* 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. [00:00:08] IS AV ROLLING? JOHN? YES, MA'AM. THANK YOU, SIR. COUNCIL MEMBER TREVINO HERE. COUNCIL MEMBER ANDREW SULLIVAN. HERE. COUNCIL MEMBER . COUNCIL MEMBER. I'M HERE. I'M HERE. THANK YOU. COUNCIL MEMBER ROCHA GARCIA. HERE. COUNCIL MEMBER GONZALEZ. COUNCIL MEMBER CAB VARDA. HERE. COUNCIL MEMBER SANDOVAL. HERE. COUNCIL MEMBER PAIA HERE. COUNCIL MEMBER COURAGE HERE. COUNCIL MEMBER PERRY HERE. AND MARY NUREMBERG HERE. MAYOR, WE HAVE A QUORUM. ALL RIGHT. GOOD AFTERNOON EVERYONE. THE TIME IS 2:04 PM WEDNESDAY, UH, MARCH 31ST, 2021. UH, WE'RE HERE FOR OUR SPECIAL MEETING TO [1. 21-2566 Ordinance under which the City of San Antonio would establish a community wide registry for COVID-19 vaccination registration so that individuals who want a COVID-19 vaccine can provide contact information to vaccine providers that can use the registry to contact registrants as vaccines become available.] DISCUSS THE, UH, VACCINATION PROCESS. UH, SO LET ME GO AHEAD AND START, UH, BY TURNING IT OVER TO CITY MANAGER ERIC WALSH. THANK YOU, MAYOR. UH, GOOD AFTERNOON, MAYOR AND COUNCIL. SO, UH, TODAY'S SPECIAL MEETING IS TO DISCUSS A WAITING, UH, TO DISCUSS A WAITING LIST AND, AND REALLY RESULTED, UM, AS A RESULT OF LAST WEEK'S ANNOUNCEMENT BY THE GOVERNOR THAT HE WAS OPENING UP VACCINE ELIGIBILITY TO EVERYBODY, UH, IN TEXAS. UM, AS A RESULT OF, OF THAT ANNOUNCEMENT, UH, LAST WEEK, UH, A SMALL GROUP, UH, FROM, UH, UH, UT HEALTH, THE BEXAR COUNTY MEDICAL SOCIETY, AND HASSA, WHO YOU WILL HEAR A LITTLE BIT MORE ABOUT IN THE PRESENTATION. UM, UM, BEGAN MEETING TO DISCUSS HOW TO CREATE A SYSTEM THAT WOULD ALLOW UT HEALTH TO IDENTIFY AND PRIORITIZE PEOPLE OVER THE AGE OF 65 WITHOUT INTERNET ACCESS. BECAUSE AS WE ALL REALIZED LAST WEEK WITH THE GOVERNOR'S ANNOUNCEMENT, UH, THAT THE VACCINE WAS ELIGIBLE OR AVAILABLE FOR ALL ADULTS, UM, THE PRESSURE WAS PUTTING, UH, THE PRESSURE IT WOULD PUT ON THE VULNERABLE COMMITTEE, UH, COMMUNITY, UH, WOULD BE ENHANCED. UM, ALL OF YOU KNOW, AND MANY OF YOU KNOW THAT THE MAYOR HAS REGULARLY ASKED, UH, FOR US TO FIND A SOLUTION TO THE FACT THAT GETTING SIGNED UP FOR A C OVID 19 VACCINATION, AND THE COUNCIL'S TALKED ABOUT THIS AS WELL, UM, IS EXTREMELY, UH, DIFFICULT AND CHALLENGING WITH A LIMITED SUPPLY. UM, WE'RE GONNA TALK, UH, PRESENT TO YOU A LITTLE TODAY, UH, A, UH, PILOT PROGRAM, WHICH, UH, WE THINK WOULD HELP US, UH, HELP PRIORITIZE THOSE VULNERABLE POPULATIONS AND POTENTIALLY BE ABLE TO SCALE UP TO ADDRESS OTHER PRIORITY GROUPS OVER THE LAST SEVERAL DAYS. UM, COUNCILWOMAN SANDOVAL AND GRO AND, AND ROCHA GARCIA AND COUNCILMAN COURAGE, UM, MYSELF, DR. BRIDGER, DR. KON AND OTHER, AND CRAIG HOPKINS HAVE MET, UH, TO KIND OF TALK THROUGH THIS HASSA ALTERNATIVE, UM, AND TO SEE WHETHER OR NOT IT IS AVAILABLE, UM, TO BE UTILIZED FOR OUR MASS VACCINATION SITES. AND, UM, SO WE'LL LAY THAT, UH, PROPOSAL OR PRODUCT OUT BEFORE YOU THIS AFTERNOON WHILE GETTING AN APPOINTMENT, WE KNOW AND EVERYBODY KNOWS IS STILL DIFFICULT, THE VACCINE SUPPLY IS INCREASING. UM, AND AS A REMINDER, THE CITY WENT THROUGH FIVE WEEKS AT THE END OF JANUARY AND DURING THE MONTH OF FEBRUARY WHERE WE RECEIVED NO DIRECT SHIPMENT OF, OF SUPPLY. UH, SINCE THEN, IT HAS STEADILY INCREASED AND WE'RE ADMINISTERING, UH, UP TO 10,000 A DAY, UP TO 10,000 A WEEK, UM, THROUGH THE ALAMO DOME. UM, AND ADDITIONAL, UH, AMOUNTS THROUGH OUR HOMEWARD BOUND PROGRAM. SO OBVIOUSLY THROUGH THE WORK OF THE FOUR VACCINATION MASS VACCINATION HUBS THAT ARE RUN BY THE CITY, WELLMED, U H SS AND UT HEALTH, UM, WE HAVE VACCINATED 17.7% OF THE BEAIRD COUNTY POPULATION WITH TWO DOSES OF VACCINE. UM, AND AS, UH, DR. BRIDGER WILL TALK ABOUT THIS, UM, THAT IS HIGHER THAN OUR PIER COUNTIES OF DALLAS, HARRIS, TARRANT, AND TRAVIS COUNTY. UM, AND I CERTAINLY WANT TO THANK THE STAFF, UM, UM, AT THE METRO HEALTH AND THE FIRE DEPARTMENT AND OUR THOUSANDS OF VOLUNTEERS THAT HAVE HELPED, UH, UM, UH, US ACHIEVE THAT. AND AS WELL AS THE PARTNERSHIP WE HAVE WITH U H SS, UT HEALTH AND, UH, AND WELLMED. I'M CERTAINLY GRATEFUL FOR THAT. SO, DR. BRIDGER WILL GIVE THE PRESENTATION. UM, AND, UH, MR. UH, DR. PHIL BECKETT, THE C E O OF HASA HAS A PORTION OF THIS WHERE WE WILL TALK ABOUT A PILOT PROGRAM TO HELP US TARGET, UM, [00:05:01] UH, THE VULNERABLE POPULATION. SO LET ME HAND IT OVER TO DR. BRIDGER. THANK YOU, ERIC, I APPRECIATE THAT. UM, WHILE WE'RE GETTING THE SLIDES UP, I WOULD LIKE TO RECOGNIZE, UM, LEADERSHIP FROM THE OTHER MASS VACCINATION SITES. UM, SO WE HAVE, UH, MAJOR GENERAL JIMMY KEENAN FROM THE WELLMED SITE. WE HAVE DR. BRIAN ALSIP FROM UNIVERSITY HEALTH. UH, WE HAVE DR. BOB LEVERANCE FROM UT HEALTH, AND WE HAVE DR. ANITA IAN FROM THE ALAMO DOME OPERATION. UM, I WILL INTRO DR. BECKETT WITH HASA, UM, TOWARDS THE END OF MY REMARKS. SO NEXT SLIDE, PLEASE. AS THE CITY MANAGER MENTIONED, UH, WE DO LEAD THE BIG CITY COUNTIES IN TEXAS WITH NEARLY 18% OF OUR POPULATION FULLY VACCINATED. SO THAT'S 738,000, UM, VACCINES ADMINISTERED, UM, ACROSS THE ENTIRE COUNTY, UM, REPRESENT 17% FULLY VACCINATED, AND ABOUT 30% OF OUR POPULATION WITH AT LEAST ONE, UM, VACCINATION. NOW, UM, IT'S IMPORTANT TO REMEMBER THAT DALLAS PARENTS AND HARRIS COUNTY HAVE ALL HAD ADDITIONAL FEDERAL ASSISTANCE IN THEIR VACCINATION EFFORTS TO INCLUDE ADDITIONAL DOSES AS WELL AS ADDITIONAL PEOPLE POWER. UM, SO THE FACT THAT WE ARE DOING AS WELL AS WE ARE IS A REAL TESTAMENT TO THESE, UM, THESE LEADERS THAT I REFERENCED EARLIER, UM, TO THE MASS VACCINATION SITES THAT WE HAVE. UM, WE ALSO HAVE OVER 100,000 INDIVIDUALS WHO CURRENTLY HAVE AN APPOINTMENT TO GET A MASS VAC TO GET A, UM, A C OVID 19 VACCINATION AT ONE OF OUR FOUR MASS VACCINATION SITES. NEXT SLIDE, PLEASE. AND, UH, THIS IS THE ONLY SLIDE I HAVE THAT LOOKS LIKE THIS, BUT I DID WANT TO JUST MENTION, UM, A COUPLE OF KEY POINTS FROM THIS SLIDE. 43% OF OUR POPULATION AGE 65 TO 79 IS FULLY VACCINATED. THEY'VE RECEIVED THEIR TWO DOSES, AND 64% HAVE RECEIVED AT LEAST ONE DOSE. AND RECEIVING AT LEAST ONE DOSE IS IMPORTANT. ONE, BECAUSE IT ALREADY PROVIDES YOU A HIGH LEVEL OF PROTECTION AGAINST THE VACCINE, NOT AGAINST THE VIRUS, NOT AS GOOD AS IF YOU HAD HAD TWO DOSES. UM, BUT IT ALSO MEANS THAT YOU ARE IN THE SYSTEM. GETTING YOUR SECOND DOSE IS MUCH, MUCH EASIER THAN GETTING YOUR FIRST DOSE. SO AGAIN, 64% ARE IN THE SYSTEM, UM, AND WILL GET THEIR SECOND DOSE WITHOUT HAVING TO WAIT IN LINE OR CALL TO MAKE AN APPOINTMENT. YOU CAN SEE FROM THIS CHART, HOWEVER, THAT PEOPLE 80 AND UP ARE LAGGING A BIT. UM, BUT AS WE ANNOUNCED LAST WEEK, ALL MASS VACCINATION SITES ARE ALLOWING PEOPLE 80 AND UP TO SHOW UP AT ANY OF OUR SITES AND BE MOVED TO THE FRONT OF THE LINE AND BE VACCINATED WITHOUT AN APPOINTMENT. UM, THE FIRE DEPARTMENT IS ALSO VACCINATING HOME BOUND INDIVIDUALS, AND I WILL SAY A LITTLE BIT MORE ABOUT THAT IN JUST A MINUTE. NEXT SLIDE, PLEASE. SO, AS I MENTIONED, WE HAVE FOUR MASS VACCINATION SITES. I'M GONNA BRIEFLY COVER KEY STATISTICS FOR EACH OF THEM. SO UNIVERSITY HEALTH IS THE LARGEST MASS VACCINATION SITES. THEY'RE LOCATED AT WONDERLAND MALL. UM, AND THEY HAVE GIVEN MORE THAN TWICE AS MANY VACCINATIONS AS EACH OF THE OTHER SITES. AND IN ADDITION TO THAT, THEY'VE REALLY STEPPED UP TO HELP VACCINATE TEACHERS AND STAFF FROM AREA I S E FOR THE WONDERLAND MALL LOCATION. PEOPLE MAKE APPOINTMENTS PRIMARILY ONLINE, BUT THEY ALSO HAVE A PHONE OPTION AVAILABLE FOR PEOPLE WHO CANNOT REGISTER ONLINE. NEXT SLIDE, PLEASE. THE NEXT MASS VACCINATION SITE I WANTED TO TALK ABOUT IS THE WELLMED SITE. UM, THEY HAVE DONE 117,000 TOTAL, UH, VACCINES SINCE THEY OPENED, UM, AND THEY ARE COLLABORATING WITH METRO HEALTH COMMUNITY HEALTH WORKERS. AND SO BETWEEN THE WELLMED LOCATIONS AND THE ALAMO DO LOCATION, COMMUNITY HEALTH WORKERS HAVE MADE OVER 20,000 APPOINTMENTS, UM, FOR VULNERABLE POPULATIONS SUCH AS THOSE OVER THE AGE OF 65, UM, OR THOSE LIVING IN, UM, PRIORITY CENSUS [00:10:01] TRACTS THAT WERE, UM, HAD HIGHER RATES OF COVID MORTALITY, HIGHER CASE RATES FOR C OVID 19, UM, AND HIGHER EQUITY SCORES. UH, THE WELLMED SITE IS THE ONLY SITE THAT IS EXCLUSIVELY FOAM BASED APPOINTMENTS, AND AS A RESULT, THIS SITE LEADS ALL OF THE OTHERS IN THE PERCENT OF 65 AND UP, UH, PATIENTS WHO ARE SERVED. AN INTERESTING NOTE FROM THE SLIDES THAT THEY SENT ME IS THAT SINCE OPENING THEIR OPERATION, THEY HAVE RECEIVED OVER 5 MILLION PHONE CALLS FOR APPOINTMENTS. NEXT SLIDE, PLEASE. THE NEXT, UH, SITE IS THE ALAMO DOME MASS VACCINATION CLINIC. UH, THIS SITE IS STAFFED BY METRO HEALTH AND THE FIRE DEPARTMENT AND OVER 100 VOLUNTEERS, UM, AT EACH SHIFT. THIS IS ALSO THE ONLY DRIVE THROUGH VACCINATION CLINIC IN THE COUNTY. I MENTIONED EARLIER THE FIRE DEPARTMENT'S HOME BOUND VACCINATION PROGRAM. UM, THEY HAVE GIVEN OVER 6,500 DOSES TO HOME BOUND INDIVIDUALS AND, UM, AVERAGE 1000 DOSES THAT THEY DRIVE TO PEOPLE'S HOMES, AND THEY GO IN AND THEY GIVE PEOPLE SHOTS OVER 1000 EVERY WEEK. UM, WE WILL CONTINUE THAT PROGRAM AS LONG AS THERE IS A NEED. NEXT SLIDE, PLEASE. SO, LAST BUT NOT LEAST IS OUR UT HEALTH CLINIC. UM, THEY HAVE GIVEN NEARLY A HUNDRED THOUSAND TOTAL VACCINES SINCE THEY STARTED, UM, AND UT HEALTH HAS BEEN A GREAT PARTNER WITH THE CITY'S COMMUNITY VACCINATION EVENT, WHICH I'LL SAY A LITTLE BIT MORE ABOUT IN A SECOND. BUT TO KIND OF WRAP UP THE FOUR DIFFERENT SITES BETWEEN OUR FOUR MASS VACCINATION SITES, WE HAVE GIVEN ABOUT 80% OF ALL OF THE VACCINATIONS IN BEXAR COUNTY. UM, NEXT SLIDE, PLEASE. I MENTIONED OUR COMMUNITY VACCINATION CLINICS. UM, YOU CAN SEE THIS IS BEING DONE IN PARTNERSHIP BETWEEN UT HEALTH AND METRO HEALTH, UM, AND YOU CAN SEE THE NUMBER OF COMMUNITY VACCINATION CLINICS THAT HAVE BEEN COMPLETED, 12 FROM UT HEALTH, SIX FROM METRO HEALTH, AND THOSE THAT ARE PLANNED, UM, IN THE FUTURE. AND I CAN TELL YOU THAT, UM, TO DATE BETWEEN THE TWO OF US, WE HAVE GIVEN ABOUT 2000 VACCINATIONS, UM, AT OUR MUCH SMALLER COMMUNITY VACCINATION CLINICS. NOW, OUR ORIGINAL PLAN WAS TO PIVOT TO FEWER MASS VACCINATION CLINICS AND MORE COMMUNITY-BASED TARGETED CLINICS LIKE THESE YOU SEE ON THE SCREEN. BUT WHEN THE STATE OPENED UP ELIGIBILITY TO EVERYBODY, THAT THREW A NUMBER OF WRENCHES INTO OUR WORKS. BUT AS YOU'VE SEEN, WE'VE MADE GOOD PROGRESS VACCINATING PRIORITY POPULATIONS IN SAN ANTONIO, UH, BUT WE STILL HAVE NOT RECEIVED ENOUGH VACCINE TO VACCINATE EVERYBODY WHO IS 50 AND UP AND EVERYBODY WHO IS 16 AND OLDER WITH AT LEAST ONE UNDERLYING HEALTH CONDITION. SO WHEN THE STATE ANNOUNCED THAT EVERYBODY WOULD BE ELIGIBLE TO BE VACCINATED STARTING THIS MONDAY, UH, WE ALL STARTED WORKING ON ASSURING OUR MOST VULNERABLE POPULATIONS WOULD CONTINUE TO TAKE PRIORITY. I AM GOING TO TURN THE VIRTUAL PODIUM OVER TO PHIL BECKETT, WHO IS THE C E O OF PASA, AND HE WILL EXPLAIN WHAT ONE OF THESE POTENTIAL SOLUTIONS IS. SO WITH THE NEXT SLIDE, I AM GOING TO TURN IT OVER TO DR. BECKETT, DR. BECKETT, TAKE IT AWAY. THANK YOU, DR. BRIDGER. AND, UH, THANK YOU FOR THE INTRODUCTION, AND I HOPE MY AUDIO IS BETTER. IT'S GREAT. THANKS. YEAH, NO, THANK YOU ALL. UM, MAYOR, UM, COUNCIL MANWIN, THANK YOU ALL FOR HAVING ME. UM, I WANTED TO GIVE JUST QUICKLY A LITTLE BIT OF BACKGROUND ON HASSA. HASSA WAS STARTED IN 2008 IN SAN ANTONIO. UH, IT'S A NON-PROFIT, UH, HEALTH INFORMATION EXCHANGE. IT WAS STARTED BY COMMUNITY LEADERS, INCLUDING UNIVERSITY HEALTH SYSTEM, METHODIST HOSPITAL, METHODIST HEALTHCARE MINISTRIES, UM, AND MANY OTHERS, AND HAS A BOARD, UM, OF LEADERS IN SAN ANTONIO, INCLUDING DR. K AND DR. SUP ON, ON THE CALL TODAY. OUR MISSION IS, UM, AROUND THE QUADRUPLE AIMS OF HEALTHCARE, WHICH IS IMPROVING HEALTHCARE, UH, OUT OUTCOMES, UH, LOWERING HEALTHCARE COSTS AND IMPROVING HEALTHCARE EXPERIENCE FOR BOTH PATIENTS AND PROVIDERS. WE ARE CONNECTED TO A [00:15:01] LOT OF HOSPITALS AND PHYSICIAN PRACTICES, FQHCS HERE IN SAN ANTONIO, BUT ALSO, UH, WE'VE EXPANDED A LONG WAY BEYOND THAT. WE'RE IN DALLAS, WE'RE IN LUBBOCK, WE'RE IN CORPUS CHRISTI. UH, SO, SO WE ARE ONE OF THE LARGE REGIONAL HEALTH INFORMATION EXCHANGES HERE IN IN TEXAS. IF WE GO TO THE NEXT SLIDE, PLEASE, JUST A, A LITTLE BIT ABOUT OUR, UH, AND, AND THIS IS WHAT WE TALKED TO ABOUT OUR, OUR PARTNERS. YOU KNOW, WE ARE A CENTRALIZED MODEL. WE MANAGE ELECTRONIC HEALTH RECORDS THAT COME FROM HOSPITALS AND PHYSICIANS, AND WE STORE THOSE IN A CENTRALIZED DATABASE. WE HAVE TO DO THAT, OF COURSE, SUPER SECURELY, UH, HEALTHCARE INFORMATION IS, IS CRITICAL. IT'S VERY PRIVATE, AND IT IS, UM, YOU KNOW, HAVING THE INFRASTRUCTURE AND THE MANAGEMENT TO DO THAT IS A CORE PART OF WHAT WE DO. THIS ALSO ENABLES US TO LOOK AT PATIENTS ACROSS THE SPECTRUM AND TO DO POPULATION HEALTH, HELP MANAGE PATIENTS, UM, IN THE, IN THE, IN THE CONTINUUM OF CARE. WE ARE FIRST A COMMUNITY PARTNER AS WELL. WE REALLY WORK WITH OUR, UM, PART THE, OUR PARTICIPANTS, WHAT THEIR GOALS ARE. UH, WE TRY TO LISTEN, PROVIDE COMPLIMENTARY OFFERING TO WHAT THEY DO AND THE, AND THE LOCAL GOVERNANCE. SO THERE'S A LOT OF TRANSPARENCY AROUND WHAT HASSA DOES AND HOW WE DO IT, AND WE'RE, WE TRY TO HELP THE COMMUNITY EVERY WAY WE CAN. WE'RE AN AGILE PLATFORM, AND, AND THAT'S WHAT I WANT TO COME TO WHERE WE'RE TALKING ABOUT IN, UH, IN A, IN A MOMENT ABOUT HOW WE PROPOSE TO DO THIS. BUT WE DO REALLY TRY TO INTEGRATE INTO WORKFLOWS SO THAT DATA IS EASILY ACCESSIBLE WITHIN PEOPLE'S OWN SYSTEMS, WITHIN USERS' OWN SYSTEMS, SO THEY'RE NOT HAVING TO GO TO OTHER, OTHER PLACES TO GET THE DATA. AND WE ARE, OF COURSE, VALUE DRIVEN, UM, HEALTH INFORMATION EXCHANGE IN TEXAS, ALTHOUGH WE'RE A, WE'RE A PRIVATE NOT-FOR-PROFIT, IS, IT'S NOT STATE, UH, RUN. THIS IS A, A PRIVATE ORGANIZATION, UM, WITH REVENUES FROM SUBSCRIPTION FEES FROM EVERYONE WHO TAKES PART IN IT. AND WE ONLY SURVIVE THROUGH THE VALUE THAT WE DELIVER ON THE, THE, SO THE IMPORTANT SLIDE THAT WE WANTED TO TALK ABOUT TODAY IS THE NEXT ONE, PLEASE. AND THIS IS, IS THE PROPOSED SOLUTION. SO I WANNA WALK YOU THROUGH THIS, NOT FROM A TECHNICAL PERSPECTIVE, BUT, UH, THE WAY, SO WE'RE REALLY, AGAIN, WANTING TO FOCUS ON THAT 65 PLUS COMMUNITY, ESPECIALLY THOSE THAT DON'T HAVE ACCESS TO THE INTERNET, UH, THAT, SO THROUGH CITY OF SAN ANTONIO, COMMUNICATION WILL BE, THIS IS WHERE YOU CAN GO TO GET REGISTERED OR YOU GET ON A WAIT LIST TO, TO GET THE VACCINE. SO, UH, LIKE 3 1, 1 NAVIGATORS, UH, WOULD HAVE ACCESS, UH, WITH A LOG ON TO A FORM, UH, WHETHER THEY CAN, AS THEY TALK TO AN INDIVIDUAL, SOMEONE CALLS 3 1 1, YOU KNOW, I'M, I'M 80 YEARS OLD, I NEED A VACCINE. UM, THREE ONE ONE WILL PICK UP THE PHONE AND SAY, YEAH, GIVE ME YOUR INFORMATION. YOU KNOW, YOUR DEMOGRAPHICS, YOUR AGE, YOUR PHONE NUMBER, UH, YOU KNOW, TRANSPORTATION NEEDS, FOR EXAMPLE, THAT WILL ALL GO INTO A, A WAIT LIST. WE WOULD NOTIFY THAT INDIVIDUAL, UH, AS BEST WE COULD, EITHER THROUGH A TEXT MESSAGE OR, UM, EMAIL, IF THEY HAVE EITHER OF THOSE TO SAY, YOU ARE ON THE WAIT LIST. SO THAT THE, THE RESIDENT EXPERIENCE WOULD BE, HEY, WE'VE GOT YOU. YOU'LL BE HEARING FROM SOMEONE SOON. THEN WE WILL TAKE THAT WAIT LIST. IT'S NOW IN THE DATABASE NUMBER FIVE ON THE SLIDE HERE. SO THE, THE MASS OR ANY VACCINATION SITE CAN THEN CONNECT TO US AND SAY, HEY, I'VE GOT 500 VACCINES. I, I, I NEED THE, THIS IS THE, THE GROUP THAT I WANT, THAT I'VE SAVED FOR THIS POPULATION. GIVE ME THE OVER 60 FIVES, YOU KNOW, WITH UNDER CERTAIN CRITERIA. WE WOULD THEN, UH, IDEALLY AGAIN, THROUGH AN, UH, INTEGRATION. SO THEY'RE NOT HAVING TO RETYPE THIS, THIS INFORMATION, BUT PULL IT OVER INTO THEIR SYSTEM WHERE THEY CAN THEN WORK THAT, CALL THOSE PATIENTS, GET 'EM ON A SCHEDULE AND GET THEM VACCINATED. THAT WOULD BE OUR HANDOFF FROM HASSA. SO ONCE THEY'RE BEING PICKED UP BY A VACCINATION PROVIDER, WE WOULD THEN TAKE THEM OFF THE LIST. OBVIOUSLY, WE CAN ALWAYS GO BACK TO THAT RECURATE THINGS. UM, BUT THAT, THAT WOULD BE, AND, AND POTENTIALLY AS WELL AS WE GET MORE VACCINATION INFORMATION INTO HASSA, JUST IN OUR CORE HEALTH INFORMATION EXCHANGE ROLE, WE COULD ALSO HELP SCRUB THAT LIST. BUT THIS IS, UH, THE, THE, IT IS SIMPLEST LEVEL. IT IS, UH, A FORM THAT 3 1 1 AND OTHERS PROVIDERS CAN USE TO ENTER REGISTERED PATIENTS INTO A WAIT LIST, THAT WAIT LIST, THEN AVAILABLE TO VACCINE PROVIDERS TO CONSUME WORK AND, UH, GET THAT POPULATION VACCINATED. DR. BRIDGER, I, UH, YEAH, THANK YOU. AND, AND I'LL OPEN IT UP TO, TO QUESTIONS. [00:20:06] UM, LET, LET ME JUST, UH, KIND OF WRAP THIS UP. SO, YOU KNOW, WHAT, WHAT, UM, THE, THE, THE IDEA WOULD BE TO, AND AS YOU SAW ON THAT CHART ON THE RIGHT HAND SIDE, IN THE, IN THE ROSE COLORED AREA, UM, PROVIDERS WOULD BE ABLE, PROVIDERS, THE, THE DIFFERENT MASS VACCINATION PROVIDERS OR OTHER PROVIDERS, AS, AS DR. BECK HAD DESCRIBED THEM, WOULD, WOULD KIND OF OPT IN TO PULL INFORMATION OUT AS THEY NEED IT, BOTH FROM A PROACTIVE STANDPOINT OR REACTIVE STANDPOINT. AND SO, WHAT I, WHAT I MEAN BY PROACTIVE AND REACTIVE, IF, IF FOR FOR INSTANCE, THERE'S A THOUSAND DOSES AVAILABLE NEXT WEEK AND WE NEED NAMES, YOU PROACTIVELY GO TO THAT LIST REACTIVELY. UM, IF WE HAVE, UH, LEFTOVER DOSES AT AN EVENT, OR AT THE END OF THE DAY, YOU COULD, YOU COULD GO AND PULL NAMES AND, AND PROVIDE THE NOTIFICATION. SO, UH, IT GIVES EACH PROVIDER THE OPPORTUNITY TO KIND OF SET THEIR OWN PARTICIPATION LEVEL. UM, HASSA WOULD MANAGE THAT DATABASE IN THAT SECURE ENVIRONMENT THAT DR. BECKETT, UM, TALKED ABOUT, WHICH, WHICH IS REALLY, UH, DIFFERENT THAN WHAT WE'VE REALLY, KIND OF, DIFFERENT THAN WHAT WE'VE SEEN REPLICATED IN, UH, IN OTHER MAJOR TEXAS, UH, CITIES. BECAUSE IT IS A SYSTEM THAT IS, UH, GOT A CENTRAL POINT AND THEN PROVIDERS DRIVE OUT OF IT. SO, UH, YOU KNOW, I THINK, UH, WITH THAT, I'LL TURN IT OVER TO, I DUNNO IF DR. BRIDGER, IF THERE'S ANYTHING ELSE BEFORE WE BACK TURN IT BACK OVER TO THE MARION COUNCIL? NO, SIR. WE ARE READY FOR QUESTIONS. ALRIGHT, THANK YOU. UM, ERIC AND COLLEEN, UH, AND PHIL FOR THE PRESENTATION, UH, I'M GLAD THAT WE'RE HAVING THIS DISCUSSION TODAY. AS, AS CITY MANAGER AND, UH, DR. BRIDGER CAN ATTEST, I'VE BEEN ASKING TO EXPLORE A REGISTRY SINCE THE VACCINES WERE DEPLOYED TO OUR COMMUNITY. UM, WE'VE ALWAYS HAD MORE SUPPLY THAN DEMAND IN SAN ANTONIO. AT THE SAME TIME, OUR CITY'S ABILITY TO MANAGE THAT IN AN EQUITABLE AND TARGETED APPROACH HAS BEEN IMPACTED BY THE INTERPLAY BETWEEN THE FEDERAL DISTRIBUTION PROCESS AND THE STATE'S ELIGIBILITY AND ALLOCATION PROCESS. SO, UH, I'M GLAD THAT WE'RE, WE'RE EXPLORING WAYS THAT WE CAN, UM, AGAIN, UH, HELP EASE FOLKS CONCERN AND, AND DISTRIBUTE VACCINES TO THOSE WHO ARE MOST VULNERABLE AT THE SAME TIME, UH, AS WE KNOW, CHANGES TO THE TEXAS ELIGIBILITY GUIDELINES AND THE FEDERAL PUSH TO VACCINE, UH, VACCINATE THE MAJORITY OF AMERICANS BY THE SUMMER HAS INCREASED DEMAND AGAIN, UH, FOR THE VACCINE, ALMOST LITERALLY OVERNIGHT. UH, BUT AS WE'VE TALKED ABOUT BEFORE, UNLESS WE EXPERIENCE A DRAMATIC INCREASE IN VACCINE SUPPLY, WHICH TO THIS POINT WE HAVE NOT, UH, RESIDENTS ARE GONNA CONTINUE TO BE FRUSTRATED WITH THE PROCESS AND INABILITY TO SECURE A VACCINE AS QUICKLY AS POSSIBLE. AND I'M ESPECIALLY CONCERNED ABOUT THOSE RESIDENTS WHO WILL CONTINUE TO BE LEFT BEHIND FOR A VARIETY OF SOCIAL REASONS. UH, SO I APPRECIATE THE COUNCIL MEMBER'S LEADERSHIP ON AND OUR WILLINGNESS TO EXPLORE, UH, AND COME UP WITH SOME IDEAS THAT CAN INFORM OUR DECISION TODAY. UH, I LIKE HASSA. UM, I'VE WORKED WITH THEM FOR A NUMBER OF YEARS BACK TO, UH, DR. VAN OR I THINK, UM, AND APPRECIATE THEM HELPING US UNDERSTAND HOW WE CAN COMPLIMENT THE PROGRESS THAT WE'VE ALREADY MADE, UH, AND SET UP THE COMMUNITY FOR SUCCESS. UH, LET ME TIP MY HAT TO, UH, COUNCIL MEMBER COURAGE, UH, WHO HAS BEEN A DOG WITH A BONE ON THIS ISSUE, UH, AND HAS KEPT THE, THE CONVERSATION ALIVE. I APPRECIATE THAT COUNCIL MEMBER COURAGE AND, AND TO THE CHECK COMMITTEE AS WELL FOR, UM, UH, MOVING, UM, THIS CONVERSATION FORWARD. UM, A COUPLE QUESTIONS, UH, THAT I WANTED TO ASK. AND, AND ALSO, I, I WILL RELATE TO THE COUNCIL. I'VE BEEN ON THE PHONE, UH, WITH THE WHITE HOUSE PROBABLY FOUR OR FIVE TIMES IN THE LAST WEEK. AGAIN, REITERATING OUR CONCERN OF THE IMBALANCE BETWEEN SUPPLY AND DEMAND. AND, UM, MY UNDERSTANDING IS THAT, UM, AND ALSO WITH THE STATE, UH, WITH TEXAS DEPARTMENT OF EMERGENCY MANAGEMENT, AND WE KNOW THAT OUR VERY OWN CHIEF AND KID IS UP THERE FINDING ON BEHALF OF ALL TEXANS, BUT BUT ALSO FOR SAN ANTONIO. AND I THINK WE WILL HAVE SOME GOOD NEWS WITHIN THE WEEK, UH, ON INCREASED SUPPLIES OF VACCINES, UH, POTENTIALLY EVEN, UH, THE ONE DOSE SHOT J AND J, WHICH WE'RE HOPING FOR. SO HOPEFULLY GOOD NEWS ON THE HORIZON WITH THAT. UM, IT WILL BE A STEP IN THE RIGHT DIRECTION TO CORRECTING THAT SUPPLY AND DEMAND. UM, BUT AS IT RELATES TO THIS PILOT, I JUST HAVE A COUPLE QUESTIONS. UM, AND I DON'T KNOW WHO THIS WOULD BE FOR, BUT, UH, MAYBE IT'S YOU, DR. BRIDGER. HOW LONG WILL THE PILOT PROGRAM LAST? SO THE PILOT WILL LAST UNTIL WE HAVE A GOOD SENSE OF IF IT IS WORKING. [00:25:01] UM, AND IF IT IS WORKING, THEN THE GROUP THAT'S DEVELOPING THE PILOT WILL GET TOGETHER AND FIGURE OUT IF THIS IS SOMETHING THAT IS CONTINUED TO BE NEEDED FOR, UM, A DIFFERENT POPULATION. AND WE WILL EXPAND IT TO THAT POPULATION. OKAY. IT'S FOR CONTACT. THERE'S ABOUT 86,000 PEOPLE OVER THE AGE OF 65 WHO HAVE NOT YET BEEN VACCINATED. SO WE'RE NOT TALKING ABOUT HUNDREDS OF THOUSANDS OF PEOPLE. UM, AND I DON'T THINK WE'RE ASSUMING THAT A HUNDRED PERCENT OF 65 AND UP ARE GOING TO WANT TO BE VACCINATED. SO IT'S A FAIRLY MANAGEABLE NUMBER, UM, THAT WE'LL BE ABLE TO GET THROUGH RELATIVELY QUICKLY. OKAY. UM, THE MAJORITY OF THE VACCINES, AT LEAST FROM THE MASS VAC SITES IN THIS COMMUNITY, HAVE BEEN ADMINISTERED BY THE UNIVERSITY HEALTH SYSTEM, UH, AND QUITE WELL BASED ON THE CONSUMER RESPONSE. UM, TO THIS POINT, THEY REALLY HAVEN'T BEEN INVOLVED IN THIS DISCUSSION, BUT ARE THEY, UH, PREPARED TO WORK WITH THIS SYSTEM, UH, ONCE IT'S IMPLEMENTED? I DON'T KNOW IF YOU WANNA ANSWER THAT, BRIAN. UM, I, I DO WANNA SAY THAT WE HAVE BEEN IN CONVERSATION WITH GEORGE OVER THE LAST COUPLE OF DAYS, UM, AND . THANKS COLLEEN, AND THANK YOU MAYOR AND COUNCIL. UM, UH, WE HAVE BEEN, UH, DISCUSSING THIS ISSUE NOT ONLY IN THE VAC COMMAND GROUP, UH, BUT ALSO OFFLINE. AND, UM, JOE, UH, IN COLLABORATION WITH OUR, OUR PRESENT C E O GEORGE ANDAND, WE, WE REALLY ARE SUPPORTIVE OF USING HASSA AS A RESOURCE. UH, WE ARE VERY FAMILIAR WITH, ARE VERY FAMILIAR WITH HSA AS WELL. AS PHIL MENTIONED, I SERVE ON THEIR BOARD ALONG WITH DR. KIAN. WE HAVE, UH, A LONG HISTORY OF WORKING WITH THEM. UH, WE DO UNDERSTAND THIS AS A, AS A PROPOSED, UH, OPT-IN PLAN, UH, RELATIVE TO THE VACCINE PROVIDERS, WHICH WOULD CERTAINLY WOULD APPEAL TO US. AND YOU KNOW, I THINK FROM, FROM OUR STANDPOINT, THE DEVIL'S ALWAYS IN THE DETAILS, UM, OBVIOUSLY, AND THOSE WOULD WOULD NEED TO BE WORKED OUT. BUT I HAVE WITH ME BILL PHILLIPS, HE'S OUR, UM, SENIOR VICE PRESIDENT AND CHIEF, UH, INFORMATION OFFICER IN HIS, UH, REAL JOB. BUT HE ALSO HAS REALLY BEEN LEADING A, A MAJORITY OF THE LOGISTICAL, UH, OPERATIONS RELATIVE TO OUR VACCINE DISTRIBUTION, UH, SINCE WE STARTED BACK IN DECEMBER. AND BILL HAS ACTUALLY HAD CONVERSATIONS WITH, UH, PHIL BECKETT, UH, AS WELL OFFLINE. SO I KNOW, UH, HE'S BEEN INVOLVED IN THOSE, UH, DISCUSSIONS AS WELL. BILL, I DON'T KNOW IF YOU WANNA ADD ANYTHING TO THAT. YEAH, THANK YOU DR. ALSIP. SO, GEORGE AND I ACTUALLY HAD A CONVERSATION WITH PHIL YESTERDAY, UM, TRYING TO UNDERSTAND THE PROCESS. AND I BROUGHT UP A FEW COMMENTS JUST FROM OUR OWN EXPERIENCE. WE, WE STARTED THIS PAST MONDAY WITH OUR OWN REGISTRY OF, OF 80 AND ABOVE. AND OF COURSE, OF COURSE, UM, A LOT OF CHALLENGES WITH THAT. WHEN WE TRIED TO CALL BACK FOLKS ON THE REGISTRY, WE HAD OVER 200, UH, EACH DAY. AND WHAT WE FOUND OUT IS OUT OF 200, WE WERE ONLY ABLE TO GET 58 PEOPLE TO ANSWER THE CALL BACK. UM, MANY PEOPLE THINK IT'S A COLLECTION PROCESS. AND SO THE ONES THAT WE'VE REACHED THERE HAS BEEN DISCUSSING, OH, WELL WE DON'T WANT TO TALK TO YOU 'CAUSE YOU'RE PROBABLY COLLECTING SOMETHING. SO WE, WE HAVE FOUND SOME DIFFICULTY ON THE CALLBACK. SO OUTTA 200 PER DAY, WE AVERAGE GETTING 58 FOLKS THAT ACTUALLY SAY THEY WANT THE APPOINTMENT. AND THEN SOME OF 'EM ACTUALLY DON'T WANT IT ANYTIME SOON. WE'VE BEEN ASKED, WELL, CAN I BOOK IT IN JUNE? CAN I BOOK IT IN JULY? AND THEN WE'VE ALSO SEEN THE PHONE NUMBERS THAT HAVE, HAVE BEEN LEFT ARE FOR THE CHILD. SO THE, THE, THE INDIVIDUAL IN THE OLDER ELDER CATEGORY, THEY PUT THEIR SON OR DAUGHTER'S PHONE NUMBER, AND THEN THE SON OR DAUGHTER ANSWERS AND SAID, WELL, I, I KNOW MY MOM OR DAD SIGNED UP FOR THIS, BUT I'M REFUSING, I DON'T WANT THEM TO HAVE THE SHOT. AND SO MY COMMENTS TO PHIL WERE, I THINK IT WOULD BE VERY VALUABLE IF THERE WAS A NOTIFICATION THAT, HEY, YOU'RE IN THE, YOU'RE IN THIS REGISTRY, AND EXPECT A CALL FROM AND LIST THE ORGANIZATIONS THAT WILL BE CALLING THEM FOR THAT APPOINTMENT SO THEY UNDERSTAND WHEN THEY SEE IT ON A CALLER ID THAT YES, THAT I KNOW I'M GONNA ANSWER THAT PHONE. I I KNOW WHAT THEY'RE, THEY'RE CALLING FOR. SO THOSE, THAT'S WHAT WE'VE SEEN A LITTLE BIT THIS WEEK AND WHAT WE'VE, WE'VE EXPERIENCED. AND THEN I ALSO HAD TWO OTHER QUESTIONS ON THE REGISTRY. PHIL, I FORGOT TO ASK HIM YESTERDAY, BECAUSE OF THE POSSIBILITY OF VOLUME, UM, IS THERE GOING TO BE A CAP ON THE REGISTRY? IS IT GOING TO BE 1 MILLION, 5 MILLION, 10 MILLION? WHERE MIGHT THAT END AT? AND THEN ALSO, IS IT GOING TO BE ISOLATED TO BEXAR COUNTY RESIDENTS, OR IS IT FROM WHAT WE SEE ON OUR WEBSITE AND OUR REGISTRY? IT, IT'S FOLKS FROM ALL OVER. SO IS THERE GOING TO BE A PROCESS THAT WE'RE GONNA ALLOW EVERYBODY TO CALL THIS OR WILL IT BE ISOLATED DOWN TO [00:30:01] BEAR COUNTY RESIDENCE? SO AGAIN, WE'RE, WE'RE VERY SUPPORTIVE OF THE CONCEPT, THE IDEA, BUT I JUST WANTED TO MAYBE ALLOW COUNSEL TO HEAR SOME OF THE EARLY EXPERIENCE WE'VE HAD WITH, UH, THE REGISTRY, UH, FROM OUR PERSPECTIVE. AND I WILL ANSWER THE FIRST QUESTION AND REFER THAT THE, I'LL ANSWER ONE QUESTION, REFER ANOTHER QUESTION TO THE PLANNING GROUP THAT WE HOPE YOU WILL JOIN US. UM, SO WE, WE WILL CREATE THIS SYSTEM TO ONLY ALLOW PEOPLE FROM TEXAS TO REGISTER. YOU HAVE TO HAVE AN ADDRESS IN TEXAS IN ORDER TO BE REGISTERED IN THIS DATABASE. AND RIGHT NOW, THE CAP IS LESS IMPORTANT BECAUSE AS I MENTIONED, THERE ARE UNDER A HUNDRED THOUSAND PEOPLE LEFT, UM, OVER THE AGE OF 65 TO BE VACCINATED. BUT WE WILL, UM, PULL YOU INTO THAT CONVERSATION. THANK YOU. OKAY. OKAY. UM, THANK YOU VERY MUCH, UH, FOR THAT. I, I, I MEAN, I, I REMAIN FIRM IN THE BELIEF THAT THIS IS, WE NEED A CRITICAL MASS OF PROVIDERS FOR THIS TO BE EFFECTIVE. AND SO, UM, FOLKS WHO WE ARE FIGHTING TO GET MORE VACCINES INTO YOUR, UM, INTO YOUR REGISTRY OR, OR INTO YOUR, UH, PURVIEW, UH, PLEASE WORK WITH US AND BE PART OF THIS SYSTEM, UH, THAT WE'RE SETTING UP. 'CAUSE IT WILL BE MORE EFFECTIVE, UH, THE MORE DOSES, THE MORE PROVIDERS THAT WE HAVE PART OF IT. SO, AND I, AND I HAPPEN TO THINK IF IT'S SET UP WELL AND THE PILOT WORKS, THERE MIGHT BE NON-PUBLIC PROVIDERS THAT MIGHT WANNA PULL FROM IT TOO. SO, UH, THAT WOULD BE VERY POWERFUL. SO, UH, THAT'S ALL I'VE GOT. THANK YOU VERY MUCH. UM, LEMME TURN IT OVER NOW TO COUNCIL MEMBER SANDOVAL. THANK YOU VERY MUCH, MAYOR. I'D LIKE TO THANK STAFF AND ALL OF OUR GUESTS TODAY FOR MAKING THEMSELVES AVAILABLE, NOT JUST TODAY, BUT IN THE DAYS LEADING UP TO THIS MEETING. I KNOW THAT IT TOOK A LOT OF YOUR TIME, UH, AND YOU WORKED VERY HARD TO GET HERE. UH, BUT I WANNA TELL YOU, I AM EXTREMELY THRILLED WITH THE PROPOSAL THAT YOU'VE BROUGHT FORWARD. I THINK IT IS, UH, MORE INNOVATIVE AND WILL BE MORE EFFECTIVE THAN ANY OF THE WAIT LISTS OR REGISTRIES THAT WE HAVE READ ABOUT IN OTHER CITIES AND OTHER COMMUNITIES. AND BY THE BENEFIT OF OF NOT GOING FIRST, WE HAVE BEEN ABLE TO IDENTIFY WHAT ARE THINGS THAT WE DON'T WANT TO HAPPEN WITH THIS WAIT LIST AND WHAT ARE, UH, HURDLES THAT WE NEED TO PLAN FOR. SO, AGAIN, I WANNA THANK YOU, UH, DR. BRIDGER, DR. KIAN, UH, CRAIG, UH, AS WELL, I TOLD CRAIG, WE ONLY SEE YOU WHEN WE'VE SCREWED UP WITH OUR IT, UH, SECURITY. IT'S REALLY NICE TO SEE YOU OUTSIDE OF, OUTSIDE OF THAT. UM, SO, UH, A, A COUPLE OF UH, COMMENTS. I, I ALSO WANT TO EXTEND A BIG, BIG THANK YOU TO THIS INFORMAL WORK GROUP THAT WE HAVE WITH THE SOUTH SIDE VACCINATION CENTERS, WITH THE WELLMED VACCINATION CENTERS. UH, THAT INCLUDES, UH, MY COLLEAGUES COUNCILWOMAN VIA GRAND AND COUNCILWOMAN ROCHE GARCIA AND, UH, TERESA FROM, UH, FROM SHIRLEY'S OFFICE, UM, AS WELL AS DR. LISA OCHOA. UM, AND OF COURSE, MAJOR GENERAL, UH, JIMMY KEENAN, WHO IS, UH, A TREMENDOUS FORCE TO BE RECKONED WITH WHO IS, UH, RUNNING THOSE TWO SITES, UH, POSSIBLY MORE LIKE THEY ARE A, A VERY, VERY TIGHT SHIP. UM, AND, UH, I'D BE REMISS IF I DID NOT THANK GEORGE, UH, FROM U H S, WHO IS A, A RESIDENT AND NEIGHBOR IN DISTRICT SEVEN, WHO'S ALWAYS AVAILABLE, UH, BY PHONE, BY TEXT TO ANSWER MY QUESTIONS AND, UH, AND TO SET ME STRAIGHT IF I'M . IF I'M COMING UP WITH SOMETHING THAT'S A LITTLE BIT TOO, TOO CRAZY. UM, SO I KNOW THAT THE TALK OF WAIT LIST OR REGISTRY HAS PROBABLY BEEN HAPPENING EVER SINCE, UH, WE'VE EXPERIENCED, UH, CRASHES OR LONG, UH, LONG TIMES ON THE PHONE. AND, UH, FOR, FOR VERY VALID REASONS, OUR STAFF HAS, UH, HAD RECOMMENDED UP UNTIL RECENTLY THAT, UH, NOT TO NOT TO MOVE IN THAT DIRECTION. AND WE WERE ALSO UNDER THE IMPRESSION THAT WE'VE HAD MORE VACCINES SOON. UH, BUT GIVEN THE, THE MISMATCH IN ELIGIBILITY AND VACCINE AVAILABILITY, UM, WE, WE REALLY NEEDED TO, THAT CHANGES THE, THE LANDSCAPE REALLY, THAT WE'RE OPERATING UNDER. SO, SO THANK YOU FOR, FOR RECOGNIZING THAT. UM, WHEN WE BROUGHT THIS UP AT A SESSION, WHEN COUNCILMAN COURAGE BROUGHT THIS UP AT A SESSION, UM, AND WE SENT IT TO CHECK, I, I DO WANNA SHARE WITH YOU THAT WE HAD A VERY FRUITFUL CONVERSATION WITH THE MAJOR VACCINE PROVIDERS. AND I THINK ANY MEMBER OF THAT COMMITTEE AND PRESENTER THAT DAY CAN SHARE WITH YOU THAT THERE WAS A LOT OF GREAT INFORMATION EXCHANGE, UM, AND THERE WAS A COMMITMENT TO CONTINUE COLLABORATING TOGETHER. AND THERE WAS AN ACKNOWLEDGEMENT THAT THE SIGNUP PROCESS WAS, WAS DIFFICULT. [00:35:01] UM, AND I ESPECIALLY WANNA THANK, UH, BOB FROM, FROM UT HEALTH FOR, FOR REALLY BRINGING UP THE IDEA OF HOW DO WE REACH VULNERABLE POPULATIONS AND ASKING FOR OUR ASSISTANCE, UH, WITH THAT. AND THE MORE WE TALKED ABOUT IT, UM, THE MORE WE REALIZED, UM, THAT IS SOMETHING THAT WE CAN HELP THE VACCINE PROVIDERS WITH AND WE'RE IN A GOOD POSITION TO, TO DO THAT. UM, I, I ALSO WANNA SAY THAT IT WAS REALLY A, A CONVERSATION THAT I HAD WITH BOB THAT KIND OF TURNED THE LIGHT BULB ON FOR ME WHEN HE SAID, YOU KNOW, WE'RE TALKING ABOUT TWO DIFFERENT PROBLEMS. ONE OF THEM IS THE VACCINE SUPPLY PROBLEM, BUT THE OTHER ONE IS REALLY THE EXPERIENCE FOR THE PUBLIC AND THE INDIVIDUAL. AND I WANNA BE CLEAR THAT THIS WHOLE TIME, I, I THINK THAT'S WHAT WE'RE TRYING TO SOLVE AS COUNCIL MEMBERS. WE'VE HEARD A LOT, UH, FROM OUR CONSTITUENTS, EVEN THE ONES WHO'VE ALREADY GOTTEN THEIR VACCINES ABOUT HOW, UM, HOW, HOW MUCH THEY STRUGGLED. AND THEY DON'T WANT OTHER PEOPLE TO HAVE TO GO THROUGH THAT. THERE WAS AN ELDERLY COUPLE AT WELLMED, AND I PROMISE I'M GONNA MAKE THIS ONE INTERESTING. UH, THE DAY THAT I, I VOLUNTEERED THERE IN, IN JANUARY, AND ALL THE SENIORS WERE SO CUTE AND, AND JUST VERY GRATEFUL FOR, FOR GETTING THEIR VACCINES. AND THE TEAM AT WELLMED DOES A WONDERFUL JOB OF MAKING EVERYONE FEEL CARED FOR. UH, AND LIKE, THEY'RE, THEY'RE PART OF THE, THE FAMILY THERE. AND I ASKED THEM HOW LONG THEY'D WAITED, UH, ON THE PHONE, AND THEY SAID, WELL, WE WATCHED, UH, EACH OF US HAD OUR PHONES AND WE EACH WERE DIALING WHILE WE WATCHED TWO MOVIES, UH, BACK TO BACK. AND THEN WE GOT IN AND THEY SAID THIS WITH A TREMENDOUS EXCITEMENT AS IF THEY HAD WON THE LOTTERY. UM, SO AS ADORABLE AS THAT WAS, I THINK WE NEED TO RECOGNIZE THAT WHEN IT COMES TO VACCINES, UH, WHICH CAN BE A LIFE OR DEATH, UH, INSTRUMENT, WE DON'T WANT PEOPLE TO HAVE TO PLAY THE LOTTERY, UH, WITH THAT. WE REALLY WANT TO BE ABLE TO GIVE THEM, UH, SOMETHING THAT'S, THAT'S NOT A, A LOTTERY. UM, SO, UH, JUST A A COUPLE OF LAST POINTS BEFORE WE, WE CLOSE OUT AND I, AND I MAKE A MOTION FOR APPROVAL. UH, I WANNA BE CLEAR THAT, UH, WHAT WE'RE ADOPTING TODAY IS, UH, IS AUTHORIZING STAFF TO MOVE FORWARD WITH THIS. UM, WITH THIS PILOT, IT'S NOT A SILVER BULLET. IT WILL NOT BRING US MORE VACCINES, UH, THAT IS DONE SEPARATELY. UH, IT IS ANOTHER TOOL FOR OUR RESIDENTS OVER 65, UH, TO BE ABLE TO USE SO THAT IF WE STREAMLINE OUR REGISTRATION PROCESS, RESIDENTS CAN STILL GO TO, UH, ONLINE, UH, METHODS OR CAN STILL CALL 3 1 1. WE'LL STILL BE ABLE TO CALL OTHER NUMBERS, THAT'S TOTALLY FINE. UH, BUT EVERY RESIDENT THAT COMES THROUGH THIS, UH, PORTAL, UH, WILL, IS ONE LESS PERSON THAT IS CRASHING, UH, A WEBSITE, UH, SOMEWHERE ELSE. SO, AGAIN, I WANNA THANK EVERYONE AND, UH, AND THANK THOSE OF YOU WHO SIGNED THE THREE SIGNATURE MEMO, UH, TO BRING THIS, UH, TOPIC FORWARD WHILE WE, WE COULD HAVE WAITED TO, TO GO BACK TO CHECK TO TALK ABOUT IT. UH, GIVEN THE ANNOUNCEMENT BY THE GOVERNOR, IT REALLY WAS, UH, WAS URGENT TO GET COUNSEL, UH, SUPPORT AND APPROVAL SO WE COULD GET, UH, ROLLING ON THIS. UM, SO WITH THAT, SO THANK YOU COUNCILMAN COURAGE AND COUNCILWOMAN VRAN FOR THAT. UH, SO WITH THAT, I MOVE TO APPROVE. SECOND, UH, ALRIGHT, THERE'S A MOTION AND A SECOND FOR APPROVAL OF ITEM, UM, ONE, UH, WE'LL CONTINUE WITH OUR COUNCIL DISCUSSION ON THE ITEM. WE'LL GO TO COUNCIL MEMBER ROCI GARCIA. THANK YOU, UM, MAYOR AND THANK YOU EVERYBODY THAT'S ON THE CALL FOR, UM, BEING HERE AND WILLING TO SERVE YOUR COMMUNITY BEYOND WHAT YOU ALL HAVE ALREADY DONE. AND I'M SORRY, JUST, IS MY VIDEO SHOWING YOU? I KNOW ANDY WILL GET AFTER ME. THERE WE GO. ANDY, IS THAT BETTER? SORRY. UM, SO THANK YOU, UH, EVERYONE, I DO HAVE TO SAY THAT YESTERDAY WAS, UH, NATIONAL DOCTOR'S DAY. I SEE A WHOLE LOT OF DOCTORS, UM, ON MY SCREEN RIGHT NOW. SO, UM, I HOPE YOU HAD A, A GOOD TIME CELEBRATING THAT WE CELEBRATE YOU AS A COMMUNITY FOR ALL OF THE WORK THAT YOU'VE DONE, NOT ONLY THROUGHOUT THIS PANDEMIC, BUT JUST GETTING, UH, OUR, OUR, OUR RESIDENTS AS HEALTHY AS POSSIBLE FOR THE NEXT, UM, GO AROUND AS WELL. AND WE NEVER KNOW WHAT THAT COULD BE. UM, I ALSO WANNA THANK, UH, MY COLLEAGUES COUNCILMAN, UH, SANDOVAL AND, AND COUNCILMAN DERAN AND COUNCILMAN COURAGE, UH, FOR BEING ABLE TO HAVE THIS, THIS DISCUSSION TODAY, WHICH I THINK, UM, IS VERY IMPORTANT. I, UM, HAVE TO THANK ALSO, UM, SPECIFICALLY, UH, MAJOR GENERAL, UH, JIMMY KEENAN. AND SO, UM, I'M VERY PROUD THAT THE CIRO CENTER HAS THE MOST VACCINATED PEOPLE, 65 PLUS [00:40:01] AT THAT CENTER. AND THAT'S EXACTLY WHAT WE INTENDED TO DO. AND THAT'S EXACTLY WHAT MAJOR GENERAL HAS BEEN JUST SO FOCUSED ON. AND SO FROM THE BEGINNING, SHE'S BEEN COMMITTED TO THAT. AND SO THANK YOU SO MUCH FOR YOUR LEADERSHIP THERE. THIS IS THE LAST DAY OF WOMEN'S HISTORY MONTH 2021, AND I THINK THAT IT'S APPROPRIATE TO RECOGNIZE YOUR CONTRIBUTIONS. UM, MAJOR GENERAL KEENAN, WE REALLY APPRECIATE YOU. UM, I ALSO WANT TO JUST REMIND EVERYBODY THAT THERE'S, THERE WAS A, A WHOLE LOT OF INFORMAL WAYS OF, UM, OF, I, I GUESS GETTING ON LISTS, IF YOU WILL. AND I APPRECIATE THAT THIS, UM, LIKE ERIC WALSH MENTIONED, FORMALIZES AN INFORMAL LIST PROCESS. AND SO I THINK THAT IT, IT BRINGS TOGETHER THE BEST OF EVERYONE, AND WE ARE REALLY JUST TRYING TO, UH, GET AS MANY PEOPLE TO HAVE THIS VACCINE AS POSSIBLE. AND SO, AGAIN, JUST THE COLLABORATIVE EFFORTS JUST SIMPLY AMAZE ME. AND SO, UM, FOR YOU ALL THAT, THAT, THAT DON'T KNOW, THESE PEOPLE HAVE WORKED THROUGHOUT THE WEEKEND, UM, LIKE FRIDAY NIGHT, SATURDAY, SUNDAY. I MEAN, THEY'VE, THEY'VE GIVEN UP A LOTS OF CRAIG, THANK YOU SO MUCH. I KNOW YOU, YOU SAID SOME OF IT MIGHT BE WHAT NO, NO, YOU SAID IT WAS EASY. AND SO TO US IT SEEMED LIKE AN INSURMOUNTABLE TASK, BUT YOU CAME IN AND YOU WERE JUST CRAIG AND FIXED EVERYTHING. SO THANK YOU SO MUCH FOR, FOR WHAT YOU DID AND, AND HASSA FOR THE OPPORTUNITY TO PARTNER WITH YOU ON. I DO WANNA JUST GIVE, UM, A RECOMMENDATION, AND I KNOW WE HAVEN'T TALKED ABOUT THIS, WE CERTAINLY DIDN'T TALK ABOUT THIS ON SUNDAY WHEN WE MET, BUT JUST A REMINDER, UM, THERE IS STILL A POPULATION OUT THERE THAT ONLY SPEAKS SPANISH. AND SO WE HAVE TO BE MINDFUL OF THAT AND HOW IT IS THAT WE CONNECT WHETHER, I KNOW THE SIMPLE SOLUTION IS GOOGLE TRANSLATE, BUT THAT DOESN'T ALWAYS TRANSLATE. AND LET ME GIVE YOU A GREAT EXAMPLE. ON MY WAY TO B SESSION. I WAS COMING FROM, UM, FROM A DOCTOR'S VISIT, AND MY DAD CALLED ME FRANTICALLY AND, AND MY DAD DOESN'T TYPICALLY JUST CALL IN THE MIDDLE OF THE DAY, AND HE, UH, HE SAID HE WANTED TO SHOW ME SOMETHING. AND IF MY DAD'S TRYING TO SHOW ME SOMETHING, THEN I, I FREAK OUT BECAUSE AGAIN, HE USUALLY WAITS UNTIL I SHOW UP EVERY NIGHT. SO HE SHOWS ME THIS FLYER AND HE'S REALLY CONFUSED. AND IT WAS A DOOR HANGER. AND THE DOOR HANGER, UM, SAID, UH, THAT, UM, UM, UNDOCUMENTED FOLKS WERE NOT ELIGIBLE TO RECEIVE THE VACCINE. I KNEW THAT WAS WRONG. UM, THAT I KNEW THAT WAS ENTIRELY WRONG BECAUSE SINCE THE BEGINNING OF THE PANDEMIC, WE'VE SAID THAT EVERYBODY RECEIVES THIS VACCINE. UM, IN FACT, UNDOCUMENTED WORKERS ARE ESSENTIAL WORKERS. THEY'RE ON OUR FRONTLINE. SO WE NEED TO CONTINUE TO PROTECT EVERYONE, AND THAT'S WHAT WE DO IN THE MEDICAL COMMUNITY. THAT'S WHAT YOU ALL DO, RIGHT? AND SO, UM, SO MY DAD WAS JUST TERRIFIED. AND SO HE WANTED ME TO SEE THIS, AND I STOPPED BY AND IN FACT, THERE WAS A DOOR HANGER. AND WHAT HAD HAPPENED, I WOULD IMAGINE, IS THAT IT WAS TRANSLATED. UM, SO WHAT HAPPENED IS ON THE ENGLISH SIDE, IT SAID, IF I'M AN, UH, IF, IF YOU'RE UNDOCUMENTED, CAN YOU STILL GET THE VACCINE? AND IN ENGLISH IT SAID, YES, YOU WILL NOT BE, BE REQUIRED TO SHOW CITIZENSHIP. BUT ON THE BACK IT WAS TRANSLATED TO SPANISH AND THE QUESTION CHANGED. AND SO BECAUSE THE QUESTION CHANGED, IT REMAINED NO, BUT THEN THAT TO PEOPLE READING IT, IT WAS CONFUSING BECAUSE IT SAID, NO UNDOCUMENTED, UH, FOLKS CANNOT RECEIVE THE VACCINE, BUT NO PROOF OF CITIZENSHIP WILL BE REQUIRED. AND SO MY DAD WAS GENUINELY CONCERNED FOR FOLKS BECAUSE HE IS LIKE, THERE'S A LOT OF PEOPLE HERE THAT ARE NOT DOCUMENTED, LIKE, CAN THEY NOT GET THE VACCINE? AND SO, SO TO MY DAD, THAT WAS AN URGENT CALL. LIKE HE, HE MADE ME BASICALLY STOP BY AND I, I WAS AFRAID THAT IT WAS GONNA BE LATE TO B SESSION, BUT IT WAS TOTALLY WORTH IT, UM, TO STOP BY. AND I JUST WANTED TO BRING THAT UP AS AN EXAMPLE THAT WE NEED TO CONTINUE TO, TO WATCH OUT FOR, UM, THE POPULATIONS ALSO FOR FOLKS THAT NOT BE ABLE TO, UM, REGISTER BECAUSE, UM, IF THIS IS ONLINE, LIKE WHAT ARE WE DOING FOR FOLKS WITH DIFFERENT ABILITIES, UM, PEOPLE WHO, UM, HAVE, UM, YOU KNOW, SO, SO DIFFERENT NEEDS. AND SO JUST, I'M SURE WE'LL CONTINUE TO WORK WITH SOME OF THESE OTHER ORGANIZATIONS THAT REACH OUT TO THOSE POPULATIONS, BUT I JUST NEVER WANT TO FORGET THEM. AND I JUST THOUGHT THAT I'D MENTIONED THAT TODAY. BUT THOSE ARE ALL MY COMMENTS. I'M VERY EXCITED ABOUT THIS. I'M LOOKING FORWARD TO THE NEXT STEPS, AND JUST THANK YOU AGAIN FOR BEING A PART OF THE SOLUTION. THANK YOU, MAYOR. THANK YOU. COUNCIL MEMBER ROCHA GARCIA, COUNCIL MEMBER GRA THANK YOU MAYOR. AND, UH, THANK YOU COUNCIL MEMBER, UH, DR. ROCHA GARCIA FOR SHARING THAT. AND, AND THAT WAS THE CITY OF SAN ANTONIO DOOR HANGER? THAT WAS, THAT SAID THAT TOO. UH, SO JUST TO BE CLEAR, UM, THANK YOU, COUNCIL MEMBER, UH, SANDOVAL AND, UH, COUNCIL MEMBER COURAGE. UM, I'M GLAD TO HAVE SIGNED, BEEN ABLE TO SIGN, UH, THE THREE SIGNATURE MEMO TO HAVE THIS MEETING TODAY AND HAVE, AND BRING THIS TO, UH, THE FOREFRONT BECAUSE OF ALL THE CHANGES THAT HAVE, UH, HAD TO HAPPEN. [00:45:01] AND I THINK THROUGH THIS WHOLE THING, WE'VE HAD TO PIVOT AND MOVE AND, UM, REALLY WORK TOWARDS AND ADAPT TO OUR CIRCUMSTANCES. UM, THANK YOU ALSO TO, UH, DR. LISA OCHOA, WHO ALSO CAME FORWARD WITH, UH, CONNECTING WITH HASSA AND OF COURSE, UT HEALTH AND ALL OF THE WORK THAT THEY'VE ALREADY STARTED AND MAKING ALL OF THESE CONNECTIONS. UM, YES, I HAVE TO SAY AGAIN, IF I CAN ALWAYS MENTION THANKS TO, UH, A MAJOR GENERAL, UM, JIMMY KEENAN AND THEIR WORK THERE AT WELLMED. AND I HAVE A QUESTION REGARDING, I DON'T KNOW, DR. BRIDGER, IF YOU CAN ANSWER THIS QUESTION OR NO, WE HAVE OUR, OUR TEAM FROM U H S HERE. SO SINCE HAVE WE SEEN AN INCREASE OF DOSES, DOSES TO U H SS AT ALL? BECAUSE I KNOW WE ARE ALL KIND OF GETTING OUR SAME STANDARD OF, OF DOSES, BUT HAS, UM, US HAVE ANY OF, ACTUALLY ANY OF OUR PROVIDERS SEEING AN INCREASE OF DOSES, THIS, THIS IS REAL FROM YOU, U H SS, AND WE HAVE NOT, WE HAVE BEEN SITTING ON OUR 12,870 THAT WE RECEIVED FIRST DOSES FOR QUITE A LONG TIME. YEAH, AND I WOULD JUST ADD FROM THE COUNTYWIDE PERSPECTIVE, THE MASS VACCINATION SITES HAVE BEEN ABOUT THE SAME FOR THE LAST FOUR WEEKS. WE ALL DID GET ABOUT A 20 TO 30% INCREASE O OVER A MONTH AGO. BUT WHERE THE INCREASE IN VACCINES COMING INTO BEXAR COUNTY, IT'S COMING MOSTLY DIRECT SHIPMENT FROM THE FEDERAL GOVERNMENT TO THE PHARMACY. SO THE CVSS, CVSS, WALGREENS, ET CETERA. UM, BUT THE MASS VAC SITES HAVE BEEN PRETTY STABLE. OKAY. THANK YOU. AND I DO, UM, HAVE TO ALSO, I'D, I WANTED TO ACKNOWLEDGE AND THINK, UM, SOME OF THE MEMBERS OF THE, UM, HOSPITAL BOARD AT THE COUNTY WHO, UH, WERE ABLE TO TALK WITH US TO HAVE CONVERSATIONS WITH US IN THE PAST. UM, BUDDY, DR. UH, KELLY, THANK YOU VERY MUCH FOR, FOR YOUR WORK AND ALL OF THE WORK THAT YOU'RE DOING ON THE HOSPITAL BOARD. UM, I DID, I HAVE ONE QUESTION FOR PROCESS QUESTION. WHEN WE COME TO, UM, THE PROVIDERS PULLING FROM THIS WAIT LIST, AND IF IT'S, YOU KNOW, KNOW, REACTIVE OR PROACTIVE AS IT WAS MENTIONED, WOULD THE PROVIDERS BE ABLE TO PULL CERTAIN ZIP CODES BECAUSE SAY THEY HAVE SOME DOSES, UM, AVAILABLE IN THEIR VICINITY, BUT THEY GOTTA GET THE PEOPLE THERE WITHIN 30 MINUTES. SO I THINK GOING INTO THEIR AREA WITH CERTAIN ZIP CODES, WOULD THEY BE ABLE TO PULL OR, UM, REALLY HONE IN ON THAT IN ON, ON THAT KIND OF DETAIL? YES, ABSOLUTELY. YEAH, I, I'LL OFFER COUNCILWOMAN THAT THAT'S THE CRITERIA WE WANT THE PROVIDERS TO, TO, TO DEFINE THEMSELVES. SO AS LONG AS WE'VE COLLECTED THAT IN THE QUESTIONNAIRE, THEY'LL BE ABLE TO SORT BY THAT. OKAY, FANTASTIC. ABSOLUTELY. THANK YOU VERY MUCH. THANK YOU. THANK YOU ALL VERY MUCH. I'M VERY ENCOURAGED BY THIS. I THINK, UM, WE, WHEN THE PRESIDENT SPOKE, UH, A COUPLE WEEKS AGO, WHAT, YEAH, A COUPLE OF WEEKS AGO SAYING THAT HE WAS GOING TO OPEN IT UP, UH, BY AT LEAST MAY, THAT ANYBODY OVER, UM, 18 WOULD BE ABLE TO HAVE A VACCINE, BUT THEN WHEN THE GOVERNOR ALSO OPENED IT QUICKER, WE KNEW THAT WE HAD TO BE PREPARED. WE KNEW THAT WE HAD TO GET SOMETHING MOVING. UM, AND I'M REALLY PROUD OF THIS PILOT AS WE'RE MOVING FORWARD SO FAR. AND I'M LOOKING FORWARD TO GREAT RESULTS AND A SENSE OF RELIEF FOR PEOPLE TO KNOW THAT THEY ARE ON A, A LIST TO BE ABLE TO GET, UM, MOVING AND THAT THIS CAN ALSO BRING SOME RELIEF TO OUR PROVIDERS TO REACH OUT TO OUR VULNERABLE POPULATIONS AND TO GET, UM, THOSE NAMES IN ORDER TO GET, UM, OUR 65 PLUS OUR 80 YEAR OLD PLUS VACCINATED AND PRIORITIZED, BECAUSE WE STILL NEED TO MAKE SURE THAT OUR ENTIRE COMMUNITY AND OUR MOST VULNERABLE ARE TAKEN CARE OF. AND I'M GLAD THAT YOU'LL BE ABLE TO DO THIS. WE'LL BE ABLE TO DO THIS FROM I AN ONLINE OPTION, A TELEPHONE OPTION, AND CONTINUE TO WORK OUT, UM, THINGS IN OUR PROCESS THAT WE DON'T EXACTLY, UM, KNOW YET. AND I, I AM SO PROUD OF THE WORK AND THIS TEAM AND, AND THE ABILITY TO ADAPT. AND THIS IS ANOTHER GREAT EXAMPLE OF WHAT SAN ANTONIO DOES SO WELL, COMING TOGETHER TO COLLABORATE AND TO MAKE SURE THAT, UM, WE TAKE CARE OF OUR, OUR COMMUNITY. SO, [00:50:01] UH, THANK YOU, MAYOR. THANK YOU ALL FOR YOUR WORK, AND I'M LOOKING FORWARD TO, UH, POSITIVE RESULTS. THOSE ARE MY COMMENTS. THANK YOU. COUNCIL MEMBER VIA GRIND, COUNCIL MEMBER BERDA. THANK YOU MAYOR. UM, DR. BRIDGER, YOU, YOU MENTIONED 5 MILLION PHONE CALLS WERE RECEIVED BY THE CITY'S VACCINATION CLINIC. HOW WAS THAT CALCULATED? WERE THOSE CALLS THAT RECEIVED A APPOINTMENTS OR THAT MADE IT THROUGH, OR NO, JUST TO CLARIFY, THAT'S A WELLMED STATISTIC. SO THEY ARE THE SITE THAT, UM, HAS EXCLUSIVE REGISTRATION VIA PHONE CALL, AND, UM, THEY REPORTED OVER 5 MILLION CALLS. SO IF YOU'D LIKE MORE DETAILS, UM, JIMMY CAN ANSWER FOR US, THAT'S ACTUALLY 5 MILLION, UH, ATTEMPTS ON THE LINE. SO FIVE, 5 MILLION ATTEMPTS ON THE LINE. AND SOME OF THOSE ARE FROM MULTIPLE PEOPLE. AND, AND, UH, T WHO'S THE VENDOR, UH, THAT, UH, IS THE CALL CENTER THAT'S TAKING ALL THOSE CALLS, IS ABLE TO ACTUALLY TELL HOW MANY TIMES SOMEBODY ATTEMPTED TO CALL. AND AS YOU KNOW, EARLY ON, WE HAD SEVERAL PEOPLE, YOU KNOW, THAT WOULD GET INTO TO THE HUNDREDS OF TIMES TO CALL. I WILL TELL YOU IN, UH, THE PAST, UH, FEW WEEKS, WHAT WE'VE SEEN IS A DECREASE IN THE NUMBER OF CALLS ON THE LINE. AND THAT, UH, IN FACT, ON SOME DAYS OF THE WEEK, IT'S DOWN INTO THE THOUSANDS. I WILL TELL YOU SINCE THE GOVERNOR'S ANNOUNCEMENT OF, UH, 16 AND OVER, AND REMEMBER, FOR US IT'S 18 AND OVER BECAUSE WE GIVE MODERNA. IT'S BEEN, UH, WE SAW A SIGNIFICANT UPTICK ON MONDAY, MORE AROUND 64,000 CALLS TO ATTEMPTS ON THE LINE. OKAY. SO THEY, I WOULDN'T, THOSE WERE ATTEMPTS. RIGHT. RIGHT. OKAY. UM, SO, UM, HOW WILL THE CENTRALIZED SIGNUP SYSTEM ACCOMMODATE THE DISABLED, PARTICULARLY INDIVIDUALS WHO ARE BLIND OR HARD OF HEARING? SO WE ARE ALLOWING PROXY REGISTRATION, UM, SO OTHER PEOPLE CAN SIGN UP INDIVIDUALS OVER THE AGE OF 65 ON THEIR BEHALF TO INCLUDE ORGANIZATIONS AND JUST, YOU KNOW, IF IT'S MY MOTHER, I CAN SIGN HER UP. WHAT IF THEY'RE NOT OVER 65, THEN THEY ARE NOT PART OF THIS PILOT. OKAY. OH, SO I DIDN'T CATCH THAT. THIS IS ONLY 65 AND UP. YES. GOT IT. OKAY. AND COUNCILWOMAN, WE COULD ALSO, 'CAUSE YOU KNOW, OUR COMMUNITY HEALTH WORKERS ARE OUT IN THE COMMUNITY AND, AND UT UT HEALTH IS DOING A LOT OF THIS OUT IN THE COMMUNITY AS WELL. BUT WE'RE SIGNING PEOPLE UP NOW. UM, AND WE WOULD USE OUR COMMUNITY HEALTH WORKERS TO ACT AS PROXIES TO PUT PEOPLE ONTO THIS WAIT LIST AS WELL. OKAY. OKAY. THANKS. UH, I JUST WANNA ONE MORE COMMENT. I HAD THE OPPORTUNITY TO VISIT WELLMED IN, IN DISTRICT SIX AT THE ALICIA TINO LOPEZ SENIOR CENTER. AND IT WAS RUN LIKE A WELL-OILED MACHINE. I WAS REALLY GRATEFUL TO SEE HOW, UM, EVERYONE WAS SOCIAL DISTANCING, THEY HAD MASKS READY AND PEOPLE WERE COOPERATING. IT WAS, UM, SO THANK YOU TO JARED, ESTHER AND VANESSA WHO ARE SO INVESTED IN OUR SENIORS, MAKING SURE THEY'RE RECEIVING THEIR VACCINATIONS. I ALSO WANNA RECOGNIZE GUNNO HEALTH CLINIC IN MY DISTRICT, WHO SUCCESSFULLY ADMINISTERED 3,500 VACCINES OVER THE WEEKEND ON A WALK-IN BASIS. AND, UM, I WENT BY THERE AND THEY, THEY WERE, THEY HAD LINES OUT THE DOOR. SO I'M REALLY GRATEFUL THAT THEY DID THEIR PART AND GRATEFUL THAT THE CITY OFFERED THAT OPPORTUNITY. THANK YOU, MAYOR. THANK YOU. COUNCIL MEMBER CAB, COUNCIL MEMBER, UH, TRI. THANKS, MAYOR. AND THANK YOU TO MY COLLEAGUES FOR CALLING THIS MEETING TODAY. UH, I SUPPORT THE CREATION OF, UH, OF A REGISTRY BECAUSE IT, IT CAN HELP US FOCUS ON SPECIAL POPULATIONS LIKE OLDER AMERICANS AND THOSE WITH A DISABILITY. UH, I LIKE MANY ON THE STATUS FIELD. SAN ANTONIO HAS NEEDED A REGISTRY FOR QUITE SOME TIME. IT IS NOT A PANACEA, BUT A TOOL THAT CAN HELP US ENSURE THAT MOST VULNERABLE RESIDENTS HAVE ACCESS TO THE VACCINE. UH, GIVEN THE DIGITAL DIVIDE AND OTHER SOCIOECONOMIC FACTORS, THE REGISTRY CAN ALSO HELP US DETERMINE WHO AND WHAT AREAS HAVE NOT RECEIVED THE VACCINE SO WE CAN TAKE MORE TARGETED ACTIONS. LAST, BECAUSE OF VARIANCE, UH, THERE IS A CHANCE THAT WE WILL NEED A BOOSTER SHOT. IT WOULD BE GREAT IF WE HAD A DIGITAL INFRASTRUCTURE IN PLACE TO SWIFTLY DELIVER ANY BOOSTER AND FINALLY DEFEAT THIS VIRUS. UH, AGAIN, THANK YOU TO MY COLLEAGUES. THANK YOU, UH, TO ALL OUR HEALTH PROFESSIONALS, FIRST RESPONDERS AND FRONTLINE WORKERS. I'LL BE SUPPORTIVE. THANK YOU. THANK YOU. COUNCIL MEMBER TREVINO. COUNCIL MEMBER PAL. THANK YOU, MAYOR. UM, SO DR. BRIDGER, I JUST, I I, I JUST WANNA MAKE SURE WHAT IT IS THAT WE'RE VOTING ON TODAY. UM, [00:55:01] THIS IS GONNA BE A PILOT PROGRAM WITH A VERY LIMITED SCOPE OF WHO PE YOU KNOW, OF THE PEOPLE WHO CAN SIGN UP. AND THEN IF IT WORKS, WE'LL GRADUALLY EXPAND THAT TO MORE PEOPLE, RIGHT? CORRECT. STARTING WITH 65 AND UP, AND THEN IF IT WORKS, WE CAN EXPAND IT. ALL RIGHT. AND, UM, MY UNDERSTANDING IS THAT THIS, THIS DOESN'T INCLUDE ALL DOSES IN SAN ANTONIO, THIS IS JUST FOR OSA'S LIMITED SUPPLY, RIGHT? NO, SIR. UM, WE HAVE PARTICIPATION FROM ALL FOUR MASS VACCINATION SITES. UM, NOW PARTICIPATION CAN BE DEFINED DIFFERENTLY, BUT THEY HAVE ALL SAID THAT, UM, WHEN THEY GET TO THAT POINT, THEY WILL REACH OUT TO THIS DATABASE AND REQUEST NAMES OF PEOPLE WHO MEET THE CRITERIA OF THE POPULATIONS THAT THEY WISH TO SERVE. RIGHT. BUT THAT DOESN'T TAKE AWAY THEIR RIGHT TO MANAGE THEIR DOSES, UH, ACCORDING TO THEIR OWN GUIDELINES, RIGHT? CORRECT. THAT'S ONE OF THE REALLY NEAT THINGS ABOUT THIS ITERATION ON A WAIT LIST. OKAY. UM, SO YOU, YOU SAID WAIT LIST. AND SO, UM, WAITLIST IS, TO ME, WAIT LIST DOESN'T NECESSARILY MEAN REGISTRY, UH, AND WORDS ARE IMPORTANT HERE. AND SO I, I WANNA MAKE SURE THAT, YOU KNOW, THE PUBLIC UNDERSTANDS TODAY THAT THIS LIST DOES NOT CREATE MORE VACCINES AVAILABLE FOR PEOPLE. UM, AND THAT THIS LIST ISN'T GOING TO GET YOU VACCINATED QUICKER. IS THAT ACCURATE, DR. BRIDGER? SO THE FIRST STATEMENT IS ABSOLUTELY ACCURATE. UM, I THINK THE SECOND STATEMENT, I THINK IT DOES GET THE PEOPLE 65 AND UP TO THE FRONT OF THE LINE. SO IT MIGHT HELP THAT, YOU KNOW, 86,000 PEOPLE WHO ARE REMAINING PERHAPS GO A LITTLE BIT FASTER. OKAY. SO WHAT I'M, UH, I'M, I'M GONNA VOTE FOR IT. JUST 'CAUSE IF WE CAN GET THE MOST VULNERABLE OF US, UM, UM, TO THE FRONT OF THE LINE, THAT'S, THAT'S BETTER THAN, THAN WHAT WE'VE GOT RIGHT NOW. UM, I I DO WANNA POINT OUT THAT, UM, YOU KNOW, UH, THIS LIST, UH, MAY IT MIGHT WORK, BUT IT ALSO JUST MIGHT BE, UM, IT, IF IT DOESN'T WORK, IT'LL JUST BE A PLACEBO, RIGHT? AND I, I DON'T WANT THIS TO BE A PLACEBO THAT PACIFIES PEOPLE, UM, UH, AND NOTHING ELSE. UM, AND SO HOW WILL WE KNOW IF IT'S WORKING? DR. BRIDGER, WE HAVE A WEEKLY REPORT WHERE WE ARE ABLE TO QUANTIFY THE NUMBER OF PEOPLE BY AGE WHO HAVE BEEN VACCINATED. SO WE WILL BE ABLE TO TRACK WEEKLY, ONCE THIS PILOT ROLLS OUT, WE WILL BE ABLE TO TRACK IMPROVEMENTS IN THE PERCENTAGE OF PEOPLE OVER THE AGE OF 65 WHO HAVE BEEN VACCINATED. OKAY. IS THAT A REPORT WE'VE ALREADY BEEN PUTTING OUT? YES, SIR. YES. OKAY. AND SO WE'LL KNOW THIS IS, I, I MEAN, I GUESS WHAT I'M TRYING TO FIGURE OUT IS HOW WILL WE KNOW THIS HAS WORKED? UM, AND HOW WILL THE REPORT INDICATE WHETHER OR NOT THIS IS WORKING DIFFERENT THAN IT WAS LAST WEEK, LET'S SAY? I THINK I'LL HAVE BACK TO YOU ON THAT BECAUSE THERE'S, THERE'S A LOT OF WAYS TO ANSWER THAT QUESTION, COUNCILMAN. UM, LET ME GET A BETTER ANSWER TO YOU, UM, WHEN I HAVE SOME TIME TO THINK ABOUT THE BEST WAY TO DO THAT. AND, AND PART OF THAT IS THE WAY OF CHANGE, COUNCILMAN, THOSE, THOSE ARE, THAT'S PART OF THAT WEEKLY REPORT THAT WE SEND TO COUNCIL. IT, IT, IT, IT'LL, IT'S GONNA BE SEEN IN, I WOULD THINK IN THE RATE OF CHANGE. 'CAUSE THERE'S GONNA BE, THERE'S GONNA BE CHANGES IN THE PERCENTAGES ON A WEEKLY BASIS, AND WE'VE GOT AT LEAST A GOOD MONTH AND A HALF, TWO MONTHS UNDERNEATH OUR BELL. UM, SO, SO PART OF THAT MIGHT BE RATE. YEAH. AND I, I HOPE YOU'RE RIGHT. I, I GUESS WHAT I'M TRYING TO FIGURE OUT IS, IS, UM, YOU KNOW, A CAUSAL NEXUS BETWEEN HAVING A LIST AND, YOU KNOW, AND IMPROVED RESULTS. UM, BECAUSE IF I JUST GO OUT TO THE PUBLIC AND SAY, WELL, WE GOT A REPORT AND THOSE, AND THE RATES ARE THE SAME, UM, THEN, YOU KNOW, I DON'T KNOW HOW TO ANSWER THE QUESTION I JUST ASKED, WHICH IS, WELL, HOW DO WE KNOW IT WORKED? RIGHT? UM, AND HOW DO WE KNOW IT WASN'T JUST A PLACEBO, UM, TO PACIFY CITY COUNCIL MEMBERS AND THE PEOPLE WHO WERE, YOU KNOW, PRESSING CITY COUNCIL MEMBERS. AND, YOU KNOW, AT, AT THE END OF THE DAY, I, SOMEBODY, SOMEBODY TOLD ME TODAY, AND I AGREE WITH THEM, RIGHT? BECAUSE IF THIS DOESN'T WORK, THEN WHAT WE'VE GOT IS, IS, YOU KNOW, SORT [01:00:01] OF A, A LIST THAT IS LIKE A MULLET HAIRCUT, RIGHT? WHICH IS ALL BUSINESS UP FRONT AND A HOT MESS IN THE BACK. UM, AND I, I JUST WANNA MAKE SURE THAT THIS THING'S GONNA WORK ON THE FRONT END AND ON THE BACK END. SO THAT'S IT. I'LL, I'LL, I'LL, UH, I'LL VOTE, UM, IN FAVOR OF IT. I'M, I'M JUST CAUTIOUSLY OPTIMISTIC. UM, AND I HOPE IT, I HOPE IT ALL WORKS OUT AND I DON'T SEE ANY HARM IN NOT DOING IT. SO, UM, I'M SORRY. I DON'T SEE ANY HARM IN DOING IT. UM, SO, UH, THANKS MAYOR. THOSE ARE MY COMMENTS. THIS IS, UH, GO AHEAD, BOB. YEAH, THANKS. LEMME JUST GIVE A REAL BRIEF SHOT AT THAT ANSWER AS WELL. HERE AT UT HEALTH, WE'VE BEEN DEALING WITH LISTS LIKE THIS REALLY SINCE OUR INCEPTION. I, I THINK, UH, DID A, A GOOD JOB OF, UM, DISCUSSING SOME OF THE CHALLENGES. AND, AND MAYBE TO ANSWER TO YOUR QUESTION, IF THE TWO GOALS OF THESE, OF THIS REGISTRY AS ONE IS TO IMPROVE THE, UM, THE COMMUNITY MEMBERS' EXPERIENCE OF SIGNING UP. AND THE OTHER GOAL IS TO BETTER TARGET HIGH RISK POPULATIONS. AND I THINK THOSE ARE THE TWO MAIN GOALS. WE'RE PROBABLY NOT GONNA VACCINATE ANY MORE RAPIDLY THAN WE HAVE. WE'RE ACTUALLY DOING PRETTY WELL IN THAT REGARD. THEN THERE'S PROBABLY NO GOLD STANDARD FOR ASSESSING SUCCESS. I THINK IF YOU LOOK AT OVERALL RATES FROM AN AGGREGATE BASIS, IT'LL BE HARD TO TEASE IT OUT. I WOULD SAY PROBABLY ONE OF THE BEST INDICATORS OF SUCCESS FOR THIS REGISTRY IS HOW FAST WE'RE ABLE TO MOVE PATIENTS OFF OF THE LIST ONCE THEY GET ON IT. AND THAT WOULD BE PRETTY EASY TO MEASURE. AND I THINK THAT WOULD BE AT LEAST ONE FAIR ASSESSMENT OF, OF, UM, SUCCESS WITH, UH, THESE LISTS. ONE OTHER THING THAT I WILL JUST THROW OUT THERE VERY QUICKLY IS THAT IN, IN ORDER TO MINIMIZE THE BURDEN ON THE, UH, THE MASS VACCINATION CENTERS, UH, THE MORE CURATED THE LISTS ARE, IN OTHER WORDS, THE MORE, THE MORE WORK YOU PUT UP FRONT, THEN THE LESS WORK THERE IS IN SORTING OUT THESE LISTS AT THE LEVEL OF THE VACCINATION CENTER. AND, AND AGAIN, I THINK U H DEMONSTRATED THAT THERE CAN BE A LOT OF WORK, YOU CALL 'EM BACK AND THEY DON'T ANSWER OR THEY DON'T WANT IT, OR THEY HAVE QUESTIONS OR THEY WANNA DELAY IT. SO THE, THE MORE, THE MORE CURATED THE LIST IS, MEANING IF YOU HAVE HEALTHCARE WORKERS CREATE THE LIST OR IF YOU HAVE BEXAR COUNTY MEDICAL SOCIETY, DOCTOR OFFICES CREATING THOSE LISTS, UH, THE MORE WORK THAT GOES INTO THE LIST AS OPPOSED TO JUST LETTING PEOPLE SIGN UP, YOU KNOW, DIRECTLY FROM THE PUBLIC THAT WILL CURATE THE LIST AND MAKE IT MUCH MORE EFFICIENT TO USE SO THAT IT WILL MOVE QUICKER. AND CONSEQUENTLY, I WOULD SAY, BE MORE SUCCESSFUL. SO I'LL JUST LEAVE IT AT THAT. YEAH. THANK YOU, DOCTOR, AND I APPRECIATE THAT BECAUSE, UM, YOU KNOW, THAT, THAT ALSO, UH, I THINK REQUIRES SOME CLARIFICATION AND THAT IS, YOU KNOW, DR. BRIDGER, UM, WOULD THE LINES AT THE ALAMO DOME HAVE BEEN QUICKER? UM, YOU KNOW, HAD YOU HAD A CURATED LIST, UM, THAT HAD BEEN CURATED DIFFERENT? I, I GOT MY SHOT AT THE ALAMO DOME AND IT TOOK AN HOUR. I UNDERSTAND THAT AUSTIN WAS, WHO HAS A LIST, TOOK FOUR HOURS TO GET PEOPLE THROUGH THERE. I UNDERSTAND THAT LAREDO TOOK, UM, MORE THAN FOUR HOURS TOO. CAN YOU, CAN YOU ADDRESS THAT? SO YOU'RE RIGHT, COUNCILMAN, THEY'RE VERY DIFFERENT. UM, THERE'S THE PROCESS OF GETTING VACCINATED AND THE PROCESS OF SIGNING UP TO BE VACCINATED. THE PROCESS TO GET VACCINATED HERE IN SAN ANTONIO AT ALL FOUR SITES I WOULD HOLD UP IS SECOND TO NONE. UM, THE PROCESS TO GET AN APPOINTMENT IF YOU ARE 65 AND UP WILL BE FASTER. YEAH. AND THAT'S, AND THAT'S WHAT, THAT'S WHAT I WANNA MAKE SURE WE DON'T DO HERE, IS THAT WE DON'T SOMEHOW CAST A DOUBT OR THROW SHADE AT, UH, YOU KNOW, THE WAY THAT THE OPERATION HAS GONE AT THE ALAMO DOME. UM, AND YOU KNOW, I, I DON'T WANT ANYBODY TO WALK AWAY FROM THIS CONVERSATION THINKING THAT THE OPERATION AT THE ALAMO DOME WOULD'VE GONE QUICKER HAD THERE BEEN A DIFFERENT KIND OF LIST OR A DIFFERENT WAY TO, YOU KNOW, SYNTHESIZE, UM, NAMES AND AGES AND ADDRESSES AND ALL THAT. AND SO, UM, IT, UP UNTIL NOW, THE, THE WORK THAT YOU'VE BEEN DOING, COLLEEN, AND THE WORK THAT, YOU KNOW, THE, ALL THE PEOPLE WHO ARE VOLUNTEERS AND PAID HAVE BEEN DOING, YOU GUYS HAVE WORKED A MIRACLE OUT THERE. UM, AND, UH, UM, I, I JUST GOTTA SAY THAT, YOU KNOW, UM, I, I DON'T WANT ANYBODY TO THINK THAT SOMEHOW THEIR EXPERIENCE AT THE ALMO DOME IS GONNA BE BETTER BECAUSE, YOU KNOW, THEY HAD THEIR NAME ON A LIST. THAT'S NOT TRUE. YOUR, YOUR EXPERIENCE AT THE ALAMO DOME IS GOING TO BE EXCELLENT THE WAY IT'S ALWAYS BEEN. EXCELLENT. IS THAT FAIR, COLLEEN? YES. AND I WOULD ADD, UM, ALL, ALL FOUR MASS VACCINATION SITES HAVE EQUAL EXCELLENCE. SO NO MATTER WHERE YOU GO, YOU WILL HAVE AN EXCELLENT EXPERIENCE. ALL RIGHT. THANKS. THOSE ARE MY COMMENTS, MAYOR. THANK YOU. COUNCIL MEMBER LIA. COUNCIL MEMBER COURAGE. THANK YOU, MAYOR. AND, UH, I JUST WANNA THANK THE ENTIRE TEAM THAT'S BEEN WORKING ON THIS OVER THE LAST COUPLE OF WEEKS. I THANK THE REPRESENTATIVES OF ALL OF THE MAJOR PROVIDERS, UH, HAVE HAD AN OPPORTUNITY TO LOOK AT THIS AND GIVE US MORE [01:05:01] INPUT, HELP US UNDERSTAND THE CHALLENGES THEY FACE. AND, AND THAT WAS VERY VALUABLE. AND I, I REALLY WANNA THANK, UH, CRAIG HOPKINS AND OUR I T S D DEPARTMENT. FROM THE CITY'S PERSPECTIVE, HE'S GONNA BE PUTTING THIS TOGETHER, UH, SO THAT THE INPUT IS GOING TO WORK AND THEN FEED INTO, UH, HASSA. AND THEIR PROCESS IS GONNA BE CRITICAL IN MAKING SURE THE RIGHT DATA IS AVAILABLE FOR THE DIFFERENT PROVIDERS TO PULL FROM. AND SO I THINK IT'S A GREAT TEAM EFFORT. I THINK IT, IT'S GOING TO MAKE A SIGNIFICANT DIFFERENCE. AND COUNCILMAN THAT DIFFERENCE IS GONNA BE IN THE FRUSTRATION AND THE DISAPPOINTMENT OF MILLIONS OF CALLS THAT HAVE BEEN MADE OVER THE LAST FEW MONTHS. AND I THINK THAT IS, THAT IS THE EFFORT BEHIND THIS, IS TO TRY AND PROVIDE A BETTER SERVICE FOR THE, UH, SENIOR CITIZENS RIGHT NOW. AND EVENTUALLY, I HOPE ALL OF THE PEOPLE IN SAN ANTONIO THAT, UH, WILL BE ABLE TO TAKE ADVANTAGE OF THIS. UH, I MYSELF MADE HUNDREDS AND HUNDREDS OF CALLS. I'M A SENIOR. YOU HAVE HAD CALLS AT YOUR OFFICE. I'M ABSOLUTELY SURE, AS WE ALL HAVE FROM SENIORS WHO ARE TOTALLY FRUSTRATED AND JUST TRYING TO GET AN APPOINTMENT, THIS PROCESS WILL EXPEDITE THEIR OPPORTUNITY TO GET ON THE LIST AND EXPEDITE THE PROCESS FOR THE PROVIDERS TO BE ABLE TO PULL PEOPLE TO MATCH THE CRITERIA THAT THEY HAVE SET UP TO PROVIDE THOSE SHOTS. AND FROM THAT PERSPECTIVE, IT HAS A, A VERY VALUABLE SERVICE TO THE COMMUNITY. ON THE OTHER HAND, IT'S ALL IN THE HANDS OF THE PROVIDERS WHO ARE GONNA BE GIVEN THOSE SHOTS. WE DON'T TELL 'EM WHO GETS A SHOT OR WHEN THEY, THEY'RE GONNA SAY TO THIS SYSTEM, WE NEED THESE PEOPLE TO GET THESE SHOTS TO MEET OUR CRITERIA. IT'S ALMOST THE SAME AS IT'S ALWAYS BEEN, EXCEPT NOW THEY DON'T HAVE TO ACCEPT A MILLION PHONE CALLS FOR 10,000 APPOINTMENTS. WE'RE GOING TO DO THAT FOR THEM, GATHER THE INFORMATION FOR THEM SO THAT THEY DON'T HAVE TO GO THROUGH ALL OF THAT AND TIE UP ALL OF THEIR RESOURCES DOING THAT. AND THAT SHOULD MAKE THEIR JOB A LOT EASIER ON THE END PART OF PROVIDING THOSE VACCINES. SO, YOU KNOW, I, I REALLY THINK THIS IS THE RIGHT PLACE TO GO. I WANNA, UH, I WANNA COMMEND COUNCILMAN VERAN. YOU KNOW, SHE USED TWO IMPORTANT WORDS I HEARD EARLY ON. ONE WAS THAT WE NEED TO PIVOT, AND THEN THE OTHER WAS TO ADAPT. AND BECAUSE OF THE CHANGING CIRCUMSTANCES FEDERALLY AND STATEWIDE, AND THE CONTINUING SLOW PROCESS OF PROVIDING THESE ACTUAL VACCINE SHOTS TO US, WE NEEDED TO DO MORE TO HELP THE COMMUNITY FEEL LIKE THIS PROCESS IS GOING TO WORK FOR THEM. YES, THEY'RE NOT GONNA GET A SHOT THE FIRST DAY OF THE FIRST WEEK. I THINK WE'RE GONNA MAKE THAT PERFECTLY CLEAR WHEN THEY SIGN UP. THIS IS NOT GUARANTEEING YOU AN APPOINTMENT TODAY. WHAT IT IS GUARANTEEING YOU IS THAT YOU'RE ON A LIST FOR PROVIDERS TO CALL YOU AND TELL YOU WHERE TO GO AND WHEN TO BE THERE TO GET YOUR SHOT. AND, AND THAT SHOULD PROVIDE A LOT OF RELIEF FOR MANY PEOPLE WHO JUST DON'T KNOW WHEN THEY'RE GONNA GET THEIR SHOT OR HOW TO GET IT AND WHAT IT'S GONNA MEAN TO THEIR HEALTH. I, I LIKE THE IDEA THAT'S BEEN MENTIONED, THAT, YOU KNOW, THIS IS NOT GONNA BE JUST ON THE PHONE OR JUST ONLINE. THAT WE'RE GONNA SEE PEOPLE OUT IN THE FIELD NAVIGATORS, NONPROFIT AGENCY REPRESENTATIVES, OUR OWN CITY STAFF WHO COULD TAKE DATA AND PUT IT INTO THE SYSTEM. UH, SO THAT IT, WHEN SOMEONE CALLS MY OFFICE, NOW I CAN HELP THEM, AS OPPOSED TO SAYING, WELL, YOU JUST GOTTA WATCH THE NEWSPAPER AND SEE WHEN SOMEBODY'S ALLOWING YOU TO MAKE CALLS. I THINK THAT MAKES US MORE EFFECTIVE AS REPRESENTATIVES OF OUR COMMUNITY. AND RIGHT NOW WE'RE LOOKING AT FOUR MAJOR PROVIDERS, BUT I SUSPECT THAT WE WOULD FIND OTHERS THAT WOULD BE INTERESTED IN GETTING IN THIS PROCESS. IF H E B GOT 50,000 VACCINES TO GIVE IN SAN ANTONIO, DO THEY WANNA HAVE 20 DIFFERENT STORES HAVE TO DEAL WITH PEOPLE CALLING IN? NO. I'M SURE THEY'D MUCH RATHER PULL FROM OUR REGISTRY, OUR, OUR, UH, LIST OF PEOPLE READY FOR SHOTS THAN TO OPEN UP 15 DIFFERENT STORES OR ONE MAJOR CALL CENTER EVEN ON THEIR OWN. SO, YOU KNOW, PHARMACIES, CLINICS, DOCTORS, ALL WOULD HAVE AN OPPORTUNITY TO JOIN IN THIS AS IT MOVES FORWARD. AND WE WORK OUT ANY KINKS THE FIRST FEW WEEKS AND MAKE SURE IT'S WORKING WELL. SO YEAH, I'M JUST VERY ENTHUSIASTIC ABOUT THIS. I'M VERY APPRECIATIVE OF ALL THE WORK THAT'S GONE INTO IT. I HOPE THAT IT PROVES TO BE SUCH A SUCCESS AND HELPS US MOVE THROUGH QUICKLY AS LONG AS WE GET THE VACCINES TO PROVIDE THE SHOTS THAT WE CAN. AND WE'LL EXPAND THIS TO INCLUDE [01:10:01] THE OVER FIFTIES, THE, UH, ONE A'S THE ONE B'S. WE HAVEN'T BEEN SHOT, GOTTEN THERE SHOTS YET, UH, AND, AND THEN ALL OF THE REST OF THE POPULATION. SO AGAIN, I JUST WANT TO SAY THANK YOU TO EVERYBODY AND, UH, LET'S BE OPTIMISTIC AND MAKE IT WORK. THANK YOU. THANK YOU. COUNCIL MEMBER COURAGE. COUNCIL MEMBER ANDREWS SULLIVAN. UM, THANK YOU MAYOR AND, AND THANK YOU DR. BRIDGER AND ALL WHO HAVE PRESENTED TODAY. UM, ONE OF THE QUESTIONS I HAVE IS WORKING WITH THE FAITH-BASED ORGANIZATION. IF THIS SYSTEM IS ABLE TO BE SET UP TO WHERE AN ORGANIZATION CAN HAVE A REGISTERED LIST THAT THEY WOULD THEN INPUT, AND THEN WHEN THAT ORGANIZATION'S NAME COMES UP ON THIS REGISTRY, THEY WILL BE ABLE TO JUST REACH OUT TO WHOM, UM, THEY HAVE ALREADY REGISTERED TO COME IN FOR A SPECIFIC DATE AND TIME. IF THERE IS A WAY TO ADD A SPECIFIC COMPONENT, UM, INTO THIS DATABASE SPECIFICALLY FOR THOSE ORGANIZATIONS OR HOME HEALTHCARE AGENCIES. THEY HAVE HOME BOUND INDIVIDUALS THAT LIVE IN GROUP HOMES. HOMES SO THAT WHEN THEIR ORGANIZATION'S NAME COMES UP, INSTEAD OF PUTTING EVERYONE IN INDIVIDUALLY, THEY WILL BE ABLE TO REGISTER AS AN ORGANIZATION. IS THIS, UM, SYSTEM ABLE TO SET UP A COMPONENT SUCH AS THAT? YES, MA'AM. IT IS. AWESOME. OKAY. AND THEN AS FAR AS IT COMES TO THE HOME BOUND AND THOSE WHO ARE DISABLED, UH, WITHIN THE 16 AND UP CATEGORY, HOW WOULD THIS VACCINE BE MADE AVAILABLE THROUGH THIS REGISTRATION PROCESS? OR DO THEY STILL NEED TO GO THROUGH 3 1 1? THAT'S A SEPARATE PROGRAM. IF WE'RE TAKING THE VACCINE TO THEIR HOUSE, THEN THEY NEED TO REGISTER THROUGH THAT EXISTING PROCESS. UM, SO THIS IS, THIS IS NOT HOME BOUND. THIS IS IF YOU GO TO ONE OF THE CLINICS TO BE VACCINATED. OKAY. AND SO I THINK THAT THAT'S SOMETHING ELSE THAT WE NEED TO MAKE SURE THAT WE ARE EDUCATING THE COMMUNITY ON AS WE ROLL THIS OUT SO THAT THEY DON'T HAVE A CONFUSION OF DO I REGISTER FOR THIS PARTICULAR SYSTEM OR DO I REGISTER FOR THE PREVIOUS SYSTEM? UM, SO I THINK THAT WE JUST NEED TO DELINEATE BETWEEN WHO NEEDS TO REGISTER ON, ON THE SYSTEMS. AND SO THAT WAS THE QUESTION, UM, THAT CAME UP WITH HOME BOUND. AND, AND SO THOSE ARE REALLY THE ONLY TWO COMPONENTS I WANTED TO SEE IF THEY WERE ABLE TO BE, UH, ADDED OR SEPARATED OUT. BECAUSE WE KNOW WITH OUR FAITH-BASED, IF WE HAVE A, A ORGANIZATION THAT ALREADY HAS A REGISTRY, IF THEY ALREADY KNOW HOW MANY PEOPLE, THEN THEY COULD REGISTER INTO THIS DATABASE, THE NUMBER OF PEOPLE THAT THEY HAVE REGISTERED, AND THEN WHEN THE VACCINES BECOME AVAILABLE FOR THOSE PEOPLE, THEY WOULD SET A DATE AND TIME AND JUST HAVE THE FACILITY READY TO GO TO GET THOSE INDIVIDUALS IN AND OUT. SO, UM, I'D JUST LIKE TO SEE HOW WOULD THAT LOOK, UM, AND WHERE WE WOULD GO WITH THAT. BUT THOSE ARE ALL THE COMMENTS CONCERNS THAT I HAVE TODAY. AND THANK YOU SO MUCH FOR BRINGING THIS FORWARD. THANK YOU, MAYOR. THANK YOU. COUNCIL MEMBER ANDREW SULLIVAN. COUNCIL MEMBER PERRY. THANK YOU, SIR. UH, GOT A, JUST A FEW QUESTIONS HERE. UM, WHEN IS, WHEN IS THIS SYSTEM GONNA GO ONLINE? WE ESTIMATE IT WILL TAKE THREE TO FOUR WEEKS TO DEVELOP BEFORE WE CAN ROLL IT OUT LIVE. SO IN ABOUT A MONTH'S TIME IS WHAT YOU'RE SAYING, THREE TO FOUR WEEKS? YES, SIR. OKAY. ALL RIGHT. UM, IS, IS THIS SOMETHING THAT WE HAVE AVAILABLE NOW? ARE WE DEVELOPING THIS IN-HOUSE OR IS THIS GONNA COST US ANYTHING TO DEVELOP DR. BRIDGER? I CAN TAKE THAT. SO, UH, UH, PHIL AND I ARE WORKING THROUGH THAT RIGHT NOW. UM, WE LITERALLY HAVE BEEN ABOUT 48 HOURS INTO TECHNICAL DESIGN ON THIS RIGHT NOW. SO WE ARE, THE TWO OF US ARE MAKING SOME HIGH LEVEL ESTIMATES. I KNOW THERE'S A DESIRE TO DEPLOY IT FASTER THAN THREE TO FOUR WEEKS, AND WE CLEARLY HEAR THAT, AND WE'RE GONNA CONTINUE TO WORK THAT, BUT I'M TRYING TO MANAGE EXPECTATIONS, AT LEAST WITH WHAT WE KNOW AT THIS MOMENT. UH, THERE WILL BE A COST ASA AS A, UH, WILL HAVE TO, UH, FUND TECHNOLOGY IN PEOPLE AND INFRASTRUCTURE TO SUPPORT THIS. SO, UM, I AM WORKING WITH PHIL DIRECTLY, AND WE WILL HAVE THAT ON THE TABLE FOR COST AND TIMELINE IN THE NEXT FEW DAYS. SO WE DON'T KNOW EXACTLY WHEN IT'S GONNA BE READY. WE DON'T KNOW EXACTLY HOW MUCH IT'S GONNA COST. AND YOU'RE SAYING WHAT ORGANIZATION IS GONNA RUN THIS OVERALL, UH, PROCESS? SO PHIL BECKETT, UM, WHO GAVE THE PRESENTATION EARLIER FROM HASSA, THEY OWN THE DATABASE, THE TECHNOLOGY AND THE PROCESSES [01:15:01] AND THE AZURE INFRASTRUCTURE BEHIND IT TO SUPPORT IT. SO THEY ARE THE PRIME TECHNOLOGY, UH, CONTRACTOR IN THIS SOLUTION. UH, I'M THINKING OF MYSELF AS HIS DESIGN PARTNER AS WE WORK TOGETHER. SO THERE WILL BE A COST TO PAY FOR HIS SERVICES TO DO THIS. IT'S AN EXISTING INFRASTRUCTURE THAT HE CURRENTLY HAS THAT HE WORKS WITH MANY OF THE PROVIDERS TODAY. THAT'S WHY WE'RE LEVERAGING IT. OKAY. AND COUNTS AS THE, UH, THE ORDINANCE THAT IS IN FRONT OF YOU TODAY FOR CONSIDERATION, UM, GIVES THE AUTHORITY TO THE CITY MANAGER TO WORK OUT THE DETAILS, UM, THAT YOU ARE REFERENCING? WE DON'T HAVE ANY, UH, I MEAN, I, I THINK THIS IS GREAT. IT'S A GREAT TOOL. I, I'M JUST, YOU KNOW, WE'RE TALKING ABOUT A BLANK CHECK HERE. I DON'T KNOW HOW MUCH, KIND OF, DO WE HAVE ANY KIND OF COST ESTIMATE ON THIS THING, SIR? I DO, BUT RIGHT NOW I'M NOT FEELING COMFORTABLE PUTTING IT OUT IN THIS FORUM BECAUSE PHIL AND I REALLY HAVEN'T WORKED THROUGH THE DETAILS. AND SO I NEED A FEW MORE DAYS TO DO THAT WITH HIM. OKAY. ALL RIGHT. UM, WELL, I FEEL UNCOMFORTABLE ALSO ABOUT VOTING ON SOMETHING THAT HAS NO ESTIMATE ON IT. YOU KNOW, ARE, ARE WE TALKING MORE THAN A MILLION DOLLARS OR LESS THAN A MILLION DOLLARS? NO, NO, SIR. WE'RE SOMEWHERE IN THE A HUNDRED TO $200,000 RANGE. OKAY. ALL RIGHT. THAT'S WHAT I WAS LOOKING FOR. ALL RIGHT. I KNOW, BUT NOW I SET AN EXPECTATION, SIR , I, I JUST, UH, OKAY. YOU KNOW ME, I WANNA KNOW WHAT THINGS ARE GONNA COST AND WHAT THE SCHEDULE IS TO IMPLEMENT IT. BECAUSE IF WE'RE TALKING ABOUT A LONG WAY DOWN THE ROAD BEFORE IT'S IMPLEMENTED, ARE WE REALLY GETTING ANY, UH, REAL RETURN ON THIS? SO, UM, OKAY. I UNDERSTAND THAT. NOW, WHAT HAPPENS OPERATIONALLY, IF PEOPLE SIGN UP ON THIS REGISTRY, THEY GET A DATE, THEY GET A TIME, THEY, THEY'RE, BUT THEY DON'T SHOW UP. WHAT HAPPENS TO THOSE UNUSED VACCINES? SO UNFORTUNATELY, SIR, WE ARE BECOMING REALLY GOOD AT FIGURING OUT WHAT TO DO WITH UNUSED VACCINES. UM, WE ARE ALL EXPERIENCING GROWING NUMBERS OF PEOPLE WHO DON'T SHOW UP FOR THEIR APPOINTMENTS. AND ALL FOUR MASS VACCINATION SITES HAVE DEVELOPED CONTINGENCY PLANS FOR HOW TO MAKE SURE THAT WE ARE ABLE TO USE ALL OF THE VACCINE WE'RE ALLOCATED EVERY WEEK. OKAY. SO WE HAVEN'T HAD ANY WASTAGE OUT THERE. IS WHAT YOU'RE SAYING THAT VERY, I MEAN, ONESIES AND TWOSIES VERY LITTLE COMPARED TO THE 700,000 DOSES THAT WE HAVE GIVEN. OKAY. ALL RIGHT. WELL, AGAIN, I, I'M A LITTLE BIT NERVOUS. I, I THINK THIS IS A GOOD IDEA BECAUSE I TOO FEEL A LOT OF QUESTIONS AND HAVE IN THE PAST ABOUT, UM, GETTING THROUGH THE PHONE LINES AND THAT KIND OF THING TO GET SIGNED UP AND THE AMOUNT OF HOURS THAT PEOPLE HAVE SPENT ON THE TELEPHONES TRYING TO GET THROUGH. I I JUST FEEL A LITTLE BIT UNCOMFORTABLE ON THE COST AND SCHEDULE ON THIS, THAT WE'RE, WE STILL GOT SOME UNKNOWNS OUT THERE AND, UH, UM, THAT DOESN'T, THAT DOESN'T GIMME COMFORT IN, UH, SIGNING UP TO SOMETHING THAT WE DON'T HAVE THAT BASIC INFORMATION AVAILABLE. THAT'S ALL I HAVE, SIR. THANKS. THANK YOU. COUNCIL MEMBER PERRY. COUNCIL MEMBER GONZALEZ. UM, THANK YOU. SO, UM, DR. BRIDGER, I WAS, YOU KNOW, AT SOME OF OUR MASKS, UH, OUR RATHER OUR POP-UP, UH, EVENTS, UH, OVER THE, THE WEEKEND WITH CONNO, WHICH I THOUGHT WAS FABULOUS, BY THE WAY. NO REGISTRATION REQUIRED. UM, THEY WERE OPEN FROM EIGHT TO THREE. IT WAS WALK UP. UH, AND, UM, I I, IT WORKED. I SAW IT BEAUTIFULLY. I HAD THE OPPORTUNITY TO TALK TO SEVERAL CONSTITUENTS. UM, AND I THINK IT WAS REALLY ADDRESSING THE NEED, PEOPLE WORKING ON THE WEEKENDS, PEOPLE, UM, UH, THAT, UM, UH, IT WAS SPONTANEOUS, RIGHT? THEY HAPPENED TO HAVE TIME, UM, YOU KNOW, ON A SATURDAY MORNING BEFORE WORK. UM, MOST OF THE PEOPLE THAT I HAD A CHANCE TO TALK TO LIVED IN THE AREA. 'CAUSE I ASKED THEM VERY SPECIFICALLY, DO YOU LIVE COAST BY? THEY ALL SAID THAT THEY DID. UM, AND ALSO MANY OF THE PEOPLE, UM, SAID THAT IT WAS A SPONTANEOUS DECISION. THEY WERE LISTENING TO THE RADIO IN THE MORNING, AND THEY JUST DECIDED TO COME OVER. UM, AND SO WHEN I SAW THAT THERE WERE A COUPLE OF SENIORS IN THE LINE, YOU KNOW, I JUST ASKED THE STAFF, HEY, CAN'T YOU MOVE THIS PERSON UP TO THE FRONT? I MEAN, YOU KNOW, THEY'RE, [01:20:01] UM, THEY, THEY'RE ON A CANE OR WHATEVER. AND ALSO, ESPECIALLY THANKS TO, UH, PATRICIA, UH, I HAD IT, UH, I CALLED HER WHEN I NOTICED THERE WERE PEOPLE STANDING THAT COULD THE CITY LEND US SOME CHAIRS SO WE COULD SPREAD PEOPLE OUT. AND THEY VERY PROMPTLY SENT OVER, UH, SOME CHAIRS SO WE COULD USE. SO THANK YOU ALL FOR THAT. SO, DR. BRIDGER, COULD WE JUST MOVE PEOPLE TO THE FRONT OF THE LINE AT ANY OF OUR SITES ANY TIME? YEAH, ABSOLUTELY. NOW, RIGHT NOW, WE'RE LIMITING THAT TO 80 AND UP, BUT AS WE MAKE PROGRESS WITH THE 80 YEAR OLDS, WE'LL REDUCE THAT TO 75 AND THEN TO 70, ET CETERA. BUT ABSOLUTELY. BUT WOULDN'T IT, COULD IT BE UP TO THE PROVIDER TO SAY, YOU KNOW WHAT, WE SEE SOME PEOPLE THAT, UM, LOOK LIKE MAYBE THEY CAN'T STAND VERY LONG. CAN WE JUST MOVE THEM UP? ALL PROVIDERS MAKE THEIR OWN RULES. THAT'S BEEN BOTH A BLESSING AND A CURSE. BUT ALL PROVIDERS MAKE THEIR OWN RULES, I'LL TELL YOU, IS A HEALTHCARE PROFESSIONAL. WHAT WE DO IS WE ASSESS THE GATE, THE STABILITY OF ALL OF THE, THE PATIENTS THAT COME UP TO OUR CENTERS. WE WILL PUT THEM INTO WHEELCHAIRS. WE WILL ROLL THEM IN. IF WE, UH, BELIEVE THAT, UH, THEIR CONDITION WARRANTS IT, WE DO MOVE THEM UP. BUT I THINK THAT, UH, YOU, UH, COUNCILWOMAN, UH, WHAT YOU'RE TALKING ABOUT IS A CLINICAL ASSESSMENT IS WHAT WE NEED AND WHAT WE DO DO AT OUR, AT OUR MASS SPEC SITES. YEAH, WE DO THAT. THANK FOR THAT. UM, OKAY. BUT I MEAN, YOU DON'T HAVE TO HAVE A CLINICAL DEGREE TO RECOGNIZE IF SOME, SOMEBODY NEEDS A CHAIR OR A GLASS OF WATER. BUT THAT'S FOR A DIFFERENT CONVERSATION, RIGHT? I MEAN, SO WE NEED, WE, I MEAN, I THINK THAT A LOT OF US, YOU DON'T HAVE TO DO A WHOLE PHYSICAL ASSESSMENT TO SEE IF SOMEBODY MAYBE NEEDS A LITTLE BIT OF HELP. NO, BUT I WILL TELL YOU THAT WE DO OFFER WATER. WE HAVE TENTS. WE, YOU KNOW, UH, ONE OF THE THINGS THAT WE ALL ENCOURAGE IS THAT WASN'T . NO, BUT I, I WILL I KNOW, BUT I'LL TELL YOU THAT WE DO ENCOURAGE PEOPLE TO WAIT IN THEIR CAR UNTIL CLOSER TO THEIR APPOINTMENT TIME SO THAT THEY DON'T HAVE TO STAND IN LINE. UM, THANK YOU FOR THAT. I, I, AND ACTUALLY, MOST PEOPLE DIDN'T EXPERIENCE LONG LINES. UH, SO I THINK THAT'S VERY IMPORTANT TOO. I, I WAS REFERENCING SOMETHING ELSE THAT'S NOT NECESSARY AT THIS MOMENT. SO I I WANNA GET SIDETRACKED WITH THAT. UM, BUT SO, SO LET ME, UH, I THINK THE OTHER, UM, OTHER GENTLEMAN WANTED TO CHIME IN. YES, THIS IS BILL PHILLIPS FROM UNIVERSITY HEALTH. AND TO ANSWER, WHAT WE DO IS WE HAVE AMBASSADORS OUTSIDE THE ENTRANCE THAT POINTS TO, TO THE MALL AT BOTH ENTRANCES TO THE LOWER AND TO THE UPPER. AND THEN WE HAVE TRANSPORTERS, AND WE HAVE WHEELCHAIRS AT ALL THOSE ENTRANCES. AND SO WE GO TO THE PATIENT. SO IF WE SEE ANYBODY THAT LOOKS MOBILITY CHALLENGED, ANYONE ON A CANE, ANYONE A WALKER, ANYONE MOVING SLOW, WE SEND AN AMBASSADOR. WE ALL HAVE WALKIE-TALKIES, AND WE ROUTE TO THOSE INDIVIDUALS WITH A WHEELCHAIR AND ASK IF THEY'D LIKE ASSISTANCE. AND THEN IF THEY DO, WE ACTUALLY SIGN A TRANSPORTER AND THEY, THEY PUSH THAT PERSON IN A WHEELCHAIR THROUGH OUR ENTIRE PROCESS. SO I, I GUESS THE POINT I'M GETTING AT, WOULD IT BE EASIER TO JUST HAVE PEOPLE OVER 65 MOVE TO THE FRONT OF THE LINE INSTEAD OF CREATING A WAIT LIST THAT'S GONNA TAKE FOUR WEEKS AND POTENTIALLY COST HUNDREDS OF THOUSANDS OF DOLLARS? FRANKLY, I DON'T THINK IT'S EITHER OR. I THINK BOTH ARE NECESSARY. AND I DO BELIEVE ALL THE HUGS ARE REALLY DOING THAT RIGHT NOW. WHEN THEY FIND AN ELDERLY OR A MOBILITY IMPAIRED PERSON IN LINE, WE EACH HAVE MONITORS, LINE MONITORS OF ONE SORT OR ANOTHER THAT PROVIDE THEM THE WHEELCHAIR, AND FREQUENTLY WE'LL BRING THEM TO THE FRONT OF THE LINE. THAT'S FAIRLY COMMONPLACE NOW. SO I, I THINK THAT IS HAPPENING FOR THE MOST PART. IN FACT, I KNOW IT IS, UM, AT MOST ALL OF THE, UH, THE, THE HUBS, I, I, I THINK THE REGISTRY STILL ADDITIONALLY WOULD PROVIDE VALUE. YEAH. I HOPE WE CAN GET IT BEFORE THREE TO FOUR WEEKS. THAT'S, THAT'S GETTING OUT THERE AND, AND I TRUST THAT'S, UH, YOU KNOW, A WORST CASE SCENARIO IN TERMS OF THE TIMELINE. UH, OKAY. WELL, THANK YOU. I MEAN, I, I THINK, AND THAT'S BEEN MY EXPERIENCE TOO. EVERY TIME I VISITED OR I HAD A STAFF MEMBER VISIT, THEY, THEY TOLD ME THE SAME THING. FIRST OF ALL, THAT EVERYTHING WAS OPERATING VERY SMOOTHLY. UH, PEOPLE WERE, UM, VERY COURTEOUS, THE PEOPLE THAT WERE IN LINE FOR THE VACCINES, BUT OF COURSE, ALL OF THE STAFF AND VOLUNTEERS AT EVERY LOCATION WERE ALWAYS COURTEOUS, AND THEY FELT LIKE THEY WERE BEING TREATED RESPECTFULLY. UM, I GUESS I, I JUST, I'M, I'M, I'VE BEEN LISTENING TO THE CONVERSATION, AND I GUESS MY SENSE IS THAT IN ALL MY EXPERIENCES, TALKING TO THE, THE PEOPLE SINCE WE FIRST HEARD THAT WE WERE GONNA GET VACCINE, UM, ACTUALLY IT WAS NEW YEAR'S EVE, UH, WHEN [01:25:01] WE FIRST HEARD WE WERE GONNA GET A VACCINE, NOBODY EVER SAID TO ME, CAN'T YOU PUT ME ON A WAIT LIST? I MEAN, PEOPLE JUST WANTED THE VACCINE. AND SO, AND, AND ALSO IN TALKING TO CONSTITUENTS, YOU KNOW, LATELY I'VE BEEN ASKING 'EM, HAVE YOU GOTTEN IT? AND THEY TOLD ME, WELL, I WAS ON A LIST SOMEWHERE. AND YOU KNOW, I DON'T KNOW EXACTLY WHERE, BUT THEY SAID, BUT, UM, THERE WAS AVAILABILITY AT CENTRAL MED, SO I WENT THERE INSTEAD. OR RIGHT. THAT THEY HAD AVAIL AVAILABILITY SOMEWHERE ELSE, LIKE ONE OF THE POP-UP CLINICS, AND THEY WENT THERE INSTEAD. AND SO, I MEAN, I, I JUST FEEL LIKE I, I RECOGNIZE THAT, YOU KNOW, THERE'S A LIMITED AMOUNT OF VACCINES. AND, UM, WHILE, YOU KNOW, I, AND IN FACT, I THINK, UM, BOB, YOU SAID THAT THERE WERE TWO REASONS WHY WE WERE DOING THIS. IT WAS EXPERIENCE, AND THEN WHAT WAS THE OTHER THING THAT YOU SAID? SO TO IMPROVE EQUITY OF ADMINISTRATION TO A HIGH PRIORITY POPULATIONS. 'CAUSE YOU CAN POPULATE A LIST WITH THOSE PRIORITIES. YEAH. WITH, WITH THE 65 AND OLDER IS PRIORITY . WELL, THAT'S ONE. IT COULD BE FAITH-BASED OR IT CAN BE, YOU KNOW, PEOPLE THAT DON'T HAVE COMPUTERS. YOU CAN, YOU CAN CHOOSE, UH, WHAT, WHAT PRIORITY POPULATION, AND THEN HAVE A REGISTRAR, YOU KNOW, PUT THAT INFORMATION IN, WHETHER IT'S THE 3 1 1 OPERATOR OR WHETHER IT'S ANY OTHER, OR, OR A COMMUNITY HEALTH WORKER OR ANY, YOU KNOW, REGISTRAR, IF YOU WILL, THAT YOU CHOOSE. SO THAT'S WHAT I'M TALKING ABOUT CURATING. THAT'S WHAT WE'VE BEEN DOING AT UT HEALTH FROM THE BEGINNING. WE FEEL IT'S BEEN HELPFUL. UM, SO I, I GUESS I, I'M JUST TELLING YOU THAT IN MY EXPERIENCE, MOST PEOPLE SAID THEY DID NOT WANNA BE ON A LIST, AND THAT COULD BE A DIFFERENT, UM, CONCERN OF, OF MANY OF THE COMMUNITY MEMBERS THAT I SPOKE WITH. BUT THEY WERE VERY CLEAR, THEY DON'T WANNA BE ON A LIST. AND THERE'S A LOT OF REASONS UNRELATED TO THE VACCINE ABOUT WHY THEY DON'T WANNA BE ON A LIST. UM, UH, BUT I JUST, I FEEL LIKE, UM, I, YOU KNOW, I, I'M, I'VE BEEN LISTENING THE CONVERSATION. OBVIOUSLY MY HAND WAS NOT UP ALL THIS TIME, AND I THOUGHT IT WAS, I WONDER WHY THE MAYOR WASN'T CALLING ON ME. UM, UH, AND, YOU KNOW, JUST TRYING TO GET A LITTLE BIT OF FEEDBACK, BUT I, I JUST KIND OF KEEP FEELING LIKE THIS IS NOT NECESSARY. IF IT'S GONNA TAKE THREE TO FOUR WEEKS, AND WE MAY GET MORE VACCINE BY THEN, UM, IF PEOPLE HAVE FLEXIBILITY AND THEY CAN GET IT AT THEIR PHARMACY OR AT CENTRAL MED OR AT A POP-UP CLINIC OR, UM, AT H E B OR WHATEVER, THEN, YOU KNOW, THIS IDEA OF COLLECTING DATA, EVEN THOUGH IT'S A THIRD PARTY, UH, MAYBE IT'S JUST NOT NECESSARY. UM, AND SO I, I, I, I JUST, UM, I KNOW THAT, UM, WE WANT AS MANY PEOPLE TO GET THE VACCINE AS POSSIBLE. WE'VE BEEN, UM, THE, THE, I AND I JUST, I DO WANNA SAY ESPECIALLY THANK YOU TO, UM, EVERYBODY INVOLVED, UH, THAT I FEEL LIKE WE ARE GIVEN THAT WE ARE LIMITED BY VACCINE, WE'RE NOT NECESSARILY LIMITED BY THE RESOURCES, WHETHER IT'S THE PRIVATE PHARMACIES, METRO HEALTH, UH, OR UNIVERSITY HEALTH OR ALL, ALL THE OTHER ORGANIZATIONS THAT HAVE BEEN WILLING AND ABLE, UH, TO DISTRIBUTE VACCINES. THE PROBLEM IS JUST, WE JUST DON'T HAVE ENOUGH. AND I'M STILL NOT ENTIRELY CONVINCED THAT HAVING A WAIT LIST, UH, IS GONNA RESOLVE THAT ISSUE. AND, AND IF, IF WE CAN REDIRECT SOME OF THOSE RESOURCES TO MORE COMMUNITY HEALTH WORKERS, UM, I THINK THAT MIGHT BE BETTER IF WE COULD GET MORE VACCINES. SO IT DOESN'T SEEM LIKE THIS IS REALLY GONNA SOLVE, UH, SOLVE ANY OF THOSE ISSUES. UM, SO I DON'T KNOW. I DON'T THINK IT'S A, UM, I, I, I'M NOT, I'M JUST NOT ENTIRELY CONVINCED THAT IT'S GONNA SOLVE ANY OF THE ISSUES THAT WE'VE HAD. UM, SO ANYWAY, I'LL LEAVE IT AT THAT. THANK YOU, MAYOR. THANK YOU. COUNCIL MEMBER GONZALEZ, UH, COUNCIL MEMBER SANDOVAL. UH, THANK YOU, MAYOR. UH, IT'S BEEN VERY, UH, INSTRUCTIVE TO HEAR, UH, MY COLLEAGUES, UH, COMMENTS. UM, I, I THINK FOR THOSE OF US WHO HAVE BEEN VERY INVOLVED IN THE DISTRIBUTION, UH, YOU KNOW, PERSONALLY WORKING TO, TO, TO TRY TO SET UP A SITE, UH, TO TRY TO ENSURE THAT THAT LIST OF PEOPLE, UH, SOMEHOW GET INTO A SYSTEM, A A, AN ENTIRELY FRAGMENTED AND DECENTRALIZED SYSTEM. RIGHT NOW, I CAN SEE THE VALUE IN THIS. AND THERE ARE MANY THINGS THAT OUR CITY DOES THAT AREN'T ABSOLUTELY NECESSARY. AND WE DO THEM BECAUSE WE WANT TO BE BETTER, RIGHT? WE WANT TO DELIVER, UH, TO OUR RESIDENTS. UM, AS FAR AS AS, UH, DISTRICT SEVEN RESIDENTS AND COMMUNITY MEMBERS THAT I'VE INTERACTED WITH AS EARLY AS THIS WEEK, UH, I MEAN, I, I TOOK A POLL AT A RECENT, UH, NEIGHBORHOOD ASSOCIATION MEETING. IT WAS UNANIMOUS. UH, THERE MUST BE, UH, SOME SORT OF, UH, LIST OR, OR REGISTRY. THAT'S, THAT'S WHAT I'M HEARING, AND THAT IS WHY I'M FIGHTING FOR THIS HERE AT COUNCIL. UH, THE, UH, UM, I ALSO JUST WANTED [01:30:01] TO GIVE A SHOUT OUT TO, UH, THE WORK THAT THEY DO AT WELLMED, UH, SONYA GARZA, WHOM WE JUST APPOINTED TO THE READY TO WORK ADVISORY COMMITTEE IS THE PERSON WHO'S OUT THERE WITH A LOUD SPEAKER TELLING PEOPLE TO STAY IN THEIR CARS OR COME OUT OF YOUR CARS WHEN, WHEN YOUR TIME HAS HAS COME. SO THEY DO A GREAT JOB ABOUT THAT. UM, I ALSO, UH, WAS, UH, FAILED TO, TO MENTION THE PIVOTAL ROLE PLAYED BY BEXAR COUNTY MEDICAL SOCIETY, AND DR. LISA OCHOA, WHO SITS ON THEIR BOARD. UH, SO DR. LISA OCHOA BASICALLY CAME TO, CAME TO OUR WORK GROUP AND SAID, IF YOU HAVE LISTS OF PEOPLE WHO NEED VACCINES, I'VE GOT, UM, YOU KNOW, I'M CONNECTED WITH UT HEALTH, THEY'VE GOT THE VACCINES, AND I'VE GOT THE VOLUNTEERS, STUDENTS, MEDICAL STUDENTS WHO ARE GONNA MAKE THE PHONE CALLS. WHAT WE NEED ARE THE LISTS OF PEOPLE. SO WE'RE SCRAMBLING, UH, TRYING TO GET LISTS TOGETHER TO HER. WE GET HER STUFF. AND, AND THIS HAS HAPPENED WITH MULTIPLE PROVIDERS, NOT JUST, UH, DR. OCHOA. AND SOMETIMES WE DON'T HAVE THE RIGHT INFORMATION THAT THEY NEED. FOR INSTANCE, I COLLECTED AGES. I DIDN'T COLLECT DATES OF BIRTH, RIGHT? SO THAT MEANT A WHOLE OTHER GO BACK AND CALL TO, TO GET THAT INFORMATION. SO HAVING THIS CENTRALIZED, UH, SYSTEM IS GONNA HELP MY OFFICE, RIGHT? UH, BECAUSE WE DO A LOT OF THIS INFORMAL, INFORMAL WORK. AND THE TRUTH IS, IT CAN BE DONE BY TECHNOLOGY AND IN A CONSISTENT WAY. UH, SO WHY WOULD WE SAY, SAY NO TO THAT? UM, THE OTHER THING I I WANNA POINT OUT THAT'S ACTUALLY BRILLIANT ABOUT THIS TWO, TWO THINGS IS THAT BY HAVING HASA, UM, COME FORWARD, WHO, UH, LISA OCHOA CONNECTED US TO, TO HASA, BECAUSE SHE SAID, WE'RE GONNA HOST THE LIST, BECAUSE WE WERE HAVING THOSE PROBLEMS. SHE SAID, WE'RE GONNA HOST THE LIST ON SOME SPECIAL SOFTWARE THAT HASSA HAS. AND, UM, WHEN SHE SAID THAT, WE ASKED HER, WELL, WAIT A MINUTE, THAT'S, THAT SOUNDS GREAT. HASSA SOUNDS FANTASTIC. WHAT IF WE, YOU KNOW, WE ALSO DID A COMMUNITY WIDE ONE, NOT JUST FOR UT HEALTH. UM, SO REALLY IT WAS LISA OCHOA, B C M S, AND THAT UT HEALTH, UH, IDEA THAT BROUGHT THIS CONCEPT TO US. UH, AND IT'S, IT PUTS, UM, THE OWNERSHIP WITH HASSA TO SOME EXTENT INSTEAD OF ANY OF THE MAJOR VACCINE PROVIDERS WHO RIGHT NOW ARE UP TO THEIR EYEBALLS IN VACCINE DISTRIBUTION. AND REALLY, UM, PROBABLY THE LAST THING THEY NEED IS ANOTHER DATABASE TO MANAGE, OR ANOTHER BURDEN RIGHT NOW. AND WHAT IT DOES IS IT HELPS US BASICALLY HAVE A SHOVEL READY LIST OF PATIENTS TO GET THEIR VACCINES FOR WHEN WE DO HAVE VACCINES AVAILABLE INSTEAD OF HAVING A, UH, A SCRAMBLE. UM, HASSA WAS REALLY THE PIECE OF THE PUZZLE THAT WAS MISSING, UH, THIS WHOLE TIME. SO, UM, WE'RE SO GLAD THAT, THAT THEY'VE JOINED US, UH, IN THIS, UM, I DO HAVE ONE QUESTION FOR, UH, FOR CITY STAFF. UM, WHAT WE, ONE THING THAT WE WANTED WAS, YOU KNOW, COULD, COULD SOMETHING BE UNDERWAY BEFORE THE NEXT ROUND OF VACCINE SIGNUPS OPENS UP? RIGHT? THAT'S REALLY WHERE WE HEAR A LOT OF THE TENSION FROM OUR RESIDENTS HAPPENING, LIKE SITES CRASHING AND SUCH. WHEN DO WE FORESEE THAT NEXT, UH, HAPPENING AT THE ALAMO DOME WHERE, UM, UH, LIKE A BIG AMOUNT OF APPOINTMENTS WILL BECOME AVAILABLE? WE JUST OPENED UP, UM, THREE WEEKS WORTH OF APPOINTMENTS, WHICH TAKES US THROUGH MAY 1ST. SO IT'S NOT ANY TIME SOON. UM, I WOULD ESTIMATE TWO TO THREE WEEKS BEFORE WE OPEN UP AMOUNTS OF . ALRIGHT, THANK YOU. THANK YOU. THANK YOU. COUNCIL MEMBER SANDOVAL. COUNCIL MEMBER PERRY. THANKS AGAIN. I, I MISSED A COUPLE OF MY QUESTIONS FROM A WHILE AGO. UM, WHERE, WHERE IS THE MONEY COMING FROM FOR THIS? I KNOW YOU DON'T KNOW THE EXACT AMOUNT OF MONEY, BUT WHERE IS IT COMING FROM? WE HAVE A C D C GRANT, UM, TO COVER THE COST OF ALL COVID 19 VACCINATION ACTIVITIES. SO WE WILL GET REIMBURSED FOR WHATEVER COST IT IS. YEAH, IT'S COMPLETELY GRANT FUNDED. OKAY. ALRIGHT. UM, BUT THE ACTUAL CONTRACT, HAVE WE AWARDED A CONTRACT TO THIS ORGANIZATION? I DON'T THINK SO YET, CRAIG? NO, WE HAVEN'T, NO, WE HAVEN'T. COUNCILMAN IN THE, THE, THE ACTION ITEM BEFORE YOU TODAY WOULD AUTHORIZE, UH, ME AND THE STAFF TO FINALIZE THAT SCOPE OF SERVICES WITH HASSA AND EXECUTING AGREEMENT? THAT'S WHAT CRAIG WAS TALKING ABOUT A [01:35:01] SECOND AGO. OKAY. SO WE DON'T, WE'RE NOT AT THAT POINT, UH, OR ARE WE AT THAT POINT TO THAT WE HAVE TO RATIFY A CONTRACT HERE? OR, OR WHERE ARE WE IN THAT PROCESS? NO, THERE'S NO RATIFICATION. IF, IF APPROVED TODAY BEFORE THE COUNCIL, THEN IT WOULD AUTHORIZE ME AND THE STAFF TO NEGOTIATE THAT AGREEMENT GOING FORWARD. SO THIS IS NOT A RATIFICATION THERE, THERE'S BEEN NO CONTRACTOR WORK DONE IN ADVANCE. OKAY. ALL RIGHT. AND, UH, SO YOU'RE BASICALLY DOING A SOLE SOURCE AWARD HERE SINCE THERE'S, THERE'S NOT GONNA BE AN R F P OR ANYTHING THAT GOES OUT? THAT'S CORRECT. IT WOULD BE A SOLE SOURCE CONTRACT. OKAY. ALL RIGHT. AND THERE'S NO OTHER COMPANY OR NO OTHER FIRM THAT CAN PROVIDE THIS TYPE OF SERVICE TO US? UM, AND IT, NO, I DON'T THINK SO. HASSA HASSA IS POSITIONED AS A HEALTH DATA ORGANIZATION HERE IN SAN ANTONIO AND IN OTHER PARTS OF THE STATE THAT MANAGES HEALTH DATA AND HAS EXISTING RELATIONSHIPS WITH HOSPITALS AND IS, UM, UH, UNIQUELY POSITIONED TO BE ABLE TO DO THIS WORK. OKAY, BUT YOU DIDN'T, DIDN'T ANSWER THE QUESTION. THERE'S NO OTHER COMPANY THAT CAN PROVIDE THIS TYPE OF SERVICE. I'M NOT AWARE OF ANYBODY ELSE. GO AHEAD. GO AHEAD, COLLEEN. THEY, THEY HAVE A UNIQUE NICHE IN THIS MARKET. NOBODY ELSE IN THIS REGION HAS THE RELATIONSHIP THAT HASA HAS WITH OTHER HEALTHCARE PROVIDERS THAT FACILITATES THE ORDERING OF INFORMATION THAT THE MASS VACCINATION PROVIDERS ARE GOING TO DO. THERE ARE LOTS OF OFF THE SHELF SOLUTIONS TO JUST CREATE A DATABASE, AND THAT'S WHAT WE'VE BEEN TRYING TO AVOID. THIS IS A MUCH MORE USER FRIENDLY SOLUTION, A MUCH MORE INNOVATIVE SOLUTION TO THIS PROBLEM, AND ONLY HASSA CAN DO THIS FOR US. OKAY. ALL RIGHT. UH, THAT'S, THAT'S ALL MY QUESTIONS. THANKS. THANK YOU. COUNCIL MEMBER PERRY, COUNCIL MEMBER ROCHE GARCIA. THANK YOU, MAYOR. AND, UM, I WANNA START OFF BY, UH, BAS SAYING THAT I HAD A CONVERSATION A WHILE AGO WITH, UM, DR. BRIDGER. AND SO, UM, I HAD ASKED HER ABOUT WAIT LISTS. I WAS TRYING TO UNDERSTAND, SHE GAVE ME EXAMPLES OF WHERE THEY WERE WORKING, WHERE THEY WEREN'T. SHE DID, UM, UH, ACKNOWLEDGE THAT WHEN WE GOT MORE VACCINES OR AS MAYBE MORE, UM, DIFFERENT GROUPS OPENED UP, THAT AT THAT TIME WE WOULD, UM, YOU KNOW, TAKE UP THE CONVERSATION ABOUT DOING SOMETHING LIKE THIS. SO I, I FAILED TO THANK HER EARLIER. BUT THANK YOU, DR. BRIDGER, FOR THIS, UM, OPPORTUNITY TO WORK WITH, WITH YOU AND THE TEAM. I THINK THAT EVERYTHING IS SOMETHING THAT WE SHOULD BE TRYING OUT. THIS ISN'T AN EITHER OR SITUATION AGAIN, AND I, I, I WANNA REMIND MY COLLEAGUES THAT WE CAN'T PUT ALL OF OUR EGGS IN ONE BASKET. AND SO ANYTHING THAT WE DO TO HELP SAVE A LIFE, WE SHOULD TAKE, UH, INTO CONSIDERATION. I THINK THAT'S WHAT WE'RE DOING BY, BY TALKING A LITTLE BIT ABOUT THE CREATION OF, OF THIS TYPE OF, UM, OF LIST. AND JUST LIKE COUNCILMAN SANDOVAL MENTIONED, WE'VE ALL BEEN ASKED, UH, FOR HELP IN IDENTIFYING VULNERABLE POPULATIONS WITHIN OUR AREAS. MY TEAM HAS REACHED OUT TO APARTMENT COMPLEXES AND, AND ALL OF OUR CHURCHES AND ALL OF OUR AREA, ALL OF OUR APARTMENT COMPLEXES, ALL OF OUR CHURCHES, AND HAD THEM CONTACT WELLMED OR UT HEALTH DIRECTLY AT THE REQUEST OF THOSE ENTITIES SO THAT THEY COULD, UM, PROVIDE LISTS TO THEM DIRECTLY. AND SO I KNOW THAT WE'VE ALL, UM, BEEN ASKED ABOUT DOING THAT. I WANNA BE ALSO CAREFUL THAT, UM, I DON'T WANT MY COLLEAGUES TO, I, I THINK SOME OF MY COLLEAGUES ARE NOT COMPARING APPLES TO APPLES. AND SO WHAT WE'RE TALKING ABOUT IS NOT THE ACTUAL PROCESS OF RECEIVING A VACCINE THAT'S NOT GONNA CHANGE, RIGHT? SO IF IT TAKES YOU 15 MINUTES FROM THE TIME YOU ENTER THE ALAMO DOME TO THE TIME YOU EXIT THE ALAMO DOME, OR MAYBE IT'S LIKE 20 SOMETHING MINUTES, THAT'S GONNA STAY THE SAME, RIGHT? WITH THE SAME LEVEL OF, OF VOLUNTEERS AND STAFFING. SAME WITH WELLMED. IF IT'S TAKING YOU 22 MINUTES TO RUN FROM, FROM THE INSIDE OF THE DOOR TO TO BACK OUT, IT'S GONNA STAY THE SAME. THIS IS JUST THE, UM, THE LIST. NOW, I, I DID WANNA MAKE CLEAR THAT THE REASON THAT WE FOCUSED ON THE 65 PLUS IN THE PILOT ORIGINALLY WE HAD ASKED FOR 80 PLUS. UM, BUT DR. BRIDGER AND THE TEAM TOLD US THAT, UH, THAT THAT POPULATION WAS, WAS PRETTY MUCH TAKEN CARE OF ALREADY. SO WE SCALED IT TO 65 PLUS BECAUSE WE KNOW THAT ONLY 58.5% OF THE POPULATION AS OF MARCH THE 22ND, WHICH WAS IN THE REPORT THAT ERIC PROVIDED TO US ON MARCH 26TH, UM, HAS BEEN VACCINATED. SO WE KNOW WE STILL HAVE A LONG WAY TO GO. AND SO THE FACT THAT OUR DISTRICT STAFFERS CAN NOW BE ABLE TO, UH, HELP PEOPLE GET ENTERED ONTO A LIST WHERE THEY HAVEN'T BEEN ABLE TO BEFORE IS DEFINITELY IMPORTANT. UM, I ALSO WANT TO ASK, REMIND ME, CRAIG, AND I THINK YOU HAD ANSWERED THIS CORRECTLY, [01:40:01] ANYONE CAN SIGN UP FOR THE LIST. HOWEVER, THE GROUPS ARE GOING TO BE PRIORITIZED BASED ON 65 PLUS. AM I CORRECT IN THAT? CRAIG? Y YES, MA'AM. OUR CURRENT DESIGN DISCUSSION WAS, UH, WE'RE GOING TO ADVERTISE THAT THIS IS FOR 65 AND ABOVE, BUT IF YOU ARE, CHOOSE TO GO IN THERE ANYWAY, WHEN YOU PUT IN YOUR DATE OF BIRTH, IF YOU ARE NOT 65, WE WILL STILL COLLECT YOUR INFORMATION. AND THEN WHEN, WHEN YOU HAVE SUBMITTED, WE WILL SAY, AT THIS TIME, WE'RE PRIORITIZING 65 AND ABOVE. SO WE'LL FIND A NICER WORDING, BUT YOU'RE GONNA HAVE TO WAIT FOR A LITTLE WHILE. UH, BUT WE'LL STILL HAVE THE DATA IN THERE, SO AS WE CHOOSE TO EXPAND THIS LATER, WE WILL STILL HAVE A POPULATION TO PULL FROM. PEOPLE WON'T HAVE TO GO BACK. THAT'S OUR CURRENT INTENT. GREAT. THANK YOU CRAIG. AND I THINK THAT WAS LEFT OUT, SO I JUST WANNA MAKE SURE THAT EVERYBODY KNOWS THAT THEY, THEY COULD STILL ADD THEIR NAME TO THEIR LIST. UM, AND AS VACCINES BECOME AVAILABLE, KIND OF LIKE ERIC EXPLAINED WITH THE, UM, REACTIVE SITUATION, IF WE NEED FOLKS TO COME IN AND GET VACCINE, I KNOW THAT I WAS, UM, FRANTICALLY TRYING TO FIND PEOPLE FOR, FOR 60 DOSES THAT WERE LEFT AT THE END OF ONE DAY AND, AND 50 AT WELLMED AND 60 AT THE OME. AND SO WE'RE TRYING TO, TO, TO FIGURE OUT, YOU KNOW, WHO, WHAT ORGANIZATIONS TO, TO POST INFORMATION TO. UM, SO, UM, SO I, I'M VERY THANKFUL AND I JUST WANTED TO MAKE SURE THAT PEOPLE ARE AWARE THAT EVEN THOUGH THEY'RE NOT 65 PLUS THEY CAN REGISTER NOW. I'M SORRY, THEY CAN GET ON THIS LIST NOW SO THAT THEY COULD POTENTIALLY BE IN THIS REACTIVE LIST. SO, UM, THANK YOU SO MUCH CRAIG, FOR CLARIFYING THAT. I APPRECIATE YOU. I JUST WANNA BE CLEAR, MA'AM, THAT'S NOT GONNA BE OUR INTENT FOR THE PEOPLE TO COME IN FIRST AS, AS WE GO THROUGH THIS . YES. THANK, THANK YOU. COUNCIL MEMBER ROCHA GARCIA, COUNCIL MEMBER. KURT, YOU'RE MUTED, JOHN. JUST LIKE OLD TIMES. JOHN, YOU'RE STILL MUTE. YOU'RE, YOU'RE THE LAST ONE IN JOHN, SO WE CAN WAIT. COUNCILMAN, YOU'RE, YOU'RE MUTED ON WEBEX, SO MAYBE UNMUTE WEBEX AND THEN YOUR PHONE IF YOU COULD, COUNCILMAN, THIS IS JOHN, JUST MAYBE WE COULD TRY ONE MORE TIME. YOU'RE, YOU'RE ON WEBEX ON THE COMPUTER, YOU'RE MUTED. AND THEN UN UNMUTE THE COMPUTER AND THEN PERHAPS THE PHONE AS WELL, SIR. OKAY. I, OH, THAT WAS IT FOR YOU. RE YOU DID IT TWICE THERE ON WEBEX, SIR. OKAY. WEBEX IS UNMUTED NOW, NOW ON THE PHONE, SIR, IF YOU CHECK THE PHONE. STAR SIX, SIR. OKAY. YES SIR. UNDERSTOOD THE BODY LANGUAGE, SIR. GOOD NEWS IS, UH, FOR, FOR THOSE WATCHING, WE ARE BACK IN PERSON FOR A SECTION STARTING APRIL 8TH. THAT'S NEXT WEEK. WE'RE ALL GONNA LOOK FORWARD TO THAT. UM, THAT'S EVERYBODY WHO'S, UH, SIGNED UP TO SPEAK ON THIS ITEM. UM, SO THERE IS A MOTION AND A SECOND FOR APPROVAL OF ITEM ONE. UNLESS THERE'S ANY FURTHER DISCUSSION, WE'LL GO AHEAD AND CALL THAT QUESTION. UM, IF, UH, COUNSEL, IF YOU ARE ON, PLEASE MAKE SURE THAT YOUR, YOUR, UH, SCREEN YOUR VIDEO IS ON AND UH, I'LL GO AHEAD AND CALL THAT QUESTION. ALL THOSE IN FAVOR SAY AYE. AYE. AYE. ANY OPPOSED? UH, MOTION CARRIES. UM, THAT'S ALL THE ITEMS WE HAVE UH, FOR OUR PUBLIC AGENDA. WE DO HAVE AN, AN EXECUTIVE [Executive Session] SESSION TODAY, SO LEMME GO AHEAD AND, UH, MOVE US INTO AN EXEC SESSION. UH, JUST ONE SECOND, THOSE ITEMS. ALL RIGHT, THANKS EVERYBODY. THE TIME IS 3:48 PM ON THIS WEDNESDAY, MARCH 31ST, 2021. THE CITY COUNCIL OF THE CITY OF SAN ANTONIO WILL NOW MEET IN EXECUTIVE SESSION TO CONSULT WITH THE CITY ATTORNEY'S OFFICE PURSUANT TO TEXAS GOVERNMENT CODE SECTION 5 5 1 0.071 AT DELIBERATE DISCUSS THE FOLLOWING ITEMS, ECONOMIC DEVELOPMENT NEGOTIATIONS PURSUANT TO TEXAS GOVERNMENT CODE SECTION 5 5 1 0.087, ECONOMIC DEVELOPMENT PURCHASE EXCHANGE, LEASER VALUE OF REAL PROPERTY [01:45:01] PURSUANT TO TEXAS GOVERNMENT. CODE SECTION 5 5 1 0.072 REAL PROPERTY DISCUSSED THE 2020 EVALUATION TIMELINE FOR PROCESS FOR THE CITY MANAGER, CITY AUDITOR, CITY CLERK, AND PRESIDING MUNICIPAL JUDGE PURSUANT TO TEXAS GOVERNMENT CODE SECTION 5 5 1 0.074 PERSONNEL MATTERS AND CONSULTATION WITH THE CITY ATTORNEY FOR LEGAL ISSUES OR RELATED ADVICE RELATED TO COLLECTIVE BARGAINING LITIGATION INVOLVING CITY CVID 19 PREPAREDNESS AND PERSONNEL MATTERS UNDER 5 5 1 0.071. I SEE ALL OVER IN THE OTHER LINK, RIGHT? OKAY, INITIAL ACTION WAS TAKEN. OUR SESSION IS NOW ADJOURNED. SEE EVERYONE BACK AT FIVE O'CLOCK FOR CITIES TO BE HEARD. PUBLIC HEARING. THANKS Y'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.