* This transcript was created by voice-to-text technology. The transcript has not been edited for errors or omissions, it is for reference only and is not the official minutes of the meeting.
          [00:00:03]
          S A, COUNCIL MEMBER TREVINO HERE. 
          COUNCIL MEMBER ANDREW SULLIVAN. 
          HERE. 
          HERE. 
          COUNCIL MEMBER VERAN. 
          HERE. 
          COUNCIL MEMBER GONZALEZ. 
          PRESENT AND CHAIR SANDOVAL. 
          HERE. 
          WE HAVE A QUORUM. 
          THANK YOU, TINA. 
          WELCOME EVERYONE TO OUR MARCH 16TH AT SPECIAL MEETING OF THE COMMUNITY HEALTH AND EQUITY COMMITTEE MEETING. 
          BEFORE WE MOVE INTO OUR ITEM, UH, FOR DISCUSSION FOR TODAY, 
          [1 21-2338 Approval of the meeting minutes from the January 1, 2021 Community Health and Equity Committee Meeting. ]
WE WILL TAKE THE MINUTES FOR ACTION. 
          THERE ARE A MOTION, MOTION CHAIR. 
          YES, CHAIR. 
          JUST TO NOTE THAT ON THE POSTED AGENDA, IT SAID JANUARY 1ST, BUT ON THE MEETING MINUTES SENT TO US, IT WAS THE JANUARY 28TH MEETING MINUTES. 
          SO WITHIN THE BODY OF THE 28TH MINUTES, I DON'T HAVE ANY CHANGES, BUT ON OUR POSTED AGENDA, IT SAID THE FIRST, SO, UM, I MOVE TO APPROVE MEETING MINUTES FROM THE JANUARY 28TH. 
          UH, CHECK MEETING. 
          SECOND. 
          OKAY. 
          UM, CAN I ASK A QUESTION OF THE ATTORNEY? IS IT ALL RIGHT TO APPROVE THOSE OR SHOULD WE, UH, HOLD AND REPOST THEM APPROPRIATELY? AS LONG AS IT'S CLARIFIED BY MIN MINUTE ORDER, WE CAN DO THAT. 
          MONICA, DO YOU CONCUR? MONICA, WE CAN'T HEAR YOU. 
          SO, I'M SORRY, I WAS MUTED. 
          UH, YES, I CONCUR. 
          ALRIGHT, THANK YOU. 
          UM, WE HAVE A MOTION AND A SECOND. 
          ALL IN FAVOR? AYE. 
          AYE. 
          AYE. 
          OKAY. 
          ANY OPPOSED? ALL RIGHT, THANK YOU. 
          ALL RIGHT. 
          UM, THANK YOU VERY MUCH. 
          WE 
          [2 21-2339 A briefing providing updates on the community-wide COVID-19 vaccination efforts. [Anita K. Kurian, MBBS, MPH, DrPH, Assistant Director, Health] ]
WILL TURN OVER, UH, THE ITEM TO, UH, MR. MCCAREY, WOULD YOU LIKE TO GIVE US AN INTRODUCTION? YES. 
          UH, CHAIR SANDOVAL. 
          THANK YOU SO MUCH. 
          UH, GOOD, GOOD EVENING. 
          UH, COMMUNITY HEALTH AND EQUITY COMMITTEE. 
          UH, I'D LIKE TO TAKE THIS MOMENT BEFORE I DO SOME INTRODUCTIONS TO WELCOME OUR SPECIAL GUEST, UH, FIRST OUR COUNCILMAN COURAGE, UH, WHO IS WITH US TODAY. 
          ALSO, OUR SPECIAL GUEST IS COMMISSIONER, UH, JUSTIN RODRIGUEZ AS WELL. 
          SO THANK YOU BOTH FOR BEING HERE. 
          BEFORE WE BEGIN THE COMMUNITY WIDE VACCINE UPDATE, I WANTED TO DO JUST SOME BRIEF INTRODUCTIONS. 
          DR. 
          AIAN, OUR INTERIM DIRECTOR FOR METRO HEALTH, WILL BE PRESENTING ALONG WITH THE FOLLOWING INDIVIDUALS REPRESENTING UNIVERSITY HEALTH SYSTEMS IS GEORGE HERNANDEZ, JR. 
          PRESIDENT AND CHIEF EXECUTIVE OFFICER. 
          REPRESENTING UT HEALTH OF SAN ANTONIO IS DR. 
          ROBERT, UH, LEVERANCE, WHO IS ALSO OUR CHIEF MEDICAL OFFICER, REPRESENTING WELLMED MEDICAL IS MAJOR GENERAL, UH, JIMMY KEATON, OUR SENIOR VICE PRESIDENT OF ENTERPRISE CLINIC OPERATIONS, ALSO REPRESENTING THE CITY OF SAN ANTONIO. 
          ALONG WITH DR. 
          CURIAN IS ANDREW ESTRADA, WHO IS OUR DEPUTY FIRE CHIEF. 
          THEY WILL TEAM TAG, UH, THEIR PART OF THE PRESENTATION AS WELL, UH, THE CHIEF AS WELL AS DR. 
          CURIAN. 
          SO, UH, MADAM CHAIR, I'M GONNA TURN IT OVER TO DR. 
          CURIAN. 
          THANK YOU, YOU, MR. MCCREARY, AND GOOD AFTERNOON. 
          UH, BEFORE I GO INTO IT, ONE SMALL CORRECTION. 
          I AM THE ASSISTANT DIRECTOR AT, UH, METRO HEALTH AND NOT THE INTERIM DIRECTOR. 
          UM, AS MR. , AS MR. MCCREARY HAD ALREADY MENTIONED, UH, THIS IS GOING TO BE A JOINT PRESENTATION, AND I WANNA START BY ACKNOWLEDGING MY FELLOW PRESENTERS. 
          UM, THEY DID, IT WAS A, IT WAS A SHORT NOTICE TO A, EACH ONE OF THEM, AND THEY WERE GOOD TROOPERS. 
          GREAT TROOPERS REARRANGED THEIR SCHEDULES TO BE HERE TODAY. 
          SO, UH, THANK YOU ALL. 
          UM, COULD WE START THE PRESENTATION? THANK YOU. 
          THERE. 
          THE NEXT, NEXT SLIDE. 
          NEXT SLIDE, PLEASE. 
          THERE YOU GO. 
          IF YOU RECALL, THE STATE'S C OVID 19 VACCINATION PROGRAM BEGAN WITH THE PHASE ONE A IN DECEMBER WITH HEALTHCARE WORKERS AND LONG-TERM CARE FACILITY RESIDENTS AND STAFF. 
          LATER THAT MONTH, UM, PHASE ONE B BEGAN, UH, WHERE PEOPLE 65 YEARS AND OLDER AND OTHERS WITH MEDICAL CONDITIONS THAT PUT THEM AT A GREATER, UH, HOSPITALIZATION, UH, RISK FOR HOSPITALIZATION AND DEATH FROM C OVID 19 HAD BECOME ELIGIBLE. 
          LAST WEEK, UH, TEXAS ADDED SCHOOL AND CHILDCARE WORKERS TO THE ELIGIBLE POPULATION FOLLOWING, 
          [00:05:01]
UH, A DIRECTOR FROM THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES. 
          AND EFFECTIVE YESTERDAY, WHICH IS MARCH 15TH, PEOPLE 50 YEARS AND OLDER BECAME ELIGIBLE TO BE VACCINATED. 
          SO, AS SHOWN IN THE SLIDE HERE, CURRENTLY WE ARE VACCINATING PHASE ONE A, PHASE ONE B, UH, CRITICAL POPULATION GROUP SCHOOL, AND LICENSED CHILDCARE PERSONNEL AND PHASE ONE C. 
          NEXT SLIDE PLEASE. 
          SO, CURRENTLY WE HAVE 501 FULLY REGISTERED COVID 19 VACCINE PROVIDERS IN OUR COMMUNITY IN BAYER COUNTY. 
          BUT IN THIS CURRENT CLIMATE OF LIMITED VACCINE ALLOCATIONS, NOT ALL OF THEM, NOT ALL OF THESE C OVID 19 VACCINE PROVIDERS ARE BEING ALLOCATED VACCINES ON WEEKLY BASIS, EITHER FOR, EITHER BY THESE DEPARTMENT OF STATE HEALTH SERVICES OR BY THE FEDERAL GOVERNMENT. 
          SO WHAT YOU SEE UP HERE, HERE IS THE GEOGRAPHIC DISTRIBUTION OF C OVID 19 VACCINE PROVIDERS IN BAYER COUNTY WHO CURRENTLY HAVE VACCINE ALLOCATIONS. 
          OVERLAID ON THE CVID 19 INDEX MAP NOW CVID 19 INDEX MAP INDEX, IT'S, IT'S A COMPOSITE SCORE, UM, OF HEALTH EQUITY INDEX AND THE BURDEN OF CVID 19 THAT TAKES INTO ACCOUNT THE NUMBER OF C OVID 19 CASES AND DEATHS. 
          SO, ESSENTIALLY, THE INDEX GIVES YOU AN IDEA OF THE IMPACT OF CVID 19 IN A PARTICULAR GEOGRAPHIC LOCATION. 
          UM, NOW, BEGINNING IN JANUARY, TEXAS HAD ESTABLISHED LARGE VACCINATION SITES OR HUBS ACROSS THE STATE. 
          THE GOAL OF THESE HUBS WAS TO PROVIDE MORE PEOPLE THE VACCINES IN A COORDINATED COMMUNITY-WIDE EFFORT. 
          SO, AS LISTED ON THE SLIDE HERE, WE HAVE FOUR VACCINE HUBS IN, IN OUR COMMUNITY IN BAYER COUNTY. 
          SO MY FELLOW PRESENTERS WILL TALK MORE ABOUT EACH OF THESE HUBS. 
          UH, WE CAN START WITH THE WONDERIN MODEL OF AMERICAS. 
          SO, UH, MR. GEORGE HERNANDEZ, THE PODIUM IS YOURS. 
          THE FLOOR IS YOURS. 
          UH, THANK YOU, DR. 
          IAN. 
          UH, WITH ME HERE AT, UH, UNIVERSITY HOSPITAL, UH, IS DR. 
          BRIAN EP, OUR CHIEF MEDICAL OFFICER, UH, LENNY KIRKMAN, CHIEF CORPORATE AFFAIRS, AND BILL PHILLIPS, CHIEF INFORMATION OFFICER, AND THE PERSON IN CHARGE OF OUR WONDERLAND MALL, UH, ROLLOUT THERE. 
          UH, I HAVE, UH, UH, A DIFFERENT SLIDE, UH, THAT'S KIND OF SHOWS THE SITE, BUT I'LL KIND OF DESCRIBE IT IF I KNOW, UH, COUNCILWOMAN, UH, CHAIRWOMAN, UH, SANDOVAL. 
          YOU'VE BEEN TO WONDERLAND MALL AND YOU'VE SEEN THE, THE UPPER LEVEL OF THE, OF THE, OF THE MALL. 
          I WILL GO INTO A LITTLE BIT OF THE DETAIL OF HOW WE CHOSE THAT AND, AND HOW THIS ROLLED OUT HERE. 
          UNIVERSITY, UH, HEALTH SYSTEM, WE RECEIVED OUR FIRST VACCINE ON DECEMBER 18TH. 
          UH, WHEN I WAS AT COMMISSIONER'S COURT ON DECEMBER 2ND, UH, THE COUNTY JUDGE ASKED ME, UH, ABOUT OUR VACCINE. 
          UH, AND WE HAD APPLIED FOR A VACCINE. 
          WE DIDN'T KNOW HOW MUCH WE WERE GONNA RECEIVE OR HOW WE'RE GONNA RECEIVE IT, BUT 27 DIFFERENT SITES. 
          MOSTLY, UH, OUR CLINICS HAD HAD, UH, SIGNED UP FOR THE VACCINE. 
          WE DID RECEIVE IT IN 27 DIS UH, UH, DISTINCT SITES. 
          UH, IT BECAME REALLY OBVIOUS TO US EARLY ON THAT WE WERE NOT GONNA BE ABLE TO BE EFFICIENT IN ROLLING OUT A, UH, PUBLIC HEALTH VACCINE EFFORT, UH, FROM THOSE 27 DIFFERENT SITES. 
          SOME OF THOSE SITES RECEIVED 300 DOSES OF VACCINE. 
          OTHER SITES RECEIVED A THOUSAND, SOME RECEIVED 500. 
          UH, AND, UH, WE HAD SEEN, WE, AT, AT THAT TIME, WE WERE WATCHING THE NEWS, AND YOU COULD SEE THAT PEOPLE WERE LINING UP OUTSIDE OF CLINICS AND WAITING FOR HOURS, AND WE DIDN'T WANT TO HAVE THAT SORT OF SITUATION OCCUR AT UNIVERSITY. 
          UH, SO BETWEEN CHRISTMAS AND NEW YEAR'S, THE STAFF MET AND CONSOLIDATED ITS EFFORTS AT UNIVERSITY HEALTH SYSTEM TO VACCINATE AT WONDERLAND MALL. 
          UH, WE CHOSE WONDERLAND MALL FOR A COUPLE OF REASONS. 
          UH, NUMBER ONE, IT'S CENTRALLY LOCATED. 
          UH, WHEN WE LOOKED AT THE DEMOGRAPHIC PATTERNS OF UNIVERSITY, UH, AT UNIVERSITY HEALTH SYSTEM, WE LOOKED AT DEMOGRAPHIC PATTERNS FOR THE WHOLE COUNTY. 
          I SHOULD SAY HALF THE PEOPLE LIVE NORTH OF FOUR 10 AND HALF. 
          THE PEOPLE OF BEAR COUNTY LIVE SOUTH OF FOUR 10. 
          HALF THE PEOPLE LIVE MORE OR LESS EAST OF I 10, AND HALF THE PEOPLE LIVE MORE OR LESS WEST OF I 10. 
          SO FROM A, FROM A POPULATION CENTER AND FROM A, UH, IT WAS A REALLY GOOD SITE AND HAD VERY GOOD ACCESS. 
          UH, AND, UH, AND SO THAT WAS OUR, OUR PREFERRED SIDE. 
          WE HAD A, A CONCERN, AND, UH, AND DR. 
          OSS WILL, WILL, WILL MENTION IT IN A MINUTE, UH, THAT WE HAVE, WE'RE AN ONGOING BUSINESS. 
          WE HAVE PEOPLE WHO CONTINUE TO GET SICK AND, AND NEED TO SEE THE PHYSICIANS. 
          AND, UH, AND IF WE HAD A MASS VACCINATION SITE AT ANY ONE OF OUR CLINICS, WE WOULD, UH, UH, CONFLICT FROM THE PEOPLE NEEDING CARE TO THE PEOPLE WHO NEEDED VACCINE. 
          AND SO WE LOOKED FOR A SITE THAT WAS, UH, NEW, UH, FOR 
          [00:10:01]
US. 
          UM, AND WITH EASY ACCESS TO THE ENTIRE COMMUNITY, UH, WONDERLAND NOT ONLY HAS, UH, UH, SIGNIFICANT, UH, A GREAT AMOUNT OF EASY PARKING, IT'S COVERED PARKING. 
          UH, IT HAS, UH, IT'S A D A ACCESSIBLE, IT HAS A VIA BUS TERMINAL THERE, A LARGE VIA BUS TERMINAL. 
          UH, IT'S, WE WERE ABLE TO SECURE TWO INDOOR SITES. 
          WE ALREADY HAD ONE. 
          ONE OF THE THINGS THAT DREW US TO, TO WONDERLAND IS THAT ABOUT TWO OR THREE YEARS AGO, WE RENTED SPACE THERE FOR A COMPUTER LAB AND A COMPUTER TRAINING CENTER. 
          AND SO WE'VE BEEN USING THAT SITE FOR, FOR TRAINING FOR OUR EMPLOYEES FOR YEARS. 
          UH, AND SO WE HAD A SIGNIFICANT AMOUNT OF COMPUTER INFRASTRUCTURE ALREADY AT THE MALL. 
          AND SO OUR, OUR, UH, OUR CHALLENGE WAS TO CONVERT THOSE, THOSE CLASSROOMS INTO A VACCINATION SITE, AND THEN TO FIND A SECOND SITE, HOPEFULLY THERE, UH, THAT WILL ALLOW US TO, TO VACCINATE FIRST AND SECOND DOSES AT THE SAME TIME. 
          UM, WE, UH, THE, UH, UH, WE STARTED THE, THE WONDERLAND SITE ON JANUARY 4TH. 
          THIS WAS BEFORE THE STATE, UH, DESIGNATED HUBS. 
          THE STATE DIDN'T DESIGNATE HUBS UNTIL JANUARY 16TH. 
          SO FOR THE FIRST TWO WEEKS, IT WAS JUST OUR EFFORT OF HAVING A MASS VACCINATION SITE IN THE MOST EFFICIENT WAY WE COULD, AS QUICKLY AS WE COULD. 
          AND I'M GONNA TURN IT OVER TO, UH, TO BILL TO TALK A LITTLE BIT ABOUT THE PROCESS AT WONDERLAND MALL AND THEN TO, TO DR. 
          AUSTIN TO TALK ABOUT OUR CLINICS. 
          AND THEN WE WILL CONTINUE WITH OTHER PARTS OF OTHER THINGS WE DO, UH, AT, AT, UH, AT UNIVERSITY HEALTH SYSTEM. 
          THAT IS ON THIS SHEET, UH, THAT SAYS, IMPLEMENTING VACCINE ALLOCATIONS, GUIDING PRINCIPLES. 
          IT'S A, IT'S A SEPARATE SHEET APART FROM THE POWERPOINT THAT IT'S ON POWERPOINT FIVE, BUT I DON'T THINK YOU'LL BE ABLE TO READ IT ON POWERPOINT FIVE. 
          UH, BUT THERE'S A SEPARATE SHEET THERE, AND THAT GUIDED OUR, OUR, OUR EFFORTS BILL. 
          THANK YOU, GEORGE. 
          SO, AS GEORGE MENTIONED, UM, WONDERLAND MALL WAS AN IDEAL SITE FOR ALL THE VARIOUS REASONS THAT HE SAID. 
          AND ANOTHER IMPORTANT FACTOR WAS WITH OUR COMPUTER SYSTEMS, IS WE WANTED TO MAKE SURE THAT OUR INFRASTRUCTURES COULD STAY INTACT SO WE COULD ACTUALLY REGISTER THE PATIENTS, ALLOW A SECOND APPOINTMENT FOR THE FOLLOW UP, KNOWING THAT THAT IS CRITICAL. 
          AND ALSO HAVE THE ABILITY TO, UM, SEND TEXT MESSAGES AND REMINDERS FOR THOSE SECOND APPOINTMENTS. 
          SO IF YOU HAVEN'T BEEN TO WONDERLAND, I'LL GIVE YOU A, A JUST A QUICK, UH, PEEK INTO THE PROCESS, BOTH UPPER AND LOWER. 
          JUST REAL QUICK, REAL QUICK. 
          I, I, I APOLOGIZE FOR THE INTERRUPTION. 
          WOULD IT BE POSSIBLE AV TO PUT THIS SCREEN HIGHLIGHTED ON OUR SPEAKERS RIGHT NOW SO THAT WE CAN SEE THEM A LITTLE BIT AND WE CAN SEE WHO'S TALKING? I KNOW THEY'RE CALLING 'EM IN, CALLING IN, BUT I'M WONDERING IF WE COULD HIGHLIGHT THEM SO THAT OUR, UH, COMMITTEE MEMBERS CAN SEE THEM. 
          YOUR SLIDE IS BEAUTIFUL, BUT WE'D RATHER SEE YOU . 
          I THINK ANITA PREPARED IT FOR ME. 
          I DIDN'T . 
          I ACTUALLY HAVE A PICTURE OF WONDERLAND. 
          . 
          OKAY. 
          IT'S GOOD PR THANK YOU, ANITA. 
          OH, OKAY. 
          WELL, I'M NOT HEARING ANYTHING BACK FROM AB AB ARE, ARE YOU HERE WITH US? ? CAN YOU HEAR THE REQUEST? YEAH. 
          UM, CHAIR SANDOVAL, DO YOU WANT TO SHOW EVERYONE UNTIL THEY'RE READY TO CHANGE THE SLIDES SO WE CAN SEE? SURE. 
          YEAH. 
          THANK YOU. 
          ALL RIGHT. 
          YEAH, LET'S DO THAT. 
          JA. 
          THANK YOU, . 
          UH, ALRIGHT. 
          WE'RE IN THE TOP, TOP LEFT CORNER. 
          I'M WAVING. 
          SO, UM, IT'S A LITTLE SHRUNKEN, FOLKS IN THE TOP. 
          SO THAT'S US. 
          SO, CONTINUING ON, UM, WE WANTED TO MAKE SURE ABOUT GETTING THOSE SECOND APPOINTMENTS. 
          SO I'LL WALK YOU THROUGH THE PROCESS. 
          WE, WE POST AMBASSADORS AT THE ENTRANCES TO THE MALL AROUND OUR VACCINE CLINIC, BECAUSE WE'RE LOOKING TO MAKE SURE IF THERE ARE MOBILITY ISSUES OR ANY TYPE OF ISSUES THAT FOLKS HAVE, WE, WE SEND AMBASSADORS TO 'EM AND TRANSPORTERS. 
          SO IF WE SEE SOMEONE COMING IN ON A CANE AS AN EXAMPLE OR A WALKER, WE AUTOMATICALLY SEND SOMEONE AND ASK IF THEY WOULD LIKE A WHEELCHAIR, AND THEN WE ASSIGN SOMEONE TO ESCORT 'EM THROUGH THE WHOLE PROCESS. 
          SO, AS YOU CAN IMAGINE, WE'VE SEEN MANY MOBILITY CHALLENGED INDIVIDUALS COME THROUGH OUR CENTER. 
          SO WE'RE DOING EVERYTHING WE CAN TO HELP THOSE FOLKS AND MAKE IT A SMOOTH PROCESS. 
          AND TO THAT, TO THAT FACT AS WELL. 
          WHAT WE ALSO DO, IF INDIVIDUALS COME IN OR CALL IN AND REQUEST A, A CAR VACCINE AS AN EXAMPLE, WE WILL GO OUT TO THE CAR AND ACTUALLY VACCINATE IN THE CAR. 
          AND WE GET A LOT OF ELDERLY FOLKS. 
          WE HAD ONE, AND SHE RETURNED TODAY BEFORE I CAME OVER FOR THIS MEETING. 
          AND SHE'S 107 YEAR OLD FROM THE EAST SIDE. 
          AND SHE CAME BACK AGAIN AND WE'RE HAPPY TO VACCINATE HER IN THE CAR. 
          SO, 
          [00:15:01]
MOVING INSIDE, ONCE YOU APPROACH, WHAT HAPPENS IS WE HAVE A LINE, AND WE CALL THEM NAVIGATORS, AND WE PRE-PRINT THE DAY'S SCHEDULE IN ADVANCE. 
          SO EVERYONE'S PRE-REGISTERED, AND THEN FOLKS ARE LOOKING TO MAKE SURE YOU'RE ON THAT SCHEDULE. 
          AND THEN IF YOU ARE, THEY TAKE YOUR DRIVER'S LICENSE AND, OR ANY TYPE OF ID, AND THEN THEY VALIDATE YOUR, YOUR ID, AND THEN THEY GIVE YOU THE C D C CARD. 
          THEN ONCE YOU RECEIVE THE C D C CARD, YOU MOVE FORWARD TO THE NEXT NAVIGATOR WHO PUTS YOU TO THE NEXT OPEN REGISTRATION ATTENDANT. 
          AND THOSE ARE VARYING NUMBERS. 
          THEY'RE ALL BY NUMBERS, AND THERE'S NUMBERS ON EACH OF OUR COMPUTERS. 
          AND SO THEY DIRECT YOU TO THE NEXT OPEN INDIVIDUAL. 
          ONCE YOU'RE REGISTERED, THEN YOU MOVE TO THE VACCINATION SECTION, AND IT'S THE SAME PROCESS. 
          IT'S A NUMBERING SYSTEM WHERE WE GUIDE YOU WITH A NAVIGATOR TO THE NEXT AVAILABLE, UM, VACCINATOR. 
          AND THEN ONCE VACCINATED, THE SAME PROCESS HAPPENS AGAIN. 
          AND NAVIGATOR KEEPS YOU MOVING THROUGH THE LINE AND THEY MOVE YOU TO A REGISTRATION, UH, A DISCHARGE POINT. 
          AT THAT POINT, YOU'RE GIVEN YOUR SECOND APPOINTMENT. 
          BEFORE YOU EVEN LEAVE THE DOOR, YOU'RE GIVING, UM, VACCINE INFORMATION. 
          AND THEN YOU'RE ACTUALLY EVEN GIVEN AN OPPORTUNITY TO SIGN UP FOR OUR PORTAL WHERE WE WILL SEND YOU ELECTRONIC MESSAGES REMINDING YOU OF YOUR APPOINTMENT. 
          AND THEN WE ALSO PROVIDE TEXT MESSAGING FOR YOUR APPOINTMENT AS WELL. 
          ONCE THAT STEP IS COMPLETED, THEN WE MOVE YOU 10 MINUTES TO OUR OBSERVATION STATION, AND YOU'RE THERE FOR 10 MINUTES SELF TIME, AND THEN YOU ARE FREE TO GO IN OUR OBSERVATION STATION. 
          UH, WE, WE KEEP RNS IN THOSE AREAS. 
          WE KEEP VITAL SIGN MACHINES. 
          WE KEEP EPIPENS SMELLING SALT SNACKS. 
          WE HAVE FOUND OUT THAT MANY OF THE DIABETIC POPULATION SHOW UP AND, AND DIDN'T EAT A MEAL. 
          AND THEN THEY, THEY TAKE THE VACCINE AND THEIR BLOOD SUGAR STARTS DROPPING. 
          SO WE KEEP SNACKS AND WATER IN THERE. 
          AND THEN AGAIN, IF IT IS A MOBILITY CHALLENGED INDIVIDUAL, WE WILL ESCORT THEM THROUGH THE PROCESS. 
          WE WILL STAY WITH THEM FROM POINT A TO, TO THE LAST POINT, AND THEN EVEN, UM, WE WILL PUSH THEM OUT IF THEY NEED TO, TO WHERE THEIR CARS ARE WAITING FOR. 
          SO WE'RE REALLY TRYING TO BE VERY COMPASSIONATE WITH THIS PATIENT POPULATION AND REALLY HELP THE FLOW AND HELP INDIVIDUALS THAT NEED HELP. 
          SO ONE OF THE GOALS OF THE SETTING UP THIS HUB, OR SETTING UP THIS MASS VACCINATION SITE WAS TO MAXIMIZE THE NUMBER OF PERSONS GETTING VACCINATED. 
          VACCINES DON'T DO ANY GOOD, UH, IN FIGHTING THE VIRUS VACCINATIONS DUE. 
          AND SO EARLY ON, THE STATE HAD, UH, HAD MENTIONED TO US THAT, UH, THE MORE WE VACCINATED, THE MORE VACCINE WE WOULD GET, THAT THEY WOULD LATER CHANGE THEIR MIND ABOUT THAT . 
          UH, BUT WE WENT OUT OF, UH, OUT OF THE GATE, SO TO SPEAK, VERY QUICKLY, BECAUSE WE WANTED TO MAXIMIZE THE AMOUNT OF VACCINE FOR THIS COMMUNITY. 
          UH, I'LL ASK, UH, UH, DR. 
          O AND NOW LENNY TO COMMENT ABOUT OUR, OUR PROCESS. 
          WELL, ONE OF THE CHALLENGES WE HAD TO ADDRESS WAS, UM, HOW DID WE SCALE UP THIS OPERATION AND STILL MAINTAIN OUR ABILITY TO CARE FOR PATIENTS IN ALL OF OUR FACILITIES? UH, YOU KNOW, IF YOU LOOK BACK, UH, A YEAR AGO, UH, MUCH LIKE OTHER HEALTHCARE INSTITUTIONS, WE HAD SWITCHED TO A LOT OF TELEHEALTH OR TELEVISITS TO, TO MAINTAIN OUR CONNECTION WITH PATIENTS. 
          BUT FAST FORWARD UP INTO JANUARY WHEN WE STARTED THIS LARGE OPERATION, WE HAD SHIFTED THAT BACK TO TRYING TO DO AS MANY IN-PERSON VISITS AS POSSIBLE, PARTICULARLY WITH THE ONGOING PANDEMIC. 
          A A LOT OF OUR PATIENTS HAD CRITICAL CARE NEEDS. 
          AND SO WE HAVE LEVERAGED A SIGNIFICANT NUMBER OF STAFF FROM OUR CLINICS TO HELP SUPPORT THE OPERATION. 
          AND THAT'S NOT JUST IMMUNIZERS. 
          AS BILL SHARED, THERE'S A A LOT OF SUPPORT STAFF THAT, UH, GO INTO REGISTERING PATIENTS, CHECKING THEM OUT, HELPING THEM GUIDE THEM THROUGH THE LINES, AND THEN OUR PHARMACY STAFF, WHICH IS DEDICATED TO REALLY MAKING SURE THAT WE HAVE ALL THE DOSES THAT WE NEED IN THEIR PROCESS IN A TIMELY MANNER. 
          SO THAT WAS A BIG, UH, CHALLENGE THAT WE REALLY, UH, DEVELOPED, I THINK A GOOD PLAN FOR, TO MAKE SURE THAT WE CONTINUE TO PROVIDE THE CARE FOR OUR PATIENTS WHILE ROWING OUR OPERATION. 
          WHEN WE STARTED BACK IN, UH, BETWEEN, UH, CHRISTMAS AND, UH, NEW YEAR'S REALLY MAPPING THIS OUT, WE WERE THINKING THE ONE FLOOR, BUT WE OF COURSE NOW MOVED TO TWO FLOORS AND A SPECIAL THIRD DESIGNATED LINE FOR, UH, FOLKS WITH MOBILITY ISSUES. 
          SO IT'S BECOME A, A VERY LARGE OPERATION. 
          UM, SO FROM OUR STANDPOINT, WE REALLY NEEDED TO KEEP THOSE, UH, BOTH GOING, UH, IN AT FULL SPEED, BUT ALSO THINK ABOUT WHAT OTHER POTENTIAL AREAS OF EXPANSIONS THAT WE MIGHT CONSIDER. 
          LET ME, LET ME NOW PIVOT A LITTLE BIT TO THE, TO THE, THE SHEET THAT'S TITLED, UM, IMPLEMENTING VACCINE ALLOCATING ALLOCATION GUIDING PRINCIPLES. 
          THESE ALLOCATION GUIDING PRINCIPLES ARE FROM THE STATE OF TEXAS. 
          UM, I THOUGHT THEY WOULD BE USEFUL, UH, UH, FOR THE COMMITTEE TO SEE OUR, OUR THOUGHT PROCESS AS TO HOW WE, UH, ATTACK 
          [00:20:01]
THE, THE VACCINATION PROCESS HERE IN SAN ANTONIO AND IN BEXAR COUNTY. 
          UH, UH, WE'VE TALKED MOSTLY ABOUT WONDERLAND BECAUSE THAT'S WHERE THE MAJORITY OF OUR VACCINATIONS HA UH, HAPPEN. 
          WE ALSO HAVE A SECOND SITE AT THE ROBERT V. GREEN, AND I WANTED TO MENTION THAT BEFORE I MOVED ON. 
          AND THAT SITE HAS ALSO BEEN VERY BUSY. 
          IT JUST DOESN'T LEND ITSELF AS LARGE AS THE, THE ROBERT B. GREEN IS, IT DOESN'T LEND ITSELF TO REALLY SCALING UP THE VACCINATION PROCESS. 
          UM, UH, THERE'S, THERE'S MULTIPLE WAYS TO SIGN UP PEOPLE FOR VACCINES. 
          UH, AND EACH WAY HAS THEIR ADVANTAGES AND THEIR DISADVANTAGES. 
          SO THE GREAT MAJORITY OF FOLKS THAT SIGN UP AT AT WONDERLAND COME THROUGH THE INTERNET. 
          UH, WE, WE POST 35,000 OR OR SO VACCINE APPOINTMENTS AND A COUPLE OF HOURS, THOSE 35,000 ARE FILLED. 
          UH, AND WE GENERALLY HANDLE THE NEIGHBORHOOD OF 5,000, UH, DOSES A DAY. 
          WE'VE HAD ONE DAY THAT BILL CALLS ME AT THE END OF THE DAY AND SAID, WE PASSED 6,000, BUT AS A GENERAL RULE, WE'RE, WE'RE SOMEWHERE AROUND 5,000, UH, VACCINATIONS PER DAY. 
          AND THAT, THAT ASSUMES THAT, UH, THAT COUNTS BOTH THE TOP AND THE, UH, AND THE LOWER LEVEL AS WELL AS BOTH FIRST AND SECOND DOSES. 
          ONE OF THE ADVANTAGES THAT WONDERLAND HAS IS WE DON'T HAVE TO STOP AFTER THREE WEEKS AND START DOING SECOND DOSES. 
          WE CAN CONTINUOUSLY DO FIRST DOSES, AND THAT'S WHY AS OF, UH, LAST NIGHT, UH, WE HAVE, WE HAVE VACCINATED, UH, 193,000 TIMES. 
          SO IT'S 193,000 DOSES, UH, SINCE WE STARTED ON, ON, UH, ON DECEMBER 18TH. 
          SO, UH, UH, QUITE A, QUITE A LOT. 
          AND I THINK, UH, WHEN I RAN THE CALCULATION LAST WEEK, WE WERE ABOUT 59% OF ALL THE VACCINES GIVEN IN SAN ANTONIO HAPPENED AT UNIVERSITY HEALTH SYSTEM. 
          SO QUITE A BIT. 
          BUT NOW, AS I PIVOT TO THIS, TO THIS OTHER SHEET, UH, WE WANTED TO HAVE A MORE, UH, UH, DIRECTED APPROACH TO, TO THE VACCINE PRO, UH, VACCINATION PROCESS. 
          UH, IT'S IMPORTANT FOR US, UH, AS, AS HEALTHCARE WORKERS TO RECOGNIZE THAT THERE'S A LOT OF OTHER ESSENTIAL WORKERS IN THE COMMUNITY, UH, NOT JUST HEALTHCARE WORKERS LIKE OURSELVES. 
          AND SO WE STARTED EARLY ON IN DECEMBER, UH, RIGHT AROUND CHRISTMAS TIME, IN A PART IN PARTNERSHIP WITH THE FIRE DEPARTMENT OF THE CITY OF SAN ANTONIO, AND PARTNERSHIP WITH OUR FEDERALLY QUALIFIED HEALTH CENTERS, COMMUNICA AND CENTRAL MED WITH, UH, ASCENSION, DEPAUL HEALTH SERVICES ON THE SOUTH SIDE OF WHICH WE ARE, WE RUN A CLINIC FOR THEM, AND THE CENTER FOR HEALTHCARE SERVICES, WHICH PROVIDES MENTAL HEALTH SERVICES TO THIS COMMUNITY, ALL OF WHICH WE WOULD ALL AGREE ARE ESSENTIAL WORKERS. 
          WE TARGETED THEM, UH, FOR VACCINATION. 
          NOW, AS YOU KNOW, WE ONLY COULD VAC VACCINATE ONE A AND ONE B. 
          UH, A LOT OF THESE FOLKS FALL UNDER THE ONE A CATEGORY. 
          BUT IF THEY DIDN'T FALL UNDER THE CATEGORY OF ONE A, WE, WE VACCINATED ONE B. 
          AND THAT'S PARTICULARLY TRUE OF THE NEXT CATEGORY, UH, OF, UH, FIREFIGHTERS AND POLICE OFFICERS, WHICH ARE TECHNICALLY NOT HEALTHCARE WORKERS, BUT THEY'RE DEFINITELY ESSENTIAL FOR THE COMMUNITY. 
          SHERIFF'S, DEPUTIES, AND JAIL GUARDS VIA BUS DRIVERS, TEACHERS, SCHOOL NURSES, SCHOOL WORKERS OF ANY TIME CAFETERIA WORKERS. 
          AND SO WHAT WE DID IS, STARTING IN JANUARY, ON JANUARY 4TH, IS WE STARTED INCLUDING WAYS TO, TO, UH, TO INCLUDE THESE FOLKS AT WONDERLAND, NOT THROUGH THE INTERNET, BUT THROUGH A DIRECT ADMIT PROCESS. 
          AND THAT DIRECT ADMIT PROCESS WAS VIA A, A, A A, UM, A COLLABORATION WITH THE SCHOOL DISTRICT, FOR EXAMPLE, OR A COLLABORATION WITH VIA, WHERE WE WOULD SEND THEM A SPREADSHEET, THEY WOULD IDENTIFY THEIR ONE B, WHICH ARE THOSE FOLKS WHO ARE 65 YEARS OR OLDER, WHO WORK FOR VIA, OR WORK FOR THE SCHOOL DISTRICT OR WORK, UH, OR ARE OLDER THAN 16, BUT HAVE A UNDERLYING HEALTH CONDITION. 
          WE WOULD THEN GET THOSE LISTS BACK. 
          WE WOULD BACK FEED 'EM IN THERE. 
          AND THEN THAT WOULD MAKE UP THE DIFFERENCE BETWEEN, UH, THE FOLKS ON THE INTERNET AND THE, AND, AND, UH, AND A MORE DIRECTED APPROACH, OR TRY TO TRY TO TAKE CARE OF OTHER ESSENTIAL WORKERS. 
          UH, WE ALSO REALIZED THAT WE HAD A, A PATIENT BASE, UH, THAT WAS, UH, VERY NEEDY. 
          AND SO I'M GONNA TURN IT OVER TO LENNY TO TALK ABOUT HER EFFORTS IN, IN, IN ATTRACTING AND DEALING WITH THAT PATIENT BASE, RIGHT? SO WE HAVE THE INTERNET, AND AT THE SAME TIME, WHEN WE OPEN UP THE INTERNET, WE ALSO OPEN UP OUR COVID PHONE LINES. 
          SO, SO WE HAVE OPERATORS THAT CAN ASSIST THOSE FOLKS WHO AREN'T ABLE TO NAVIGATE THE SITE ON THE INTERNET. 
          AND QUITE A FEW OF THOSE APPOINTMENTS ARE BOOKED BY TELEPHONE OPERATORS. 
          AND THEN, AS GEORGE MENTIONED, THESE, UM, PARTNERSHIPS WITH, UM, THESE ORGANIZATIONS THAT PROVIDE VITAL SERVICES TO OUR COMMUNITY, UH, TO IDENTIFY THEIR ONE B. 
          SO THAT THIRD PIECE IS THE DIRECT OUTREACH TO PATIENTS WHO WE KNOW BECAUSE OF THEIR MEDICAL RECORDS ARE VULNERABLE 
          [00:25:01]
TO HAVING A BAD OUTCOME, SHOULD THEY CONTRACT C OVID 19. 
          SO THESE WOULD INCLUDE PATIENTS WITH, UM, WHO RECEIVED ORGAN TRANSPLANTS, UH, DIABETES, UM, HEART DISEASE. 
          UH, WE ALSO LOOKED AT, UM, PATIENTS WITH CYSTIC FIBROSIS. 
          WE HAVE ONE OF THE LARGEST CYSTIC FIBROSIS PROGRAMS THAT ACTUALLY HAVE, UM, GOES INTO, UM, ADOLESCENT AND YOUNG ADULTS, UM, UH, ALSO, UH, CANCER PATIENTS AS WELL. 
          AND SO WE WANTED TO GIVE THOSE FOLKS A CALL AND, AND ALSO SCHEDULE THEM, UH, TO COME IN TO GET THE VACCINE. 
          SO IT'S THAT THREE KIND OF MULTI-PRONGED APPROACH THAT, THAT WE FELT HAS, UH, WORKED REALLY WELL. 
          WE'VE SINCE, UH, JUST IN THE PAST TWO WEEKS EXTENDED, UH, ONE OF OUR PARTNERSHIPS TO, UH, THOSE ONE B ELIGIBLE AND NOW ONE B ELIGIBLE H E B WORKERS. 
          SO, UH, SO FOR THE PAST WEEK, WE'VE BEEN DOING, UM, ABOUT 50 H E B WORKERS EACH DAY AT THE WONDERLAND LOCATION. 
          AND YOU KNOW, THAT, THAT'S IMPORTANT. 
          THESE FOLKS, UM, COME INTO CONTACT WITH, UH, LITERALLY TENS OF THOUSANDS OF PEOPLE IN, IN A, ON A DAILY BASIS. 
          SO, UH, UH, THIS WAY THAT ALLOWS THEM THE SMALL NUMBER OF DOSES THAT THEY HAVE, UM, UH, RECEIVED TO TARGET, UH, THE GENERAL POPULATION AND THEIR, UH, CUSTOMERS. 
          SO, UM, WE FELT LIKE IT'S AN EQUITABLE APPROACH. 
          ONE OF THE THINGS I WILL SAY IN THE TARGETING IS, UH, VERY EARLY ON, WE REALIZED PROBABLY MORE THAN WE THOUGHT, UM, HOW MANY PEOPLE WANTED TO GET THE VACCINE AS QUICKLY AS POSSIBLE. 
          AND SO, WHEN, FOR EXAMPLE, UH, THE CITY FELT THE SAME, WE WOULD ANNOUNCE TO THE MEDIA THAT WE WERE GONNA OPEN VACCINE. 
          I MEAN, IT WOULD, UH, WE HAD ONE ISSUE WITH OUR WEBSITE WHERE OUR SERVERS COULDN'T EVEN MANAGE IT. 
          BUT SO, SO NOW WE'VE GONE THROUGH A MORE TARGETED APPROACH. 
          UM, WE'VE INVITED PEOPLE WHO ARE, PEOPLE WHO ARE INTERESTED AND ELIGIBLE TO RECEIVE THE VACCINE TO CONNECT WITH US. 
          SO, UM, SIGN UP FOR OUR EMAIL NOTIFICATION LIST. 
          UM, DOWNLOAD OUR SMARTPHONE APP, AND WE WILL DO A PUSH NOTIFICATION TO YOUR PHONE. 
          SO WE HAVE ABOUT 180,000 PEOPLE THAT SIGNED UP FOR OUR SMARTPHONE APP, AND ABOUT 60,000 PEOPLE WHO HAVE SIGNED UP TO RECEIVE NOTIFICATION VIA EMAIL. 
          WHAT WE'RE ABLE TO DO, PARTICULARLY WITH A SMARTPHONE, IS TARGET THOSE AREAS WHERE WE KNOW THERE IS A HIGH INCIDENCE OF PEOPLE WHO ARE PARTICULARLY VULNERABLE TO THE DISEASE, AND WE SEE A LOWER, UM, PERCENTAGE OF, UH, FOLKS IN THAT AREA THAT HAVE BEEN VACCINATED. 
          SO WE CAN PINPOINT AND GIVE THOSE FOLKS, IF YOU WILL, A HEAD START TO EITHER CALL OR GET ONTO THE WEBSITE. 
          WE CAN PINPOINT A PLACE ON A MAP AND IT, AND THEN DO A FIVE MILE OR A 10 MILE GEOGRAPHIC, UH, TARGETING AROUND THAT, THAT IT WOULD PINGING THOSE PHONES, UH, WITHIN THAT TARGETED AREA. 
          SO, YOU KNOW, AS WE OPEN APPOINTMENTS TWO OR THREE WEEKS IN ADVANCE, THIS GIVES US THAT ABILITY TO GIVE THOSE FOLKS WHO WE REALLY WANNA SEE THOSE NUMBERS GO UP, UM, A BIT OF A HEAD START IN SIGNING UP. 
          SO THAT'S KIND OF OUR APPROACH. 
          SO, UH, WHAT LENNY HAS, HAS, UH, TALKED ABOUT IS, UH, UH, OUR, UH, TWO OTHER WAYS WE, WE VACCINATE PEOPLE. 
          UH, ONE WAS, OF COURSE, THE, UH, THE WAY THROUGH THE INTERNET. 
          WE REGISTER PEOPLE, THE INTERNET AND THE PHONES. 
          AND THEN SECONDLY IS IN PARTNERSHIP WITH OTHER GOVERNMENTAL ENTITIES OR NONPROFITS, UH, WITH OUR SPREADSHEET METHOD. 
          AND THEN NUMBER THREE IS WHERE WE DIRECTLY, UH, UH, DO OUTREACH TO A PARTICULAR GROUP. 
          AND WE DO THAT EITHER ELECTRONICALLY THROUGH THE, OUR PHONE APPS OR, OR DIRECTLY BECAUSE WE HAVE THEM AS OUR PATIENTS. 
          SO, FOR EXAMPLE, ON, UH, BULLET NUMBER FOUR, MITIGATING HEALTHCARE INEQUITIES DUE TO FACTORS SUCH AS DEMOGRAPHICS, POVERTY, INSURANCE STATUS, AND GEOGRAPHY. 
          WE HAVE A TEAM AT UNIVERSITY HEALTH SYSTEM THAT RUNS OUR CARELINK PROGRAM, AND THEY'VE BEEN CALLING EVERY SINGLE CARELINK MEMBER THAT QUALIFIES, UH, FOR THE VACCINE TO ENROLL THEM IN, IN, IN, IN THE VACCINE, IN THE VACCINATION PROCESS. 
          UH, I WOULD SAY THAT THAT, UH, AMONG HISPANICS IN OUR KILLING PROGRAM, WE WISH OUR UPTAKE WAS HIGHER. 
          UH, BUT IT'S, IT'S, IT'S PROBABLY ABOUT 50%, BUT WE'RE STILL TARGETING THEM BY AN INDIVIDUAL PHONE CALL, WE CALL THEM. 
          UH, WE DID THE, WE DID THE SAME THING WITH THE BATTERED WOMEN'S SHELTER. 
          I, I HAPPEN TO, TO SERVE ON A DOMESTIC VIOLENCE TASK FORCE, ALONG WITH, UH, SOME OF YOU, UH, AND, UH, AN AREA THAT'S VERY IMPORTANT, PARTICULARLY DURING COVID, WHERE WE'VE SEEN AN INCREASE IN DOMESTIC VIOLENCE. 
          SO WE HAVE, WE WENT AND VACCINATED THOSE PERSONS THAT QUALIFY AT THE, AT THE BATTERED WOMEN'S SHELTER. 
          UH, WE ALSO, IN COLLABORATION WITH, UH, WITH WELLMED, UH, UH, HAVE WORKED TO, UH, INTRODUCE, UH, UH, THE NEW CITY COUNCILWOMEN TO THE , TO THE WELLMED OPERATION, AND, AND, AND GIVE US SOME GEOGRAPHIC DISTRIBUTION, UH, ON SOUTH SIDE, UH, FOR EXAMPLE, THERE AT CISNEROS, WHERE, UH, WHERE, WHERE, UH, JIMMY KEENAN IS AT. 
          UH, UH, THE, I WANTED TO PAUSE HERE. 
          IS THERE ANY QUESTIONS ABOUT THESE THREE DIFFERENT WAYS THAT WE, UH, UH, TRIED TO GET FOLKS ENROLLED IN OUR VACCINATION PROCESS? 
          [00:30:03]
IF I'M NOT MISTAKEN, I THINK WE'RE GONNA GO THROUGH THE ENTIRE PRESENTATION AND THEN HAVE QUESTIONS AFTERWARDS, IF THAT'S OKAY. 
          UH, CHAIR . 
          I JUST WANTED TO, COULD I JUST ASK ONE QUESTION, MR. MCCAREY? WELL, ACTUALLY, I WILL JUST GO AHEAD AND ASK ONE QUESTION. 
          UM, I, I THINK THAT'S, UH, REALLY INTERESTING WHAT YOU'RE TELLING US. 
          UH, GEORGE, COULD YOU EXPLAIN ABOUT HOW YOUR ALLOCATION IS DISTRIBUTED AMONG THOSE THREE DIFFERENT WAYS? WELL, LET'S, LET'S TAKE THE SCHOOL DISTRICTS, UH, WITH THE SCHOOL DISTRICTS. 
          IT'S PROBABLY THE EASIEST ONE TO EXPLAIN. 
          SO WE IDENTIFIED THE 19 SCHOOL DISTRICTS IN, IN BEXAR COUNTY. 
          IT'S ABOUT 50,000 SCHOOL DISTRICT EMPLOYEES, NOT ONLY TEACHERS, BUT BUS DRIVERS AND CAFETERIA WORKERS, AND OTHER, OTHER WORKERS WHO THERE. 
          UH, WE THEN CONTACTED EACH ONE OF THOSE SUPERINTENDENTS, UH, AND FOR THOSE 50,000, THEY APPOINTED A POINT OF CONTACT, BILL BECAME OUR POINT OF CONTACT. 
          UH, WE THEN ASKED THEM TO, UH, FILL OUT A SPREADSHEET FOR US, UH, FOR ALL THEIR, UH, ONE B EMPLOYEES, SO PERSONS, UH, 65 YEARS OF AGE OR OLDER, UH, OR WHO HAVE AN UNDERLYING HEALTH CONDITION. 
          THEY THEN, UH, TRANSMITTED THOSE, UH, THOSE, UH, SPREADSHEETS TO US THROUGH OUR POINT OF CONTACT. 
          AND THAT, UH, AMOUNTED TO ABOUT 14,000, UH, SCHOOL DISTRICT EMPLOYEES. 
          WE DID THE SAME THING WITH SOME OF THE PRIVATE SCHOOLS. 
          UH, PRIVATE SCHOOLS NUMBERS WERE VERY SMALL, MAYBE 50 OR 20. 
          UH, BUT WHEN YOU LOOK AT, UH, NORTH SIDE, FOR EXAMPLE, UH, UH, UH, WE VACCINATED ABOUT 15, NO, EXCUSE ME, 2000, UH, NORTH SIDE, UH, SCHOOL DISTRICT EMPLOYEES, UH, BEFORE THE SCHOOL DISTRICT EMPLOYEES, UH, WERE ADDED TO THE LIST BY, BY THE FEDERAL GOVERNMENT. 
          UH, SO THESE WERE ALL, UH, ONE B, ONE B EMPLOYEES, AND WE, WE HAVE A SIMILAR LIST FOR EACH AND EVERY ONE OF THOSE, UH, SCHOOL, PUBLIC SCHOOL DISTRICTS HERE IN SAN ANTONIO, TOTAL WITH, UH, ABOUT 12,000 PUBLIC SCHOOL DISTRICT EMPLOYEES, AND 2000, UH, PRIVATE SCHOOL, UH, EMPLOYEES THAT WERE ONE B. 
          UH, SUBSEQUENT TO THAT, UH, WE ARE NOW WORKING FOR THE, THE WEEK OF, UH, UH, MARCH 23RD, UH, TO FINISH THE REMAINING 22,000, UH, SCHOOL DISTRICT EMPLOYEES IN SAN ANTONIO WHO STILL WANT THE VACCINE. 
          SO THAT, THAT'S GONNA ADD TO THE 14,000 WE'VE ALREADY DONE. 
          AND SO THAT WHOLE WEEK WILL BE, UH, UH, UH, A PROCESS WHERE WE'RE GOING TO, UH, FEED IN THAT INFORMATION FROM THE SCHOOL DISTRICTS. 
          UH, AGAIN, TO USE NORTHSIDE AS AN EXAMPLE, THEY'RE THE LARGEST SCHOOL DISTRICT. 
          THEY HAVE 105,000 STUDENTS. 
          UH, THE, UH, UH, BY COMPARISON ALAMO HEIGHTS, IT'S 5,000. 
          JUST TO GIVE YOU A, UH, UH, A RANGE. 
          UH, UH, WE ARE GOING TO, WE'RE GOING TO VACCINATE 3000, IS THAT VILLE CORRECT. 
          3000 NORTHSIDE SCHOOL DISTRICT EMPLOYEES THAT WEEK. 
          UH, AND ALL OF THE PEOPLE, ALL THE EMPLOYEES FROM, UH, SS E I S D, WE ALREADY FINISHED HARLANDALE, UH, AND MOST OF EDGEWOOD, UH, WE DID THOSE LAST SATURDAY, UH, GOT AHEAD OF A LITTLE BIT AHEAD OF THE CURB ON, WANTED TO GET AS MANY AS AS AS, UH, POSSIBLE. 
          AND SO WE'LL BE FINISHED, UH, UH, RIGHT AROUND THE END OF THE MONTH, UH, WITH EVERY SCHOOL DISTRICT EMPLOYEE IN BEXAR COUNTY. 
          UH, WHETHER, YOU KNOW, ONE A, ONE B, ONE A WOULD BE SCHOOL NURSES, ONE B WOULD BE THE PEOPLE OVER 65 AND OR OTHER THAT ARE NOW JUST, THAT ARE NOW QUALIFIED. 
          THAT WAS A GOAL OF THE FEDERAL GOVERNMENT, UH, PRESIDENT, PRESIDENT BIDEN ASKED THAT WE TRY TO VACCINATE ALL SCHOOL EMPLOYEES BY THE END OF MARCH, AND WE'RE GONNA, WE'RE GONNA MAKE IT HERE IN BEAR COUNTY TO INCLUDE PRIVATE AND CHARTERS AND, AND TO, AND THAT INCLUDES PRIVATE AND CHARTERS. 
          OKAY. 
          THANK YOU. 
          THANK YOU, MR. MCCURY. 
          UH, BILL, AND I'M JUST GONNA, I'M GONNA WRAP UP. 
          I'M JUST GONNA TURN IT ON TO, TO, TO THE REMAINING FOLKS HERE. 
          I KNOW DR. 
          ALSUP, I WANTED HIM TO TALK A LITTLE BIT ABOUT THE SECOND SHEET THAT WE HAVE HERE, UH, THAT TALKS ABOUT OUR, OUR, UH, HOW OUR VACCINE ROLLOUT IS GOING IN TEXAS WHEN YOU COMPARE US AND CONTRASTS US WITH THE OTHER LARGE COUNTY. 
          SO, DR. 
          ALSUP AND THEN LENNY AND BILL, FEEL FREE TO MAKE ANY CLOSING REMARKS. 
          SURE. 
          JUST BRIEFLY, JUST TO KIND OF GIVE EVERYONE HOW WE'RE DOING AS A COUNTY IN TEXAS, UM, YOU KNOW, GEORGE MENTIONED THAT, YOU KNOW, WE, WE HOPE TO ACCOMPLISH THE GOAL OF, UH, IMMUNIZING ALL OF THOSE ELIGIBLE, UH, FOLKS, CERTAINLY WITHIN THE SCHOOL DISTRICT THAT WANT A VACCINE BY THE END OF THIS MONTH. 
          AS OF ABOUT A WEEK AGO, DATA THAT WE PULLED FROM THE STATE INDICATED THAT WITHIN BEXAR COUNTY, WE HAD ADMINISTERED COLLECTIVELY, NOT JUST FOR US AT UNIVERSITY HEALTH, NOT JUST FOR THE HUBS, BUT OVERALL, UH, JUST OVER 295,000 DOSE. 
          AND THOSE ARE THOSE WHO HAD RECEIVED AT LEAST, UH, A FIRST DOSE. 
          SO THAT'S ABOUT 19% OF THE POPULATION HAD RECEIVED AT LEAST ONE VACCINE 
          [00:35:01]
DOSE. 
          AND AS COMPARED TO THE OTHER FOUR LARGE COUNTIES, WE'RE ACTUALLY DOING A SLIGHTLY BETTER IN COMPARISON TO DALLAS COUNTY, HARRIS COUNTY, TARRANT COUNTY, AND TRAVIS, AND OVERALL, UH, JUST SLIGHTLY BEHIND A COUPLE OF THE SMALLER ONES IN EL PASO AND OASIS COUNTY. 
          SO I THINK AS A COMMUNITY, I THINK WE SHOULD BE REALLY PROUD OF HOW WE'VE DONE TO MAKE SURE THAT WE'VE GOTTEN IT OUT IN, IN THE SIGNIFICANT PERCENTAGES THAT WE HAVE TODAY. 
          I'LL JUST WRAP UP BY SAYING, UM, WE CANNOT OVERESTIMATE ENOUGH, UM, HOW MUCH WE DID NOT WANT TO SEE THE LINES THAT WE SAW ON NATIONAL NEWS AS WE BEGAN THIS EFFORT. 
          AND, UH, THE OPERATION THAT BILL AND THE TEAM HAVE SET UP. 
          ON AVERAGE, I WOULD SAY, PEOPLE WHO ARRIVE, THEY'RE GETTING BACK TO THEIR CAR WITHIN 30 MINUTES, INCLUDING THAT WAIT TIME. 
          SO IT'S A VERY, UM, SMOOTH OPERATION. 
          AND, UM, IF, IF WE HAD A NICKEL FOR EVERY EMAIL AND PHONE CALL AND LETTER AND CARD WE'VE RECEIVED, WE'D BE REALLY DOING REALLY GREAT HERE, BECAUSE IT'S, IT'S JUST ABSOLUTELY EXTRAORDINARY. 
          IT'S THE WAIT TIME, BUT IT'S ALSO THAT COMPASSION, THE KINDNESS, AND THIS OVERALL FEELING OF HOPE THAT EVERY PERSON THERE IS DOING SOMETHING TO HELP END THIS PANDEMIC. 
          AND WE FEEL THE SAME WAY ABOUT THE THOUSANDS OF PEOPLE THAT ARE SHOWING UP TO TAKE THE VACCINE. 
          SO IT'S A REALLY BEAUTIFUL OPERATION, AND I HOPE YOU, IF YOU HAVEN'T BEEN OUT THERE, I I REALLY ENCOURAGE YOU TO GO VISIT. 
          AND I THINK I'LL CLOSE IT WITH ONE WORD, AND THIS IS THE WORD THAT WE FEEL AS AN ORGAN ORGANIZATION IS THE THEME OF OUR VACCINATION CLINIC. 
          AND THAT'S, THAT'S COMPASSION. 
          WE FEEL LIKE WE ARE BEING COMPASSIONATE AND PROVIDING COMPASSIONATE CARE TO EVERYONE THAT WALKS THROUGH THOSE DOORS. 
          NO MATTER WHAT YOUR RACE, WHAT YOUR AGE, WE ARE TREATING EVERYONE WITH COMPASSION AND TRYING TO HELP THEM THE BEST WAY POSSIBLE. 
          I WILL NOW PASS ON THE, THE PRESENTATION TO DR. 
          LNS FROM UT HEALTH. 
          HE'S MUTED. 
          YOU'RE MUTED. 
          UH, DOCTOR. 
          OKAY. 
          WELL, THANK YOU. 
          THAT'S A LITTLE EMBARRASSING. 
          . 
          AS I WAS SAYING, UNIVERSITY HOSPITAL IS A TOUGH ACT TO FOLLOW. 
          UH, THEY'VE TRULY BEEN A POWERHOUSE IN ADMINISTERING VACCINES. 
          THAT'S, THAT'S VERY CLEAR. 
          AND, UH, AND TRULY A BLESSING TO THE COMMUNITY. 
          UH, WE VALUE THEIR PARTNERSHIP AS WE DO WITH, UH, METRO HEALTH AND A WELLMED AS WELL. 
          SO, AGAIN, THANK YOU FOR HAVING ME. 
          MY NAME IS, UH, BOB LEVERANCE. 
          I'M THE CHIEF MEDICAL OFFICER HERE AT UT HEALTH. 
          YOU KNOW, I'M GONNA START WITH AN UPDATE, UM, BUT I'D LIKE TO END WITH A QUESTION, IF YOU WILL. 
          AND SO, UH, NEXT SLIDE, PLEASE. 
          UH, BEFORE I START TALKING ABOUT VACCINES, I HAVE JUST, UH, A COUPLE OF SLIDES ON UT HEALTH'S CONTRIBUTIONS TO THE OVERALL PANDEMIC EFFORT. 
          AS YOU KNOW, WE MAY HAVE JOINED THE OPEN PUBLIC VACCINATION PROCESS A LITTLE LATER THAN THE OTHERS, BUT WE'VE BEEN VERY BUSY FROM THE VERY BEGINNING. 
          FIRST, AND I SUSPECT YOU KNOW THIS ALREADY, UH, UT HEALTH'S HAD OVER 30 FACULTY SERVING ON THE VARIOUS SUBCOMMITTEES OF THIS COMMUNITY RESPONSE AND EQUITY COALITION HEADED BY OUR DR. 
          BARBARA TAYLOR, AND AT ALIDA CANTU AND, AND OTHERS. 
          AND THIS HAS HELPED GUIDE THE CITY, UH, THROUGHOUT THIS CRISIS. 
          UH, SECOND, UH, IN NEXT SLIDE, PLEASE. 
          AND, AND I HOPE YOU GUYS ALREADY KNOW THIS, UH, WE'VE GIVEN HUNDREDS OF INTERVIEWS AND HAVE PUBLISHED MULTIPLE PUBLIC SERVICE ANNOUNCEMENTS ABOUT CORONAVIRUS, WHICH WE FEEL HAS BEEN PARTICULARLY IMPORTANT GIVEN THE BEHAVIORAL NATURE OF THIS PARTICULAR, UH, PANDEMIC CRISIS. 
          RIGHT. 
          NEXT SLIDE, PLEASE. 
          ALRIGHT, SO LET'S GO TO THE, UH, TO THE MEAT OF THE TALK. 
          AND THAT'S, UH, THE VACCINATIONS THAT WE'VE PERFORMED, UH, AT, UH, UT HEALTH SO FAR. 
          WE'VE ADMINISTERED, UH, WELL, AS OF TODAY, OVER 90,000 DOSES. 
          UH, WE'VE FULLY VACCINATED, UH, 45,000 INDIVIDUALS, AND WE'VE SHARED WITH THE COMMUNITY ANOTHER OVER 21,000 VACCINES. 
          FIRST WITH OUR, OUR PARTNERS IN THE VACCINATION HUB, UH, METRO HEALTH AND U H S, AND THEN WE'VE RECEIVED VACCINE FROM SOME OF THEM AS WELL. 
          YEAH, THEY'VE ALSO DONATED A VACCINE TO CARVER HALL PHARMACIES, UH, INCARNATE WORD UNIVERSITY, AND THEN VERY EARLY IN THE PROCESS TO METHODIST HOSPITAL AND, AND BAPTIST SYSTEM. 
          AND WHEN I SAY WE SHARED IN THIS CASE THAT WE'VE DONATED THESE VACCINES TO THOSE ENTITIES SO THEY COULD ADMINISTER THEM TO THEIR OWN WORKERS OR THEIR OWN POPULATION. 
          NEXT SLIDE, PLEASE. 
          ALRIGHT, AND SO LET ME JUST GIVE YOU A, A VERY BRIEF BREAKDOWN ON THE HISTORY OF OUR VACCINATION EFFORTS HERE AT, UH, UT HEALTH. 
          WE'VE BEEN A MEMBER OF THE SAN ANTONIO VACCINATION COMMAND OR COALITION SINCE ITS INCEPTION. 
          UH, FOR OUR, UH, OUR FIRST PHASE, STARTING BACK IN DECEMBER AND GOING INTO JANUARY, WE VACCINATED OUR, UH, HEALTHCARE WORKERS HERE AT, AT UNIVERSITY AT UNIVERSITY OF TEXAS DURING THE PEAK OF THE PANDEMIC. 
          AS I MENTIONED, WE DONATED, 
          [00:40:01]
UH, DOSES TO METHODIST HOSPITAL AND BAPTIST HOSPITAL AS WELL, WHEN THEY WERE SHORT ON SUPPLY. 
          AND THEN WE VACCINATED THE REMAINDER OF OUR HEALTH SCIENCE CENTER EMPLOYEES TO MAINTAIN OUR VITAL EDUCATIONAL MEDICAL RESEARCH EFFORTS, INCLUDING A SUBSTANTIAL AMOUNT OF COVID RESEARCH, MUCH OF IT, WHICH OCCURRED AT UNIVERSITY HOSPITAL. 
          THERE ON THE LEFT, YOU'LL SEE OUR TWO MAIN VACCINATION CENTERS. 
          THE HERD AUDITORIUM HERE ON CAMPUS AT THE SCHOOL OF NURSING IS OUR MAIN VACCINATION CENTER WHERE WE CURRENTLY VACCINATE BETWEEN 2020 500, UH, PATIENTS PER DAY. 
          AND, UH, BELOW THAT IS, UH, OUR, OUR MARK, UH, MEDICAL OFFICE BUILDING. 
          THAT'S WHERE MOST OF OUR AMBULATORY CARE OCCURS. 
          I KNOW WE VACCINATE APPROXIMATELY, UH, 200, UH, UH, PEOPLE, PATIENTS THERE, UH, PER DAY. 
          NEXT SLIDE, PLEASE. 
          BEFORE I START, UH, INTO PHASE TWO WHERE WE VACCINATED OUR ONE B PATIENTS HERE AT THE UNIVERSITY, I JUST WANNA TALK A LITTLE BIT ABOUT OUR, OUR, UH, PATIENT POPULATION AS A WHOLE. 
          UM, BY DEFINITION, BASED ON PAIR MIX, 17% OF OUR POPULATION IS, IS CONSIDERED UNDERSERVED ALSO. 
          UM, WE CARE FOR PATIENTS FROM EVERY ZIP CODE IN BEXAR COUNTY, INCLUDING THOSE MOST IMPOVERISHED. 
          IF YOU LOOK ON THE, UM, THE FIGURE ON THE LEFT, THOSE ARE THE NUMBER OF PATIENTS REFERRED TO THE UNIVERSITY OF TEXAS FROM EACH OF THOSE ZIP CODES OVER THE PAST THREE YEARS. 
          THERE ARE SOME PREDOMINANCE IN THE NORTHWEST AREA, BUT THAT'S PRIMARILY BECAUSE WE HAVE SIX OFFSITE PRIMARY CARE CLINICS THERE. 
          AND OF COURSE, THEY HAVE THEIR OWN PANEL OF PATIENTS, WHICH RESIDE IN THOSE, THOSE ZIP CODES. 
          BUT IF YOU LOOK AT THOSE THAT ARE REFERRED TO OUR SPECIALISTS WITHIN THE UNIVERSITY, TRULY IT'S THROUGHOUT THE ENTIRE CITY, THE FIGURE ON THE RIGHT ARE THOSE MOST UNDERSERVED ZIP CODES IN THE CITY. 
          AND AS YOU SEE, WE DRAW QUITE A NUMBER OF REFERRALS FROM THOSE ZIP CODES AS WELL. 
          NEXT SLIDE PLEASE. 
          ALRIGHT, SO FOR PHASE TWO, STARTING IN JANUARY AND CONTINUING EVEN, UH, UNTIL THIS TIME, WE VACCINATED OUR, OUR OWN PATIENTS WITH SIGNIFICANT MEDICAL ISSUES. 
          THE FIGURE ON THE LEFT SHOWS ACTUALLY THE NUMBER OF PATIENTS WE VACCINATED IN EACH OF THE ZIP CODES TO DATE, UH, HERE IN THE CITY. 
          YOU KNOW, LIKE, UH, ANY UNIVERSITY HOSPITAL IN A MAJOR METROPOLITAN AREA. 
          FOR THOSE MOST ILL PATIENTS THAT DON'T LEAVE THE CITY AND GO TO THE MAYOS OR THE CLEVELAND CLINICS OF THE WORLD, UH, THEY MIGRATE TO THE UNIVERSITY, UH, OUR DOCTORS AND UNIVERSITY HOSPITALS FACILITY. 
          AND, UH, SO WE FELT PRIVILEGED THAT WE HAD THE ELECTRONIC HEALTH RECORD, THE SOPHISTICATION OF THAT TO REACH OUT TO THEM IN A VERY STRUCTURED MANNER AND BRING THEM IN VERY EARLY IN THE PROCESS. 
          YOU KNOW, PATIENTS WHO HAVE BEEN GIVEN ORGAN TRANSPLANTS OR FAIL THEIR CHEMOTHERAPY AND COME TO OUR CANCER CENTER OR HAVE COMPLEX HEART DISEASE, THE SICKEST ONES DO MIGRATE TO OUR CENTER GENERALLY, AND, UH, WE WERE PRIVILEGED TO VACCINATE THEM. 
          WE HAVE WELL OVER A HUNDRED THOUSAND OF SUCH PATIENTS, AND WE VACCINATED A GOOD NUMBER OF THEM OVER THE PAST, OVER THE PAST MONTH. 
          NEXT SLIDE, PLEASE. 
          ALSO, DURING PHASE TWO, SIMILAR TO UNIVERSITY HOSPITAL, IS THAT WE REACHED OUT TO PARTNERS ACROSS THE CITY TO VACCINATE ESSENTIAL WORKERS, INCLUDING HEALTHCARE WORKERS AND NOW CHILDCARE PROVIDERS. 
          SO WE'VE PARTNERED WITH BEXAR COUNTY MEDICAL SOCIETY, PARTNERING WITH THEM IN THE SENSE THAT WE BRING THEIR PATIENTS TO OUR FACILITY AND WE VACCINATE THEM HERE. 
          AND THE SAME WITH SAN ANTONIO DENTAL SOCIETY. 
          UH, IN ADDITION NOW WE'RE PARTNERING WITH OVER 80, UH, CHILDCARE PROVIDERS. 
          UNIVERSITY HOSPITALS DONE AN OUTSTANDING JOB WITH THE TEACHERS IN THIS CITY. 
          AND SO WE DECIDED TOGETHER TO, UH, DIVIDE AND CONQUER AND THAT WE WOULD WORK WITH THE CHILDCARE PROVIDERS. 
          AND SO WE'RE IN THE MIDST OF THAT, UM, UH, AS WE SPEAK. 
          ALRIGHT, NEXT SLIDE, PLEASE. 
          AS I MENTIONED, WE'VE ALSO PARTNERED WITH CARVER HALL PHARMACIES. 
          WE'VE GIVEN THEM OVER 4,000 DOSES, AND THEY THEMSELVES HAVE TAKEN THESE DOSES. 
          THEY HAVE A, A MOBILE VAN OF THEIR OWN, AND THEY'VE GONE TO A VARIETY OF SCHOOLS AND A VARIETY OF LONG-TERM CARE FACILITIES IN THE, IN THE CITY AND HAVE VACCINATED THEM AS WELL. 
          AND SO WE CONTINUE TO WORK CLOSELY WITH CARBO HEALTH PHARMACIES. 
          NEXT SLIDE, PLEASE. 
          ALRIGHT. 
          AND THEN IN REGARD TO REACHING OUT TO SOME OF THE HARDEST TO REACH MEMBERS OF OUR COMMUNITY, AS YOU SAW, UNIVERSITY HOSPITAL HAS CREATED A NUMBER OF, UH, CREATIVE AND, UH, UH, UH, UH, STRONG APPLICATIONS OF TECHNOLOGY TO REACH OUT TO THESE GROUPS. 
          AND WE FELT THAT WE HAVE AS, AS WELL, WE HAVE A MOBILE, UH, VACCINE CLINIC, WHICH JUST STARTED LAST WEEK. 
          WE'RE WORKING VERY CLOSELY WITH METRO HEALTH IN THEIR MOBILE VACCINATION CLINIC. 
          THIS IS HEADED BY DR. 
          BERGEN KORA AND, AND CANTU. 
          LAST WEEK THEY WERE, THEY VACCINATED THE STAFF AND THE PATIENTS AT SAN ANTONIO METROPOLITAN MINISTRIES. 
          THIS WEEK, THEY'LL BE OUT AT ALPHA HOME NEXT WEEK AT MADONNA HOUSE, AND WE PLAN TO ALSO GO OUT TO THE REFUGEE CLINIC. 
          IN ADDITION, WE DO PARTNER WITH, UH, WELLMED ON THE WEST AND THE SOUTH SIDE, AND YOU'LL GET A PRESENTATION, UH, FROM, FROM THEM JUST SHORTLY AFTER ME. 
          UH, THEY REGISTER PATIENTS TO COME UP TO OUR HERD AUDITORIUM HERE ON CAMPUS, AND, UH, WE'LL VACCINATE ABOUT FOUR OR 500. 
          AND THOSE AREN'T JUST, WELL, ME PATIENTS, THEY'RE, THEY'RE 
          [00:45:01]
PATIENTS FROM THE SOUTH SIDE OF THE CITY, UM, WHO, UM, WHO NEED TO GET VACCINATED. 
          NEXT SLIDE, PLEASE. 
          ALRIGHT, WE'RE IN THE FINAL LAP. 
          THIS IS MY LAST SLIDE IN PHASE THREE. 
          JUST STARTED LAST WEEK. 
          UH, WE STARTED OUR DIRECT OPEN SCHEDULING, UH, FOR THE ELIGIBLE GENERAL PUBLIC. 
          UH, THUS FAR, WE'VE, UH, ALREADY SCHEDULED, OH, I THINK A BIT OVER 10,000 DOSES, UH, FOR THIS WEEK AND NEXT WEEK OF FIRST DOSES, UH, TO THE GENERAL PUBLIC. 
          UM, YOU KNOW, RIGHT NOW, WHAT'S LIMITING ACCESS MOST, UH, FOR THE, FOR THE PUBLIC, TRULY THOSE THAT ARE ELIGIBLE IS GETTING A, A VACCINE SUPPLY. 
          YOU KNOW, IT'S LIMITED. 
          UH, THERE'S NOT A LOT WE CAN DO ABOUT THAT UNTIL THE GOVERNMENT STARTS SENDING US MORE. 
          BUT REALLY WHAT WORRIES ME IS SOMETHING THAT WE CAN DO SOMETHING ABOUT. 
          AND THAT'S WHAT I WANNA END WITH NOW IN TERMS OF A QUESTION, AND THAT IS PROVIDING PHONE SCHEDULING ACCESS, ESPECIALLY TO THOSE WHO NEED IT MOST. 
          YOU KNOW, THOSE WHO DON'T HAVE OR CAN'T USE THE INTERNET NOW, AS ANY MASS VACCINATION CENTER WILL TELL YOU, IT'S REALLY HARD SETTING UP A PHONE LINE. 
          NOW, UH, HAS DONE THAT IN WELLMED HAS DONE THAT, AND THEY'VE DONE IT VERY WELL, BUT I THINK THEY'LL TELL YOU IT'S VERY DIFFICULT. 
          AND THESE PHONES EASILY GET OVERWHELMED, AND THERE'S OFTEN A LONG WAIT FOR THE ANSWER, NOT THAT THEIRS DUE. 
          BUT THIS IS A CHALLENGE TO ALL OF THE MASS VACCINATION CENTERS NOW AT UUD UT HEALTH, STARTING THIS THURSDAY, DAY AFTER TOMORROW, WE'LL HAVE A BANK OF PHONE OPERATORS WHO ARE READY TO STAND UP AND START SCHEDULING PATIENTS. 
          BUT YOU KNOW WHAT? WE'D LIKE TO USE THEM IN THE MOST EFFECTIVE WAY THAT WE CAN. 
          AND SO THE REQUEST I'M PUTTING OUT TO YOU ALL IS IF WE COULD PARTNER WITH ENTITIES WHO COULD PROVIDE A REGISTRY OR A LIST OF NAMES OF PEOPLE IN YOUR COMMUNITIES WHO DON'T HAVE OR CAN'T USE THE INTERNET AND PROVIDE US THEIR LANDLINE NUMBER, WE COULD SIMPLY REACH OUT TO THEM. 
          WE CAN CALL THEM AND SCHEDULE THEM A VACCINE APPOINTMENT. 
          SO THERE'S NO WAITING ON THE LINE. 
          THERE'S NO CALLING MULTIPLE TIMES, THERE'S NO WAITING FOR US TO RECEIVE A SUPPLY. 
          WE CAN ACTUALLY SET ASIDE OR RESERVE, UH, VACCINATION SLOTS FOR THESE INDIVIDUALS, AGAIN, THAT EITHER DON'T HAVE OR CAN'T USE THE INTERNET VERY WELL. 
          SO I'LL CLOSE WITH THAT QUESTION. 
          MAYBE YOU COULD PONDER IT WHILE MAJOR GENERAL KEENAN TALKS ABOUT WELLMED AND, AND HAPPY TO DISCUSS THAT. 
          UM, AT THE END OF THIS, AT THE END OF THIS MEETING. 
          THANK YOU FOR HAVING ME. 
          UH, THANK YOU SO MUCH. 
          UH, IT'S A PLEASURE TO BE WITH YOU ALL TODAY. 
          UH, I AM JIMMY KEENAN. 
          I'VE BEEN WITH WELLMED NOW FOR FIVE YEARS. 
          AS YOU KNOW, WELLMED HAS, UH, BEEN IN THE, UH, SAN ANTONIO COMMUNITY AND WAS FOUNDED HERE BY DR. 
          GEORGE RUPE, WHO IS OUR, OUR C E O AND PRESIDENT, UH, OVER 30 YEARS AGO. 
          AND WHAT WE WANTED TO BE ABLE TO DO IS TO GIVE BACK TO OUR COMMUNITY. 
          SO THROUGH OUR WELLMED CHARITABLE FOUNDATION, WE HAVE THREE SENIOR CENTERS HERE IN SAN ANTONIO, AS WELL AS IN OTHER COMMUNITIES ACROSS TEXAS AND FLORIDA. 
          AND HAVING SPENT 30 YEARS IN THE MILITARY, TAKING CARE OF AMERICA, SONS AND DAUGHTERS, AND HAVING RAN MASS VACCINATION SITES BEFORE, I KNEW THE ONLY WAY THAT WE WERE GOING TO BE ABLE TO OUTREACH TO THE COMMUNITY AND TAKE CARE OF THOSE MOST VULNERABLE POPULATIONS THAT WE HAD IN SAN ANTONIO AND BEXAR COUNTY, WAS TO PARTNER WITH ORGANIZATIONS LIKE UNIVERSITY, UH, HEALTH SYSTEM, LIKE METRO HEALTH AND UT HEALTH IN ORDER TO MAKE SURE THAT WE WERE REACHING ALL OF THE MOST VULNERABLE POPULATIONS IN OUR COMMUNITY. 
          SO INITIALLY I GOT WITH, UH, GEORGE HERNANDEZ, UH, IN LATE DECEMBER TO TALK ABOUT, YOU KNOW, I KNEW WE HAD REGISTERED OUR SITES ACROSS TEXAS AND FLORIDA, UH, TO RECEIVE VACCINE. 
          WE HAD NOT SEEN ANY VACCINE. 
          AND TALKING WITH GEORGE ABOUT HOW, YOU KNOW, WE COULD PARTNER TO HELP KNOWING THAT I HAD FACILITIES ON THE SOUTH SIDE WHERE THOSE IMPACTED BY NOT ONLY DEATH FROM COVID, BUT HOSPITALIZATIONS THAT WE NEEDED TO BE ABLE TO REACH THROUGH. 
          AND SO, PARTNERING WITH GEORGE, HE, UH, UH, TRANSFERRED MY FIRST INITIAL 500 DOSES OVER, UH, SO THAT WE COULD START VACCINATING. 
          AND THEN HE INTRODUCED ME, UH, TO THE, UH, CITY COUNCIL WHO WERE WANTING TO PARTNER, UH, ON THE, THE SOUTH SIDE, UH, TO HAVE A VACCINE FACILITY AVAILABLE. 
          WE MET ON A THURSDAY NIGHT. 
          BY SATURDAY MORNING, WE HAD A PRESS CONFERENCE TO ANNOUNCE, UH, OUR, UH, CISNEROS LOCATION, AS WELL AS OUR LOPEZ LOCATION ON THE, THE WEST SIDE, THAT WE WOULD, UH, START TO TAKE CALLS AT NINE O'CLOCK THAT MORNING, AND THAT WE WOULD SEE THE FIRST PATIENTS ON MONDAY MORNING. 
          AND I HAVE TO SAY, WE HAVE A PHENOMENAL TEAM HERE, MY CHIEF OF STAFF, 
          [00:50:01]
BRITTANY, ME, WHO'S BEEN HERE EVERY DAY AND EVERY NIGHT AS WE'VE, UH, CONTINUED TO GROW AND STAFF, UH, BOTH THESE FACILITIES. 
          WE'VE ACTUALLY ALSO OPENED UP AT DIFFERENT TIMES AS, UH, NEED ANITA RISE, UH, FOR US TO USE OUR OTHER FACILITY, WHICH IS OUR DORIS GRIFFIN LOCATION, WHICH IS, UH, NEAR INGRAM MALL. 
          WHAT IS GREAT ABOUT THESE THREE SENIOR CENTERS IS THAT THEY ARE CO-LOCATED NEXT TO OUR MEDICAL CLINICS, SO THAT I HAVE ADDITIONAL MEDICAL PERSONNEL IF NEEDED. 
          WE STAFF ALL OF OUR P ALL THE POSITIONS ARE, ARE STAFFED EITHER WITH VOLUNTEERS, ARE, UH, VOLUNTEERS FROM WELLMED, AS WELL AS FROM THE COMMUNITY. 
          WE ALSO HAVE BEEN, UH, HONORED TO PARTNER WITH THE GAYLAND SCHOOL OF NURSING. 
          AND, UH, THOSE STUDENT NURSES ARE ABLE TO HAVE CLINICAL ROTATIONS THROUGH OUR FACILITIES, WHICH HELPS THEM, AS WELL AS HELPS US TAKE CARE OF THE COMMUNITY. 
          NEXT SLIDE. 
          SO THIS WAS AS OF SATURDAY EVENING, UH, AFTER WE HAD HAD OUR, OUR VACCINATION CLINICS. 
          AND WHAT YOU CAN SEE HERE IS THROUGH LAST SATURDAY, WE HAD VACCINATED 95,760, UH, THREE VACCINATIONS. 
          THAT INCLUDES FIRST AND SECOND DOSES. 
          IF YOU INCLUDE THE DOSES THAT WE DID YESTERDAY, IT'S NINE THOU NINE 97,448. 
          UH, IF I INCLUDED ALL VACCINATIONS THAT WE'VE DONE ACROSS TEXAS AND FLORIDA, WE HAVE DONE A 109,675. 
          SO YOU CAN SEE THE MAJORITY OF THE VACCINES THAT WE HAVE DELIVERED ARE HERE IN SAN ANTONIO AND IN IN BEXAR COUNTY. 
          UH, WE ARE ALSO DELIVERING, UH, VACCINES, UH, THROUGH OUR, OUR HUBS IN THE RIO GRANDE VALLEY AT TWO OF OUR SENIOR CENTERS DOWN IN CORPUS CHRISTI, AS WELL AS IN HOUSTON, D F W, AUSTIN AND EL PASO. 
          AND THEN IN OUR, ALSO IN OUR FLORIDA MARKETS, UH, WE ARE ALSO STARTING TO RECEIVE VACCINE THAT THROUGH THE STATE THERE. 
          SO WE HAVE A ENTERPRISE EFFORT WITH THIS NEXT SLIDE, PLEASE. 
          YOU KNOW, ONE OF THE THINGS THAT I THOUGHT, UH, WAS IMPORTANT IS WE, WE TALKED ABOUT WITH, UH, COUNCILWOMAN SANDOVAL AND, AND THE REST OF THE COUNCIL AROUND HOW WE WERE GONNA SET UP THE APPOINTMENTS. 
          WHAT WAS KEY TO US WAS TO, TO BE ABLE TO REACH THOSE MOST VULNERABLE, UH, IN THAT ONE B POPULATION, AS WELL AS TO, TO ENSURE THAT OUR ONE A POPULATION, UH, WERE VACCINATED. 
          AND WE DECIDED THAT UNLIKE, UH, OTHER LOCATIONS THAT MANY OF OUR SENIORS, AND, YOU KNOW, EVERY DAY WE WORK WITH SENIORS ACROSS TEXAS AND FLORIDA, IN FACT, OVER 800,000, UH, SENIORS ARE OUR, ARE OUR PATIENTS. 
          AND WE KNEW MANY OF THEM WERE CHALLENGED BY THE, UH, BY THE INTERNET. 
          MANY OF THEM DID NOT HAVE DEVICES THAT WOULD ALLOW THEM TO SIGN UP ONLINE, OR IF THEY, THEY DID HAVE INTERNET THAT BY THE TIME THEY FILLED OUT THE FORMS, ALL THE SLOTS WERE TAKEN. 
          SO WE QUICKLY PARTNERED WITH ONE OF OUR VENDORS, CARENET, WHICH IS HEADQUARTERED HERE IN SAN ANTONIO, TEXAS, AND IS A GLOBAL PROVIDER FOR PHONE SERVICES AND, AND CALL CENTERS AND SET UP OUR, OUR 800 LINES, WHICH THAT NUMBER IS OVER MY SHOULDER. 
          I'M DOING A LITTLE FREE ADVERTISING HERE FOR EVERYBODY. 
          AND I WILL TELL YOU THAT WHILE YES, MANY PEOPLE HAD CALL, MANY TIMES, HOWEVER, EVERYONE HAD THE SAME OPPORTUNITY TO CALL, WHETHER I WAS A HUNDRED OR I AM 65, I COULD, I HAD THAT I WAS ABLE TO DIAL OR HAVE A, A CHILD THAT WAS ABLE TO DIAL FOR ME. 
          AND WHAT I FOUND TOO, IS IN THE LINE, WHEN I'M BRINGING PEOPLE IN IN THE MORNING TO SCREEN THEM, AND I'M A ASKING THEM, YOU KNOW, HOW MANY TIMES DID YOU CALL? OR I NOTICED THAT YOU'RE HERE WITH YOUR, YOUR MOTHER AND YOUR FATHER AND YOUR GRANDPARENTS, THAT YOU'RE BRINGING THEM IN. 
          MANY OF THOSE THAT WE HAVE TAKEN CARE OF LIVE IN MULTI-GENERATIONAL HOMES. 
          AND, AND THAT IS SOMETHING DIFFERENT THAT WE SEE, UH, HERE IN SAN ANTONIO, AND PARTICULARLY, UH, HERE ON THE SOUTH SIDE, IS THAT WE HAVE MANY MULTI-GENERATIONAL HOMES, AND WE KNOW MANY OF 'EM HAVE BEEN DEVASTATED BY COVID. 
          AS YOU CAN SEE, UH, BY THE GRAPH, UH, IN FRONT OF YOU, YOU CAN SEE THE POPULATIONS THAT, UH, BY AGE 
          [00:55:01]
THAT WE HAVE, UH, VACCINATED, A MAJORITY OF THE POPULATION THAT WE HAVE SERVED HAVE BEEN 65 AND OVER. 
          UH, WE'VE HAD A SMALL, UH, NUMBER THAT ARE, UH, 18 TO 33. 
          REMEMBER, WITH MODERNA, WE CAN ONLY VACCINATE, UH, 18 AND OVER. 
          UH, MANY OF THOSE ARE, ARE ADULT CHILDREN THAT HAVE A, UH, MEET THAT ONE B CRITERIA OF HAVING AN UNDERLYING CONDITION. 
          AGAIN, ONE OF THE IMPORTANT THINGS FOR US IS TO, TO BE EQUITABLE, TO MAKE SURE THAT WE'RE REACHING THE, THOSE KEY POPULATIONS. 
          AND SO IF WE GO TO THE NEXT SLIDE, ONE OF THE THINGS THAT I ALSO THINK'S IMPORTANT IS WE LOOK AT IT, UH, BY, UH, BY OUR, UH, UH, ETHNIC BACKGROUND. 
          AND AS YOU CAN SEE, UH, 57%, UH, ARE HISPANIC, ARE HISPANIC OR LATINO. 
          THEY IDENTIFY HIS HISPANIC OR LATINO, AND THEN WE HAVE 41.5% THAT IDENTIFY AS NON-HISPANIC OR LATINO. 
          AND THEN WE DO HAVE 1.45% THAT REFUSE TO IDENTIFY, UH, MANY OF OUR, OUR PATIENTS. 
          WE ASK THEM WHEN THEY COME IN OR WHEN WE'RE BOOKING THEIR APPOINTMENT ABOUT THEIR, THEIR RACE AND ETHNIC BACKGROUND. 
          UH, AND THEY'RE NOT USED TO THAT. 
          AND SO IT DOES TAKE A LITTLE BIT MORE TIME TO EXPLAIN WHY WE'RE ASKING, BUT I DID WANNA SHARE THAT INFORMATION WITH YOU. 
          NEXT SLIDE. 
          THE OTHER THING THAT WE WANTED TO LOOK AT, AND AS YOU ALL KNOW, WE CAN'T RESTRICT ANY OF OUR LOCATIONS, WHETHER IT'S WONDERLAND MALL, UT HEALTH, OR, UH, THE ME, UH, THE ALAMO DON, WE CANNOT RESTRICT WHO CAN SIGN UP. 
          WE CAN'T SAY ONLY A CERTAIN ZIP CODE CAN SIGN UP. 
          WHAT I'LL POINT OUT OVER THE NEXT COUPLE OF SLIDES, YOU WILL SEE THAT WE HAVE, UH, ALMOST EVERY, UH, ZIP CODE YOU CAN IMAGINE IS REPRESENTED, UH, AND HAVE COME IN THROUGH OUR CENTERS. 
          AND THAT'S EITHER CISNEROS, LOPEZ OR, UH, OUR INGRAM. 
          AND I WILL TELL YOU THAT THE PREPONDERANCE OF THOSE THAT HAVE ACCESS THIS HERE, UH, AT CISNEROS, WHERE I'M LOCATED TODAY, A MAJORITY OF 'EM HAVE COME FROM, UH, UH, THE SOUTH AND THE WEST SIDE OF TOWN. 
          BUT I'VE HAD PEOPLE FROM BERNIE, I'VE HAD PEOPLE FROM AUSTIN, I'VE HAD PEOPLE FROM FROM, UH, DALLAS. 
          I HAD A LADY THAT DROVE FROM HOUSTON ONE DAY AND SHOWED UP AND, AND THAT HAD GOTTEN THE PHONE NUMBER. 
          SO WE CAN'T TURN THEM AWAY. 
          UH, AND SO WHEN I LOOK AT, UH, BEING EQUITABLE, I BELIEVE THAT WHILE THE PHONE LINE, AND YES, THERE, THERE ARE STILL A LOT OF CALLS TO THE PHONE LINE JUST RIGHT NOW IN, UH, AS OF TODAY, THE 16TH OF MARCH, WE'VE ALREADY HAD 2.4 MILLION CALLS THIS MONTH ON THE LINE. 
          UH, WE ACTUALLY HAD 48,000 YESTERDAY. 
          BUT WHAT I WILL TELL YOU NOW, BECAUSE THAT WE ARE GETTING A, A REGULAR SUPPLY OF VACCINE, WE'RE GETTING 9,000 NEW DOSES A WEEK, AND WE'RE GETTING OUR, OUR 9002ND DOSES THAT ARE COMING IN, WE ARE ABLE NOW TO KEEP OUR PHONE LINES OPEN. 
          SO WE HAVE BOOKED ALL OF OUR, OUR SLOTS FOR THIS WEEK, AND WE ARE NOW BOOKING FOR NEXT WEEK. 
          SO OUR GOAL IS, IS NOT TO CLOSE THE PHONE LINE, BUT TO ALLOW, UH, PEOPLE, THE COMMUNITY TO CONTINUE TO CALL IN AND CONTINUE TO SCHEDULE. 
          THE REASON SOMETIMES A, A CALL COULD BE A LITTLE BIT LONGER THAN OTHERS IS WHEN PEOPLE DO CALL IN, THEY WILL SCHEDULE THEIR FAMILY AT ONE TIME. 
          SO WE WILL HAVE FOUR TO, TO SOMETIMES FIVE FAMILY MEMBERS. 
          UH, AS YOU KNOW, WE'RE TAKING DOWN THE INFORMATION AND, AND MAKING SURE THAT WE CAN GET THE FAMILY BOOKED TOGETHER SO THAT THEY, THEY COME TOGETHER, UH, AS AN APPOINTMENT. 
          WE ALSO ARE, UH, TAKING A LIST OF ONE ALPHA, UH, PROVIDERS AND, AND GETTING THOSE SCHEDULED AS WELL, AS WELL AS HIGH RISK, UH, LISTS THAT, UH, HAVE BEEN PROVIDED THROUGH THE, UH, HEALTH WORKERS. 
          UH, WE, UH, GET THOSE LISTS AND HAVE ALLOTTED APPOINTMENTS FOR THEM. 
          NEXT SLIDE. 
          SO AGAIN, THIS SHOWS YOU AGAIN, UH, BY ZIP CODE. 
          THIS IS LESS THAN POINT, UH, UH, ONE, NINE, UH, PERCENT. 
          UH, SO THAT SHOWS OUR, OUR OTHER ZIP CODE. 
          AND, AND THEN LASTLY, I'LL SAY WE ALSO ARE, UH, TAKING, UH, APPOINTMENTS. 
          WE HAVE TEACHERS, UH, AS WE, UH, UH, 
          [01:00:01]
ADDED THE SCHOOL WORKERS AS WELL AS THE CHILDCARE PROVIDERS. 
          UH, WE ARE NOW, UH, TRACKING THAT AS WELL. 
          WE, SINCE THAT REQUEST WAS MADE, WE'VE, UH, UH, DOCUMENTED 168 THAT HAVE COME IN. 
          WE'RE ALSO RECEIVING LISTS, UH, FROM, FROM OTHER, UH, SCHOOLS IN THE AREA THAT, UH, THEY'RE SENDING TO US TO SCHEDULE THEIR, UH, HELP THEIR TEACHERS OR SCHOOL WORKERS THAT MAY NOT HAVE BEEN ABLE TO, UH, TO GET IN ONE OF THE OTHER LOCATIONS. 
          THAT'S ALL I HAVE TO PRESENT TODAY. 
          AND I LOOK FORWARD, UH, AFTER THE PRESENTATION TO ANY QUESTIONS. 
          ALL OF ALL OF THEM HAVE BEEN GREAT, UH, UH, ACTS TO FOLLOW. 
          SO, UH, AND I JUST WANNA MENTION, THEY HAVE ALL BEEN GREAT PARTNERS TO PUBLIC HEALTH IN SAFEGUARDING OUR COMMUNITIES LIFE, UH, COMMUNITIES HELP. 
          UM, SO I'LL MOVE ON TO, UH, THE COVID 19 VACCINATION EFFORTS HERE AT METRO HEALTH. 
          UH, YOU COULD BROADLY CATEGORIZE OUR EFFORTS INTO THREE MAIN CATEGORIES. 
          ONE IS THE MASS VACCINATION SITE AT THE ALMA DO. 
          UM, THE SECOND IS A POP-UP, OR, UH, THE MOBILE CLINICS, IF YOU WILL. 
          AND THE THIRD ONE IS OUR HOME BOUND SENIOR PROGRAMS, UH, WHICH IS AN EXTENSION OF THE STATES SAVE OUR SENIORS INITIATIVE. 
          UM, NEXT SLIDE PLEASE. 
          THE MASS VACCINATION SITE AT ALAMO DOME. 
          UM, YOU ALREADY MIGHT KNOW THIS, THIS IS AN EFFECTIVE AND SUCCESSFUL COLLABORATION BETWEEN METRO HEALTH AND S E F D. 
          UH, IT BEGAN ON JANUARY 11TH OF THIS YEAR, AND THE OPERATIONS ARE ON TUESDAY TO SATURDAY. 
          UM, AND EVERY DAY WE HAVE A APPOINTMENT BEGINNING AT NINE O'CLOCK, AND THE LAST ONE BEING SCHEDULED AT SIX 30. 
          UH, INITIALLY THE OPERATIONS AT ALAMODOME WERE A HYBRID MODEL OPERATIONS. 
          WE HAD EQUAL PARTS OF DRIVE-THROUGH COMPONENT, AS WELL AS A WALK-UP COMPONENT TO OUR OPERATIONS HERE. 
          AND BECAUSE OF HIGH THROUGH, UH, PUT THROUGH THE DRIVE-THROUGH COMPONENT, WE CURRENTLY TRANSITIONED PRIMARILY TO BEING A DRIVE-THROUGH OPERATION WITH A SMALL, UH, WALK-UP COMPONENT TO ACCOMMODATE FOLKS, UH, WITH TRANSPORTATION CHALLENGES. 
          UM, THE DAILY OPERATIONS AT THE DOME, UH, THE ALAMO DOME ARE STAFFED BY METRO HEALTH, UH, BY SS A F D, BY OTHER CITY DEPARTMENTS AND VOLUNTEERS, VOLUNTEERS. 
          UH, THEY MAKE UP A HUGE PART OF OUR OPERATIONS AND HAVE SUPPORTED OUR OPERATIONS SINCE ITS INCEPTION. 
          UM, WE HAVE STAFF WORKING TWO SHIFTS AT THE ALAMODOME. 
          EACH SHIFT IS MANNED BY APPROXIMATELY 75 TO 80 STAFF. 
          UM, AND, UH, WE HAVE DEDICATED, UH, SPANISH SPEAKERS IN EACH SHIFT. 
          UM, WE HAVE ABOUT SEVEN TO NINE SPANISH SPEAKERS FOR EACH OF OUR SHIFTS AT THE ALAMODOME. 
          AND IF YOU'VE VISITED THE ALAMODOME, YOU WILL SEE THEM IN, THEY STAND OUT. 
          THEY, THEY ARE IN THOSE RED WEST, BRIGHT RED WEST. 
          UH, TO DATE, UH, WE HAVE, UH, WE'VE HAD 7,283 VOLUNTEERS THAT HAVE SUPPORTED OUR OPERATION. 
          SO A HUGE SHOUTOUT AND THANK YOU TO OUR VOLUNTEERS. 
          UM, WE AT THE ALAMODOME, UH, WE HAVE APPROXIMATELY 10,000 APPOINTMENTS, UM, PER WEEK. 
          UH, WE RELEASED 10,000 APPOINTMENTS ON MARCH, UH, EIGHTH. 
          UM, AND WE HAVE APPOINTMENTS. 
          AND THESE WERE APPOINTMENTS, UH, FOR FOUR WEEKS. 
          SO WE HAVE APPOINTMENTS SCHEDULED ALL THE WAY UP UNTIL APRIL 3RD. 
          CURRENTLY, UH, NOW WHAT YOU SEE ON THE SLIDE IS THE BREAKDOWN OF THE APPOINTMENTS PER WEEK. 
          UH, SO WE ALLOCATE ABOUT 8,000 OF THESE APPOINTMENTS PER WEEK, UH, TO OUR COMMUNITY HEALTH WORKERS. 
          SO 600 SLOTS ARE ALLOCATED TO ENROLLMENT BY COMMUNITY HEALTH WORKERS. 
          OUR COMMUNITY HEALTH WORKERS. 
          THEY TARGET, UH, THE AREAS WITH HIGH C OVID 19 INDEX. 
          THESE ARE YOUR AREAS THAT HAVE BEEN HARDEST, HIT WITH CO HARDEST STUCK WITH C OVID 19. 
          AND THEY WORK CLOSELY WITH THE DELEGATE AGENCIES IN THAT AREA, CLOSELY WITH THE DEPARTMENT OF HUMAN SERVICES, WITH THE LOCAL CHURCHES, UH, TO ENROLL FOLKS INTO, UH, THE OME. 
          UM, WE'VE ALSO ALLOCATE ABOUT 2000, UH, APPOINTMENTS PER WEEK, WHICH IS 400 APPOINTMENTS PER DAY TO 3 1 1. 
          AND THIS IS TO ADDRESS THE ISSUE OF DIGITAL DIVIDE. 
          AND, OF COURSE, A APPROXIMATELY 5,000 OF, OF OUR, UH, 10,000 APPOINTMENTS PER WEEK ARE ALLOCATED TO ONLINE REGISTRATIONS. 
          AND WHAT YOU SEE UP THERE IS THE WEBSITE. 
          THOSE REGISTRATION PORTALS ARE PLACED ON OUR WEBSITE. 
          UM, ALL OUR, UH, THE, THE ONLINE REGISTRATION PORTAL CURRENTLY, WE DON'T HAVE THE OPTION TO PICK 
          [01:05:01]
A SPANISH VERSION ON THE HOMEPAGE, UH, BUT ON ANY PAGE OF OUR WEBSITE, UH, YOU CAN GO TO THE UPPER RIGHT CORNER AND CONVERT IT, CONVERT TO OVER A THOUSAND LANGUAGES USING GOOGLE TRANSLATE. 
          AND SPANISH IS THE FIRST LANGUAGE THAT COMES UP ON THAT LIST. 
          I KNOW IT'S NOT PERFECT TRANSLATION, BUT WE ARE TOLD IT IS VERY CLOSE. 
          UM, ALL OUR FORMS THAT WE USE AT THE ALMO DO FOR OUR CONSENT AND REGISTRATION PACKETS. 
          THEY ARE BOTH IN ENGLISH AND SPANISH. 
          UM, AND I WANNA POINT OUT THAT WE RECENTLY STARTED A COMMUNITY-WIDE TEXT ALERT SYSTEMS, UH, TO ALERT RESIDENTS ON WHEN APPOINTMENTS BECOME AVAILABLE AT ANY OF THE MASS VACCINATION SITES. 
          SO, RESIDENTS WHO WISH TO RECEIVE UPDATES, UH, ABOUT COVID 19 VACCINATION AVAILABILITY, THEY CAN SIGN, SIGN UP TO RECEIVE THESE TEXT NOTIFICATIONS DIRECTLY TO THEIR PHONES. 
          UH, TO OPT IN, ALL YOU'VE GOT TO DO IS TEXT VACCINE TO 5 5 0 0 0 OR VAC UNA TO 5 5 0 0 0. 
          UM, BY SIGNING UP, YOU WILL RECEIVE A TEXT NOTIFYING YOU OF WHICH LOCATIONS HAVE AVAILABLE APPOINTMENTS. 
          UM, JUST WANNA POINT OUT, OPTING INTO THIS TEXT ALERT SYSTEM WILL NOT SIGN YOU UP FOR A VACCINE OR ADD YOU TO ANY WAITING LIST AT THIS TIME. 
          THIS IS JUST AN ADDITIONAL METHOD TO INFORM THE COMMUNITY OF WHEN THE APPOINTMENTS ARE AVAILABLE. 
          SO, UH, THIS IS A JOINT VENTURE. 
          UH, ANYTIME APPOINTMENTS BECOME AVAILABLE, EITHER AT THE UNIVERSITY HEALTH SYSTEM OR UT HEALTH SYSTEM, OR AT WELLMED, UH, THE TEXT ALERT GOES TO OUR COMMUNITIES, ALERTING OUR RESIDENTS OF THE APPOINTMENTS AVAILABILITY. 
          NEXT SLIDE. 
          OH, TO DATE, I JUST WANNA MENTION THAT LAST BULLET ITEM TO DATE. 
          WE HAVE ADMINISTERED, UH, 86,761 VACCINES AT THE ALAMO DORM. 
          THESE ARE BOTH FIRST AND THE SECOND DOSES. 
          SO ON AN AVERAGE, WE ADMINISTER, UH, UP TO 2,600 VACCINES, UH, ANY GIVEN DAY. 
          THE HIGHEST NUMBER WE HAD ADMINISTERED AT THE ALMA DOME WAS, UH, ABOUT 33,501 VACCINES. 
          SO THAT WAS A PRETTY HECTIC DAY FOR, FOR, UH, FOR THE STAFF AT THE DOME. 
          NEXT SLIDE, PLEASE. 
          WHAT YOU SEE IS THE GEOGRAPHIC DISTRIBUTION OF THE PROPORTION OF PERSONS, UH, VACCINATED WITH ONE DOSE AT THE ALIMO DOME MASS WAX SITE. 
          SO AS OF MARCH 14TH, UH, ABOUT 54,000 INDIVIDUALS HAVE RECEIVED AT LEAST ONE DOSE AT THE ALAMO DOME. 
          NEXT SLIDE, PLEASE. 
          HERE'S THE GEOGRAPHIC DISTRIBUTION OF, UH, FULLY VACCINATED PERSONS. 
          AGAIN, THESE ARE INDIVIDUALS WHO ARE FULLY VACCINATED AT THE ALAMO DOME MASS VACCINATION SITE. 
          AND AS OF MARCH 14TH, UH, WE ADMINISTER, UH, UH, SLIGHTLY OVER 32,000. 
          UM, PEOPLE WERE FULLY VACCINATED AT THE ALAMODOME. 
          THE NEXT SLIDE IS THE, UH, DEMOGRAPHIC BREAKDOWN OF WHO RECEIVED THE VACCINES AT ALAMODOME. 
          THE GRAPH ON THE, UH, THE GRAPH YOU SEE ON THE LEFT HAND SIDE SHOWS THE PROPORTION OF PERSONS VACCINATED AT THE ALAMODOME BY AGE GROUP. 
          AND THE PIE CHART ON THE RIGHT IS THE PROPORTION OF PERSONS VACCINATED BY RACE, ETHNICITY, AND THE HIGHEST PROPORTIONS OF THOSE VACCINATED. 
          UH, WERE 65 YEARS AND OLDER, APPROXIMATELY 31%. 
          SO WE ARE TARGETING THE, IT'S, IT'S THE RIGHT, UM, UH, CRITICAL POPULATION THAT IS BEING THAT, THAT IS COMING TO THE OME. 
          UM, IN APPROXIMATELY 20% OF THE RECORDS, UH, THE RACE ETHNICITY INFORMATION WAS LISTED AS REFUSED OR UNKNOWN. 
          SO BASED ON THE AVAILABLE RACE ETHNICITY INFORMATION, 56% WERE APPROXIMATELY HISPANICS, 32% VACCINATED WERE NON-HISPANIC WHITES, AND ABOUT 5.5% WERE AFRICAN-AMERICANS. 
          UM, THE NEXT SLIDE IS THE NEXT, UH, MASS VACCINATION. 
          UH, NEXT, UH, COMMUNITY-WIDE, UM, VACCINATION EFFORT WE HAVE AT METRO HEALTH, WHICH IS OUR POPUP CLINIC OR OUR MOBILE, UH, COVID 19 VACCINATION CLINICS. 
          UH, SO WE HAVE HELD THUS WELL. 
          WE'VE HELD ABOUT THREE, UH, WE'VE HELD THREE, UH, MOBILE CLINICS. 
          UM, THE FIRST ONE WAS HELD AT THE GOOD SAMARITAN COMMUNITY CENTER ON MARCH 4TH, WHERE WE ADMINISTERED 268 VACCINES. 
          UH, THE SECOND ONE WAS HELD AT BETHEL, A M E CHURCH ON MARCH 5TH BY 259 VACCINES WE ADMINISTERED. 
          AND THE LAST, THE THIRD ONE THAT YOU SEE UP THERE WAS HELD YESTERDAY AT THE JAMES A BODY, JAMES A BODE COMMUNITY, UH, CENTER. 
          AND, UH, WE HAD ALLOCATED 300, UH, SLOTS FOR THIS EVENT. 
          UM, 279 WERE REGISTERED, HOWEVER, UH, ONLY 240 FOLKS SHOWED UP AT THIS EVENT AND WERE VACCINATED. 
          UM, EACH OF THESE EVENTS ARE STAFFED BY A SMALL CONTINGENT OF METRO HEALTH, UM, S A F D, UM, AND, AND, UH, UH, VOLUNTEERS. 
          [01:10:01]
UM, WE USE THE C OVID 19 INDEX, UH, TO, TO GUIDE US IN SELECTING THESE LOCATIONS. 
          AND THE ENROLLMENT FOR THESE EVENTS ARE PRIMARILY COMPLETED BY OUR COMMUNITY HEALTH WORKERS WHO WORK VERY CLOSELY WITH, UH, UH, THE DELEGATE AGENCIES IN THAT AREA, LOCAL CHURCHES, DEPARTMENT OF HUMAN SERVICES, UH, SEEN AS CENTERS, UM, AND, AND, UH, AS, UH, AS DR. 
          LEVINS HAD ALREADY MENTIONED. 
          UM, NEXT SLIDE, PLEASE. 
          UH, WE ARE PARTNERING WITH UT HEALTH ON THIS MOBILE CLINIC INITIATIVE. 
          UM, AND WHAT YOU SEE HERE, UH, IS THE GEOGRAPHIC DISTRIBUTION OF THE MOBILE CLINICS THAT HAVE BEEN JOINTLY PLANNED, THUS PART, AGAIN, USING THE COVID 19 INDEX AS, UM, AS A GUIDE FOR LOCATION SELECTION. 
          SO THE TABLE THAT YOU SEE UP THERE ON THE SLIDE LISTS THE LOCATIONS AND THE DATES OF THE EVENTS. 
          AND THESE ARE A COMBINATION OF GLOBAL CLINICS PLANNED BY METRO HEALTH AND UT HEALTH MOBILE CLINIC TEAMS. UH, ONCE AGAIN, THE ENROLLMENT EFFORTS WILL BE TARGETED TOWARDS ENROLLING PEOPLE WHO LIVE IN AND IN AND AROUND THESE LOCATIONS. 
          THE COMMUNITY HEALTH WORKERS, AGAIN, WILL BE WORKING CLOSELY WITH THE SENIOR CENT LOCAL CHURCHES, UH, OTHER DELEGATE AGENCIES TO COMPLETE THE ENROLLMENT PROCESS. 
          UM, ALL METRO HEALTH CLINIC EVENTS WILL BE A ONE DAY EVENT, AND, UH, WE WILL BE ALLOCATING 300 APPOINTMENT SLOTS TO EACH OF THESE EVENTS. 
          UM, WE HAD REACHED OUT TO THE CHIEF OF STAFF FOR EACH, UH, COUNCIL DISTRICT SOLICITING INFORMATION ON ORGANIZATIONS OR FACILITIES, UM, THAT WOULD BE WILLING TO HOST THESE MOBILE CLINICS. 
          SO ONCE OUR MOBILE, UH, VACCINE ALLOCATIONS GO UP, WE WILL COORDINATE WITH THE FACILITIES THAT HAVE BEEN, UM, FORWARDED TO US DIRECTLY TO HOLD THE CO COVID 19 VACCINE CLINICS AT THESE LOCATIONS. 
          UM, THE LAST INITIATIVE IS OUR HOME BOUND, UH, SENIORS PROJECT, AND I WILL PASS IT ON TO, UH, CHIEF ESTRADA TO TALK ABOUT THAT. 
          THANK YOU, DR. 
          KIAN. 
          SO, THE SENIOR VACCINATION PROGRAM BEGAN ON FEBRUARY 1ST, 2021. 
          AND SO WE'D LIKE TO THANK OUR PARTNERS, AND THAT WOULD BE MEALS ON WHEELS, METRO HEALTH, SAN ANTONIO HOUSING AUTHORITY DEPARTMENT HEALTH SERVICES, UH, OUR M I H PROGRAM WHO WORK, WHO WERE ABLE TO COME TOGETHER AND WORK TOGETHER TO BE ABLE TO IDENTIFY SENIORS THAT ARE, THAT ARE THOSE THAT ARE MOST VULNERABLE. 
          THESE ARE THOSE THAT ARE, THAT ARE AT HOME, AND THAT, AND FOR THE MOST PART ARE, ARE, ARE BEDRIDDEN. 
          AND SO WE REALLY HAVE, HAVE TAKEN ON, UH, THE SPIRIT OF, OF UTILIZING THE C OVID 19 INDEX ALONG WITH WHAT THE MISSION FROM THE, FROM THE STATE IS, WHICH WAS TO REALLY IDENTIFY THOSE IN ONE B THAT WERE MOST VULNERABLE. 
          SO WE PUT TOGETHER A GOOD TEAM, UM, THAT'S BEING, UM, MANAGED BY RHONDA BROWN AND, AND STEVE GARCIA. 
          AND SO, AS WE STARTED THE PROGRAM, WE, WE WERE ABLE TO IDENTIFY THROUGH OUR PARTNERS WHO, WHO WAS ELIGIBLE. 
          THE, THE VETTING PROCESS WOULD START ON, ON THE PART OF, OF THAT, THAT INDIVIDUAL ORGANIZATION, BE IT MEALS ON WHEELS OR METRO HEALTH. 
          THEY WOULD IDENTIFY THROUGH THEIR SYSTEMS, WHO, WHO WOULD BE A PARTICIPANT, AND THEN THEY WOULD GIVE THAT INFORMATION OVER TO THE FIRE DEPARTMENT. 
          AND THEN OUR, OUR M I H TEAM WOULD WORK TOGETHER TO VET THOSE OUT. 
          SO TYPICALLY WE, WE GET THAT INFORMATION ON A SPREADSHEET AND WE WORK THROUGH, WE MAKE PHONE CALLS AHEAD OF TIME. 
          UH, ONCE WE MAKE THOSE PHONE CALLS, WE'RE ABLE TO IDENTIFY, UH, THE DOMINANT LANGUAGE. 
          SO IF, IF WE HAVE SOMEONE THAT'S A SPANISH SPEAKER, WE'RE ABLE TO IDENTIFY THAT AT THAT TIME. 
          WE HAVE SOMEONE THAT CAN SPEAK TO 'EM IMMEDIATELY ON THE PHONE IN SPANISH. 
          AND THEN WE HAVE 10 MOBILE TEAMS THAT ARE PUT TOGETHER TO GO OUT AND WE KEEP TRACK OF THOSE THAT ARE, THAT ARE, THAT HAVE A, THAT NEED TO SPEAK SPANISH OR ANOTHER LANGUAGE. 
          AND WE WERE ABLE TO PUT THEM ON THE CORRECT ROUTE WITH THOSE WHO SPEAK SPANISH. 
          SO WE HAVE 10 MOBILE TEAMS THAT GO OUT, UH, MONDAY THROUGH SATURDAY. 
          AND, UH, THIS PROGRAM, OUR GOAL AND OUR INTENT WAS TO HIT, UH, TO BE ABLE TO GO TO A THOUSAND HOMES OR INDIVIDUALS PER WEEK. 
          SO TO DATE, WE'VE DONE 3,249, UM, VACCINES AS OF LAST WEEK. 
          THE, UM, WE WERE, WE WERE, UH, WE SLOWED DOWN A LITTLE BIT DURING THE WINTER WEEK. 
          OF COURSE, EVERYBODY WAS, WAS, UH, ON LOCKDOWN WITHOUT POWER. 
          SO WE, WE, WE DID NOT HIT THAT 4,000 MARK, BUT WE ARE, WE WERE, THAT WAS UNDERSTANDABLE, OF COURSE. 
          AND WE'RE CURRENTLY WORKING ON OUR SECOND DOSES. 
          SO WE'VE GONE THROUGH THE FIRST DOSE AND NOW WE'RE GOING BACK TO THOSE, UH, INDIVIDUALS AND GIVING THEM THEIR SECOND DOSE. 
          WHEN WE, WHEN WE ARRIVE, WE, WE DEFINITELY, WE TAKE A OPPORTUNITY TO, TO TAKE WATER WITH 'EM, WITH US, UH, WHILE WE'RE THERE. 
          AND AFTER WE ADMINISTER THE VACCINE, WE DO A, A, A HOME SAFETY CHECK TO MAKE SURE IF THERE'S ANYTHING THAT ARE, THAT ARE, THAT NEED TO BE LOOKED AT, OR IF WE NEED TO PASS OFF TO OTHER CITY SERVICES OR OTHER ORGANIZATIONS TO HELP OUT WITH SOMEBODY WHO'S IN NEED. 
          SO WE'RE ABLE TO DO THAT INSIDE 
          [01:15:01]
THE HOME AT THE SAME TIME. 
          SO BY THE NUMBERS, UM, AS I'VE SAID, WE WE'RE AT 3,249. 
          UM, WE HAVE A, A BROKEN DOWN TO OUR, TO OUR DIFFERENT PARTNERS. 
          AND SO THE VAST MAJORITY OF, OF NUMBERS OR PARTICIPANTS HAVE COME FROM MEALS ON WHEELS. 
          AND SO WE'VE ALSO HAVE QUITE A BIT FROM SAN ANTONIO HOUSING AUTHORITY. 
          AND SO AS WE LOOK AT THOSE THAT ARE VACCINATED, SO WE, WE HAVE FOUND IN, IN GOING TO INDIVIDUAL HOMES, UM, SOME OF THEM ARE, ARE, ARE AS WE, WE MAKE CONTACT AND THEY AGREE SOMETIMES THEY'VE ALREADY GOTTEN THE VACCINE BY THE TIME WE GET THERE. 
          UH, SOMETIMES THEY AGREE AND THEY, AND THEY DON'T OPEN THE DOOR OR WE CAN'T GET TO THEM. 
          SO OVERALL, WE'VE HAD THIRTY NINE HUNDRED AND THIRTY FIVE, UH, PATIENT CONTACTS, AND OF THAT WE ADMINISTERED, UH, 3,249. 
          SO WE DO FIND WHEN THEY DON'T ANSWER THAT, THAT DOOR, OR THEY'VE ALREADY BEEN VACCINATED OR, OR SOMETIMES EVEN THOUGH THEY'VE ASKED FOR IT, WHEN WE GET THERE, THEY ACTUALLY REFUSE. 
          THEY'VE CHANGED THEIR MIND. 
          AND SO SINCE WE'VE ALREADY PULLED THE VACCINE FOR THAT PARTICULAR INDIVIDUAL, THEN WE GO AND WE GO TO EITHER, UM, A HOUSE NEXT DOOR OR WE FIND SOMEBODY ELSE ON THE LIST. 
          OR IF THEY HAVE SOMEBODY ELSE THAT LIVES WITH THEM, WE KNOW THAT THAT VACCINE'S ONLY GOOD FOR SO MANY HOURS. 
          AND SO WE HAVE TO GO TO AN ALTERNATE QUALIFYING, UH, PERSON TO ADMINISTER TO, AS FAR AS THE DISTRIBUTION. 
          UM, ON, ON THE TWO MAPS, WE'RE ABLE TO BREAK OUT THE DISTRIBUTION, DISTRIBUTION BY COUNCIL DISTRICT. 
          AND THEN, LIKE I SAID EARLIER, WE, WE ARE, WE ARE USING METRO HEALTH'S C OVID 19 INDEX AS AN OVERLAY. 
          AND SO ON THE HEAT, ON THE HEAT MAP ON THE RIGHT, WE'RE ABLE TO SHOW THAT WE REALLY HAVE TRIED TO CONCENTRATE ON THOSE AREAS THAT ARE, THAT NEED IT THE MOST. 
          WE ALSO HAVE SOME INDIVIDUAL DOTS THAT YOU'LL SEE, AND SOMETIMES THOSE ARE STAR REQUESTS THAT COME THROUGH THE STATE AND THEY GO TO DR. 
          WU. 
          AND THEN DR. 
          WU, UH, PASSES THAT LIST ONTO US TO ADMINISTER. 
          SO WE REALLY HAVE TRIED TO FOCUS ON THOSE AREAS OF MOST NEED AND THOSE THAT ARE MOST VULNERABLE. 
          AND I'LL PASS IT BACK TO DR. 
          IAN. 
          ALRIGHT, SO YOU'RE PRETTY MUCH WRAPPING UP. 
          NEXT SLIDE, PLEASE. 
          YES. 
          SO WHEN WILL, UH, VACCINE BE AVAILABLE TO ME? THIS IS ONE QUESTION THAT EVERYBODY HAS ON THEIR MINDS. 
          UM, AND I'VE SAID THIS OVER AND OVER AGAIN. 
          THE GOAL IS FOR EVERYONE TO BE ABLE TO EASILY GET A COVID 19 VACCINATION AS SOON AS LARGE ENOUGH QUANTITIES OF VACCINES THAT ARE AVAILABLE TO US IN OUR COMMUNITY. 
          SO, AS YOU CAN SEE US LAID OUT HERE, WE HAVE APPROXIMATELY 1.6 MILLION RESIDENTS WHO ARE CURRENTLY ELIGIBLE TO BE VACCINATED IN OUR COMMUNITY. 
          NEXT SLIDE, PLEASE. 
          THIS IS THE LIST OF, UH, PROVIDERS WHO ARE GETTING C OVID 19 VACCINE ALLOCATIONS FOR THE WEEK OF 14TH, WHICH IS THIS CURRENT WEEK. 
          AND WHEN YOU LOOK AT THESE ALLOCATIONS, WE, MEANING BAYER COUNTY IS GETTING ONLY 6.6% OF ALL OF STATE'S ALLOCATIONS. 
          NEXT SLIDE, PLEASE. 
          UM, THUS FAR, WE HAVE ONLY APPROXIMATELY 13% OF OUR COMMUNITY FULLY VACCINATED. 
          UH, THIS IS THE ENTIRE COUNTY. 
          THIS IS NOT JUST AT ALAMODOME. 
          THIS IS COUNTYWIDE ONLY 13% OF, UH, COMMUNITIES CURRENTLY FULLY VACCINATED. 
          SO GIVEN THE NUMBER OF PEOPLE WHO ARE CURRENTLY ELIGIBLE, WHICH IS ABOUT 1.6 MILLION, AND THE CURRENT LEVEL OF VACCINE ALLOCATIONS, UM, IT IS GOING TO TAKE US SLIGHTLY OVER, UH, 20 WEEKS TO GET THROUGH VACCINATING JUST THE PHASE ONE A ONE B AND PHASE ONE Z ONE C POPULATION. 
          SO WE DO HAVE A LONG WAY TO GO AT THIS CURRENT LEVEL OF ALLOCATIONS. 
          SO WE EXPECT THIS TIMELINE TO BE EXPEDITED ONCE THE ALLOCATIONS INCREASE. 
          AND WE, WE HOPE THAT HAPPENS PRETTY SOON IN THE COMING WEEKS. 
          SO THERE IS LIGHT AT THE END OF THE TUNNEL. 
          WE JUST HAVE TO BE PATIENT. 
          I KNOW PEOPLE HAVE HEARD THIS OVER AND OVER AGAIN, BUT AS I MENTIONED, THE GOAL IS TO VACCINATE EVERYONE WHO NEEDS IT. 
          BUT UNTIL THAT HAPPENS, WE JUST HAVE TO BE PATIENT, CONTINUE WITH OUR, UH, PUBLIC HEALTH PREVENTIVE RECOMMENDATIONS, MEASURES, RECOMMENDATIONS THAT WE'VE BEEN DOING, WHICH IS, YOU KNOW, CONSISTENT MASKING, UM, PRACTICING PHYSICAL DISTANCING. 
          UH, SO WE DON'T LOSE THE GROUND THAT WE'VE ALREADY, WE WE'VE GAINED THUS FAR. 
          UH, THAT PRETTY MUCH CONCLUDES THE PRESENTATION. 
          I JUST WANNA, ONCE AGAIN, THANK AND ACKNOWLEDGE EACH OF MY FELLOW, FELLOW PRESENTERS, AND ON BEHALF OF ALL OF US, UH, THANK YOU FOR YOUR TIME. 
          WE'LL BE HAPPY TO TAKE QUESTIONS. 
          UH, THANK YOU VERY MUCH. 
          UH, I WANNA THANK EACH AND EVERY SINGLE ONE OF OUR PRESENTERS AND EVERYONE OF YOUR TEAMS WHO HAVE PARTICIPATED IN THE VACCINATION EFFORTS ACROSS THE COUNTY AND TO ALL THE VOLUNTEERS THAT HAVE, THAT HAVE PARTICIPATED. 
          IT TRULY IS, UH, I THINK 
          [01:20:01]
SOMETHING THAT WE'LL REMEMBER FOR, FOR MANY YEARS TO COME. 
          LIKE, AND IS, YOU KNOW, WE'LL, WE'LL, I'LL SAY, WHERE WERE YOU? OR HOW DID YOU GET YOUR COVID VACCINE, YOU KNOW, 20 OR OR 30 YEARS IN THE FUTURE? BECAUSE THERE'S NEVER BEEN ANYTHING LIKE THIS, UH, THAT, THAT WE'VE EXPERIENCED. 
          UM, I KNOW THAT WE'RE ALL LEARNING AND ADAPTING AS WE'RE GOING ALONG. 
          IN FACT, WHAT, WHAT EACH OF YOUR ORGANIZATIONS DID IN JANUARY, WE'RE DOING SOMETHING DIFFERENT. 
          UH, YOU DID SOMETHING DIFFERENT IN FEBRUARY AND WE'RE DOING SOMETHING DIFFERENT NOW, AND NEW THINGS ARE COMING OUT LIKE OUR COORDINATED TEXT ALERT SYSTEM. 
          SO I, I FEEL VERY POSITIVE THAT WE'RE MOVING IN THE, IN THE RIGHT DIRECTION. 
          I'M ALSO VERY GLAD TO HEAR EACH OF OUR SPEAKERS ADDRESS ISSUES OF GEOGRAPHIC ACCESS, ISSUES OF LANGUAGE ACCESS, AND THE DIGITAL DIVIDE. 
          UH, SO THANK YOU FOR BRINGING THOSE CONSIDERATIONS INTO, INTO YOUR WORK. 
          UM, WHEN PEOPLE, WHEN I HEAR FROM CONSTITUENTS ABOUT, AND FROM MY COLLEAGUES ABOUT GOING TO GET THEIR VACCINE, I HEAR GREAT THINGS ONCE THE PERSON HAS RECEIVED THE VACCINE. 
          ONCE THEY GET THEIR, UH, APPOINTMENT AND THEY SHOW UP, UH, THEY SAY WONDERFUL THINGS. 
          I'VE TOLD THIS, UH, TO THE FOLKS AT U H SS, I'VE HEARD THE WORD SILK MORE TIMES THAN I CAN COUNT ABOUT YOUR PROCESSES, THAT IT IS AS SMOOTH AS SILK. 
          UM, AND, UH, AND, AND I HEAR REALLY GOOD THINGS ABOUT HOW CARING THE PEOPLE ARE. 
          LIKE AT THE WELLMED SITES, UH, JIMMY, JIMMY KNOWS THIS, THAT EVERYONE, THE SENIORS SAY, THANK YOU SO MUCH FOR TAKING CARE OF US BECAUSE THEY FEEL SO, UH, LIKE SOMEONE REALLY CARES ABOUT THEM WHEN THEY GO THROUGH THAT PROCESS. 
          UM, AND I THINK YOU ALL KNOW THAT I'M COMING UP WITH A, BUT AT, AT THIS POINT, . 
          AND THAT IS, WE ALSO HEAR, UH, OTHER THINGS, UH, FROM, FROM PEOPLE WHO HAVEN'T HAD THE BENEFIT OF GOING THROUGH THAT PROCESS YET. 
          AND UNFORTUNATELY, WE HEAR A LOT MORE OF THOSE, RIGHT? BECAUSE THERE'S STILL A LOT MORE PEOPLE THAT, THAT HAVEN'T BEEN VACCINATED THAN HAVE. 
          AND SO I'M GOING TO POSE THREE AREAS FOR YOU TO CONSIDER, UH, AS WE GO THROUGH QUESTIONS FROM, FROM THE COUNCIL ABOUT HOW WE COULD POSSIBLY MAKE THIS, UH, A LITTLE BIT EASIER ON, ON OUR COMMUNITY. 
          AND, AND AGAIN, EVERYTHING YOU'RE DOING, IT IS, IT IS NO SMALL FEAT. 
          I I COMPLETELY UNDERSTAND EVERYONE IS, IS DOING SO MUCH, UH, RIGHT NOW. 
          SO WHAT I'D LIKE TO HEAR IS WE GO THROUGH THE QUESTIONS, UH, OF THE, OF THE COMMITTEE MEMBERS IS, UH, NUMBER ONE, HOW DO YOU COORDINATE AMONG ONE ANOTHER? UH, YOU ARE THE MASS VACCINE PROVIDERS OF, OF ALL THE ENTITIES IN IN THE COUNTY, YOU'VE DISTRIBUTED THE MOST VACCINES. 
          UH, WE HEAR, UH, YOU KNOW, WE HEARD U H S TALK ABOUT CARELINK. 
          WE HEARD UT HEALTH TALK ABOUT CARELINK, UH, PATIENTS AS WELL. 
          HOW DOES THAT COORDINATION HAPPEN, UH, AMONG YOU? IS THERE A REGULAR MEETING? IS THERE A MASTER STRATEGY THAT YOU FOLLOW TOGETHER? NUMBER TWO, IS THERE A WAY THAT OUR ELECTED LEADERS, UH, ON THIS COUNCIL OR THE COMMISSION, AND WE HAVE A BETTER SENSE OF YOUR STRATEGIES AND WHAT'S COMING UP NEXT, WHERE YOU WILL BE NEXT SO WE CAN GET, UH, KIND OF THE BIG PICTURE OF, OF WHAT'S HAPPENING. 
          AND NUMBER THREE, IS THERE ANY WAY, IN YOUR OPINION, TO MAKE THIS EASIER FOR MEMBERS OF THE PUBLIC WHO TELL US THAT THEY STRUGGLE IN MAKING AN APPOINTMENT? WHAT SUGGESTIONS DO YOU HAVE FOR, FOR THAT ASPECT OF IT? UH, AT THE END OF THIS MEETING, I'M, I'M GOING TO ASK MY COMMITTEE MEMBERS TO, UH, TO SUPPORT ME IN, IN ASKING YOU TO THINK ABOUT THOSE QUESTIONS AND, AND COME BACK TO US IN A, IN A COUPLE OF WEEKS, OR AS WE CAN FIGURE OUT A, A DATE FOR THAT AND, AND TO COME BACK TO US WITH THAT CONVERSATION. 
          AND NOW, I KNOW WE HAVE NO AUTHORITY OVER UT HEALTH. 
          WE HAVE NO AUTHORITY OVER U H S, BUT YOU'LL HEAR ME ASKING DR. 
          KIAN TO DO THIS, AND I'M GONNA ASK HER TO WORK WITH YOU. 
          SO I THINK THAT , THAT'S OUR INDIRECT PRESSURE ON YOU TO, TO PLEASE WORK WITH, WITH METRO HEALTH ON, ON THOSE QUESTIONS. 
          AT THIS POINT, I AM GOING TO ASK COMMISSIONER RODRIGUEZ, WHO HAS JOINED US AS A GUEST TO, TO SHARE A FEW WORDS. 
          COMMISSIONER RODRIGUEZ AND I HAVE BEEN LIAISONS FROM THE CITY COUNCIL AND FROM THE COMMISSIONER'S COURT TO SOME OF THE C OVID 19 RESPONSE EFFORTS. 
          [01:25:01]
SO I INVITED HIM TO PARTICIPATE IN TODAY'S MEETING. 
          COMMISSIONER, THANK YOU, COUNCILMAN. 
          AND I WILL BE BRIEF. 
          I KNOW I'M NOT OFFICIALLY A MEMBER OR EVEN UNOFFICIALLY A MEMBER OF THIS COMMITTEE, AND SO I'M GONNA RESPECT EVERYBODY'S TIME, UH, PARTICULARLY THE COUNCIL MEMBERS, I'M SURE THAT HAVE QUESTIONS. 
          UM, BUT, BUT YOU KNOW, I THINK YOU, YOU LAID OUT SOME VERY PROVOCATIVE QUESTIONS. 
          I THINK WE'RE ALL, UM, INTERESTED IN HEARING, UM, YOU KNOW, THE, THE RESPONSES TO THAT. 
          AND I WANNA ALSO SAY THANK YOU TO EVERYBODY THAT'S PUT IN THE EFFORT THESE LAST FEW MONTHS. 
          I KNOW IT'S, THERE'S NOT A, THERE'S NOT A, UH, BLUEPRINT, A ROADMAP HERE, UM, TO, TO RESPOND TO A CRISIS LIKE THIS. 
          AND, AND I THINK EVERYBODY WE'VE HEARD FROM TODAY IS DOING A GREAT JOB. 
          JUST WANTED TO MAKE A COUPLE OF OBSERVATIONS. 
          UM, ONE WITH RESPECT TO THE MOBILE VACCINATIONS, UM, I THINK THERE'S BEEN, IT SEEMS TO BE AN INCREASING EFFORT TO TRY AND GET SHOTS OUT INTO THE COMMUNITY. 
          SO THANK YOU FOR THAT. 
          I KNOW THAT, UM, GEORGE AND I TALKED, UH, THROUGH TEXT EARLIER ABOUT, ABOUT DOING SOME MORE OF THAT. 
          UM, AND I THINK WE NEED TO CONTINUE TO FIND WAYS TO DO THAT. 
          THE, THE HUBS ARE GONNA BE THE HUBS, AND I THINK THEY'RE GONNA CONTINUE TO OPERATE, UM, EFFECTIVELY. 
          BUT TO SUPPLEMENT, UH, THAT WORK BY GOING INTO NEIGHBORHOODS AND COMMUNITIES, I THINK IS GONNA BE AN IMPORTANT PART OF, UM, YOU KNOW, THE SPRING AND SUMMER OUTREACH. 
          UM, AND THEN THE SECOND THING I WANTED TO MENTION IS THE, UM, I GUESS THE HEAT MAP OR THE, THE, WITH RESPECT TO, YOU KNOW, WHO IN THE COUNTY, UM, HAS BEEN VACCINATED. 
          I KNOW I SAW, I THINK IT WAS METRO HEALTH'S, UM, UH, PICTURE, UM, ON ONE OF THEIR, ONE OF THEIR SLIDES. 
          IT WOULD ALSO BE HELPFUL IF WE HAD KIND OF A CONSOLIDATED, UM, MAP OF THE COUNTY. 
          UM, SO THAT WAY WE, YOU KNOW, I KNOW IT'S DIFFICULT 'CAUSE WE'VE GOT, YOU KNOW, A HANDFUL IF NOT MORE DIFFERENT PROVIDERS OUT THERE PROVIDING VACCINES. 
          BUT I THINK THAT WOULD BE, UM, YOU KNOW, IT'D GIVE US A BETTER PICTURE OF, UH, ANY DISPARITIES OUT THERE IN OUR COMMUNITY. 
          UM, IF WE SAW, UM, KIND OF A CONSOLIDATED MAP OF, OF WHO, UH, IS AND WHO ISN'T GETTING VACCINATED. 
          UM, AND THE LAST THING I WANTED TO, I GUESS ASK A QUESTION, BUT YOU DON'T HAVE TO ANSWER IT NOW 'CAUSE I KNOW THERE'S OTHER QUESTION, UH, QUESTIONS OUT THERE. 
          UM, WITH RESPECT TO ALLOCATIONS, UM, I THINK THERE'S A LITTLE, UH, CONFUSION, AT LEAST FOR ME, IN TERMS OF WHO'S GETTING DIRECT ALLOCATIONS OF THE VACCINE FROM THE STATE. 
          UM, I KNOW THERE'S SOME VACCINE SHARING GOING ON LOCALLY, WHICH IS GREAT FROM ONE PROVIDER TO THE NEXT. 
          UH, WE'D LIKE TO SEE COLLABORATION, BUT I HAVE RECEIVED, UH, CALLS AND I'M SURE SOME OF, UH, MY COLLEAGUES HAVE, UH, CONTEMPORARIES ON THE COUNCIL, UM, ABOUT, UM, YOU KNOW, SOME PROVIDERS NOT GETTING EITHER A DIRECT ALLOCATION, UM, AS AN EXAMPLE, UH, GONZABA, WHO HAS, UH, YOU KNOW, THOUSANDS OF OF PATIENTS. 
          UH, I THINK THEY GOT AN INITIAL, UH, ALLOCATION EARLY ON. 
          AND AGAIN, I DON'T KNOW IF THAT WAS DIRECT OR IT WAS, UH, THROUGH ONE OF OUR LARGER, UM, PROVIDERS, BUT MAYBE JUST IF SOMEONE CAN ADDRESS AT SOME POINT, AGAIN, NOT NOW, 'CAUSE I WANNA MAKE SURE THE COUNCIL, UH, GETS THEIR QUESTIONS ANSWERED. 
          UM, IF I HAVE TO DROP OFF, I'LL FOLLOW UP WITH YOU COUNCILWOMAN ON, ON THAT. 
          BUT THAT WOULD BE HELPFUL, UH, TO GIVE SOME ANSWERS TO THOSE PROVIDERS WHO MAY BE SMALLER THAT AREN'T GETTING DIRECT, UM, ALLOCATIONS FROM THE STATE, BUT HAVE, UM, THAT MORE ONE-ON-ONE, UM, ACCESS TO PATIENTS THAT COULD HELP, UM, KIND OF INFILTRATE, UH, SOME OF THE AREAS WHERE WE NEED IT THE MOST, UM, THROUGH THEIR, THEIR, UH, PATIENT PORTALS AND WHATNOT. 
          SO, UH, COUNCILMAN, THANK YOU AGAIN FOR LETTING ME, UH, KIND OF BE A FLY ON THE WALL HERE. 
          AND I LOOK FORWARD TO OUR CONTINUED COLLABORATION, UH, WITH, UH, YOU KNOW, THE CITY AND COUNTY ON MAKING SURE THAT WE, WE GET THROUGH THESE NEXT FEW MONTHS. 
          THANK YOU. 
          THANK YOU VERY MUCH, COMMISSIONER. 
          UH, ALL OF THE COUNCIL MEMBERS HAVE THEIR HANDS RAISED, AND I DID NOT SEE WHO RAISED THEIR, WHO'S FIRST. 
          SO I, UM, BEFORE JUMPING INTO THAT, I'M GOING TO GIVE, UH, COUNCILMAN COURAGE, UH, THREE MINUTES, UH, THREE MINUTES, UH, AS IF HE WERE A MEMBER OF THE PUBLIC. 
          AND THEN WE WILL MOVE, UH, INTO COUNCIL MEMBER COMMENTS BY DISTRICT. 
          WE'LL START WITH DISTRICT ONE, AND EACH OF YOU WILL HAVE, UH, FIVE MINUTES. 
          AND IF WE NEED TO COME BACK AROUND, WE WILL. 
          SO THANK YOU. 
          THANK YOU, UH, CHAIRWOMAN, UH, FOR THE COURTESY OF, UH, ALLOWING ME TO, UH, NOT JUST LISTEN IN, BUT, BUT ADDRESS, UH, THIS GROUP. 
          UH, FIRST OF ALL, I WANNA COMMEND EVERYBODY WHO MADE THESE REPORTS TODAY. 
          ALL OF YOU ARE JUST, YOU'RE JUST WONDERFUL AND YOU'RE DOING SUCH AN IMPORTANT JOB, AND IT'S SO GREAT. 
          AND, UH, I KNOW THAT YOU REALLY CARE ABOUT THIS COMMUNITY AND IT SHOWS. 
          AND SO, UH, ON BEHALF OF THE CONSTITUENTS WHO LIVE IN MY DISTRICT, DISTRICT NINE, AND I'M SURE ON BEHALF OF PEOPLE EVERYWHERE, WE APPRECIATE EVERYTHING THAT YOU'RE DOING. 
          UH, I CAME TO THIS COMMITTEE, UH, WITH A CONCERN ABOUT THE PROBLEM OF GETTING PEOPLE IN LINE TO GET THEIR SHOTS. 
          AND I THINK SOME OF YOU MAY HAVE HEARD MY COMMENTS 
          [01:30:01]
AND HAVE HEARD MY SUGGESTIONS, AND I STILL STAND ON THE SUGGESTION THAT I MADE. 
          AS A MATTER OF FACT, I, I CAN RECALL WHAT, UH, DR. 
          LEVERANCE SAID JUST A LITTLE WHILE AGO WHEN HE WAS TALKING ABOUT THE UT HEALTH SYSTEM. 
          HE WISHED THERE WAS A BETTER WAY, A MORE EFFECTIVE WAY OF GETTING PEOPLE SIGNED UP TO GET THEIR SHOTS. 
          AND THEN I WAS, UH, UH, THINKING ABOUT WHAT WELLMED HAD TO SAY ABOUT THEY'VE GIVEN, UH, OVER 90,000 SHOTS, BUT THEY'VE HAD OVER A MILLION PHONE CALLS INTO THEIR SYSTEM, WHICH MEANS 910,000 PEOPLE DID NOT GET THROUGH. 
          AND THAT'S JUST WELLMED. 
          AND SO I KNOW UNIVERSITY'S DONE THIS AS WELL AS UT UH, AS WELL AS CITY. 
          UH, AND SO THERE LITERALLY BEEN MILLIONS OF CALLS MADE FOR RIGHT NOW, 15% OF THE PEOPLE IN THE CITY, OR 13% ACTUALLY GETTING A SHOT. 
          THERE REALLY HAS TO BE A BETTER WAY. 
          AND I'LL TELL YOU WHAT, I SAW THAT BETTER WAY TODAY. 
          I HEARD IT. 
          THE SYSTEM THAT UT HEALTH IS USING IS PERFECT, IT SEEMED TO ME TO BE EXACTLY, I MEAN, UNIVERSITY HEALTH SYSTEM, EXACTLY THE KIND OF PROCESS WE SHOULD HAVE. 
          I MEAN, IT, THEY NAMED EVERYTHING THEY'RE DOING. 
          AND, UH, YOU KNOW, THE THING IS, CAN WE EXPAND THAT? CAN THAT BE NOT A SYSTEM THAT JUST GETS CUT OFF WHEN YOU RUN OUT OF 9,000, BUT CAN THAT SYSTEM BE EXPANDED TO ALLOW PEOPLE TO GET ON AND SIGN UP AND BE IN THAT REGISTRY, AND THEN THAT REGISTRY BE USED TO SEND THE NEXT 10,000 NAMES TO WELLMED, OR THE NEXT 5,000 NAMES TO UT OR THE NEXT 10,000 NAMES TO THE CITY OF SAN ANTONIO? AND I RECOGNIZE THAT OUR, OUR, UM, METRO HEALTH DEPARTMENT HAS DONE A GREAT JOB, AND THEY ARE TREMENDOUSLY OVERWHELMED WITH ALL THE WORK THAT THEY HAVE TO DO. 
          I DON'T THINK WE SHOULD PUT THIS ON OUR SYSTEM, UH, OUR, OUR, UM, OUR, UM, METRO HEALTH. 
          BUT I THINK THAT IF UT, UH, IF THE HEALTH SCIENCE CENTER COULD TAKE IT OVER AND EXPAND THEIR SYSTEM, THE CITY, THE COUNTY OUGHT TO PUT IN RESOURCES TO HELP THEM DO THAT. 
          BUT IF THEY CAN'T, THEN THE CITY OUGHT TO REPLICATE THAT OURSELVES AND, AND MAKE IT HAPPEN, AND USE OUR OWN IT DEPARTMENT AND OUR OWN DEPARTMENT OF HUMAN SERVICES, RATHER THAN ADDING ANOTHER BURDEN TO METRO HEALTH. 
          AND SO THIS IS WHAT I'M ASKING OUR COUNCIL MEMBERS TO CONSIDER. 
          THANK YOU, CHAIR. 
          THANK YOU, COUNCILMAN. 
          COURAGE. 
          UH, WE'LL MOVE ON TO COUNCILMAN TRIEU. 
          UH, THANK YOU CHAIR. 
          UH, AND THANK YOU FOR REQUESTING THIS BRIEFING. 
          UH, I I ALSO WANNA EXPRESS MY GRATITUDE TO ALL OF THE ORGANIZATIONS AND THEIR EMPLOYEES ON THE FRONT LINES FOR HELPING TO VACCINATE OUR CITY. 
          UH, BEFORE THE PANDEMIC, WE KNEW THAT OUR CITY WAS AND IS DIVIDED ALONG LINES OF RACE, INCOME, GENDER, AND DIGITAL ACCESS. 
          NOW THAT LIFESAVING VACCINES ARE BEING DISTRIBUTED, THESE LINES ARE MORE APPARENT THAN EVER, NOT JUST IN SAN ANTONIO, BUT ACROSS THE COUNTRY. 
          I'D LIKE TO TOUCH ON THE WAITING LIST. 
          FIRST, I SUPPORTED, UH, ALONG WITH COUNCILMAN COURAGE, HIS AMENDMENT, TO CREATE A VACCINE WAITING LIST. 
          BECAUSE MY CONSTITUENTS HAVE REQUEST A MORE CITIZEN FRIENDLY PROCESS, I STILL FEEL THAT A WAIT LIST IS, IS A NECESSITY BECAUSE THERE ARE FOLKS AND THEIR FAMILIES SPENDING THOUSANDS OF HOURS MAKING CALLS ONLY TO NOT BE SUCCESSFUL. 
          TO ME, THIS IS A DEFINITION OF ANXIETY INDUCING. 
          THERE IS A REASON ORGANIZATIONS FROM RESTAURANTS TO ORGAN TRANSPLANT ENTITIES USE WAIT LISTS. 
          THE CITY FUNDED A CO-WORKING SPACE WITH GEEK THEM CALLED CTEC SA, AND I KNOW THAT THEY WOULD BE A GREAT PARTNER ON THIS. 
          I'M ALSO INTERESTED TO SEE THE DATA, OR BEST PRACTICES OR HEALTH EXPERTS USED TO MAKE THE DETERMINATION THAT A WAIT LIST IS NOT BENEFICIAL. 
          I ALSO WANNA TALK ABOUT VACCINES FOR OUR VULNERABLE POPULATIONS. 
          SO THANK YOU FOR INCLUDING THE INFORMATION ABOUT THE HOME BOUND PROGRAM. 
          MY ASK IS THAT WE FIND CREATIVE WAYS TO INFORM SENIORS ABOUT THE PROGRAM, ESPECIALLY SENIORS WHO ONLY SPEAK SPANISH AS THEY REPRESENT ONE OF THE HARDER TO REACH POPULATIONS. 
          HOW IS THE CITY AND OUR PARTNERS ENGAGING WITH OUR HOUSELESS POPULATION? BY THAT I MEAN, HOW DO WE PLAN TO VACCINATE PEOPLE WHO ARE HOUSELESS AND ARE NOT IN A SHELTER? THIS IS ANOTHER REASON I FEEL WE NEED TO FOLLOW THE CENTER FOR DISEASE CONTROL'S GUIDANCE ON LEAVING ENCAMPMENTS INTACT. 
          FOR NOW, ONE, EVERY TIME WE BREAK UP AN ENCAMPMENT, IT LEADS TO 
          [01:35:01]
SEVERAL ENCAMPMENTS IN OTHER PLACES, WHICH CAN LEAD TO MORE VECTORS FOR THE DISEASE TO SPREAD. 
          TWO, IT TAKES AWAY THE OPPORTUNITY TO MORE EFFICIENTLY VACCINATE OUR HOMELESS POPULATION TO ANY OF OUR VACCINE PARTNERS. 
          HAVE ANY THOUGHTS ON LIMITING THE BREAKING UP OF ENCAMPMENTS SO THAT VACCINES CAN BE DISTRIBUTED TO THE UNHOUSED FOLKS MORE EFFICIENTLY? LAST, I WOULD LIKE TO START, LIKE TO ASK US TO START TRACKING SOME ADDITIONAL DATA. 
          PARKLAND CENTER FOR CLINICAL INNOVATION, A FIRM FROM DALLAS CREATED A VULNERABILITY INDEX. 
          IT CALCULATES THE PROXIMITY AND VOLUME OF C OVID 19 CASES IN THE AREA, THE AVERAGE NUMBER OF PEOPLE SHARING THE HOMES OR LIVING IN, IN HIGH DENSITY, UH, SETTINGS, THE SHARE OF RESIDENTS WHO MUST DEPEND ON PUBLIC TRANSPORTATION AND SEVERAL OTHER FACTORS, INCLUDING THE AREAS, RATE OF CHRONIC DISEASE, NUMBER OF SENIOR CITIZENS, ACCESS TO FOOD AND OPPORTUNITIES FOR SOCIAL DISTANCING. 
          I WOULD LIKE TO UNDERSTAND SOME OF THESE FACTORS IN THE CONTEXT OF WHO HAS BEEN VACCINATED SO FAR. 
          WE HAVE A GEOGRAPHICAL SENSE OF WHO IS GETTING VACCINATED, BUT I WOULD LIKE TO KNOW MORE SPECIFICALLY IF THOSE AT THE HIGHEST RISK OF CONTRACTING AND SUFFERING FROM THIS VIRUS ARE GETTING VACCINATED. 
          I WOULD ALSO LIKE TO KNOW HOW MANY SPANISH SPEAKING, HOW MANY SPANISH ONLY SPEAKING RESIDENTS HAVE RECEIVED VACCINATIONS, NATIONS. 
          UH, AND PLEASE, PLEASE, UH, I'LL, I'LL KEEP PUSHING TO, TO CARLOS VALENZUELA, UH, IN, IN THIS, ON THIS PARTICULAR, UH, TOPIC. 
          UH, ALSO, HOW MANY HOUSELESS FOLKS HAVE RECEIVED THE VACCINE. 
          UH, AGAIN, THANK YOU FOR YOUR WORK. 
          I HOPE WE CAN CONTINUE TO WORK TOGETHER ON THIS. 
          UH, AS, AS COUNCILMAN CURTIS SAYS, THERE'S BEEN, THERE'S SO MANY TREMENDOUS PEOPLE, UH, TO THANK, UH, ON, ON, ON, ON THIS PARTICULAR EFFORT. 
          IT IS TRULY SAVING LIVES. 
          UH, I HOPE THAT, THAT WE CAN ALL WORK TOGETHER TO, TO HELP PROVIDE THE MOST VULNERABLE AND THOSE WITH, UH, UH, THE ANXIETY, UH, SOME RELIEF THROUGHOUT ALL THIS. 
          THANK YOU CHAIR. 
          THANK YOU. 
          THANK YOU, COUNCILMAN. 
          UH, I KNOW WE'RE SORT OF UP ON TIME, BUT I'D LIKE TO GIVE DR. 
          CORIAN, UH, MAYBE A COUPLE OF MINUTES TO, TO ADDRESS SOME OF THOSE QUESTIONS. 
          AND FOR THE REMAINDER OF THEM, UH, MR. MCCAREY, IF WE CAN TRACK THOSE FOR WHEN WE RECONVENE. 
          UH, HOPEFULLY WE WON'T SCARE AWAY OUR GUESTS TODAY, AND THEY WILL BE WILLING TO RECONVENE WITH US IN THE NOT TOO DISTANT FUTURE. 
          DR. 
          CURRY, THERE WERE A NUMBER OF, UH, ITEMS THAT COUNCILMAN TRINO DID BRING UP, AND I'LL TRY TO ADDRESS A FEW OF THEM THAT I WAS ABLE TO JOT DOWN. 
          UM, UH, THE ONE ITEM THAT STUCK OUT WAS HE, UH, COUNCIL, UH, COUNCILMAN TRUO, YOU WERE MENTIONING THE SS V I INDEX. 
          UM, THE COVID INDEX THAT WE HAVE HERE CURRENTLY, AND THAT WE USE COUNTYWIDE, UH, IS, IS ACTUALLY, UM, THE CLOSEST THAT COMES TO THE S V I INDEX. 
          IT TAKES INTO ACCOUNT THE EQUITY INDEX, WHICH TAKES INTO ACCOUNT THE, UH, HOUSEHOLD COMPOSITION, THE HOUSEHOLD INCOME, THE RACIAL ETHNIC BREAKDOWN. 
          THAT ALL GOES INTO CALCULATING THE S V I INDEX. 
          SO, WHAT I'M TRYING TO SAY IS IT, WE MAY NOT CALL IT AN S V I INDEX, BUT IT IS, IT IS, UM, S V I INDEX AND, UH, EXTENDED A LITTLE FURTHER OUT, UH, BY TAKING INTO ACCOUNT NOT JUST THE, UH, RACIAL ETHNIC BREAKDOWN, HOUSEHOLD COMPOSITION OR THE, UM, HOUSEHOLD INCOME EDUCATION STATUS, BUT IT ALSO TAKES INTO ACCOUNT THE COVID 19 MORBIDITY AND MORTALITY SCORES AS WELL. 
          SO, UH, IN MY, IN MY OPINION, YOU KNOW, THE COVID INDEX IS, IS ACTUALLY A BETTER INDEX TO, TO, UH, TO TAKE INTO CONSIDERATION. 
          THAT'S ONE THING. 
          AND THE OTHER ISSUE THAT YOU BROUGHT UP WAS, UM, HOW MANY SPANISH SPEAKERS JUST, UH, UM, I KNOW METRO HEALTH, WE DON'T TRACK THE LANGUAGE SPOKEN BY THE CLIENTS OR THE PATIENTS. 
          THAT MAY BE A LITTLE DIFFICULT FOR US TO GET THAT DATA OUT TO YOU. 
          UM, AS FAR AS THE HOMELESS POPULATION, UM, UH, VACCINATION EFFORTS, WE PLAN TO, UM, THAT IS IN THE PLANNING PHASE. 
          WE, WE DO PLAN TO PARTNER WITH DEPARTMENT OF HUMAN SERVICES IN GOING ABOUT COVERING THIS, HOW TO REACH MARGINALIZED POPULATION. 
          UH, ONCE THE VACCINE ALLOCATIONS GO UP, AS YOU SAW OUR ALLOCATIONS LIST, UH, WE GET JUST ENOUGH VACCINES TO, UH, TO COVER OUR 
          [01:40:01]
ALAMEDO MASS VACCINATIONS, UH, UH, SITE, UH, THE MOBILE CLINIC SITE AND, AND THE HOMEBOUND PROJECT SITE. 
          SO, BUT ONCE THE ALLOCATIONS GO UP, WE DO HAVE ALL THESE THINGS IN PLAN, UH, TO EXPAND, UH, THE VACCINATION EFFORTS. 
          UM, AND, AND AGAIN, WE DON'T, WE ARE NOT WAITING FOR THAT, I SHOULD SAY CURRENTLY, PHASE ONE A ONE B POPULATION. 
          SO EVEN THE HOMELESS POPULATION WHO BELONG TO THIS CRITERIA ARE ELIGIBLE FOR VACCINATION AND ARE GETTING VACCINATED AT THIS TIME. 
          THANK YOU, DR. 
          CORIAN. 
          I, UM, I KNOW WE HAD A LOT OF QUESTIONS, BUT WE HAVE A FEW MORE COUNCIL MEMBERS, SO I'M GONNA TURN IT OVER TO THEM. 
          AND, UH, JUST SO EVERYONE KNOWS, WE WERE SCHEDULED FOR THREE TO FIVE. 
          I THINK WE WILL BE GOING OVER A LITTLE BIT. 
          UH, WE WILL NOT GO BEYOND FIVE 30. 
          THERE'S NO WAY WE'RE GOING BEYOND FIVE 30. 
          JUST TO, TO LET YOU KNOW, UM, COUNCILWOMAN ANDREW SULLIVAN. 
          UM, THANK YOU, MADAM CHAIR. 
          UM, FIRST I JUST HAVE TO THANK A FEW PEOPLE, UM, THAT AREN'T ON THIS CALL, BUT THEY HAVE BEEN VERY INFLUENTIAL IN OUR DISTRICT TWO OFFICE. 
          I WANNA FIRST THANK DR. 
          HOOK, WHO IS THE UNIVERSITY OF INCARNATE WORK, NURSING SCHOOL DIRECTOR, UM, NURSE PRACTITIONER JOYCE TURNER, DR. 
          ALANDA WHITE WITH THETA ADA OF, OF CHITA THETA, OR CHITA FIVE. 
          UM, ALSO REVEREND JIMERSON OF SECOND BAPTIST CHURCH, CLARENCE WILLIAMS, AND PASTOR LARRY THOMPSON OF TREMONT TEMPLE CHURCH. 
          AND MY ENTIRE DEEDED TO THE TEAM ON LAST THURSDAY, WE WERE ABLE TO VACCINATE 50 COMMUNITY MEMBERS WITH THE JOHNSON AND JOHNSON VACCINE. 
          THIS WAS A PARTNERSHIP THAT WAS BROUGHT TOGETHER BY DOING A FLU VACCINE AND A COMMUNITY THAT FEELS LIKE THEY HAVE BEEN SINCE FORGOTTEN. 
          I WANNA THANK EACH AND EVERY LAST ONE OF YOU HERE ON THE CALL FOR DOING THE WORK THAT YOU HAVE BEEN DOING TO GET THE VACCINES INTO THE MOST VULNERABLE POPULATIONS. 
          WITH THAT BEING SAID, ONE OF MY QUESTIONS THAT I HAVE IS, WHEN WE'RE SPEAKING ABOUT EQUITY, HOW MANY OF THE UNIVERSITY HEALTH VACCINES HAVE MADE IT TO THE HILLARD CLINIC? DOES ONE OF OUR PANELISTS WANNA TAKE THAT QUESTION? GLAD TO, GLAD TO DO THAT. 
          YOU KNOW, THE HENRY CLINIC WAS ALLOCATED, UH, VACCINE, JUST LIKE THE OTHER CLINICS. 
          UH, WE COLLECTED THAT AND ARE VACCINATING AT WONDERLAND, LIKE I MENTIONED AT THE BEGINNING. 
          AND  AND, AND, AND AT THE R GREEN THAT SAID, WE HAVE A, UH, VERY ROBUST RELATIONSHIP WITH THE BLACK CHURCHES IN, ON THE EAST SIDE. 
          AND WE HAVE BEEN VACCINATING A BILL OF WHAT, WELL OVER A THOUSAND, ABOUT 160 A DAY, 160 FOLKS A DAY AT WHERE WONDERLAND, DR. 
          BURNS, DIANA BURNS HAS BEEN, UH, VERY HELPFUL ON THAT, AS WELL AS JAINE, BURLEY, UH, IN GETTING US THE NAMES, NAMES. 
          AND, UH, AND THEN WE HAVE ALSO PARTNERED WITH METHODIST HEALTHCARE MINISTRIES FOR THE DIXON CLINIC, AND WE'VE TRANSFERRED TO THEM, UH, VACCINES. 
          AND WHEN, WHEN, WHEN I SAY TRANSFER, WE, WE PREPARE THE VACCINES AT UNIVERSITY HEALTH AND THEN TAKE THE SYRINGES DOWN TO THE DIXON CLINIC, UH, AND, AND MAKE IT EASY FOR THEM. 
          SO WE'VE DONE THOSE LOCATIONS. 
          SO EVEN THOUGH THE HILLIARD CLINIC ITSELF, BUT NONE OF OUR CLINICS ARE VACCINATING RIGHT NOW, NOW WE HOPE TO GET TO THE POINT THAT ONE DAY WONDERLAND WILL BE OBSOLETE AND WE CAN JUST VACCINATE AT OUR CLINICS. 
          BUT RIGHT NOW, UH, UH, SHOTS AND ARMS IS OUR MOST PRESSING, UH, UH, UH, ISSUE. 
          AND, UH, AND THE COMPLEXITY OF, AND THE COMPLEXITY OF DOING THAT. 
          SO WE, BUT WE HAVE A VERY ROBUST, UH, WORKING RELATIONSHIP WITH, UH, WITH EAST SIDE BLACK CHURCHES RIGHT NOW. 
          OKAY. 
          SPEAKING OF COUNCIL, ENCOURAGE, UM, REQUESTS FOR A PREREGISTRATION LIST. 
          I KNOW THAT A LOT OF THE CHURCHES RIGHT NOW ARE DOING THOSE PREREGISTRATION LISTS. 
          DO YOU KNOW HOW MANY OF THOSE, UH, CHURCHES HAVE THE PREREGISTRATION AND HOW MANY HAVE THEY PRE-REGISTERED? YES. 
          WE KNOW RIGHT NOW THAT WORKING WITH DR. 
          BURNS'S GROUP AND FRANCINE THAT WE, THAT THIRD MASTER LIST CONTAINS ABOUT 5,000 INDIVIDUALS, AND WE HAVE TAKEN CARE OF WELL OVER A THOUSAND. 
          AND IN FACT, THE, THE WORD CONTINUES TO SPREAD TO OTHER CHURCHES, AND SOME CHURCHES EVEN, UM, WITH THAT GROUP, COME AND BRING THEIR CONSTITUENTS ON, ON VANS, AND WE TAKE CARE OF 'EM ON VANS. 
          AND SO WE'VE BEEN DOING A LOT OF OUTREACH IN THOSE AREAS. 
          OKAY. 
          THANK YOU. 
          I KNOW THAT OUR AREA, UH, DOES HAVE STILL A DISPARITY WHEN IT COMES TO MEDICAL ACCESS AND MEDICAL CARE, AND I KNOW THAT WE, WE ARE STILL LOOKING FOR AREAS WITHIN OUR COMMUNITY WHERE WE CAN SPEAK TO THAT DISPARITY. 
          AND NOW THAT I HAVE YOU ON THE LINE, I WANTED TO FIND OUT, WE KNOW THAT WE HAVE THE HILLARD CLINIC, AND WE WANNA KNOW WHAT OTHER AREAS 
          [01:45:01]
ARE BEING LOOKED AT TO TRULY ADDRESS NOT ONLY JUST THIS DISPARITY OF WHAT WE SEE WITHIN THE COVID, UM, VACCINES IN THE COVID, UH, DISASTERS THAT WE HAVE WITH THE, WITH THE PANDEMIC, BUT WHAT OTHER ISSUES, UM, WILL BE ADDRESSED AS WE'RE GOING FORWARD, KNOWING THAT WE HAVE THE DISPARITIES AND THE DISCONNECT IN MEDICAL CARE FACILITIES? YEAH, THE, UH, SO THAT'S AN EXCELLENT QUESTION. 
          A AGAIN, THE HILLARD CLINIC IS, IS, UH, WE'VE LOOKED AT THE HILLARD CLINIC OF ALL THE CLINICS IS PROBABLY, UH, ONE OF THE EASIEST TO VACCINATE, BUT IT WOULDN'T VACCINATE VERY MANY. 
          SO THE PLACE THAT WE'RE REALLY LOOKING AT, AND WE HAVE, UH, ACTUALLY TOURED, UH, TWICE. 
          UH, WE TOURED IT ABOUT TWO WEEKS AGO, TOGETHER WITH MIKE FLORES, UH, THE CHANCELLOR OF, UH, ALMA COLLEGES AT ST. 
          PHILLIPS. 
          UH, SO WE'RE LOOKING AT THE ST. 
          PHILIPS LIBRARY. 
          UH, AND THEN THIS WEEK, UH, BILL TOURED WITH THE IT FOLKS FROM ST. 
          PHILIPS, AND WE THINK WE CAN VACCINATE 1500 A DAY, 1500 A DAY AT ST. 
          PHILIPS. 
          AND, YOU KNOW, HILLIARD WOULD ONLY BE ABLE TO DO 250 A DAY. 
          SO IT'S NOT, IT'S NOT SCALABLE AT, AT, AT HILLIARD, BUT IT'S SCALABLE AT ST. 
          PHILLIPS. 
          AND THE ALAMO COLLEGES HAS BEEN VERY, VERY SUPPORTIVE OF THAT. 
          AND SO WE'RE ALSO GONNA, IF THAT WORKS OUT, AND THEN WE THINK IT WILL, AS MORE VACCINE BECOMES AVAILABLE, THEN WE'LL TURN OUR ATTENTION TO PALO ALTO AS WELL. 
          AND, UH, BECAUSE PALO ALTO IS, IS ALSO A, A PART OF ALAMO COLLEGES, AND I CAN TELL YOU THAT WORKING WITH ALAMO COLLEGES HAS BEEN VERY, VERY HELPFUL TO US. 
          BUT, UH, IT LOOKS LIKE ST. 
          PHILLIPS WILL BE PROBABLY THE LOCATION IN THAT AREA, BECAUSE IT HAS THE MOST POTENTIAL FOR BEING SCALABLE. 
          AWESOME. 
          THANK YOU SO MUCH. 
          I KNOW I'M OUT OF TIME, MADAM CHAIR, AND I'LL CHIME BACK IN IF WE HAVE A SECOND ROUND. 
          SO MUCH. 
          THANK YOU. 
          MOVING ON TO COUNCILWOMAN. 
          THANK YOU CHAIR. 
          THANK YOU FOR BRINGING THIS FORWARD AND, UH, FOR MAKING THIS SECOND MEETING FOR THE MONTH OF MARCH. 
          I THINK IT'S ABSOLUTELY IMPORTANT THANK YOU TO EVERYONE WHO'S BEEN ON THE CALL, BECAUSE I BELIEVE THIS IS THE FIRST TIME WHERE WE ALL HAVE BEEN A, A QUOTE UNQUOTE IN THE ROOM DISCUSSING THIS AND BEING, UM, AT A SENSE OF UNDERSTANDING, AT LEAST FOR ME, UNDERSTANDING WHO IS DOING WHAT AND WHERE. 
          SO, UM, THANK YOU ALL FOR, FOR BEING HERE. 
          AND OF COURSE I HAVE TO THANK, UM, EVERY, EVERYONE WHO IS, UM, WHO'S PART OF THIS. 
          I DO HAVE SEVERAL, SEVERAL QUESTIONS BECAUSE THIS INFORMATION IS KIND OF NEW TO ME, BUT I WANNA START WITH UT HEALTH. 
          UM, BOB, I THINK YOU'RE ON THE LINE STILL. 
          UM, SO YOU TALKED ABOUT, UM, AND, AND THANK YOU, BECAUSE I DO KNOW I THINK DR. 
          IAN SENT IT LAST WEEK OR THIS WEEK ABOUT THE GROUPINGS AND WHO'S, WHICH, UM, TEAM IS GOING TO COORDINATE AND TACKLE WHICH GROUP, THE CHILDCARE FACILITIES, THE, UM, PRIVATE SCHOOLS, ET CETERA. 
          SO I, I APPRECIATE THAT COORDINATED EFFORT. 
          YOU DISCUSSED THE, UM, I'M LOOKING AT THE SLIDE 11 AND 12 OF YOURS REGARDING, UH, REACHING THE UNDERSERVED. 
          AND IN THOSE SLIDES, YOU ALSO HAVE THE NUMBER OF PEOPLE IN YOUR, IN YOUR, YOUR GROUPING. 
          AND YOU HAVE THE, THE NUMBER OF PATIENTS THAT YOU ALL HAVE, AND THEN YOU ALSO HAVE ADJACENT TO IT, THOSE UNDERSERVED. 
          AND THEN IN SLIDE 12 IT SAYS, VACCINATING ARE ONE B PATIENTS. 
          SO MY QUESTION IS THEN, OF THOSE, OF THOSE IN THE SLIDE 11, I GUESS THE LEFT HAND SIDE, UM, HOW MANY OF THOSE PER ZIP CODE HAVE YOU VACCINATED? IS THAT THE ONE BS FROM SLIDE 12? DO YOU UNDERSTAND? YES. 
          UH, SLIDE 11, WHAT THAT SHOWS IS THE NUMBER OF REFERRALS UT HAS RECEIVED OVER THE LAST THREE YEARS FROM THE VARIOUS ZIP CODES. 
          SO THAT WOULD BE THE, THE POTENTIAL POPULATION OF OUR PATIENTS THAT WE COULD EASILY REACH THROUGH OUR ELECTRONIC HEALTH RECORD. 
          ON SLIDE 12, THEN, ARE THE INDIVIDUALS WHO WE'VE ACTUALLY REACHED, ALRIGHT, TO DATE, AS OF AS OF TODAY, MOST OF THEM HAVE GOTTEN MULTIPLE RE REMINDERS. 
          SOME OF THEM HAVE GOTTEN VACCINATED ELSEWHERE. 
          SO, UM, WE'RE AT A 10 TO 20% RESPONSE RATE FROM OUR PATIENTS. 
          AND SO, AND SOME OF 'EM, IT'S, IT'S VACCINE HESITANCY AS WELL. 
          I, I WOULD SAY MOST HAVE RECEIVED AT LEAST THREE OR FOUR REMINDERS, WHETHER BY PAPER OR PHONE CALL OR MYCHART MESSAGES OR EMAILS, WHATEVER ACCESS WE HAVE TO THESE A HUNDRED THOUSAND PLUS PATIENTS. 
          OKAY. 
          WE'VE, WE'VE UTILIZED, 
          [01:50:01]
OKAY. 
          THANK YOU. 
          GOSH, THIS TIME IS MOVING VERY FAST. 
          NOW, UM, I DO HAVE A QUESTION. 
          YOU MENTIONED THE CARBAHOL FA PHARMACIES ARE DOING MOBILE SITES. 
          ARE THEY ONLY DOING MOBILE SITES OR ARE THEY ALSO DOING THE VACCINES IN THEIR PHARMACIES? NO, I BELIEVE THEY'RE ALSO ADMINISTERING VACCINES IN THEIR PHARMACIES AS WELL. 
          BUT FOR A NUMBER OF THE LONG-TERM CARE FACILITIES, I DO KNOW THAT THEY'VE GONE TO THOSE FACILITIES JUST BECAUSE OF THE MOBILITY ISSUES WITH THOSE RESIDENTS AND HAVE VACCINATED THEM, UH, IN THEIR, IN THEIR, UM, IN THE FACILITY ITSELF. 
          OKAY. 
          I'M GOING TO NOW GO TO, UM, I HAVE SOME MORE QUESTIONS FOR, UM, DR. 
          KIAN AND CHIEF ESTRADA, BUT I WANNA GO TO, UM, U H S BECAUSE, UM, YOU TALKED ABOUT, UH, GEORGE, YOU TALKED ABOUT THE GUIDING, THE ALLOCATION GUIDING PRINCIPLES. 
          HOW MANY ONE, SO I GUESS MY FIRST QUESTION IS, AND COUNCILWOMAN THE CHAIR ANSWERED IT, WHO AND HOW, HOW DO, WHO DECIDES WHERE THE DOSES GO, YOUR VACCINES DOSES GO? AND WHEN WE'RE COMING TO LIKE THE ROBERT B. GREEN, HOW MANY DOSES DO YOU ALL ALLOCATE A WEEK? AND BECAUSE I FEEL LIKE YOU ARE DOING IT, IT'S GOING TO A LOT OF DIFFERENT PLACES, BUT IS THAT JUST FOR LIKE TWO WEEKS? IS IT CONSISTENT? SO I GUESS THAT'S MY, MY QUESTION. 
          WHO DECIDES WHERE THE THE DOSES GO? THE DOSES WE RECEIVE OR THE DOSES WE GET? SO EXPLAIN WHAT IS THE DIFFERENCE BETWEEN THE DOSES YOU RECEIVE AND THE DOSES YOU GET, ? WELL, WE RECEIVE, WE RECEIVE RELIABLY NOW ABOUT 12,000 DOSES, FIRST DOSES A WEEK. 
          AND, AND MOST OF THOSE DOSES WONDERLAND CAN PROBABLY DO, UM, UH, ALL OF 'EM AND, AND THREE OR FOUR DAYS. 
          BUT WE RESERVE, UH, RIGHT NOW ABOUT 500 DOSES PER DAY FOR THE ROBERT B. GREEN, THAT, THAT'S ABOUT AS MAX AS IT CAN GET SPECIALTY. 
          AND, AND, BUT, BUT IT'S BEST THERE TO USE SPECIALTY GROUPS, FOR EXAMPLE. 
          THAT'S WHAT WE VACCINATED THE FIREFIGHTERS, THE E M S, SOME OF THE TEACHERS, UH, CARELINK, UH, HAS GONE THERE. 
          ANY, UH, UH, GROUPS THAT WE CAN, WE CAN, UM, ORGANIZE AT THIS PARTICULAR TIME SO THAT WE CAN RUN 'EM EFFICIENTLY BECAUSE THE ROBERT, THE ROBERT B. GREEN PHARMACY IS VERY RELATIVELY SMALL. 
          UH, AND, AND PEOPLE ARE THERE TO PICK UP THEIR MEDICATIONS AND TO MIX VACCINATION WITH MEDICATIONS IS, IS QUITE DIFFICULT. 
          SO MOST OF THE VACCINES THAT WE GET, WE ALLOCATE TO THEM ALL. 
          WE COULD PROBABLY DO 18,000 A WEEK AT THE MALL, BUT WE DON'T GET THAT MANY FROM THE STATE. 
          UH, AND SO, SO HOW DOES IT GO? DO YOU GET THE 12,000, YOU DO 500 FOR ROBERT B. GREEN, UM, AND, AND THEN WHAT HAPPENS WITH THE OTHER? HOW DO YOU DETERMINE ALL AT AT WONDERLAND? AT WONDERLAND, WONDERLAND WONDERLAND, UH, LAST WEEK DID ABOUT 24,000. 
          SO IT DID 12,000 ROUGHLY FIRST DOSES AND 12002ND DOSES. 
          'CAUSE WE NEVER STOP, BUT WE, WHAT THE ADVANTAGE THAT WONDERLAND HAS IS WE CAN DO BOTH FIRST AND SECOND DOSES TOGETHER. 
          'CAUSE WE HAVE TWO SITES AT WONDERLAND. 
          AND, UH, AND SO THAT'S, AND SO IT'S, IT'S, IT'S, IT'S HUMMING AT AROUND 24,000 A WEEK. 
          THIS BILL WAS TELLING ME, WELL, WE WERE ON, ON MUTE THAT HE'S GOT THREE DAYS THIS WEEK WHERE WE'RE GONNA PROBABLY HIT 7,000 A DAY. 
          SO, UH, SO IT'S GONNA BE 21,000 IN THREE DAYS. 
          SO WONDERLAND IS SUPER EFFICIENT AND HEAPS THE LONG LINES SHORT. 
          UH, AND SO UNTIL WE START GETTING DOUBLING OF THE, OF THE VACCINE, UH, WHERE WE'RE KIND OF, UH, LIMITED TO, TO, THAT'S THE MOST EFFICIENT PLACE FOR US TO GIVE IT. 
          SO WHAT WE TRY TO DO IS WE TRY TO, TO GET OTHER GROUPS TO COME THERE. 
          SO WE ORGANIZE, UH, THE, FOR EXAMPLE, THE, THE TEACHERS, UH, IS A GOOD EXAMPLE OF THE VIA BUS DRIVERS. 
          THE VIA BUS DRIVERS. 
          WE ACTUALLY DID AT THE ROBERT BE GREEN, I THINK. 
          UH, BUT THE, BUT THE TEACHERS, MOST OF THE TEACHERS WE'VE DONE AT, AT WONDERLAND AND WE STRUCTURE THEM AFTER FOUR, LIKE, UH, THE NORMAL PUBLIC BETWEEN EIGHT AND FOUR. 
          AND THE TEACHERS CAME, UH, UH, AFTER FOUR BECAUSE THEY HAD TO WORK, UH, UP UNTIL THREE O'CLOCK. 
          AND SO, UH, WE SURE, WE TRIED TO WORK WITH, WITH THE GROUPS AS BEST WE CAN. 
          OKAY. 
          OH, I HAVE MORE QUESTIONS, COUNSEL, BUT I'LL SHARE, I'LL, I'LL CHIME BACK IN AND, AND BY THE WAY, AND, AND I'M AVAILABLE IF YOU WANT TO CALL ME, UH, UH, COUNCILWOMAN GERRAN. 
          WE CAN, WE CAN SPEND TIME ALL THE TIME YOU NEED. 
          THANK YOU, GEORGE. 
          THANK YOU. 
          COUNCILWOMAN COUNCILWOMAN GONZALEZ. 
          UH, GREAT. 
          WELL, THANK YOU. 
          THIS WAS REALLY GREAT INFORMATION. 
          UM, SO EXCITING. 
          SO I, I WAS ACTUALLY OUT TODAY IN PUBLIC, WHICH I HAVEN'T BEEN IN SO LONG. 
          I HAD A DOCTOR'S 
          [01:55:01]
APPOINTMENT MYSELF. 
          AND, UM, THE WOMEN IN THE CLINIC, UH, WERE ALSO TELLING ME THAT THEY WERE PENDING THEIR VACCINES, BUT SOME OF THEM HAD ACTUALLY RECEIVED VACCINES IN OTHER LOCATIONS. 
          UH, ONE OF THEM SAID THEY GOT IT OF H E V. 
          UH, MY HUSBAND GOT HIS, TODAY HE'S OVER 50 OVER AT CENTRAL MED. 
          UM, AND SO I DIDN'T SEE CENTRO MED IN HERE. 
          SO IS CENTRO MED ALSO GETTING 'EM FROM U H SS IN THAT WAY THAT YOU WERE JUST DESCRIBING WITH COUNCILWOMAN VERAN? UH, WHAT, WHAT HAPPENED WHEN I MENTIONED CENTRAL MED IS CENTRAL MED ORIGINALLY DIDN'T GET ANY VACCINES FOR THEIR HEALTHCARE WORKERS AT ALL. 
          SO WHAT WE DID IS WE VACCINATED ALL THEIR HEALTHCARE WORKERS, AND THEN LATER ON, UH, THEY RECEIVED VACCINE FOR THE GENERAL PUBLIC PUBLIC. 
          OKAY. 
          AND, AND SO, 'CAUSE THEY'RE, THEY'RE ALSO, YOU KNOW, THEY'RE OBVIOUSLY HAVING, UM, VACCINATIONS AT THEIR LOCATION, UH, OVER ON THE SOUTH SIDE. 
          UM, SO THAT WAS, UH, UM, UH, I THOUGHT, YOU KNOW, WONDERFUL NEWS, LOTS OF, YOU KNOW, AND OF COURSE SMOOTH OPERATIONS. 
          UM, I THINK PEOPLE ARE STARTING TO GET TO GET IT DOWN. 
          BUT I, I REALLY WANNA GO BACK TO THE IDEA OF THE REGISTRY BECAUSE, UM, YOU KNOW, IT, IT, WE, WE AS COUNCIL MEMBERS, WE WERE ADVISED AGAINST A REGISTRY, BUT I'M HEARING, AND IN FACT, ONE OF THE DOCTORS, AND I'M SORRY, I DON'T KNOW WHO IT WAS, SAID THAT THEY WOULD APPRECIATE A REGISTRY. 
          SO WHAT, WHAT, WHAT IS THE, I DON'T KNOW, DR. 
          CURIAN, IS THERE, UM, IS THERE ANY DIFFERENT GUIDANCE ON THAT? BECAUSE, UM, I, I SHARED WITH MY COLLEAGUES THE EXPERIENCE I HAD WHEN WE DID TRY TO, UM, GATHER NAMES. 
          AND OF COURSE, WE'RE STILL ALWAYS, YOU KNOW, TRYING TO, UM, BE ABLE TO COMMUNICATE WITH OUR CONSTITUENTS ABOUT WHERE VACCINES ARE AVAILABLE AND WE HELP THEM REGISTER AND WE, YOU KNOW, WE CAN, UH, TRY TO CONNECT THEM AS SOON AS WE HEAR THAT MORE PLACES ARE ARE GETTING VACCINE. 
          BUT I, I'M STILL, UM, NOW I FEEL A LITTLE BIT, UM, I VOTED AGAINST THE IDEA TO CREATE A REGISTRY BECAUSE WE WERE ADVISED BY STAFF NOT TO DO THAT. 
          SO WHERE, WHERE ARE WE WITH THAT? IS THAT STILL THE GUIDANCE? I DON'T THINK ANY OF US ARE OPPOSED TO A REGISTRY. 
          I, I JUST DON'T THINK WE'RE NECESSARILY ALL CONVINCED IT'S GONNA SOLVE THE PROBLEM THAT WE'RE HOPING TO SOLVE. 
          THE MAIN PROBLEM RIGHT NOW IS THAT THE SUPPLY OF VACCINE DOESN'T MEET THE DEMAND. 
          SO WHETHER WE EACH HAVE OUR OWN REGISTRY AND WE'RE REACH EACH REACHING OUT TO VARIOUS POPULATIONS AND DOING IT BY AND LARGE IN A COORDINATED FASHION, I THINK ONE QUESTION IS, YOU KNOW, HOW DO WE COORDINATE? WELL, WE MEET TOGETHER ON A WEEKLY BASIS, AND THEN WE HAVE SUBGROUPS THAT MEET TOGETHER AS WELL. 
          SO I FEEL THAT WE DO DO A GOOD JOB, YOU KNOW, DIVIDING AND CONQUERING AS BEST AS WE CAN. 
          BUT, BUT THE REAL ISSUE IS THAT THERE JUST SIMPLY IS NOT ENOUGH VACCINE TO MEET THE DEMAND FOR THE VACCINE. 
          SO I DON'T, I DON'T THINK ANY OF US ARE OPPOSED TO A, A SINGLE REGISTRY, BUT IT'LL COME WITH PROBLEMS AND, AND ARE WE REALLY SOLVING THE PROBLEM WE'RE HOPING TO SOLVE? WILL PATIENTS NECESSARILY HAVE AN EASIER TIME OR GET 'EM ANY QUICKER? I'M NOT SURE THAT'S, I'M TRULY NOT SURE THAT'S THE CASE. 
          OKAY. 
          WELL, I THINK THAT'S IMPORTANT INFORMATION BECAUSE I KNOW, YOU KNOW, WHEN, BECAUSE I WAS OUT TODAY, UH, OF COURSE, EVERYBODY, UM, IS ASKING LIKE, WHERE CAN WE, HOW, WHERE CAN WE GET IT? AND OF COURSE, YOU KNOW, RIGHT THERE I CAN SAY WE KNOW THAT THE OD DOME HAS, YOU KNOW, UM, VACCINES. 
          WE KNOW THAT THE, UM, WONDERLAND HAS VACCINES. 
          I KNOW CENTRALED HAS VACCINES, AND THEN YOU HAD A WHOLE LIST. 
          UM, SO YOU KNOW, THE GOOD SAM, IT WAS A GREAT OPERATION. 
          UH, DR. 
          WU WAS OUT THERE THAT MORNING THAT WE WENT OUT TO THE GOOD SAM ABOUT A WEEK AGO. 
          UH, AND IT ALSO WENT VERY SMOOTHLY. 
          UM, AND, AND PRETTY MUCH, UH, PRETTY CLOSE TO THE AMOUNT, UM, REGISTERED SHOWED UP, IF I REMEMBER, UH, CORRECTLY. 
          IT WAS CLOSE, RIGHT? I THINK WE KNOW THAT YOU'LL, I MEAN, ALMOST ALWAYS HAVE LIKE A 10% NO SHOW. 
          UM, AND THEN OF COURSE THEY WERE ABLE TO VAC TO VACCINATE SOME OF THE VOLUNTEERS THAT WERE ON SITE THAT DAY. 
          UH, SOME OF THEIR STAFF, OR AT LEAST THEY WERE HOPING TO, I DON'T KNOW WHAT THEY ENDED UP WITH, BUT WE HAVE ANOTHER ONE, UM, AT THE MADONNA CENTER, WHICH IS WONDERFUL BECAUSE THEY HAVE, YOU KNOW, THEIR SENIOR POPULATION AND SO THEY'RE JUST COORDINATING WITH THEIR EXISTING CONSTITUENTS. 
          SO I FEEL LIKE THE PEOPLE THAT ARE IN, IN REGULAR COMMUNICATION WITH AN ORGANIZATION OF, I MEAN, WHETHER IT'S THE GOOD SAM OR THE DONNA CENTER, WHETHER IT'S OUR DISTRICT SIZE CENTERS, I SEE YOU HAVE SOME POPUPS THERE. 
          UM, AND, UH, YOU KNOW, OF COURSE U H S HAS THEIR OWN CON CONSTITUENTS. 
          UM, AND THEN, YOU KNOW, I I I, I FEEL LIKE, UM, YOU KNOW, I I I, I FEEL VERY PROUD OF THE EFFORT THAT'S HAPPENING. 
          WE JUST KNOW AGAIN, THAT, YOU KNOW, PEOPLE ARE REALLY ASKING AND WANTING IT. 
          UM, AND SO, UH, YOU KNOW, I DON'T KNOW IF THERE IS A BETTER WAY, I'M TRYING TO LISTEN VERY CLOSELY, UM, TO SEE IF THERE WAS A WAY THAT, THAT A PERSON THAT'S NOT ALREADY CONNECTED TO A CENTER, UM, OR A, A NONPROFIT OR A CHURCH, AND I THINK I, I HAVEN'T HEARD THAT FROM OUR CHURCHES, BUT, UM, YOU KNOW, THAT'S ON OUR, UH, TEXT MESSAGING SYSTEM OR LIKE OUR EMAIL CHAIN, SOMETHING LIKE THAT CAN, CAN GET NOTIFIED. 
          [02:00:01]
BUT, UM, WE DO, UH, WE, I GUESS, CAN YOU GO, UH, AND I KNOW I NEED TO TURN IT OVER, BUT CAN YOU GO BACK TO THAT SCREEN THAT SHOWED, UM, ALL THE PEOPLE THAT HAD THE VACCINE AND IT SHOWED DAVILA PHARMACY AND IT SHOWED, UM, UH, SOME DIFFERENT ONES BECAUSE, UM, UH, I THINK THAT'S PROBABLY IMPORTANT INFORMATION AS WELL. 
          I MEAN, YOU KNOW, WOULD PEOPLE CONTACT THEM DIRECTLY IF THEY WANTED? UM, IS, IS THAT, WOULD THAT BE APPROPRIATE? UM, I DON'T KNOW WHO'S DOING THIS PRESENTATION, BUT IS IT DR. 
          IAN? SO THIS ONE IT'S FURTHER DOWN IN THE SLIDES. 
          IT'S FURTHER DOWN IN THE SLIDES THAT YOU JUST PASSED IT. 
          GO BACK UP, UP, UP, UP RIGHT THERE WHERE IT SAYS CARBAHOL. 
          YEAH, THE NEXT ONE. 
          YEAH. 
          SO, UM, YOU KNOW, THAT, THAT, UH, WELL, THAT'S CARVER HEALTH PHARMACY, BUT THERE WAS A LIST OF LIKE, ALL THE PEOPLE THAT HAD THEM. 
          THAT'S SLIDE 35. 
          AND, AND I'LL, YOU KNOW, I'LL, I'LL TURN IT BACK OVER. 
          BUT THAT WAS REALLY MY QUESTION. 
          SHOULD THEY, SHOULD PEOPLE CONTACT THEM DIRECTLY? YES. 
          COUNCILWOMAN, UH, GONZALEZ, UH, THAT'S THE LIST THAT IS PUT IN A PUBLIC DOMAIN BY TEXAS DEPARTMENT OF STATE HEALTH SERVICES. 
          AND THAT'S, SO THAT LIST CHANGES FROM WEEK TO WEEK. 
          THIS IS THE CURRENT WEEK'S LIST. 
          IT LISTS ALL THE LOCATIONS, UH, THAT ARE GETTING VACCINES FROM THE DEPARTMENT OF STATE HEALTH SERVICES. 
          AND IF YOU GO TO THE SITE, THERE IS A DASHBOARD THAT DISPLAYS THIS IN A MAP AS WELL. 
          AND YOU HOVER OVER EACH SITE, IT'LL PUT OUT THE CONTACT INFORMATION FOR THAT SITE. 
          SO ABSOLUTELY, FOLKS, IF THEY'RE LOOKING FOR VACCINES CAN CERTAINLY REACH OUT TO THESE, UH, LOCATIONS DIRECTLY, UM, TO, TO, UH, SCHEDULE AN APPOINTMENT. 
          OKAY. 
          OKAY. 
          SO SOME OF THEM OBVIOUSLY ARE, ARE NOT GONNA BE OPEN TO THE GENERAL PUBLIC, BUT, UM, I JUST, I THINK IT'S GOOD INFORMATION TO HAVE AT LEAST THE CENTERS THAT WE KNOW ARE, UM, OPEN TO THE PUBLIC. 
          SO. 
          OKAY. 
          WELL, THIS WAS GREAT. 
          COUNCIL. 
          THANK, THANK YOU VERY MUCH. 
          OKAY. 
          WE'LL GO BACK TO COUNCILWOMAN VRAN FOR THREE MINUTES. 
          UH, I'LL SAY A FEW WORDS AND THEN I, I WANT EACH OF OUR PANELISTS TO GIVE US SOME CLOSING COMMENTS BEFORE WE WRAP UP. 
          THANK YOU. 
          COUNCILWOMAN VIEGA. 
          SO THANK YOU, CHAIR. 
          I THINK TO, TO ROUND OUT, UM, TALKING ABOUT STRATEGIES OF WHAT'S NEXT, UM, BECAUSE THE OVERARCHING THEME IS I THINK WE WANT TO MAKE THINGS EASIER AND MORE EFFICIENT OF NOT FOR ONE, US AS A GROUP AND AS, UH, THE ENTITIES ALL INVOLVED COLLABORATING TO SAVE LIVES BY PUTTING THIS VACCINE OUT, BUT ALSO, UM, MAKE IT EASIER AND BETTER FOR OUR RESIDENTS WHO ARE SEEKING A VACCINE THAT IS CONVENIENCE, THAT IS AVAILABLE, AND THAT IS NOT CONFUSING TO THEM. 
          UM, AND I THINK COORDINATION BETWEEN ONE ANOTHER AND SHARING OF INFORMATION WHEN WE CAN OF WHAT THE NEXT, UM, OPERATION IS, I THINK IS EXTREMELY IMPORTANT. 
          SO WE CAN ALL HAVE THAT UNIFIED, UM, MESSAGING. 
          UH, FOR EXAMPLE, I, I'M SO EXCITED TO HEAR THAT U H S HAS A COVID PHONE LINE. 
          I HAD NO IDEA YOU ALL DID. 
          AND THEN IF THERE IS A POTENTIAL WITH ST. 
          PHILIPS COLLEGE IN THE FUTURE, I THINK THAT'S ABSOLUTELY INCREDIBLE. 
          UM, GOING BACK TO, WE NEED TO ALSO FIND OUT WHAT IS CENTRAL MED DOING AND WHO, WHO IS THAT OPEN AND AVAILABLE TO, SO WE CAN MAKE SURE THAT WE CAN, IF IT ISN'T CLOSER IN SOME OF OUR DISTRICTS, THAT WE CAN HAVE OUR, OUR TEAM CONNECT WITH THEM. 
          AND, UM, IF, IF, UH, U H SS IS MAYBE FOR ONE OR TWO WEEKS GOING TO BE DESIGNATING, UM, DOSES FOR, UH, YOU, YOU'RE GONNA BE DESIGNATING DESIGNATING DOSES FOR, UM, GROUPS OF PEOPLE, AND THEY'RE GONNA BE ABLE TO COME AND GET COORDINATED THROUGH U H S, UH, GO TO WONDERLAND TO GET THEIR, THEIR VACCINES, UH, SHARING THAT INFORMATION OR HAVING THAT COORDINATED INFORMATION, WHICH BRINGS ME ULTIMATELY TO A PREREGISTRATION OR A ACTUALLY A REPOSITORY OF INFORMATION OR A REPOSITORY OF NAMES. 
          SO, WELL, WHEN THOSE MOMENTS THAT CERTAIN LOCATIONS ARE OVERDRAWN IN THE, IN THE, IN THE SHOOTERS FOR THE SHOTS WHEN THEY ARE OVERDRAWN, IF WE HAVE A REGISTRY OR A DEPOSITORY WITH NAMES THAT LIVE IN THAT ZIP CODE AREA, THAT WE CAN EASILY KNOW WHO'S ON THAT REGISTRY TO CALL THEM UP TO GO 
          [02:05:01]
RUSH OVER THERE IN 20 MINUTES SO THEY CAN GET THEIR, THEIR VACCINE. 
          I THINK THAT COULD HELP INSTEAD OF MAYBE, UM, SENDING THOSE NAMES SO QUICKLY AS SOMETIMES IT HAPPENS. 
          UM, BUT I THINK THIS IS A VERY GREAT STEP FORWARD. 
          MM-HMM. 
          , UM, I WANTED TO MENTION WITH THE POPUP COVID SITES, I HOPE WE HAVE MORE OF 'EM AS WELL AS THE MOBILE AND THE HOME BOUND SENIOR SERVICES. 
          I HAVE QUESTIONS FOR YOU, UH, CHIEF RAZA, BUT I'LL GET THOSE LATER, UM, OFFLINE. 
          BUT THANK YOU FOR ALL OF THE WORK THAT YOU DO. 
          IT REALLY IS APPRECIATED. 
          THANK YOU. 
          THANK YOU. 
          UM, MR. MCCAREY, UH, JUST WANNA CONFIRM THAT YOUR TEAM IS CAPTURING OUR QUESTIONS, AND IF WE HAVE ADDITIONAL QUESTIONS, CAN YOU HELP US GET THE ANSWERS TO THOSE? YEAH. 
          UH, YEAH. 
          UH, CHAIR SANDOVAL. 
          I THINK BOTH OUR TEAMS ARE CAPTURING THEM TODAY, UH, BOTH OF YOUR STAFF AND MINE. 
          OKAY. 
          UH, THANK YOU. 
          UH, BUT BEFORE WE CLOSE OUT, I DO WANNA GIVE AN OPPORTUNITY TO EACH OF OUR, OUR GUESTS WHO THANK YOU SO MUCH FOR, FOR COMING HERE. 
          AS WE KNOW YOU ARE NOT , YOU ARE NOT ALL UNDER OUR DIRECTION AT, AT ALL, BUT WE APPRECIATE THE OPPORTUNITY TO, TO TALK TO YOU. 
          I WAS VERY, UH, GLAD TO HEAR DR. 
          UH, LEVERANCE TALK ABOUT YOUR, YOUR WEEKLY MEETINGS, AND I'D HEARD SOMETHING ABOUT THAT. 
          I JUST, WE DON'T SEE WHAT HAPPENS AFTERWARD, UM, UNLESS WE REQUEST A SPECIAL BRIEFING LIKE THIS. 
          SO PERHAPS YOU, YOU MAY CONSIDER, UH, SOME SORT OF REGULAR, UH, A SMALL MEMO OR AN UPDATE THAT WE GET SO THAT WE KNOW WHAT'S HAPPENING. 
          UH, NEXT. 
          UM, THERE'S ONE OTHER THING I, I, I WANTED TO, TO SHARE, AND I, I NEED TO, I CAN'T STATE ENOUGH HOW CONFUSING THIS IS RIGHT NOW FOR THE AVERAGE RESIDENT AND HOW IMPORTANT IT IS THAT THEY GET THEIR VACCINE EVENTUALLY. 
          AND THOSE, THOSE TWO THINGS, UH, KEEP ME AWAKE AT NIGHT. 
          AND, AND PROBABLY MOST OF OUR, MOST OF OUR COUNCIL MEMBERS TOO, ON YOUR END, YOU'VE JUST GIVEN US TREMENDOUS PRESENTATIONS ABOUT HOW, HOW TREMENDOUS YOUR WORK IS, HOW COORDINATED YOU ARE. 
          DR I MEAN, MAJOR GENERAL KEENAN, I KNOW YOU RUN THAT LIKE A TIGHT SHIP. 
          I I'VE BEEN VERY IMPRESSED FROM THE MOMENT I'VE MET YOU AT HOW YOU ARE JUST ALWAYS LIKE TIGHTENING IT UP, UH, SQUEEZING MORE OIL OUT OF THAT, OR WHATEVER IT IS YOU WOULD SQUEEZE OUT OF THAT OPERATION. 
          AND, AND EVERY DAY YOU HAVE IMPROVEMENTS TO MAKE, AND NOBODY KNOWS THAT UNLESS THEY'RE THERE AND THEY GET THE, THE VACCINE OR THEY HAVE THE PRIVILEGE OF VOLUNTEERING WITH YOUR GROUP. 
          BUT I WILL TELL YOU FROM THE OUTSIDE, THE PERSON WHO DOESN'T GET THE VACCINE APPOINTMENT DOESN'T KNOW THAT TO THEM. 
          IT IS VERY CONFUSING. 
          AND IT IS, AND IT IS CHAOTIC. 
          AND I, AT THE END OF THE DAY, THEY'RE THE PEOPLE I SERVE, AND I WANNA MAKE SURE I SERVE THEM WELL. 
          SO I'M ASKING YOU AS, AS THE ONES WHO HAVE THE TALENT AND THE EXPERTISE, UH, I'M NOT GONNA PRESCRIBE TO YOU WHAT THE SOLUTION IS. 
          YOU KNOW, I THOUGHT MAYBE IT WAS THE REGISTRY. 
          I THOUGHT IT WAS A VACCINE, UH, WAITING LIST. 
          THAT MAY NOT BE THE SOLUTION. 
          BUT I'M GOING TO ASK YOU TO HELP US THINK OF WHAT CAN MAKE THIS, UH, EASIER, LESS ANXIETY INDUCING, UH, FOR OUR RESIDENTS SO THAT WE CAN ALL, UM, JUST MOVE ON TO, TO A SAFER AND HEALTHIER PLACE. 
          SO, THANK YOU, UH, VERY MUCH. 
          I WILL COORDINATE WITH MR. MCCAREY, UH, UH, A FOLLOW-UP MEETING. 
          UH, YOU ARE INVITED. 
          YOU ARE KINDLY, UH, INVITED TO, TO JOIN US. 
          UH, AND WE CAN ALSO DISCUSS SOME MORE OF THE ANSWERS TO, TO THE QUESTIONS THAT WERE ASKED TODAY. 
          AT THIS POINT, MR. MCCAREY, I'D LIKE TO, UH, LET EACH, UH, EACH SPEAKERS, UH, SPEAK FOR MAYBE TWO OR THREE MINUTES IF THEY HAVE ANYTHING THEY WANNA SHARE WITH US. 
          THANK YOU. 
          UH, DR. 
          CORRINE, IF YOU'D LIKE TO BEGIN, I WAS GONNA DEFER TO MR. HERNANDEZ AS ONE OF THE GUESTS. 
          UM, GEORGE, GO AHEAD AND START. 
          LET ME JUST SAY THAT, UH, THAT, THAT WE'RE HONORED HERE AT UNIVERSITY HEALTH SYSTEM TO HAVE BEEN PART OF THIS. 
          UH, WE KNOW WE'RE NOT, UH, PART OF THE CITY, WE'RE PART OF THE COUNTY, BUT, BUT, UH, ALL OF US HAVE A, A TRACK RECORD OF WORKING WITH THE CITY. 
          THESE DR. 
          SUP AND I, UH, DO AS FORMER EMPLOYEES. 
          AND, UM, AND, AND WE THINK THAT'S BEAUTIFUL ABOUT SAN ANTONIO IS THAT PEOPLE GET AND WORK TOGETHER. 
          AND, AND, UH, THIS SHOWS THAT IN SPADES. 
          AND, UH, UH, WE, UH, UH, WE THINK THAT THIS COVID VACCINATION, UH, PROBLEM, UH, IT'S, YOU KNOW, IT'S A SUPPLY PROBLEM, IS THAT DR. 
          UH, RIN MENTIONED, UH, WILL GET BETTER AS WE GET MORE AND MORE SUPPLY. 
          [02:10:01]
UH, AND WE HAVE, I THINK THE TEAMS READY TO EXPAND THE, THE VACCINATION, UH, PROCESS, UH, UH, AND MAKE IT AS, AS, AND USE THE VACCINE AS QUICKLY AS IT COMES IN. 
          UH, UH, WE DO BELIEVE THAT A PROBLEM LIKE THIS, YOU GOTTA GET OUT OF THE BOX. 
          YOU CAN'T FIND THE SOLUTIONS WITHIN THE BOX. 
          SO I LOOK AT ALL THE GUIDANCE THAT YOU'VE GIVEN US, OR IDEAS THAT YOU'VE GIVEN US AT THE CITY, AND, UH, MANY OTHER PEOPLE GIVE US IDEAS. 
          WE TAKE 'EM TO HEART, UH, AND WE IMPLEMENT THOSE, AND WE THINK WE CAN, WE CAN IMPLEMENT AND THEN PUT THE OTHER ONES IN THE PARKING LOT FOR A LATER DAY. 
          BUT WE APPRECIATE ALL YOUR IDEAS, ALL YOUR THOUGHTS, YOUR INTEREST. 
          I'M, I'M, UH, UH, I, I'M IN AWE WITH, UH, WITH THE WHOLE, UH, UH, MEETING TODAY BECAUSE OF THE, OF THE GREAT, UH, UH, UH, COLLABORATION AMONG EVERYONE INVOLVED. 
          THANK YOU. 
          ALL RIGHT. 
          I'LL BE HAPPY TO GO NEXT. 
          AND, UH, THIS TIME I'M NOT MUTED . 
          SO, UH, A LOT OF GREAT QUESTIONS. 
          AND I, I ECHO GEORGE, THANK YOU FOR HAVING US HERE TODAY. 
          I THINK, UH, ANNA, YOU ALL ASKED MANY QUESTIONS, BUT ANNA, YOU OPENED UP WITH THREE. 
          AND SO MAYBE IF I CAN, UH, ADDRESS THOSE. 
          I THINK I ALREADY DID ADDRESS HOW WE'RE TRY, HOW WE'RE WORKING TOGETHER OR TRYING TO WORK TOGETHER AND MAINTAIN COORDINATION IN, IN A, IN A SYSTEM THAT WE'VE INHERITED THAT'S REALLY A DECENTRALIZED SYSTEM OR MODEL. 
          SO WE'RE MAKING OUR BEST WITH IT AS WELL. 
          I, I THINK IT PROBABLY WOULD BE A LITTLE BIT EASIER FOR, UH, THE COMMUNITY TO CONTEND WITH IF IT WERE MORE CENTRALIZED, BUT IT, IT'S JUST NOT WHAT WE HAVE AND WE'RE DOING OUR BEST TO PULL IT TOGETHER AND MAKE IT AS COORDINATED AS WE CAN. 
          SECOND QUESTION, ANNA, THAT YOU HAD WAS, UH, HOW CAN ELECTED LEADERS BE BETTER INFORMED? HEY, WE, WE, WE'D LOVE TO GET TOGETHER WITH YOU, UH, ON SOME REGULAR BASIS. 
          UH, YOU NAME IT. 
          UH, I, I THINK MAYBE MORE THAN A MEMO. 
          I, I, I REALLY DO THINK PROBABLY SOME DIALOGUE IS USEFUL 'CAUSE THESE ARE COMPLEX ISSUES FOR SURE. 
          SO WE DO HAVE A BRIEF MEETING WITH THE MAYOR ONCE A WEEK. 
          WE'D BE HAPPY TO HAVE A, A BRIEF MEETING WITH YOU ALL AS WELL. 
          SO WHATEVER WORKS FOR YOU GUYS. 
          WE'RE, WE'RE, WE'RE READY. 
          I, I, I AGREE WITH GEORGE. 
          AND THE LAST QUESTION YOU HAD IS, YEAH, PROBABLY THE HARDEST ONE. 
          BUT, UH, ANY WAY TO MAKE IT EASIER, UH, TO MAKE APPOINTMENTS AND, UH, BOY, I, I COULD NOT AGREE, UH, MORE AGAIN, WITH, UH, UH, MR. HERNANDEZ. 
          AND THAT IS, UH, WE NEED TO CONTINUE TO LOOK FOR CREATIVE OPTIONS AND CREATIVE SOLUTIONS. 
          AND MY PERSONAL OPINION IS, HIGH TECH OPTIONS ARE GOOD IN MOST CIRCUMSTANCES, BUT NOT NECESSARILY IN ALL CIRCUMSTANCES. 
          AND I HEARD A LOT ABOUT DISADVANTAGED GROUPS TODAY, AND I STILL AM CONCERNED ABOUT THE DIGITAL DIVIDE. 
          AND SO, AGAIN, AS WE'RE MATURING OUR SYSTEM AND WE'RE DEVELOPING OUR BANK OF PHONE OPERATORS, AGAIN, HEY, WE'RE IN THE BUSINESS OF, OF WORKING WITH PARTNERS TRADING PARTNERSHIPS. 
          AND I WOULD LOVE, AND THAT'S WHERE YOU HEARD THE, THE WORD REGISTRY OR LIST, IF, UH, I WOULD BE HAPPY TO PARTNER WITH GROUPS WHO IN THEIR COMMUNITIES CAN CREATE LISTS OF PEOPLE THAT DON'T HAVE COMPUTERS, DON'T HAVE SMARTPHONES, UH, BUT THEY NEED AN APPOINTMENT AND WE CAN MAKE THAT WORK FOR THEM, UM, WITHOUT, WITH OUR PHONE SYSTEM. 
          SO, UM, I, I'LL THROW THAT OUT THERE AND, UH, I'LL PUT MY, MY NAME AND MY, UH, PHONE NUMBER, UH, IN THE, IN THE CHAT. 
          AND THEN I DO ASK FOR FOLKS TO REACH OUT TO ME. 
          SO THANK YOU AGAIN. 
          THANK YOU. 
          AND, AND I AGREE, UH, WITH DR. 
          LEVERSON AND, AND, UH, AND GEORGE, YOU KNOW, THE WORK THAT WE'RE DOING IS WE ARE COMPA, WE'RE ALL COMPASSIONATE. 
          WE SEE THE NEED, AND WE'RE GONNA CONTINUE TO DO THIS, AND WE DO WANNA MAKE IT EASIER, UH, AND REDUCE THAT ANXIETY. 
          AND IT'S TRUE ONCE THEY, THEY COME INTO ANY OF OUR FACILITIES TO GET THEIR VACCINES THAT YOU CAN SEE THE, UH, RELIEF IN THEIR FACE, IN THEIR FAMILY'S FACE WHEN THEY CAN GET THE VACCINE. 
          BUT IT TRULY IS AN ISSUE OF SUPPLY AND DEMAND. 
          AND WE HAVE GOT TO GET MORE VACCINE. 
          AND WE'VE GOT, THAT'S WHERE WE NEED OUR GOVERNMENT OFFICIALS TO HAVE THOSE CRUCIAL CONVERSATIONS WITH THE DATA THAT YOU SAW. 
          WE ARE NOT GETTING THE VACCINE ALLOCATION THAT, THAT WE SHOULD BE FOR, UH, COUNTY OF OUR SIZE. 
          AND WHEN YOU REALIZE THAT, UH, SAN ANTONIO AND BEXAR COUNTY SERVE MANY OF THE UNDERSERVED, UH, COUNTIES TO, UH, THE SOUTH AND THE WEST, AND MANY PEOPLE COME INTO BEXAR COUNTY TO WORK EVERY DAY FROM THOSE OTHER COUNTIES, WE'RE ALSO TAKING CARE CARE OF THEM TOO. 
          SO WE HAVE GOT TO GET AN INCREASE IN THE ALLOCATION. 
          AND I KNOW THE MAYOR, UH, AND THE JUDGE TALK ABOUT IT EVERY NIGHT, UH, ON THE, THE VACCINE UPDATE. 
          BUT THAT'S WHERE WE REALLY HAVE GOT TO HAVE THOSE CONVERSATIONS TO GET ADDITIONAL ALLOCATIONS. 
          AND WHILE WE BELIEVE THERE WILL BE ADDITIONAL ALLOCATIONS, IT'S GONNA BE VERY IMPORTANT. 
          AND WE'VE HAD CONVERSATIONS IN OUR, IN OUR, OUR WEEKLY GROUPS ABOUT BEING ABLE TO REACH OUT TO, UH, PARTNERS WHO ARE ABLE TO DELIVER THE VACCINE IN A SAFE AND EFFECTIVE WAY. 
          AND WE'VE TALKED ABOUT MAKING SURE THAT WE HAVE 
          [02:15:01]
LOCATIONS THAT WE CAN STAFF, WE'VE TALKED ABOUT AS A GROUP, YOU KNOW, UH, THERE IS SOME VOLUNTEER FATIGUE OUT THERE. 
          AND WE HAVE GOT TO MAKE SURE THAT WE HAVE GOT THE RIGHT NUMBER OF, OF, OF VOLUNTEERS AND PERSONNEL THAT ARE ABLE TO GIVE VACCINE AND DELIVER VACCINE. 
          AND REALLY THINKING OUT OF THE BOX HOW WE PARTNER TOO WITH, YOU KNOW, A GROUP THAT WE, WE HAVEN'T TALKED ABOUT IS, UH, OUR MILITARY PARTNERSHIP. 
          YOU KNOW, ALL EVERY, EVERY MEDICAL PERSONNEL IS TRAINED OVER AT JOINT BASED SAN ANTONIO. 
          I KNOW THAT FOR A FACT. 
          AND WHAT ARE WE DOING TO, TO LOOK AT LEVERAGING THAT MILITARY CIVILIAN PARTNERSHIP? THAT, THAT WE HAVE AN OPPORTUNITY, UH, WE TO, TO WORK WITH THEM TO SEE IF, UH, IF, UH, THEY CAN HELP US DELIVER MORE VACCINES. 
          SO I THINK THERE'S MORE THINGS WE CAN DO. 
          I WILL TELL YOU AS FAR AS WHEN WE TALK ABOUT A REGISTRY, YOU KNOW, OUR CONCERN HAS BEEN THAT, YOU KNOW, WE TALKED ABOUT HOW MANY THAT WE'VE ACTUALLY BEEN ABLE TO VACCINATE, AND WE KNOW WE'VE GOT 1.6 MILLION OF OUR POPULATION THAT ARE NOW ELIGIBLE. 
          IF I NUMBER 680,000 ON THE LIST, I, I THINK I'M GONNA BE A LITTLE ANXIOUS ABOUT WHEN I'M GONNA GET MY VACCINE. 
          AND I WILL TELL YOU THAT ONE OF THE THINGS THAT WE HAVE SEEN IS WHEN WE TALK ABOUT NO-SHOW RATES, I THINK THAT'S IMPORTANT. 
          I WOULD THINK, YOU KNOW, UNLESS I WAS IN THE HOSPITAL, I WOULD MAKE THAT VACCINE APPOINTMENT. 
          WHAT WE ARE FINDING OUR, OUR NO-SHOW RATE HERE, UH, AT BETWEEN THE CISNEROS AND, UH, OUR LOPEZ SITE, WE AVERAGE ABOUT 3% NO SHOW RATE FOR OUR APPOINTMENTS ON A DAILY BASIS FOR THE SECOND DOSE. 
          THE SECOND DOSE IS IMPORTANT. 
          DO A SHORT CLOSING. 
          YEAH. 
          THE SECOND DOSE IS ONE, 1%. 
          SO I SAY THAT WE'VE GOT TO REALLY LOOK AT PEOPLE NOT REGISTERING AT MULTIPLE LOCATIONS. 
          AND IF WE COULD COME UP WITH A SYSTEM WHERE WE WOULD KNOW, PEOPLE WOULD KNOW WHERE THEY WOULD GO, AND THEY WOULDN'T REGISTER AT THE ALAMO DOME, AT WELLMAN, AT, UH, WONDERLAND, THOSE ARE THE THINGS THAT WE NEED TO CONSIDER. 
          NO, THOSE ARE GREAT POINTS. 
          OKAY. 
          GREAT POINTS. 
          UH, MAJOR GENERAL, AND I THINK WE'LL TAKE THOSE UP NEXT TIME WE MEET. 
          SO, UM, HAVE WE HEARD FROM EVERYONE, UH, FIRE DEPARTMENT? SURE. 
          I JUST WANT TO THANK ON BEHALF OF CHIEF HOOD, ALL OF OUR ELECTED REPRESENTATIVES FOR THE SUPPORT THAT YOU'VE GIVEN US IN ALL OF OUR PARTNERS. 
          SO U UT HEALTH, UH, UH, METRO HEALTH, UH, UH, STRAC PROBABLY NEEDS TO BE IN THIS CALL, BUT ALL OF US TOGETHER HAVE REALLY WORKED WELL, AND, AND IT IS A, IT, THERE'S A LOT OF THERE DIALOGUE IN THE BACKGROUND. 
          SO WE JUST THANK EVERYBODY FOR THE SUPPORT FROM OUR ELECTED REPRESENTATIVES AND TO OUR, WITH OUR PARTNERS AS WELL. 
          AND WELLMAN, THANK YOU. 
          THANK YOU VERY MUCH. 
          AND AGAIN, THANK YOU ALL FOR BEING HERE. 
          I AM GOING TO TAKE DR. 
          LEVERANCE UP ON HIS OFFER TO MEET WITH US REGULARLY. 
          UH, DON'T THINK YOU CAN THROW THAT OUT THERE LIGHTLY. 
          DR. 
          LEVERN SERIOUS. 
          I DUNNO IF THAT MEANS THAT YOU COMMITTED EVERYBODY ELSE TO, TO JOINING, BUT THEY'RE ALL SORRY, GEORGE . 
          THEY'RE ALL CERTAINLY WELCOME TO, TO JOIN US. 
          I THINK WE CAN. 
          UH, AND LOOK, I WANT IT TO BE, NOT, NOT JUST YOU REPORTING TO US, BUT WE WANT TO HELP TOO. 
          YOU KNOW, UH, SOME OF US, WERE, WE'RE INVOLVED IN OPENING, UH, THE, THE VACCINE SITE ON, ON THE SOUTH SIDE. 
          WE ARE READY TO ROLL UP OUR SLEEVES AND DO WHAT WE HAVE TO, OR WHAT WE CAN TO MAKE THIS, UH, WORK FOR, FOR OUR RESIDENTS. 
          SO PLEASE CONSIDER US SOMEONE LIKE JIMMY. 
          JIMMY JUST THREW THE BALL RIGHT BACK AT US AND SAID, YOU GUYS HAVE TO GO GET US MORE VACCINES. 
          TELL US WHAT OUR ASSIGNMENTS ARE AS, AS WELL. 
          WE'RE NOT JUST HERE TO, YOU KNOW, TO HOLD COURT. 
          WE'RE HERE TO ALSO, UH, WORK WITH YOU. 
          SO WE WILL COORDINATE ON, UH, ON A TIME THAT WORKS, UH, FOR OUR GROUP AND, AND YOUR GROUPS. 
          WITH THAT, I BELIEVE, UH, UNLESS THERE'S ANYTHING ELSE, MR. MCCA, I BELIEVE WE CAN CONCLUDE THE MEETING. 
          WELL DONE. 
          THANK YOU ALL FOR BEING A PART OF THIS TODAY. 
          THANK YOU. 
          THANK YOU. 
          THANK YOU . 
          THANK YOU'ALL.
* This transcript was created by voice-to-text technology. The transcript has not been edited for errors or omissions, it is for reference only and is not the official minutes of the meeting.