[00:00:03]
SPEAKING EVERYBODY, AND WELCOME TO OUR FIRST COMMUNITY HEALTH AND EQUITY COMMITTEE MEETING, UH, IN A VERY LONG TIME.
UH, AND IT IS THE FIRST VIRTUAL MEETING THAT WE'RE HAVING, SO YAY.
CONGRATULATIONS TO ALL OF US FOR MAKING IT ONLINE, MAKING IT WORK, BUT WE'LL FIND OUT WHEN THE AUDIO COMES UP.
UM, UH, I WANNA THANK, UH, ALL THE STAFF WHO IS, UH, ASSISTING US.
SITTING RIGHT ACROSS FROM ME IS, UH, MISS AMANDA REYNA, WHO IS, UH, NAVIGATING THIS WHOLE THING.
AND WE ALSO HAVE, UM, G P A, TRACY VEDA IS HELPING US WITH PUBLIC COMMENT.
SO I'M GONNA START WITH, UH, A ROLL CALL.
NANCY, THANK YOU FOR JOINING US.
DID I HEAR? OH, HE'LL BE LATE.
COUNCIL MEMBER ANDREW SULLIVAN HERE.
HAVE WE NOT MET QUORUM YET? I HAVE NOT MET QUORUM.
WHY DON'T WE TAKE A PAUSE AND, UH, MAKE, THANK YOU.
UH, NANCY, IF YOU COULD, UH, WE HAVE, UH, OUR QUORUM PRESENT.
UM, JUST A QUICK ANNOUNCEMENT FOR ANYONE WHO IS TRYING TO CALL IN.
UM, I WOULD DIRECT YOU TO THE T B S A SPECTRUM FEED, OR THE, UH, SAN ANTONIO MUNICIPAL FACEBOOK FEED.
UH, THE CALL IN LINE RIGHT NOW IS JUST FOR THE COMMITTEE MEMBERS AND THE PRESENTERS.
SO IF YOU DO, UH, WANT TO, UH, LISTEN ALONG, PLEASE TRY ON THOSE CHANNELS.
IF YOU NEED TO GET IN TOUCH WITH ANY OF US WHO ARE HERE IN THE ROOM, UH, YOU CAN CONTACT AMANDA RENA, OR YOU CAN CONTACT ANDREW SOLANO OR MATEO.
TINO, WE ARE, UH, IN THE ROOM VERY FAR APART FROM ONE ANOTHER.
OH, WE HAVE, UH, ONE MORE COUNCIL MEMBER JOINING US.
UH, ONE MORE ANNOUNCEMENT I I WANTED TO MAKE IS THAT WE DO HAVE PUBLIC COMMENT, UH, SCHEDULED FOR THIS, UH, FOR THIS COMMITTEE MEETING.
SO I WANNA THANK ALL THE AV TEAM FOR, FOR MAKING THAT HAPPEN.
UM, THIS IS ALL, ALL NEW FOR US.
HOWEVER, THE DEADLINE FOR PUBLIC COMMENT, BECAUSE IT IS VIRTUAL, WAS LAST NIGHT AT 5:00 PM UH, I UNDERSTAND THAT MAY HAVE BEEN A SURPRISE TO SOME PEOPLE WHO ARE, WHO ARE WATCHING THIS, UM, WHO ARE WATCHING THE COMMITTEE MEETING.
IF THAT IS THE CASE, UM, I WOULD ASK YOU TO, WHO SHOULD WE ASK THEM TO CONTACT? SORRY.
IF YOU, UM, IF YOU DO STILL WANT TO COMMENT, UH, WE'LL BE, UH, GO AHEAD AND TAKING SIGN UP, UH, PROBABLY FOR THE NEXT 15 MINUTES OR SO.
UH, WE'LL, UH, WE'LL STOP AT 10 20, UM, OR ACTUALLY BY BEFORE THE END OF THE PRESENTATION, UH, BECAUSE THAT'S WHEN PUBLIC COMMENTS WOULD, WOULD OCCUR.
UH, AND YOU CAN SIGN UP TO DO SO BY EMAILING PUBLIC COMMENT@SANANTONIO.GOV AS STATED IN THE AGENDA.
UH, BECAUSE OF THE, UM, WE WILL PROBABLY LIMIT COMMENT TO TWO MINUTES, DEPENDING HOW MANY PEOPLE SIGN UP.
MAYBE NOBODY SIGNS UP, SO IT'LL BE FINE.
BUT WE JUST WANNA MAKE SURE YOU HAVE AN, UH, YOU HAVE AN OPPORTUNITY.
SO AGAIN, IF YOU ARE SIGNING UP FOR PUBLIC COMMENT, PLEASE EMAIL PUBLIC COMMENT AT SAN ANTONIO DACA.
WITH THAT, WE'LL MOVE ON TO OUR AGENDA FOR TODAY.
UM, AGAIN, UH, WE DON'T HAVE ANYONE SIGNED UP FOR PUBLIC COMMENT.
WE'LL HEAR ANY PUBLIC COMMENT RELATED TO, UH, THE PRESENTATION AFTER THE PRESENTATION IS DELIVERED.
UM, NUMBER ONE, ITEM NUMBER ONE IS APPROVAL OF THE MINUTES FOR THE FEBRUARY 17TH COMMUNITY HEALTH AND EQUITY COMMITTEE MEETING.
IS THERE A MOTION OR COMMENT? MOTION TO APPROVE.
THERE'S A MOTION AND A SECOND.
ANY OPPOSED? UH, THE MOTION PASSES UNANIMOUSLY BECAUSE WE ARE A UNITED COMMITTEE.
[00:05:01]
A UNITED COUNCIL, SORRY.SOMETHING ABOUT DOING THIS ONLINE REALLY SPARKS MY HUMOROUS SIDE, AND I NEED TO REMEMBER, THIS IS A VERY SERIOUS, UM, OKAY.
WE'LL MOVE ON TO, UH, THE, UH, AGENDA ITEM, WHICH IS, UH, BRIEFING ON THE WATCH, EXPAND AND ASSURE PLAN.
I WILL TURN IT OVER TO, UH, DR.
UM, EVERYONE'S NAME IS ON HERE.
BRIDGER CHARLES AND DAWN AMEK.
UM, SO I'LL INTRODUCE OUR TWO STAR SPEAKERS.
EMMERICH AS THE METRO HEALTH DIRECTOR, AND, UM, CHIEF CHARLES HOOD AS THE CHIEF OF THE DEPARTMENT, WHO ARE GOING TO GIVE AN UPDATE ON THE HEALTH TRANSITION TEAM IMPLEMENTATION PLAN.
UM, SO DAWN, I BELIEVE WE'RE GONNA KICK IT OFF.
SO, AMANDA, ARE WE GONNA HAVE THE SLIDES UP? THERE WE GO.
WELL, I WANT TO THANK YOU EVERYONE, UM, FOR THIS OPPORTUNITY TO PROVIDE AN UPDATE.
UM, BEFORE I GO, HOWEVER, UM, AND START, UM, IT WOULD, I WOULD BE REMISS IF I DID NOT, UM, ACKNOWLEDGE THAT, UH, YOU KNOW, COVID 19 IS, UM, SOMETHING THAT OF COURSE WE'VE ALL BEEN, UH, DEALING WITH OVER THE LAST SEVERAL MONTHS.
UM, BUT WE ALSO KNOW THAT WE ARE, UH, FIGHTING TWO DEADLY VIRUSES HERE.
COVID 19 IS DEFINITELY THREATENING OUR HEALTH, BUT WE ALSO KNOW THAT WE NEED TO ACKNOWLEDGE THAT RACISM IS ALSO IMPACTING ALL OF OUR LIVES, ESPECIALLY OUR BROWN AND BLACK COMMUNITIES.
UM, AND SO IT SHOWS UP IN ALL OF OUR INSTITUTIONS, AND IT IS CLEARLY A PUBLIC HEALTH ISSUE.
AND I'M LOOKING FORWARD TO HAVING FURTHER CONVERSATIONS ABOUT HOW WE CAN ADDRESS RACISM, RACIAL DISPARITIES IN OUR HEALTH, UM, IN OUR COMMUNITIES, IN OUR WAY OF LIFE, AND IN OUR INSTITUTIONS.
UM, AND SO I'M HOPING THAT WE CAN HAVE A REALLY GREAT DIALOGUE MOVING FORWARD IN THIS PARTICULAR COMMITTEE AND AS A CITY AS WELL, AND ADDRESS, UM, THE OTHER BUYERS THAT IS IMPACTING ALL OF OUR LIVES.
SO THANK YOU VERY MUCH FOR THAT OPPORTUNITY.
UM, SO OUR WATCH, EXPAND AND ASSURE PLAN, UM, IS ONE THAT HAS BEEN DEVELOPED BY MANY, MANY PEOPLE.
IT IS THE OPERATION, THE OPERATIONS PLAN OF THE HEALTH TRANSITION PLAN.
UM, WE ALSO HAD AN OPPORTUNITY WITHIN THIS PLAN TO REALLY LOOK AT WHAT ARE SOME OF THE, UM, CURRENT NEEDS, AND THEN WHAT CAN WE DO IN THE FUTURE TO REALLY IMPACT, UM, OUR COMMUNITY FOR A LONG TERM.
SO THIS IS REALLY AN OPPORTUNITY TO SHARE WITH YOU WHAT WE ARE CURRENTLY DOING, UM, AND GIVE YOU AN UPDATE ON THAT.
BUT, UM, I'M VERY EXCITED ALONG WITH MY PARTNERS, ALONG WITH CHIEF TO KNOW THAT THIS, UM, THIS SCENARIO, THIS SITUATION, UM, THE CARESS ACT DOLLARS THAT HAVE COME IN HAVE ALSO ALLOWED US TO BE VERY VISIONARY AND TO SAY, OKAY, WHAT ELSE CAN WE DO THAT WILL HAVE A LONG-TERM IMPACT ON OUR COMMUNITY? NOT JUST MEET THE CURRENT NEEDS, BUT ALSO HAVE A LEGACY, UM, FOR LONG TERM, WELL AFTER THESE DOLLARS ARE GONE.
UM, SO LET'S, NEXT SLIDE PLEASE.
SO THIS IS BROKEN UP INTO THREE BOXES.
UM, THIS IS A VERY COMPLEX APPROACH.
UM, THIS INFORMATION CHANGES EVERY SINGLE DAY.
UM, AND THE BEST WAY THAT WE COULD REALLY PULL ALL THIS TOGETHER TO TRY TO CONTINUE TO MAKE SENSE OF THIS AND TO MAKE IT EASIER TO UNDERSTAND, IS TO PUT THIS WORK INTO THREE BOXES.
THIS IS OUR INDICATORS, UM, THAT WERE, UH, OFFERED AND DEVELOPED THROUGH THE HEALTH TRANSITION PLAN, WHICH I WAS SO HONORED TO BE A PART OF WITH MANY OF MY OTHER PEERS IN THE COMMUNITY.
UM, THE WATCH PORTION OF THIS PLAN IS TO MONITOR, MONITOR THE EPIDEMIC AS OUR COMMUNITY GRADUALLY REOPEN, BUT IT'S ALSO BEYOND REOPENING.
IT'S ALSO ABOUT LOOKING AT HOW IS OUR HEALTHCARE SYSTEM, UM, FAIRING, YOU KNOW, WHAT IS OUR TESTING CAPACITY?
[00:10:01]
WHAT IS THE POSITIVITY RATE? ALL OF THOSE INDICATORS OF PROGRESS AND WARNINGS THAT WE CAN ALWAYS BE ASSURED THAT WE ARE WATCHING WHAT'S HAPPENING IN OUR COMMUNITY.WE WANT TO MAKE SURE THAT WE'RE ABLE, GIVEN THE SUPPLIES AND THE LAB CAPACITY, THAT WE'RE ABLE TO PROGRESSIVELY EXPAND DAILY TESTING AND CONTACT TRACING.
THE THIRD BUCKET OF OUR PLAN IS THE ASSURED.
IT'S A KEY AND A BACKBONE TO PUBLIC HEALTH, AND THAT IS TO EDUCATE THE PUBLIC, ENFORCE THE EMERGENCY ORDERS, AND ENSURE TESTING AND CONTACT TRACING CAPACITY IS ALWAYS THERE.
WE CAN ALWAYS TALK ABOUT HOW WE NEED TO DO MORE TESTING, BUT WE ALSO HAVE TO MAKE SURE THAT THERE ARE AMPLE SUPPLIES AND MATERIALS IN ORDER TO DO THAT TESTING.
THE BEST WAY TO DO THIS IS THROUGH A COMMUNITY COLLABORATION.
UM, IT IS CERTAINLY METRO HEALTH'S RESPONSIBILITY TO SET THE VISION, TO SET THE TONE, BUT TO ALSO CONVENE, UM, MANY PARTNERS AROUND THIS SO THAT THIS BECOMES A COMMUNITY RESPONSE, UM, WITH METRO HEALTH IN LOCKSTEP PARTNERSHIP WITH OUR COMMUNITY PARTNERS.
AND SO YOU CAN SEE HERE THAT WE DO HAVE A TESTING AND TRACING TASK FORCE.
UM, THIS TASK FORCE EVOLVED BACK IN FEBRUARY, METRO HEALTH CONVENED PARTNERS WAY BACK IN FEBRUARY TO HELP US RESPOND TO THE TESTING DEMANDS AND ALSO THE LABS.
UM, WE KNEW THAT THE LABS WERE A CRITICAL PORTION, UH, OR A COMPONENT TO THIS PROCESS.
UM, IF THE LABS WERE NOT ONLINE, IF THE LABS WERE NOT, UM, VIABLE TO PROCESS ALL OF THE TESTING DEMANDS, THEN AGAIN, UM, THEN, YOU KNOW, THE GOALS OF TESTING WE'RE, WE'RE GOING TO HAVE A BARRIER.
HAVING THEM ON AT THE TABLE AT, ON ON TWICE A WEEK CALLS WERE INCREDIBLE.
AND WE HAVE A GREAT PARTNERSHIP WITH THE LABS NOW, WHERE WE'RE ABLE TO REALLY UNDERSTAND WHAT THEIR CAPACITY IS ALMOST ON A DAILY BASIS.
THIS PARTICULAR TASK FORCE REALLY WAS POSITIONED WELL TO EVOLVE AND TO BECOME THE OPERATIONS ARM.
SO ALL OF THE RECOMMENDATIONS IN ADDITION TO OTHERS FROM THE HEALTH TRANSITION TEAM.
SO THIS, THIS TASK FORCE HAS CREATED FIVE WORKING GROUPS TO HELP US TO HELP METRO HEALTH AS A COMMUNITY IMPLEMENT THE RECOMMENDATION.
AND THEY ARE DIVIDED AND ALIGNED BY COLOR, AS YOU CAN SEE HERE, BY THE THREE BUCKETS OF WORK, THE INDICATOR MONITORING WORK GROUP THAT IS RESPONSIBLE FOR OUR WATCH, UM, BUCKET OF WORK.
THIS WORK GROUP CLOSELY MONITORS KEY PUBLIC HEALTH SIGNS TO DETERMINE WHEN SOCIAL PHYSICAL DISTANCING RESTRICTIONS WILL BE LIFTED.
UM, I'M SORRY, WILL BE LIFTED.
AND, UM, AND CHANGED, UM, TO ENFORCE AND TO HELP SLOW THE STOP AND SPREAD OF COVID 19.
UM, WE KNOW THAT REOPENING THE BUSINESS IS AT THE STATE LEVEL, BUT THESE INDICATORS, AS I MENTIONED, PROGRESS AND WARNING INDICATORS REALLY HELP US STAY INFORMED OF WHAT THE SITUATION IS IN OUR COMMUNITY.
EXPAND THE TESTING AND LAB REPORTING IT IS READ.
SO IS THE CONTACT TRACING WORK GROUP.
SO THIS IS THE TWO WORK GROUPS THAT WILL REALLY HELP US ADVANCE OUR EXPAND WORK.
THIS WORKING GROUP WILL MONITOR ALL SPECIMEN COLLECTIONS AND LAB TESTING ACTIVITIES TO MAINTAIN ACCURATE CAPACITY DATA, AS WELL AS EXPAND TESTING ACROSS THE COMMUNITY WITH SPECIFIC EMPHASIS ON POPULATIONS WHO ARE MEDICALLY AT RISK OR MARGINALIZED BY AN EQUITABLE SYSTEMS AND STRUCTURES, INCLUDING LOW-INCOME COMMUNITIES AND COMMUNITIES OF COLOR.
OUR CONTACT TRACING WORK GROUP IS THE WORK GROUP THAT WILL ENSURE THAT SAN ANTONIO HAS THE APPROPRIATE NUMBER OF TRAINED CONTACT TRACERS AVAILABLE TO PROPERLY INVESTIGATE ALL POSITIVE COVID 19 CASES, AND THAT CONTACT TRACING ACTIVITIES REMAIN IN PLACE AS LONG AS NECESSARY.
HOPPING TO OUR ASSURE BUCKET, WE HAVE TWO.
THE FIRST ONE IS THE ENFORCEMENT AND EDUCATION WORK GROUP.
METRO HEALTH, ALONG WITH THE DEVELOPMENT SERVICES, UM, DEPARTMENT ECONOMIC DEVELOPMENT DEPARTMENT, SAN ANTONIO FIRE DEPARTMENT AND SAN ANTONIO POLICE DEPARTMENT WILL CONTINUE TO EDUCATE LARGE AND SMALL BUSINESSES ON THE IMPORTANCE OF ADHERING TO SOCIAL DISTANCING AND THE CURRENT EMERGENCY ORDERS.
IN ADDITION TO PROVIDING RESOURCES TO BUSINESSES, THIS WORK GROUP WILL FOCUS OR, UH, COVID 19 PREVENTION AND TESTING EDUCATION EFFORTS IN SAN ANTONIO'S MARGINALIZED COMMUNITY.
[00:15:01]
METRO HEALTH WILL ALSO CONTINUE TO SHARE CRITICAL INFORMATION THROUGH THE COVID 19 HOTLINE AND EMAIL AND COMMUNITY HEALTH PREVENTION TEAM, SOCIAL MEDIA AND TRADITIONAL MEDIA PLATFORMS. AND THEN FINALLY, OUR POLICY AND HEALTH ALERT WORK GROUP ASK THE PUBLIC HEALTH AUTHORITY FOR BEXAR COUNTY AND THE CITY OF SAN ANTONIO.METRO HEALTH IS FRONT AND CENTER WHEN IT COMES TO HEALTH, UH, ISSUING HEALTH ALERTS THAT COULD AFFECT THE PUBLIC OR SPECIFIC POPULATION METROHEALTH DEVELOPED WITH PARTNERS COVID 19 HEALTH ALERTS, ADVISORIES, AND LOCAL POLICY RECOMMENDATIONS.
THIS GROUP WOULD BE ON THE FOREFRONT OF MAKING HEALTH ALERTS AND POSITIONS TO, AND STATE POSITION STATEMENTS AROUND ANTIBODY TESTING, UM, AND, UH, ANY FURTHER DECLARATIONS THAT MIGHT BE IN THE FUTURE.
SO THIS IS JUST A SNAPSHOT OF WHAT OUR PROGRESS AND WARNING INDICATORS LOOK LIKE.
THIS IS OUT, UM, ON OUR WEBSITE, THE SAN ANTONIO.GOV WEBSITE.
UM, SO THAT ALL CAN MONITOR THE, THE, THESE INDICATORS.
UM, WITH US, AGAIN, AS I MENTIONED, THAT, UM, THESE ARE ALL THE PROGRESS AND MORNING INDICATORS THAT WERE DEVELOPED BY THE HEALTH TRANSITION TEAM AND, UM, AND METRO HEALTH, ALONG WITH I I T S D AND OUR INNOVATION OFFICE, UM, AS WELL AS UNIFIED COMMAND, FIRE AND STRESS ALL PULLED DAYS TOGETHER AND DISPLAY THEM VERY NICELY SO THAT ALL PEOPLE CAN STAY.
AND WE'LL GO INTO A LITTLE BIT MORE DETAIL LATER ON.
SO LET'S TALK A LITTLE BIT ABOUT EXPAND.
SO A LITTLE BIT MORE IN DETAIL ABOUT WHAT EXPAND REALLY IS.
SO THE FIRST ONE IS ACCESS, I MEAN, ASSESS THE COMMUNITY.
CURRENTLY RIGHT NOW, WE ARE DOING, UM, SEVERAL THINGS.
NUMBER ONE IS THE SELF SCREENING WEBSITE.
SO THIS IS STILL ON OUR, UH, SAN ANTONIO.GOV WEBSITE WHERE PEOPLE CAN GO.
IT'S AN ONLINE TOOL FOR THE PUBLIC TO DETERMINE, UM, WHERE AND WHY, AND IF THEY SHOULD SEEK TESTING FOR COVID 19.
ONCE YOU GO THROUGH THE ASSESSMENT PROCESS, UM, IT PROVIDES YOU INFORMATION ON THE BACK END OF WHERE YOU CAN ALL THE LOCATIONS THAT ARE CURRENTLY, UH, PROVIDING TESTS OUT IN THE COMMUNITY.
SOME OF THESE TESTS ARE WALK UP, SOME OF THESE TESTS ARE FREE, SOME OF THEM ARE NOT FREE, BUT IT DOES PROVIDE OPTIONS ON WHERE PEOPLE CAN GO AND GET, UM, GET THEIR TESTS.
THE NEXT PORTION OF THE EXPAND IS ASSESSING THE COMMUNITY.
AND SO WE ARE CURRENTLY RIGHT IN THE MIDDLE OF DOING OUR COMMUNITY SURVEY.
THE C 19 COMMUNITY SURVEY HAD A SUCCESSFUL LAUNCH THIS WEEK, SEPARATE COLLECTORS, MEANING WHERE WE WERE ABLE TO GET THE DATA WERE RELEASED AND THROUGH A PRESS RELEASE IN A COVID 19 PORTAL ON SOCIAL MEDIA, ADDITIONAL COLLECTORS ARE EXPECTED TO BE DISTRIBUTED THIS WEEK, AND THEY INCLUDE RELIGIOUS ORGANIZATIONS AND IN PRINT MEDIA.
AS OF MAY 31ST, WE HAVE ALREADY RECEIVED OVER 4,000 RESPONSES, AND THIS WILL CONTINUE TO GO TO OCCUR OVER THE NEXT WEEK.
WE WILL END THE SURVEY AND HOLD OFF FOR ANOTHER TWO WEEKS.
WE WILL PUT IT BACK OUT FOR, UH, LIVE, UH, COLLECTION FOR TWO WEEKS, TAKE IT OFF FOR TWO WEEKS, PUT IT BACK ON FOR TWO WEEKS, AND TAKE IT OFF FOR TWO WEEKS.
WE DO THAT BECAUSE WE WANT TO BE ABLE TO, UM, SEE ANY OF THE CHANGES THAT ARE, THAT IS OCCURRING OVER A THREE MONTH PERIOD.
WE ARE VERY HAPPY TO HAVE MET WITH ALL OF OUR COUNCILS, UM, TO HAVE THEM WEIGH IN ON THE SURVEY.
UM, AND WE ADDRESSED A LOT OF THOSE ISSUES.
WE TESTED THE SURVEY BEFORE IT WAS LAUNCHED.
WE ASSURED THAT WE HAD, UM, ALL OF OUR COMMUNITIES THAT ARE IN THE DIGITAL DIVIDE AND MAYBE HAVE ACCESS ISSUES TO THE PORTAL, UM, THAT WE ARE ASSURING THAT, UH, THEY HAVE EQUAL ACCESS TO, UM, BEING ABLE TO FILL OUT THIS SURVEY.
SO, MORE TO COME ON THAT WE'RE VERY EXCITED ABOUT THE INITIAL LAUNCH.
AND SO THAT WAS, UH, I JUST GAVE YOU AN OVERVIEW OF HOW WE'RE GOING TO, HOW WE ARE ASSESSING THE COMMUNITY.
UM, IT'S, AGAIN, IT'S A VERY BASIC PUBLIC HEALTH PRACTICE TO ASSURE THAT WE ARE MEETING THE RIGHT NEED FOR OUR COMMUNITY.
AND THE BEST WAY TO DO THAT IS BY DOING THESE ASSESSMENTS.
[00:20:01]
SO HAVING THE SCREENING WEBSITE AS WELL AS THIS SURVEY WILL ALLOW US CONTINUED INFORMATION SO THAT WE CAN MAKE INFORMED DECISIONS BASED ON THE FEEDBACK OF THE COMMUNITY.NOW, I'M GONNA HEAD INTO TESTING.
AND SO BASED ON SOME OF THIS INFORMATION THAT WE ARE GETTING FROM THE ASSESSMENT PROCESS, IT HAS INFORMED US OF HOW WE IMPLEMENT OUR TESTING PLAN.
OUR TESTING PLAN HAS THREE TARGETS.
NUMBER ONE, WE ARE CONDUCTING A RANDOMIZED STUDY CURRENTLY AS WE SPEAK TO REALLY ASSESS THE PREVALENCE OF ASYMPTOMATIC INFECTIONS.
WE REALLY DO NOT KNOW WHAT IS HAPPENING IN OUR COMMUNITY, AND SO WE DON'T WANNA GUESS ANYMORE.
WE, WE DON'T WANNA PREDICT ANYMORE.
WE DON'T WANNA ASSUME ANYMORE.
AND THE BEST WAY TO DO THAT IS TO CONDUCT A RANDOMIZED STUDY, UM, WITH OUR COMMUNITY TO, UH, REALLY GET SOME GOOD QUANTIFIABLE INFORMATION ON THE PT OF ASYMPTOMATIC INFECTION.
THE SECOND THING THAT WE'RE DOING AROUND TESTING IS OFFERING UNIVERSAL SCREENING AND TESTING OF OUR CONGREGATE SETTINGS AND PRIORITIZING THOSE CONGREGATE SETTINGS.
THE THIRD PIECE IS EXPANDING OUR TESTING SITES.
SO IT'S NOT ONLY MAKING SURE THAT WE'RE TESTING THE RIGHT PLACES, BUT WE'RE ALSO WANTING TO MAKE SURE THAT WE ARE EXPANDING AND OFFERING, UM, EXPANDED ACCESS TO SOME OF THESE TESTING SITES.
SO LET'S GO INTO A LITTLE BIT MORE DETAIL OF EACH OF THESE.
SO, CONDUCTING OUR STUDY TO DETERMINE THE PREVALENCE OF ASYMPTOMATIC INFECTIONS THAT LAUNCHED YESTERDAY.
SO, TRAINING ON THE STUDY, THE PURPOSE, THE DATA, THE SPECIMEN COLLECTION WAS CONDUCTED FOR THE UT HEALTH VOLUNTEERS AND M I H ON FRIDAY, MAY 29TH, 502 SPECIMEN COLLECTION KITS AND 10 IPADS.
AND THE DATA COLLECTION INSTRUMENT UPLOADED WAS DELIVERED TO M I H AND AT THE FREEMAN COLISEUM.
UM, ALL OF THE COMPLETED PAPERWORK BY THE VOLUNTEERS HAVE BEEN FORWARDED TO M I H AND TO, UM, UH, AND TO AT, AT, SORRY, AT METROHEALTH, THE SAMPLING PLAN HAS BEEN PROVIDED TO M I H AND TO BE PROVIDED BY, UM, AND END WITH 10 TEAMS. THE TEAMS WORKING A F SHIFT AT THIS MEET AT FREEMAN COLISEUM AT EIGHT 30 ON MONDAY YESTERDAY, OR THIS PAST MONDAY.
AND THE FIELD WORK, UM, BEGAN.
SO AS OF RIGHT NOW, WE HAVE IN THAT PARTICULAR SAMPLE, UM, AND THAT STUDY, WE WILL CONTINUE TO COLLECT RANDOM SAMPLES, UM, AS IN EACH HOUSEHOLD, UH, HOUSEHOLDS ACROSS OUR COMMUNITY, UM, UNTIL THIS WEEKEND.
AS OF RIGHT NOW, WE HAVE 169 RANDOM SELECTED TESTS, AND WE'RE HOPING TO GET 502.
SO NOW WE ARE, THE SECOND PIECE OF THE TESTING IS TO CONDUCT UNIVERSAL SCREENING AND TESTING IN CONGREGATE SETTINGS.
THIS PARTICULAR PIECE HAS, UM, A VARIETY OF, UM, TARGETED, UH, CONGREGATE.
AND THESE ARE VOLUNTARY UNIVERSAL SCREENING AND TESTING.
THE ONLY MANDATE THAT WE HAVE HAD TO DO UNIVERSAL SCREENING HAS BEEN WITH THE NURSING HOMES.
I'M GONNA LET SHE BUT TALK A LITTLE BIT MORE ABOUT THE NURSING HOMES WHEN WE GET TO THOSE SLIDES.
BUT THE UNIVERSAL SCREENING AND TESTING IS METRO HEALTH AND FIRE IN OUR COMMUNITY.
IT IS OUR EFFORT TO ASSURE THAT WE ARE CONTROLLING AND MITIGATING ANY TYPE OF OUTBREAK THAT IS OCCURRING IN SOME OF OUR PRIORITIZED CON UH, CON, UH, CONGREGATE SETTINGS.
AND SO THOSE PRIORITY AREAS ARE NURSING HOMES, WHICH THOSE NURSING HOMES HAVE ALREADY BEEN CONDUCTED BECAUSE IT WAS MANDATED BY THE GOVERNOR ASSISTED LIVING FACILITIES.
WE ALREADY COMPLETED THE JAIL, AND THAT WAS DONE WITH THE PARTNERSHIP OF, UM, THE COUNTY, BEXAR COUNTY AND U H S.
AND THEN WE ARE LOOKING AT DOING ADULT APARTMENT LIVING, UM, IN SOME OF OUR, UM, ADULT SENIOR LIVING AREAS.
AND THEN WE WILL LOOK AT OTHER CONGREGATE SETTINGS TO DO UNIVERSAL SCREENINGS.
KEEP IN MIND THAT UNLESS THE GOVERNOR HAS MANDATED THE SCREENING OR THE TESTING OF THESE CONGREGATE SETTINGS, ALL OF THESE ARE VOLUNTARY.
AND SO WE ARE NOT GOING TO MANDATE, WE ARE NOT GOING TO DEMAND THAT WE GO IN AND DO ANY TESTING OR SCREENINGS THAT WE ARE GOING TO OFFER OUR
[00:25:01]
SERVICES BY DOING SCREENING.AND THEN IF ALLOWED, WE WILL COME IN AND DO THE UNIVERSAL TESTING IN THESE CONGREGATE SETTINGS.
FINALLY, WE MENTION THE THIRD OF THE THREE AREAS OF TESTING, UM, STRATEGIES.
AND THAT IS TO EXPAND YOUR TESTING SITES FOR BOTH SYMPTOMATIC AND ASYMPTOMATIC INDIVIDUALS.
AND ONE OF OUR MOST, UM, YOU KNOW, REALLY WONDERFUL AND JUST PROMISING, UH, BEST PRACTICES.
UM, AND, AND ACTUALLY A PARTNERSHIP BETWEEN OUR FIRE DEPARTMENT AND OUR PUBLIC HEALTH.
METRO HEALTH IS OUR WALKUP MOBILE SITE.
SO WE HAVE SELECTED TWO NEIGHBORHOODS EACH WEEKEND, THURSDAY, FRIDAY, AND SATURDAY TO BRING THE TESTS TO COMMUNITIES WHERE THERE HAVE BEEN TRADITIONAL BARRIERS TO ACCESSING THE TESTING SITES THAT ARE LOCATED ACROSS THE COMMUNITY.
AND THROUGH THAT, WE HAVE HAD A GRAND TOTAL OF TESTS TO DATE, TOTAL NUMBER OF PATIENTS TESTED HAVE BEEN 3,480 PEOPLE.
TOTAL NUMBER OF PATIENTS WITH SYMPTOMS WHEN THEY COME TO THE SITE HAVE BEEN 1,546.
AND TOTAL NUMBER OF PATIENTS WHO HAVE COME WITHOUT SYMPTOMS HAVE BEEN 1,934.
WE ARE JUST THRILLED WITH THE SUCCESS WITH THE FEEDBACK THAT WE ARE GETTING, UM, IN THESE COMMUNITIES, AND WE'LL CONTINUE TO DO THAT.
WE DO HAVE MANY MORE SCHEDULED BEYOND THIS WEEKEND COMING.
I'M GONNA PASS IT OVER TO NOW, CHIEF HUN, WHO WILL TALK ABOUT THEIR EXPAND FIRES, EXPAND STRATEGY.
AND, UM, I'D LIKE TO THANK DON FOR HER, UH, PARTNERSHIP, UH, AND THE PARTNERSHIP IN METRO HEALTH.
UH, THINKS SHE'S DONE A FANTASTIC JOB.
SHE REALLY DID NOT GET A HONEYMOON WHEN SHE TOOK THIS POSITION, SO, UH, I JUST WANNA THANK HER FOR HER WORK.
UH, THE SAN ANTONIO FIRE DEPARTMENT IS AN ALL HAZARDS, UH, ORGANIZATION.
AND SO AS WE PREPARE, UH, FOR POTENTIAL CIVIL UNREST IN THIS CITY, WE ARE READY FOR THAT AS WE HAVE BEEN, UM, PREPARING AND REALLY, UH, DOING NEXT PRACTICES AS FAR AS WHAT THE FIRE SERVICE IS DOING IN THIS PANDEMIC.
SO ONE OF THE THINGS THAT WE HAVE, UH, RECOGNIZED THROUGHOUT OUR EXPERIENCES AND THROUGHOUT THE COUNTRY IS THAT THERE WERE SHORTAGES OF P P E.
AND, UH, WE'VE BEEN ABLE TO, UM, BUILD AND MAINTAIN A, UH, A CONSISTENT FLOW OF P P E TO WHERE WE HAVE BEEN ABLE TO, UM, PROVIDE P P E TO NURSING HOMES, OTHER FACILITIES AGENCIES THAT HAVE REQUESTED IT.
BUT, UH, WHAT THE PLAN IS TO, UH, PURCHASE A MEDICAL P P E FOR ALL CITY DEPARTMENTS AND MANAGE THAT, WHETHER IT'S BOOTIES, FACE SHIELDS, WHATEVER THE LEVEL IS OF PROTECTION THAT, THAT, UM, DEPARTMENT IN THE CITY MAY NEED, UH, WHETHER IT'S SCREENS, UH, SHIELDS, THINGS LIKE THAT, THAT NEED TO BE IN PLACE.
UM, WE WANT TO BE ABLE TO, TO MANAGE THOSE RESOURCES OR THOSE CACHES OF RESOURCES, UM, AND DEVELOP A, A, A DISTRIBUTION NETWORK THROUGH THE CITY FIT TESTING, UH, RESPIRATORS, MAKING SURE THAT WE HAVE RESPIRATORS FOR METRO HEALTH FOR SS A P D FOR FIRE DEPARTMENT THAT COMPLY WITH THE, UH, REQUIREMENTS OF THE C D C AND OSHA AND DECONTAMINATION EQUIPMENT.
DURING THE HEIGHT OF OUR RESPONSES, WE OPENED UP TWO LOCATIONS TO WHERE WE WERE DECONTAMINATING MULTIPLE AMBULANCES THROUGHOUT THE REGION AT A, UH, OLD RETIRED FIRE STATION IN THE MEDICAL CENTER AREA.
AND THEN WE ACTUALLY, UH, LEASED PROPERTY AT THE DOWNTOWN Y.
SO WE HAVE WENT OUT AND PURCHASED, UH, PORTABLE DECONTAMINATION UNITS THAT YOU SEE THAT SPRAYER WITH THE BLUE CORD TO WHERE WE'LL BE ABLE TO, UM, DECONTAMINATE SS A P D VEHICLES, FIRE DEPARTMENT VEHICLES, AND THEN LOOKING AT GETTING OTHER SPECIALIZED, UM, EQUIPMENT TO DO DEEP CLEANING IN CITY FACILITIES.
SO, ENHANCING, UM, OUR, OUR CAPACITY AND CAPABILITIES.
SO, UM, ADDING ANOTHER, UH, MEDICAL DIRECTOR AT THIS TIME, I HAVE A MEDICAL DIRECTOR AND ASSISTANT MEDICAL DIRECTOR.
SO THIS WOULD ALLOW US TO ADD ANOTHER MEDICAL DIRECTOR THAT IS A ER TRAINED PHYSICIAN, BUT ALSO VERSED IN, UM, INFECTIOUS DISEASE.
SO WE HAVE MORE DEPTH ON OUR BENCH THAT'S GONNA ENHANCE OUR ABILITY TO RESPOND TO POTENTIAL COVID, UH, CALLS, UH, MAKING SURE THAT OUR PUBLIC SAFETY FOLKS ARE SAFE.
AND, UH, AGAIN, TRYING TO, UH, LOAD BALANCE THE HOSPITALS, MAKE SURE THAT WE ARE NOT, UH, TAKING PEOPLE TO THE HOSPITAL THAT MAY NOT NEED TO GO BY ENHANCING OUR ABILITY TO
[00:30:01]
DO TELEMEDICINE, UM, AND, AND TRY TO KEEP A LOT OF THOSE PEOPLE HOME.UH, A LOT OF TIMES WE GET A LOT OF WORRIED, WELL CALLS 9 1 1 CALLS WHERE PEOPLE THINK THEY'RE SICK OR THEY NEED INFORMATION, AND THEY END UP TYING UP 9 1 1 RESOURCES WHEN WE MAY HAVE A HOUSE FIRE OR A MAJOR ACCIDENT.
SO CREATING A TRIAGE LINE FOR MINOR, MINOR CALLS TO WHERE WE CAN GIVE PRE-ARRIVAL INFORMATION AND, AND GIVE INFORMATION TO THE CITIZENS THAT MAY NOT REQUIRE A FIRETRUCK OR AN AMBULANCE.
UH, E M S EQUIPMENT, WE ARE A FIRE BASED E M SS SYSTEM.
SO 84% OF OUR CALLS EVERY SINGLE DAY ARE FIRE RESPONSE, OR I'M, I'M SORRY, E M S RESPONSES.
SO ADDING SPECIALIZED EQUIPMENT TO BOTH FIRE E M S AND M I H UNITS, SUCH AS ULTRASOUND, UH, EQUIPMENT TO BE ABLE TO SEE WHAT A, A PATIENT'S LUNGS LOOK LIKE, ADDING 12 LEAD E K G MACHINES TO ALL OF OUR FIRE APPARATUS, TO, AGAIN, GIVE THAT, THAT PARAMEDIC THAT'S ON THAT FIRETRUCK THAT DAY ADDED RESOURCES OR ADDED IN, UM, EQUIPMENT TO HELP DIAGNOSE A PATIENT AND DECIDE WHETHER WE ACTUALLY NEED TO TRANSPORT THEM OR NOT.
M I H UNITS TO BE ABLE TO HAVE I STAT MACHINES TO DO BLOOD WORK IN THE FIELD.
SO WE'RE SPACE AGE AS FAR AS WE'RE THE JETSONS OF THE FIRE SERVICE.
AND SO THIS EQUIPMENT IS REALLY GONNA HELP US, UM, TO PROVIDE BETTER CARE TO OUR CITIZENS ON A DAILY BASIS.
BUT IN PARTICULAR, UH, IF WE GET A LARGE, UH, COVID, UM, RESPONSE, AND WE HAVE TO DEAL WITH THAT.
SO TECHNOLOGY EQUIPMENT, HAVING PHONES TO BE ABLE TO DO TELEMEDICINE AT, AT THE HOME, AND ALSO THE TRAINING CAPACITY TO DO THAT.
SO BEING ABLE TO HAVE THE EQUIPMENT AND SUPPLIES.
AND IF YOU LOOK AT THESE PICTURES HERE, THESE ARE OUR FIRE PARAMEDICS, THE SAME ONES THAT WOULD GO TO A FIRE, AN AUTO ACCIDENT, BUT THEY ARE WORKING IN A NURSING HOME RIGHT NOW, AND THEY ARE DOING LARGE SCALE TESTING OF A CONGREGATE SITE.
SO BEING ABLE TO HAVE THE EQUIPMENT, AND IF YOU LOOK AT THE OTHER PICTURE OF THE TRUCKS AND THE TRAILERS, WE'VE PURCHASED FIVE OF THESE ALREADY, AND WE ARE UTILIZING THEM TO, TO DO OUR POP-UP TEST AND TO COMPLETE THE NURSING HOME MISSION THAT WE DID.
ALSO FOR ANY SMALL SCALE SITES THAT MAY COME UP.
SO WE'RE GONNA HAVE THE FLEXIBILITY, THE RESOURCES TO GO OUT AND TEST ANYWHERE IN THIS REGION, UH, IF NEED BE.
NURSING HOMES HAVE BEEN A CHALLENGE FOR US THROUGHOUT, AS WE LEARNED IN KIRKLAND, WASHINGTON, WHERE THEY HAD A LARGE AMOUNT OF STAFF AND, UH, RESIDENTS DIE.
AND SO EARLY IN MARCH, IF MOST OF YOU REMEMBER, WE SENT OUT INFORMATION FROM METRO HEALTH TO THE NURSING HOMES.
THE NURSING HOMES WERE LOCKED DOWN, BASICALLY AS FAR AS HAVING PEOPLE IN AND OUT.
UH, THERE WERE MEASURES PUT IN PLACE TO PROTECT THOSE, UH, EMPLOYEES.
WE ALSO, UH, SET UP A, UH, TRANSPORTATION COMMUNICATION TO LET US KNOW IF ANYONE FROM A NURSING HOME WAS CALLING 9 1 1.
WHERE WERE THEY GOING? WE WERE ABLE TO MANAGE THAT.
SINCE THEN, UH, THE GOVERNOR'S MANDATED THAT ALL NURSING HOMES BE COMPLETED.
A LOT OF 'EM, WE HAD TESTED PRIOR TO, UM, THE, UH, MANDATE.
AND SO WE WERE ABLE TO, UH, KNOCK OUT ALL 67 NURSING HOMES IN THIS REGION, INCLUDING BEXAR COUNTY, WITH OVER 10,000 SAMPLES, COLLECTED ABOUT 10,200 TO BE MORE, UM, CORRECT.
AND, UH, OF ALL STAFF AND RESIDENTS TESTED.
SO, UH, I THINK IT WAS A SUCCESS.
WE FINISHED IN 11 DAYS, UH, AND TOOK A DAY OFF.
SO AGAIN, I WANNA THANK THE TEAM FOR THEIR, UH, AGGRESSIVENESS IN GETTING THIS DONE.
SO, TESTING TEAMS, AND SOME OF YOU'RE FAMILIAR WITH WHAT MOBILE INTEGRATED HEALTHCARE MEANS.
UH, WE HAVE, UH, 15 MEMBERS IN M I H AND THEY'VE BEEN STRETCHED TO THE CORE AS FAR AS THE MISSIONS THAT WE'VE HAD TO GO OUT AND, UH, PROVIDE OUR CITIZENS HERE.
SO WHAT WE HAVE DONE, WE HAVE TRAINED AN ADDITIONAL 200 FIRE DEPARTMENT PERSONNEL, UH, TO WHERE WE HAVE A, A DEEP BENCH, DEEP ROSTER STRENGTH TO BE ABLE TO GO OUT AND PROVIDE SOME OF THESE ADDITIONAL TESTING THAT NEED TO OCCUR, EITHER IN A CONGREGATE SETTING, A POP-UP SET, POP-UP SETTING, DOING WORK WITH METRO HEALTH AS FAR AS GOING OUT AND, UM, KNOCKING ON DOORS OR BEING ABLE TO RESPOND ON A STATE REQUEST, WHICH WE HAVE DONE IN BRENHAM, TEXAS, WHERE WE WENT OUT FOR A LARGE NURSING HOME THAT, UH, THERE WERE A LOT OF PEOPLE SICK THERE, THEY DID NOT HAVE THE RESOURCES.
SO ADDING PHYSICIANS IS GONNA ALLOW US TO DO THAT.
ADDING PHYSICIANS FOR CONTACT TEAMS TO AGAIN, HELP METRO HEALTH TO EXPAND OUR ROLE.
WHEN SOMEONE DOES HAVE COVID, IF THEY'VE TESTED POSITIVE, HOW WE CAN GO DOOR TO DOOR WITH THAT PERSON OR TO THEIR DOOR, PROVIDE CONCIERGE SERVICE FOR THEM, HOPEFULLY KEEP THEM
[00:35:01]
OUT OF THE HOSPITAL, KEEP THEM FROM, UH, TO, UH, LOAD MANAGE OUR HOSPITALS, AND IT WILL ALLOW US TO, UH, ELIMINATE THE SURGE SURGE MANAGEMENT CHALLENGES THAT WE HAD.SO IF WE CAN KEEP THESE PEOPLE FROM BEING ADMITTED AND KEEP THEM FROM CALLING 9 1 1, UH, WHEN IT'S REALLY, REALLY LATE AND THEY'RE CRITICAL, WE WANT TO GO TO THEIR HOMES AND TRY TO TAKE CARE OF THEM THE BEST WAY WE CAN.
HI, I THINK WE ARE SWITCHING SPEAKERS AGAIN, SO, UH, WE'LL GIVE IT ONE SECOND TO, TO SWITCH OVER.
CAN YOU HEAR ME? YES, WE CAN HEAR YOU NOW.
I HAD IT ALL MUTE, SO THANK YOU FOR THAT NUDGE.
UM, SO THE NEXT PIECE OF OUR EXPAND, UM, THAT WILL BE, UH, IMPLEMENTED IS CONTACT TRACING.
UM, AND SO THAT IS RECRUITING AND TRAINING OUR CONTACT TRACERS, METRO HEALTH.
OUR GOAL IS METROHEALTH WOULD UTILIZE THE 70 15 90 RULES TO RECRUIT, TRAIN, AND DEPLOY 175 CASE TRACERS AS NEW POSITIVE CASES INCREASE OVER A PERIOD OF TIME, BEGINNING ON JUNE ONE.
AND SO RATHER THAN HIRE AND TRAIN ALL 1 75 CASE TRACERS AT ONE TIME, AND THAT THAT NUMBER 1 75 ACTUALLY CAME FROM A, UM, A, THE CENTER FOR HEALTH SECURITY, UM, THAT WAS AN ESTIMATED FOR BAYER COUNTY BASED ON POPULATION THAT 175 CONTRACT TRACERS, UM, WOULD BE NEEDED OVER THE NEXT FOUR MONTHS.
UM, RIGHT NOW, THE DEMAND, UM, OR OUR POSITIVE RATE, UM, OUR CASE RATE IS, IS, IS ON THE DOWN.
AND SO THAT 1 75, UM, OF CONTACT TRACERS ARE JUST NOT NECESSARILY NEEDED RIGHT NOW.
AND SO THAT'S WHERE THE 70, 15 AND 90 COME FROM.
THE 70 IS THE NUMBER OF SUSTAINED CASES, POSITIVE CASES THAT WE WOULD HAVE OVER SEVERAL PERIODS OF, UH, SEVERAL DAYS.
AND THAT IS A WARNING SIGN THAT IS LETTING US KNOW THAT, UM, THAT THERE IS AN INCREASE IN SUSTAINED NEW CASES AT THAT 70.
ONCE WE HIT A SUSTAINED 70 POSITIVE CASES A DAY OVER SEVERAL DAYS, THEN THAT'S GONNA BE A TRIGGER FOR, UM, FOR THE COMMUNITY TO RECRUIT AND TRAIN 15, UH, CASE TRACERS.
UM, AND THEN ONCE THEY'RE TRAINED, ONCE THESE 15 TO SET OF 15 IS TRAINED, UM, THEY'RE NOT GONNA BE DEPLOYED UNTIL THE CASES GO UP TO 90.
AND SO THAT IS AN INTERNAL FORMULA THAT WE HAVE FROM METRO HUB'S PERSPECTIVE.
WE HAVE THAT FORMULA BASED ON OUR OWN PRODUCTIVITY AND THE AMOUNT OF TIME THAT IT TAKES TO ENGAGE TO DO THE FIRST CONTACT INVESTIGATION AND THE NUMBER, UM, AND HOW LONG IT TAKES TO DO THE CASE TRACING.
WE HAVE THAT FORMULA, THAT FORMULA, THESE NUMBERS.
THE 70, 15 AND 90 IS BASED ON THE EFFICIENCY AND THE PRODUCTIVITY OF OUR EXISTING STAFF AND VOLUNTEERS THAT WE HAVE RIGHT NOW.
SO WE WILL USE THIS 70, 15 AND 90 RULE AS CASES IF THE CASES DO START TO, UM, DO START TO INCREASE.
I ALSO WANNA LET YOU KNOW THAT WE HAVE DECIDED THAT METROHEALTH WILL CONTRACT WITH A COMMUNITY ORGANIZATION TO DO THE RECRUITMENT, THE TRAIN, THE TRAINING, AND THE DEPLOYING OF THE CASE TRACERS FOR THE SAN, FOR THE CITY OF SAN ANTONIO AND THEIR COUNTY.
THE OTHER COMPONENT OF OUR CONTACT TRACING IS TO NOT ONLY DO THE TRAINING AND, UM, THE RECRUITING AND THE TRAINING, BUT WE ALSO WANT TO MAKE SURE THAT WE UTILIZE SOME OF THE EXISTING TECHNOLOGY THAT IS OUT THERE IN, IN THE MARKETPLACE.
THIS TECHNOLOGY CALLED IMOCA, UM, IS A PILOT THAT WE ARE RUNNING WITH THE E MOCA ORGANIZATION OR THE COMPANY ON MAY 1ST.
METRO HEALTH BEGAN A PILOT PROJECT ON UTILIZING THE THECA MOBILE HEALTH TECHNOLOGY.
THE ECA SERVICE INCLUDES A PATIENT MOBILE APP FOR SELF-MONITORING OF SYMPTOMS AND A WEB-BASED DASHBOARD TO MONITOR PATIENT
[00:40:01]
PROGRESS AND ECA STAFF TO ASSIST WITH THE CONTACT TRACING ACTIVITIES.SO AGAIN, THIS IS ANOTHER OPTION FOR US TO BUILD INTERNAL CAPACITY TO HELP REACH THE 1 75 AND EVEN BEYOND IF WE NEEDED TO.
THIS IS A PILOT RIGHT NOW THAT WE, UM, DID FOR 30 DAYS.
IT IS ALMOST FINISHED, AND AT THAT TIME, WE WILL DETERMINE WHETHER ECA IS A GOOD FIT FOR US HERE IN BEXAR COUNTY IN SAN ANTONIO.
SO CURRENTLY WE HAVE, UM, CSA, OUR TEAM, UM, WITH ECA, WE HAVE 31, UH, POSITIVES THAT ARE ENROLLED.
ECA TEAM ON THEIR OWN ARE MONITORING 106 OF OUR POSITIVE.
SO WE'RE VERY EXCITED TO SEE HOW THIS PILOT IS GOING TO WORK AND SEE IF IT IS A GOOD MATCH TO HELP US BUILD CONTACT TRACING CAPACITY.
OKAY, WE'RE HEADING TO OUR THIRD, UH, BUCKET THAT WE STARTED OUT WITH.
REMEMBER, WE STARTED OUT WITH WATCH.
WE GAVE YOU AN OVERVIEW OF ALL OF OUR INDICATORS THAT WE ARE WATCHING.
WE SHARED WITH YOU WHAT OUR TESTING EXPANSION IS.
OUR CONTACT TRACING EXPANSION IS, AS WELL AS OUR RESPONSE EXPANSION IS THAT SHE COULD GAVE AN OVERVIEW OF THE THIRD BUCKET IS THE ASSURANCE.
AND SO THE INSURANCE, THE ASSURANCE HAS TWO, TWO ITEMS THAT WE ARE LOOKING AT.
NUMBER ONE, ENFORCEMENT, THE ENFORCEMENT, THE CITY'S DEPARTMENT.
AS I MENTIONED TO YOU BEFORE, THIS IS THE WORK THAT WE ARE DOING WITH THE CITY'S, UM, DEVELOPMENTAL SERVICES DEPARTMENT, AS WELL AS METRO HEALTH AND THE, UH, CITY CENTER DEVELOPMENT AND SS A P V.
AND SO OUR GOAL HERE IS TO, UM, INSPECT BUSINESSES, UM, AND TO EDUCATE AND ADMINISTER THE WARNING AND CITATIONS FOR VIOLATIONS OF LOCAL PUBLIC HEALTH DECLARATION ORDERS.
CERTAINLY THAT IS, UM, GOING TO CHANGE DEPENDING ON WHERE WE GO WITH, UM, EX EXTENDING THE DECLARATION AND ALSO KNOWING THAT SOME OF THE, UH, MOST OF THE STATE'S DECLARATION OR THE STATE'S, UM, EMERGENCY DECLARATION OVERRULES WHAT'S HAPPENING AT THE LOCAL.
SO CLEARLY SOME OF THIS PLAN IS ORGANIC.
IT HAS CHANGED SINCE WE DEVELOPED THE, CAME OUT OF THE RECOMMENDATIONS OF THE HEALTH TRANSITION TEAM.
BUT THAT IS THE REASON WHY THE TESTING TASK FORCE IS GOING TO BE SO IMPORTANT.
AND ALL OF THOSE WORK GROUPS WILL HELP US MAINTAIN CURRENT AND RELEVANT APPROACHES TO ALL OF THIS WORK.
THE SECOND PIECE TO THE, UM, ASSURANCE SECTION OF THIS IS EDUCATION AND OUTREACH.
SO WE HAVE THIS WONDERFUL, UM, COLLABORATIVE EFFORT, AGAIN, WITH ACROSS THE CITY AND WITH OUR COMMUNITY PARTNERS IS COMMUNITY HEALTH AND PREVENTION TEAM.
THIS IS A MULTI-AGENCY COMMUNITY HEALTH AND PREVENTION TEAM THAT CANVASES NEIGHBORHOODS TWICE A WEEK TO EDUCATE AND PROMOTE TESTING LOCATIONS, STARTING WITH CENSUS TRACKS WITH THE HIGHEST NUMBER OF RESIDENTS OF RESIDENTS OF COLOR AND LOW INCOME.
UM, AND WE'LL DO THAT UNTIL NEXT YEAR OF 2021.
WE ALSO HAVE THE COMMUNITY HOTLINE THAT MANY OF YOU ARE FAMILIAR WITH, UM, THAT HOTLINE HAS.
UM, YOU KNOW, SINCE MARCH, MARCH 16TH, WE HAVE FIELDED OVER 32,000 CALLS.
LAST WEEK, THE AVERAGE WAS 572 CALLS A DAY, AND WE WORK SO CLOSELY WITH 3 1 1.
UM, AND IT'S JUST SUCH A GREAT PARTNERSHIP WITH THEM.
AND, UM, ANY TIME THAT WE'RE NOT ABLE TO TAKE ANY OF THOSE CALLS, 3 1 1 IS OUR BACKUP, AND WE HAVE JUST A REALLY GREAT PARTNERSHIP WITH THEM.
AND I JUST WANNA MENTION TO YOU THAT THAT HOTLINE IS FILLED WITH, IS ALL STAFFED WITH METRO HEALTH STAFF THAT HAVE BEEN REDIRECTED FROM THEIR TRADITIONAL PUBLIC HEALTH WORK.
AND SO JUST A BIG SHOUT OUT TO ALL OF THEM FOR BEING FLEXIBLE AND MAINTAINING THIS HOTLINE EVERY SINGLE DAY.
UM, WE'VE HAD NINE SESSIONS COMPLETED SO FAR WITH OUR PROVIDER COMMUNITY.
IN FACT, WE HAD ONE JUST LAST NIGHT.
UM, THE AVERAGE ATTENDANCE FOR EACH OF THOSE ARE ANYWHERE BETWEEN 80 TO 90 PROVIDERS, AND THOSE ARE OCCURRING EVERY TUESDAY EVENING AT 6:00 PM THERE WILL BE A SURVEY THAT WILL GO OUT.
WE'VE HAD REALLY GOOD RESPONSES, BUT NOW, AND AGAIN, GOING BACK TO THAT ASSESSMENT PROCESS THAT PUBLIC HEALTH DOES REALLY WELL, WE WANNA NOW GO BACK OUT INTO OUR PROVIDER COMMUNITY AND SAY, OKAY, LOOK, WE'VE DONE NINE SESSIONS SO
[00:45:01]
FAR.UH, WHAT ARE SOME OF THOSE TOPICS THAT YOU WOULD LIKE TO HEAR, UM, FROM METROHEALTH IN THE FUTURE? SO THAT SURVEY WILL BE GOING OUT SOON.
AND THEN FINALLY, THE LAST TWO SLIDES OF OUR PRESENTATION IS REALLY JUST TO KIND OF GIVE YOU AN IDEA OF A TIMELINE ALONG OF THE WORK THAT BOTH CHIEF AND CHIEF HOOD AND MYSELF JUST GAVE TO YOU.
UM, A LOT OF THE WORK HAS BEEN STARTED, AND WE'LL CONTINUE TO DO THAT THROUGHOUT.
UM, EITHER SOME OF THESE ITEMS WILL, UM, END IN DECEMBER, BUT FOR METRO HEALTH, WE WERE ALSO ABLE TO HAVE SOME ADDITIONAL FUNDING THROUGH, UM, C D C, SOME EMERGENCY, UH, COVID EMERGENCY, UH, FUNDING THROUGH C D C THAT WILL LAST UNTIL MARCH OF NEXT YEAR.
SO IT CERTAINLY IS NOT AT THE AMOUNT OF FUNDING THAT THE CARES ACT DOLLARS, UM, CURRENTLY ARE PROVIDING, BUT IT DOES GIVE US AN OPPORTUNITY TO TAKE SOME OF THIS REALLY CRITICAL WORK THAT WE'RE DOING RIGHT NOW AND TRY TO EXPAND SOME OF IT, OR EXTEND SOME OF IT INTO THE NEXT FISCAL YEAR UNTIL MARCH OF 2021.
SO THE NEXT SLIDE, AGAIN, JUST GIVES YOU SOME ADDITIONAL IDEAS ON WHERE OUR TIMELINES ARE AND WHEN WE DO EXPECT TO HAVE SOME OF THESE GOALS MET AND COMPLETED.
UM, SO THANK YOU SO MUCH, UM, FOR ALLOWING US TO GIVE YOU AN UPDATE ON ALL OF THIS.
UM, A LOT OF WORK HAS BEEN DONE.
WE STILL HAVE A LOT MORE WORK TO DO.
UM, THE, THE ONLY OTHER THING THAT IS NOT IN THIS PRESENTATION THAT IS IN OUR PLAN, AND THAT IS WITH, UM, WITH OUR RESEARCH, UH, AGENDA THAT WE ARE LOOKING TO DEVELOP WITH OUR COMMUNITY, UH, THIS WAS AN OPPORTUNITY FOR US OPPORTUNITY TO SAY, OKAY, RESEARCH IS AN ALLOWABLE EXPENSE, UM, WITH THE CARES ACT DOLLARS.
AND ALL OF THIS WORK IS EXCEPTIONAL AND NECESSARY WORK, BUT IT'S CURRENT WORK.
AND WE ALSO KNOW THAT WE WILL BE HIRING, UM, A LOT OF TEMPORARY STAFF, UM, TO HELP US IMPLEMENT THIS WORK.
AND THOSE TEMPORARY STAFF WILL, UM, END UP, UM, YOU KNOW, UH, COMING OFF OF, OF THIS WORK IN DECEMBER.
AND SO IT WAS REALLY IMPORTANT FOR US AS METRO HEALTH AND AS THE COMMUNITY WITH OUR PARTNERS TO SAY, WHAT CAN WE LEAVE BEHIND? WHAT CAN WE USE THESE DOLLARS FOR TO HAVE LEGACY IMPACT? WHAT ARE SOME OF THESE THINGS THAT WE, WHAT, HOW CAN WE USE SOME OF THESE DOLLARS TO HELP US HAVE A LONG-TERM IMPACT OF COVID ONCE THESE DOLLARS ARE GONE? AND THE BEST WAY TO DO THAT AND TO CONTINUE TO UNDERSTAND WHAT IS HAPPENING WITH COVID AND HOW IT'S IMPACTING OUR MARGINALIZED COMMUNITY IS TO PROVIDE, UM, MONEY FOR RESEARCH.
AND SO, METRO HEALTH SUPPORTS A COLLABORATIVE EFFORT THAT INVOLVES SCIENTIFIC RESEARCH ACROSS MULTIPLE DISCIPLINES AND COMMUNITY MEMBERS AS EQUAL PARTNERS TO ADDRESS CONDITIONS DISPROPORTIONATELY AFFECTING MARGINALIZED COMMUNITIES.
WE NEED TO UNDERSTAND WHAT IS HAPPENING, WHY IT'S HAPPENING, AND WHAT ARE THE SOLUTIONS THAT, UM, THAT OUR LONG-TERM SOLUTIONS, NOT JUST OUR CURRENT ACTIVITIES.
METRO HEALTH WANTS TO OFFER $1 MILLION OF CARE ACT FUNDING TO INVEST IN LEGACY RESEARCH PROJECTS, SUCH AS NUMBER ONE, COVID 19 COMMUNITY PARTNERED PARTICIPATORY RESEARCH.
THIS IS JUST, UM, AMAZING RESEARCH, PARTNER RESEARCH WITH THE COMMUNITY, NOT TO THEM OR ON THEM, BUT WITH THEM.
AND THIS IS REALLY, COULD BE INCORPORATED VERY NICELY INTO OUR EQUITY VISION THAT I KNOW THAT BOTH COUNCILWOMAN SANDOVAL AND COUNCILWOMAN GONZALEZ AND COUNCILWOMAN ANDREW SULLIVAN ARE VERY, VERY, UM, COMMITTED TO THE SECOND BUCKET OF RESEARCH COULD BE EVALUATION OF THE EXISTING COVID 19, UM, INTERVENTION.
DO WE KNOW THAT WHAT WE'RE DOING IS WORKING? WE DON'T REALLY KNOW THAT.
AND SO LET'S INVEST, LET'S INVEST THESE DOLLARS INTO ASSURING THAT THE WORK THAT WE'RE ALL DOING OUT IN THE COMMUNITY ACTUALLY WORKS.
AND LET'S, SAN ANTONIO LEADS THE WAY OF CREATING OUR BEST PRACTICES AND EVIDENCE-BASED PRACTICES FOR ALL THE NATIONS TO MODEL AND TO REPLICATE.
AND THEN THIRD, OUR POPULATION EPIDEMIOLOGY RESEARCH.
THIS IS A LOT OF RESEARCH THAT'S ALREADY OCCURRING, BUT WE WOULD NEED, WE NEED TO BETTER UNDERSTAND THE IMPACT OF THESE UNDERLYING CONDITIONS THAT ARE OCCURRING.
[00:50:01]
DIABETES AND HYPERTENSION, UM, ARE THE UNDERLYING CONDITIONS THAT ARE REALLY TAKING A TOLL ON OUR FOLKS WHO, WHO ARE DYING.UM, BUT WHY IS THAT? AND SO, AGAIN, I JUST, UM, I'M SO EXCITED ABOUT THE VISION THAT THIS COMMUNITY HAS, UM, TO ADDRESS THE ISSUES THAT WE CURRENTLY HAVE RIGHT NOW, BUT SEE THE VALUE IN THESE DOLLARS, THESE ONE-TIME DOLLARS, USE THAT AS A WAY TO LEVERAGE THESE DOLLARS TO SAY, WHAT CAN WE DO AS A LEGACY TO CREATE LEGACY IN THIS COMMUNITY THAT HAS FAR REACHING, UM, IMPACT FOR, UM, FROM NOW IN, IN THE FUTURE.
SO THANK YOU AGAIN FOR THE TIME FOR THIS PRESENTATION, AND, UH, BOTH CHIEF AND I WELCOME YOUR QUESTIONS AT THIS TIME.
THANK YOU VERY MUCH CHIEF HOOD FOR YOUR, UH, PRESENTATION.
UM, WE'LL MOVE ON TO COUNCIL MEMBER COMMENT AND BY POPULAR DEMAND, UH, WE WILL BE, UH, HAVING A COUNTDOWN
UH, WE'LL, UH, ALLOT 10 MINUTES, UH, FOR THE FIRST ROUND, AND IF SOME PEOPLE WANT TO COME BACK IN AND SPEAK, THEY'LL HAVE AN ADDITIONAL FIVE MINUTES.
AND THAT SHOULD GET US TO WRAP UP THIS MEETING BY, BY NOON.
UH, IF WE END UP USING ALL OF THAT TIME.
SO THE TIMERS BEING SET UP AT THIS MOMENT, UM, MY UNDERSTANDING IS THAT WE DON'T HAVE ANY PUBLIC COMMENT, SO, UH, GREAT.
BUT I'M SO GLAD THAT WE WERE PREPARED IN THE EVENT.
SO THANK, UH, TRACY AND ALL THE STAFF FOR, FOR PREPARING THAT.
UM, WE WILL GO AROUND THE ROOM, VIRTUAL ROOM IN, UH, IN NUMERICAL ORDER OF COUNCIL DISTRICT.
UM, SO I DON'T BELIEVE COUNCILMAN TREVINO IS, UH, WITH US YET.
UH, SO WE WILL BEGIN WITH, UH, DISTRICT TWO COUNCILWOMAN ANDREW SULLIVAN.
I JUST WANNA SAY THANK YOU TO DR.
BRIDGER, AND, UH, CHIEF PUT, UM, THANK YOU GUYS FOR REALLY SHOWING THE CITY OF SAN ANTONIO WHAT IT MEANS TO LEAD AND TO LEAD WITH EQUITY IN MIND AND LEAD WITH EVERY SINGLE RESIDENT, UM, AT YOUR HEART.
AND SO THANK YOU SO MUCH FOR THAT.
UM, THE QUESTIONS THAT I HAVE RIGHT NOW HAVE TO DO WITH, I KNOW, UH, THE UNIVERSAL TESTING IS VOLUNTARY, BUT WHEN IT COMES TO THE HOME-BASED CARE FACILITIES, UM, HOW ARE THEY BEING TREATED? ARE THEY BEING TREATED AS VOLUNTARY OR ARE THEY BEING TREATED AS A CONGREGATE SETTING? BECAUSE WE KNOW MOST OF THEM ARE, ARE HOME BOUND AND THEY DON'T LEAVE THE RESIDENTS.
UM, SO THEY WILL BE, UM, THE HOME BOUNDS WILL BE A PART OF, UM, A PROCESS, NOT UNIVERSAL SCREENING, BUT THEY COULD BE UNIVERSAL SCREENING, BUT NOT UNIVERSAL TESTING, TESTING.
AND SO THE UNIVERSAL SCREENING IS REALLY THAT OPPORTUNITY FOR WHEN, UM, WE'LL SEND.
SO THIS IS HOW WE, THIS IS HOW WE DO IT.
SO WE SEND FIRE AND METRO HEALTH SEND A LETTER OUT TO OUR PRIORITIZED CONGREGATE SETTINGS, ASKING THEM IF WE CAN COME IN AND, AND REALLY OFFER OUR SERVICES TO THEM AND SAY, CAN WE COME IN AND DO SCREENING OF YOUR RESIDENTS JUST TO ASSURE OR JUST TO SEE IF THERE ARE ANYONE WITH SYMPTOMS? AND SO IF WE ARE ABLE TO GO IN, UM, WE WILL DO SCREENING ON EVERYONE.
IF WE FIND THAT THERE IS SOMEONE THAT HAS, UM, SYMPTOMS, THEN WE WILL TEST ON THE SPOT.
IF THAT TEST COMES BACK POSITIVE, THEN THAT IS THE TRIGGER FOR US TO GO IN AND THEN, UM, TEST EVERYONE IN THAT PARTICULAR FACILITY.
SO CURRENTLY, UM, OUR PRIORITY AREAS FOR THESE UNIVERSAL SCREENING AND TESTING IS THE NURSING HOMES.
AS WE MENTIONED, WE DID COMPLETE THOSE ASSISTED LIVING FACILITIES, UM, AND THEN THE ADULT CARE HOME.
SO, UM, I WOULD SAY THAT IF THERE IS A NEED, IF THERE IS AN OUTBREAK OR ONE POSITIVE THAT IS OCCURRING IN SOME OF OUR ADULT, IN SOME OF OUR, UM, OUR HOME BOUND, THEN WE WILL CERTAINLY MAKE THAT A PRIORITY.
THANK YOU SO MUCH FOR THAT INFORMATION.
UM, TO KNOW THAT THERE ARE SEVERAL STEPS IN PLACE AND, AND THAT WORKS VERY WELL.
UM, IS THAT THE SAME FOR THE HOMELESS AND THE SHELTERING, UM, FACILITIES THAT WE HAVE HERE IN SAN ANTONIO AS WELL? YES, MA'AM.
AND, UM, I WANNA THANK YOU AGAIN FOR THE EMAIL EXCHANGE THAT WE HAD A FEW DAYS AGO.
UM, M I H I'M SORRY, FIRE, UH, D H S AND METRO HEALTH HAVE BEEN WORKING REALLY HARD IN COLLABORATION WITH THE C O C AND THE COMMUNITY TO ESTABLISH THOSE PROTOCOLS
[00:55:01]
FOR HOMELESS SHELTERS.AND SO, UM, YOU KNOW, WITH YOUR EMAIL AND CONCERN FROM THE COMMUNITY, WE GOT BACK TOGETHER, WE REVIEWED THAT PROTOCOL THAT HAS BEEN ESTABLISHED, AND WE ALL AGREED TOGETHER, UM, WITH, WITH C D C GUIDANCE THAT OUR PROTOCOL IS STILL A REALLY GOOD PROTOCOL.
SO WE KNOW THAT IF THERE IS A SYMPTOMATIC OR, AND A POSITIVE CASE, WE HAVE THOSE PROTOCOLS IN PLACE TO ACTIVATE AND TO GET PEOPLE TESTED EITHER AT ED OR M I H ACCORDINGLY.
THANK YOU SO MUCH FOR, FOR ACTING UP ON ALL OF OUR COMMUNITY CONCERNS.
I KNOW I HAVE SENT YOU SEVERAL, UM, DURING THIS PANDEMIC AND YOU HAVE BEEN ON THE SPOT.
SO THANK YOU TO THE METRO HEALTH TEAM, M I H TEAM, THE FIRE DEPARTMENT.
UM, YOU GUYS HAVE BEEN REALLY WONDERFUL WITH ADDRESSING THE CONCERNS OF OUR COMMUNITY.
UM, WHAT THE NEXT STEPS THAT ARE IN PLACE.
UM, ARE WE DOING ANY KIND OF FOLLOW UP OR RECOVERY COVID, UM, CONCERNS WITH THOSE THAT WE KNOW THAT HAVE TESTED POSITIVE, UM, BUT NOW THEY'RE IN A STATE OF WHAT WE CONSIDER RECOVERED.
UM, DO WE KNOW IF ANY OF THEM HAVE STARTED TO EX, UH, EXEMPLIFY ADDITIONAL SYMPTOMS? HAVE THEY GONE BACK INTO HAVING A POSITIVE TEST AGAIN? WHAT IS THE FOLLOW UP FOR THOSE THAT HAVE, UM, ACTUALLY RECOVERED? THAT IS A GREAT QUESTION AND ONE THAT COULD REALLY MAKE IT GOOD RESEARCH.
THAT'S, THAT'S EITHER THIS IS WHY WE WANT, YOU KNOW, TO GET THAT MONEY OUT INTO THE COMMUNITY TO DO THAT.
UM, THE FOLLOW UP REALLY OCCURS WITH THOSE FOLKS THAT ARE POSITIVE UNTIL THEY RECOVER.
THAT'S METRO HEALTH'S ROLE IS TO, IS TO MONITOR THEM UNTIL THEY MEET THE DEFINITION OF RECOVERY.
UM, THE ONLY TIME THAT WE WOULD SEE THEM BACK, UM, AND, AND HAVE ANY CONTACT WITH THEM IS IF THEY DID COME BACK INTO THE TESTING PROCESS AS OF RIGHT NOW, AND I CAN DO MY HOMEWORK AND I CAN ASK MY EPI, MY EPI STAT, BUT AS OF RIGHT NOW, I AM NOT AWARE OF ANYBODY WHO HAS RECOVERED, WHO HAS COME BACK INTO THE TESTING SYSTEM IN THE CONTACT TRACING SYSTEM.
SO, UM, THAT'S HOW METRO HEALTH WOULD KNOW, UM, WHAT HAS HAPPENED AFTER THEY HAVE RECOVERED.
AND, UM, BUT I CAN CERTAINLY FOLLOW UP WITH YOU ON THAT, COUNCILWOMAN, IF THAT IS SOMETHING, UM, THAT IS, UM, NECESSARY, I CAN, I CAN DO THAT AND FOLLOW UP WITH YOU.
I LIKE TO HAVE THAT INFORMATION.
UM, AND THEN MY LAST AND FINAL QUESTION THAT I HAVE, I KNOW WE ISSUED A CALL, UM, FOR ACTION AND WE ASKED FOR MEDICAL PROFESSIONALS THAT WERE WILLING TO STEP UP AND VOLUNTEER, UM, TO HELP WITH THE C OVID 19, UH, PROCESS.
DO YOU KNOW IF WE, HOW MANY HAVE ACTUALLY, UM, SIGNED UP OR IF WE ARE STILL HAVING THAT OPEN CALL FOR MEDICAL PROFESSIONALS? UM, LET ME GET BACK WITH YOU ON THAT.
I KNOW THAT WE DO HAVE SOME THAT ARE WORKING IN OUR CONTACT TRACING RIGHT NOW.
UM, I JUST DON'T KNOW THE EXACT NUMBERS.
AND WE DO HAVE, METROHEALTH HAS A DEDICATED STAFF THAT HAS BEEN WITH US FOR YEARS.
IT'S NOT SOMETHING THAT WE BROUGHT ON BECAUSE OF COVID.
THEY ARE A PART OF OUR, UH, PUBLIC HEALTH EMERGENCY PREPAREDNESS PROGRAM THAT IS 100% DEDICATED FOR MEDICAL VOLUNTEER IMPROVEMENT.
SO I CAN GET THAT NUMBER FOR YOU.
I KNOW WE HAVE THEM RIGHT NOW.
I JUST DON'T KNOW THE NUMBER, BUT I CAN FOLLOW UP WITH YOU.
UM, AND THEN I JUST WANNA TAKE THE LAST FEW MOMENTS TO JUST SAY THANK YOU FOR RECOGNIZING THAT THE SYSTEM THAT WE HAVE INEQUALITY AND INJUSTICE ACROSS AMERICA, IS SOMETHING THAT WE DEFINITELY NEED TO TREAT AS A VIRUS AND AS A SYSTEM OF HUMANITARIAN CRISIS.
AND SO WE THANK YOU FOR RECOGNIZING THAT.
WE THANK YOU FOR SAYING IT, AND WE THANK YOU FOR THE LEADERSHIP OF SAN ANTONIO TO STEP UP AND TRULY DO SOMETHING ABOUT IT.
SO WITH THAT BEING SAID, CHAIR, I HAVEN'T ANY OTHER QUESTIONS AT THIS TIME.
IF I NEED TO, TO CHIME BACK IN, I'LL THANK YOU.
CAN YOU HEAR ME? WE'LL MOVE ON TO COUNCILWOMAN SHIRLEY GONZALEZ.
UM, AND I'LL, I'LL TURN ON MY CAMERA.
I DIDN'T GET TO FIX MYSELF TODAY, BUT, UM,
I'LL GIVE, I'LL BE FIXED FOR THE B SESSION.
THANK YOU, UH, COUNCILWOMAN FOR THE SUPPORT.
[01:00:01]
GUESS JUST SOME QUESTIONS I HAVE REGARDING THE, UH, THE TESTING THAT WAS, UM, UH, THE POP-UP TESTING THAT WAS DONE IN, IN, YOU KNOW, AROUND THE AREA.YOU MENTIONED, UH, THAT THERE WAS A CERTAIN PERCENTAGE THAT WERE ASYMPTOMATIC AND A CERTAIN PERCENTAGE THAT WERE, UH, SYMPTOMATIC.
BUT I, I DIDN'T HEAR, UH, IF YOU MENTIONED WHAT PERCENTAGE WAS POSITIVE.
DO, DO YOU HAVE THAT BREAKDOWN? TWO, TWO PIECES TO THAT, UM, QUESTION.
ONE IS, UM, WHAT WE DID IS THAT WE, UM, FIRE AND METRO HEALTH THAT AS PEOPLE WERE WALKING UP TO THOSE SITES, WE, UM, DOTTED DOWN HOW MANY PEOPLE WERE COMING IN WITH SYMPTOMS AND WITHOUT SYMPTOMS. UM, WHAT, WHAT WAS DIFFICULT FOR US TO DO, BUT WE JUST GOT IT YESTERDAY.
UM, WHAT WAS DIFFICULT FOR US TO DO WAS TO CROSSCHECK, UM, THOSE FOLKS, UM, FOR WHAT THEIR RESULTS WERE IN THOSE POP-UPS.
UM, I WANNA SAY, LET ME JUST APOLOGIZE AND SAY THAT WE'RE REALLY SORRY THAT IT TOOK US A LONG TIME TO GET THAT INFORMATION, BUT AS OF YESTERDAY, WE DO HAVE THAT INFORMATION AND I WAS JUST TALKING TO DR.
BRIDGER ABOUT IT AND WAS ASKING WHAT WOULD BE THE, THE MOST APPROPRIATE TO GET THAT INFORMATION OUT.
AND, UM, AND WE'LL GET THOSE, WE'LL GET THAT INFORMATION OUT TO THE, UM, COUNCIL DISTRICT THAT HAVE, THAT WE HAVE THE INFORMATION ON SO FAR, BUT THEN BE ABLE TO INCLUDE THAT PERHAPS AT THE, UM, END OF THE DAY REPORT SO THAT EVERYBODY GETS IT.
SO I'M REALLY HAPPY TO REPORT THAT BACK TO YOU, COUNCILWOMAN.
UH, YEAH, I THINK THAT'S IMPORTANT INFORMATION TO KNOW, UM, BECAUSE IT WOULD IMPLY THAT THOSE PEOPLE, UH, THAT ARE GOING TO, THOSE POPUPS ARE UNINSURED, UM, AND PERHAPS DISPROPORTIONATELY REPRESENT LOW INCOME COMMUNITIES.
I KNOW THAT THAT'S THE PURPOSE, UH, OF THE POPUPS.
BUT THAT DOESN'T NECESSARILY MEAN THAT THAT WHO, WHO WAS THERE, UM, 'CAUSE YOU DON'T HAVE THAT INFORMATION, RIGHT? BECAUSE I FEEL LIKE WE ASKED YOU, LIKE YOU DIDN'T HAVE HAVE BY ZIP CODE, YOU DIDN'T HAVE BY LIKE, UH, YEAH, JUST REAL GENERAL.
I MEAN, IT WAS POSITIVE, NEGATIVE, ASYMPTOMATIC OR NOT.
IT'S A, IT'S A, YEAH, IT'S A FINE DANCE, RIGHT? THAT WHEN YOU, WHEN YOU RELEASE OR ELIMINATE BARRIERS, YOU SACRIFICE SOME OF THAT INFORMATION.
AND WE FELT LIKE ALL OF OUR TESTING SITES, WHETHER THEY WERE IN THE PRIVATE SECTOR OR WHETHER THEY WERE SOME OF THE TESTING SITES THAT THE CITY WAS INVOLVED IN, UM, WERE REQUIRING TOO MUCH INFORMATION.
AND WE SAW THAT POTENTIALLY AS A BARRIER.
AND, AND SO WE MADE THE DECISION TO SAY, WE WANNA ELIMINATE A LOT OF THIS INFORMATION THAT'S BEING COLLECTED SO THAT WE CAN ASSURE THAT BARRIERS ARE GONE.
SO IT'S A TOUGH ONE, RIGHT? WE, WE KNOW THAT WE, WE SACRIFICE SOME OF THAT INFORMATION TO REALLY MAKE SURE THAT TESTING WAS AVAILABLE WITH, WITHOUT ANY BARRIER.
UM, I KNOW THAT WE HAVE THE NUMBERS, WE'LL BE ABLE TO SHARE THAT WITH YOU.
UM, ANECDOTALLY I CAN TELL YOU THAT M I H AND METRO HEALTH, UM, YOU KNOW, AGAIN, JUST INTUITIVELY CAN, YOU KNOW, ARE CAN SAY PERHAPS NOT DEFINITIVELY THAT WE WERE REACHING THE POPULATION THAT WE NEEDED TO REACH WITH THOSE CONDUCT.
BUT I JUST, YOU KNOW, UM, I, I KNOW, UH, YOU KNOW, I OFTEN FEEL CONFIDENT IN ANECDOTAL INFORMATION, UH, BECAUSE, UM, I, I THINK WE KNOW OUR COMMUNITY PRETTY WELL.
AND, AND SO ONE OF THE THINGS THAT I WAS KIND OF SENSING HERE AND TALKING TO MY NEIGHBORS AND TALKING TO, UM, COMMUNITY MEMBERS AND, AND, UH, BECAUSE I HAVE A BUSINESS THAT IS, WAS OPEN DURING THIS TIME AND PEOPLE WOULD COME AND TALK TO ME, UH, I FELT LIKE PEOPLE WERE, UM, GETTING TESTED IF THEY NEEDED IT.
I FELT LIKE, YOU KNOW, THEY WERE COMMUNICATING WITH THE FAMILY MEMBERS ABOUT THE SERIOUSNESS AND THAT THE STAY AT HOME ORDER, AND PEOPLE WERE GENERALLY VERY MUCH TRYING TO, UM, TO FOLLOW THE GUIDANCE, UH, AND WE'RE GETTING TESTED.
SO I, I JUST WOULD LIKE, YOU KNOW, IT WOULD BE NICE TO CONFIRM THAT, BUT, UH, IT WAS SORT OF A FEELING THAT I HAD THAT PEOPLE WERE GETTING TESTED AND WERE GETTING, UM, THE MEDICAL ATTENTION, UM, IF THEY NEEDED IT AS WELL.
SO, UH, AND THEN TRYING TO ISOLATE AS MUCH AS POSSIBLE.
UH, SO I GUESS AN ANOTHER QUESTION THAT, UM, YOU KNOW, I HAD YOU MENTIONED ABOUT, UH, THE COMMUNICATION, UM, UH, METHOD.
CAN YOU BRING UP THAT SLIDE AGAIN?
[01:05:02]
THE VERY FIR IT WAS LIKE, I THINK THE FIRST SLIDE THAT YOU HAD IN YOUR PRESENTATION.I'LL LOOK FOR AMANDA TO DO THAT FOR ME.
AND SOMEHOW I CAN'T SEE MYSELF, SO I'M JUST GONNA TURN OFF MY CAMERA.
UM, CAN'T QUITE SEE MYSELF IN THIS.
UH, SO YEAH, IT WAS, IT WAS THE ONE ABOUT, UH, GOING OUT TO, UM, I, I THINK YOU MAY HAVE PASSED IT.
UH, IT WAS, IT WAS THE ONE ABOUT GOING OUT TO THE COMMUNITIES.
IT WAS, WAS IT A PREVENTION TEAM? IT MAY HAVE BEEN IN THE PREVENTION TEAM.
IT MAY HAVE BEEN, UM, YOU KNOW, YOU TALKED ABOUT GOING OUT TO COMMUNITIES.
UH, SORT OF HARDER TO REACH COMMUNITIES.
AND, UH, I WANTED JUST TO SPEND A LITTLE BIT OF TIME ASKING THOSE QUESTIONS.
I DON'T THINK THAT WAS THAT IT N N N NO, THAT'S NOT IT.
'CAUSE THAT'S, THAT TALKS ABOUT THAT THE COMMUNITY HEALTH AND PREVENTION TEAM, MAYBE THAT'S ONE.
THE COMMUNITY AND THE CENSUS STAFF.
UH, I WANTED TO ASK A COUPLE OF QUESTIONS ABOUT THAT.
SO I, I SEE IT SEEMS LIKE YOU MENTIONED THAT YOU WERE GONNA USE COMMUNITY-BASED ORGANIZATIONS TO DO THAT WORK.
UM, AND SO ARE THEY ALREADY TRAINED OR YOU'RE GONNA TRAIN THEM TO BECOME, UH, THAT OR, UM, UH, WHAT, WHAT, WHAT'S THE, WHAT'S THE PROCESS? YEAH, THE PROCEDURE FOR TRAINING.
THAT, THAT'S STILL NOT THE SIDE, THE SLIDE I'M LOOKING FOR, BUT, UM, LET ME SEE IF THAT'S THE ONE.
NO, I THINK IT'S, UM, IT'S SLIDE 18, I THINK.
SO, UM, YOU MENTIONED, UH, THAT YOU WERE GONNA USE COMMUNITY HEALTH ORGANIZATION OR COMMUNITY BASED ORGANIZATIONS.
SO ARE YOU TRAINING THEM? ARE YOU PAYING THEM? LIKE WHAT IS THE METHOD? YEAH, FOR THAT ONE.
FOR THAT ONE, WE ARE NOT USING, SO WE'RE NOT USING THIS, THIS IS A MULTI-AGENCY.
THIS IS A CROSS SECTOR OF, UM, OF CITY, UH, DEPARTMENTS THAT ARE DOING THIS.
SO THIS HAS UM, POLICE AND FIRE AND, UM, STRAC IS ACTUALLY INCLUDED IN THIS.
SO THE COMMUNITY-BASED ORGANIZATION THAT MIGHT'VE BEEN REFERENCED IS REALLY STRAC.
'CAUSE THAT'S OUR PRIVATE SECTOR PARTNER, NOT A CITY PARTNER.
UM, AND ALL OF THEM ARE ALREADY TRAINED.
SO STRAC ALREADY DOES A LOT OF WORK WITH OUR M I H GROUP.
SO, UM, THIS WAS JUST A PERFECT SHOVEL READY, UM, PROGRAM TO GET OUT AND TO DO THAT.
SO THEY, UM, HAVE DONE 13 CENSUS TRACKS.
THEY HAVE, THERE'S SEVEN 17 THAT ARE USED.
THEY HAVE GONE OUT TO 13 CENSUS TRACKS, 622 LOCATIONS HAVE ALREADY BEEN VISITED, AND 506, SORRY, FIVE, UM, SIX FIVE, UM, FACE COVERINGS AND 26 DONORS.
THEY WERE VERY INSTRUMENTAL IN THE COVERED WITH COMPASSION WORK AND MAKING SURE THAT PEOPLE KNEW ABOUT THAT.
SO THEY ARE LITERALLY THE TEMPERATURE OF THE COMMUNITY.
THEY HAVE AN APP THAT WAS DEVELOPED BY I S D, UM, I S C D AND INNOVATION THAT IS REALTIME DATA COLLECTION.
SO WE KNOW WHERE THEY'VE GONE, UM, WHAT INFORMATION THEY'RE COLLECTING.
UH, IT'S A, IT'S ACTUALLY, TO BE HONEST, UH, WE DO A LOT OF REALLY GREAT THINGS.
I TELL MARIO AND HIS TEAM ALL THE TIME, THIS IS PROBABLY ONE OF THE BEST COMMUNITY OUTREACH PROGRAMS I'VE EVER SEEN.
AND, UM, AND WE HAVE THE DATA TO PROVE IT.
AND SO WHEN YOU TALKED ABOUT COMMUNITY-BASED ORGANIZATIONS, UH, AND GOING OUT AND DOING SOME OF THAT WORK, WHAT WAS THAT IN REFERENCE TO? IT WAS, IT WAS A REFERENCE TO TRACK BECAUSE THEY ARE A COMMUNITY BASED.
THEY'RE, THEY'RE A PRIVATE SECTOR NONPROFIT, SO THAT'S, THAT'S WHO I WAS DOING.
WE'RE NOT REACHING IN FOR RIGHT NOW, WE DON'T HAVE ANY OF OUR NEIGHBORHOOD NONPROFITS INVOLVED IN THIS.
IT'S SOMETHING THAT, YOU KNOW, CERTAINLY WOULD BE INTERESTING TO, UM, TO LOOK AT.
SO, UM, I, I, I THINK, YOU KNOW, SHOULD THE, UM, I MEAN, I, I UNDERSTAND THAT, YOU KNOW, THAT PEOPLE HAVE TO BE PROPERLY TRAINED, UH, BUT PERHAPS WITH THE, AT LEAST THE EDUCATIONAL PIECE MM-HMM.
[01:10:01]
UM, YOU KNOW, THESE, THESE, UH, THIS SITUATION.SO I, I DON'T KNOW IF, IF, UM, I KNOW WE AGREED FOR ONE YEAR TO MAINTAIN, UH, SOME OF THEIR FUNDING, BUT, YOU KNOW, MIGHT IT BE A, A WAY FOR US TO SUPPORT OUR DELEGATE AGENCIES AS WELL.
UM, PERHAPS WE'RE DOING THAT WITH SOME OF THE DOMESTIC VIOLENCE PREVENTION AND OTHER THINGS THAT WE MAY HEAR ABOUT IN THIS COMMITTEE.
BUT, UM, BUT I, I FEEL LIKE WE NEED TO DO THAT, UH, AS BEST WE CAN.
SO I CAN'T SEE MY TIME, BUT I SUSPECT I'M OUT OF TIME.
I'LL THANK YOU FOR THAT FEEDBACK.
CLEARLY I'M NOT AS STRICT AS, UH, SOME OF THE OTHER CHAIRS, BUT, UH, WE'LL, WE'LL WORK ON THAT.
UM, BUT WE CAN COME BACK AROUND IF YOU HAVE ADDITIONAL COMMENTS AFTER THAT.
I'M GONNA MOVE ON TO, UH, COUNCILWOMAN.
UH, THANK YOU FOR THE PRESENTATION.
UH, I UNDERSTAND THE THREE PHASES OF WATCH, AND AFTER THE, SOMEONE CAN PLEASE ADDRESS A CONCERN I'VE BROUGHT UP A FEW TIMES NOW AT COUNCIL REGARDING, UM, FUTURE SPIKES.
CAN YOU EXPLAIN WHERE ALERT AND RESPOND, UM, WHERE THAT IS WHEN IT COMES TO FUTURE SPIKES? EXCUSE ME.
UM, CAN YOU, UM, CAN YOU RE I, I'M NOT QUITE SURE I UNDERSTAND THE QUESTION.
SO YOU'RE TALKING ABOUT FUTURE SPIKES.
WHAT IS EXACTLY, ARE YOU ASKING? WELL, I UNDERSTAND, YOU KNOW, WHAT THAT, WHAT YOU JUST WENT OVER, HOW WE'RE TRACKING AND, AND I THINK I'M HAPPY, YOU KNOW, WITH THE, THE, THE LEVEL OF RESPONSE THAT THE CITY HAS, HAS HAD, I THINK IT'S EXCEPTIONAL.
MY CONCERN REALLY IS FOR FUTURE SPIKES AND HOW WE'RE, UH, HOW WE'RE REPORTING THEM, NUMBER ONE, AND HOW WE'RE GOING, I NEED US TO BE THE COUNCIL TO BE FLEXIBLE, RIGHT? I WANT US TO BE ABLE TO, TO REACT AS SOON AS WE HAVE A, A SPIKE.
SO HOW ARE WE TRACKING THAT AND HOW REPORT THAT BACK GAP? OKAY, SO WE'RE TRACKING IT THROUGH THE PROGRESS AND THE WARNING INDICATORS THAT WE'RE SET UP BY THE HEALTH TRANSITION TEAM.
AMANDA, IF YOU COULD PUT THE SLIDE DECK BACK UP AND GO TO, IT'S IN THE VERY BEGINNING, ACTUALLY, IT'S ON SLIDE FOUR.
SO THESE PROGRESS AND WARNING INDICATORS WERE THE ONES THAT WERE DE DESIGNATED BY THE HEALTH TRANSITION TEAM.
I WILL SAY, JUST AS A SIDE NOTE, UM, THE INDICATOR WORK GROUP, THAT'S A PART OF THE TASK FORCE.
WE'LL BE LOOKING AT ALL OF THESE PROGRESS AND WARNING INDICATORS AND UPDATING THEM.
IT'S AMAZING HOW MUCH THINGS HAVE CHANGED JUST IN THE LAST SEVERAL WEEKS.
WHEN WE HAD THE HEALTH TRANSITION TEAM THAT CAME UP WITH THESE EVIDENCE-BASED INDICATORS, IT WAS BASED ON THE CURRENT INFORMATION THAT THE COUNTRY KNEW AT THAT TIME.
WE DO KNOW THAT THINGS HAVE CHANGED AND THERE ARE BETTER INDICATORS, UM, THAT WE COULD BE LOOKING AT OR BE ABLE TO TWEAK THESE A LITTLE BIT.
BUT AS OF RIGHT NOW, THIS IS WHAT WE'RE LOOKING AT TO HELP MONITOR SPIKES.
RIGHT NOW, WE DO NOT HAVE ANYTHING THAT'S INDICATING ANY TYPE OF SPIKE.
THE WAY THAT THESE WARNING AND PROGRESS INDICATORS ARE PUT TOGETHER, UM, AND VERY DELIBERATELY AND THOUGHT AND THOUGHTFUL, IS THAT NO ONE INDICATOR ACTUALLY WILL DETERMINE WHETHER WE HAVE A SPIKE.
UM, SO ALL OF IT WILL BE CONSIDERED TOGETHER.
THE OTHER PIECE TO THIS IS THE INDICATOR THAT'S IN THE PROGRESS THAT'S SHARED IN BOTH PROGRESS AND WARNING IS THE HEALTHCARE SYSTEM STRESS INDICATOR.
THAT IS WHERE WE'RE LOOKING AT VENTILATORS.
WE'RE LOOKING AT BED CAPACITY.
IN THE EVENT THAT WE DO HAVE A SPIKE, WE NEED TO MAKE SURE THAT OUR HEALTHCARE SYSTEM IS READY FOR THAT.
DO WE HAVE PPES? AGAIN, ALL OF THAT IS BEING MONITORED THROUGH THIS DASHBOARD.
SO IF WE START TO SEE WHERE WE HAVE A SPIKE IN POSITIVE SUSTAINED OVER A PERIOD OF TIME, IT'S THE INDICATOR WORK GROUP THAT WILL EVERY MONDAY.
THIS WEBSITE, BY THE WAY, GETS UPDATED EVERY SINGLE MONDAY WITH THE DATA.
THE INDICATOR WORK GROUP WILL BE LOOKING AT THE DATA EVERY MONDAY AND THEN DEVELOPING A SUMMARY THAT WILL THEN BE SET UP TO, UM, TO DR.
I MEAN, AND TO ERIC, UM, TO CITY MANAGER ERIC, AND THEN CITY MANAGER ERIC, CITY MANAGER WALSH, AND THEN SHARED WITH COUNCIL SO THAT, UM, YOU COULD GET THAT INFORMATION.
UM, I DID TALK TO, UH, COUNCILWOMAN SANDOVAL LAST NIGHT AND ACTUALLY WAS THINKING ABOUT, YOU KNOW, HOW DO WE USE THIS COMMITTEE AS A WAY OF FUNNELING THAT INFORMATION TO YOU FIRST? SO I THINK THAT THERE ARE OPPORTUNITIES FOR US TO ANSWER AND TO DEVELOP THAT PROCESS, AND I THINK IT'S THE
[01:15:01]
PERFECT TIME TO DEVELOP WHAT THAT PROCESS AND PROCEDURE LOOKS LIKE.SO I'M LOOKING FORWARD TO THAT.
UM, I DON'T BELIEVE, UH, THE COUNCILMAN JOINED US.
HE IS, UH, ACTUALLY AT THE B C A MEETING, I DIDN'T REALIZE THAT WAS WHAT THE CONFLICT WAS.
SO I DON'T, UM,
UM, I, UH, I WANTED TO HIGHLIGHT SOME OF THE THINGS THAT I'VE HEARD THE COUNCIL MEMBERS SAY, AND THEN I'LL GO BACK, UH, FOR, FOR A SECOND ROUND.
UM, ONE OF THEM HAD TO DO WITH, UH, A HOMELESS CAMP AND HOMELESSNESS, UM, AND HOW THOSE WERE BEING TREATED AS CONGREGATE SETTINGS.
UM, I WASN'T CLEAR IF THAT MEANT THAT WE WERE GOING TO GO BACK AND, UM, WORK TO WORK WITH HIM AND, UH, YOU KNOW, UH, FINAL PEOPLE TO, TO SHELTERS.
NOW, IS THAT HAPPENING OR ARE WE WAITING ON, ON THAT UNTIL FURTHER, UH, IN THE PROCESS? SO, COUNCILWOMAN, THIS IS COLLEEN.
I'M GONNA ANSWER THAT QUESTION.
UM, WE ARE STILL NOT RECOMMENDING, UM, C D C IS STILL NOT RECOMMENDING THAT WE MOVE PEOPLE FROM ENCAMPMENTS TO SHELTER EN MASS.
NOW WHAT WE ARE DOING IS TRYING TO IDENTIFY THE SMALLER ENCAMPMENTS AND STOP THEM FROM BECOMING BIGGER ENCAMPMENTS BY FINDING SHELTER FOR THOSE INDIVIDUALS.
BUT THE LARGER ENCAMPMENTS THAT ARE WELL ESTABLISHED RIGHT NOW, THE CURRENT FEDERAL RECOMMENDATION IS THAT WE LEAVE THEM ALONE AND NOT TRY TO, UM, PUT THEM INTO SHELTERS.
AND THEN, UM, THE OTHER, UH, QUESTION THAT I HEARD, UM, UH, COUNCILWOMAN SULLIVAN HAD TO, TO DO WITH GROUP HOMES.
UM, SO I, I UNDERSTAND, UH, ADULT CARE ASSISTED LIVING FACILITIES AND, UM, AND NURSING HOMES ARE GETTING THAT LETTER, BUT IF IT'S A SMALL GROUP, LIKE MAYBE, UH, YOU KNOW, THEY'RE ALL OVER THE NEIGHBORHOODS, RIGHT? A HOUSE THAT HAS MAYBE EIGHT INDIVIDUALS LIVING THERE.
I, I WASN'T QUITE CLEAR WHAT THE OUTREACH WAS FOR THOSE FACILITIES.
THERE ISN'T ANYTHING RIGHT NOW.
UM, THANK YOU FOR, FOR CLARIFYING.
AND THEN, UM, IN TERMS OF THE OUTREACH THAT'S BEING DONE THAT COUNCILMAN GONZALEZ WAS JUST TALKING ABOUT, YOU SAID THAT THERE ARE 13 CENSUS TRACKS THAT ARE BEING TARGETED AND SEVEN HAVE BEEN COMPLETED.
IS THAT RIGHT? 13 HAVE BEEN COMPLETED ALREADY.
AND HOW MANY ARE, UH, ARE BEING TARGETED? I'LL GET THAT NUMBER PRECISELY FOR YOU.
AND I WASN'T CLEAR IF THAT WAS A SINGLE PATH OR IF WE WERE GOING BACK MULTIPLE TIMES FOR THAT.
THE FIRST PHASE IS TO TRY TO GO TO THE CENSUS TRACKS THAT ARE EITHER EMERGING HOTSPOTS WITH AN OVERLAY OF SOME OF OUR EQUITY INDEX IN ADDITION TO CURRENT HOTSPOTS.
SO WE REMEMBER WE HAVE THAT DATA, WE, THAT TEAM IS LOOKING EVERY MONDAY WHEN DATA GETS UPDATED AND THEY'RE TARGETING THOSE CENSUS TRACKS BASED ON THE CURRENT DATA THAT IS AVAILABLE.
ONCE WE GET THROUGH ALL OF THAT DATA, THEN, UM, YOU KNOW, IF, IF THE RESOURCES ARE THERE AND THE TIME IS THERE, WE CAN GO BACK.
BUT RIGHT NOW WE'RE LOOKING AT ANY DATA WHERE THERE IS HOTSPOTS.
UM, YOU COULD HAVE A CENSUS TRACK THAT WE WENT TO THREE WEEKS AGO, IT WAS ADDRESSED, BUT NOW STILL HAS A HOTSPOT.
WE'LL CERTAINLY GO BACK TO THAT.
SO THE DATA IS GONNA DRIVE WHERE WE GO, UM, BEFORE WE START MAKING SECOND ROUND.
DID I LOSE YOU, COUNCILMAN? YOU'RE MUTED.
I AM VERY EXCITED ABOUT THE MONEY YOU'VE SET ASIDE FOR THE RESEARCH PROPOSAL.
AND, UM, I WANTED TO, UH, TO KNOW IS THAT, IS THERE GOING TO BE A CALL FOR PROPOSALS OR, UM, WILL THIS BE AN INFORMAL PROCESS? I'D REALLY LIKE FOR THE OPPORTUNITY FOR THE COMMITTEE TO, UM, TO HEAR MORE ABOUT THIS AS WE GO FORWARD.
[01:20:01]
PROPOSAL, AND WE WOULD LIKE TO ACTUALLY HAVE MEMBERS OF OUR COMMUNITY AS A, AS A PART OF THE DECISION MAKING IN THAT RESEARCH DOLLAR.SO, UM, THAT'S THAT COMMUNITY BASED, UH, PARTICIPATORY APPROACH SO THAT, UM, WE CAN BE SURE THAT WE HAVE, UM, OUR COMMUNITY WITH US AND NOT DOING THINGS TO THEM.
SO WHEN DO YOU ANTICIPATE POSTING THAT CALL? VERY SOON.
TAYLOR RIGHT NOW TO PUT ALL OF THOSE THINGS TOGETHER AND THAT'LL GO TO THE TESTING TASK FORCE AS WELL.
UM, SO I'M HOPING THAT WE'LL HAVE A FRAMEWORK BY THE END OF THIS WEEK SO WE CAN GET THIS OUT.
IF YOU, IF THAT COULD BE INCLUDED IN, UM, THE CITY MANAGER'S, UH, REPORT WHEN THAT DOES GO OUT, THAT COULD BE, UH, I'D APPRECIATE THAT.
AND THEN, UM, I HAVE A, A QUESTION REGARDING, UM, THE BUDGET.
I KNOW WE DID NOT DISCUSS IT, UH, AS PART OF YOUR PRESENTATION, BUT IT IS IN THE DOCUMENT, IT'S THE LAST PAGE OR SEMI TO TO LAST PAGE.
UM, IT'S THE WATCH EXPAND ASSURE BUDGET, AND IT'S DIVIDED BETWEEN METRO HEALTH AND THE FIRE DEPARTMENT.
AND, UM, A COUPLE QUESTIONS ABOUT IT.
I WANTED TO ASK WHAT P H E P SUPPORT? UH, MATT, P H E P IS OUR PUBLIC HEALTH EMERGENCY PREPAREDNESS.
UM, THAT IS OUR EXISTING PROGRAM THAT WE HAVE, THAT IS PART OF OUR E S D RESPONSE.
AND THEN, UM, I, I REALLY APPRECIATE THE DOCUMENT.
I THINK IT SHOWS, UH, A LOT OF WORK THAT WAS PUT INTO IT.
AND I, UM, I LIKE THAT IT WAS ONE DOCUMENT BETWEEN FIRE AND, UM, METRO HEALTH.
UM, AND, UH, I, I KNOW I SENT SOME, SOME, UH, SMALL QUESTIONS ABOUT IT TO YOUR TEAM, BUT I THINK ONE OF THE MOST HELPFUL THINGS, UH, FOR ME AS WE MOVE INTO TOMORROW'S VOTE IS TO REALLY UNDERSTAND HOW THE LINE ITEMS IN THIS BUDGET CORRESPOND TO THE DIFFERENT, UH, INITIATIVES THAT ARE IN THE TEXT.
UM, SO I THINK THEY'RE, THEY'RE GROUPED A LITTLE BIT DIFFERENTLY.
SO, UM, WOULD YOU BE ABLE TO PROVIDE THAT, UH, LATER, LATER TODAY, JUST SO WE'RE PREPARED GOING INTO TOMORROW? SURE, WE CAN DO THAT.
I'LL ASK, UH, AMANDA TO SEND IT TO THE COMMITTEE WHEN, UH, WHEN IT'S COMPLETE.
AND THEN, UM, I, BEFORE WE DO SECOND ROUNDS, I JUST WANTED TO, UH, CLARIFY SOMETHING.
I UNDERSTAND MR. ED UZMAN IS OUR, UM, IS OUR ATTORNEY TODAY.
ED, ARE YOU THERE? YEAH, I'M ON.
SO
I KNOW COUNCILWOMAN GONZALEZ, UH, BROUGHT UP, UM, YOU KNOW, INTEGRATING DELEGATE AGENCIES INTO, INTO THIS PROCESS.
YEAH, I THINK, UM, IT, IT PROBABLY WOULD BE BEST AS A RECOMMENDATION, NOT NECESSARILY AS ANY SORT OF FORMAL VOTE.
UM, I THINK YOU CAN SORT OF MAKE NOTES OF WHAT YOU THINK, UH, COUNCIL SHOULD CONSIDER AND, AND GO FROM THERE.
I THINK THAT THAT WOULD BE MORE THAN SUFFICIENT.
THAT'S DIFFERENT FROM WHAT YOU SAID.
UM, AND ALL RIGHT, SO, UM, IF WE DO THAT, THEN, DO WE, IF IT'S A RECOMMENDATION, DOES IT GET READ AT COUNCIL MEETING TOMORROW OR HOW DOES THAT WORK? UM, AS THE CHAIR, YOU CAN REPORT OUT THAT YOU HAD THAT DISCUSSION AT THE COMMITTEE, AND YOU WOULD LIKE TO JUST LET THE COMMITTEE'S RECOMMENDATIONS BE KNOWN TO THE FULL COUNCIL.
SO THEN WHY DON'T WE START KEEPING A LIST OF THE RECOMMENDATIONS THAT WE WANT TO, UH, TO SEND TO FULL COUNSEL.
I'LL, UH, LOOK TO, UM, MY TEAM AND, AND THE STAFF TO, TO WRITE THIS UP.
SO, UM, UH, I KNOW I KEEP SAYING THIS.
ONE LAST THING BEFORE WE GO TO SECOND
I DON'T, CAN I ASK FOR CLARIFICATION? UM, RIGHT NOW, THE ONLY ITEM I HAVE FROM THE MEETING SO FAR ABOUT THE PLAN IS A ONE PAGER ON HOW THE MONEY IS CONNECTED TO THE, UM, THE PLAN.
IS THERE ANYTHING ELSE THAT YOU WANT ON THE LIST OF RECOMMENDATIONS? UM, THAT'S WHAT WE'LL DISCUSS
[01:25:01]
RIGHT NOW.I THOUGHT I HAD MISSED SOMETHING.
UM, SO ACTUALLY, AND THAT ONE PAGE RECOMMENDATION THAT, SORRY, THAT SUMMARY, IT, IT WOULD BE REALLY HELPFUL TO HAVE THAT TO TODAY BECAUSE WE DO VOTE TOMORROW.
IT'S, YOU KNOW, UM, SO IF THAT COULD BE DONE BY THE END OF THE DAY, I DON'T THINK THAT PART NEEDS TO BE REPORTED OUT TO, UH, AS A REQUEST TO FULL COUNSEL, BECAUSE TOMORROW WE'RE VOTING ON IT.
AND WE'RE ESPECIALLY VOTE, Y'ALL ARE ESPECIALLY VOTING ON THE BUDGET FOR THE PLAN.
SO WE WILL HAVE THAT TO YOU, BUT BEFORE THE END OF THE DAY.
UM, UH, THE OTHER THING I WANTED TO TO MENTION IS, UH, YOU KNOW, PART OF THE BASIS FOR THIS PLAN, UM, WAS THE HEALTH TRANSITION TEAM'S REPORT, WHICH, UH, DON UH, HIGHLIGHTED EARLY, EARLY IN HER PRESENTATION.
SO THANKS TO ALL THOSE WHO, WHO WORKED ON THAT.
AND SOME OF THE RECOMMENDATIONS IN THAT REPORT AREN'T, AREN'T NECESSARILY RIGHT NOW.
UH, MANY OF THEM ARE, BUT NOT A HUNDRED PERCENT OF THEM ARE CAPTURED IN, UM, IN THE, IN THE PLAN THAT WE'RE VOTING ON TOMORROW, OR THE FUNDING THAT WE'RE VOTING ON TOMORROW.
UM, SO WHAT I WANTED TO, UM, I WAS HAVING A DISCUSSION WITH, WITH THE MAYOR AND, UH, ABOUT HOW WE CAN INTEGRATE THOSE IN THE FUTURE.
SO I ALSO WANNA OPEN THAT DISCUSSION UP.
WELL, IT'S NOT AGENDA
BASICALLY, THE PLAN DOESN'T HAVE CERTAIN PIECES, RIGHT, THAT WERE IN THE H T T REPORT.
UM, SO, SO THAT WE DON'T DROP THOSE PIECES IN THIS PLAN.
AND IF WE CAN'T FIT THEM IN RIGHT NOW, UM, WHAT, WHAT WE WANNA DO IS MAKE SURE THAT WE DON'T LOSE THE THINGS THAT WERE RECOMMENDED IN THERE.
SO, UM, THE MAYOR HAD SUGGESTED THAT WE, UH, END UP RATIFYING THAT PLAN, AND THEN WE CAN DRAW FROM IT IN THE, IN THE FUTURE.
SO I JUST WANTED TO, TO PUT THAT OUT THERE.
THERE WAS THE TALK OF THE, UM, THE HEALTH EQUITY TASK FORCE, WHICH THE, YOU KNOW, COUNCILWOMAN AND I HAVE BEEN TALKING ABOUT.
SO WE CERTAINLY DON'T WANT THAT TO BE, UH, SORT OF DROPPED AS SOMETHING THAT, UH, THAT WAS A RECOMMENDATION.
UM, SO I'M GONNA GO AROUND, UH, TO SECOND ROUND NOW, AND I'M GONNA START WITH COUNCILWOMAN, UH, ANDREW SULLIVAN.
UM, WHAT I'D LIKE TO RECOMMEND, UM, TO MOVE FORWARD, UM, IS A DEVELOPMENT OF A FULL COMPREHENSIVE COMMUNICATION PLAN, UM, AROUND THE PANDEMIC.
UM, AND THAT WOULD BE THE COMPREHENSIVE, UH, COMMUNICATION WITH, UM, THE COMMUNITY STAKEHOLDERS, WITH THE METRO HEALTH, WITH, UH, FIRE AND POLICE, ALONG WITH THE COUNCIL, UM, STAFF TO HELP ENSURE THAT A COMPREHENSIVE COMMUNICATION PLAN IS PLACED TOGETHER WITH THE WATCH, EXPAND, AND ASSURE PLAN.
UH, COUNCILWOMAN GONZALEZ, DID YOU HAVE ANY? YEAH, UH, SO I GUESS, UH, JUST IN, IN REFERENCE TO MY COMMENTS REGARDING, UH, DELEGATE AGENCIES AND, UM, YEAH, YOU KNOW, MY, MY SENSE IS, YOU KNOW, CURRENTLY, UM, I KNOW THAT MANY OF THE DELEGATE AGENCIES ARE SCRAMBLING TO TRY TO, UH, SERVE THEIR CURRENT COMMUNITY, THEIR CURRENT CONSTITUENTS, BUT, YOU KNOW, AS MUCH AS POSSIBLE, UH, YOU KNOW, IF WE COULD ENGAGE THEM IN THE EDUCATION PLAN, UH, AND, AND, AND IN FACT, EVEN THE COMMUNICATION PLAN THAT, UH, COUNCILWOMAN, UH, SULLIVAN JUST, UM, RECOMMENDED.
SO, I, I MEAN, I, I THINK THAT, YOU KNOW, THIS IS, UM, THE FIRST TIME THAT, YOU KNOW, WE'VE REALLY HAD A CHANCE TO, UM, GO THROUGH THIS PART OF, AND I'M NEW TO THE COMMITTEE, UM, AND, UM, UH, YOU KNOW, JUST TRYING TO HAVE SOME, UH, O OVERALL, LIKE ARCHING THING FOR THE CITY, WHICH, I MEAN, I, I THINK WE'VE DONE A FAIRLY GOOD JOB OF, BUT I THINK WE KNOW, UH, I MEAN, IT'S PART OF BEEN THE STRATEGY ALL ALONG, IS TO MAKE SURE THAT THE COMMUNITY-BASED ORGANIZATIONS ARE OFTEN LEADING BECAUSE OF THE TRUST THAT THEY ALREADY HAVE IN THE COMMUNITY.
SO AS MUCH AS WE CAN, UM, E E ENGAGE THEM IN THAT, I THINK IT WOULD BE, UH, REALLY IMPORTANT.
UM, AND SO ONCE PERHAPS A COMMUNICATION PLAN IS DEVELOPED, UH, THEN WE WOULD, UM, MAKE SURE THAT THEY'RE COMMUNICATING THAT TO THEIR CONSTITUENCIES AS WELL, UH, HOPEFUL THAT THEY WILL GET, YOU KNOW, BACK TO SERVING THE COMMUNITY IN SOME CAPACITY, YOU KNOW, OVER THE NEXT FEW MONTHS.
SO, UM, YOU KNOW, I'M THINKING SORT OF ABOUT THE BOYS AND GIRLS CLUBS AND, AND, UM, YOU KNOW, LIKE FAMILY SERVICES ASSOCIATION HAS, UH, SO MANY, UM, LIKE DIFFERENT ORGANIZATIONS, UH, THERE IN THEIR LOCATION OVER HERE, UM, ON THE WEST SIDE.
SO THAT, THAT'S SORT OF WHAT I JUST, YEAH, AS MUCH AS POSSIBLE
[01:30:01]
TO SPREAD IT OUT, BECAUSE ONE THING THAT WE KNOW WITH THE CARES FUNDING, IT'S RESTRICTED TO CERTAIN AREAS, BUT AS MUCH AS WE CAN, UH, WORK WITHIN OUR EXISTING FRAMEWORK TO DISTRIBUTE THAT FUNDING TO ORGANIZATIONS THAT NEED IT, I THINK WE NEED TO BE CREATIVE IN THAT WAY AND, AND, UM, NOT KEEP IT ALL IN HOUSE, BUT, UH, SPREAD IT OUT AS MUCH AS POSSIBLE.SO THAT'S, UH, UM, SORT OF MY COMMENTS AND, AND HOPEFULLY WE CAN HAVE ANOTHER, UH, BRIEFING ON THAT IN THE FUTURE ABOUT WHAT COMMUNITY-BASED ORGANIZATIONS MIGHT BE PREPARED TO DELIVER THAT EDUCATIONAL COMPONENT, NOT, NOT THE MEDICAL PART, BUT, YOU KNOW, AT LEAST THE EDUCATION PART.
AND MADAM CHAIR, MAY I WEIGH IN FOR A SECOND? UHHUH? UM, SO I, I DID WANNA GIVE A QUICK UPDATE ON THE FACT THAT WITH OUR DELEGATE AGENCIES, UM, D H SS HAS REACHED OUT TO EVERY SINGLE ONE OF THEM AND IS ENGAGING THEM IN CONVERSATIONS ABOUT WHAT THEY CAN DO IN THE COVID ENVIRONMENT THAT IS OUTSIDE THEIR CURRENT CONTRACT SCOPE, BUT THAT WOULD BE BENEFICIAL TO THE COMMUNITY.
UM, SO WE ARE WORKING AS HARD AS WE CAN TO KEEP ALL OF THE DELEGATE AGENCY FUNDING INTACT FOR THOSE DELEGATE AGENCIES, UM, WHILE CHANGING THEIR SCOPE TO BE MORE APPROPRIATE FOR C OVID 19.
SO I DID WANNA JUST PUT THAT REASSURANCE OUT THERE.
UH, THANK YOU VERY MUCH FOR THAT.
AND, AND HOPEFULLY WE CAN GET THAT IN A BRIEFING COUNCILWOMAN IN A FUTURE, IN A FUTURE MEETING IS SORT OF THE HEALTH.
UH, I'VE BEEN IN REGULAR COMMUNICATION WITH, UH, THE DELEGATED AGENCIES IN THE COMMUNITY, AND I KNOW THAT THEY ARE ALL LIKE REALLY PREPARED TO, UM, TO DO WHATEVER'S NECESSARY TO SHIFT, TO BE CREATIVE.
UM, BUT I THINK, YOU KNOW, OF COURSE, UH, THERE'S GUIDANCE NECESSARY, UH, BUT THEY'RE ALL, UH, KIND OF READY TO, TO MOVE.
SO WE'LL, UM, JUST, YOU KNOW, KEEP THAT, I, I, I'M PROUD OF THEIR ABILITY TO BE NIMBLE AS WELL, BECAUSE I CAN IMAGINE IN A LARGE ORGANIZATION, LIKE, UM, UH, A NONPROFIT, IT'S HARD TO SHIFT GEARS.
SO I THINK THEY'VE THE I APPRECIATE THAT.
SO ANYWAY, SORRY TO CHIME IN AGAIN, BUT THANK YOU
SO, UH, IF I UNDERSTOOD THAT CORRECTLY, IT, UM, AS THE COMMUNICATION PLAN GETS DEVELOPED THAT WE CONSIDER HOW, UM, UH, LOCAL NONPROFIT OR LOCAL COMMUNITY-BASED ORGANIZATIONS CAN BE INVOLVED.
IS THAT WHAT, WHAT I'M HEARING, ALTHOUGH IT SOUNDS LIKE HEALTH HAS ALREADY, OR THE CITY STAFF HAS ALREADY REACHED OUT TO THEM.
I JUST WANT COUNCILWOMAN, I JUST WANNA MAKE SURE I'M CAPTURING YEAH, YEAH, SURE.
AND, UH, AND, UM, YEAH, AND, AND, UH, YES, THAT SOUNDS FINE.
UH, I'M GONNA MOVE ON TO DISTRICT SIX.
COUNCILWOMAN, DO YOU HAVE ANY, UH, FOLLOW UP, UH, NOT NECESSARILY FOLLOW UP, BUT I WANNA ASK ED IF HE CAN ANSWER IF, IF WE, I CAN MAKE A MOTION THAT CHECK ASKED THE FULL COUNCIL TO CONSIDER RATIFYING THE H T T PLAN AT A FUTURE DATE? UH, YES.
UH, THIS, UH, COMMITTEE HAS THE ABILITY TO VOTE.
IT IS POSTED FOR POSSIBLE ACTION, SO YOU CAN MAKE MOTIONS AND TAKE A VOTE, OBVIOUSLY, IF YOU WANT TO DO ANYTHING WITH REGARD TO THE AGENDA ITEM TOMORROW, WHICH IS ITEM SEVEN WITHIN 72 HOURS.
SO WHETHER YOU VOTE OR WHETHER YOU ESSENTIALLY JUST MAKE RECOMMENDATIONS ON THE DAYS, IT'S GOING TO EFFECTIVELY BE THE, THE EXACT SAME THING.
UM, BUT YES, YOU CAN TAKE A MOTION, YOU CAN TAKE A VOTE AND THOSE RECOMMENDATIONS TO STAFF.
UM, WELL, I'M GONNA GO AHEAD AND, AND, AND MOVE THEN, THEN WE ASK THE COUNCIL TO CONSIDER THE, THE RATIFYING, THE H T T.
WE HAVE A MOTION AND ED, CAN I MAKE A SECOND? OH, WE HAVE A SECOND DATA.
SO AGAIN, THE MOTION IS FOR THE RATIFICATION OF THE HTT, WHICH DOES NOT AFFECT TOMORROW'S AGENDA ITEM, UH, ON COUNCIL.
SO, AND, AND IF I, HMM, SORRY, IF I COULD JUST JUMP IN.
THE HT T OBVIOUSLY WAS A TASK FORCE REPORT THAT WAS, UH, YOU KNOW, PRESENTED TO THE CITY AND COMBINE BOTH, UH, CITY, COUNTY, AND OUTSIDE ENTITIES AS WELL.
UM, GENERALLY IT CAN BE ACCEPTED BY COUNCIL.
THAT'S USUALLY THE, THE FORM YOU HAVE AN OUTSIDE SORT OF, YEAH, THE TECHNICAL TERM.
UH, BUT I, THAT'S SOMETHING THAT WE CAN CONSIDER AND WOULD BE FOR A FUTURE COUNCIL DATE, WOULD NOT BE SOMETHING THAT WOULD HAPPEN TOMORROW.
UH, ANY ADDITIONAL QUESTIONS ON THAT MOTION? NO.
[01:35:01]
OH, EXCELLENT.I LOVE HOW WE'RE WORKING AS A COMMITTEE.
AND THEN FOR ANY RECOMMENDATIONS ON THE, ON THE ITEM TOMORROW, UH, THAT'S BEING VOTED ON, THOSE WILL JUST BE A LIST OF RECOMMENDATIONS THAT WE CAN REPORT OUT, UH, TOMORROW.
UH, COUNCILWOMAN, UH, BERDA, ANY, UH, ANY OTHER COMMENT? NO, MA'AM.
UM, COUNCILMAN VINNO, THANK YOU FOR JOINING US.
UH, WE REVIEWED THE, UH, STAFF PRESENTED THE WATCH, EXPAND SHARE PLAN, AND WE'VE ASKED THEM, UH, QUESTIONS.
UH, WOULD YOU LIKE TO MAKE ANY COMMENTS AT THIS TIME? UH, NO.
THA THANK YOU, COUNCIL MEMBER.
UH, WE HAD A, UH, UH, AN OVERLAPPING, UH, MEETING AT THE BARE APPRAISAL DISTRICT, AND WE ONLY MEET QUARTERLY, SO, UH, I APOLOGIZE, BUT I, I DID HAVE TO MEET, UH, UH, ATTEND THAT MEETING AS WE WERE DOING SOME, UH, CORONAVIRUS VIRUS UPDATES AS WELL REGARDING PROPERTY TAXES.
AND SO WE'VE GOT, UM, SORRY, DR.
BRIDGER, WOULD YOU BE ABLE TO READ ANY OF THE RECOMMENDATIONS THAT WE'VE GOT SO FAR? I THINK WE ONLY HAVE, HAVE TWO FOR MOVING FORWARD.
RIGHT? WHAT I HAVE IS A COMPREHENSIVE COMMUNICATIONS PLAN, AND OF COURSE WE'VE GOT THE ONE PAGER, AND THEN WHAT I, AND THEN, UH, COUNCILWOMAN GONZALEZ WOULD LIKE A BRIEFING ON HOW DELEGATE AGENCIES ARE BEING MOBILIZED TO RESPOND TO C OVID 19.
UM, AND I THINK YOU ADDED THAT, THAT WAS IN CONJUNCTION WITH THE COMPREHENSIVE COMMUNICATIONS PLAN.
UM, BUT I'M SEEING IT A LITTLE BIGGER THAN THAT.
IS IT ALL RIGHT IF IT'S A LITTLE BIGGER THAN THAT? YEAH, SURE.
UM, AND THEN THE OTHER THING I HEARD SOMEBODY SAY, I THINK IT WAS YOU, COUNCILMAN SANDOVAL, IS THAT YOU'D LIKE AN INVENTORY OF ALL THINGS FROM THE HEALTH TRANSITION TEAM REPORT, UM, SO THAT WE CAN SEE WHAT'S BEEN ADDRESSED IN THE IMPLEMENTATION PLAN AND WHAT HAS YET TO BE ADDRESSED.
UM, I, I MEAN, WE CAN DISCUSS THAT IN THE FUTURE, BUT I HAVE AN INVENTORY.
I DON'T KNOW WHERE I GOT THAT.
THEN I WILL TAKE THAT OFF THE LIST.
SO BASICALLY COMPREHENSIVE COMMUNICATION PLAN AND A BRIEFING IN THE FUTURE ON HOW DELEGATE AGENCIES ARE BEING MOBILIZED TO RESPOND TO COVID 19.
AND THEN OF COURSE, WE'LL HAVE YOU THE BUDGET ONE PAGER BY TONIGHT.
AND, UM, I THINK, UH, WE'LL PROBABLY MEET AGAIN BEFORE THE, THE MONTH IS OUT.
UH, IT'D BE GREAT TO GET AN UPDATE ON SOME OF THESE, UH, ITEMS. THEN, UM, COMMITTEE MEMBERS, IF THERE'S SPECIFIC ONES YOU WANNA HEAR ABOUT, PLEASE LET US KNOW.
BRIDGER AND I WILL WORK TO TOGETHER TO BRING THAT INFORMATION TO, TO THE COMMITTEE.
UM, ARE THERE ANY FINAL COMMENTS? ALL RIGHT.
HEARING NONE, I THINK, UH, OUR MEETING IS ADJOURNED.
I WANNA THANK NO, THE MEETING'S ADJOURNED.