? ABSOLUTELY.
UM, BUT, YOU KNOW, TRY TO KEEP WALLS THERE.
BUT ALSO THE FOOD PLAN, THE COMMUNITY IS SPEAKING THROUGH THAT FOOD PLAN, AND THAT IS THE WHOLE WORK AND DEVELOP AND THE CHARTER THAT, THAT THE, THAT THE COUNCIL GAVE, UH, THE FOOD POLICY BOARD AROUND THAT.
BUT THIS IS REPRESENTATIVE OF THAT.
AND WE MAY FIND EXISTING PROGRAMS, UH, AS THE FOOD PLAN GOES TO EXECUTION AND IMPLEMENTATION
[01:10:01]
RIGHT AFTER IT GOES TO THE CITY COUNCIL AND, AND THE COMMISSIONERS HERE IN THE NEXT, NEXT FOUR TO SIX WEEKS, UM, THAT YES, THERE MAY BE SUPPORT BECAUSE OF THOSE, THOSE, THOSE STRATEGIES AND GOALS IN SUPPORT OF A PROGRAM LIKE THIS.BUT THEN THAT'S THE KIND OF THING THAT THERE'S A REUSE THAT I WOULD HAVE TO, YOU KNOW, WE'D HAVE TO BE A PART OF AROUND THAT.
UM, AND THEN ON THE OTHER SIDE OF THAT, I KNOW YOU MENTIONED THAT THERE ARE CHWS CONNECTED TO THE MATERNAL CHILD AND THE HEALTH PROGRAM.
ARE THEY, ARE THE CHWS ALSO CONNECTED TO THE REST OF THE PROGRAMMING THAT HAPPENS? UH, SO THAT IS A DIFFERENT, THE OTHER PROGRAM, THE MATERNAL HEALTH PROGRAM THAT WE'RE DOING IN PARTNERSHIP WITH A, WITH ASCENSION SEAT AND THE, THE POSTPARTUM MATERNAL HEALTH PROGRAM.
SO THE CHWS IN THAT PROGRAM, UH, YES, THEY DO SEE THE MOTHERS AT VARIOUS STAGES.
SO MANY OF THE MOTHERS WHO ARE IN THAT PROGRAM ARE COMING OUT OF, UM, UM, THEY MAY COME THROUGH COMMUNITY CARE, THEY MAY COME THROUGH, UH, OTHER STRUCTURES BEFORE THEY GIVE BIRTH AT, AT AN ASCA UH, FACILITY.
AND SO THEY'RE SEEN BY CHWS AT THAT, AT THAT PHASE OF THE PROGRAM.
THAT'S HOW THEY LEARN ABOUT THE PROGRAM.
AND THEY ARE ALLOWED TO BE, I SAY PROGRAM THAT'S MORE, THAT'S A STUDY.
UM, THEY LEARN ABOUT THE STUDY AND CAN PARTICIPATE AND THEN GET ENROLLED IN, IN THAT STUDY.
AND THEN THEY'RE ALSO SEEN, UM, IN TWO, UM, TWO GROUPS, THE CONTROL GROUP, AND THEN THE OTHER GROUP, UH, WITH THE MOTHERS WHO HAVE AN EXTENDED AN EXTENDED EXPERIENCE.
SO THE CHWS ARE SEEING, ARE SEEING THE MOTHERS THROUGHOUT THAT PROGRAM.
BUT THEN THEY'RE ONLY WITH THE MATERNAL HEALTH, THEY'RE NOT YES.
SO THAT PARTICULAR STUDY WAS DESIGNED WITH THE CHWS AS A, AS A PART OF THAT TRAVIS COUNTY CAM PROGRAM WAS NOT DESIGNED WITH CHWS IN IT.
HOWEVER, A FUTURE VERSION OF THIS, I THINK THAT, I THINK THAT THE NEXT VERSION OF THIS, OF THE CAM PROGRAM WILL LOOK DIFFERENT AND MORE TARGETED, UM, IN THOSE COMMUNITIES.
AND AS A RESULT, IT COULD HAVE CHWS EMBEDDED IN THAT.
THAT WOULD BE OUR RECOMMENDATION, UH, AS WE GO FORWARD.
WHAT IS THE NEXT ITERATION OF THE CVA PROGRAM? WHAT DOES IT ACTUALLY LOOK LIKE? MM-HMM.
ANY OTHER QUESTIONS? SOME, SOME THOUGHTS COME TO MIND HERE AND DEFINITELY WANT TO ENSURE THAT, UM, WE'RE LOOKING AT THIS FROM AN ASPECT OF WHAT IS FINANCIALLY VIABLE AND WHERE OUR CURRENT EFFORTS AND STRATEGIES THAT ARE OCCURRING SIMILAR TO THE FOOD PLAN THAT ALIGN, THAT CAN HELP WITH JUSTIFICATION OR REQUESTS FOR FUNDING, ESPECIALLY DURING, UH, CERTAIN BUDGET DISCUSSIONS.
SO, UH, I THINK BEING ABLE TO KNOW WHAT STRATEGIES, UH, THE COOK'S NOOK AND WHAT IT'S DOING ALIGNS WITHIN THE FOOD PLAN OUT OF ALL OF ITS ASPECTS.
IF YOU CAN GIVE A, UH, UH, YOU KNOW, EVEN IF IT'S A ONE PAGER THAT'S BASICALLY SAYS THIS FUNCTION TIES TO THIS YEAH.
AND THE STRATEGIES AND GOALS IN THE FOOD PLAN.
THAT CAN ALSO BE AN ASPECT THAT THE AGENCIES, UH, AND EVEN, YOU KNOW, IF THE COMMISSION DECIDES, UH, TO, TO DO SOME TYPE OF ENDORSEMENT OR REQUEST OR WHATEVER, THAT CAN HELP PROVIDE THAT MATERIAL TO BE ABLE TO PUT IN THERE FOR STRAIGHT DATA ALIGNMENT.
I THINK THE OTHER ONE TOO IS BEING ABLE, UH, TO LOOK THROUGH THE HEALTH EQUITY PLAN AND BE ABLE TO KIND OF DO THE SAME THING AS WELL.
I KNOW YOU'RE GETTING READY TO HAVE A DISCUSSION, SO I'M PRETTY SURE THAT'S PROBABLY ALREADY IN DISCUSSION.
BUT EVEN AGAIN, IF WE NEED TO DO AS A COMMISSION A, A LETTER OF ENDORSEMENT OR SOMETHING LIKE THAT AS WELL MM-HMM.
TO BE ABLE TO SPEAK TO THOSE SPECIFICS OF WHERE THERE IS ALIGNMENT MM-HMM.
AND THEN I THINK JUST KNOWING WHEN DO WE NEED TO GET THAT, YOU KNOW, DONE, IS THAT SOMETHING THAT NEEDS TO HAPPEN BY NEXT MEETING? YOU KNOW, SO IT'S
SO WITH REVIEW AND APPROVAL, OR DO WE HAVE A MONTH OR TWO KNOWING THAT BUDGET TIMEFRAME IS AUGUST, SEPTEMBER, RIGHT?
YEAH, I KNOW IT'S NOW, BUT YOU KNOW, WHAT LITTLE BIT OF LEEWAY DO WE HAVE, RIGHT.
IF, IF ANY? UM, I, I WOULD SURE.
NOW OUR, OUR BUDGET PROCESS IS ALREADY MORE THAN BEGUN.
AND, UH, FUNDS LIKE THIS, WE DO HAVE FUNDING FOR FOOD IN OUR BUDGET, BUT THEY ALL GO THROUGH
[01:15:01]
WE DON'T IDENTIFY AN ORGANIZATION, UH, HAVE
THE FIRST TWO IS THE CENTRAL HEALTH IS IN A DIFFERENT SEPARATE.
THERE'S STILL GOES TO COMMISSIONER'S COURT, BUT IT'S, IT'S NOT THE SAME OVERALL TYPE OF PROCESS AS YOURS TO A CERTAIN EXTENT.
SO THERE'S STILL A LITTLE BIT MORE FLEXIBILITY THAN I'D PROBABLY SAY WITH A P'S, UH, BUDGET.
AND SO TO SAY, UM, UH, LET'S SEE HERE.
I WOULD BE INTERESTED THEN FROM A PH AND, UH, YES, I, AS A GOVERNMENT ENTITY, I JUST WANNA CLARIFY THAT WE ALSO HAVE TO GO THROUGH RFP PROCESS, AND I JUST WANNA CLARIFY THAT ALTHOUGH STAFF ARE HAVING CONVERSATIONS AND LEARNING MORE MM-HMM.
AND DEFINITELY, I KNOW ALL OF YOU ALL HAVE RFP PROCESS, BUT YOUR PROCESS IS SEP STILL DIFFERENT THAN THE GOVERNMENTAL AGENCIES OF A PH TRAVIS COUNTY, WHERE THE BOARD OF MANAGERS CAN ALSO MAKE AN ELECTION OF CERTAIN FUNDS TO GO FOR A CERTAIN, UH, FOR A CERTAIN FUNCTION TO BE APPROVED BY THE COMMISSIONER'S COURT.
SO THAT'S WHAT I MEAN, IT, THAT'S A LITTLE BIT DIFFERENTLY.
UM, NOW FOR TRAVIS COUNTY HEALTH AND HUMAN SERVICES, NOT SOME PUBLIC HEALTH, I, I THINK BEING ABLE TO AT LEAST KNOW, UH, IN A SENSE WHAT PROGRAMS YOU DO HAVE AND WHAT FUNDING IS OCCURRING, UH, TO BE ABLE TO SEE WHERE THERE MAY BE ABLE TO BE SOME COLLABORATION WITH WHAT YOU'RE DOING, ESPECIALLY IF THEY ALREADY HAVE SOME PARTNERS OR THEY MAY BE ABLE TO, UH, HELP THOSE ORGANIZATIONS BE ABLE TO REACH SOME OF THE POPULATION THAT THEY'RE SERVING AS WELL.
SO THAT COULD BE ENHANCING POTENTIALLY.
UM, SO AT LEAST THAT WAY, UH, IF THE FUNDING DOESN'T HAPPEN, THEN IT'S NOT JUST THOSE FAMILIES DON'T RECEIVE ANYTHING, WE'RE AT LEAST TRYING TO GET THEM RECONNECTED TO WHERE FUNDING IS HAPPENING, WHERE FOOD IS BEING DISTRIBUTED IN, IN THE INTERIM.
UM, ANY THOUGHTS, COMMENTS, OR REMARKS AROUND THAT? I JUST HAVE A QUESTION WITH REGARDS TO YOUR LETTER, UH, REQUEST OF RECOMMENDATION OR SOMETHING.
I, I'M CURIOUS IF WE'RE GETTING INTO SOME EXPLICIT BIAS OF SAYING THAT WE ARE GOING TO SUPPORT A VERY, VERY SPECIFIC ORGANIZATION TO RECEIVE FUNDING FROM GOVERNMENTAL FUNDS THAT IS NOT OPEN TO EVERYONE.
UM, IF THAT COULD HAVE SOME NEGATIVE ASPECTS TO OUR COMMISSION TO SAY WE ARE SUPPORTING ONE SPECIFIC PROGRAM AND ENTITY TO COVER THESE NEEDS, UH, BY MAKING THIS RECOMMENDATION FOR OUR BUDGET.
I DON'T, I DON'T KNOW IF THAT'S SOMETHING TO BE CONCERNED ABOUT AS WELL.
WHEN WE DID THE, UM, RECOMMENDATIONS FOR THE CITY'S BUDGET, DID THOSE RECOMMENDATIONS, WAS IT GENERAL, I CAN'T RECALL.
OR DID IT SAY FUNDING FOR THIS PARTICULAR PROGRAM OR THIS PARTICULAR, UH, ENTITY? 'CAUSE I BELIEVE, I CAN'T RECALL IT.
THE, UM, SUBMITTED ITEMS THAT YOU, THE BODY SUBMITTED WERE, UM, RECOMMENDATIONS THROUGH ENDORSEMENT OF PROGRAMS THAT WERE SUBMITTED THROUGH THE JOINT INCLUSION.
SO THEY WEREN'T, THEY WEREN'T ORGANIZATION SPECIFIC, THEY WERE GENERAL TOPICS LIKE ELDERCARE, UM, YOU KNOW, VERY GENERAL.
SO THEY DID NOT IDENTIFY A SPECIFIC AGENCY.
SO I THINK, UM, CHAIR PO DEXTER HAS A VERY VALID, UM, POINT THAT WE NEED TO BE VERY CAREFUL NOT TO TREAD ON MAKING FIRM STATEMENTS OF SUPPORT, UM, TO A SPECIFIC AGENCY, UM, WITHOUT VETTING THROUGH THE PROPER PROCESS.
SO PROBABLY POTENTIALLY A LEGAL QUESTION TO GET CONFIRMATION BACK, BECAUSE I THINK THAT COMES DOWN TO THE SAME THING AS FAR AS LIKE, IF WE WANT TO DO SOMETHING INTEGRAL CARE, RIGHT? AND THERE'S, THERE'S SOMETHING SPECIFIC FOR THEM, A SERVICE OR PROGRAM, RIGHT.
UH, OR SOME OTHER ORGANIZATION.
SO DEFINITELY I THINK FINDING OUT CLARITY, DOES IT NEED TO BE MORE PROGRAM GENERAL GENERALIZATION? AND IT'S MORE OF AN ASSUMPTION OF CARRYING THE MESSAGE
UH, I WOULD ALSO SAY KIND OF TO WHAT WE TALKED ABOUT TOO, IS IF WE HAVE TO LOOK AT IT IN BROADER TERMS AS FAR AS FOOD SUPPORT FUNDING, BECAUSE WE KNOW THERE'S
[01:20:01]
GONNA BE A GAP JUST IN THE AREA IN GENERAL, UH, FOR A NETWORK, THEN HOW DO WE SAY SUPPORT FUNDING, BUT ALSO IN THAT PARTICULAR POPULATION, BUT ALSO BRINGING MORE OF A HEALTH COMPONENT TO IT.AND SO I THINK THAT ALSO TIES INTO THE POLICY, PUBLIC POLICY HEALTH ASPECT, BECAUSE WE'RE NOW MAKING A RECOMMENDATION OF NOT JUST SUPPORTING A GAP OR A NEED, BUT THEN ALSO TYING IN, UH, SOME, SOME PUBLIC HEALTH MM-HMM.
ANY, ANY THOUGHTS, COMMENTS? I HAVE A COMMENT CHAIR.
I THINK, UM, I MEAN, THANK YOU FOR SAYING THAT.
UM, AND, UM, BUT I THINK THIS IS A VERY IMPORTANT CONVERSATION AND I'VE, I'VE CERTAINLY LEARNED A LOT.
UM, AND I THINK AS THE COMMISSION BEGINS TO SHAPE POLICY RECOMMENDATIONS, I THINK, UM, YOU KNOW, GOING A LITTLE BIT MORE BROADLY, AND I THINK WHAT MIGHT BE HELPFUL AND JOY, I DON'T KNOW IF YOU HAVE ANY, UM, MEASURABLE OUTCOMES, YOU KNOW, SOME METRICS, BUT I, MM-HMM.
I REALLY THINK, UM, THAT INFORMATION FROM ORGANIZATIONS, UM, LIKE THE COOKS NO, COULD REALLY HELP MAKE AN ARGUMENT FOR THE CITY, THE COUNTY, FOR CENTRAL HEALTH TO SUPPORT MORE PROGRAMS LIKE THIS THAT DO IMPROVE HEALTH OUTCOMES.
AND I THINK, NOT JUST FOR FOOD, BUT I KNOW THERE'S A STRONG INTEREST IN HOUSING.
UM, YOU KNOW, I THINK TO THE EXTENT THAT WE CAN ALSO TALK ABOUT, YOU KNOW, THIS IS IMPORTANT AND THIS IS HOW IT IMPROVES OUTCOMES, AND THIS IS WHY YOU SHOULD SUPPORT PROGRAMS LIKE THIS.
AND MAYBE NOT, YOU KNOW, SPEAK TO ORGANIZATIONS, BUT I THINK TO THE ESSENCE OF WHAT THE ORGANIZATIONS, THERE'S ALREADY ORGANIZATIONS OUT THERE DOING THIS WORK, AND THERE'S NO NEED TO REINVENT THE WHEEL.
SO, SO A RESOLUTION, WE COULD DO A RESOLUTION THAT SPEAKS TO THIS ISSUE WITHOUT NAMING NAMES.
AND TALK ABOUT THE IMPROVED HEALTH OUTCOME.
ANY THOUGHTS? I MEAN, I THINK WHAT YOU'RE SAYING IS TALK ABOUT THE MODEL, RECOGNIZE THAT THERE'S A MODEL OUT THERE WHICH, UM, YOU KNOW, PRODUCES FOOD AND DISTRIBUTES IT THROUGH THIRD PARTIES THAT HAVE WRAPAROUND SERVICES THROUGH HUNDREDS OF DIFFERENT KINDS OF WAYS TO DO IT.
AND THAT'S A MODEL THAT SEEMS LIKE A REALLY GREAT, UM, SCALABLE MODEL FOR OUR COMMUNITY.
AND, AND WE WOULD THEN WE WOULD ALL, SOMETHING WE'D WANNA SUPPORT MAYBE WITHOUT NAMING A NAME THAT IS THAT WHERE WE'RE GOING? THAT WOULD BE A RESOLUTION, POTENTIALLY, YES.
BECAUSE IT DOESN'T JUST ADDRESS ONE SEGMENT OF THE POPULATION.
IT LOOKS AT HOMELESS YOUTH, IT LOOKS AT SUPPORT, UM, TWO PEOPLE AND FAMILIES THAT ARE ELDERS WHO ARE NOT GETTING FOOD BECAUSE THE CERTAIN PROGRAMS ONLY SERVE ELDERS.
IT'S LOOKING AT PARTICULARLY, UM, POSTPARTUM WOMEN.
AND WE KNOW THAT IS AN ISSUE, THAT'S A HOT TOPIC.
AND SO, UM, THIS PROGRAM'S ONLY GONNA SERVE 200 WOMEN.
AND WE'VE HAD LAST YEAR, 16,000 BIRTHS.
YOU KNOW, WE HAVE, UM, FAMILY CONNECTS IN OUR COMMUNITY WHERE WE ARE IDENTIFYING NEEDS.
AND AN ORGANIZATION THAT HAS A NETWORK THAT WOULD BE ABLE TO FILL THAT GAP WOULD SEEM TO ME TO BE SOMETHING WE WOULD WANT WORK.
YOU WANTED TO SAY SOMEWHAT JUAN NINA.
SO MY, MY REASON OF BRINGING UP THE FOOD PLAN, ONE OF THE CONVERSATIONS WAS HAD ABOUT, UH, IF 35 IS EVER CLOSED FOR ANY REASON, AUSTIN AS A WHOLE CITY HAS THREE DAYS WORTH OF FOOD ACCESS.
SO THAT IS, UH, A HUGE CONCERN, WHICH I KNOW THERE MAY BE SOME BOUNDARIES THAT HAVE TO BE SET WITH YOU BEING THE CHAIR OF THE OTHER COMMITTEE, OF THE OTHER COMMISSION, HOWEVER, THAT IF YOU'RE FEEDING THOUSANDS OF PEOPLE A WEEK, UH, TO, UH, YOU KNOW, A DAILY TO A MONTH AND RIGHT INTO CONTINUOUS AND CONTINUOUS.
BUT, UH, THAT WAS MY QUESTION OF, WITH, WITH THE FOOD PLAN, IF WE'RE LOOKING AT ACCESS WITH MAYBE LOCAL FARMERS, WE'RE LOOKING AT OTHER FOOD INSECURITY, UM, ORGANIZATIONS THAT ARE SUPPORTING THIS.
BUT THEN ALSO WE'RE LOOKING AT YOUR ENTITY SEPARATE.
COULD THERE BE A WAY THAT THE FOOD PLANT COULD ALSO ADDRESS SOME OF THESE CONCERNS OF LACK OF FUNDING, OF LACK OF
[01:25:01]
ACCESS, OF LACK OF RESOURCES, OF LACK OF KNOWLEDGE, OF LACK OF COMMUNITY HEALTH WORKERS SUPPORTING IN THE DEVELOPMENT OF THE PROGRAMMING AND THE INFORMATION SHARING.THAT WAS MORE OR LESS MY QUESTION ON THE FOOD PLAN, BECAUSE IT SEEMS LIKE IF THERE'S ALREADY AN INITIATIVE FROM THE CITY TO LOOK AT WHAT FOOD LOOKS LIKE FOR PEOPLE IN THEIR CITY MM-HMM.
AND I TOTALLY UNDERSTAND AND APPRECIATE THAT.
THAT'S, YOU KNOW, THE CHALLENGE OF BEING A, A SME IN AN ARENA AT THE SAME TIME THAT, YOU KNOW, YOU'RE EXECUTING IN THAT, IN THAT, AT THAT ARENA AND, AND SERVING IN SOME, IN SOME FASHION.
AND, AND THE FOOD PLAN, UM, BY THE WAY, THE COOKBOOK WAS ONE OF THE FEW PLACES THAT WAS ACTUALLY AVAILABLE DURING ERIE TO ACTUALLY DO A STRUCTURE OF DISTRIBUTIONS THROUGH THOSE SAME COMMUNITIES, THROUGH THOSE COMMUNITY STRUCTURES.
THE FOOD PLANT ABSOLUTELY RECOGNIZED
UM, I THINK THE THING THAT THE FOOD PLAN, UM, THAT THIS IS MORE DISCREET ABOUT IS THE TARGETING, AND IT'S THE TARGETING, THE VULNERABILITY WITHIN VERY SPECIFIC COMMUNITIES.
AND THAT WAS WHAT TRAVIS COUNTY RECOGNIZED, THAT THAT WAS THE FOCUS.
IT WASN'T JUST FOOD TO PEOPLE IN TRAVIS COUNTY.
IT WAS VERY SPECIFIC PLACES IN VERY SPECIFIC CORNERS THAT WERE LOOKING TO BE SUPPORTED AND BE FOUND AND MAKE SURE THAT THERE WAS A CONSTANT LINK SO THAT THEY COULD DO NOT JUST THE NUTRITION WORK, BUT THE NUTRITION WORK DROVE THE REST OF THE SDLH CONVERSATION THAT THEY WERE TRYING TO, TRYING TO HAVE AND RELATE.
AND THAT'S NOT A PLACE, NECESSARILY THAT THE FOOD PLAN GETS TO.
AND, AND, AND SO YEAH, THERE'S ALWAYS A LITTLE TRY TO KEEP THOSE, THOSE, THOSE BARRIERS AND BOUNDARIES THERE.
UM, BUT I THINK, AS I MENTIONED, I THINK THE NEXT VERSION OF THIS BECOMES, IF THERE IS A WAY TO SAY IT BECOMES EVEN MORE TARGETED, UM, AS THIS HAS BEEN A COMMUNITY EFFORT, BUT IT'S ACTUALLY TIED LATER ON TO, I MEAN, IT HAS A SET OF OUTCOMES ASSOCIATED WITH THIS PROGRAM ABOUT REACH, ABOUT GEOGRAPHY, ABOUT, UM, INCOME.
UM, SO THERE ARE A SET OF OUTCOMES AROUND THAT, BUT THEY'RE NOT CLINICAL OUTCOME YET FOR A, A, A COMMUNITY-BASED CONVERSATION THAT WAY.
AND I THINK THAT IS THE NEXT, THAT'S THE NEXT, THAT'S THE NEXT STEP.
SO I THINK FOR US, IT SOUNDS LIKE THE BEST NEXT STEP IN THAT TIES WITH THE MANDATE OF THE COMMISSION IS A RESOLUTION AS STATED, POLICY FOCUSED, UH, DOES NOT SPECIFY ANY PARTICULAR ORGANIZATION, BUT HIGHLIGHTS, UH, AN IDEAL, UH, METHOD OF FUNCTIONING IN OPERATING, UH, THAT IS SCALABLE AND CAN PROBABLY BRING THE, THE BIGGEST IMPACT THROUGH, UH, THE DIFFERENT AGENCIES INVOLVED, UH, UM, AS WELL, AND SOMETHING MANAGEABLE, BUT SCALABLE.
UM, AND I THINK WITH THAT, THE BIGGEST QUESTION NOW IS, UH, YOU TOO
UM, SO I, I KNOW THAT WE CAN'T HAVE STAFF HELP WHEN IT COMES TO CERTAIN THINGS.
IS A RESOLUTION CONSIDERED DIFFERENTLY WHERE, YOU KNOW, THOSE OF US WHO HAVE NEVER DONE A RESOLUTION CAN HAVE HELP ON PRODUCING A VIABLE RESOLUTION.
YOU KNOW, THAT, UM, WE CAN PROVIDE YOU A DRAFT OF WHAT A, UH, A TEMPLATE OF WHAT LANGUAGE SHOULD BE INCLUDED, AND THEN YOU CAN, WELL, IT'LL PROBABLY HAVE TO BE VETTED, OF COURSE, THROUGH LEGAL TO ENSURE THAT IT CAPTURES THE RIGHT LANGUAGE AND CONTENT.
UM, SO WE CAN PROVIDE YOU A TEMPLATE, AND THEN I'M NOT SURE IF TRAVIS COUNTY AND CENTRAL HEALTH LAWYERS WILL NEED TO BE INVOLVED.
SO WE'LL PROBABLY HAVE THIS CONVERSATION OFFLINE TO ENSURE THAT WE'RE, WE'RE GETTING YOU THE RIGHT DOCUMENTS TO GET THAT DONE.
IS ANYBODY IN OPPOSITION OF, UH, PROCEEDING WITH THE RESOLUTION? I'M LOOKING FOR ANY HANDS OF, ANYBODY HAVE ANY ADDITIONAL THOUGHTS, QUESTIONS? NO.
UM, SO I AM PART OF THE ANOS, UM, I GUESS BRANCH FROM YOUR COOK NOS AND MS, UH, JOYCE, I WANNA SAY THAT, UM, WITH EVERYTHING THAT YOU HAVE AND EVERYTHING THAT YOU HAVE
[01:30:01]
PRESENTED AND THE IMPACT OF HOW MANY FAMILIES YOU HAVE SERVED AND THE COMMUNITIES AND ALL THE MEALS, I THINK THAT MY RES MY, MY THOUGHT PROCESS, I'M A COMMUNITY HEALTH WORKER, SO KNOW THAT THERE IS A COMMUNITY HEALTH WORKER ACTUALLY, UM, UH, REACHING WITH YOUR, WITH YOUR, UM, WITH YOUR, UH, COOK NOS.SO, UH, I'M NOT WITH, I'M NOT WITH BUEN, BUT I AM PART OF THE BRANCH.
I'M ABOUT SEEING IT FIRSTHAND.
AND US BEING ABLE TO PROVIDE SOME MEALS FOR ELDERLY TO BE ABLE TO PROVIDE MEALS WHEN CAPITAL METRO COMES HERE FOR THEIR OWN HOUSE, THAT THEY DON'T HAVE TO COOK.
SO US BEING THAT AVENUE, UH, TO BE ABLE TO REACH THESE COMMUNITIES, I THINK, UM, YOU WOULD BE MY SUGGESTION.
AND IT'S JUST, OBVIOUSLY I'M NOT PUTTING NOTHING LEGAL, UH, UNLESS, YOU KNOW, IF YOU GUYS, ANYBODY COULD TELL ME THIS, BUT JUST PUT A FACE.
I THINK THAT YOU HAVE, YOU HAVE THE NUMBERS.
AND YOU'RE DOING THE WORK TO IMPACT THESE COMMUNITIES THAT ARE MET SINCE 2020 MM-HMM.
THERE'S PEOPLE RECEIVING FUNDING THAT ARE NOT DOING THE WORK, AND THEY DON'T HAVE NUMBERS OR DATA TO SHOW FOR.
I FEEL THAT IF YOU WOULD JUST PUT WHENEVER, OBVIOUSLY YOU ALREADY ALSO HAVE TRAVIS COUNTY, LIKE, HEY, YOU ARE DOING THE WORK.
WE HAVE, EVERYTHING THAT YOU'RE DOING, I THINK IS MAYBE REACHING, THAT'S ONE TO LIKE, JUST PUT A FACE STORIES, BE ABLE TO GATHER YOU SOME STORIES, SOME VIDEOS FOR YOU ABOUT HOW IT'S IMPACTED YOU.
MAYBE EVEN, UM, TAG ON SOME OF THESE ORGANIZATIONS, YOU KNOW, WHATEVER, UH, UH, PROGRAMS THEY HAVE, FUNDING, FOOD, UH, UH, MONEY THAT THEY HAVE, YOU KNOW, JUST BUILD YOU INTO SOME OF THEIR ORGANIZATIONS AND JUST KIND OF LIKE SET A BUDGET FOR THAT.
UM, AND EVEN GOING PRIVATE SAFE DOES IT, SAFE ALLIANCE DOES IT, AND THEY STILL RECEIVE A LOT OF MONEY, AND THEY DO, UH, BANQUETS, THEY DO, UH, YOU KNOW, AND THEY HAVE PRIVATE, UH, INDIVIDUALS THAT COME TO THEIR CONFERENCE, I MEAN, TO THEIR LUNCHES OR THEIR DINNERS.
UM, AND THEN THEY GET TO HEAR FROM LIVED EXPERIENCED CLIENTS WHO WILL BE ABLE TO PROVIDE THAT AND KEEP ON, YOU KNOW, HELPING, LIKE NOT JUST BE ON ONE LITTLE AREA.
UM, I KNOW FIRSTHAND, UM, THAT YOU ARE IMPACTING THE COMMUNITY.
I MYSELF TAKE 'EM OUT OF THE REFRIGERATOR AND PROVIDE THEM TO THE INDIVIDUALS, AND I SEE THEIR FACE.
UH, SO I JUST WANNA SAY THAT, YOU KNOW, UH, THANK YOU.
UM, UM, I JUST KNOW WHAT ELSE TO SAY, BUT I DON'T THINK THAT WE HAVE TO GO, I MEAN, YOU HAVE IT.
I THINK IT'S JUST A MATTER OF KIND OF LIKE GUIDING IT IN MORE OF A LIVED EXPERIENCE ASPECT.
YOURS NOT ONLY YOURS, BUT OF THE CLIENTS OF HOW THEY'RE, HOW THEY'RE BEING IMPACTED.
AND I THINK, UM, EVEN GOING PRIVATE OR JUST DOING SOME DINNERS, UM, TO BE ABLE TO, TO RECEIVE THOSE FUNDING, I THINK YOU PROBABLY OVERSEE THAT.
I WILL, I WILL, UM, BE APPRECIATE IT.
APPRECIATE THE REMARKS AND ABSOLUTELY, IT'S ALWAYS GREAT TO HEAR THE IMPACTS THAT ARE ACTUALLY HAPPENING AND, AND, AND OCCURRING.
AND I THINK, UH, YOU COMING AND PRESENTING AND, AND HIGHLIGHTING HAS RESULTED PROBABLY IN ONE OF OUR FIRST POLICY, UH, EXECUTIONS HERE.
AND APPRECIATE YOU COMING AND, AND, AND SHARING.
ALL RIGHT, TEAM, FOR THE, UH, FOR THE SAKE OF TIME, UH, I WOULD LIKE TO MOVE DISCUSSION ITEM NUMBER FOUR, PRESENTATION ON OPIOIDS
[4. Discuss the presentation on opioids given to the Travis County Commissioners]
GIVEN TO THE TRAVIS COUNTY COMMISSIONERS TO NEXT MONTH, BECAUSE I BELIEVE THIS IS GONNA BE, UH, A, A VERY IN-DEPTH CONVERSATION.UM, AND AGAIN, PLEASE LOOK AT THOSE SLIDES IF YOU HAVE NOT IN INSTEAD OF RECEIVING PRESENTATIONS, IT IS GOING TO BE
[01:35:01]
MORE ASKING QUESTIONS FROM, UH, THE MATERIALS THAT WERE PROVIDED TO US.UH, WE'VE ALREADY GOTTEN A QUESTION, UH, FROM COUNCIL MEMBER, UH, FUENTES ON DO WE HAVE ANY RECOMMENDATIONS, UH, REGARDING OPIOID AND, AND KIND OF WHAT'S GOING ON IN THIS SPACE.
SO, UH, BE PREPARED FOR NEXT MONTH.
DO I HAVE ANY OPPOSITION WITH MOVING THAT TO NEXT MONTH? NO OPPOSITION.
[5. Discuss and take action to nominate a member of the Public Health Commission to the Joint Sustainability Committee.]
AND ACTION ITEMS. NUMBER FIVE, DISCUSS AND TAKE ACTION TO NOMINATE A MEMBER, UH, THE PUBLIC HEALTH COMMISSION TO THE JOINT SUSTAINABILITY COMMITTEE.UM, YOU REMEMBER A COUPLE MONTHS AGO, UH, WE RECEIVED A, UH, DISCUSSION ON THE JOINT SUSTAINABILITY, UH, COMMISSION.
IT WAS ALSO THE JOINT SUSTAINABILITY COMMISSION THAT WE DID, THE RECOMMENDATIONS FOR THE BUDGET AS WELL.
UM, IS THERE ANYBODY THAT WOULD LIKE TO SELF NOMINATE BEFORE WE SAY SOMEONE WANT TO NOMINATE SOMEONE ELSE THAT, WOULD ANYBODY LIKE TO REPRESENT THE PUBLIC HEALTH COMMISSION ON THE JOINT SUSTAINABILITY COMMITTEE? ANYBODY? NOBODY.
DO WE HAVE ANYBODY ELSE SO WE CAN HAVE A RUNOFF? NOPE.
I DON'T THINK WE NEED TO HAVE A VOTE SINCE WE ONLY HAVE ONE NAME.
[6. Discussion and take action to approve the Annual Internal Review Report]
ITEM NUMBER SIX, DISCUSSION TO TAKE ACTION TO APPROVE THE ANNUAL INTERNAL REVIEW REPORT.UH, YOU'LL SEE THAT REPORT IS RIGHT BEHIND THE AGENDA ITEM HERE.
UH, AND BASICALLY, KIND OF WHAT I DID, IT JUST WENT THROUGH, UH, THE DIFFERENT AGENDA ITEMS THAT WE, WE, WE, WE, UH, DISCUSSED AND PLANNED AND OVER THE PAST YEAR PLUS WHAT WE SAID THAT WE WANTED TO HAVE AS FOCUSES, UH, GOING INTO THE ENSUING YEAR.
UH, IS THERE ANY, UH, MOTION ON THE FLOOR TO APPROVE THIS, UH, IN A SECOND? AND THEN WE CAN GO INTO QUESTIONS IF, IF THERE'S, IF THERE'S ANY QUESTIONS.
AND I'LL PUT ON THE, ON THE RECORD, SINCE IT'S BEING RECORDED.
WE HAVE LISTED ON THE LAST PAGE FOR THE BOARD'S GOALS AND OBJECTIVES FOR THE NEW NEW YEAR.
UH, NUMBER ONE, COMMUNITY HEALTH WORKERS REVIEW CURRENT BUDGETS, SUPPORTING INFRASTRUCTURE, UH, AND POTENTIAL COLLABORATIONS TO GAP FILL.
IMMEDIATE NEEDS SUBSEQUENTLY TO REVIEW AGENCY POLICIES FOR RECOMMENDED REVISIONS TO ENABLE GREATER IMPACT, CAREER DEVELOPMENT AND INDUSTRY GROWTH TO MEET CURRENT AND FUTURE NEEDS.
UH, THE SECOND ONE WAS INCLEMENT WEATHER.
UH, REVIEW CURRENT POLICIES AND PROCEDURES TO IDENTIFY GAPS.
MOST OF THE STUFF IS PRETTY MUCH THE SAME.
VERBIAGE, UH, RECOMMENDATIONS TO, UH, BE PREEMPTIVE OPPORTUNITIES, UH, ASSESS CURRENT BUDGETS, SUPPORTING INFRASTRUCTURE, UH, AND TO GAP FIELD WHERE DELAYED SERVICES AND PROGRAM SUPPORTS, UH, EXIST.
THE THIRD ONE WAS AUSTIN TRAVIS COUNTY HEALTH REPORTS.
WE HAD TALKED ABOUT THIS BEFORE.
UM, AND THIS ONE WAS TO CLARIFY TYPES OF DATA RELEASED IN AGGREGATE, NOT REPORTED AT THE CITY.
AND EXTRA TER, EXTRA TERRITORIAL JURISDICTION LEVEL FOR ALL CITIES WITHIN THE COUNTY.
UH, ASSESS HOW DATA IS COLLECTED TO ENSURE ITS BEST REPRESENTATIVE OF THE COMMUNITY.
AND THEN LASTLY, THE AUSTIN TRAVIS COUNTY, UH, FOOD IMPLEMENTATION REVIEW, CURRENT BUDGETS, SUPPORTING INFRASTRUCTURE, UH, TO AND, AND POTENTIAL COLLABORATIONS TO GAP FILL IMMEDIATE NEEDS.
SUBSEQUENTLY REVIEW AGENCY POLICIES FOR RECOMMENDED RE REVISIONS TO ENABLE GREATER IMPACT, ENHANCE PRODUCT ACCESS, AND ENABLE CONTEMPORARY HEALTH EDUCATION QUESTION.
UNFORTUNATELY, I, UM, MOTION TO APPROVE.
DO I HAVE A SECOND? AND SECONDED QUESTIONS TO THE MOTION? WHEN I LOOK AT THE, UM, THE GOALS, I WONDERED IF IS THIS, IS THIS REPORT THAT WE'RE TALKING ABOUT, IT'S AN ANNUAL INTERNAL REVIEW REPORT.
IT'S THIS, SOMETHING WE SUBMIT TO, UM, TO COMPLETE A CH A REQUIREMENT.
AND WHAT I'M TRYING TO GET TO IS THAT, YOU KNOW, WE HAVE FOUR GOALS HERE, AND I WONDER
[01:40:01]
IF THAT'S ALL OF OUR GOALS FOR THE YEAR.AND IF THIS IS LOOKING BACK, THIS WAS OUR LAST YEAR'S GOALS, WAS THIS FORWARD LOOKING? AND I JUST WAS TRYING TO THINK IF THIS IS SUPPOSED TO REPRESENT, LIKE, WHAT WE'RE GONNA BE THINKING ABOUT AND TALKING ABOUT.
AND IT DOESN'T SEEM LIKE THIS ENCAPSULATES THE WHOLE UNIVERSE OF WHAT WE'D LIKE TO THINK ABOUT FOR THE COMING YEAR.
SO THIS, AND, AND DEFINITELY CLARIFY IF I GET THIS INCORRECT.
THIS IS PART OF OUR ANNUAL, UH, FEEDBACK TO THE COMMISSIONER'S COURT CITY COUNCIL ON WHAT WE'VE DONE THROUGH THE YEAR AND KIND OF WHAT WE'RE, WHAT WE'VE AGREED TO FOCUS ON INTENTFULLY IN, IN THE NEW YEAR.
AND SO, EXCUSE ME, THESE ARE THINGS THAT WE TALKED ABOUT, UH, IN EITHER IN OUR LAST MEETING OR THE MEETING BEFORE THAT WHERE WE SAID, HEY, WE'RE GONNA BE THE TOP THREE THINGS THAT WE WANTED TO FOCUS ON, UH, FOR THE YEAR.
UM, SO THAT WE COULD HAVE POLICY RECOMMENDATIONS, UH, WORK 'EM, WORK 'EM OUT THROUGH OUR WORK GROUPS, INFRASTRUCTURE WISE, BUDGET WISE, AND SO FORTH.
IF I COULD JUST CONTINUE JUST, I MEAN, MAYBE IT'S JUST FINE.
WE JUST GO WITH IT AND THAT'S, THAT'S TOO MUCH, YOU KNOW, INFORMATION OTHERWISE.
BUT I WAS JUST THINKING LIKE, YOU KNOW, UM, OPIOIDS HUGE ISSUE.
UM, OTHER KINDS OF THINGS LIKE WE EVEN TALKED ABOUT TODAY.
UM, COMMUNITY HEALTH WORKERS, I'M NOT SURE IF WE'RE IN HERE.
ANYWAY, I, UM, I WAS JUST TRYING TO THINK IF THAT WAS AS BROAD AS WE WANT IT TO BE FOR OUR GOAL AND OBJECTIVES FOR NEXT.
AND MAYBE THE ANSWER IS JUST YES.
'CAUSE THAT'S WHAT WE'VE ALREADY TALKED ABOUT, BUT IT DOESN'T SEEM THAT BROAD.
ANYBODY ELSE? I MEAN, MY UNDERSTANDING IS THEY'RE JUST WORRIED ABOUT BEING LIMITED TO THESE.
I MEAN, I THINK IT'S THE GOALS, BUT I DON'T THINK IT NECESSARILY LIMITS US FROM ADDRESSING OTHER TOPICS UNLESS I'M INCORRECT ON THAT.
NO, I WOULD SAY BASED OFF OF THE DATE THAT'S ON HERE RIGHT? TO JUNE 30TH, THIS IS BASICALLY A SUMMARY OF WHERE WE WERE AT THAT MOMENT IN TIME.
UH, I'M PRETTY SURE THERE'S GONNA BE OTHER CRITICAL THINGS THAT POP UP IN THE YEAR THAT ARE NOT GONNA BE ADDRESSED IN THIS SIMILAR TO OPIOID CAME UP LAST MONTH AS SOMETHING TO REALLY LOOK INTO.
AND THEN THE EMAIL THAT CAME FROM COMMISSIONER, UH, COUNCIL MEMBER FUENTES ABOUT A WEEK OR TWO AGO, RIGHT.
THAT THEN IT'S KIND OF LIKE, OKAY.
THEY WOULD LIKE TO HAVE OUR INPUT ON IT.
SO I MEAN, DEFINITELY CAN, CAN ADD IT IN THERE.
I WOULD ALSO SAY THERE, THERE'S A BALANCE OF TOO LITTLE AND TOO MUCH, RIGHT? AND SO IN A SENSE, I WOULD SAY, DO WE WANT TO GO WITH THE, WITH, WITH THE THOUGHT PROCESS OF, ALL RIGHT, THIS WITHOUT A DOUBT, WE NEED TO HAVE SOME TYPE OF RECOMMENDATION BY THE END OF NEXT YEAR, EVEN IF THERE'S OTHER THINGS WE TAKE ON, OR IS THIS, HEY, HERE'S THE SKY'S THE LIMIT.
AND UH, WE MAY OR WE MAY NOT JUST DEPENDING UPON THE EBBS AND THE FLOWS.
SO I THINK WHAT DO WE WANNA PRESENT IN A SENSE THAT WHEN THEY READ IT AND IF WE HIT IT, OR IF WE DON'T HIT IT, WE EITHER GAIN OR WE LOSE CLOUT.
AND THE ONLY THING I WAS THINKING IS THAT OBVIOUSLY WE DIDN'T REALLY HAVE MUCH TIME TO DISCUSS THIS AND HAVE IT BESIDES THE LAST FIVE MINUTES.
AND SO THAT'S, THAT'S, I'M WONDERING IF IT'S DUE RIGHT NOW, OR THAT'S ONE QUESTION.
SECOND QUESTION IS KINDA LIKE WHEN I LOOK AT THIS, I HATE FOR SOMEBODY FROM THE OUTSIDE TO LOOK AT THIS AND THINK THIS IS OUR NEXT YEAR'S GOAL FOR THE NEW CALENDAR YEAR, THESE FOUR THINGS.
YOU, SOMEONE MIGHT LOOK AT THAT AND READ IT AND THINK THAT'S NOT VERY BROAD IN SCOPE AND MIGHT BE A CONCERN ABOUT WHAT IS OUR PURVIEW OF WHAT ARE WE THINKING ABOUT? DOES THAT MAKE SENSE? SO IT'S, IT'S ALMOST A CONCERN OF WHAT THE EXTERNAL PERCEPTION WOULD BE IF THAT'S LISTED AS OUR GOALS, INJECT OBJECTIVES FOR THE NEW CALENDAR YEAR.
APPRECIATE YOU CAN'T HAVE AN ALPHABET SOUP FULL OF IT.
BUT ANYWAY, I JUST WONDERED, AND THE QUESTION IS, DO WE HAVE TO DECIDE THIS TODAY? IS THIS, ARE WE MEETING SOME DEADLINE? I'M NOT SURE THAT WE'D HAVE TO ASK, UH, JUANITA AND DANIELLA ABOUT THAT.
I WOULD SAY IN A SENSE TOO IS FROM A SENSE OF OPTICS, RIGHT? THERE'S A PIECE TO THE, THE REALIZATION THAT WE DON'T HAVE STAFF THAT WE'RE MEETING ONCE A MONTH, THAT THE WORK GROUPS ARE SUPPOSED TO MEET ONCE A MONTH.
SO ALSO WHAT IS THE RE TO SAY THE REALITY AND WHAT CAN GET DONE.
AND SO DO YOU CREATE A BIG LIST AND YOU DON'T NECESSARILY HIT IT ALL? OR DO YOU ALSO SAY, THESE ARE THE THINGS THAT WE WILL ALWAYS BE TALKING ABOUT, BUT THERE'S GONNA BE OTHER THINGS, RIGHT? AND I THINK WHEN, WHEN IS THIS DUE THAT WE'RE SUPPOSED TO SUBMIT THIS IN? AND SO, AND SO FOR ME, I PUT DOWN EXACTLY WHAT WE SAID AS A CONSENSUS.
THIS IS WHAT WE'RE GONNA BE FOCUSING ON, THIS IS WHAT WE'RE GONNA BE WORKING ON AS FAR AS NEXT YEAR.
UH, AND THEN HAVING WHAT WE DID ACTUALLY IN THE PAST LISTED PRIOR TO THAT.
ANY, ANY OTHER THOUGHTS OR QUESTIONS WHILE THEY'RE TRYING TO FIGURE OUT WHEN, WHEN OUR REPORT IS DUE?
[01:45:01]
IT, IT'S DUE JULY 31ST.I MEAN, I WAS GONNA SAY IT, WE COULD JUST CHANGE THE LANGUAGE A LITTLE BIT TO SAY IT'S NON-INCLUSIVE OR EITHER SOME OF THE MAIN HOT TOPICS, YOU KNOW, BUT OBVIOUSLY WE'RE OPEN TO OTHERS THROUGHOUT THE YEAH, SOME CAVEAT.
NOT TO BE, UM, A DEBBIE DOWNER, BUT I SEE THESE AS GOALS, BUT I'M, I'M A LITTLE BIT CONFUSED OF WHAT THE ACTUAL OBJECTIVES, UH, UH, IS THE, IS THE GOAL, THE WHOLE STATEMENT.
AND THEN THE OBJECTIVES ARE THINGS THAT WE ARE ACTUALLY GONNA COMPLETE AND DO, LIKE, WE'RE GONNA HOLD OURSELVES TO COMPLETING SUCH AND SUCH AND SUCH BY, I GUESS EVERYTHING IS JUST THIS CALENDAR YEAR, EVERY SINGLE ONE OF THESE, BY THE END OF NEXT YEAR, WE WILL HAVE DONE SOME SORT OF REVIEW OF CURRENT BUDGETS, BUT RIGHT.
SO I'M TRYING TO FIGURE OUT WHAT OUR ACTION IS.
SO IF YOU LOOK AT, SAY THE GOAL IS GONNA BE FROM THE DESCRIPTION OF WHAT IT IS ALL THE WAY UP TO THE FINAL TWO, THE OBJECTIVE IS TO ENABLE GREATER IMPACT CAREER DEVELOPMENT, RIGHT? SO WHATEVER RESOLUTIONS OR POLICY RECOMMENDATIONS THAT WE MAKE NEEDS TO HAVE THAT OUTCOME TO IT.
THEREFORE, WE MET THE OBJECTIVE OF LOOKING AT THOSE POLICIES AND SO FORTH.
SO IT STILL BROUGHT A SCOPE BECAUSE WE, WE REALLY STILL HAVEN'T GOT ANY INFORMATION TO FIGURE OUT WHAT ACTIONS WE NEED TO TAKE.
ANY OTHER THOUGHTS, COMMENTS, OR, UH, VERBIAGE CHANGES, RECOMMENDATIONS, SORRY.
UM, ON THE SECOND PAGE, I GUESS WE, UNDER MARCH 25TH, WE APPROVED THE CREATION OF THE INFRASTRUCTURE AND ACCESS WORK GROUP AND THE ADVOCACY PARTNERSHIP WORK GROUP.
BUT I DON'T SEE ANYTHING ABOUT THE BUDGET GROUP.
THE BUDGET WORK GROUP WAS THE MONTH PRIOR OR TO SOMEWHERE.
UH, MARCH 6TH, THE POSSIBLE CREATION OF A WORKING GROUP FOCUS ON, SO WE, BUT THAT WASN'T THE PROVING THE CREATION OF, UH, MARCH 6TH DISCUSSED AND TOOK ACTION TO CREATE BUDGET WORK GROUP.
THIS IS ABOUT THE TIME PERIOD THAT ENDED JUNE 30TH.
SO THAT'S KIND OF LOOKING BACK AT LAST YEAR AND AGAIN, LOOKING FORWARD FOR NEXT YEAR.
SO YEAH, IT'S BASICALLY THE ANNUAL REPORT FOR THE COMMISSION.
I'M JUST THINKING, UM, MAYBE NEXT YEAR WE CAN HAVE MORE THOUGHT A LITTLE MORE.
I MEAN, I THINK THAT THERE'S A MORE ELEGANT WAY TO SAY A LOT OF WHAT WE WOULD LIKE TO BE DOING THAN WHAT THESE ARE.
THIS IS NOT, I'M NOT BEING CRITICAL.
THAT'S, THAT'S FACTUALLY WHAT WE'VE BEEN TALKING ABOUT, BUT I WAS JUST THINKING I WOULD LIKE SOMETHING THAT'S, UM, A BIT MORE INCLUSIVE.
IT JUST SEEMS FUNNY TO ME THAT WE HAVE THESE FOURS, THEY'RE VERY, VERY SPECIFIC THING, UM, KNOW, UM, I'M PERFECTLY FINE TO GO WITH IT FOR NOW, BUT YOU KNOW, THERE'S A WHOLE LOT OF HEALTHCARE THAT'S NOT EVEN MENTIONED HERE.
ACCESS TO CARE AND I DUNNO, CHRONIC DISEASES AND ALL KINDS OF PUBLIC HEALTH TYPE THINGS ARE JUST NOT EVEN THE TABLE.
SO I THINK THAT, SO MY QUESTION WOULD BE WITH THAT WOULD BE, IS OUT OF THE LAST COUPLE OF MEETINGS WE'VE HAD, WHAT DECISIONS THROUGH THE AGENDA ITEMS, WELL HAVE WE SAID THAT YES, WE ALL WANT TO FOCUS ON THIS TOPIC.
THOSE ARE ALL THINGS, THE DISCUSSIONS, ALL THINGS THAT WE NEED TO BE LOOKING AT.
BUT THOSE ARE NOT THINGS THAT, AS A COMMISSION, WE HAVE SAID, YES, WE WANT TO HAVE THIS AS THE DISCUSSION WITHIN THE WORK GROUPS AND SO FORTH.
AND SO THIS IS NOT THIS, THIS REPORT IS MORE FOCUSED ON IF WE'RE GONNA BE EVALUATED AND GRADED, THEN WHAT HAVE WE ALREADY OBLIGATED OURSELVES TO ON RECORDING? MM-HMM.
UM, AND SO THAT WAY WE HAVE THAT HERE AND THEN WE'RE, WE'RE HOLDING OURSELVES ACCOUNTABLE, BUT WE'RE ALSO SAYING TO THE COMMISSIONER'S COURT AND CITY COUNCIL TO HOLD US ACCOUNTABLE OF MOVING FORWARD ON THESE THINGS THAT WE SAID IN CONSENSUS WE'RE GONNA BE FOCUSES FOR THE NEXT YEAR.
DOESN'T TAKE AWAY OPIOID AND SOME OF THE OTHER THINGS.
WERE WERE AREAS THAT WE NEED TO HAVE MOVING ON.
UM, I, I, I, I HEARD, UM, COMMISSIONER RICE MENTION, UM, CHANGING LANGUAGE MM-HMM.
YOU ALL HAVE THE OPPORTUNITY BETWEEN NOW AND BEFORE JULY 31ST
[01:50:01]
TO MAKE THOSE VERBIAGE CHANGES SO THAT IT DOES REPRESENT MORE ARTICULATELY WHAT YOU'VE DONE, HOW YOU'VE DONE IT, AND THEN POTENTIALLY HOW YOU WOULD LIKE TO SEE YOUR GOALS MOVE FORWARD.I DIDN'T EVER SAY IT WAS NOT ARTICULATE.
I'M JUST SAYING IF YOU WANNA ADD ADDITIONAL VERBIAGE SO THAT IT DOES CLEARLY IDENTIFY WHAT YOU'VE ACCOMPLISHED AND HOW YOU'VE GONE ABOUT IT, AND THEN TO ADD IN ANY ADDITIONAL LANGUAGE THAT HELPS IDENTIFY POTENTIAL OTHER GOALS, AS COMMISSIONER CURRICULUM MENTIONED, IT DOESN'T LIMIT YOU TO THOSE, THOSE FOUR OUTLINED GOALS THAT YOU'VE, YOU'VE MENTIONED IN THE REPORT.
AND THEN ALSO I WOULD SUGGEST MAYBE PUT SOMETHING AT MORE OF A CONCRETE MEASURE THAT TALKS ABOUT WHAT YOU'RE GONNA ACTUALLY SEE AS AN OUTCOME, UM, WITH THOSE GOALS, SO THAT YOU TRULY SAY, THIS IS WHAT I'M GONNA HOLD MYSELF TO.
AND IT'S NOT, IF I DON'T MEET 'EM, I HAVEN'T SUCCEEDED.
IT IS MOVING TOWARDS THE POTENTIAL OF MEETING THAT GOAL WITH SOME MEASURE IN IN PLACE.
YOU WERE GONNA SAY SOMETHING? THAT WAS MY QUESTION.
I'VE, UM, WITH REGARDS TO CHANGING THE LANGUAGE, UM, EVEN FOR OBJECTIVES, WE'RE JUST SAYING ASSESS, ASSESS, REVIEW.
UM, BUT THERE'S NO ACTION THAT WE'RE HOLDING OURSELVES TO.
SO WE'RE JUST SAYING IT'S FINE IF WE REVIEWED IT OR IT'S FINE IF WE ASSESSED IT AND THEREFORE WE MET THE GOAL.
BUT THAT ISN'T WHAT ALSO, ALSO WHAT DOES ASSESS MEAN, RIGHT? ARE WE ACTUALLY RUNNING A REAL ASSESSMENT TO CAPTURE TRUE DATA AND THEN PUT OUT A RESPONSE BASED OFF OF THE ASSESSMENT THAT WE'VE DONE? I JUST, I'M, I'M, THE LANGUAGE SEEMS VERY GENTLE WHEN IT COMES TO US HOLDING OURSELVES ACCOUNTABLE AS A COMMISSION TO SAY, HERE'S WHAT WE SAID WE WOULD DO, HERE'S HOW WE SAID WE WOULD DO IT.
WE'VE MADE PROGRESS ON THE COMMUNITY HEALTH WORKERS SIDE, BECAUSE THAT WAS ONLY THING THAT WE LOOKED AT.
MEANWHILE, UM, THE FOOD PLAN WENT THROUGH AND WAS SUCCESSFULLY APPROVED.
AND SO NOW TECHNICALLY OUR PART'S DONE AND WE CAN CHECK OFF THAT BOX.
I DON'T KNOW IF THAT'S HOW IT WORKS, BUT I'M JUST SAYING FROM THIS LANGUAGE, IF WE'RE LOOKING BACK AND SAYING, WE'VE DONE SOMETHING, I DON'T SEE WHAT WE'RE SAYING, WE COULD DO, UM, OFFER SOMETHING.
UM, SO FIRST OF ALL, DOES THE CALEN, IT SAYS CALENDAR YEAR, IS THAT JAN STARTING JANUARY 1ST? OR IS THAT STARTING THE FISCAL YEAR? OCTOBER.
IT'S FUNNY 'CAUSE IT SAYS OCTOBER CALENDAR YEAR, OBVIOUSLY, BUT IT SAYS END OF, YEAH, THIS IS, THIS IS THE PERIOD THAT THEY, THAT THEY GAVE.
UM, YOU KNOW, AND I'M LISTENING AND, UM, I THINK WE WANT, WE PROBABLY WANT, UM, AN I THINK SOMETHING MEASURABLE AND ISN'T NEXT YEAR WHEN WE HAVE THE COMMISSION IS TASKED WITH PUTTING TOGETHER THE RECOMMENDATIONS TO SUBMIT.
I'M NOT SURE WHAT THE TIME, MAYBE THAT IS THE, THE GOAL, THE MEASURABLE GOAL IS, UM, YOU KNOW, FINALIZING RECOMMENDATIONS TO SUBMIT TO CITY COUNCIL AND COMMISSIONER COURT.
UM, BUT I THINK SOME OTHER OBJECTIVES THAT WHAT I'M, I'M READING HERE IS THAT YOU WANNA CONTINUE YOUR INFORMATION GATHERING, UM, AND DEVELOPMENT OF RECOMMENDATIONS.
AND IT LOOKS LIKE THERE ARE SOME AREAS THAT, YOU KNOW, THERE WERE A LOT OF PRESENTATIONS OVER THE PAST YEAR AND IT LOOKS LIKE THE GROUP HAS SETTLED ON SOME, SOME AREAS HERE.
I, WHAT I DON'T SEE IS HOUSING.
I DON'T KNOW IF YOU WANTED TO CONTINUE, UM, YOU KNOW, THAT WORK ON, UM, HOUSING, UM, AS AN IN AS A INTEREST AREA.
UM, BUT MAYBE JUST A GENERAL STATEMENT, YOU KNOW, WE'RE GONNA DEVELOP SOME RECOMMENDATIONS TO SUBMIT AND WE'RE GONNA CONTINUE, YOU KNOW, UM, INFORMATION GATHERING AND DEVELOPMENT OF RECOMMENDATION IN THESE AREAS, YOU KNOW, X, Y, Z, UM, AND, UM, MAYBE A GENERAL STATEMENT THAT SAYS, AND OTHER TOPICS OF INTEREST.
SO IT LOOKS LIKE JUST A SUGGESTION.
SO IT LOOKS LIKE THE BEST WAY TO WORK THIS BY THE 31ST DEADLINE IS EVERYBODY TO PROVIDE THEIR RECOMMENDED CHANGES ADDITIONS BY THE 19TH.
SO THAT CAN BE CONSOLIDATED IN A REVISION MADE, HOPEFULLY SENT OUT THAT FOLLOWING WEEK FOR CONSENSUS VIA EMAIL BY THE 26TH.
[01:55:01]
SO IT CAN BE WRAPPED UP AND GOOD TO GO THAT 29TH, 30TH, 31ST.SO THAT'S, THAT'S THE ONLY VIABLE OPTION HERE.
MM-HMM,
YES, IT WAS IN YOUR AGENDA PACKET.
IT WAS PACKET AND, AND THEN SECONDLY, UM, WHERE WAS I GONNA GO? YOU, WE KIND OF HAVE THE HIGHLIGHTS OF THE MEETINGS.
I THINK THAT'S WHAT YOU'VE DONE HERE FOR, UM, SINCE JANUARY.
BUT WE, THIS GOES BACK TO JULY.
I MEAN, I WONDER IF WE LOOK BACK ALL THE WAY BACK TO JULY IF WE'RE TRYING TO COVER THAT YEAR.
'CAUSE WE DID HAVE A LOT OF THINGS THAT WE TALKED ABOUT, AND I DON'T KNOW IF YOU WERE TRYING TO BE INCLUSIVE OR I WAS FILLING IT OUT BASED OFF OF A TEMPLATE THAT REALLY DIDN'T HAVE TOO MUCH MEAT TO IT.
UM, SO I MEAN, HEY, ANY RECOMMENDATIONS, CHANGES, MODIFICATIONS YOU WANT TO DO, FEEL FREE.
UM, I WENT WITH THE BEST KNOWLEDGE OF PULLING UP THE PREVIOUS MEETINGS AND PUTTING IN THEIR ACTUAL THINGS THAT WE DID AND THINGS THAT WE, WE VOTED TO, TO MOVE FORWARD.
SO IF THERE'S ANY RECOMMENDED CHANGES, ADDITIONS Y'ALL WANT TO DO, I WOULD SAY, IS THAT TIMELINE WORK OR IS THAT TIMELINE NOT GONNA WORK FOR YOU ALL SAYS YES, IT'S GONNA WORK.
UM, I JUST WANNA, I JUST WANNA REMIND YOU ALL AS YOU ARE MAKING THOSE RECOMMENDATIONS, NOT TO SEND THEM TO EACH OTHER, SEND THEM DIRECTLY TO US SO THAT WE ARE NOT DOING A WALKING QUORUM IN ANY FORM.
AND DO YOU, DO WE NEED TO APPROVE THIS? MEANING THAT WE MIGHT APPROVE? NO, YOU JUST, YOU JUST HOLD OFF ON THIS ONE BECAUSE YOU'RE BAS EVERYBODY'S BASICALLY SAYING THERE IS A POINT OF CONTENTION SOMEWHERE WITHIN THIS DOCUMENT.
SO IT'S BASICALLY NOW GOING BACK IN, BASICALLY YOU, YOU'VE SEEN WHAT HAS BEEN KIND OF PUT TOGETHER BASED OFF OF WHAT IS ON IN MINUTES AND THEN IF THERE'S ANYTHING ADDITIONAL THAT YOU WANNA BE ABLE TO ADD OR MODIFY AND SO FORTH, THEN GREAT.
UH, UM, AGAIN, WE GOT THIS NOTIFICATION LIKE AFTER OUR MEETING LAST MONTH, SO YEAH, WE'RE, WE'RE, YOU KNOW, WE'RE, WE'RE HAVING FUN TIMES.
WE'RE HAVING, WE'RE GLAD THAT YOU'VE DONE THAT WORK.
AND MY ONLY POINT WAS THAT WE NEED TO APPROVE IT.
DO WE NEED TO VOTE ON IT? N UH, NO.
I WOULD SAY IT JUST NEEDS TO BE EMAIL CONS, UH, UPDATED.
CONSENSUS BY EMAIL, UH, AND, AND THEN SUBMITTED IN BY THE DUE DATE.
BECAUSE OTHERWISE YOU'RE TALKING ABOUT TRYING TO HAVE AN EMERGENCY MEETING AND ALL THAT STUFF FOR, FOR THIS ITEM, WHEN THAT CAN BE DONE BY EMAILS.
THIS HAS NOTHING TO DO WITH FINANCIAL, THIS HAS NOTHING TO DO WITH CREATING A RESOLUTION OR ANYTHING LIKE THAT.
SO I'D RATHER JUST MAKE THIS AS EASY AS POSSIBLE WITH THE TWO WEEKS WE DO HAVE.
AND I'LL RAISE YOU ONE BETTER.
SO I WENT BACK TO THE EMAIL I SENT YOU.
UM, AND COLLABORATION IS ENCOURAGED.
UM, SO IF YOU GUYS DO WANT TO DO ALL THIS, LIKE, YOU KNOW, LIKE, UH, TAKE TIME AND MAKE CHANGES, WE WOULD NEED TO MEET AGAIN.
YOU SAID IT'S ENCOURAGED, NOT REQUIRED.
YES, I CAN READ IT VERBATIM WHAT IT SAYS HERE.
UM, WELL THERE IS, THERE IS NO REQUIREMENT TO COLLABORATE OR RECEIVE FORMAL APPROVAL FROM THE ENTIRE BOARD COMMISSION.
IT IS HIGHLY RECOMMENDED IF APPROVAL BY THE BOARD, COMMISSION IS DESIRE, BE SURE TO INCLUDE AN ACTION ITEM IN AN UPCOMING MEETING AGENDA.
HAVE THE RIGHT TO MAKE TO HIMSELF.
IT DOES, THAT'S WHAT IT JUST SAYS.
SO WHAT I'M DOING IS BASICALLY, INSTEAD OF HAVING A MEETING, Y'ALL GOT THE WEEK TO PROVIDE FEEDBACK.
WE'LL CONSOLIDATE IT, SEND IT BACK OUT, MAKE SURE Y'ALL GOOD.
AND THEN I'LL JUST TAKE THAT AS A SELF-DIRECTION TO SEND IT FORWARD.
ANY ISSUES? ANY ISSUES? ALL RIGHT.
THAT BEING SAID, UH, ONE LAST ITEM THAT WE HAVE AND THAT IS THE COMMUNITY HEALTH WORKER,
[7. Discussion and take action to approve prioritization project on Community Health Workers.]
UH, RESULTS, UM, DISCUSSION AND TAKE ACTION TO APPROVE THE PRIORITIZATION PROJECT ON COMMUNITY HEALTH WORKERS.UH, YOU SEE HERE, UH, THE RANKING ORDER, 1, 2, 3, 4, AND FIVE.
ONE, INCREASE THE OPPORTUNITY AND CAPACITY TO TRAIN COMMUNITY HEALTH WORKERS IN SPECIALIZED PUBLIC HEALTH AREAS BY EMPLOYING OR REALLOCATING FUNDS FOR ONE THROUGH FOUR FTES, UH, DEDICATED TO THEIR TRAINING.
UH, TWO WAS, UH, PROPOSE, UH, TO CLOSE PAY GAPS FOR COMMUNITY HEALTH WORKERS ACROSS DIFFERENT ORGANIZATIONS.
AND TIED FOR TWO WAS ALSO, UH, SET CLEAR GUIDELINES FOR COMMUNITY HEALTH WORKER PAY AND PROMOTION LEVELS.
WHAT CAME IN THIRD WAS RECOMMEND ADDITIONAL SPECIALIZED TRAINING, CERTIFICATION
[02:00:01]
IN CHRONIC DISEASE, CARDIAC, DIABETES, PEDIATRICS AND ET CETERA.AND THEN WHAT CAME IN FOURTH WAS SURVEY, UH, PERCENTAGE OF COMMUNITY HEALTH WORKERS IN THE FIELD VERSUS IN THE CLINIC.
UH, DO I HAVE A MOTION TO APPROVE THIS RANKING ORDER IN A SECOND AND THEN WE CAN GO INTO DISCUSSION IF NEEDED.
ANY QUESTIONS TO THE MOTION? YES.
JUST CONFIRMING THE WEIGHTED AVERAGE, THE LOWER THE SCORE, THE HIGH, THE HIGHER THE RANKING.
THAT MEANS EVERYBODY KIND OF PUT THAT AS THEIR NUMBER ONE OR NUMBER TWO.
ANY OTHER QUESTIONS TO THE MOTION? ALL THOSE IN FAVOR, RAISE YOUR HAND.
SO, UH, WE CAN TALK NEXT MEETING ON MOVING FORWARD, UH, WITH, UM, THESE ITEMS. AND KIND OF, DO WE WANNA DO ITEM ONE OR DO WE WANNA DO ITEM ONE AND NUMBER TWO? HOW DO WE KIND OF WANT TO TACKLE THAT? SO CAN WE ADD THIS AS A DISCUSSION ITEM FOR NEXT MONTH? APPRECIATE IT.
AND, UH, I FOREGO WORK GROUP UPDATES 'CAUSE WE'RE AT OUR TIME TO NEXT MONTH.
[FUTURE AGENDA ITEMS]
TO BE ADDED TO OUR, UM, WHAT DO YOU CALL IT? LIVE LIST ROLLING LIST.JUST FOR A POINT OF CLARITY FOR THE, UH, WORK GROUP UPDATES.
DO WE NEED A SUBMIT? IF WE WANNA PRESENT SOMETHING AHEAD OF TIME? LIKE WOULD I NEED A, I WANNA SHOW OUR LOGIC MODEL.
SO DO I NEED TO YEAH, JUST GET IT ADDED EMAIL TO CORRECT.
UM, YES, JUST REAL QUICK QUESTION.
WE'RE ONLY, WE'RE DOWN TO EIGHT MEMBERS.
WHAT'S THE PROCESS FOR THE NINTH MEMBER? IS THAT BEING INTERVIEWED AND, NO, WE ARE ACTUALLY GOING BACK AND REVIEWING THE INTERVIEW.
THE CANDIDATES THAT WERE INITIALLY INTERVIEWED, UM, PUTTING A CALL OUT TO ASSESS, UM, AVAILABILITY, STILL INTEREST, UM, AND THOUGH THAT LIST WILL BE GIVEN TO THE EXECUTIVES TO MAKE A DECISION ON WHO THEY WANT TO CONSIDER FOR APPOINTMENT.
ANY ADDITIONAL, UH, THOUGHTS OR QUESTIONS REGARDING FUTURE AGENDA ITEMS? I KNOW WE HAVE NEXT MONTH ALL OPIOID AND WE'RE GONNA TACKLE ON, UH, WHICH ONES WE WANNA FOCUS ON WITH THE COMMUNITY HEALTH WORKERS.
IS THERE ANYTHING ELSE THERE? BEING NONE.
I'LL CALL THIS MEETING ADJOURNED AT FOUR THIRTY THREE.