Feb 05, 2025 Public Health Commission

SO I JUST WANTED TO DO A QUICK REFRESHER BECAUSE I KNOW WE WERE KIND OF CONFUSED ON WHO HAD SIGNED UP FOR THE TWO YEARS AND THE THREE YEARS.

UM, SO I JUST WANTED TO CONFIRM THAT INFORMATION WITH EVERYONE.

UM, AS OF RIGHT NOW, THE TWO YEAR, UM, COMMISSIONERS IS GONNA BE COMMISSIONER CROOKHAM, COMMISSIONER WHITTY AND COMM, UH, CHAIR POINT, DEXTER, UH, FOR THE THREE YEARS IT'S GONNA BE THE REST.

EVERYONE ELSE, UM, JUST HAD ORIGINALLY SIGNED UP FOR THE TWO YEARS, BUT THAT'S A VACANT SPOT.

UM, I ALSO DID WANT TO, UH, REITERATE THAT THE FOUNDING YEAR OF 2023 DOES NOT COUNT TOWARDS YOUR YEAR LIMIT.

SO FOR THE TWO YEARS, UM, THE PEOPLE THAT SIGNED UP FOR THE TWO YEAR LENGTH, YOUR, UM, TERM WILL EXPIRE IN 2026 FOR THE THREE YEAR TERM WILL BE 2027.

QUESTIONS WHEN? IN 2026, LIKE THE END OF IT.

AND ALSO JUST TO, UM, KEEP EVERYONE UP TO DATE ON BOTH TERMS, YOU HAVE THE OPTION OF DOING TWO CONSECUTIVE TWO YEAR TERMS AFTERWARDS.

ANY OTHER QUESTIONS? GO AHEAD.

WE MIGHT JUST REVISIT FOR SOME REASON I WAS THINKING, AND THIS IS, I DON'T HAVE THE MATERIALS IN FRONT OF ME, I'M SORRY.

BUT, UM, WAS THINKING THAT WE MOVED TO CALENDAR OR THE ANNIVERSARY WOULD'VE BEEN APRIL? I THINK SO.

I DON'T REMEMBER FEBRUARY, UNLESS YOU HAVE SOME OTHER MEMORY.

UH, THE CITY, UM, CLERK'S OFFICE HAS A STANDING TIMEFRAME THAT THOSE DATES RENEW.

AND FEBRUARY IS THE DATE, EVEN THOUGH YOU MAY HAVE STARTED I SEE.

LATER.

UM, BUT YOU WILL BE FINE EVEN IN A CARRIER CAPACITY IF YOU HAVE TO LEAVE OR IF YOU STAY ON IT'S, IT'S STILL FEBRUARY.

SO WE CAN WORK THROUGH ANY OF THOSE ADJUSTMENTS.

AND ONE MORE QUESTION JUST FOR THE WORKING OF THE COMMISSION, IS IT, I THINK YOU JUST SAID THAT, BUT IF THERE'S NO REAPPOINTMENT OF A TWO YEAR PERSON, THEY'LL JUST CONTINUE TO CARRY OVER UNTIL SOME OTHER ACCIDENT HAPPENS.

IS THAT CORRECT? YES.

YOU CAN REAPPLY WHEN YOUR TERM IS EXPIRED.

YOU WOULD REAPPLY FOR A TWO YEAR TERM.

AT THAT TIME, AND THEN YOU, YOU WOULD GET REAPPOINTED FOR AN ADDITIONAL TWO YEARS.

BUT IF THERE'S NO ACTION BY CITY COUNCIL OR THE COUNTY, WOULD THEY CONTINUE TO BE COMMISSIONER UNTIL THEY'RE REAPPOINTED OR UNTIL SOME ACTION IS TAKEN? YES.

YOU WOULD, YOU WOULD HAVE, AS A PART OF THE PROTOCOL, YOU WOULD HAVE TO REAPPLY FOR A TERM THAT YOU EXPIRE FROM.

SO YOUR NAME WOULD BE SUBMITTED BACK TO THE CITY AND COUNCIL FOR REAPPOINTMENT

[00:05:01]

IF YOU RETIRE YOUR TERM, THEN YOU RETIRE.

NOT TO MANSPLAIN, BUT I THINK WHAT YOU WERE TRYING TO ASK OR SAY IS, SAY MY TERM ENDS IN FEBRUARY 26TH.

BUT Y'ALL HAVEN'T REPLACED, FOUND A REPLACEMENT YET.

DO I CONTINUE ON AS A YES.

YOU CONTINUE WITHOUT BEING REAPPOINTED OR WITHOUT YES.

YOU WILL CONTINUE ON.

SO TO CLARIFY, THE TWO YEAR TERMS THAT END IN 2025, DOES IT END IN 2026? FEBRUARY, 2026? YES.

THANK YOU FOR THE CLARIFICATION.

UH, MOVING ON TO, UNLESS WE HAD ANY QUESTIONS ONLINE.

I DIDN'T MISS ANYTHING.

[3. Discussion of presidential executive order against federal funding. ]

MOVING ON TO OUR DISCUSSION ITEMS. UH, WE HAVE A LOT TO DISCUSS.

UH, THE FIRST ITEM FOR DISCUSSION IS OF THE PRESIDENTIAL EXECUTIVE ORDER AGAINST FEDERAL FUNDING.

UM, I WANTED TO BRING THIS IN FRONT OF THE COMMISSION AND ALL OF OUR POWERS THAT BE, UM, JUST TO SEE IS THERE SOMETHING THAT WE, AS A COMMISSION COULD BE DOING TO SUPPORT? HOW IS IT AFFECTING OUR PROGRAMMING? IS THIS, UM, SOMETHING THAT WE CAN LOOK AT FROM A, A CITY CO COUNTY PERSPECTIVE? AND THEN ARE THERE ANY PROGRAMS THAT ARE DRASTICALLY AFFECTED BY THIS THAT WILL AFFECT OUR, OUR PUBLIC HEALTH OF OUR RESIDENTS? I THINK I'M LEAVING THAT OPEN TO ALL OF OUR EX OFFICIOS AND GOVERNING ENTITIES FROM THE CITY'S PERSPECTIVE, UM, BOTH THE BUDGET OFFICE AND THE, UM, INTERGOVERNMENTAL RELATIONS OFFICE ARE PUT, ARE ASKING STAFF TO COMPILE INFORMATION SO THAT WE CAN PROVIDE THAT TO COUNSEL AND THEN OFFER SOME DIRECTION AND, AND RECOMMENDATIONS SPECIFIC TO PUBLIC HEALTH.

AND I CAN'T REMEMBER THE DOLLAR AMOUNT.

IT MAY BE ONE OF MY COLLEAGUES CAN PULL UP THE MEMO FROM MR. BROAD.

UM, BUT FROM A A PUBLIC HEALTH PERSPECTIVE, IT'S NEARLY HALF OF OUR FUNDING AND IT'S 274 EMPLOYEES THAT WOULD BE IMPACTED.

AND SO IF THERE WASN'T THE ABILITY FOR US TO ABSORB THOSE COSTS AT A LOCAL LEVEL, UM, PUBLIC HEALTH WILL LOOK DRAMATICALLY DIFFERENT JUST FROM A FUNDING PERSPECTIVE, UM, IN AUSTIN AND TRAVIS COUNTY.

UM, THE IMPACT ALSO IS TO PASS THROUGH DOLLARS FROM DSHS.

AND WHILE MY COLLEAGUES IN OTHER CITIES ARE PRETTY SECURE, THAT THE FEDERAL GOVERNMENT, UM, IS KIND OF BOUND TO HONOR THE CONTRACTUAL AGREEMENTS AND FUNDING, UM, TO JURISDICTIONS, BECAUSE WE ONLY GET ONE POT OF MONEY THAT'S DIRECTLY FROM THE FEDS, WE ARE THEN SUBJECT TO WHAT THE STATE DECIDES TO DO WITH THEIR ALLOTMENTS.

UM, AND SOME OF MY COLLEAGUES WHO HAVE BEEN IN THE FIELD FOR SOME TIME HAVE REMEMBERED TIMES WHERE STATE, UM, HEALTH DEPARTMENTS RETAIN THE FUNDING AND CHANGE THEIR CONTRACTUAL AGREEMENTS WITH LOCALS.

AND SO HERE, UM, MY TEAM IS CREATING A CROSSWALK OF, OF SPECIFIC GRANTS THAT WILL BE IMPACTED.

AND THEN I'VE ASKED THEM TO LOOK AT THOSE AGREEMENTS THAT WE HAVE WITH DSHS TO SEE WHAT MAY BE AT RISK.

AND THEN WE ARE GOING TO PUT TOGETHER, UH, A PLAN OF, YOU KNOW, WHAT WE WOULD NEED TO DO LOCALLY.

UM, UH, IF WE WANTED TO MAINTAIN OUR CURRENT LEVEL OF SERVICE.

UM, WE'VE, WE'VE ALREADY FIGURED OUT SOME KEY PRIORITIZATIONS, KIND OF LOOKING AT WHAT ARE THINGS THAT PUBLIC HEALTH DOES THAT OTHER PEOPLE KIND OF DO AND THAT WE CAN RELY ON COMMUNITY PARTNERS TO KIND OF PICK UP IN THOSE SPACES.

AND THEN WHAT ARE THE THINGS THAT WE HAVE TO DO FROM A PUBLIC HEALTH PERSPECTIVE? AND JUST LIKE OFF TOP THAT WOULD BE DISEASE SURVEILLANCE, UM, AND ALL OF THE PUBLIC HEALTH EMERGENCY PREPAREDNESS.

THOSE WOULD BE THE TOP TWO THINGS.

LIKE TO HAVE SOME SEMBLANCE OF A HEALTH DEPARTMENT THAT MUST CONTINUE.

UM, BUT THAT WAS JUST LIKE A REALLY QUICK, OH SNAP, THIS JUST HAPPENED.

WHAT DOES THIS LOOK LIKE? BUT AS WE CONTINUE THAT ANALYSIS, WE'LL BE ABLE TO PROVIDE INFORMATION NOT ONLY TO THIS BODY, BUT UM, TO COUNSEL AND COMMISSIONER'S COURT AS REQUESTED.

BASICALLY DOING THE SAME TYPE OF WORK LOOKING AT WHAT WOULD HAPPEN IF, UH, WE LOST FEDERAL FUNDS AND WHAT WOULD NEED, WE MIGHT NEED TO SUPPLEMENT WITH GENERAL FUNDS.

UM, MAY I, UM, PLEASE CHAIR COUNTY HEALTH AND HUMAN SERVICES? I WISH I HAD THE LEVEL OF DETAIL THAT, UH, THE DIRECTOR OF AUSTIN PUBLIC HEALTH HAS, BUT WE'RE

[00:10:01]

AND SO THAT'S AN ONGOING WORK.

AND OUR IGR OFFICE IS ALSO WORKING AND, YOU KNOW, WITH, UH, THE COUNTY HAVING AN INTERLOCAL AGREEMENT WITH THE CITY OF AUSTIN IS ALSO THINKING ABOUT HOW WE CAN PARTNER TO ENSURE THAT THE NECESSARY SERVICES CONTINUE.

ANY OTHER QUESTIONS FROM THE COMMISSIONERS? I KNOW THAT THIS ISN'T SOMETHING THAT WE COULD PROBABLY ADDRESS IMMEDIATELY OR SUDDENLY SUPPORT, HOWEVER, UM, DOING OUR DUE DILIGENCE IS DEFINITELY SOMETHING I WANTED TO BRING UP TO EVERYONE IN THIS SPACE.

UM, WE'LL KEEP IT, WE'LL KEEP IT MOVING.

UH, JUST WANTED TO, TO HEAR HOW THINGS WERE GOING AND SEE IF WE CAN AGAIN, SUPPORT IN ANY WAY, UH, FROM BOTH THE CITY COUNTY ASPECTS OF THINGS.

UM, PLEASE, YEAH.

MAYBE, UM, AS WE KNOW MORE IN THE COMING WEEKS, I MEAN, WE WON'T MEET AGAIN OBVIOUSLY FOR ANOTHER MONTH, BUT IF YOU HAVE MORE INFORMATION AND COULD SHARE IT, WE'D BE OBVIOUSLY, UM, INTERESTED IN THAT.

YOU'LL HAVE THINGS MAYBE THAT WOULD BE PUBLISHED IN THE, IN THE PRESS, SO MAYBE WE COULD GET IT THAT WAY.

BUT AS YOU KNOW, MORE, WE'D LOVE TO HAVE THAT COMMUNICATED TO US IN REAL TIME OR AS MUCH AS OTHERS WOULD HAVE ACCESS TO IT, YOU KNOW, AS APPROPRIATE.

FACILITIES THAT THEY, UM, PERCEIVE AS BEING GOVERNMENT ENTITIES TO RECEIVE SERVICES.

UM, I DO HAVE TO ACKNOWLEDGE THAT IT IS A COMPLEX AND, UH, SITUATION, UM, WITH LAYERS.

AND I KNOW THAT, UM, AS MY ROLE AS A DIRECTOR, I HAVE TO THINK ABOUT THE CITYWIDE IMPACTS, UM, AND THE IMPACTS CITYWIDE IN TERMS OF FUNDING AND STAFFING IS SMALL.

IT SEEMS TO BE CONCENTRATED A LOT IN A FEW KEY AREAS.

AND SO I WOULDN'T WANNA GET AHEAD OF THE MANAGER AND WHAT HIS PLANS ARE, BUT AS, AS I'M ABLE, I WILL SHARE THAT INFORMATION WITH THIS BODY.

I WOULD DEFINITELY SAY AS A FUTURE AGENDA ITEM UNTIL WE KNOW MORE, UH, AND EVERYTHING UNFOLDS.

WHICH ALSO LEADS TO, UM, ANOTHER EMERGING TOPIC, WHICH I'M SO GLAD WE HAVE EVERYBODY HERE FOR THIS,

[4. Discussion of current intervention efforts against emerging illnesses (i.e. COVID, Flu, RSV, Norovirus and Measles). ]

UH, DISCUSSION.

ITEM NUMBER FOUR IS DISCUSSING CURRENT INTERVENTION EFFORTS AGAINST EMERGING ILLNESSES SUCH AS THE COVID FLU, UH, RSV, NEUROVIRUS AND MEASLES.

THERE HAS BEEN, I WAS READING AN ARTICLE, THERE'S BEEN AN INFLUX IN CASES AND INCIDENCE RATES HERE IN AUSTIN, TRAVIS COUNTY.

UM, UNDERSTANDING THAT WE ARE NEARING TOWARDS THE END ISH OF THE FLU SEASON, BUT IF THERE IS A RISE TOWARDS THE END OF FLU SEASON, HOW ARE WE, HOW ARE WE DOING, ESPECIALLY THINKING ABOUT FROM VACCINE DISTRIBUTION THAT I KNOW SHOTS WERE TOTS AND, AND THE CITY ALSO MANAGES.

UM, IS THERE GONNA BE, OR ARE WE IN ANY WAY CAN WE SUPPORT AS A COMMISSION? UM, CONCERNS THAT ARE NOW TRICKLING DOWN FROM, OF COURSE, FEDERAL FUNDING ACCESS TO PREVENTATIVE CARE AND SUPPORTIVE CARE FOR ANY EMERGING ILLNESSES THAT ARE COMING UP.

I'M NOT SURE IF ANYBODY ELSE ON THE COMMISSION SAW OR IN THE SPACE SAW THE ARTICLE AROUND THIS, UM, OR THE INCREASE IN INCIDENCE RATES, BUT IT IS SOMETHING THAT IS VERY RELEVANT TO THIS TIME.

UM, AND EVEN MORE OF A, A CONCERN IF WE CAN'T GET PEOPLE THE THINGS THAT THEY NEED, OPENING IT UP TO THE SPACE.

WE ARE ACTUALLY, UM, STILL SEEING A LAR HIGH NUMBER, HIGH INCIDENCE OF FLU RIGHT NOW.

UM, OUR VACCINE UPTAKE ACROSS THE BOARD IS NOT, UM, WHAT IT HISTORICALLY HAS BEEN IN YEARS PAST.

AND, UM, WE'VE BEEN MEETING WITH PARTNERS TO COLLABORATE ON WAYS TO IMPROVE VACCINE COVERAGE.

UM, WE'VE MET WITH CENTRAL HEALTH, UM, AND, UM, A ISD IN PARTICULAR TO TALK ABOUT WAYS THAT WE CAN ADDRESS THIS.

WE'VE, UM, HAD A PRESENTATION HERE A FEW MONTHS AGO, UM, FROM AN ADVOCACY GROUP.

UM, THERE ARE A LOT OF, UM, A LOT OF WORK HAS BEEN PUT INTO THIS THAT STARTED, UM, LAST YEAR AT THE END OF THE SCHOOL YEAR, WE STILL HAVE, UM, UPTAKE ISSUES.

AND WITH THEIR RECENT CHANGES IN, UM, POLICY, UM, WE ARE STARTING TO SEE AN IMPACT ON THE WILLINGNESS FOR PEOPLE TO PRESENT TO, UM,

[00:15:02]

AND SO WE'RE, UM, LOOKING AT WAYS TO HELP, UM, PROVIDE ACCESS TO THOSE WHO MAY BE, UM, RELUCTANT TO DO SO.

YOU HAD SAID THAT, UM, SEEMED LIKE THE VACCINE DISTRIBUTION THIS YEAR WAS LESS THAN IT HAS BEEN.

LET ME JUST GIVE, UM, DR.

WALKS A MINUTE.

UH, YOU HAD SAID THAT YOU, YOUR SENSE WAS THAT WE HAD LESS VACCINE DISTRIBUTION THIS YEAR THAN PRIOR YEARS.

ANY SENSE OF, OF THE REASON? UM, I MEAN, UH, YOU KNOW, IS THERE MORE VACCINE RETICENCE OR SOMETHING? OR IS IT JUST, UM, SOMETHING ELSE THAT WOULD BE OUT THERE? AND I'M TALKING JUST GENERALLY, OR I'M NOT SURE IF YOU'RE TALKING ABOUT ONE OR THE OTHER KINDS OF VACCINES.

THERE'S BEEN, UM, A LOT OF, UM, DISCUSSION ABOUT THE NECESSITY AND THE VALIDITY AND THE SAFETY OF VACCINATIONS THAT WE HAVE BEEN, UM, AT ALL LEVELS.

AND ALL OF OUR PARTNERS HAVE BEEN WORKING HARD TO INCREASE VACCINE CONFIDENCE AND TRUST.

AND THAT DRIVES SOME OF THIS.

SO A LOT OF THIS, SO, UM, I KNOW WHEN WE HAD THE ISSUE WITH A ISD AND WE TALKED ABOUT ADDRESSING THAT LATER, BEFORE SUMMERTIME BECAUSE WE WANTED TO THINK ABOUT TIMING.

I THINK WE'RE IN THIS WEIRD SPACE NOW BECAUSE WE'RE WAITING FOR POLICY AT THE TOP TO KIND OF INFORM THE SPACE IN WHICH WE CAN WORK IN.

BUT AT THE SAME TIME, I THINK ESPECIALLY LIKE WITH THE FIRST ITEM IS THE FUNDING TO DO SOMETHING AFTER THAT FACT MIGHT NOT BE THERE AND THE INFRASTRUCTURE MIGHT NOT BE THERE.

SO I THINK IN TERMS OF LIKE TAKING ACTION WHEN IT COMES TO MOBILIZING VACCINATION PROGRAMS AND INTERVENTIONS, AND THIS IS MORE OF A QUESTION THAN ANYTHING IS LIKE WHAT WOULD BE THE IDEAL TIME WHEN YOU HAVE ALL THESE DIFFERENT ISSUES THAT ARE LIKE INTERSECTING? 'CAUSE IT'S KIND OF, IT'S MESSY IS THE BEST WAY I CAN DESCRIBE IT.

SO I DON'T KNOW IF THERE IS ANTICIPATION OF THOSE THINGS INTERSECTING OR MAYBE IF ANYONE HAS IDEAS OF WHAT MIGHT BE EFFECTIVE WITH EVERYTHING GOING ON, PUTTING IT OUT THERE.

UH, UH, IF I MAY, UM, AND I FORGOT TO INTRODUCE MYSELF LAST TIME, SORRY.

ADRIAN STIR, UH, DIRECTOR AUSTIN PUBLIC HEALTH.

I THINK WE HAVE, UM, WE STILL HAVE SOME MUSCLE MEMORY FROM THE COVID-19, UH, RESPONSE.

AND SO THIS IS A DIFFERENT TYPE OF RESPONSE AND DR.

WALKS MENTIONED THE PARTNERSHIPS THAT ALL OF THE AGENCIES HAVE.

AND I THINK, UM, IT WILL BEHOOVE US.

WE'VE STARTED MEETING IN SMALL GROUPS ABOUT CERTAIN THINGS, BUT AS THIS PROGRESSIVES TO, UH, CALL THOSE GROUPS BACK TOGETHER TO TALK ABOUT THE LANDSCAPE OF AUSTIN AND TRAVIS COUNTY AND HOW WE DIVIDE AND CONQUER, UM, FROM AN A PH PERSPECTIVE, WE'RE GONNA CONTINUE TO PUT OUT WHAT WE KNOW IS GOOD INFORMATION ABOUT THE EFFICACY OF VACCINES AND THE DATA THAT WE HAVE THAT SUPPORTS THAT.

UM, WE STILL HAVE ACCESS TO OUR LOCAL DATA, UM, THAT WE CAN SHARE AND SUPPORT THAT MESSAGING.

UM, AS DR.

WALK SAYS, SHE'S WORKING WITH OUR PARTNERS SO THAT WE CAN CONTINUE TO SPREAD THE GOOD NEWS OF VACCINATION.

SO IT'S ALL ABOUT ALLOWING OR GIVING PEOPLE TOOLS TO MAKE INFORMED CHOICES.

UM, AND THAT WOULD BE A GOOD AVENUE FOR THIS COMMISSION WITHIN YOUR OWN SPHERES OF INFLUENCE TO CONTINUE TO TALK ABOUT THE IMPORTANCE OF VACCINATIONS AND, YOU KNOW, RESPECTING PERSONAL CHOICE.

BUT, YOU KNOW, GIVING PEOPLE GOOD OPTIONS IS, IS WHERE WE'RE GOING TO LIVE FOR A WHILE.

UM, EXCUSE ME.

AND THEN, LIKE I SAID, THAT MUSCLE MEMORY FROM COVID REALLY DIGGING DOWN EACH OF THE ORGANIZATIONS, OKAY, WHAT CAN WE DO? LIKE WHAT PIECE CAN WE KEEP AND MAINTAIN? UM, AND SO THAT WE CAN HAVE A STRATEGY ON HOW WE WE MOVE FORWARD.

UM, BECAUSE REGARDLESS OF WHAT, FROM WHAT I'VE SEEN, THERE ISN'T ANYTHING OUTLAWING VACCINATION THAT JUST RESTRICTS, UM, FUNDING.

AND SO IT'LL BE INCUMBENT UPON US TO IDENTIFY UNRESTRICTED FUNDS IN OUR BUDGET TO BE ABLE TO JUST PROVIDE DATA AND INFORMATION AND RESOURCES.

THAT'S IT.

NOT AN OPINION ONE WAY OR ANOTHER, BUT PEOPLE CAN READ AND DECIDE FOR THEMSELVES.

AND I THINK THAT'S THE STRATEGY THAT WE NEED TO EMPLOY

[00:20:01]

AS WE'RE MOVING FORWARD IN AS MANY VOICES AS POSSIBLE THAT CAN SPREAD.

THAT GOOD NEWS WILL BE IMPORTANT.

UM, GOVERNMENT TRUST HAS ALWAYS BEEN TRICKY AND IN THIS TIME, I'M SURE EVEN MORE SO.

SO TO HAVE NON-GOVERNMENTAL ORGANIZATIONS IN THE SPACE TALKING ABOUT THIS ISSUE WILL HELP THAT.

CAUSE I DUNNO.

AND I GUESS, UH, AS WE APPROACH BUDGET SEASON, IS THERE VALUE IN THE COMMISSION BRINGING A RECOMMENDATION AROUND, UM, A BUDGET FOR VACCINES AND FUNDING FOR VACCINES AS PART OF OUR RECOMMENDATIONS? I DO THINK THERE IS VALUE IN THAT .

WE THOUGHT WE'VE HAD THAT DISCUSSION AS WELL.

AND WE, WE, THROUGH THE INTERLOCAL AGAIN, WE, WE PURCHASED AND RE REIMBURSE THE CITY FOR THEIR PURCHASES OF, OF VACCINES.

BUT IF YOU THINK ABOUT MAYBE PEOPLE LOSING ACCESS TO CARE, THIS MAY BE THEN THE ONLY OPTION THEY HAVE.

UH, QUICK FOLLOW UP QUESTION, DIRECTOR STIRRUP, UH, REGARDING COMMUNICATION, JUST SO THAT AS THE COMMISSION WE ARE UNITED AND HOW WE TALK ABOUT THESE THINGS, DO YOU HAVE OR ARE THERE ANY, UM, ASSETS THAT WE CAN USE TO COMMUNICATE THIS APPROPRIATELY, UH, THROUGH OUR OWN CHANNELS, THROUGH OUR OWN PLATFORMS THAT WOULD BE APPROPRIATE IN THE, THE RIGHT TYPE OF LANGUAGE THAT WE'RE USING SO THAT WE KNOW HOW TO, TO, TO SAY THAT APPROPRIATE? I'M GONNA SAY APPROPRIATE SO MANY TIMES 'CAUSE WE ALL WANNA BE APPROPRIATE .

UM, ARE YOU ASKING ME IF WE HAVE COLLATERAL THAT WE COULD SHARE? YES.

LIKE ANYTHING THAT YOU, YOU COULD SEND US THAT WOULD MAKE IT EASIER IF WE ARE POSTING OR SPEAKING ON THESE THINGS THAT WE KNOW HERE ARE OUR FOUR, OUR FOUR BULLET, OUR FIVE BULLET POINTS, OUR WHATEVER BULLET POINTS, UM, TO SAY THIS IS THE RIGHT WAY TO SAY IT, THIS IS THE PEOPLE WE SHOULD BE, UM, COMMUNICATING IT WITH AND THAT WE ARE NOT GOING BEYOND OUR SCOPE AS THE COMMISSION AS WELL.

AND THEN PUTTING WORDS IN CITY, COUNTY, CENTRAL HEALTH'S.

OF COURSE WE CAN DEFINITELY SHARE THOSE THINGS.

HOPEFULLY ALL OF YOU ARE FOLLOWING US ON, UH, FACEBOOK.

SO AT ANY TIME YOU CAN REPOST OR RETWEET OR RE UH, RETWEET AN XI DON'T EVEN KNOW WHAT IT IS ANYMORE BECAUSE I, I DON'T HAVE THE PLATFORM.

SO WHATEVER YOUR SOCIAL MEDIA PLATFORMS ARE, PLEASE REPOST ANY OF OUR INFORMATION.

BUT WE CAN ALSO SEND YOU SOME OF THE, THE STUFF THAT OUR EDUCATORS USE.

AND THEN A FOLLOW UP QUESTION FOR VICE OR OFF OF WHAT VICE CHAIRMAN CHAO, JUST, JUST MENTION FOR BUDGET THINKING.

I KNOW THIS IS ALL HAPPENING LIKE IN MOMENTS AS THIS AS EVERYTHING UNFOLDS, BUT IF WE ARE GONNA DO A BUDGET RECOMMENDATION, WHICH I THINK STARTS NEXT MONTH, UM, IS THERE, ARE THERE ALREADY RE UM, NUMBERS THAT WE CAN USE TO SUPPORT PUTTING TOGETHER A RECOMMENDATION? 'CAUSE I THINK WE WOULD NEED TO PUT THAT TOGETHER PRETTY QUICKLY, OR AT LEAST NOT TO PUT YOU ON THE SPOT.

YOU DON'T HAVE TO HAVE AN ANSWER RIGHT NOW.

ERASE THAT FROM THE NOTES .

UM, I'M, I'M HESITANT BECAUSE THE MANAGER IS CHANGING THE BUDGET PROCESS THIS YEAR A LITTLE BIT AND HOW YOU'RE ENGAGING, HOW COMMISSIONS ARE BEING ENGAGED.

UM, AND THERE ARE CLEAR DIRECTIVES FOR STAFF.

BUT I DO THINK THAT THIS SITUATION MIGHT WARRANT, UM, SOME FLEXIBILITY IN THAT APPROACH.

IF I'M, IF I'M BEING HONEST, I'VE PREPARED THE STAFF TO COME TO TERMS WITH THE REALITY THAT PUBLIC HEALTH WILL LOOK DRAMATICALLY DIFFERENT BECAUSE AS A CITY, WE HAVE SEVERAL ITEMS THAT ARE ATTACHED TO FEDERAL FUNDING AND THERE HAS TO BE SOME BALANCE.

UM, AND SO MY SUGGESTION FOR THE COMMISSION WOULD BE THAT YOUR RECOMMENDATIONS FOLLOW THE SAME APPROACH THAT WE'RE TAKING.

WHAT ARE THE PRIORITIES THAT YOU SEE NOW? I KNOW WE'VE IDENTIFIED SOME FROM A PUBLIC HEALTH PERSPECTIVE, BUT FROM THAT COMMUNITY ENGAGEMENT PART, WHAT ARE SOME OF THE PRIORITY PROGRAMS THAT, UM, YOU'RE, YOU'RE HEARING IN YOUR CIRCLES THAT THE CITY SHOULD CONSIDER? AND THAT WOULD BE WHAT YOUR RECOMMENDATION COULD BE BASED UPON? IN MY DAY JOB, I'M THE IMMUNIZATIONS MANAGER.

UM, SO I LOVE WHERE Y'ALL ARE COMING FROM.

UM, AND I, I WOULD DEFINITELY LOVE MORE MONEY FOR VACCINES.

ABSOLUTELY.

UM, HOWEVER, THINKING A BIT MORE GLOBALLY, I THINK IT WOULD BE GREAT IF WE HAD A BETTER UNDERSTANDING OF WHAT THE PUBLIC HEALTH NEEDS ARE FROM A DEPARTMENT STANDPOINT

[00:25:01]

SO THAT WE COULD ADVOCATE FOR THAT AS OPPOSED TO JUST A SIMPLE BANDAID, I WANT VACCINES.

BUT I UNDERSTAND THAT THAT'S MAYBE NOT THE BEST PLACE WHERE WE SHOULD PUT OUR SUPPORT OR OUR, OUR ADVOCACY.

SO I WOULD JUST NOTE THAT AS WELL.

I AND I'LL JUST SPEAK A LITTLE BIT TO OUR PROCESS.

UM, WE ARE PROBABLY GOING TO KICK OFF OUR BUDGET PROCESS.

I THINK WE START A LITTLE BIT LATER THAN THE CITY, UM, AND MAYBE THE COUNTY.

BUT I THINK WE'RE, WE WILL BE STARTING IN APRIL, CENTRAL HEALTH, WE'LL BE STARTING IN APRIL, UM, WITH SOME UPDATES ON, UM, FISCAL YEAR 25 ON WHERE WE'RE AT WITH INITIATIVES IN THE CURRENT BUDGET.

AND THEN WE'LL BEGIN TO, AT THAT POINT, WE WILL, WE BEGIN TO ASSESS, UM, YOU KNOW, WHAT ARE THE DRIVERS FOR NEXT YEAR'S BUDGET.

UM, AND SO WE'RE HAPPY TO SHARE THAT.

I, I WOULD ENCOURAGE COMMISSION MEMBERS TO PARTICIPATE IN, UH, BUDGET COMMUNITY CONVERSATIONS THAT WE HAVE WHERE WE, UM, SHARE WITH THE COMMUNITY, UM, EMERGING PRIORITIES OR, YOU KNOW, WHAT WE'RE WORKING ON.

UM, WE BEGIN TO TALK ABOUT WHAT WE'RE LOOKING AT FOR NEXT YEAR'S BUDGET, BUT ALSO LISTEN TO COMMUNITY INTERESTS AND INPUT.

AND I'M HAPPY TO, TO SHARE THOSE DATES WHEN, WHEN WE, UH, SCHEDULE THEM.

AND UNDERSTAND WHAT'S HAPPENING AND GIVE US TIME TO WORK ON WHAT WE NEED TO WORK ON, UM, SO THAT WE CAN FOCUS ON THAT AND, AND DO WHAT WE NEED TO FOR THE, FOR THE WORK THAT WE HAVE TO DO.

UM, OKAY.

ANY OTHER GENERAL COMMENT? YEAH, GO AHEAD.

JUST KIND OF GOING BACK TO YOUR INITIAL SETUP OF, YOU KNOW, IF THERE WERE AN OUTBREAK OR WHATEVER, JUST FOR AWARENESS.

UM, WHEN IT COMES TO COVID AND FLU DOSES, WE DO HAVE A SEPARATE AVENUE A PH DOES, UH, TO GET DOSES, UM, IF THEY'RE AVAILABLE.

AND GENERALLY THEY ARE.

SO IF THERE'S A BIG FLU OR COVID ISSUE, YOU KNOW, WE POTENTIALLY COULD GRAB, GET A LOT MORE VACCINES QUICKLY.

UM, BUT IN TERMS OF LIKE A MEASLES OUTBREAK OR SOMETHING LIKE THAT, OSTENSIBLY THE STATE WOULD PROVIDE THOSE DOSES TO THE LOCALS FOR US, THEN DISTRIBUTE AND ADMINISTER TO PEOPLE.

SO THAT'S KIND OF HOW THE EMERGENCY ASPECT OF IT IS SUPPOSED TO WORK.

UM, GRANTED THINGS COULD CHANGE, RIGHT? UH, BUT THAT'S KIND OF HOW OUTBREAKS ARE USUALLY DEALT WITH THAT AT, AT OUR LEVEL.

UM, YEAH, THAT'S ALL I HAD.

I'M JUST CURIOUS.

I MEAN, THINK, AGAIN, I, I KNOW FROM THE PREVENTATIVE SIDE OF THE WORLD, UM, NOT SURE WHAT WE CAN DO IN, IN THE TIMES, ESPECIALLY WITH FUNDING, BUT AGAIN, JUST THINKING ABOUT THE RESPONSE THAT WE HAD WITH COVID AND, UH, IT WAS RAPIDLY CHANGING ALL THE TIME, RIGHT? SO, SO THINKING OF IT FROM, IF WE ARE SEEING THIS INFLUX OF, OF INCIDENT RATES AND WE'RE NOW, WE HAVE SOME COMMUNICATION STRATEGIES THAT ARE ALREADY IN PLACE TO HELP WITH THAT EDUCATION, BUT THEN ALSO WE'RE LOOKING AT ACCESS, UH, AND SO JUST DIFFERENT WAYS THAT THE COMMISSION COULD SUPPORT THE EVER CHANGING PROCESSES THAT ARE, THAT ARE GOING ON, BUT THEN ALSO UNDERSTAND THAT WE ARE SEEING AN UPTICK IN THESE, UM, THESE DISEASES.

SO CAN WE GET MORE INFORMATION OUT THERE? CAN WE, IF WE SEE, I DON'T KNOW IF THERE'S ANY REPORTS THAT WE COULD EVEN LOOK AT TO SEE OF, IS IT IN SPECIFIC AREAS? IS IT IN SPECIFIC AGE RANGES? THE REPORT I READ WAS JUST INCREASED INCIDENT RATE.

INCIDENT RATE.

SO IF IT'S KIDDOS AND WE ALREADY KNOW THAT ARE JUST HYPOTHETICAL, THAT ARE OUR A ISD STUDENTS THAT ARE ALREADY OUT OF SCHOOL BECAUSE THEY CANNOT GET THESE VACCINES ARE NOW MORE SUSCEPTIBLE, RIGHT? SO NOW ARE WE GONNA BE WORRIED ABOUT OUR, OUR LITTLE ONES IN THE COMMUNITY HAVING MULTIPLE IMPACTS OF PROBLEMS HAPPENING WITH THEM? UM, AND HOW CAN WE, CAN WE START TO THINK ABOUT THAT AHEAD OF TIME? CAN WE PLAN FOR IT MAYBE? UM, AND I DON'T KNOW IF, IF YOU ALL HAVE AC I KNOW THIS ISN'T THE CURRENT TOPIC OF CONCERN, BUT IF THERE ARE OTHER DATA SETS THAT WE CAN LOOK AT AS A COMMISSION TO SEE WHAT'S GOING ON, MAYBE IF WE CAN SUPPORT, AND AGAIN, THE COMMUNICATION OR THE CONVERSATION AND GETTING PEOPLE EDUCATED, THAT WAS MY, MY GOAL WITH THIS TOPIC.

I, I THINK I REALLY APPRECIATE THE QUESTIONS.

UM, AND I WOULD ASK IF YOU WOULD GIVE SOME TIME FOR US TO DIGEST

[00:30:01]

AND THEN, UM, THAT WOULD BE OKAY FOR US TO DO THAT.

AND AGAIN, THIS WAS MOSTLY OF A, WE KNOW IT'S HAPPENING.

HOW CAN WE BEGIN TO HAVE THAT CONVERSATION? MM-HMM .

FOR SURE.

UM, ANY OTHER QUESTIONS? I'M ALWAYS STUCK ON THE IDEA THAT THERE MUST BE SOME RESOURCE WE COULD USE.

I, I WOULD LOVE TO IMAGINE THAT THIS IS NOT, YOU KNOW, UM, HOW DO I SAY THIS? THAT THERE'S AN OPPORTUNITY TO MODEL IF YOU SAID, LET'S MODEL THE IMPACT OF, YOU KNOW, 1%, 2%, 3% FEWER VACCINATIONS FOR, FOR, YOU KNOW, INFLUENZA OR WHATEVER IT WOULD BE.

AND, UM, TELL US HOW THAT IMPACTS SCHOOL ABSENTEEISM, YOU KNOW, MORTALITY OTHER THINGS, AND SORT OF HAVE SOME KIND OF BASIS FOR COMMUNICATION THAT'S MORE THAN JUST, YOU KNOW, THE IMPORTANCE OF VACCINES AND, AND THE LITERATURE THAT'S SORT OF GENERALLY SAID THAT'S GOOD TO BE VACCINATED, BUT SOMETHING THAT'S MORE SPECIFIC TO AUSTIN.

I DON'T KNOW.

I'M JUST TRYING TO WONDER IF THERE'S NOT A PARTNER OUT THERE OR SOMEBODY THAT'S IN THE, UH, YOU KNOW, THAT WORKS FOR THE CITY OR THE COUNTY WHO'S IN THE BUSINESS OF MODELING DIFFERENT THINGS OR SOMEPLACE SOMEBODY AT THE UNIVERSITY OF TEXAS THAT KNOWS HOW TO MODEL, YOU KNOW, COMMUNITY IMPACT THINGS.

UM, SO YOU'D HAVE A, A RATIONAL BASIS FOR PROJECTING AN IMPACT AND THEY LET PEOPLE UNDERSTAND MORE DEEPLY WHAT THE IMPACT IS OF, OF, UM, ONE COMMUNICATION OR ANOTHER.

ANYWAY.

SO WE KNOW FROM THE CDC PROJECTIONS THAT, UM, WHEN A SCHOOL, UM, LEVEL OF VACCINE COVERAGE REDUCE IS REDUCED BELOW 90%, THAT THERE'S A 51% INCREASED RISK OF AN OUTBREAK IN THAT SCHOOL.

AND, UM, WE HERE HAVE, OUR VACCINE COVERAGE IS BELOW THAT IN, UM, SEVERAL AREAS.

SO, UM, THAT THAT IS WHY WE'RE, WE'VE BEEN CONCERNED FOR THIS ENTIRE YEAR WHEN WE KNOW THAT THERE ARE INCREASED NUMBERS OF CASES ACROSS THE COUNTRY.

WOULD LOVE IT IF YOU COULD SHARE THAT AND OTHER KINDS OF RELATED LITERATURE WITH THE COMMISSION, JUST SO WE CAN HAVE THAT AS SOME READING IF WE HAVE THAT KIND OF, UM, AVAILABILITY.

AS A COMMISSION FOR FOR ITEM SEVEN.

I WOULD LOVE TO ACTUALLY KICK THIS BACK TO US, HONESTLY.

UM, I THINK THAT KNOWING, UH, WHAT DR.

WS JUST MENTIONED, OF THE 51%, UH, LIKELIHOOD OF AN OUTBREAK, UM, IF WE AS A COMMISSION, UM, AND I KNOW THE, THE RESTRUCTURING OF WORKING GROUPS IS A LATER DISCUSSION ITEM, BUT IF WE AS A COMMISSION CAN DO OUR OWN RESEARCH INTO OTHER AREAS OR OTHER INSTITUTIONS THAT ALSO, THIS IS FROM THE CDC, IT'S NOT FROM JUST TEXAS, RIGHT? WE'RE LOOKING AT THIS IS THE, THIS IS, THIS IS THE FACT.

IF YOU GO BELOW 90%, THERE'S A 51% CHANCE THAT THIS IS GONNA HAPPEN.

UM, I'D BE CURIOUS IF THERE ARE OTHER PUBLIC HEALTH COMMISSIONS THAT HAVE BEEN WORKING ON THIS.

IF THERE ARE OTHER SCHOOL SYSTEMS THAT HAVE BEEN WORKING ON THIS.

UM, I I TRULY BELIEVE OUR, OUR, OUR CITY GOVERNMENT IS, IS TAXED RIGHT NOW, UH, WITH A VARIETY PACK OF THINGS.

AND SO IF WE COULD TAKE OUR OWN TIME AND LOOK TO SEE WHAT IS, WHAT IS BEST PRACTICE AND THEN COME BACK WITH CONVERSATIONS, I THINK THAT COULD ROLL INTO A PHENOMENAL RECOMMENDATION FOR OUR SCHOOL SYSTEMS. I DON'T KNOW THAT WE CAN NECESSARILY DO THAT PER SE, BUT WE CAN ALWAYS CAPTURE THAT CONTENT, CAPTURE THAT DATA, CAPTURE THAT INFORMATION AND SAY, HEY, WE SAW THAT HOUSTON, I DON'T KNOW, THEY HAD THIS HAPPEN AND THEY'VE PUT IN A PLAN AND THIS IS THEIR PLAN AND IT'S BEEN SUCCESSFUL AND PEOPLE HAVE ADOPTED IT AND THEY LOVE IT.

UM, OR IF WE GO OUTSIDE OF TEXAS AND LOOK TO SEE WHAT LA COUNTY DOES WHEN THESE THINGS HAPPEN, UM, I THINK THIS IS SOMETHING THAT WE CAN EDUCATE OURSELVES ON AND THEN TAKE THAT INFORMATION, PULL IT TOGETHER WITHIN OUR, OUR OWN COMMISSION AND BEGIN TO HAVE A DIFFERENT TYPE OF CONVERSATION AROUND PROACTIVE RECOMMENDATIONS, UH, OR POLICY CHANGE OR, AND EVEN LOOKING AT TWO, LIKE DO WE HAVE ANY POLICIES AROUND THAT THAT ARE NEED UPDATED? UM, I'LL, I'LL PUT THAT IN, IN, IN IN YOUR EAR FOR NOW

[00:35:01]

BUT I DO THINK WE COULD DEFINITELY ACTIVATE OURSELVES IN THAT CONVERSATION FOR SURE.

UM, ANYTHING ONLINE.

TO DISCUSSION ITEM FIVE, DISCUSSION, DISCUSSION OF PRIORITY AREAS FOR, UH, FROM THE HEAT RESILIENCE PLAYBOOK.

UM, OKAY, SO MOVING

[5. Discussion of priority areas from the Heat Resilience Playbook. ]

UH, AS YOU ALL REMEMBER, UH, MARK CORDO CORDO CAME AND GAVE US A LOVELY PRESENTATION LAST MONTH AROUND SOME OF THE, UM, PROCESSES THAT THEY HAVE IN PLACE.

UM, AND SOME OF THE CONCERNS THAT THEY ALSO HAVE AROUND HEAT RESILIENCE AND SEEING AS HOW WE ARE ALREADY IN THE EIGHTIES IN FEBRUARY.

UM, HOPING THAT CHANGES, BUT, BUT IF WE COULD START TO THINK AS A COMMISSION AS WELL OF WHAT WE CAN EITHER PUT TOGETHER AS A RECOMMENDATION, WE CAN START PLANNING, WE CAN START, UM, REACHING OUT AND HAVING ADDITIONAL CONVERSATIONS WITH NOT JUST A PH, BUT THE UTS THE AUSTIN ENERGIES.

UM, I, I THOUGHT IT WAS, THERE WAS A LOT, THERE WAS A CONCERN WITHIN THERE, UH, ESPECIALLY FOR OUR INDIVIDUALS WHO HAVE SPECIFIC COMORBIDITIES THAT ARE, UM, INFLUENCED BY HEAT.

UM, SO I WANTED TO OPEN THAT UP OF WAYS OR IDEAS THAT YOU ALL MIGHT HAVE ON HOW WE CAN NOT ONLY SUPPORT, UM, PREPAREDNESS OPPORTUNITIES, UM, BUT ALSO HOW WE MIGHT LEARN TO, TO NAVIGATE EMERGENCY, UH, CONCERNS THAT COME UP, UM, ON TOP OF THE OTHER EMERGENCY CONCERNS THAT WE ARE ALREADY NAVIGATING.

BLESS IT.

UM, YEAH, SO I'LL OPEN THAT UP TO, TO THE COMMISSION OF ANYTHING THAT CAME FROM THAT PRESENTATION THAT WE CAN START TO PRIORITIZE OURSELVES.

UM, SO AFTER THAT PRESENTATION, I WAS THINKING ABOUT WHAT'S SOME LOW HANGING FRUIT POLICIES? GENERALLY CHEAP BECAUSE CHEAP IS USUALLY GONNA GET YOU MORE PLACES THAN NOT.

AND UM, I HAD ASKED A QUESTION ABOUT ARE THERE ANY SORT OF REGULATIONS AROUND PEOPLE WHO WORK OUTDOORS? UM, AND HE SAID, YES, CERTAIN EMPLOYERS HAVE RULES AND REGULATIONS AND IN MY MIND I WAS LIKE, LOW HANGING FRUIT, MAYBE WE COULD PUT SOMETHING IN LIKE REQUIRED BREAKS.

AND THERE ARE , THERE'S STATE LAWS THAT STOP US FROM BEING ABLE TO DO SO.

SO IT'S TRICKY BECAUSE EVERY TIME I SEE LOW HANGING FRUIT AND I WANT TO DO SOMETHING WITH IT, IT SEEMS THAT LIKE THERE'S ALWAYS SOMETHING STATE THAT'S GOING TO OVERSHADOW THAT.

AND SO I DON'T KNOW IF ANYONE ELSE IDENTIFIED SOMETHING FROM THAT SPECIFIC WHERE THEY'RE LIKE, THERE'S A POLICY.

'CAUSE YOU ALWAYS WANNA THINK POLICY SYSTEMS, ENVIRONMENTAL, 'CAUSE THOSE ARE THE THINGS THAT ARE GONNA BE LONG LASTING IMPACTS IN YOUR COMMUNITY.

SO IT'S TRICKY BECAUSE THERE ARE SO MANY THINGS IN THAT PLAYBOOK WHERE I WAS LIKE, THIS IS SUPER GREAT.

AND THEN I WAS LIKE, WHAT ARE POLICIES AROUND THIS THAT WE CAN CHANGE? AND YEAH, I WANNA GO FOR THE LOW HANGING FRUIT.

I WANT TO BE ABLE TO DO EVEN THE SMALL THINGS, BUT AGAIN, WITHIN THE STATE IT'S MORE DIFFICULT.

SO I DON'T KNOW IF ANYONE ELSE WAS ABLE TO IDENTIFY SOMETHING THAT WAS LOW HANGING FRUIT, BECAUSE I FEEL LIKE THERE WAS A LOT IN THERE AND THERE'S A LOT OF GOOD STUFF, BUT I THINK POLICY WISE IS SUPER DIFFICULT.

UH, AND WITHOUT HAVING TO DO TOO MUCH BUDGET, I'M NOT, I , THIS IS SO FUN.

WELL, JUST ON THAT NOTE, I THINK YOU'RE CORRECT, THE CITY DID USED TO HAVE REGULATIONS THAT THEY HAD TO HAVE BREAKS AND THEN THE STATE TOOK THAT AWAY.

BUT I WONDER IF THERE'S A, ANOTHER AVENUE OF MAYBE OFFERING INCENTIVES OF SOME SORT TO EMPLOYERS WHO PROVIDE, YOU KNOW, THOSE BREAKS AND, AND THINGS THAT USED TO BE IN PLACE, UM, AS A POLICY, YOU KNOW, NOT NECESSARILY POLICY, BUT AS A PUBLIC HEALTH ACTION THAT WE COULD TAKE, YOU KNOW, DO THIS AND YOU GET THIS OR WHATEVER.

UM, JUST ANOTHER AVENUE TO THINK ABOUT.

I THINK ONE THAT COMMISSIONER POINDEXTER HAD MENTIONED THAT I THOUGHT WAS REALLY INTERESTING WAS PROVIDING FREE ACCESS TO POOL AND OTHER LOCATIONS.

AND I DID SEE THIS IN THE PLAYBOOK, ALTHOUGH IT DOES COME UNDER, UM, I THINK THE COMMENT IS THAT PARKS AND REC NEEDS MORE FUNDING AND RESOURCES TO BE ABLE TO ENABLE THAT AS WELL AS TO ENABLE TRANSIT, UM, WHEN IT'S REALLY HOT.

SO I WONDER IF WE COULD THINK ABOUT THAT.

THAT SEEMS LIKE LOWER HANGING FRUIT, BUT I DON'T KNOW WHAT BARRIERS MIGHT BE BEHIND THAT AS WELL.

I'M JUST CURIOUS FROM, UM, FROM NAVIGATING AROUND SPECIFIC POLICIES AND GETTING INTO INCENTIVES,

[00:40:02]

UM, YEAH, I, I DON'T, I AM CURIOUS AS WELL OF LIKE, ARE THERE WAYS THAT THINKING OF LIKE PARTNERSHIP AND, AND CORPORATE PARTNERSHIP OPPORTUNITIES, RIGHT? OF ARE THERE WAYS THAT WE COULD POTENTIALLY ACTIVATE OUR CORPORATE ENTITIES, UM, TO SUPPORT THIS? I, I, THAT MIGHT BE A REACH, BUT I'M JUST, I MEAN THERE, THERE'S THE GOVERNING THE POLICIES, THE FUNDING ARE NOT SPECIFICALLY AFFECTING, UH, THOSE, THOSE ENTITIES.

AND IF THERE ARE WAYS THAT WE CAN SEE WHO'S OFFERING SOMETHING THAT'S ALREADY OF THIS, UH, BREAK OPPORTUNITY, BUT THEN NOT HAVING TO, UM, TAP INTO ANY OTHER FUNDING AND STILL OFFER SOME SORT OF INCENTIVE, UH, I'M NOT SURE, I'M KIND OF JUST LIKE SPIT BALLING THIS OUT LOUD, BUT OF, YOU KNOW, WE HAVE MAJOR CORPORATIONS IN OUR CITY.

UM, ARE THERE WAYS THAT WE CAN ACTIVATE THESE CORPORATIONS TO THEN SUPPORT, UM, MAYBE NOT NECESSARILY SPECIFIC FUNDING FOR PARD, BUT YOU KNOW, UM, THOSE THAT ADOPT THESE NEW POLICIES ARE GIVEN SOME SORT OF INCENTIVE OFFER.

I'M NOT SURE HOW TO APPROACH THAT.

UM, YEAH, GO AHEAD.

I WAS JUST GOING TO, MAYBE ONE WAY TO TAKE THAT IS THINK TOGETHER ABOUT HOW WE COULD CREATE A, A, A CONSORTIUM OF PEOPLE THAT ARE INTERESTED ORGANIZATIONS AND THEN THEIR BENEFITS WOULDN'T BE SO MUCH OF SOME FINANCIAL, BUT WOULD BE THEIR OWN MARKETING OR THEIR OWN REASONS TO DO IT FOR THEIR PHILANTHROPIC OR THEIR WHATEVER FOR THEIR BRAND, YOU KNOW, MANAGEMENT KIND OF THING.

AND, YOU KNOW, THAT WOULD BE THE DELLS OF THE WORLD.

I'M JUST MAKING THIS UP.

SORRY, MICHAEL.

AND, AND, UM, 'CAUSE EVERYBODY SAYS THEM FIRST, BUT, YOU KNOW, HEB, FOOD, TRANSPORTATION, ALL THE THINGS THAT WOULD BE OUT THERE.

AND, AND THE CHALLENGE WOULD BE TO PAINT A PICTURE THAT'S TIGHT ENOUGH THAT DESCRIBES EITHER A SERVICE OR AN ACTION THAT THEY WOULD SAY, I CAN SIGN UP FOR THAT.

I WOULD DO THAT.

THAT MAKES PERFECT SENSE.

'CAUSE I SEE WHERE A GOES TO B GOES TO C AND THEN SOMETHING GOOD HAPPENS AND WE CAN ALL TAKE CREDIT FOR THAT AND SHARE THAT SOME GROUP OF CONSORTIUM, YOU KNOW, COMPANIES OR SOMETHING.

IF IT'S TWO TO FU OR, OR, OR MAYBE TOO SINGULAR, THAT MIGHT BE HARDER TO DO.

MAYBE THAT COULD BE A, UM, A TOPIC FOR A FUTURE WORK GROUP.

'CAUSE AS I'M LISTENING TO THE CONVERSATION, IT, THERE COULD BE SOME BENEFIT IN REACHING OUT TO OTHER COMMISSIONS THAT TOUCH PLANNING AND ZONING AND ECONOMIC DEVELOPMENT AND FIGURING OUT WHAT ARE THE LEVERS THAT THE CITY CAN LEVERAGE.

YOU KNOW, YOU KNOW, WHAT ARE, WHAT IS THE INFLUENCE THAT THE CITY COULD HAVE OR WHAT IS THE APPETITE FOR THAT? AND THEN PUTTING TOGETHER A PLAN BECAUSE THIS WOULD, IT SOUNDS LIKE IT'D BE A MULTI-SECTOR APPROACH TO THIS.

UM, BECAUSE THERE ARE THINGS THAT PUBLIC HEALTH DOESN'T LIKE REALLY CONTROL.

WE HAVE TO FIGURE OUT WHAT THE WFAM IS FOR ALL OF THE KEY, WHAT'S IN IT FOR ME FOR ALL OF THE KEY STAKEHOLDERS.

MY SECOND THOUGHT IS, UM, THIS MIGHT BE, WELL, I I'LL KEEP MY SECOND THOUGHT TO MYSELF, BUT I THINK SOME CROSS COLLABORATION AMONGST THE OTHER COMMISSIONS MIGHT BE BENEFICIAL.

CAN I HAVE SAID SOMETHING THAT I, I PROBABLY SHOULDN'T SAY AS WELL, BUT I'LL GO AHEAD AND SAY IT JUST FOR FUN.

UM, YOU KNOW, I'M JUST IMAGINING SOME RIDICULOUS EXAMPLE, WHICH WOULD SAY IF YOU'RE A DEVELOPER, YOU GET TO SUBTRACT, YOU GET TO MOVE UP TWO PLACES IN LINE FOR YOUR LATEST APPLICATION FOR A NEW BUILDING OF SOMETHING IF YOU'LL BE PARTICIPANT WITH THIS CONSORTIUM OF, OF HEAT, YOU KNOW, INJURY PREVENTION.

I'M JUST MAKING THAT UP.

BUT, YOU KNOW, I MEAN, UM, THAT'S JUST, IT IS INTENDED TO STIMULATE THAT'S FAIR.

SOME DERIVATIVE IDEA THAT'S BETTER THAN SOMETHING THAT'S IMPOSSIBLE.

IT MAY BE GOOD THAT YOU'RE USING THE TERMINOLOGY FOR INJURY PREVENTION AS WELL.

THE OTHER THING IS THAT THE REALITY IS THERE'S PROBABLY GONNA BE A CHANGE IN THE AVAILABILITY OF WORKFORCE.

AND SO BEGIN TO, TO BEGIN TO HAVE THE CONVERSATION WITH, UM, FOLKS WHO EMPLOY CONSTRUCTION OR OTHER PEOPLE WHO TYPICALLY WORK OUTSIDE.

MAYBE YOU MIGHT WANNA THINK ABOUT HOW YOU INCENTIVIZE PEOPLE WANTING TO WORK FOR YOU.

UM, AND I'M SURE I'M HOPING THAT SOMEWHERE IN ROOMS THAT THE FOLKS ARE ALREADY THINKING ABOUT THAT.

ADDING ONTO THAT, I THINK, I DON'T EXACTLY, I'M NOT REALLY SURE WHAT

[00:45:01]

HAPPENED AND WHAT LANDSCAPE IS, BUT WHEN THE STATE SAID WE COULD NO LONGER REQUIRE IT, IT'S MY IMPRESSION THAT A LOT OF COMPANIES JUST STOPPED, EVEN THOUGH OUTTA THEIR OWN VOLITION, THEY COULD CONTINUE IT.

SO IT MAY BE WORTH DOING SOME, YOU KNOW, INTERVIEWS WITH COMPANIES AND STUFF TO SEE WHY THEY AREN'T DOING IT AT ALL.

YOU KNOW, WHY DID, WHY DID THEY ONLY DO IT WHEN THE CITY TOLD 'EM TO DO IT? WHY AREN'T THEY DOING IT OUT OF THE GOODNESS OF HEALTH? YOU KNOW? UH, SO THAT MIGHT BE SOMETHING WORTH EXPLORING AS WELL.

I DON'T WANNA BE A BUZZKILL, BUT THIS SOUNDS LIKE A RATHER KIND OF LIKE LARGE ENDEAVOR, LIKE A CAMPAIGN OF SORTS FOR A NEW POLICY.

UM, AND I JUST WANT TO CHECK WITH JUANITA, IS THERE PRECEDENT OF OTHER COMMISSIONS BEING THE BACKBONE OF A CAMPAIGN FOR A POLICY CHANGE? NOT TO MY KNOWLEDGE.

I THINK WHAT HAPPENED LAST TIME, ONE GROUP KIND OF HAD A OTHER GROUPS, UM, SUPPORT A POLICY.

SO I DON'T THINK THERE'S ANY PRECEDENT TO IT.

NO.

IS THERE ANYTHING THAT SAYS THEY CAN'T? NO.

OKAY, GREAT.

AND JUST TO ADD ON TO THANK YOU, BECAUSE WE WOULD RUN WITH THIS , THERE MIGHT NOT BE A PRECEDENT WITH COMMISSIONS, BUT I KNOW COMMISSIONS HAVE, UM, NOT LOBBIED WELL, YEAH, LOBBIED WITH THEIR RESPECTIVE COMMITTEE, COUNCIL COMMITTEE AND THERE'S BEEN CROSS COLLABORATION AT THAT LEVEL.

AND SO, YOU KNOW, JUST WORKING IT THROUGH THE CHAIN, A GOOD EXAMPLE IS, UM, HOUSING AND PUBLIC HEALTH, RIGHT? OR IS IT THE HOUSING COMMITTEE? HOUSING AND HOUSING.

AND YES.

SO TO, UM, HAVE A MORE COMPREHENSIVE APPROACH TO HOMELESSNESS.

THEY HAVE HAD SOME JOINT PLANNING MEETINGS ABOUT INVESTMENTS AND POLICY.

SO THERE IS PRECEDENT FOR THEM.

NOT TO JUMP TOO FAR AHEAD BECAUSE I KNOW, AGAIN, WE'RE GONNA TALK ABOUT THIS AND, UH, UH, FOR ITEM SEVEN, BUT, UM, IF MY, AGAIN, MY, MY HOPE OF BRINGING THIS UP WAS NOT ONLY TO GET US TO START HAVING THIS CONVERSATION, BUT DECIDE HOW WE CAN, AS A COMMISSION, UM, ACTIVATE OURSELVES IN, IN SUPPORTING, UM, NECESSARY EFFORTS.

UH, SO THANK YOU FOR HAVING THIS, THIS DISCUSSION WITH ME.

UM, WE STILL HAVE SO MUCH TIME, SO, BUT I WANNA KEEP THIS, I WANT TO GET TO THE NEXT ITEM SO THAT WE CAN THEN REALLY START TALKING ABOUT HOW WE CAN, UM, TAKE WHAT WE TALK ABOUT IN THIS SPACE, UM, A, UH, TAKE ACTION WHILE WE'RE NOT HERE, AND THEN COME BACK AND BE ABLE TO PROVIDE THOSE CONVERSATIONS, UM, AS A, AS A WHOLE GROUP.

UM, ANY OTHER IDEAS OR THINGS THAT CAME, UM, CAME OUT TO ANY OF THE, THE COMMISSIONERS THAT ARE ONLINE, UH, OR HERE WITH THE HEAT RESILIENCE? AND I KNOW, I KNOW WE HAD DISCUSSED GETTING SOME SORT OF, UM, QUICK UPDATE OR SOME SORT OF OVERVIEW.

UH, I JUST SEE IN MY NOTES IT SAYS MINI REPORT FROM A PH FOR REVIEW, UH, AROUND HEAT SURVEILLANCE.

UM, AND I GUESS I WOULD JUST ASK THIS OUT LOUD WITH OUR, OUR TRIPLE DIGITS THAT WE HAD LAST YEAR.

ARE THERE ANY REPORTS THAT WE COULD INDIVIDUALLY REVIEW FROM A PH FROM THE COUNTY AROUND, UM, MAJOR ISSUES THAT WERE, UH, EXPERIENCED THINKING ABOUT IT AGAIN, FROM HIGH HEAT, UH, TO INDIVIDUALS WITH HEALTH RELATED CONCERNS OR ILLNESSES, UH, THAT WERE THEN EXACERBATED BY THIS HEAT? I DON'T KNOW IF THAT'S LIKE A HOSPITAL SYSTEM.

IS THAT A CENTRAL HEALTH QUESTION? LIKE A ADMISSION CONVERSATION? IS THAT A WISHFUL THINKING? SO WE HAVE A HEAT, UM, RELATED ILLNESS REPORT, AND IT'S BASED ON DATA THAT WE GET FROM HOSPITAL DISCHARGE DATA.

IT DOESN'T GO DOWN TO THAT LEVEL OF DETAIL WHERE WE UNDERSTAND WHAT COMORBIDITIES ARE, UM, OCCURRING.

IT TALKS ABOUT THE AMBIENT TEMPERATURE FOR THAT TIME, UM, FOR THAT DAY AND THE TIME OF DAY WHERE THOSE VISITS OCCURRED.

BE AVAILABLE ON OUR WEBSITE.

UM, AND THAT THAT'S SOMETHING THAT WE PRODUCE AT A PH AND IS AVAILABLE.

UM, AND THEN WE OF COURSE HAVE INFORMATION ON THE ACTIVITIES THAT WE'VE ENGAGED IN, UM, AT A PH, UM, TO MITIGATE HEAT NOT ONLY WITH OUR DEPARTMENTAL STAFF, BUT IN COLLABORATION WITH PARTNERS ACROSS THE COMMUNITY.

IS THAT IN, IS THAT A PUBLIC REPORT OR IS THAT A INTERNAL, THAT REPORT SHOULD

[00:50:01]

ANY FINAL GENERAL IDEAS? THINGS THAT ARE HEAT RESILIENCE RELATED? OKAY, KEEP PONDERING, KEEP PONDERING WE'RE NOT LEAVING IT COMPLETELY.

UM, I HAVE A CHAIR.

MAY I? OH YEAH, PLEASE.

SORRY.

SORRY, I, I WAS ON ANOTHER LINK.

I I COULDN'T UNMUTE EARLIER.

UH, THANK YOU TO THE MEDIA PERSON FOR HELPING ME GET ACCESS.

UM, I JUST WANTED TO CHIME IN ON, UM, BREAKS.

WHAT WE DID AT THE COUNTY IS WHEN WE PROVIDED DOLLARS TO, UH, TO PARTNERS TO BUILD AFFORDABLE HOUSING, WE PUT IT IN THEIR CONTRACT THAT THEY HAD TO GIVE BREAKS, THEY HAD TO GIVE SPECIAL TRAINING.

AND, UM, THERE WAS ANOTHER SAFETY ITEM THAT WE ADDED, BUT THE, UM, I THINK IT'S SIMILAR TO THE THINGS THAT YOU ALL HAVE BEEN TALKING ABOUT, BUT ALL OF OUR 11 CONTRACTS REQUIRED OUR CONSTRUCTION CONTRACTS CHAIR.

I WILL SAY ON A BROADER PERSPECTIVE, UM, FROM AN OPERATION STANDPOINT, CITY MANAGER, BROAD NEXT, BROUGHT DEPARTMENT DIRECTORS TOGETHER TO KICK OFF A CLIMATE RESILIENCE WORK GROUP.

UM, THEY BOUGHT IN A CONSULTANT, AND I'M GONNA FORGET WHAT THEIR NAME IS, BUT WE, WE BEGAN TALKING ABOUT WHAT THE INTERDEPARTMENTAL APPROACH TO THAT WOULD BE.

AND SO AS THAT WORK DEVELOPS, I'LL BE MORE THAN HAPPY TO SHARE, UM, WITH THIS COMMISSION, SOME OF THOSE PLANS.

LET'S MOVE ON TO DISCUSSION ITEM SIX, WHICH IS DISCUSSION OF THE ALIGNMENT OF THE 2024 CHIP AND CURRENT COMMISSION PRIORITIES.

UH, AND PILAR JUST TO, WAS, IS WHAT YOU PUT INTO THE CONTRACTS AROUND CONSTRUCTION, UM, WOULD YOU BE ABLE TO SHARE THAT LANGUAGE WITH US? I KNOW THAT MIGHT BE TAKING IT TO ANOTHER LEVEL, BUT SOMETHING THAT WE COULD THEN USE TO HELP OUR CONVERSATIONS WITH OTHER ENTITIES? ABSOLUTELY.

[6. Discussion of the alignment of 2024 CHIP and current commission priorities. ]

UM, THANK YOU TO COMMISSIONER CROOKHAM FOR GIVING US THIS AMAZING PIECE OF INFORMATION.

UM, I'VE GONE THROUGH IT.

I USED, UH, ALSO SOME OF THIS LANGUAGE, UM, WITH, UH, VICE CHAIR HAW FOR THE COMMUNITY HEALTH WORKER, UH, RECOMMENDATION.

WE, WE REFERRED TO IT FOR THE ECONOMIC STABILITY PRIORITY, UM, WITH AUSTIN TRAVIS COUNTY.

UM, SO THAT WE WERE ALSO CONNECTING IT BACK TO SOMETHING THAT HAS ALREADY BEEN ESTABLISHED AS A NEED.

UM, THERE'S SOME REALLY GOOD PRIORITIES AND STRATEGIES AND HOPEFUL OUTCOMES FROM WITHIN THIS, THIS PLAN.

UM, AND I KNOW THAT THERE ARE SOME CONVERSATIONS THAT ARE BEING HAD IN MY, I'LL START IT WITH MY FIRST QUESTION IS WITH THE EMERGING CONCERNS WITH FUNDING AND NEEDS, MY FIRST PART OF THE QUESTION IS, DOES IT SHIFT ANYTHING WITH THIS PLAN BASED ON THE TIMELINE THAT WAS ESTABLISHED? I THINK IT WAS, UH, FOR THE STEERING COMMITTEE, UM, AND YOUR NEXT STEPS THAT WERE GONNA BE HAPPENING BETWEEN NOVEMBER TO JANUARY, UH, TO PUT TOGETHER THAT ONE YEAR IMPLEMENTATION PLAN.

SO THE QUESTION IS, DOES THAT IMPLEMENTATION PLAN POTENTIALLY GET PUT ON HOLD BECAUSE OF WHAT WE HAVE GOING ON RIGHT NOW? AND THEN HOW CAN WE AS A COMMISSION POTENTIALLY SUPPORT, I HAVE SOME IDEAS FOR WORKING GROUPS, BUT SUPPORT THESE INITIATIVES AS WELL.

I THINK, UM, WE HAVE TO UNDERSTAND WHAT THE LANDSCAPE IS RIGHT NOW, AND THEN COME BACK TO THE COMMISSION TO ANSWER THAT QUESTION, IF YOU DON'T MIND, MADAM CHAIR.

TOTALLY FINE.

UH, IT'S BEING ADDRESSED.

SO THEN I'LL THROW THIS BACK TO THE ACTUAL COMMISSION.

UM, IF YOU ALL HAD AN OPPORTUNITY TO LOOK THROUGH THIS, THERE ARE SOME REFERENCES, UM, TO OUR PRIORITIES THAT WE'VE STATED WE WANT TO FOCUS ON THROUGHOUT THE NEXT FEW MONTHS.

UM, ONE OF THE MAIN PRIORITIES IS THE MENTAL HEALTH.

UM, AND IS, IS MENTAL HEALTH AND HOW,

[00:55:01]

UM, SOME OF THESE, I DON'T KNOW THAT WE ACTUALLY ARE, THEY'RE IN OUR PURVIEW, BUT THINKING ABOUT THINGS FROM WRAPAROUND SERVICES TO CAMPAIGNS, UM, TO RESEARCH.

UH, IF YOU ALL HAD, IF YOU DON'T MIND GOING ON THIS, THIS JOURNEY WITH ME THROUGH EACH PRIORITY OF WAYS THAT WE HAVE, UH, UH, CAN THEN LOOK AT HOW WE CAN SUPPORT THE THROUGH THE COMMISSION.

SO SOME OF IT IS AGAIN, UM, LOOKING AT SUBSTANCE ABUSE DISORDERS.

IT'S THE JAIL DIVERSION PROGRAM, WHICH I THINK WE ARE ALL VERY INTERESTED BUT ALSO NOT EDUCATED WELL ENOUGH ON.

UM, I HAVE A LOT OF INTEREST IN THE TRACKING PROCESS, UH, AND WHERE WE WOULD BE ABLE TO, WE BEING THE PUBLIC, WE BEING THE COMMISSION, WOULD BE ABLE TO SEE HOW THESE STRATEGIES ARE BEING DEVELOPED AND WHERE, AGAIN, WE CAN JUMP IN AND SAY, AS A COMMISSION, THIS IS WHERE WE BELIEVE WE COULD SUPPORT AND OR ADVOCATE, UM, IN, IN MAKING THIS A SUCCESS.

SO I DON'T, IF YOU ALL HAVE IDEAS AROUND THE MENTAL HEALTH PRIORITY OR ANY OF THE GOALS THAT ARE WITHIN THE CHIP, UM, WOULD LOVE TO DISCUSS HOW WE CAN ACTIVATE WITHIN OUR COMMISSION, OR IF OUR EX OFFICIOS ALSO HAVE IDEAS ON HOW YOU WOULD LIKE TO ACTIVATE US AS WELL.

'CAUSE YOU WROTE IT.

I GUESS I HAVE A QUESTION AROUND, UM, LET'S SAY WE DO RESEARCH AND WE IDENTIFY SOME INFORMATION THAT WE THINK THE COMMUNITY WOULD BE INTERESTED IN.

WHAT WOULD BE OUR WAY OF PUBLICIZING THAT INFORMATION? IS THERE A WAY, UM, JUST IF WE COULD AS A COMMISSION, FOR EXAMPLE, PUT THINGS ON SOCIAL MEDIA AND THINGS LIKE THAT, UH, DEPENDING ON YEAH.

HOW WE WANT TO INTERACT WITH THE COMMUNITY MM-HMM .

I CAN ASK THE TEAM, DANNY AND JUANITA TO DO SOME RESEARCH ABOUT, UM, BUDGET AVAILABILITY.

I KNOW THAT IN THE PAST WHEN I SUPPORTED THE COMMISSION ON IMMIGRANT AFFAIRS, THEY MADE A REQUEST TO GET FUNDING TO, TO PROMOTE WELCOMING CITY.

OOPS.

WELCOMING CITIES.

IT WAS LIKE YEARS AGO.

UM, AND SO I KNOW THERE IS A PROCESS, BUT LET ME GET SOME MORE INFORMATION FOR YOU ON THAT.

I HAVE A VERY GENERAL QUESTION WITH A ISD BECAUSE I KNOW THERE IS THAT RELATIONSHIP AS A COMMISSION.

WHAT ARE OUR, UH, WHAT'S OUR PURVIEW IN THAT RELATIONSHIP? ARE WE ABLE TO HAVE ANY SORT OF CONVERSATION AROUND, OKAY, , UH, , I SAW HEAD SHAKES THAT I WAS LIKE, NEVERMIND.

I'LL JUST LET IT GO.

UH, SO FOR INSTANCE, ONE OF THE, ONE OF THE STRATEGIES IS TO RESEARCH AND DEPLOY AND PUBLICIZE NEW AND EXISTING STRATEGIES TO PROMOTE THE HEALTH AND WELLBEING OF SCHOOL-AGED CHILDREN AND YOUTH, SUCH AS, UH, MENTORING AND HIGH DOSAGE TUTORING, UM, TO THOSE WHO ARE STRUGGLING DURING THE LA LIKE THE, THE EDUCATION THEY LOST THROUGH THE PANDEMIC.

MY CURIOSITY WAS IF WE'RE LOOKING TO, UM, INCREASE ACCESS TO, TO MENTAL HEALTHCARE, TO AUSTIN TRAVIS COUNTY RESIDENTS, WE ALSO SEE THAT THERE IS A CONCERN WITH OUR A ISD STUDENTS WHO ARE NOT IN SCHOOL ALREADY.

ARE WE STILL ABLE TO GET SOME SORT OF INFORMATION OR CAPTURE SOME SORT OF INFORMATION ABOUT THEIR MENTAL HEALTH, SPECIFICALLY LOOKING AT THE STUDENTS WHO ARE NOT IN SCHOOL AND ARE NOW BEING AFFECTED YET AGAIN OR MORE, UM, THAN THEY ALREADY WERE THROUGHOUT THE PANDEMIC.

I THINK THERE'S AVENUES WHERE YOU COULD GET THAT INFORMATION.

I THINK AT A, YOUR COUNTERPART WOULD BE THE JU JOINT SUBCOMMITTEE.

ANY OTHER BODY AND ASK FOR INFORMATION, TRY TO PARTNER LIKE YOU.

UM, THAT YOU COULD ATTEND A MEETING AND BRING THIS, UH, ITEM UP FOR THEIR CONSIDERATION AND THEN THEY COULD DIRECT THE ISD STAFF TO, TO PULL REPORTS.

AND THEN ON AN OPERATIONAL LEVEL, I THINK, UM, WE COULD DO SOME DIGGING TO SEE IF WE COULD GET THAT INFORMATION FOR YOU.

BUT YOU CAN ALWAYS, AS A BODY, YOU, YOU CAN CONTACT

[01:00:01]

IT'S OPEN TO YOU.

I DON'T KNOW IF THERE WERE ANY OTHER PIECES THAT POPPED OUT TO FOLKS WITHIN OUR COMMISSION.

UM, ONE OF THE ITEMS SPECIFICALLY FOR GOAL TWO, STRATEGY 11, UH, WHICH IS ON PAGE 15, UM, WAS TALKING ABOUT, UH, PRODUCING MEDIA CAMPAIGNS, UM, SPECIFICALLY FOR OVERDOSE RISK.

AND I WOULD BE CURIOUS IF THE, THE COMMISSION OR WORKING GROUPS WITHIN THE COMMISSION, UM, WOULD WANNA DO SOME OF OUR OWN RESEARCH TO SEE WHAT'S SUCCESSFUL, UM, IN OTHER AREAS THAT HAVE DEALT WITH THIS.

UH, AGAIN, I'M ALWAYS GOING TO REFER BACK TO COLUMBUS, OHIO THAT HAS BEEN DEALING WITH THIS FOR OVER A DECADE.

UM, AND WAYS THAT WE CAN ACTIVATE OUR COMMISSION AGAIN WITHIN THE NEXT THREE YEARS, UH, TO HELP SUPPORT AWARENESS OR, UM, EDUCATION AROUND THIS GENERAL IDEAS ON HOW WE'RE RELATING THESE GOALS AND STRATEGIES TO OUR, OUR COMMISSION.

CAN YOU RESTATE THE QUESTION? YES.

SO I'M JUST CURIOUS, HOW CAN WE, UM, DO OUR OWN RESEARCH TO EITHER SUPPORT A CAMPAIGN, ACTIVATE A CAMPAIGN, OR, UH, ADDRESS AWARENESS THAT IS NEEDED SPECIFICALLY FOR SUBSTANCE ABUSE PREVENTION, TREATMENT AND RECOVERY OVER THE NEXT THREE YEARS? WHAT PAGE DID YOU SAY THAT WAS WRONG? 15 CHAIR, PLEASE.

UM, , I'M HAVING A HARD TIME FOLLOWING ALONG.

SORRY.

ARE YOU SUGGESTING THAT LIKE WE HAVE A CROSSWALK OF CROSSWALK OF SORTS, THAT IF WE DO SOMETHING AS A BODY THAT IT ALIGNS WITH SOMETHING WITHIN THIS CHIP OR SOME OTHER DOCUMENT? YES.

SORRY, TO CLARIFY THIS, THIS DOCUMENT HAS ALREADY SHOWN US WHAT THE CITY AND COUNTY VIEWS AS NEEDS FOR OUR COMMUNITY.

THEY HAVE DONE IT, THEY HAVE OUTLINED THERE'S DATA, THERE'S OBJECTIVES WITH, UM, SPECIFIC QUALITATIVE AND QUANTITATIVE OUTCOMES AS A COMMISSION.

I FEEL LIKE WE'VE LEARNED A LOT WITHIN OUR FIRST TWO YEARS OF, OF CONCEPTION.

BUT BEING ABLE TO TAKE WHAT WE ALREADY KNOW IS A NEED, SUPPORT THAT WITHIN OUR BODY, AND THEN RELATE IT BACK TO WHAT THE CITY COUNTY HAS ALREADY SAID, THIS IS OUR NEED.

THIS IS WHAT WE ARE WORKING ON SO THAT WE DON'T HAVE TO NOW DECIDE WHAT SHOULD WE BE TALKING ABOUT WHEN WE ALREADY KNOW WHAT WE COULD BE TALKING ABOUT.

SO WHAT I WAS HOPEFUL FROM THIS IS AS WE, AS A COMMISSION CONTINUE TO PRIORITIZE INFORMATION OR CONCERNS THAT ARE RELATED TO PUBLIC HEALTH, WE HAVE A GUIDEBOOK THAT CAN HELP US NAVIGATE ALL OF THIS.

WE DON'T HAVE TO THINK OF SOMETHING.

AND SO THINKING AGAIN OF WHAT YOU HAD MENTIONED WITH IMMUNIZATIONS, RIGHT? LIKE WE ALREADY, IF WE ALREADY HAVE THIS INFORMATION AND WE KNOW THAT THERE IS SUPPORT THAT IS NEEDED, HOW DO WE THEN COME BACK AND SAY, THIS IS WHAT WE COULD WORK ON BECAUSE WE KNOW THAT YOU WANNA INCREASE ACCESS TO SUCH AND SUCH BY THIS DATE.

DOES THAT HELP CLARIFY? IT DOES.

TARGETING AREAS WITH HIGH, UM, WITH SIMILAR, UH, CHALLENGES AS OURS.

SORRY ABOUT THAT.

THAT KIND OF GOES BACK TO MAYBE WHAT THE DIRECTOR WAS SAYING EARLIER ABOUT OUR INTERACTIONS WITH THE COMMUNITY AND OUR, YOU KNOW, STAKEHOLDERS OR WHOMEVER.

I PERHAPS WE COULD GET INFORMATION AND FEEDBACK FROM THEM REGARDING THESE AND THEN MAYBE PROVIDE RECOMMENDATIONS AS TO WHAT THE CAMPAIGN SHOULD LOOK LIKE OR WHAT THE COMMUNITY'S ASKING.

DOES THAT KIND OF, OKAY.

AND I, I DID LIKE YOUR RECOMMENDATION AROUND REACHING OUT TO OTHER COMMISSIONS, SEEING MAYBE WITHIN THIS, WHAT THEY'VE PUT OUT IN TERMS OF RECOMMENDATIONS OR CAMPAIGNS AND SEE WHAT WE COULD LEARN.

I GUESS IT WOULD BE HARD TO DO IT LIKE A FULL COMMISSION TO FULL COMMISSION BECAUSE OF THE LAWS THAT WE HAVE.

UH, BUT WE COULD THINK ABOUT MAYBE IDENTIFYING A FEW AND THEN DIVIDING THE WORK ACROSS THE COMMISSION WHERE YOU COULD REACH OUT TO ONE PERSON, TO ONE PERSON.

UM, JUST GET A SENSE OF WHAT HAVE BEEN YOUR PRIORITIES OVER THE PAST YEAR, ESPECIALLY IF WE'RE

[01:05:01]

AND THEN BRING THAT INFORMATION BACK IN SOME FORM.

I LIKE IT.

AND WITH THAT FURTHER CLARIFICATION, UM, I DON'T SEE WHY YOU WOULD BE PROHIBITED FROM STRUCTURING WORK GROUPS AROUND THESE PRIORITY AREAS.

I, I JUST, REGARDLESS OF WHAT THE FEDERAL OR THE FUNDING LANDSCAPE LOOKS LIKE, THESE THINGS ARE STILL IMPORTANT TO ANY CITY THAT HOPES TO BE THRIVING.

SO MAYBE, UM, AS YOU WERE DESCRIBING THAT, I WAS TRYING TO THINK ABOUT THE SISTER CITY IDEA.

MAYBE WE HAVE SISTER COMMISSION IDEAS THAT WOULD BE OUT THERE WHERE WE'D FIND OTHER COMMISSIONS.

NOW I'M REPEATING.

UM, I THINK WHAT WE'D SAID JUST NOW, BUT OTHER COMMISSIONS THAT MIGHT BE WORKING ON THE SAME THINGS WE ARE THAT WOULD BE INTERESTED IN SHARING.

AND MAYBE IT'S A TWO WAY STREET TO THAT.

YOU KNOW, SISTER COMMISSIONS DIRECTOR STIR SAW WHERE I WAS TAKING THIS, WHICH WAS TRULY, UM, THINKING

[7. Discussion of restructuring work groups. ]

ABOUT DISCUSSION ITEM NUMBER SEVEN, WHICH IS RESTRUCTURING OF WORKING GROUPS.

UM, I KNOW THAT WHEN WE MADE THESE WORKING GROUPS A YEAR AGO, UM, WE HAD PLANS.

WE HAD PLANS.

AND IF WE TAKE WHAT'S BEEN PUT IN FRONT OF US WITH THESE THREE DIFFERENT PRIORITIES, ONE IS MENTAL HEALTH, THE OTHER IS, UH, ECONOMIC STABILITY.

AND THEN THE THIRD IS NEIGHBORHOOD AND BUILT ENVIRONMENT.

WHEN YOU LOOK AT THE DETAILS THAT HAVE BEEN PUT INTO THIS, I MEAN, WE'RE LOOKING AT SDH, WE'RE LOOKING AT THE PHYSICAL DETERMINATIONS OF HELP.

THIS ARE, THESE ARE ALL THINGS THAT WE TALKED ABOUT A YEAR AGO IN OUR RETREAT.

THESE PRIORITIES, THEY'RE THE GOALS, THE OBJECTIVES, THEY ARE ALL OUTLINED FOR US TO REVIEW IN DETAIL AND THEN DETERMINE HOW WE AS A COMMISSION CAN BE ACTIVATED.

UM, AND I THINK, I MEAN, THERE'S, THERE'S AGAIN, THERE'S PIECES WITHIN, UM, THE, THE NEIGHBORHOOD AND BUILT ENVIRONMENT THAT DIRECTLY CONNECT TO THE FOOD PLAN.

UM, SO AS A PUBLIC HEALTH ENTITY, HOW ARE WE LOOKING AT COMMUNITY HEALTH WORKERS? THEY'RE ALL THROUGHOUT THIS ENTIRE PIECE.

UM, HOW ARE WE TAKING WHAT WE'RE TALKING ABOUT, APPLYING IT BACK TO THIS IMPROVEMENT PLAN, WHICH DIRECTLY CONNECTS TO WHAT WE'RE SUPPOSED TO BE DOING AS THE COMMISSION.

AND SO IDEALLY THE WORKING GROUPS WOULD BE RESTRUCTURED, FOCUSED ON MENTAL HEALTH, ECONOMIC STABILITY, AND NEIGHBORHOOD AND BUILT ENVIRONMENT.

AND WE WOULD USE THESE GOALS, THESE OBJECTIVES, UM, TO GUIDE OUR CONVERSATIONS, TO ACTIVATE OUR COMMISSION.

UM, THERE ARE LINKS OF INFORMATION OF REPORTS, THERE'S DASHBOARDS, AND IT'S ALL HERE.

SO WE DON'T ACTUALLY HAVE TO DO A WHOLE LOT OTHER THAN DETERMINE WHAT WE CAN DO AS A COMMISSION AND THEN START PUTTING A PLAN TOGETHER ON HOW ARE WE, ARE WE GOING TO, TO CONNECT WITH OTHER COMMISSIONS? ARE WE GOING TO CONNECT WITH THE JOINT SUBCOMMITTEE? ARE WE GOING TO, UM, AUTHOR SOMETHING ON OUR OWN? UM, THAT'S, THAT'S THE QUIET WAY THAT I WROTE THE , THE AGENDA WAS HOW DO WE TAKE THESE THINGS THAT HAVE ALREADY BEEN DONE FOR US, MOVE OUR, OUR ATTENTION TO THESE PRIORITIES, AND THEN START TO HAVE THESE CONVERSATIONS.

LIKE COMMISSIONER DAH HAEN HAS SO MUCH INFORMATION ON THE MENTAL HEALTH ASPECT OF THESE THINGS WITH TEXAS HARM REDUCTION ALLIANCE.

LIKE BRINGING THAT CONVERSATION TO THE FOREFRONT OF OUR COMMISSION WAS ENLIGHTENING.

THERE WAS SO MUCH THAT WE DIDN'T KNOW.

AND THEN WE GOT THAT INFORMATION AND NOW WE'RE ALL LIKE, HOW DO WE DO, WHAT DO WE DO? WHAT CAN WE DO? WE CAN TAKE ALL OF THAT, WE CAN RELATE IT RIGHT BACK TO THESE GOALS, THESE OBJECTIVES, THESE PRIORITIES, AND START ASKING THOSE QUESTIONS OF HOW IS THRA GETTING INVOLVED? HOW DO WE AS A COMMISSION SUPPORT THAT CONVERSATION? UM, AND SO THAT'S THE MAIN GOAL OF ALL OF THIS IS RECOMMENDING THAT WE RESTRUCTURE OUR WORKING GROUPS AND THEN WE ACTIVATE OURSELVES WITHIN EACH OF THESE PRIORITIES.

UM, I'M NOT SURE THAT IF WE HAVE TO DO A VOTE TO RESTRUCTURE WORKING GROUPS, I DON'T THINK WE DO.

UM, BUT I WOULD, I'M PUTTING THAT ON THE TABLE OF FULL TRANSPARENCY.

HOW DO WE

[01:10:01]

SWITCH OUR, OUR, OUR GAME PLAN, LOOK AT THESE PRIORITIES AND START HAVING A DIFFERENT TYPE OF CONVERSATION.

I REALLY LIKE THAT IDEA.

I THINK WE CAN ALL AGREE THAT OVER THE PAST COUPLE YEARS WE'VE BEEN KIND OF FLAILING AND TRYING TO FIGURE OUT EXACTLY WHERE, WHAT OUR AVENUE IS AND WHERE WE WANT TO GO, AND WHAT WE WANNA ADVOCATE, ADVOCATE FOR.

SO I THINK HAVING THIS PLAN THAT HAS ALREADY BEEN VETTED AND WORKED ON BY DIFFERENT COMMUNITY MEMBERS AND STAKEHOLDERS AND EVERYTHING IS, IS A GREAT IDEA FOR US TO THEN FOCUS OUR ATTENTION ON TOO, AS OPPOSED TO FURTHER DIVERGING OUR EFFORTS AND, YOU KNOW, NOT FOCUSING ON WHAT THIS PUBLIC HEALTH TEAM IS DOING, AND THEN WHAT THIS IS GROUP THAT'S DOING, YOU KNOW, WHICH I THINK PART OF OUR GOAL IS TO KIND OF HELP BRING IT ALL TOGETHER, RIGHT? SO I THINK THAT IS, IS AN EXCELLENT IDEA AS LONG AS IT ALSO DOES NOT PRECLUDE US FROM BEING ABLE TO BRING, BEING ABLE TO BRING UP OTHER ITEMS OF INTEREST OR, YOU KNOW, CONCERN.

THIS IS JUST FOR THE WORKING GROUPS.

OH, OKAY.

FRIENDLY AND ECO-FRIENDLY.

THIS IS NOT FOR THE, OKAY.

NOT FOR THE WHOLE COMMISSION.

NO.

THIS IS LITERALLY JUST FOR OUR WORKING GROUPS TO NOT ONLY, I WOULD SAY LIKE, GET US EXCITED, RIGHT? BUT GIVE US SOME GUIDANCE.

SO THIS IS, AGAIN, THESE ARE JUST HOW WE'RE RESTRUCTURING AND RETHINKING ABOUT WORKING GROUPS, THE WHOLE COMMISSION WE'RE HERE TO, TO BE RESILIENT AND FLEXIBLE IN HOW WE OPERATE.

UM, FIRST OF ALL, LOVE, LOVE EVERYTHING YOU'RE SAYING.

I WAS TRYING TO THINK IN TERMS OF, THERE'S KIND OF THREE PRIORITIES IN THE COMMUNITY HEALTH, UH, UM, YOU KNOW, REPORT.

WE'RE TALKING ABOUT MENTAL HEALTH, NEIGHBORHOOD AND BUILT ENVIRONMENT AND ECONOMIC STABILITY.

AND THAT MIGHT BE CORRESPONDING TO THE THREE SUBGROUPS YOU'RE TALKING ABOUT.

I WAS JUST TRYING TO THINK ABOUT, I'M NOT SURE IF IN THERE, FOR INSTANCE, THERE'S, YOU KNOW, HEAT INJURY AND THE HEAT, THE HEAT CONVERSATION, WHERE THAT WOULD BE IN THERE, AND THERE MAY BE OTHERS AS, AS, AS COMMISSIONER KIRKMAN SAID, AND, UM, I JUST DIDN'T KNOW HOW TO THINK ABOUT THOSE OTHERS.

BUT, BUT CERTAINLY LOVE THE IDEA OF THE COMMISSION FOR THE NEXT X NUMBER OF MONTHS OR WHATEVER YEAR.

WE'LL DEEPLY DIVE INTO THESE, AND IF NOTHING ELSE, WE'LL KNOW EVERY WORD OF THE, OF THE REPORT AND THEN SEE WHAT CAN BE DERIVED FROM THAT AS, UM, BUT THERE ARE OTHER THINGS LIKE HEAT.

SO I WASN'T SURE HOW THAT FIT INTO THAT PICTURE.

I MEAN, I THINK IT'S, IT DIRECTLY CONNECTS TO JUST THOSE ENVIRONMENT OR SOMETHING, OR YEAH, YEAH.

I WAS LIKE, OH, IT JUST HAVE TO BE THIS PAGE THAT I HAVE OPEN.

UM, BUT YEAH.

YEAH, I MEAN, THERE ARE, THEY, THERE'S A WHOLE SLEW OF FOLKS, CENTRAL HEALTH TEXAS HARM REDUCTION ALLIANCES IN HERE.

UH, A PH IS IN HERE.

I MEAN, THERE'S, THERE'S AN ENTIRE STEERING COMMITTEE THAT WORKED TO DEVELOP THIS.

SO WE, AND I THINK THAT ALSO GIVES CAT METRO, WHICH I KNOW WE WERE TRYING TO FIGURE OUT HOW DO WE, WHO DO WE TALK TO AT CAT METRO? WHAT DO WE TALK TO THEM ABOUT? IF YOU GO TO THE SECOND TO LAST PAGE ON PAGE 30, THERE'S AN ENTIRE PLANNING GROUP OF PEOPLE FOR EACH PRIORITY AREA THAT WE CAN EMAIL AND TALK TO AND SAY, HEY, WE HAVE QUESTIONS.

WHAT ARE YOU GUYS DOING? HOW IS IT WORKING? IS IT NOT WORKING? WOULD YOU COME TALK TO US AS A WORKING GROUP? BECAUSE CAN WE, CAN WE CONNECT WITH THE THREE PEOPLE THAT ARE IN THE NEIGHBORHOOD AND BUILT ENVIRONMENT WORKING, UH, PLANNING WORK GROUP FROM CAP METRO? BECAUSE IF SO, MAYBE WE CAN FINALLY GET SOME QUESTIONS ANSWERED.

AND SO I THINK IT'S, IT'S A LITTLE FINESSING ON OUR END TO SEE HOW WE CAN INCORPORATE THAT.

BUT THEN I THINK IT'S ABSOLUTELY AN ASPECT OF BUILT ENVIRONMENT AND NEIGHBORHOOD IS A VERY LARGE UMBRELLA.

LET'S THROW HEAT.

WE CAN COORDINATE HEAT RESILIENCE INTO THERE, YOU KNOW WHAT I MEAN? OR, UM, I DON'T KNOW WHERE WE WOULD PUT OUR FUNDING CONCERNS.

WE COULD JUST PUT THAT AS A NEW UMBRELLA, , BUT I DIGRESS.

UM, I, I DEFINITELY SAY LIKE WITH THE EMERGING TOPICS, HAVING THAT EVEN AS WE MOVE FORWARD, RIGHT? LIKE AS YOUR CHAIR, I'M STILL LEARNING ALL OF THESE THINGS, RIGHT? ON HOW WE NAVIGATE WHAT WE DO.

BUT IF THERE ARE REPORTS THAT COME UP AND YOU'RE, YOU'RE LIKE, HEY, THIS SHOULD BE A CONVERSATION.

THIS SHOULD BE SOMETHING THAT WE'RE LOOKING INTO, BRING THAT TO THE FOREFRONT, BECAUSE THAT'S HOW WE STARTED TALKING ABOUT POTENTIAL MEASLES OUTBREAK, RIGHT? LIKE, WHAT DO WE DO WITH THAT? AND DO WE HAVE A PLAN? AND ARE THERE NO VACCINES FOR ALL OF THIS? UM, AND THEN, UH, AND THEN ALSO CONNECTING WITH OTHER COMMISSIONS.

UM, WE, THE HEAT RESILIENCE CAME FROM THE JOINT SUSTAINABILITY COMMISSION.

UH, THEY'RE DOING SOMETHING ENTIRELY DIFFERENT WITH TREE CANOPY COVERAGE.

AND THE, UH, AGAIN, THINKING ABOUT WHAT VISIO, UH, SANCHEZ SAID, WHICH WAS ABOUT CONTRACTS, THEY NOW HAVE INFORMATION WITHIN THEIR CONTRACTS THAT SAY YOU HAVE TO USE SPECIFIC, UH, MATERIALS THAT ARE ENVIRONMENTALLY

[01:15:01]

AND THERE'S VERY SCIENTIFIC THINGS THAT I DIDN'T EVEN UNDERSTAND ABOUT CONCRETE, UM, .

BUT THERE'S, THERE'S OTHER CONVERSATIONS THAT ARE BEING HAD, UH, THAT OF COURSE, EVERYTHING IS PUBLIC HEALTH.

REALLY IT IS.

AND HOW CAN WE TAKE THAT INFORMATION THAT WE'RE GATHERING OR WE'RE LEARNING, APPLY IT IN OUR WORKING GROUP, AND COME BACK AND SAY, HEY, I HAD THIS CONVERSATION.

I WENT TO OUR MENTAL HEALTH EXPERT.

UH, THIS IS WHAT WE THINK WE COULD DO.

OR WE SHOULD BE ASKING, OR WE NEED TO COME TO OUR EX OFFICIOS AND SAY, HEY, COULD YOU GIVE US MORE INFORMATION, UM, SO THAT THEN WE CAN PUT OUT RECOMMENDATIONS.

WE CAN LOOK AT POLICIES THAT ARE NOT ALLOWING US TO KEEP PEOPLE.

COOL.

, THAT'S, SO THERE'S MY, THERE'S MY, MY RANT ON THIS PIECE, BUT PLEASE, UH, IF YOU HAVE OTHER INSIGHTS, PLEASE.

YEAH, I, I LIKE THIS IDEA A LOT.

UH, I FEEL LIKE WHEN WE PREPARED OUR GROUPS LAST YEAR, UM, WE TRIED TO REDUCE THE SCOPE, BUT THE SCOPE WAS STILL HUGE.

LIKE SOCIAL DETERMINANTS, EVERY TIME WE MEET, THERE'S SO MANY TOPICS, WE JUST CAN'T, IT'S HARD TO FOCUS AND KNOW WHERE TO GO.

SO THIS IS REALLY, I LIKE THIS IDEA OF HAVING THIS ROAD ROADMAP.

UM, I GUESS I'M CURIOUS, UM, FROM INDEX OF ISSUE KIND OF POINT OF VIEW, IF THIS, IF YOU VIEW THIS AS KIND OF A GOOD ROADMAP FOR US, UH, AS YOU WERE THINKING ABOUT PUTTING THIS COMMISSION TOGETHER, UH, FOR US, OR TO GUIDE OUR WORK, OR IF YOU THINK THAT OUR WORK SHOULD BE ON TOP OR SEPARATE FROM THIS, I THINK THAT IT GUIDES THE WORK BECAUSE THIS WORK HAS BEEN COMPILED AS A RESULT OF COMMUNITY ENGAGEMENT SESSIONS AND FOCUS GROUPS, UM, THAT, UM, BRING YOU THE INFORMATION ABOUT WHAT IS ACTUALLY HAPPENING ON THE GROUND AND WHERE THE COMMUNITY FEELS THE NEEDS ARE.

SO, PERSONALLY, I FEEL LIKE IT'S A GOOD STARTING POINT TO ADD INTO ANYTHING ELSE THAT YOU COMES UP ALONG THE WAY.

UH, I AGREE WITH, UH, EXOFFICIO WALKS, DR.

WALKS, AND I ALSO THINK THAT, YOU KNOW, YOUR QUESTION OF HOW WERE YOU CHOSEN AND, AND WHAT WAS THE MINDSET? IT'S ALSO THE FACT THAT YOU REPRESENT VERY DIFFERENT COMMUNITIES, RIGHT? AND SO YOU BRING TO THE FOREFRONT THE IMPACT OF THESE, THESE THINGS ON YOUR COMMUNITIES, AND THAT YOU'RE TRAVELING IN DIFFERENT PATHS THAN MAYBE WHERE, UH, THE PUBLIC HEALTH, UH, UH, WORKING GROUP AND STEERING COMMITTEE AND CORE GROUP HAVE BEEN DOING.

AND SO IT, THIS IS ALSO GOOD, GOOD REALITY CHECK, RIGHT? AND TO SAY, YEAH, THIS ONE REALLY RESONATES.

LET'S GO ON THIS.

AND SO YOU CAN GIVE FEEDBACK TO THE, TO THE CHIP AS WELL.

SO THE CHIP HISTORICALLY HAS BEEN UNFUNDED.

THERE ARE ORGANIZATIONS AT THE TABLE WHO REPORT INTO THE STRATEGIES OF WHAT THEY'RE CURRENTLY DOING AND HAVE FUNDS TO DO.

BUT THERE ARE A LOT OF OTHER STRATEGIES IN THE CHIP THAT COME FROM, YOU KNOW, GOOD IDEAS OF COMMUNITY MEMBERS OR ASPIRATIONAL STRATEGIES.

AND SO, UM, I THINK THAT IT WOULD BE IMPORTANT FOR THE COMMISSION TO LEAN INTO, YOU KNOW, THE STRENGTHS THAT YOU HAVE, WHICH IS PROVIDING BUDGET RECOMMENDATIONS, AND THEN HAVING THE WEIGHT OF THE CHIP BEHIND YOU WOULD, YOU KNOW, BRING EVERYTHING TOGETHER REALLY NICELY.

AND JUST FOR CLARITY, THE, WHEN YOU SAY HISTORICALLY THE CHIP HAS BEEN UNFUNDED, THE DEVELOPMENT OF IT, THE EXECUTION? NO, THE STRATEGIES IN THE CHIP ARE UNFUNDED.

I'M SAYING THAT CORRECTLY, DR.

WA RIGHT.

IN WHENEVER YOU, UH, WHENEVER YOU GOT THAT FIXED.

MORE OF A VISION THAN A PROGRAM OR SOMETHING.

ALRIGHT, THAT'S, THANK YOU FOR THAT.

THAT, UM, AND I HAVE SO MANY MORE QUESTIONS, BUT I DON'T KNOW THAT WE HAVE TIME.

UM, OH, SO, SO CAN I, CAN I, CAN WE, SO WHEN YOU SAY, SO THIS IS A, UM, AND I'M SORRY.

AS WE CONTINUE, I KNOW WE HAVE QUITE A FEW FOLKS ONLINE.

ANY FEEDBACK, INSIGHT, COMMISSIONER WALLACE, COMMISSIONER LUHAN, UM, VISIO SANCHEZ OR DR.

DODO, JUST IN CASE I MISSED ANYONE? YEAH, I'M TRYING TO WORK ON THIS VIDEO.

I'LL TRY TO SWITCH TO MY COMPUTER.

[01:20:01]

UM, WHEN YOU ALL ARE TRACKING THESE GOALS AND OBJECTIVES IN THE CHIP, IS IT PART OF ME JUST WANTED TO SAY, IT'S LIKE, IS THIS THE KINDNESS OF YOUR OWN HEART? LIKE HOW IS THIS HOWING? I MEAN, THERE'S SOME REALLY POWERFUL THINGS AND THAT ARE GOALS THAT ARE IN HERE.

UM, AND IF THEY AREN'T, IF THEY AREN'T TYPICALLY FUNDED, HOW DO WE DO IT? DON'T ASK THAT.

OKAY, GREAT.

WELL, THEN CAN, I CAN TAKE A STAB AT THAT.

, I THINK THAT CHIP IS, IS, IS ALL ABOUT COMMUNITY PARTNERSHIP.

SO GENERALLY THEY ARE PEOPLE WHO ARE ATTEMPTING TO WORK ON THIS.

SO IT MAY BE AGENCIES WHO ALREADY HAVE ESTABLISHED COALITIONS TO WORK ON THIS.

SOMETIMES THEY ARE TRULY ASPIRATIONAL AND THERE IS NO ONE, YOU KNOW, SO THEY, THEY HAVEN'T GONE THROUGH THE REALITY TEST AND THE PRAGMATIC TEST OF, OKAY, HOW IS THIS GOING TO HAPPEN? RIGHT? AND, UM, AND THOSE TEND TO NOT, NOT JUST KIND OF BE REPEATED BECAUSE THE NEED DOESN'T GO AWAY BECAUSE THEY'RE NOT FUNDED.

UM, I THINK THAT IT IS THOUGH IMPORTANT TO HAVE HOPE AND TO THINK ABOUT THINGS THAT YOU NEED THAT DON'T NECESSARILY HAVE FUNDING.

AND IT'S JUST TO START THE CONVERSATION.

SOMETIMES I BELIEVE THAT WE HAVE THE HEAD OF THE CHA CHIP ONLINE, RIGHT? KOJO, HE MAY NOT BE ABLE TO SPEAK.

HE'S A GREAT CONTACT .

THANK YOU, CHAIR.

YEAH, PLEASE.

I'M CURIOUS, I KNOW THIS ISN'T THE FIRST CHIP, SO I'M WONDERING WHAT HAVE PAST CHIPS SUGGESTED AND WHAT WAS ACCOMPLISHED AND WHAT WAS NOT? AND MAYBE THAT MIGHT GIVE US AN IDEA OF WHAT'S, YOU KNOW, ACHIEVABLE, BUT REALISTIC AND WHAT'S MORE ASPIRATIONAL? I THINK IT'D BE INTERESTING TO SEE, I ASSUME THOSE ARE AVAILABLE ONLINE.

I DON'T KNOW, AND THIS MIGHT BE BEFORE MY TENURE, SO I HAVE TO DO SOME RESEARCH.

IF THE DEPARTMENT HAS DONE AN ASSESSMENT OF THE EFFICACY OF THE, THE CHIP, I DO KNOW THAT, OR THE CHA IT IS, UM, IT IS KIND OF A COMMUNITY PLANNING PROCESS AND IT'S, IT'S, THERE IS NO FUNDING.

BUT THE HOPE IS THAT BECAUSE THE PARTNERS CAME TOGETHER AND ENGAGED WITH COMMUNITY, THAT THESE ARE THINGS THAT THEY WILL TAKE BACK TO KIND OF BE THE NORTH STAR OF THEIR OPERATIONS.

UM, WE PROBABLY COULD DO A BETTER JOB AT THE DEPARTMENT ABOUT HIGHLIGHTING THE BENEFITS OF HAVING A CHILD AND A CHIP WHEN YOU'RE LOOKING FOR, FOR FUNDING, RIGHT? SOMETIMES GRANTORS WANNA SEE THAT YOU'VE DONE SOME GROUNDWORK.

AND I THINK THAT'S A GOOD RESOURCE AS OUR NON-GOVERNMENTAL ORGANIZATIONS AND EVEN OUR OTHER GOVERNMENTAL PARTNERS ARE LOOKING, UM, FOR FUNDING.

IT'S A DOCUMENT THAT CAN SUPPORT THAT.

SO THERE'S, THERE ISN'T ALWAYS LIKE THE, OOH, THIS IS GONNA HAPPEN AND WE'RE ALL GOING TO, TO GET THERE, BUT THIS IS WHAT WE ASPIRE TO AS A COMMUNITY.

BUT IT TAKES CONVERSATIONS LIKE THIS TO GIVE IT LEGS.

COMMUNITY HEALTH IMPROVEMENT PLAN.

JUST FOR CLARITY.

AND, UM, DIRECTOR STIR, YOU MAY KNOW BETTER THAN I, BUT MY SENSE IS THAT THERE'S SOME CYCLE, FIRST OF ALL THAT HAPPENS IN TRAVIS COUNTY, BUT IT HAPPENS IN ALL OF OUR SURROUNDING FIVE COUNTIES, WHERE EACH YEAR I BELIEVE THERE'S A CYCLE WHERE THEY DO A COMMUNITY HEALTH ASSESSMENT AND THEN THEY DO A COMMUNITY HEALTH IMPROVEMENT PLAN.

AND I DON'T KNOW IF IT'S THE ONLY TWO.

FOR SOME REASON I THOUGHT IT WAS A THREE YEAR CYCLE AND I CAN'T REMEMBER.

BUT, UM, ANYWAY, SO THERE, THERE, THERE'S, IT WAS A, IT WAS A FIVE, WE SWITCHED TO A THREE AND WE'RE GOING BACK TO A FIVE, UH, RIGHT.

BUT THE, THE HOSPITALS ARE STILL DOING A THREE YEAR BECAUSE IT'S AN IRS REQUIREMENT.

THAT'S RIGHT.

AND SO WE WORK WITH THE HOSPITALS TO, UH, CONTINUE OUR PLANNING.

AND SO IT'S A, IT IT'S NOW AN ONGOING WORK RATHER THAN, YOU KNOW, STRICTLY, UH, COMMUNITY HEALTH ASSESSMENT.

OR, BECAUSE I THINK THERE'S OTHER ORGANIZATIONS THAT ARE, THAT ARE FOCUSED IN THOSE ASPECTS, ESPECIALLY, YOU KNOW, THEY HAVE AN IMPACT IN HEALTH.

ANY OTHER INSIGHTS OR QUESTIONS AROUND, SO CHAIR AND, UM, OTHER FELLOW COMMISSIONERS, UM, YOU KNOW, DEFINITELY UNDERSTAND THE DESIRE TO WANNA FOCUS ON A JOB SHIFT.

I, I THINK THE ONLY QUESTION THAT I, THAT I HAVE IS, SO WE SHIFTING MORE TO SDOH, UM, IMPACTS

[01:25:01]

BUT I THINK THE UNIQUENESS OF THIS COMMISSION AND THE EX OFFICIALS A PART OF THIS COMMISSION IS PRIMARY CARE SERVICES DELIVERY ACCESS.

UM, AND I UNDERSTAND THAT ALL THINGS ARE IMPACTING INTO HEALTH.

SO I GUESS THAT'S A PIECE I'M, UH, A LITTLE NOT CLEAR ON.

AND THEN I WOULD SAY ALSO WANNA MAKE SURE THAT WITH HOW THE COMMITTEE WAS PUSHED FORWARD IN CREATION, UH, EARLY ON BY SHANNON JONES AND, AND OTHERS, IT WAS TO GET GREATER ACCESS, REDUCE BARRIERS, GREATER COLLABORATION, UH, FOR SCALABILITY OF PRIMARY CARE SERVICES BY THE AGENCIES THAT ARE EX OFFICIOS.

I, I THINK I'M A LITTLE BIT CONFUSED REGARDING PRIMARY CARE SERVICES.

CAN YOU ELABORATE ON ON WHAT YOU MEAN BY PRIMARY CARE? RIGHT.

SO THERE'S NO REALLY, THERE'S NO REAL OTHER COMMISSION THAT'S FOCUSED ON PRIMARY CARE GOING IN, SEEING A PHYSICAL DOCTOR RECEIVING AN APPOINTMENT, GETTING THE HEALTH TO CARE PHARMACY, RIGHT? THAT, THAT ASPECT SPECIALTY CARE, UH, THE COORDINATION TO, WHETHER IT'S SEATON OR SOMETHING ELSE, VISION, DENTAL, YOU KNOW, THOSE, THOSE ASPECTS.

THERE ARE A LOT OF ORGANIZATIONS THAT ARE FOCUSED IN ON HOUSING AND HOW THAT HAS ITS IMPACTS, BUT THAT'S ALSO ASSOCIATED WITH A COMPONENT OF HEALTH, UH, LOOKING AT, UH, EMISSIONS AND GREEN, YOU KNOW, BEING MORE GREEN, WHICH ALSO HAS ITS IMPACTS IN HEALTH, BUT WE'RE THE ONLY COMMISSION FOCUSED ON ACTUALLY PRIMARY CARE AND, AND THE SERVICES THAT ARE AROUND THAT.

AND, AND HAVING THE EX OFFICIALS OR THOSE ORGANIZATIONS AND AGENCIES A PART OF THE COMMISSION TO HAVE THAT INTENTIONAL CONVERSATION ON THE TAX DOLLARS, THE FEDERAL DOLLARS AND SO FORTH THAT ARE GOING OUT TO ACTUALLY PROVIDE PRIMARY CARE SUPPORT AND SERVICES, MORE OR LESS THE, THE, THE WHOLE PUBLIC HEALTH ASPECT, IF I MAY.

UM, I THINK THAT, UH, THAT'S AN, THE, THAT WHOLE PRIMARY CARE IS AN ACCESS QUESTION.

IT'S AN ACCESS TO HEALTHCARE, BUT IT'S LOOKING AT A SYSTEM RATHER THAN AT, UH, AN INDIVIDUAL, UH, HEALTHCARE ACCESS.

AND THAT IS REALLY THE DOMAIN OF CENTRAL HEALTH FOR INDIGENT MEDICAL CARE IN THE CITY AND COUNTY HAVE TO DELIBERATELY STAY OUT OF THAT CONVERSATION BECAUSE THE SEGREGATED TAX DOLLARS FOR CENTRAL HEALTH.

AND SO I THINK THAT, UH, I, I DON'T WANNA SPEAK FOR MY COLLEAGUE HERE, BUT YOU KNOW, PUBLIC HEALTH IS, IS, SEES ACCESS TO HEALTHCARE IS VERY IMPORTANT, UH, IN DETERMINATE TO HEALTH, RIGHT? BUT WE'RE LOOKING AT THE WHOLE SURROUNDING AND THE OTHER SYSTEMS AT PLAY THAT EITHER IMPROVE YOUR ACCESS TO HEALTHCARE OR DECREASE YOUR OPPORTUNITY TO HAVE ACCESS TO HEALTHCARE.

COMMISSIONER WALLACE, DOES THAT HELP WITH YOUR QUESTION? I THINK IT WAS A ROUNDABOUT RESPONSE.

I MEAN, THERE IS NO OTHER ORGANIZATION OR COMMITTEE THAT IS ACTUALLY WORKING WITH A FOCUS ON ENHANCING THE SERVICES THAT THESE AGENCIES ARE PROVIDING, RIGHT? IN, IN THAT ASPECT.

SO I WOULD JUST SAY IN THIS SENSE, RIGHT, IT IS GREAT THAT WE'RE LOOKING AT CHILD CHIP.

IT IS GREAT THAT WE'RE WANTING TO PARTNER WITH CAP METRO AND THOSE THINGS, RIGHT? BUT THOSE ARE A LOT MORE SOCIAL DETERMINANTS OF HEALTH.

WHEN WE'RE TALKING ABOUT PEOPLE OR HAVING DIFFICULTY ACCESSING, UH, THE ACTUAL SERVICES OF HEALTH, HOW IS FUNDING OCCURRING IN THAT SPACE? UH, IF FUNDING IS GONNA BE TAKEN AWAY AS WHAT, UH, DIRECTOR STIRRUP STATED, RIGHT, ALMOST 50% OF THE BUDGET, WHAT TYPE OF IMPACT DOES THAT HAVE NOW WITHIN, UH, WHAT THEY DO PROGRAMS FOR THOSE HIV, STDS AND SO FORTH, RIGHT? UH, ON THE BIRTHING SIDE OF THE HOUSE, THOSE, THOSE ASPECTS.

THE OTHER ORGANIZATIONS, OTHER COMMITTEES ARE NOT NECESSARILY GONNA GET INTO THAT SPACE WHERE WE CAN, BASED OFF OF THE ORDINANCE THAT CREATED THIS COMMISSION, PLEASE.

I OH, OH, I IN Z SORRY.

YOU WANNA GO? OKAY.

I, I WAS JUST GONNA SAY, BUT THAT'S OBVIOUSLY NOT OUR EXCLUSIVE

[01:30:01]

PURVIEW OR OUR ONLY PURVIEW WHERE THERE'S NOTHING IN THE ORDINANCE THAT SAYS THAT, WAS THAT THE FOCUS OF, UH, THE GROUP? SO THAT'S JUST MAYBE ONE SLICE OF WHAT WE MIGHT BE INTERESTED IN.

JACK, CAN I SAY SOMETHING? PLEASE, DR.

DODA? YES.

UM, THANK YOU SO VERY MUCH.

WHEN WE DEVELOPED THE CHAIR, WE HAD, YOU KNOW, HEALTHCARE, HEALTH, HEALTHCARE ACCESS, UM, IN THE CHAIR.

BUT WHEN WE WERE, YOU KNOW, DEVELOPING THE CHIP COMMITTEE MEMBER DID NOT PRIORITIZE IT.

YOU KNOW, THAT'S WHAT WE DIDN'T HAVE IN THE CHIP.

IT WASN'T INTENTIONALLY OR LEFT BEHIND OR LEFT OFF, NOTHING LIKE THAT.

IT'S BECAUSE COMMITTEE MEMBERS NO PRIORITY AT IT DID NOT SEE AS, UH, A PRIORITY FOR THAT TIME.

IS IT ALSO POSSIBLE THAT THEY KNEW THAT WE HAVE THIS THING CALLED CENTRAL HEALTH, AND THAT IT IS, YOU KNOW, DRIVEN TO THAT SPECIFIC, UM, YOU KNOW, UM, COVERAGE AND SO THEY DIDN'T NEED TO FILL, WRITE A WHOLE SECTION ON WHAT CENTRAL HEALTH IS ALREADY CHARGED TO DO AND HAS, YOU KNOW, FUNDING TO DO? WELL, WHEN WE WERE DOING THE TRIAL, AGAIN, WE, YOU KNOW, WE DEVELOPED POWERPOINT AND WE WENT THROUGH THE DOMAIN IN THE CAR.

SO THEY KNEW THAT, YOU KNOW, HEALTHCARE WAS PART OF THE CHA.

BUT, AND AGAIN, DURING THE DEVELOPMENT OF THE CHIP, THEY DID NOT PRIORITIZING.

AND I, I, I THINK I, I WANNA WANNA JUMP IN OF SAYING, UM, USING THE, THE CHIP TO GUIDE OUR WORK IN OUR WORKING GROUPS IS NOT DEPRIORITIZING ANY OTHER CONCERNS.

BUT I, I DO, I AM A BIT CONFUSED ABOUT THE, THE CONVERSATION AROUND HEALTHCARE AND HEALTHCARE ACCESS.

UM, BECAUSE NOW WE'RE, WE'RE GOING OUTSIDE OF THE ACTUAL PUBLIC HEALTH COMMISSION'S PURVIEW.

UM, WE CANNOT TELL DOCTORS TO BE MORE, WE CAN'T DICTATE TO HEALTHCARE SYSTEMS OR RECOMMEND TO HEALTHCARE SYSTEMS HOW THEY ARE AVAILABLE.

AND I, I'M, THIS COULD JUST BE MY UNDERSTANDING OF ACTUALLY BEING A PREVIOUS HEALTHCARE WORKER, THOSE HOSPITALS AND ENTITIES, ESPECIALLY WHEN WE'RE TALKING ABOUT SPECIALTY CARE, UM, THEY'RE ALREADY TAXED AS IT IS.

UM, SO I THINK I'M JUST A BIT CONFUSED ON ON, ESPECIALLY SINCE WE HAVEN'T TALKED ABOUT ANYTHING, UH, REGARDING ACCESS TO SPECIALTY CARE OR ACCESS TO DOCTORS IF WE'RE MISSING SOMETHING.

YEAH, GO AHEAD, DOCTOR.

SO I GET CLARIFICATION.

WE HAVE OVER THE LAST YEAR, TALKED SPECIFICALLY IN THIS SPACE WHEN WE GOT INFORMATION ON EACH AGENCY AND HOW THEY PROVIDE THEIR SERVICES, WHERE THE FUNDING IS BEING ALLOCATED REGARDING PUBLIC HEALTH ASPECTS AND SERVICES.

WE ALSO LOOKED AT WHERE THEIR LOCATIONS ARE AT AND WHERE THEIR LOCATIONS ARE NOT AT BASED UPON THE POPULATION THAT THEY SERVE.

AND WHERE COULD THEY POTENTIALLY BE ABLE TO REALIGN TO BE ABLE TO BETTER SERVE THOSE CONSTITUENTS WITHIN THAT PUBLIC HEALTH SPACE.

SO WE HAVE BEEN COVERING IT, AND I DO NOT DISAGREE WITH YOU, THAT YES, WE'RE NOT SUPPOSED TO DICTATE WHAT THEY DO WITH THEIR DOCTORS AND SO FORTH, BUT WE CAN GIVE RECOMMENDATIONS JUST LIKE THE COMMISSIONER'S COURT GIVES RECOMMENDATIONS TO CENTRAL HEALTH WHEN IT DOES THEIR APPROVAL ON THIS BUDGET OF WHERE THEY WOULD LIKE TO SEE MORE OF ITS FUNDING SPENT AT AND WHY, AND HOW THAT'S GONNA HAVE A BETTER HEALTH RATE IMPACT.

UM, YES, WE CAN SAY BUILD A CLINIC HERE, BUILD A CLINIC THERE, BUT WE CAN SAY THROUGH IDENTIFIED GAPS AND SO FORTH, WHAT IS THE STRATEGY TO BE ABLE TO BETTER SUPPORT THAT PARTICULAR POPULATION.

THAT'S ONE OF THE UNIQUENESSES OF WHAT WE'RE ABLE TO DO HERE IN THIS COMMISSION THAT IS NOT LIKE THE OTHER COMMISSIONS.

CAN I CHIME IN A LITTLE BIT? SURE.

I THINK THAT MAYBE, UM, THE DEFINITION OF PUBLIC HEALTH WOULD HELP, UM, COMMISSIONER WALLACE UNDERSTAND A LITTLE BIT MORE, UH, THE COMPONENTS, HOW, UH, PUBLIC HEALTH AND SOCIAL DETERMINANTS HEALTH COME TOGETHER WHEN WE TALK ABOUT MEDICAL, IT'S ECONOMICAL STABILITY, EDUCATION, ACCESS AND QUALITY, HEALTHCARE ACCESS AND QUALITY, NEIGHBORHOOD AND BUILT ENVIRONMENT, AND SOCIAL AND COMMUNITY CONTEXT.

WHEN WE TALK, I KNOW THAT YOU ARE TALKING ABOUT LIKE THE MEDICAL PART.

BUILDING CLASS OR GO DO A BUDGETING CLASS, BECAUSE THERE'S A LOT OF COMPONENTS THAT WILL NOT ALLOW THE CLIENT OR THE PARTICULAR COMMUNITY BECAUSE THEY DON'T HAVE ACCESS TO IT.

A LOT OF TIMES WHEN WE HAVE TO FOCUS ON ONE OF THESE COMPONENTS FOR THE SIMPLE FACT THAT SOME OF THE COMMUNITY WILL NOT GO HAVE, GO FINISH THEIR SCHOOL, MIGHT NOT BE ABLE TO, UM, GET, GO INTO A, UH, CREDIT CLASS, UH, YOU KNOW, CREDIT, UM,

[01:35:02]

NOW, WE'VE TALKED ABOUT WHAT CAN WE DO TO SOME OF THESE ORGAN, LIKE TALK TO SOME OF THESE, UH, I GUESS LIKE MEDICAL, RIGHT? SO IT'S ABOUT ASSESSMENT, IT'S ABOUT POLICY DEVELOPMENT, AND IT'S ABOUT ASSURANCE.

THAT IS WHAT, UH, PUBLIC HEALTH IS ABOUT.

AND PUBLIC HEALTH AND SOCIAL DETERMINANTS OF HEALTH COME TOGETHER.

LIKE WE ARE THE ONES THAT ARE SUPPOSED TO BE SEEING WHERE THE GAPS ARE AND WHERE WE CAN TAKE THEM.

WHEN WE TALK ABOUT CLIMATE AND WHEN WE TALK ABOUT THE, THE, THE HEAT STUFF THAT'S HAPPENING WHEN WE'RE TRYING TO DO CAPITAL METRO, I DID FINALLY GET A GOOD, UH, POINT OF CONTACT FOR CAPITAL METRO, AND I'VE SENT IT TO DANIELLA, BELIEVE ME, I'VE BEEN WORKING ON IT.

THERE WAS A LOT OF RUNAROUND, UM, WHICH ALSO, YOU KNOW, SHOULD BE ADDRESSED BECAUSE THIS IS, UM, AS MUCH AS I TRY TO PUT IT ON THE TABLE THAT IT WAS FOR A PRESENTATION FOR THE BOARD AND COMMISSIONERS, I WOULD STILL GIVE, I WAS STILL GIVEN THE RUNAROUND, BUT SOCIAL DETERMINANTS OF HEALTH RUNS HAND TO HAND WITH PUBLIC HEALTH, RIGHT? THEY COME TOGETHER BECAUSE WE ARE THE ONES THAT ARE HELPING SOME OF THESE ORGANIZATIONS THAT COME IN HERE TRY TO GIVE US A BIG PICTURE OF WHERE THEIR MONEY'S GOING, WHAT'S THEIR PROCESS, WHAT'S THEIR PROCEDURES, WHAT ARE, WHAT ARE THE GREAT THINGS THAT THEY'RE DOING, RIGHT? BUT BECAUSE WE'RE IN THE MIX, WE UNDERSTAND, AND, AND, AND ME, WHEN I COME IN INTO THE, INTO THIS SPACE, I DID COME IN WITH A LITTLE BIT OF INSECURITY BECAUSE I DON'T HAVE SOME OF THOSE DOCTORATES AND, BUT I DID COME TO THE TABLE WHEN I WAS INTERVIEWED THAT I COME WITH LIVED EXPERIENCE, RIGHT? SO WHEN I PUT THAT ON THE TABLE, AND I'M CALLED IN TO BE ABLE TO BE PART OF THIS, I FEEL THAT THERE'S A VOICE THAT TO BE SAID, RIGHT? SO THIS IS WHY SOMETIMES I MIGHT SOUND LIKE I'M COMPLAINING, I'M, I'M, I'M PICKING ON CERTAIN THINGS, BUT I'M REALLY, I AM THE COMMUNITY.

I AM A COMMUNITY HEALTH WORKER BECAUSE I AM THE COMMUNITY.

SO SOME OF THE TIMES WE NEED TO UNDERSTAND THESE THINGS.

AND MAYBE, UM, AND I'M NOT GONNA SAY EVERYONE BECAUSE I ALSO COME WITH SOME ENTITLEMENT AND SOME PRIVILEGE THAT I HAVEN'T HAD TO BE UNHOUSED, EVEN THOUGH I MIGHT BE IN THE HOUSING SYSTEM, RIGHT? BUT SOMETIMES IT COMES WITH NOT UNDERSTANDING CERTAIN THINGS, HOW THEY NOT CORRELATE, RIGHT? WHEN WE TALK ABOUT CAPITAL, METRO TRANSPORTATION IS A SOURCE OF DETERMINANTS OF HEALTH.

IF, FOR EXAMPLE, THERE'S COMING A CLINIC TO DELL VALLEY, PEOPLE DON'T HAVE ACCESS TO IT UNLESS THEY HAVE A VEHICLE THEY'VE GIVEN US.

UM, UH, I'VE SAT IN MEETINGS WHEN THEY TALK ABOUT, UH, DELL VALLEY IS NOT A FOOD DESERT AND EVERYBODY HAS A VEHICLE.

ACTION, RIGHT? IT'S ABOUT ACTIONS.

BUT THAT VEHICLE'S GONE FOR 12 TO 16 HOURS WHEN ONE PERSON HAS TO GO TO WORK, SO THE MOM STAYS HOME WITH THE CHILD AND HAS TO TAKE THE CHILD TO THE CLINIC.

HOW ARE THEY GONNA DO THAT? BECAUSE THERE'S ONLY ONE ROUTE.

THOSE PEERS GOES INTO THE HIGH, EXCUSE ME, GOES INTO THE HIGH SCHOOL, COMES AROUND AND GOES BACK INTO AUSTIN.

IT DOESN'T, IT'S NOT GONNA BE, BE ABLE TO GO TO THE ELROY, RIGHT? SO THEN THAT'S, WHEN WE TALK ABOUT SOCIAL DETERMINANTS OF HEALTH, NOT ONLY ARE WE TALKING ABOUT, HEY, WHAT ABOUT THE PEOPLE THAT ARE LIVING IN THAT AREA, IN THE ELROY AREA, THAT THEIR AC GOES OUT WHEN WE TALK ABOUT COOLING, THE SUMMERS COMING, OR VICE VERSA WHEN IT'S, YOU KNOW, WINTER, RIGHT? HOW CAN THEY HAVE ACCESS? PEOPLE THAT ARE ON THE ROUTE CAN GET ON THE BUS AND GO INTO A, UH, A WARM SHELTER.

BUT WHAT ABOUT THE PEOPLE THAT ARE STILL IN THE VALLEY, RIGHT ON THIS SIDE, ACTUALLY, EVEN MAINOR, HOW CAN PEOPLE THAT'S HAVING ACCESS THAT FALLS UNDER SOCIAL DETERMINANTS OF HEALTH.

TRANSPORTATION DOES FALL ON THAT.

AND THE UMBRELLA IS PUBLIC HEALTH.

UM, THERE, IT'S NOT ONE-ON-ONE.

AND WHEN WE KEEP ON PUSHING ABOUT MEDICAL, IT'S ESSENTIAL.

WHEN WE TALK ABOUT MENTAL HEALTH, I, I'M AN ADVOCATE FOR MENTAL HEALTH, BECAUSE YOU HAVE A VERY SMALL WINDOW WHEN SOMEBODY WANTS TO, WHEN SOMEBODY WANTS TO GET SOME KIND OF SERVICE, AND IT'S, AND IT'S NOT THERE, YOU LITERALLY HAVE TO PAY TO EITHER YOU HAVE SOME KIND OF INSURANCE OR PAY OUT OF POCKET TO GO COUNSELING, RIGHT? BUT LET'S, LET'S BE LIKE, IF YOU HAVE ACCESS TO DO THAT, WHAT ABOUT THE PEOPLE, THE COMMUNITY THAT IS HURTING THE VULNERABLE COMMUNITY THAT IS WALKING ON THE STREETS WITHOUT FOOD, WITHOUT HOUSING, WITHOUT FAMILY? HOW DO WE GET THEM THAT SERVICE, RIGHT? THAT'S THE EQUITY PART.

AND THAT FALLS UNDER PUBLIC HEALTH.

AND IT FALLS ALSO UNDER SOCIAL DETERMINANTS OF HEALTH.

SO IT KIND OF COMES ALL TOGETHER AND COMBINE WHAT WE'RE DOING HERE.

WE'RE SUPPOSED TO BE THAT PE WE'RE THAT GLUE THAT'S SUPPOSED TO MEN, SOME OF THESE AND HOLD THEM ACCOUNTABLE, IS HOW I SEE IT.

NOW, I REALLY FEEL THAT THIS COMMISSION HAS DONE A LOT, A LOT IN THE SENSE OF LIKE REALLY FOCUSING ON THESE THINGS.

BUT I ALSO, UM, I UNDERSTAND, UH, WHERE COMMISSIONER POINDEXTER IS TALKING ABOUT THAT.

ABOUT HOW MUCH, HOW MUCH, I DON'T WANNA SAY POWER, BUT HOW MUCH AUTHORITY, OR HOW MUCH AVAILABILITY DO WE HAVE TO PUT SOME OF THESE THINGS INTO IMPLEMENT, RIGHT? BECAUSE ONE THING ABOUT ME, I DON'T LIKE TO DO A LOT OF TALKING, EVEN THOUGH I LOVE TO TALK.

BUT WHAT I MEAN IS ABOUT

[01:40:01]

IF WE'RE GONNA PUT SOMETHING ON THE TABLE, AND VANESSA FUENTES CAME TO AND SAYS, I WANNA TARGET A, B AND C AND WE'RE TARGETING THESE THINGS.

NOW WHAT? NOW WHERE DO WE TAKE THIS? RIGHT? UH, ANOTHER THING ABOUT THE OTHER COMMISSIONER I WOULD LOVE, YOU KNOW, HE'S MENTIONED IT BEFORE.

I THINK THERE WAS ANOTHER COMMISSION LIKE THIS ONE IN CALIFORNIA, AND I THINK HE MENTIONED IT SOMEWHERE ELSE.

THAT WOULD BE A GREAT, I'M SORRY, LIKE, CALL IT A FIELD TRIP, WHERE WE ACTUALLY NEED TO ALSO SEE SHADOW, ANOTHER COMMISSION TO SEE HOW, WHAT, WHAT HAPPENS AFTER THEY COME WITH, WITH A RESOLUTION, WITH AN ASSESSMENT.

THEY'VE COME WITH, THIS IS THE CONCLUSION.

THIS IS WHAT WE'RE THINKING ABOUT.

NOW WHAT'S THE NEXT STEP? BECAUSE OBVIOUSLY, WE'RE THE FIRST COMMISSION THAT HAS BEEN ON HERE.

SO IT IS KIND OF LIKE WE ARE, WE ARE DOING A LOT OF TALKING, A LOT OF ASSESSMENT, A LOT OF, OF LIKE EVALUATING THINGS.

BUT THEN NOW WHAT WE HAVE ALL OF THESE AMAZING INFORMATION AND WHERE ARE WE GONNA TAKE IT TO NOW, I DON'T DISAGREE WITH YOU, COMMISSIONER.

I I DO AGREE WITH YOU.

UH, CHAIR, MAYBE THERE NEEDS TO BE A DEFINITION OF WHAT PUBLIC HEALTH MEANS FOR THIS COMMISSION.

'CAUSE I'M GOING OFF OF THE DEFINITION OF PUBLIC HEALTH.

I'M GONNA READ IT VERBATIM.

PROTECTING AND IMPROVING POPULATIONS, WHICH ENCOMPASSES A BROAD RANGE OF DISCIPLINES AND ACTIVITIES OF PREVENTING DISEASE, PROMOTING HEALTH.

AND THE KEY POINT I WAS HIGHLIGHTING HERE, ENSURING ACCESS TO QUALITY HEALTHCARE SERVICES.

NOW, YOU KNOW, WHAT WAS BEING MENTIONED AS FAR AS MY EXPERIENCE WHEN WE'RE TALKING ABOUT CAP METRO AND, AND ONLY ONE TRANSPORTATION STUFF THAT FALLS UP UNDERNEATH MOBILITY, BUT IT DOES HAVE A SOCIAL DETERMINANT OF HEALTH COMPONENT TO IT WHEN WE'RE TALKING ABOUT, UH, INCLEMENT WEATHER AND NOT HAVING THE RIGHT PLACES.

THAT'S ENVIRONMENT, BUT IT STILL HAS A HEALTH, UH, SOCIAL DETERMINANT HEALTH COMPONENT TO IT.

SO I THINK MAYBE, YOU KNOW, REQUESTING CLARIFICATION ON EXACTLY WHAT IS THE TERM FOR PUBLIC HEALTH FOR THIS COMMISSION.

SO THE SOCIAL DETERMINANT OF HEALTH COMPONENTS, IF THAT'S WHAT WE'RE SUPPOSED TO BE FOCUSING ON AND WORKING WITH OTHER ORGANIZATIONS WHERE THAT'S THEIR PRIMARY FOCUS, THEN, THEN, THEN, GREAT.

I JUST WANNA MAKE SURE THAT WE DON'T SHIFT, UM, UH, TOO HEAVILY IN SOCIAL DETERMINANTS OF HEALTH IF WE'RE SUPPOSED TO ALSO BE PRIMARILY FOCUSING ON ENSURING ACCESS TO QUALITY HEALTHCARE SERVICES BY THESE AGENCIES THAT ARE EX OFFICIALS.

UM, I'M GONNA CHIME IN HERE.

I THINK KIND OF WHAT'S HAPPENING IS WE ALL HAVE VERY DIFFERENT STRENGTHS AND WE ALL COME FROM DIFFERENT FIELDS.

THAT BEING SAID, YES, WE PROBABLY NEED TO REVIEW WHAT PUBLIC HEALTH MEANS, BUT OVERALL, THERE ARE FOLKS WHO ARE IN THE MEDICAL FIELD.

THERE'S PEOPLE IN PUBLIC HEALTH FIELD, BUT IT ALL CONVERGES TOGETHER.

BUT TO BRING IT BACK TO WHAT WE WERE TALKING ABOUT WITH WORK GROUPS IS TAKING THESE SPECIALTIES, PUTTING THEM IN GROUPS AS A MEANS TO CREATE POWER AS A MEANS TO THEN DO MORE ACTIONABLE ITEMS. AND SO, AGAIN, LIKE THAT MEDICAL PIECE IS A PART OF IT, AND THAT IS A STRENGTH IN WHICH YOU HAVE THAT IS SOMETHING YOU HAVE A LITTLE BIT MORE, UM, INSIGHT INTO.

AND I THINK THAT HAS VALUE IN IT.

BUT I THINK THAT'S KIND OF WHERE WE ALL COME FROM VERY DIFFERENT BACKGROUNDS.

AND I THINK THAT'S A GOOD THING.

AND IT'S GOOD TO BE ABLE TO HAVE ADVANCED KNOWLEDGE IN THAT, WHERE MAYBE SOME OF US DO NOT.

BUT I DO WANNA BRING IT BACK TO WORK GROUPS AND THAT YOU CAN TAKE THOSE STRENGTHS, BE IN A WORK GROUP, AND MAKE ACTIONABLE THINGS FROM THAT.

SO I KNOW, LIKE WE ALL HAVE DIFFERENT IDEAS OF LIKE, AREAS OF FOCUS WE WANT TO BE IN, BUT WORK GROUPS WILL ALLOW US TO DO THAT.

SO YOU CAN USE THAT STRENGTH WITHIN A WORK GROUP IF YOU WISH TO JOIN ONE.

AND I'LL JUST, UM, JUST FOR FOR CLARITY AND CLARIFICATION, I HAVE BOTH THE BYLAWS OF THE AUSTIN TRAVIS COUNTY PUBLIC HEALTH COMMISSION IN FRONT OF US, AS WELL AS THE RESOLUTION FROM THE TRAVIS COUNTY COMMISSIONER'S COURT.

UM, WE HAVE ACCESS TO THESE, THEY ARE ONLINE, ON THE WEBSITE, SPECIFICALLY UNDER THE PUBLIC HEALTH COMMISSION.

UM, AND REFRESHING.

WE HAVE FIVE, UH, PRIORITY OR PURPOSE AND DUTIES.

UM, AND THEN WE ALSO HAVE OUR, OUR RESOLUTION THAT VERY SPECIFICALLY STATES.

UM, WE ARE LOOKING AT PUBLIC HEALTH SYSTEMS AND UNDERSTANDING THAT THE CONVERSATION THAT WE ARE HAVING HERE IS TRULY AROUND WHAT IS ACTIVATING OUR WORKING GROUPS AND WHAT OUR WORKING GROUPS CAN BRING TO THE TABLE.

THIS IS NOT TO NEGATE ANY OTHER CONVERSATIONS.

THIS IS NOT TO SAY THAT WE CANNOT IN FACT HAVE CONVERSATIONS AROUND, UM, ACCESS TO CARE.

THIS IS TO SAY THAT WE ARE A PUBLIC HEALTH COMMISSION THAT IS FOLLOWING OUR BYLAWS, THAT IS FOLLOWING OUR RESOLUTION THAT HAS BEEN CREATED FOR US.

AND WE

[01:45:01]

ARE USING THESE, UM, PIECES OF INFORMATION THAT HELPED US FORM TO ALSO GUIDE OUR CONVERSATIONS AND OUR WORKING GROUPS, AS WELL AS GUIDE OUR CONVERSATIONS AS A COMMISSION.

UM, AGAIN, THE RESTRUCTURING OF THE WORKING GROUPS IS TO GIVE US SOME GUIDANCE WHEN WE'RE NOT HERE, WHEN WE'RE CREATING OUR AGENDA, WE ARE HAVING AN ENTIRELY DIFFERENT CONVERSATION THAT HAPPENS MONTHLY.

BUT OUTSIDE OF THAT, THERE SHOULD BE MORE CONVERSATIONS THAT WE ARE IN FACT, HAVING TOGETHER AS A COMMISSION.

UH, WE ARE TAPPING INTO OUR CLINICAL EXPERTS.

UH, WE HAVE, WE HAVE AN MD SITTING DOWN HERE.

DR. RICE IS VERY MUCH AVAILABLE, VERY MUCH A AN EXPERT IN THE FIELD OF CLINICAL CARE.

WE CAN TAG, WE CAN TAP INTO HIS EXPERTISE.

WE HAVE BRILLIANT PEOPLE ON THIS COMMISSION WHO HAVE AREAS OF EXPERTISE, LEARNED, EXPERIENCE, EDUCATION.

AND MY HOPE WAS TO SPECIFICALLY SAY WE SHOULD TALK TO EACH OTHER OTHER THAN ONCE A MONTH.

THAT'S THE GOAL.

NO, I APPRECIATE THAT.

NO, I APPRECIATE THAT CLARIFICATION.

AND, AND LIKE I SAID, STARTING OUT WAS ONE OF, JUST TO GET CLARIFICATION, 'CAUSE I KNOW THIS CONVERSATION WAS PRIMARILY THE CHILD SHIFT AND FOCUSING IN ON THAT, SO THAT'S WHY I WAS ASKING FOR THAT CLARIFICATION IF WE WERE DOING THAT SHIFT, OR WAS THAT GOING TO BE SOMETHING JUST ADDED MORE ATTENTION AND FOCUS ON.

SO APPRECIATE THE CLARITY AND DISCUSSION ON IT, UH, BY ALL.

ABSOLUTELY.

UM, ANY OTHER LAST MINUTE INSIGHTS? AND I KNOW DR. RICE, YOU HAD NO.

ON TO A FUTURE AGENDA ITEMS. UM, I, I LOVE HOW DIRECTOR, UH, STIR MENTIONED THIS EARLIER, WHICH WAS THE FUTURE OF PUBLIC HEALTH IN OFFICE.

I SAW A HAND.

I WAS LIKE, SORRY, I'M READY.

UM, OKAY.

SO BEAUTIFUL.

MOVING

[FUTURE AGENDA ITEMS ]

AUSTIN, TRAVIS COUNTY IS, IS LIKELY TO LOOK VERY DIFFERENT.

UM, I WOULD LOVE TO KEEP THAT AT THE FOREFRONT OF OUR MINDS, UM, EVERY, EVERY MONTH THAT WE MEET UNTIL WE HAVE A BETTER IDEA OF WHAT OUR FUTURE IN PUBLIC HEALTH LOOKS LIKE.

UM, DANNY, I KNOW WE HAD A FEW PRESENTATIONS THAT WERE POTENTIALLY SCHEDULED, BUT THEN WASN'T SURE IF WE HAD ANY CONFIRMATIONS FOR NEXT MONTH.

I DID HEAR BACK FROM, UH, COMMISSIONER LUHAN.

SO I WILL GET IN CONTACT WITH, UH, CAP METRO, SO HOPEFULLY WE ARE ABLE TO GET THAT IN THE BOOKS.

UM, AS FOR EVERYTHING ELSE, HOPEFULLY MY COMPUTER HASN'T SHUT OFF.

UM, I CAN'T.

THANK YOU, .

I CAN CHECK EXACTLY WHAT WE DO HAVE CONFIRMED AND I'LL GET BACK TO YOU.

APPRECIATE IT.

UM, I WOULD SAY IF WE COULD MOVE, UH, I ALSO HAVE, UM, EVERYBODY TAKE SOME TIME TO THINK ABOUT WORKING GROUPS, THINK, REVIEW THE CHIP, UM, LOOK AT WHAT'S IN THERE, AND THEN, UH, USE SOME OF OUR TIME, UM, NEXT MONTH TO ALSO CONTINUE THIS CONVERSATION, UM, ON HOW WE WANT TO ACTIVATE OUR WORKING GROUPS, WHAT THEY LOOK LIKE, UM, WHAT, WHAT THE STRUCTURE WOULD BE, UH, FOR MEETING, AS WELL AS FOR BRINGING IDEAS AND INFORMATION BACK.

AND THEN, UM, ANY OTHER TOPICS THAT WE, YEAH, I KNOW WE HAD, UM, YOU DID MENTION LAST MEETING THAT YOU WOULD LIKE TO REVIEW THE IMPACT OF THE 2025 COLD SEASON.

OH, YEAH.

I'M UNSURE IF MARCH IS TOO EARLY FOR THAT.

OH, I'LL, I'LL PASS THAT TO COMMISSIONER CROOK.

AND THAT WAS HIS, UH, .

OH, WAS IT? OH, MARCH PROBABLY IS.

I IMAGINE AT SOME POINT THEY'LL HAVE AN AFTER DIRECTION REVIEW AND THEY'LL NEED TIME TO GO THROUGH THAT.

SO IF WE COULD FIGURE OUT WHEN THAT WOULD BE AND THEN SCHEDULE FOR AFTER THAT, THAT WOULD BE GOOD.

ANY OTHER ITEMS THAT WE HAD? YEAH, PLEASE.

UH, JUST A POSSIBLE FUTURE AGENDA ITEM.

THE HEAT RESILIENCE PLAN OR WHATEVER, UM, IS RIDDLED WITH AUSTIN PUBLIC HEALTH THROUGHOUT.

SO I'M JUST CURIOUS WHAT AUSTIN PUBLIC HEALTH IS DOING AND YOU KNOW, WHAT THEIR ACTIONS ARE AND IF THEY NEED ANY SUPPORT.

UH, DO WE, DO WE KNOW WHAT DEPARTMENT NET? AUSTIN PUBLIC HEALTH? I MEAN, I MEAN LIKE WITHIN, WITHIN A PHI, NO, IT'S PROBABLY ALL OF A PH, ALL OF IT.

I DON'T KNOW.

THAT'D BE GREAT TO FIND OUT.

THE HEAT RESILIENCE PLAYBOOK.

IT HAS AWESOME PUBLIC HEALTH ON A LOT OF DIFFERENT STRATEGIES AND PRIORITIES.

SO IF WE COULD JUST GET AN UPDATE ON WHAT WE'RE, WHAT AP H IS DOING TOWARDS THOSE.

[01:50:01]

AND THEN CHAIR, I HAD DID A, UH, A REQUEST TO HAVE, UM, WATERSHED HEALTH DO A PRESENTATION.

I KNOW WE LOOKED AT THE, UH, PRIORITIES.

UM, I, I THINK IT BEST FITS AND DEFINITELY WOULD LOVE TO HAVE DR.

WALK'S, UH, ADDITIONAL COMMENTS ON THIS.

I THINK ESPECIALLY WHEN WE'RE TALKING ABOUT SDOH, I THINK IT CAN BE A GREAT, UH, ENHANCER OF BETTER BRIDGING, UM, COORDINATION OF CARE AND SUPPORT HOLISTICALLY FOR THE INDIVIDUAL WHERE MOST OF OUR SYSTEMS, UM, LOOK AT IT FROM MORE OF THE PROVIDER STANDPOINT.

UH, I THINK IT LOOKS AT THE INDIVIDUAL AND WHERE, UH, THEY'RE BEING CONNECTED, UH, FROM DIFFERENT PROVIDERS.

UH, SO I THINK IT COULD BE A, A ENHANCING CONVERSATION.

I KNOW THEY'RE TALKING, UH, WITHED ECHO, TRYING TO, UH, GET, UH, UH, JOIN WITH THEM AND SOME OF THE OTHER, UH, SIGNIFICANT SYSTEM PROVIDERS, WHETHER IT'S, UH, RED CAP, WHICH, UH, CENTRAL HEALTH PRIMARILY USES IN, IN ITS NAVIGATION PROCESS.

OR, UM, EPIC, WHICH COMMUNITY CARE PRIMARILY USES, I FORGET WHAT, UH, SOME OF THE OTHERS ARE, BUT IT SEEMS TO BE A REAL GOOD BRIDGER AND COULD BE ANOTHER WAY OF SUPPORTING, UM, THE DIFFERENT SDOH ORGANIZATIONS AS WELL, UM, THAT HAVE TO COME UP WITH USING EXCEL SHEETS AND, AND OTHER TYPES OF THINGS.

AND IT'S, IT'S AT NO COST TO THEM, UH, JUST FOR CLARITY FOR EVERYONE ELSE ON THE COMMISSION.

WE'RE, WE'RE NOT FAMILIAR WITH WHAT WATERSHED HEALTH IS.

SO THAT WAS, THAT WAS THE SUMMARY.

I'M NOT SURE IF DR.

WALKS, UH, WANTS TO PROVIDE ANY ADDITIONAL INSIGHT ON WHERE IT, IT COULD PROBABLY BE A GREAT, UH, BENEFIT TO WHAT WE'RE LOOKING AT, UH, AS A COMMISSION.

I'LL, I'LL CALL ON, UH, DIRECTOR STIR AND EXOFFICIO, UM, ZOS, DR.

WA HAD TO STEP OUT.

YEAH, IT'S A HEALTH INFORMATION EXCHANGE PLATFORM THAT DR.

WAZ HAS BEEN WALKING, WORKING ON SINCE THE, UH, LATER STAGES OF THE PANDEMIC.

REALLY BORN OF A NEED TO BE ABLE TO MAKE SURE THAT ALL OF THE SYSTEMS THAT ARE PROVIDING CARE HOSPITAL, UH, PUBLIC HEALTH, GOVERNMENT, NONPROFIT ORGANIZATIONS HAVE ACCESS TO CLIENT DATA IN REAL TIME TO CREATE, UH, UH, CONTINUUM OF CARE.

UH, WE'VE TRIED TO HAVE ONE IN THE PAST AND IT WAS COST PROHIBITIVE.

UM, AND THERE WERE SOME QUESTIONS AROUND LIKE, WHO OWNS DATA? UM, THIS PLATFORM SEEMS TO ADDRESS, UH, THOSE TWO BIG ISSUES.

AND SO SHE HAS MANAGED TO GET MANY OF THE MAJOR HOSPITAL COOS TO BE INTERESTED, UM, AND INDICATE THAT THEY WILL SIGN ON.

AND SO IT, IT WOULD BE GOOD TO, UM, HAVE A PRESENTATION TO THE COMMISSION.

SO WE COULD USE IT FOR HOMELESSNESS, WE COULD USE IT FOR OPIOIDS.

WE COULD POTENTIALLY USE IT FOR A LOT OF DIFFERENT THINGS.

AND THEN THERE WOULD REALLY BE A WAY TO TRACK A CLIENT AND MAKE SURE THAT THEY'RE GETTING EVERYTHING THEY NEED FROM ALL OF THE KEY PLAYERS IN THIS SPACE.

AND THE IDEA IS THAT IT'S BIO PSYCHOSOCIAL, SO IT'S NOT JUST THE MEDICAL COMPONENT, BUT ALSO THE OTHER COMPONENTS THAT DETERMINE THIS PERSON'S ABILITY TO BE SUCCESSFUL IN TREATMENT.

UH, COMMISSIONER WALLACE, DO YOU HAVE A CONTACT THAT CAN, CAN, UM, BE SENT TO DANNY AND THEN WE CAN SEE IF THEY'RE AVAILABLE FOR A MARCH PRESENTATION? YES, ABSOLUTELY.

I'LL CONNECT, UH, DANNY WITH THE, UH, CEO.