* 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. [00:00:02] STARTED, THANK YOU TO ALL THE COUNCIL MEMBERS FOR JOINING US. AND, UH, TINA, IF YOU COULD BEGIN WITH A ROLE CALL. YES, MA'AM. COUNCIL MEMBER COVINO HERE. COUNCIL MEMBER ANDREW SULLIVAN. HERE. COUNCIL MEMBER GONZALEZ. HERE. COUNCIL MEMBER KADA CHAIR AND CHAIR SANDOVAL HERE. MADAM CHAIR. WE HAVE A QUORUM, NOT JUST THAT WE HAVE PERFECT ATTENDANCE. YES, MA'AM. ALRIGHT. , IF Y'ALL REMEMBER THAT FROM ELEMENTARY SCHOOL, HOW IMPORTANT IT WAS TO HAVE PERFECT ATTENDANCE. UM, ALRIGHT, WELL, UH, THANK YOU VERY MUCH. UH, WE'LL MOVE ON TO ITEM NUMBER ONE. APPROVAL [1 20-3791 Approval of the meeting minutes for the June 3, 2020 Community Health and Equity Committee Meeting.] OF THE MEETING MINUTES FOR THE JUNE 3RD MEETING. IS THERE A MOTION? MOTION TO APPROVE? SECOND MOTION. AND SECOND. ALL IN FAVOR? AYE. AYE. AYE. ANY AYE. ALL RIGHT. THAT ALSO SOUNDS UNANIMOUS. I LOVE IT WHEN THIS COMMITTEE WORKS TOGETHER. ALL RIGHT. ANY OPPOSED? ALRIGHT, WONDERFUL. MOTION PASSES. THANK YOU TINA. UM, AND WE'RE SWITCHING, UH, DR. BRIDGER, CAN YOU TELL ME WHICH ITEM IS NEXT? I BELIEVE WE'RE GOING STRAIGHT TO, UH, THE FIRST ITEM IS STILL THE FIRST ITEM. OKAY, WONDERFUL. THANK YOU. UM, SO WE'LL GET A [2 20-3744 A briefing by the San Antonio Metropolitan Health District, the San Antonio Fire Department, and Government & Public Affairs on the Health Transition Team's Implementation Plan [Colleen M. Bridger, MPH, PhD, Assistant City Manager; Jeff Coyle, Director, GPA; Charles N. Hood, Fire Chief; Dawn Emerick, EdD, Director, Health]] BRIEFING, UH, BY METRO HEALTH, THE FIRE DEPARTMENT, AND G P A ON THE HEALTH TRANSITION TEAM IMPLEMENTATION PLAN, DR. BRIDGER. SO, UM, I, I DO WANNA CLARIFY THAT THE FIRST PART OF THIS WILL BE, UM, DR. EMMERICH AND CHIEF HOOD WILL BE PRESENTING THE BUDGET COMPONENT OF THE HEALTH TRANSITION TEAM IMPLEMENTATION PLAN. WE WILL THEN PAUSE FOR QUESTIONS AND SEE WHAT QUESTIONS OR COMMENTS THERE ARE SPECIFIC TO THAT. WE WILL THEN TRANSITION TO THE, UM, JEFF DOING HIS PRESENTATION ON THE, UM, COMPREHENSIVE COMMUNICATIONS PLAN. AND THEN ZAN TALKING ABOUT THE EQUITY ATLAS AND ME TALKING ABOUT THE, UM, RECOVERY AND RESILIENCY PLAN BECAUSE A LOT OF THE STRATEGIES THAT JEFF'S GONNA TALK ABOUT IN THE COMPREHENSIVE COMMUNICATIONS PLAN FOR THE IMPLEMENTATION PLAN ARE APPLICABLE TO THOSE OTHER TWO ITEMS AS WELL. SO WE FELT LIKE HIS WAS A GOOD BRIDGE BETWEEN THE HEALTH TRANSITION TEAM PLAN AND THE, UM, RECOVERY AND RESILIENCY PLAN. THEN IF, UM, IF THERE IS TIME, WE WILL HAVE THE, UM, THE UPDATE ON THE, THE COMMUNITY RESPONSE COALITION WORK GROUPS AND THEIR PROGRESS TO DATE. BUT IF WE RUN OUT OF TIME, I BELIEVE WE CAN GET THAT TO THE COMMITTEE IN WRITING IF NECESSARY. I THINK YOU'RE STILL MUTED. ALRIGHT, THANK YOU. UH, SO WE'RE, WE'LL BEGIN WITH ITEM NUMBER TWO. UH, TAKE A BREAK FOR QUESTIONS, NOT FOR A REAL BREAK, BUT FOR QUESTIONS. AND THEN, UH, MOVE INTO ITEM NUMBER FOUR WITH JEFF PROVIDING THAT BRIDGE. CORRECT. AND, UH, SCOTT FOR QUESTIONS AFTER THAT, AND IF TIME PERMITS, MOVE ON TO ITEM THREE. PERFECT. ALL RIGHT, WONDERFUL. THANK YOU VERY MUCH. PLEASE GO AHEAD. GO AHEAD, DAWN. THANK YOU. THANK YOU EVERYONE. UM, HAPPY TUESDAY TO YOU. UM, I'M GONNA PROVIDE AN OVERVIEW OF THE BUDGET AND A LITTLE BIT OF SOME MORE DETAIL THAN WHAT WE'VE DONE IN THE PAST. AND TOWARD THE END I WILL ALSO PASS THAT TO CHIEF HOOD AND HE WILL ALSO PROVIDE A LITTLE BIT OF INFORMATION, MORE DETAIL ON A COUPLE OF ITEMS THAT THE FIRE DEPARTMENT IS WORKING ON. SO, UH, NEXT SLIDE PLEASE. SO THIS IS A, UM, AN OUTLINE OF THE DETAIL LINE ITEM OF THAT WHICH IS ACTUALLY, UH, PRINTED IN OUR IMPLEMENTATION PLAN. AND WHAT I'M GONNA DO IS TAKE THE NEXT FEW SLIDES AND ACTUALLY JUST GO DOWN INTO A LITTLE BIT MORE DETAIL IN EACH OF THESE LINE ITEMS. AS I MENTIONED, UH, CHIEF HOOD WOULD THEN SUPPLEMENT HIS INFORMATION AND THEN WE WILL PAUSE AND TAKE QUESTIONS. SO, UM, THESE LINE ITEMS ARE SIGNIFICANT, AS YOU WILL NOTICE THAT THE TESTING, UM, IS VERY, VERY, VERY IMPORTANT TO THIS WORK AND TAKES UP MUCH OF THE 30, $39 MILLION OF OUR BUDGET. UM, CASE INVESTIGATION AND CONTACT TRACING COMBINED MAKE UP THE NEXT, UM, BIG SUM OF OUR BUDGET AND THEN PROJECT MANAGEMENT, UM, WHICH IS ALL OF THE SUPPORT THAT WE NEED TO HELP MANAGE ALL OF THIS WORK. AND THEN FINALLY, OUR, UM, OUR RESEARCH PROJECT OR OUR RESEARCH [00:05:01] INITIATIVE THAT, UM, I'LL SPEND A LITTLE BIT MORE TIME ON. SO NEXT SLIDE PLEASE. SO WE'LL JUST START WITH TESTING. UM, WELL ACTUALLY WE'LL TALK ABOUT TEMP STAFFING. SO WE KNOW THAT WE NEEDED TO SURGE. THIS IS SOMETHING THAT WE CERTAINLY ANTICIPATED NEEDING. UM, THAT'S WHY IT'S PUT INTO OUR PLAN, UM, TO IMPLEMENT THE, THE WORK THAT'S REQUIRED. THE TEMP STAFF IS $5.6 MILLION WITH A TOTAL OF 89 POSITIONS. UM, AND NOT ALL OF THOSE 89 POSITIONS ARE, UM, ARE LOCATED THROUGHOUT THESE LINE ITEMS THAT I'M GETTING READY TO TALK ABOUT. SO, UM, AND A LOT OF IT IS REALLY IN OUR CASE INVESTIGATION, UM, SOME OF THOSE VERY HANDS-ON, UM, PIECES OF WORK IN THE IMPLEMENTATION PLAN. NEXT SLIDE PLEASE. SO, AS I MENTIONED THAT THE TESTING REALLY IS TAKING UP THE VAST MAJORITY OF THE BUDGET THAT WE HAVE, UM, THAT WE'RE SHARING WITH YOU TODAY. UH, 20 POINT 28.5 MILLION OF THAT IS A CONTRACT WITH C P L LAB. AND SO WE DO HAVE THAT BROKEN DOWN SO THAT YOU CAN SEE WHERE THAT 25, 20 28 $0.5 MILLION IS COMING FROM EACH TEST THAT IS PERFORMED AT THE FREEMAN TESTING LOCATION, AS WELL AS OUR WALKUP NEIGHBORHOOD POPUP SITE. EACH TEST OR EACH SPECIMEN COLLECTION THAT WE, UM, THAT WE ADMINISTER, UM, ACTUALLY COSTS ABOUT A HUNDRED DOLLARS PER TEST. AND SO WHEN YOU ARE, AND WE'RE OUR CAPACITY, WHAT OUR GOAL IS, IS TO DO 1,250 TESTS A DAY, AND WE CAN DO THAT SIMPLE MATH ACROSS THE, UM, THE NEXT SEVERAL MONTHS. AND THAT COMES UP TO $28.5 MILLION FOR TESTING. SO YES, IT'S A LOT OF MONEY, BUT IT IS THE COST OF DOING BUSINESS AND THIS CONTROLLING C OVID 19 FOR SURE. UM, THE EXTRA, THE DELTA THAT'S BETWEEN THE 28.5 AND THE 29 MILLION IS REALLY THE ADDITIONAL COSTS THAT ARE ASSOCIATED WITH PURCHASING THE MEDICAL SUPPLIES AND THE PPES. NEXT SLIDE. THE NEXT LINE ITEM IS OUR EDUCATION MEDIA RELATIONS AND OUR DATA MANAGEMENT AT $1.4 MILLION. UM, YOU CAN SEE IT BROKEN OUT IN THESE THREE BUCKETS. WE HAVE THE COMMUNITY EDUCATION, SO THAT IS STAFF TIME, UM, AS WELL AS, UM, MATERIALS AND, UM, OTHER LIKE TEMP TEMP POSITIONS. AND THAT IS 114, UM, THOUSAND DOLLARS MEDIA RELATIONS. THAT'S TO IMPLEMENT THE STRATEGIC COMMUNICATIONS PLAN. SOME OF THE WORK THAT WE ARE ALREADY DOING, SOME OF THOSE, UM, EXISTING COMMUNITY MESSAGING AS WELL AS SOME OF THE WORK THAT JEFF IS GOING TO BE PRESENTING WITH, UM, TO YOU IN JUST A FEW MINUTES. AND THEN WE HAVE THE DATA MANAGEMENT PIECE. SO THIS IS REALLY SUPPORTING OUR INFORMATICS TEAM. UM, NONE OF THIS WORK IS REALLY POSSIBLE. NONE OF THE INFORMATION THAT WE SHARE, NONE OF THE GRAPHICS, THE DATA ANALYSIS, UM, NONE OF THAT REALLY HAPPENS UNLESS WE HAVE, UM, YOU KNOW, THE DATA MANAGEMENT COMPONENTS THAT ENTER IT INTO THE DATA SYSTEM AND THEN HELPS ANALYZE THAT. SO IT'S REALLY THERE TO HELP SUPPORT THE INFORMATICS TEAM AS WELL AS OUR CASE AND CONTACT, UM, DATABASE INFORMATION HAS TO GO INTO THE DATABASE IN ORDER FOR US TO RUN THE ANALYSIS AND BETTER UNDERSTAND WHAT'S HAPPENING IN OUR COMMUNITY. NEXT SLIDE. SO SPEAKING OF CASE INVESTIGATION, WE HAVE TWO POINT, UM, $2 MILLION THAT, UM, APPROXIMATELY $2 MILLION THAT IS BUDGETED WITH A CONTRACT WITH UT HEALTH. AND SO THIS IS WITH THE COLLEGE OF PUBLIC HEALTH HERE IN THE SAN ANTONIO CAMPUS. IT'S A $2 MILLION CONTRACT THAT WE ARE WORKING WITH UT HEALTH TO SECURE, TO HIRE, UM, TO RECRUIT AND HIRE CASE INVESTIGATORS, UM, FROM THEIR STUDENT BODY. AND, UM, THIS MONEY WILL BE REDI REDI REDISTRIBUTED, UM, IF WE ARE NOT ABLE TO USE IT. BUT GIVEN THE, GIVEN THE RATE OF INFECTION THAT WE ARE SEEING, UM, I'M NOT REALLY SURE THAT WE'RE GONNA HAVE A PROBLEM SPENDING THOSE DOLLARS, BUT WE'RE VERY CLOSE WITH, UM, EXECUTING THIS PARTICULAR CONTRACT AND, UM, THE CASE INVESTIGATION WILL CERTAINLY START AS SOON AS THAT CONTRACT IS IS TAKEN CARE OF. NEXT SLIDE PLEASE. SO, CONTINUING WITH CASE INVESTIGATIONS, WE HAVE, UM, THE, THIS, THE NEXT PHASE OF THAT IS AGAIN, HIRING TEMP, UM, TEMP FOLKS, TEMP WORKERS TO COME IN AND CONTINUE SOME OF THAT CASE INVESTIGATION. UM, SO WE DO HAVE, UM, CURRENT STAFF THAT ARE WORKING ON CASE INVESTIGATIONS RIGHT NOW. WE HAVE A CONTRACT THAT IS SOON ENOUGH, UH, THAT'S PENDING, BUT GETTING READY TO BE SIGNED WITH UT HEALTH. AND THEN WE HAVE, UM, MORE TEMPORARY STAFF THAT WE'RE BRINGING ON TO HELP WITH THAT AS WELL. [00:10:01] SO CASE INVESTIGATORS IN THAT TEMPORARY HIRE AS WELL AS, AGAIN, DATA ENTRY INTO THE STATE DATABASE. NEXT SLIDE, SOME ADDITIONAL REALLY CRUCIAL INFORMATION OR SERVICES THAT WE PROVIDE THAT'S COMING JUST OVER $700,000 IS OUR COVID AND PROVIDER HOTLINE AND PROVIDER RELATIONS. SO IT'S THREE BULLETS THERE WHERE THESE DOLLARS ARE HELPING TO SUPPORT THE COVID HOTLINE. UM, WE ALSO HAVE THE PROVIDER HOTLINE AND THEN THE PROVIDER RELATIONS. UM, THE TRANSITION WE WILL BE, UM, IN JANUARY, SORRY, JANUARY, JULY 15. IT'S THE OTHER J JULY, JULY 15TH. UM, WE WILL BE CONTRACTING OUR COVID HOTLINE SERVICES OVER TO 3 1 1 17 TEMPORARY POSITIONS WILL BE HIRED. AND THAT IS A $472,000 CONTRACT WITH 3 1 1 PROVIDER HOTLINE. THIS IS PERSONNEL TO ANSWER THE PROVIDER HOTLINE THAT WE HAVE THAT'S LOCATED WITHIN OUR EPI DIVISION. THAT IS A VERY DIFFERENT AUDIENCE THAN OUR COVID HOTLINE. OUR COVID HOTLINE THAT AGAIN, WE WILL BE TRANSITIONING TO 3 1 1 IS REALLY THAT RESOURCE. IT'S THAT LIGHT LINE TO THE COMMUNITY, UM, TO ANSWER A LOT OF THEIR QUESTIONS THAT THEY MAY HAVE AROUND TESTING AROUND ENFORCEMENT. IT COULD BE, YOU KNOW, WHERE DO I GO AND GET TESTING TESTED? UM, WHAT ABOUT MY LAB RESULTS? YOU KNOW, WHAT IS THE PROCESS? THE PROVIDER HOTLINE IS EXACTLY WHAT IT IS. IT IS LOCATED WITHIN OUR EPI DIVISION, AND IT IS THERE TO BE A RESOURCE AND ANOTHER LIFELINE TO OUR PROVIDER COMMUNITY. THEY MAY HAVE QUESTIONS ABOUT, ABOUT RESULTS. THEY MAY CALL US AND ASK US, UM, TECHNICAL QUESTIONS AND THOSE FOLKS ON A PROVIDER HOTLINE, THOSE ARE OUR NURSES AND A LITTLE BIT MORE OF A HIGHLY SKILLED MEDICAL, UM, PERSONNEL THAT IS THERE TO ANSWER THOSE QUESTIONS. OUR PROVIDER RELATIONS, THIS IS REALLY SUPPORT TO HELP OUR MEDICAL DIRECTOR, UM, AND, UH, REGARDING PROVIDER COMMUNICATIONS, OUR EPI PROVIDER HOTLINE AGAIN, AND THEN VERIFYING, UM, YOU KNOW, WE HAVE TO VERIFY COVID 19 ANTIBODY TESTING. AND SO THESE ARE THINGS THAT, UM, ALL OF THE EDUCATION THAT WE'RE DOING, UM, THE HEALTH ALERTS THAT WE PUT OUT, UM, THESE DOLLARS ARE REALLY HELPING US WITH THAT PROVIDER RELATIONS. NEXT SLIDE. AND AGAIN, WE TALKED ABOUT PROJECT MANAGEMENT. A IT $750,000 IS REALLY GOING INTO INFRASTRUCTURE. UM, PROVIDE OVERALL SUPPORT TO COVID 19 COMMUNITY RESPONSE COALITION AND THEN COMPILE DAILY C OVID 19 REPORT. ALL OF THOSE THINGS TAKE A LOT OF EFFORT. THEY TAKE A LOT OF RESOURCES TO DO AND A LOT OF SKILL SETS TO DO, GIVEN THE TECHNICAL ASPECT OF OUR WORK. THE INFRASTRUCTURE, YOU KNOW, THIS IS REALLY ABOUT THE, THE SYSTEMS AND I'M VERY PLEASED TO SEE THAT WE ARE INDEED BUILDING UPON THAT. UM, IT'S ONE OF THE GREATEST, UM, OR THE BIGGEST MOVEMENTS THAT'S HAPPENING AT IN THE NATIONAL LEVEL OF PUBLIC HEALTH MODERNIZATION IS THAT WE KNOW THAT WE DO REALLY GREAT WORK FROM A PROGRAM PERSPECTIVE. WE HAVE VERY GOOD TECHNICAL SKILLS, BUT OFTENTIMES IN OUR PUBLIC HEALTH SYSTEM IS OUR INFRASTRUCTURE IS ABOUT A 1980S INFRASTRUCTURE. AND SO WE NEED BETTER SYSTEMS, WE NEED BETTER PERFORMANCE, UH, MANAGEMENT SYSTEMS. WE NEED TO BE ABLE TO HAVE BETTER INTEGRATED, UM, SYSTEMS. AND SO THIS INVESTMENT OF INFRASTRUCTURE IS REALLY CRITICAL. NEXT SLIDE. AND THEN WE TALKED A LITTLE BIT ABOUT RESEARCH. SO WE WERE, UM, WE DID PUT IN OUR BUDGET TO DO, UH, A MILLION DOLLARS OF RESEARCH AND I'M REALLY HAPPY TO SAY THAT WE DID, UM, START ENGAGING THE HEALTH COLLABORATIVE AS A PARTNER IN THIS EFFORT. AND YESTERDAY, SO THRILLED TO SAY THAT YESTERDAY, THEIR BOARD OF DIRECTORS, WE DID A PRESENTATION TO THEIR BOARD OF DIRECTORS AND THEY, UM, VOTED YES. THEY GAVE A THUMBS UP. THEY'RE VERY EXCITED TO BE A PART OF THIS. AND THEIR BOARD OF DIRECTORS DID AGREE TO BE THE PRIVATE PARTNER FOR THIS RESEARCH, THIS COMMUNITY RESEARCH PIECE. THERE'S THREE DIFFERENT LEVELS OF RESEARCH THAT WE WILL BE FUNDING. UM, I SAY A MILLION DOLLARS, BUT 900,000 OF THAT WILL BE GOING INTO THE RESEARCH. WE DID ALLOCATE A HUNDRED THOUSAND DOLLARS TO HELP WITH, UM, STAFFING EXPENSES AND SOME OF THE ADMINISTRATIVE ASSISTANTS TO THE HEALTH COLLABORATIVE TO HELP US DO THIS WORK AND ADMINISTER THESE RESEARCH DOLLARS INTO THE COMMUNITY. THREE DIFFERENT TYPES OF RESEARCH. WE HAVE THE COMMUNITY PARTNER PARTICIPATORY RESEARCH FOR $300,000, UM, EVALUATION OF THE EXISTING INTERVENTIONS THAT WE'VE BEEN DOING OVER THE LAST FIVE MONTHS, AGAIN AT $300,000. AND THEN A VERY ADVANCED TYPE OF RESEARCH, WHICH IS THE POPULATION EPIDEMIOLOGY RESEARCH AT 300,000. [00:15:01] THE FIRST TWO BUCKETS WILL ALLOW US TO FUND UP TO FIVE PROJECTS. THE SECOND OR THE THIRD POPULATE THE THIRD BUCKET, THE POPULATION EPIDEMIOLOGY RESEARCH. WE WILL FUND UP TO THREE PROJECTS. WE KNOW THAT THOSE TYPES OF ACADEMIC RESEARCH PROJECTS TEND TO BE A LITTLE BIT MORE EXPENSIVE, AND SO WE WANTED TO MAKE SURE THAT, UM, EACH PROJECT WAS ABLE TO GET A GOOD AMOUNT OF DOLLARS. NEXT SLIDE, PLEASE CONGREGATE SETTINGS. THIS IS SUCH A CRITICAL COMPONENT OF THE WORK THAT WE DO. WE KNOW THAT THIS, THE CONGREGATE SETTING SETTINGS THAT IF WE DO NOT PAY CLOSE ATTENTION AND INVEST IN IT WITH PROPER RESOURCES AND SUPPLIES, THAT THESE COULD BE JUST DEVASTATING FOR OUR COMMUNITY. AND SO A PROPER INVESTMENT OF JUST UNDER A MILLION DOLLARS TO HELP US WITH THE ACTIVITIES OF DOING THE UNIVERSAL TESTING. UM, IN THESE CONGREGATE SETTINGS, WE HAVE TO TRACK THE TEST RESULTS, WHICH TAKES AN AMAZING AMOUNT OF TIME AND COORDINATION AND RESOURCES. AND THEN ALL OF THIS ALSO HAS TO BE REPORTED TO A NURSE SUPERVISOR. WE WANNA ALSO USE THIS TO PROVIDE RECOMMENDATIONS TO THE CONGREGATE SETTING, UM, HELP THEM WITH INFECTION CONTROL PRACTICES, UM, WHICH IS REALLY THAT PREVENTION PIECE, WHICH IS REALLY IOR AND IMPORTANT. AND THEN CONDUCTING THE 14 DAY FOLLOW UP TO ENSURE THAT INDIVIDUALS HAVE RECOVERED. I THINK IT GOES WITHOUT SAYING THAT MANY OF YOU PROBABLY HAVE GOTTEN A, A REALLY GOOD SNEAK PEEK INTO, UM, YOU KNOW, A PUBLIC HEALTH INFECTIOUS DISEASE, UM, PROCESS. AND IT TAKES JUST A TREMENDOUS AMOUNT OF RESOURCES OF PEOPLE, UM, AND, UM, A TREMENDOUS AMOUNT OF INFRASTRUCTURE IN ORDER FOR THIS TO BE EFFECTIVE. SO WE'RE VERY THRILLED TO HAVE THIS INVESTMENT IN OUR CONGREGATE SETTINGS. NEXT SLIDE. THE PUBLIC HEALTH EMERGENCY PREPAREDNESS. THIS IS A, UM, A PROGRAM THAT ACTUALLY MOST, UM, IF NOT ALL, MOST UH, HEALTH DEPARTMENTS ACROSS THE UNITED STATES HAVE. UM, AND THIS IS A CONTINUATION. THIS IS AN INVESTMENT OF SOME OF THE EXISTING WORK THAT WE ALREADY HAVE IN OUR BUDGET. AND THIS IS REALLY TO HELP, UM, CONTINUE THE WORK OF THE COVID 19 PANDEMIC RESPONSE AND REDIRECT THE FED STAFF TO HURRICANE PREPAREDNESS. AND WE HAVE TO REMEMBER THAT HURRICANE SEASON IS JUST AROUND THE CORNER. AND, UM, UNFORTUNATELY I THINK THAT WE'RE GOING TO HAVE AN INTERSECTION BETWEEN THIS PANDEMIC AND, UM, HURRICANE SEASON. AND SO YOU MAY, YOU MAY REMEMBER, UM, JUST, UH, MAYBE ABOUT A MONTH AGO THAT THE, UM, EMERGENCY OPERATIONS CENTER ACTUALLY DID A TABLE TABLETOP EXERCISE WHERE WE SAID, WHAT DOES THIS LOOK LIKE DURING, WHAT DOES HURRICANE SEASON LOOK LIKE DURING THE PANDEMIC? AND SO WE KNOW THAT WE NEED TO PAY SPECIAL ATTENTION TO THAT AND THAT THIS FUNDING WILL REALLY HELP US BE ABLE TO DIVIDE AND CONQUER WITH BOTH EMERGENCIES. NEXT, AGAIN, VERY IMPORTANT WORK. UM, THIS IS OUR COMMUNITY HEALTH AND PREVENTION TEAM. SO THIS IS OUR, UH, TEMP SERVICES FOR EIGHT COMMUNITY HEALTH WORKERS AND THE EQUIPMENT IN ORDER FOR US TO DO THIS WORK. YOU MAY REMEMBER THAT THIS IS THE TEAM, UM, THAT ARE GOING OUT INTO SOME OF OUR MORE MARGINALIZED COMMUNITIES AND CANVASSING THE COMMUNITIES THROUGH THE CENSUS TRACK PROCESS. UH, YOU'LL HEAR A LITTLE BIT MORE ABOUT THE EQUITY INDEX THAT DAN WILL TALK ABOUT, BUT WE ACTUALLY USE THAT TOOL TO HELP GUIDE THE STRATEGIES IN THE NEIGHBORHOODS THAT YOU SEE, UM, OUR FOLKS THERE IN THAT PICTURE. AND SO IT'S A VERY, UM, VERY IMPORTANT TOOL THAT WE USE. I'M REALLY HAPPY TO HEAR Z DOING A PRESENTATION ON THAT TODAY. BUT IN ORDER TO HELP US DO THAT WORK, UM, WE DO NEED, UM, ADDITIONAL PEOPLE TO HELP US. AND THAT'S THAT $282,000 TO DO THAT NEXT SLIDE. AND THEN WE THINK THAT IT WAS REALLY IMPORTANT. WE DO GET THIS QUESTION A LOT AND THAT IS WHAT I JUST SHARED WITH YOU IS REALLY WHAT WE'RE DOING AROUND THE CARESS ACT FUNDING. BUT WE ALSO KNOW THAT THAT FUNDING IN, UM, AT THE END OF DECEMBER, AND SO WHAT HAPPENS AFTER THAT? AND WE THOUGHT THAT IT WOULD BE REALLY IMPORTANT JUST TO AT LEAST GIVE YOU A VISUAL, UM, THAT LETS YOU KNOW THAT WE DO HAVE SOME CONTINUATION OF FUNDING THAT IS COMING IN FROM, UM, DIFFERENT PARTS OF OUR, OUR BRAIDED FUNDING. SO WE HAVE SOME FEDERAL THERE, WE HAVE SOME STATE, AND YOU CAN SEE THROUGH THIS TIMELINE HOW, WHERE, WHEN THEY START, WHEN THEY STOP. AND ACTUALLY JUST TO BE FAIR AND CLEAR, THAT BOTTOM ARROW THAT'S ON THE BOTTOM, I RAN OUTTA ROOM ON MY SLIDES, BUT THAT PARTICULAR MONEY [00:20:01] THAT'S AT THAT BOTTOM ARROW GOES ACTUALLY INTO 2022. I COULDN'T SHOW YOU THAT ON MY SLIDE, BUT I WANTED TO MENTION THAT TO YOU, THAT THAT DOES AND CONTINUE INTO 2022. SO I THINK IT'S A GREAT VISUAL TO SEE THAT THERE IS SOME CONTINUATION. I THINK IT'S ALSO A GREAT VISUAL TO SHOW YOU THAT IT IS A SIGNIFICANT DECREASE IN THE AMOUNT OF MONEY THAT WE ARE NOW USING THROUGH CARES ACT TO DO THE VERY THINGS THAT I JUST DESCRIBED. SO WE WILL HAVE SOME CHALLENGES MOVING FORWARD, UM, IN TERMS OF THE, UM, FUNDING SOME OF THE VERY THINGS THAT WE'RE DOING RIGHT NOW, BUT AT LEAST WE KNOW THAT WE DO HAVE SOME CONTINUATION AND WE'LL CONTINUE TO WORK ON, UM, HOW WE PRIORITIZE THAT. AND CERTAINLY WOULD LOVE TO HAVE YOUR THOUGHTS AND YOUR INPUT AS WE LOOK TO DEVELOP THOSE BUDGETS AND PRIORITIZE SOME OF THE PROGRAMS AS WE MOVE FORWARD. NEXT SLIDE, PLEASE. I'M GONNA PASS THIS NOW TO CHIEF HOOD AND HE HAS A COUPLE SLIDES THAT DESCRIBE SOME ACTIVITIES IN HIS BUDGET. CHIEF, UH, GOOD AFTERNOON, UH, MADAM CHAIR AND, UH, MEMBERS. UM, MY VIDEO IS BAD TODAY, BUT I DO LOOK VERY HANDSOME TODAY. SO JUST YOU, SO JUST SO YOU KNOW, UM, ON SLIDE 16, UM, MOST OF YOU KNOW, MOBILE INTEGRATED HEALTH WAS DESIGNED TO PROVIDE CARE AND PREVENT THE OVERUSE OF E M SS AND, UH, OVERUSE OF HOSPITAL EMERGENCY SYSTEMS. SO, UM, WE'VE BEEN ON THE FRONTLINE OF TESTING, ASSESSING, UH, WITH SEVERAL DIPPING POPULATIONS, UM, THROUGHOUT. AND UM, SO, UH, IT STARTED WITH THE TRAVELERS RETURNING HOME FROM TRAVEL RESTRICTED AREAS. WE'VE BEEN INVOLVED WITH HAVEN FOR HOPE. UM, THERE'S A SLIDE COMING DOWN LATER ON, UH, TALKING ABOUT NURSING HOMES THAT SLIDE 28, I THINK. AND WE'VE DONE OVER 10,200, UH, OR COMPLETED 10,200, UH, TESTS OF RESIDENTS AND, UH, STAFF AT THE NURSING HOMES. AND WE DID THAT, UM, WITH, UH, ON 11 DAYS. AND SO ACTUALLY YOU COULD GO TO THE NEXT SLIDE, I'M SORRY. AND, UH, YOU COULD, UH, AND WE'VE, UH, WE COMPLETED THAT IN 11 DAYS. SO, UM, WE CONTINUE TO, UH, LOOK AT SPECIALIZED SITUATIONS. WE ARE, UH, WORKING WITH THE ASSISTED LIVING AND ADULT DAYCARE CENTERS RIGHT NOW THAT WE ARE, UM, GOING OUT TESTING THEM IF THEY WILL ALLOW US TO. IT'S NOT A MANDATE LIKE THE NURSING HOMES, BUT A LOT OF THEM ARE ALLOWING US TO, UM, TO COME IN AND TEST. SO, UM, THE FUTURE'S VERY BRIGHT FOR M I H AND THE RELATIONSHIP WITH METRO HEALTH. AS FAR AS OTHER ENHANCEMENTS COMING DOWN THE ROAD THAT WE COULD LOOK AT, UM, WE'RE ALSO LOOKING AT ADDING AN ASSISTANT MEDICAL DIRECTOR TO ASSIST US IN INFECTION CONTROL AND, UM, SOME OF THOSE AREAS THAT PUBLIC SAFETY DEALS WITH. UM, THERE WAS A GAP, UM, AS FAR AS PD WAS CONCERNED WITH INFECTIOUS CONTROL. SO THIS INFECTIOUS CONTROL AND THE ASSISTANT MEDICAL DIRECTOR WOULD FUNCTION DIRECTLY TO SUPPORT, UM, PUBLIC SAFETY IN THE FUTURE. NEXT SLIDE. UH, EQUIPMENT AND P P E. SO, UM, WE, UM, WE BEGAN WITH MOBILE TESTING EQUIPMENT AND UH, YOU CAN SEE SOME OF THAT ON THE PICTURE UP THERE, BUT VEHICLES, INCLUDING TRAILERS THAT ARE READY TO USE, UH, THESE TRAILERS HAVE BATHROOMS IN THEM WHERE WE CAN GO AND, UH, GOWN AND WE CAN DECON IN AREAS THAT WE DON'T HAVE TO USE THE FACILITY SO WE CAN ACTUALLY DRIVE UP AND DO TESTING. SO, UM, ALSO IT EQUIPMENT FOR TESTING SITES, AND THIS IS ALREADY BEING USED RIGHT NOW AS FAR AS COMPUTERS AND THINGS LIKE THAT. SO WE'VE BEEN ACTIVELY TESTING FOR THE LAST, UH, SEVERAL WEEKS. I THINK MOST OF YOU'RE AWARE OF THAT. UH, SOME ITEMS ARE GONNA RECOVER LONGER DELIVERY TIME. UM, AND SO WE'RE STILL PENDING, WHICH WOULD BE ZOOM ROW TENTS, WHICH IS SOME OF THE LARGE TENTS. AND I THINK YOU'VE PROBABLY SEEN A COUPLE OF PICTURES WHERE WE WERE OUTSIDE OF BEXAR COUNTY JAIL WITH TENTS E M S EQUIPMENT, UH, WE'RE REALLY EXCITED ABOUT BECAUSE WE HAVE SEEN IN OTHER SYSTEMS WITH COVID WHEN THE E M S SYSTEM IS, UH, REALLY STRETCHED. UH, WE NEED TO HAVE AS MUCH ADVANCED LIFE SUPPORT EQUIPMENT AS WE CAN ON OUR FIRST RESPONDER VEHICLE. SO THAT WOULD BE INCLUDING, UH, 12 LEAD MONITORS, WHICH WOULD GIVE OUR PARAMEDICS DIFFERENT VIEWS OF THE HEART TO LOOK AT, UM, DIFFERENT ARRHYTHMIAS TO WHERE WE MAY HAVE A FIRETRUCK ON THE SCENE. AND I DON'T HAVE AN AMBULANCE AVAILABLE, SO MOST OF YOU PROBABLY KNOW ABOUT 78% OF OUR, UH, FIRE EQUIPMENT EVERY SINGLE DAY HAS A PARAMEDIC ON. SO THAT'S ALL OF OUR FIRE TRUCKS, ALL OF OUR [00:25:01] LADDERS. SO WE ARE A FIRE BASED A L S SYSTEM, SO WE'LL BE ADDING 12 LEAD MONITORS TO, UM, TO SEVERAL UNITS, ALSO VIDEO LARYNGOSCOPES. AND SO, UM, I WAS A PARAMEDIC FOR A LONG TIME AND THERE WERE NO VIDEO LARYNGOSCOPES WHEN YOU ARE TRYING TO SOMEONE, YOU'RE TRYING TO VISUALIZE THE CORDS AND PUT A TUBE IN VERSUS TRYING TO PUT IT IN THE ESOPHAGUS. SO HAVING THE VIDEO CAPABILITIES OF A LARYNGOSCOPE TO DIRECT US, UH, IS GONNA HELP US OUT. SO WE'LL BE ADDING THOSE AND ALSO ULTRASOUNDS. AND SO YOU SAY WHY ULTRASOUNDS? SO WE WOULD BE ABLE TO ASSESS A PATIENT AND CHECK THEIR LUNGS TO SEE WHAT THE LEVEL OF FLUID IS IN THEIR LUNGS. AND SO, UM, THIS EQUIPMENT IS GOING TO HELP US OUT WITH ANY INCREASED COVID INCIDENTS OR JUST BASICALLY MEDICAL INCIDENTS. UM, NEXT SLIDE. THANK YOU. SO THAT'S THE LAST SLIDE OF THIS PORTION OF THE MEETING COUNCILWOMAN. UM, THANK YOU VERY MUCH. THAT IS A LOT OF INFORMATION, UM, . SO I WAS, UH, TRYING TO, UM, RECONCILE IT WITH WHAT WE READ IN THE PLAN THAT WE ADOPTED ON JUNE 4TH AND THE ONE THAT WAS PRESENTED TO COUNCIL IN MAY AT THE END OF MAY. AND THEN ALSO WITH THE HEALTH TRANSITION TEAM, UH, REPORT. BEFORE WE GO AROUND TO TO COUNCIL QUESTIONS, I WANTED TO, UM, TO GIVE YOU AN OPPORTUNITY TO EXPLAIN TO US THE NAME OF THE PLAN IS CHANGING. IS THAT CORRECT? THAT IS CORRECT. THE NAME, YEAH, WE ALREADY MADE THAT OFFICIAL. THANK YOU FOR THAT. UM, WE ACTUALLY CHANGED TWO THINGS BASED ON SOME FEEDBACK THAT WE HAD RECEIVED. THE FIRST IS THAT OUR TESTING AND TRACING TASK FORCE, UM, OUR TESTING AND TRACING TASK FORCE WAS CHANGED TO THE COVID COMMUNITY RESPONSE COALITION. WE FELT LIKE THE TESTING AND TEST, THE TESTING AND TRACING TASK FORCE DID NOT, UM, EFFECTIVELY DESCRIBE WHAT THAT CO SO THAT IS THE C R C NOW COVID, C R C. WITH THAT SAID, WE ALSO CHANGED THE NAME OF THE REPORT, UM, TO THE HEALTH TRANSITION TEAM IMPLEMENTATION PLAN. MAKES IT PRETTY SIMPLE. AND THAT WAS FORMERLY, JUST, JUST SO THAT EVERYBODY KNOWS, THAT WAS FORMERLY THE WATCH EXPAND ASSURE PLAN, CORRECT? CORRECT. THAT WAS PRESENTED WHEN WE SAW THE FOUR PILLARS OF THE RECOVERY, BUT THIS WAS SORT OF A, A, A SEPARATE DOCUMENT THAT WE ADOPTED THAT DAY. OKAY. UM, THAT IS ALL RIGHT. UH, I'LL GO AROUND TO TO COUNCIL MEMBER COMMENT. UH, IF IT'S OKAY WITH THE COUNCIL MEMBERS, I'LL GO AHEAD AND BEGIN, UM, WITH NUMBER ONE AND MOVE OUR WAY UP TO, UH, NUMBER SIX. SO, UH, COUNCILMAN TREVINO. THANK YOU CHAIR. UH, AND, UH, THAT WAS A LOT OF INFORMATION AS YOU AS YOU DESCRIBED. UM, MY FIRST QUESTION IS, IS REGARDING, UH, THE THE TEMP SERVICES. CAN YOU DESCRIBE THAT? 'CAUSE UH, THIS, THIS IS SOMETHING THAT HAS COME UP BEFORE IN REGARDS TO HOW MUCH WE PAY IN TEMP FEES. UM, WHAT I, THE LAST TIME I WAS ON AUDIT COMMITTEE, WE WENT OVER THIS ISSUE, UH, 40% OF THE SAL, THE, THE, OF THE PAYMENT, UH, OF THE SALARY WAS ACTUALLY GOING TOWARDS FEES. AND I JUST WANT, I, I WANT US TO BE CONSCIOUS OF THAT, ESPECIALLY AS WE'RE FURLOUGHING EMPLOYEES AND, AND WE'RE, WE'RE TRYING TO DEAL WITH, UH, LOTS OF FOLKS WHO ARE, UM, UH, OUT OF WORK, UH, AT THE CITY. AND, UH, AT AUDIT, WE DID GET A COMMITMENT THAT WE WEREN'T GONNA BE USING, UH, TEMP EMPLOYEES, BUT I I ALSO UNDERSTAND THAT THERE'S SOME SPECIALTIES THAT HAVE TO BE, UH, UH, ADHERED TO REGARDING, UH, CERTAIN POSITIONS. SO CAN CAN YOU TALK A LITTLE BIT ABOUT THAT? YEAH, SURE. THANK YOU FOR THAT QUESTION. UM, DO WE HAVE A COMBINATION OF WORKING WITH OUR EXISTING STAFF? WE ALSO WORKED WITH HR TO, UM, PULL IN SOME OF OUR FURLOUGHED AND, UM, REDEPLOYED, YOU KNOW, REDEPLOY SOME OF THOSE STAFF INTO HELPING US AS WELL. UM, BUT YOU'RE ABSOLUTELY RIGHT. THERE ARE SOME SPECIALTY SERVICES, UM, VERY SPECIFIC SKILLSET THAT WE NEED, THAT WE NEED, UM, TO PULL IN TO HELP US WITH THIS SURGE. IT'S A FINE BALANCE. WE KNOW, ESPECIALLY NOW, WE KNOW THAT, UM, WE NEED TO MAKE SURE THAT WE HAVE, UM, THE APPROPRIATE STAFF TO HELP WITH THE SURGE. WE SEE THAT HAPPENING RIGHT BEFORE OUR EYES EVEN TODAY. [00:30:01] BUT THE BALANCE IS BEING ABLE TO, AS YOU CAN SEE IN THAT TIMELINE THAT I SHARED WITH YOU IN ONE OF MY SLIDES, IS THAT WE KNOW THAT THE MONEY IS GONNA RUN OUT. AND SO HOW DO WE BALANCE BEING ABLE TO ADDRESS THE NEED OF, UM, THE WORK AT HAND TODAY, BUT ALSO KNOW THAT THERE WILL NOT BE THE FUNDING AVAILABLE AT THE END OF DECEMBER. SO WE'RE NOT ABLE TO BRING ON STAFF PERMANENTLY FULL-TIME, UM, TO HELP US WITH THE SURGE. UM, TEMPORARY, WE DO HAVE A REALLY GOOD LEVEL OF, WE HAVE GOOD TEMP SERVICE HERE THAT PROVIDES US REALLY GOOD STAFF. WE HAVE A HISTORY OF GETTING GOOD TEMPORARY SERVICE FROM THEM. UM, SO CAN I ASK YOU REGARDING THAT GROUP, I'M SORRY TO INTERRUPT YOU, BUT JUST REGARDING THAT GROUP, THAT TEMP SERVICE GROUP, UM, CAN WE GET SOME STATS? I GUESS I, I'D LIKE FOR US TO KNOW WHETHER WE'RE GETTING, UM, THE, THE TEMP SERVICES, WHAT WE'RE PAYING, YOU KNOW, HOW MUCH ARE WE PAYING IN TEMP SERVICE FEES, UH, FOR, FOR, FOR THESE, FOR CERTAIN SPECIFIC JOBS? AND, UH, YOU KNOW, BECAUSE I I, WHEN WE REVIEW THIS IN AUDIT, UH, LIKE I SAID, IT, IT WAS AS HIGH AS 40% OF THOSE, UH, OF THOSE PAYMENTS WERE ACTUALLY FEES. AND I JUST WANNA MAKE SURE THAT WE'RE, WE'RE, UH, COGNIZANT OF, OF ALL THE, THE, THE MONEY THAT WE'RE SPENDING AND WHERE IT'S GOING. IT, UH, ESPECIALLY, UH, IF WE CAN MAYBE TAKE A LOOK AT SOME OF THE DEPARTMENTS THAT HAVE, THAT HAVE BEEN DECIMATED, LIKE THE DEPARTMENT OF ARTS AND CULTURE AND WHAT THEY CAN DO, WHAT WE CAN DO TO, TO HELP, UM, UH, BE MORE, UM, UH, PROACTIVE IN, IN PROVIDING SOME SUPPORT TO, TO A LOT OF CITY EMPLOYEES THAT ARE, THAT ARE CURRENTLY OUTTA WORK. SURE. I CAN PROVIDE AN ANALYSIS WE CAN TRY TO PUT TOGETHER. UM, WHEN I'M LOOKING AT SLIDE, UM, WHAT'S THAT SLIDE, SLIDE THREE? I DO HAVE THAT BROKEN OUT INTO WHAT OUR TEMP STAFFING LOOKS LIKE, AND WE HAVE 89 POSITIONS THAT WE ARE TRYING TO PULL ON TO HELP US WITH THAT SURGE. AND WHAT I COULD ASK IS WE CAN TRY TO BREAK OUT THOSE BULLETS AND TELL YOU THE NUMBER OF PEOPLE THAT WILL BE ASSIGNED TO EACH OF THOSE LINE ITEMS AND WHAT THE COST IS. WOULD THAT BE APPROPRIATE? YES. YES. COST, UH, BROKEN INTO WHAT, HOW MUCH OF THAT COST IS, IS ASSOCIATED TO A FEE AS WELL, CORRECT? YOU BET. OKAY, SURE. WE CAN SEE THAT FOR YOU. THANK YOU. UM, YOU'RE WELCOME. UH, SO, SO NO, OTHER THAN THAT, I MEAN, I THINK GREAT PRESENTATION. UH, I'M, I'M CURIOUS TO KNOW, UH, HOW THE, THE CHIEF IS IF HE'S WEARING HIS WHITE SHIRT TODAY, WHICH IS ALMOST ALWAYS A, A HANDSOME SHIRT. UM, BUT OTHER THAN THAT, UH, YOU KNOW, THANK YOU FOR THE PRESENTATION. UH, THIS IS A LOT OF INFORMATION AND, AND WE'LL BE GOING THROUGH IT. AND IF WE HAVE ANY MORE, UH, QUESTIONS, UH, WE'LL CERTAINLY SEND IT, UH, TO YOU, DON, OR, OR YOU, DR. BRIDGER TO, UH, TO GIVE FURTHER CLARIFICATION. THANK YOU, CHAIR. YOU BET. THANK YOU. THANK YOU. COUNCILMAN. UH, I KNOW COUNCIL, UH, THE, THE OTHER COUNCIL MEMBERS HAVE QUESTIONS, UH, COUNCILWOMAN ANDREW SULLIVAN. THANK YOU, MADAM CHAIR. UM, THANK YOU DON, AND THANK YOU CHIEF FOR THEIR PRESENTATION. UM, THE QUESTIONS THAT I HAVE, I KNOW ONE MIGHT BE FOR JEFF, SO, UM, I'LL PROBABLY ASK IT NOW, BUT THEN HAVE TO WAIT FOR THE, THE ANSWER. UM, BUT WHEN IT COMES TO THE MEDIA RELATIONS, I WAS WONDERING IF WE ARE INCLUDING ANY FORM OF TEXT MESSAGING WITHIN THAT PLATFORM? I CAN ANSWER IT NOW. UH, YES. WE, AND WE HAVE BEEN, UH, REALLY SINCE THE BEGINNING, UH, OF THIS, UH, WE HAVE THE, THE COSA TEXT, UH, PROGRAM THAT HAS JUST GROWN ASTRONOMICALLY THROUGHOUT THIS, UH, THE MAYOR EVERY NIGHT DURING THE BRIEFINGS, THE LAST FEW MONTHS HAS BEEN ASKING PEOPLE TO SIGN UP FOR TEXTS. UH, AND SO WE CAN PUSH TEXTS OUT TO PEOPLE AND, UH, WE TYPICALLY DON'T DO IT WITH A TON OF CONTENT IN THE TEXT. WE'LL, TYPICALLY YOU'LL RECEIVE A TEXT THAT SAYS THERE'S NEW INFORMATION, THERE'S BEEN AN UPDATE, AND YOU CLICK ON THE LINK AND THEN IT TAKES YOU TO, UH, WHAT THE NEW BATCH OF INFORMATION IS. BUT WE, UH, NOT ONLY INTEND TO KEEP USING IT FOR, IN SUPPORT OF THIS IMPLEMENTATION PLAN, BUT JUST BROADLY IN TERMS OF CITY COMMUNICATIONS, WE'VE REALLY GROWN OUR DATABASE OF THOSE WHO HAVE, WHO RECEIVE, WHO HAVE CONSENTED TO RECEIVING TEXTS FROM US. AND, AND WE WANT TO KEEP BUILDING ON THAT. OKAY. AWESOME. IS THERE A WAY THAT WE CAN CONTINUE TO COMMUNICATE TO THE COMMUNITY TO SIGN UP FOR THOSE TEXT MESSAGES, ESPECIALLY IN THE MARGINALIZED AND THE SENIOR POPULATIONS? BECAUSE EVEN [00:35:01] IF THEY DON'T HAVE WEB, WE KNOW MOST OF THEM ARE ABLE TO GET, UM, ONE OF THE PHONES THAT IS OFFERED THROUGH MEDICARE AND MEDICAID. UM, AND SO THIS IS A WAY FOR THEM TO START SEEING THAT THERE'S SOMETHING AVAILABLE. UM, AND EVEN IF THEY CAN'T GET ONLINE OR SEE IT ON THE NEWS, THEY'LL HAVE IT WITHIN THAT DEVICE. SO I LIKE TO SEE US ACTUALLY, UM, ESPECIALLY WHAT OUR SENIOR CENTERS ARE WITH A A R P, OUR, UM, DEPARTMENT OF HEALTH AND OUR DEPARTMENT OF HUMAN SERVICES, EXCUSE ME, UM, HAVE A WAY TO COMMUNICATE TO OUR SENIORS THAT EVEN WITH THE FREE ACTIVATED DEVICES THEY HAVE, THAT THEY CAN STILL QUALIFY TO GET THESE TEXT MESSAGES. UM, ONE OF THE THINGS YOU'LL SEE IN OUR, UH, IN MY PLAN IN A SECOND IS A REFRESH OF OUR CAMPAIGN AND OUR BRANDING. UM, AND SO THAT'S A BIT OF INFORMATION THAT WE CAN INCLUDE IN THERE AND BUILD ON IT. WE'VE GOT 20,000 PLUS SUBSCRIBERS NOW, AND WE'LL MAKE SURE TO KEEP, KEEP HAMMERING THAT, THAT OPTION FOR PEOPLE. AWESOME. THANK YOU. JEFF. DIDN'T MEAN TO PUT YOU ON THE SPOT BEFORE IT'S YOUR TURN, BUT IT WAS A QUESTION. . UM, THANK YOU FOR THAT. DON, AS WE GO FORWARD, UM, WITH THE PROVIDER RELATIONS, IS THAT A FULL-TIME CITY EMPLOYEE POSITION? WE CURRENTLY HAVE A CITY, YES, WE DO HAVE A FULL-TIME PERSON RIGHT NOW. UM, WHO IS, SHE IS A NURSE, UM, ACTUALLY SHE'S UM, HANG ON THERE JUST A SECOND. SHE IS A TEMP. I FORGOT THAT WE DID NOT, WE WERE GONNA DO A FULL-TIME, BUT SHE IS A TEMPORARY POSITION. UM, AND THAT PERSON IS A SORT OF OUR, UH, PROVIDER AMBASSADOR WHO IS GOING OUT AND MAKING PHONE CALLS TO THE PROVIDER OFFICES AND TRYING TO UNDERSTAND, UM, BETTER IF THEY ARE TESTING AND IF THEY'RE NOT TESTING WHY, AND WHAT CAN WE DO TO HELP GET THEM ON BOARD. OKAY. AND DO WE KNOW, UM, HOW LONG WILL SHE BE IN PLACE OR, I KNOW YOU SAID TEMPORARY. IS THIS A POSITION THAT WILL, UM, BE ELIGIBLE TO BECOME A FULL-TIME CITY POSITION, OR IS, OR HOW LONG WILL WE HAVE HER IN PLACE? SO CURRENTLY WE HAVE OUR, UM, DR. WU HAS REALLY BEEN SERVING IN THAT ROLE AS OUR FULL-TIME, AS PART OF HER RESPONSIBILITY AS OUR MEDICAL DIRECTOR AND THE HEALTH AUTHORITY. BUT BECAUSE OF COVID 19, WE REALLY NEEDED TO BRING IN SOME ADDITIONAL REINFORCEMENT. AND SO THAT'S WHAT THIS TEMP TEMPORARY POSITION WILL DO. WE'LL ALWAYS HAVE THAT PROVIDER RELATIONS PIECE. UM, IN FACT, DR. WU IS THE ONE WHO STARTED OUR DOC ALERTS, WHICH IS A TEXT MESSAGING. UM, IRONICALLY IT'S A TEXT MESSAGING SUBSCRIBER SYSTEM WHERE WE CAN TEXT DIRECTLY TO, UM, TO PROVIDERS. AND JUST AS JEFF MENTIONED, THAT HAS, THAT SUBSCRIBER RATE HAS REALLY, UM, EXPANDED GREATLY. SO WE DO FEEL LIKE WE'RE GETTING SOME GOOD COMMUNICATION EVEN WITH DR. WU. SO THIS IS JUST REALLY REINFORCEMENT, UNFORTUNATELY, I'M NOT REALLY SURE IF WE'RE GONNA BE ABLE TO HIRE, UM, ANY ADDITIONAL PEOPLE MOVING FORWARD, BUT, UM, BUT WE'LL BE WORKING ON SOME OF THOSE PRIORITY STAFFING, UM, ACROSS THE NEXT SEVERAL MONTHS. OKAY. AND THEN I KNOW THAT, UH, UNDER THE, UH, HOTLINE, UH, THAT IS GOING TO 3 1 1, YOU SAID THAT THERE ARE 17 TEMP POSITIONS, , CORRECT. UM, SO 17. SO UNDER THE HOTLINE WE WILL BE OUTSOURCING THAT PARTICULAR, UM, PIECE OF WORK. AND SO WE HAVE ALREADY SPOKEN WITH PAULA OVER AT 3 1 1. UM, AND WE WILL BE TRANSITIONING THAT WORK. THE FUNDING THAT WE ARE SUPPLYING TO PAULA FOR 3 1 1 IS THE AMOUNT THAT WILL GIVE US, UM, ABOUT 17 STAFF TO HELP HER WITH THAT CALL CENTER. OKAY. AND AND ARE THOSE THE, IS THAT GOING THROUGH A TEMPORARY AGENCY OR ARE WE STILL WORKING WITH HR TO BRING BACK SOME OF OUR FURLOUGHED EMPLOYEES FOR THAT 3 1 1 AREA? YEAH, SO THESE WILL BE TEMPORARY STAFF. WE HAVE WORKED WITH HR TO ASK ABOUT THE FURLOUGHED EMPLOYEES, AND, UM, WE'VE BEEN TOLD A COUPLE OF TIMES ACTUALLY, 'CAUSE WE KEEP GOING BACK, UM, TO HR AND WE HAVE BEEN TOLD THAT A LOT OF THE FURLOUGH, UM, EMPLOYEES ARE NOW GOING BACK TO, MOST OF THEM ARE GOING BACK INTO THEIR NORMAL AND REGULAR POSITIONS. SO THAT POOL OF EMPLOYEES, UM, ARE, IS NOT AS, UM, YOU KNOW, UM, PLENTIFUL AS IT WAS IN THE PAST. AWESOME. THAT IS WONDERFUL TO HEAR, TO KNOW THAT THEY'LL BE GOING BACK TO WORK. SO THANK YOU FOR THAT INFORMATION. UM, WHEN IT COMES TO THE CONGREGATE SETTING REPORT, IS THAT A REPORT THAT WILL BE PROVIDED TO THE STATE'S OMBUDSMAN? UM, I'LL HAVE TO ASK ABOUT THAT AS TO WHERE THAT GOES. THE REPORTING THAT WE'RE REFERRING TO IS THE DAILY REPORTING. THAT TAKES A LOT OF TIME AND COORDINATION THAT [00:40:01] GOES INTO THE CREP AS WELL AS THE, UM, THE, UM, REPORTS THAT WE SET. IT'S ON OUR WEBSITE, YOU KNOW, SO IT'S ALL OF THE DATA REPORTING THAT WE DO THAT GOES ONTO THE WEBSITE, GOES TO THE MEDIA, AND GOES ONTO OUR SIT REP, I THINK, AND I, I JUST CAN'T REMEMBER. UM, BUT I DO BELIEVE THAT THAT COMES OUT IN ERIC'S END OF THE DAY REPORTS AS WELL. SO IT'S REALLY THE COST OF PULLING THOSE REPORTS TOGETHER. I WILL VERIFY, HOWEVER, WHETHER IT GOES TO THE OMBUDSMAN. I THINK THAT'S A GREAT QUESTION. I'LL FOLLOW UP WITH YOU ON THAT. OKAY, THANK YOU. UM, AND THEN WHEN IT COMES TO UNDER THE, THE FUNDING, UM, ERRORS, THE C OVID 19 IMMUNIZATION GRANT, WHAT EXACTLY IS THAT IT? YEAH, SO I WILL MENTION, I'M GONNA ACTUALLY ASK JULIE TO GIVE YOU A LITTLE BIT OF THE DETAILS ON THAT, BUT, UM, INITIALLY THAT IS TO HELP WITH VACCINES THAT HAPPENS TO, YOU KNOW, IF WE HAVE A VACCINE THAT COMES THROUGH OVER THE NEXT 18, YOU KNOW, 12 TO 18 MONTHS THAT THIS IS FUNDING THAT CAN HELP WITH THAT. BUT I'M GONNA ASK, UM, REAL QUICKLY IF JULIE CAN, CAN HOP IN AND GIVE YOU A LITTLE BIT MORE DETAILS. OKAY. THANK YOU. HELLO. GOOD AFTERNOON. SO THE 617,000 WILL BE USED TO INCREASE THE INFLUENZA VACCINE UPTAKE TO REDUCE THE POTENTIAL BURDEN ON THE HEALTHCARE SYSTEM DURING FLU SEASON, SINCE IT'S GONNA COINCIDE WITH C OVID 19. SO THE FUNDS WILL BE AVAILABLE FROM JUNE 1ST, 2020 THROUGH JUNE 30TH, 2021. OKAY. AND WITH THAT FUNDING, THEY'RE GONNA FIND TWO VACCINE STRIKE TEAMS THAT WILL BE RESPONSIBLE FOR ALL OF THAT. AWESOME, THANK YOU. THOSE ARE ALL THE QUESTIONS THAT I HAVE. MADAM CHAIR, CHAIR. THANK YOU, DON. THANK YOU. UM, THANK YOU. UM, DR. BRIDGER, DID YOU HAVE SOME CLARIFICATIONS FOR US? I DID. I, UM, I WANTED TO DIFFERENTIATE BETWEEN LIKE THE LIBRARY EMPLOYEES WHO WERE FURLOUGHED BECAUSE THEIR BUILDINGS WERE CLOSED VERSUS THE ARTS EMPLOYEES AND THE CONVENTION CENTER EMPLOYEES WHO WERE FURLOUGHED BECAUSE THE HOT TAX HAS DECREASED, THOSE EMPLOYEES ARE STILL FURLOUGHED. ANYBODY WHO'S, WHO'S FURLOUGHED WAS AS A RESULT OF THE HOT TAX, UM, ARE NOT COMING BACK TO WORK. SO I DID WANNA CLARIFY THAT NOW THE LIBRARY STAFF WHO WERE REDEPLOYED, UM, ARE BEING SENT BACK TO THE LIBRARY BECAUSE LIBRARIES ARE REOPENING. OKAY. UM, THANK YOU VERY, THANK YOU VERY MUCH. BUT JUST TO FOLLOW UP ON THAT SAME QUESTION, SO, UM, ARE, ARE THE HOT TAX EMPLOYEES, UH, QUALIFIED OR ELIGIBLE FOR ANY OF THESE TEMP POSITIONS? THAT'S SOMETHING WE WILL REVIEW WITH HR TO VERIFY. OKAY. THANK YOU SO MUCH. UM, MOVING ON TO COUNCILWOMAN GONZALEZ. UH, HI. THANK YOU. UM, CAN YOU GO BACK TO THE SLIDE, UM, THAT SHOWED THE, UM, LIKE COMMUNITY HEALTH WORKERS, UM, YOU MENTIONED THAT THERE WAS A TEAM THAT WAS GOING OUT, UH, OR THAT HAD, YOU KNOW, HAS BEEN GOING OUT, UM, TO THE COMMUNITY. AND I KNOW THAT, UM, YOU KNOW, EARLY ON, YOU KNOW, WE SAW THEM HERE IN THE NEIGHBORHOOD. I KNOW THAT THEY CAME OUT TO MY PLACE OF BUSINESS AS WELL, SO WE KNOW THAT THEY WERE DEFINITELY OUT HERE. UH, RIGHT. SO THAT, THAT PART, THAT COMMUNITY HOUSE. UM, SO THAT'S ALSO SOME SERVICES FOR EIGHT COMMUNITY HEALTH WORKERS THAT WAS ALSO A TEMPORARY CONDITION. SO WE, WE DO HAVE LOTS OF COMMUNITY HEALTH WORKERS. UM, ARE THEY NOT, WAS IT NOT SUFFICIENT OR I GUESS I'M JUST SURPRISED THAT THOSE WERE TEMP WORKERS AND NOT PERMANENT POSITIONS. MM-HMM. . SO COUNCILMAN, THIS IS, I WAS GONNA ASK YEAH, GO AHEAD. UM, SO WE ARE REACHING OUT TO NONPROFITS, FOR EXAMPLE, THE HEALTH COLLABORATIVE AND A FEW OTHERS, UH, TO HELP US RECRUIT FOR COMMUNITY HEALTH WORKERS. I PERSONALLY, I'M SORRY, WHO IS THIS? THIS IS MARIO METRO HEALTH. OH, OKAY. OKAY. SORRY, I I DIDN'T SEE A, NOW I SEE YOUR, YOUR BOX UP HERE. OKAY, GO AHEAD, . YEAH, SO WE ARE LOOKING, UM, TO REACH OUT TO NONPROFITS AND EVEN NORTHWEST, NORTHWEST VISTA COLLEGE. UH, THEY HAVE A GREAT SCHOOL, UM, PROVIDING, UM, UH, CERTIFICATES TO INDIVIDUALS TO COMPLETE A COMMUNITY HEALTH WORKER PROGRAM. SO DR. FERNANDO MARTINEZ OUT THERE IS IN CHARGE OF THAT PROGRAM. AND SO WE REACHED OUT TO HIM PERSONALLY ABOUT HELPING WITH . OKAY. [00:45:01] SO, YOU KNOW, I, I MEAN, I THINK EVERYBODY'S HEARD ME TALK ABOUT THE COMMUNITY HEALTH WORKERS AND THE PROGRAM, UH, YOU KNOW, THAT, THAT WE HAVE. UM, I JUST, I FIND THAT IT'S A VERY SUCCESSFUL WAY TO COMMUNICATE WITH PEOPLE IF IT'S PEOPLE FROM THEIR OWN NEIGHBORHOODS, RIGHT? THEY ALREADY HAVE THE TESTED RELATIONSHIP. UM, BUT, YOU KNOW, GIVEN THAT WE'RE SEEING A SURGE AND, AND I'M, UM, YOU KNOW, I, THERE'S A DATA THAT OF COURSE YOU ALL PRESENT TO US, UM, THAT'S VALUABLE. BUT I, IT'S ALSO REALLY VALUABLE THE INFORMATION THAT, THAT I GET FROM BEING IN THE NEIGHBORHOOD. AND, UM, DEFINITELY PEOPLE ARE NO LONGER WANTING TO COMPLY WITH THE MASKS AND THE SOCIAL DISTANCING. AND I MEAN, WE SEE THAT AS A RESULT OF THE MEMBERS, BUT WE ALSO JUST SEE IT IN THE NEIGHBORHOOD AND EVERYBODY TELLING US. SO IS THERE ANY ATTEMPT TO SHIFT NOW THAT WE KNOW THAT, YOU KNOW, I MEAN, WE ARE SEEING A LOT MORE CASES. UM, YOU KNOW, I, I UNDERSTAND THAT THESE ARE LIMITED FUNDS AND WE ARE NOT HIRING ADDITIONAL PEOPLE RIGHT NOW. UM, I KNOW SOME OF US HAVE ALREADY TALKED TO ERIC ABOUT SOME BUDGET CONSTRAINTS, AND WE'RE PROBABLY NOT GONNA BE BRINGING IN A LOT OF NEW PEOPLE, BUT WHAT IS IT, IS THERE A PLAN TO, UH, REDIRECT OR, OR SHIFTS NOW THAT WE'RE SEEING A BIG INCREASE? YES, MA'AM. SO WE, UM, STARTED TO SH, WELL, IN THE VERY BEGINNING, WE SHIFTED 70% OF OUR WORKFORCE. I WOULD SAY OVER THE LAST MONTH WHEN OUR CASES WERE PLATEAUING, WE STARTED MOVING STAFF BACK INTO SOME OF THEIR REGULAR WORK THAT THEY WERE DOING, BECAUSE WE STILL HAVE OTHER WORK TO DO. AND WE WERE AT A PLATEAU. UM, THAT SHIFT HAS STARTED TO MOVE BACK NOW THAT THE CASES HAVE GONE UP. UM, AND OUR C YEAH, OUR COMMUNITY HEALTH WORKERS ARE THE EXISTING ONES THAT WE HAVE RIGHT NOW ARE, ARE CRITICAL FOR EVERYTHING THAT YOU JUST MENTIONED. SO WE'RE DEFINITELY UTILIZING THAT. AS, AS MARIO MENTIONED, THE HEALTH COLLABORATIVE ALSO HAS A SIGNIFICANT NUMBER OF COMMUNITY HEALTH WORKERS THAT WE'RE TAPPING INTO WITH THEM, AND A PARTNERSHIP AND A COLLABORATIVE WITH THE HEALTH COLLABORATIVE. AND THEN THESE SCHOLARS ARE HELPING US ACTUALLY HIRE MORE COMMUNITY HEALTH WORKERS. UM, SO OUR STAFF, YES, OUR STAFF HAS STARTED TO SHIFT OVER, BUT NOW U UTILIZING THESE DOLLARS TO BRING IN REINFORCEMENT, UM, WITH, UM, SOME OF THE SIMILAR SKILL SETS IS WHAT WE'RE LOOKING TO DO. AND ACTUALLY HAVE STARTED TO DO THAT, BUT YEAH. BUT JUST AS TEMPORARY WORKERS, RIGHT? NOT, NOT FOR, NOT PERMANENT. UH, NOT PERMANENT. OKAY. UM, AND HOW ABOUT, YOU KNOW, WE, UH, YOU KNOW, I, I THINK THE QUESTION IS SIMILAR TO WHAT MY COLLEAGUES HAVE MENTIONED AS WELL ABOUT, YOU KNOW, THE ADDITIONAL FUNDING THAT WE'RE GETTING, UH, FOR IN THE WORKFORCE, UM, SIDE, UH, AND THEN THE SMALL BUSINESS SIDE. UM, YOU KNOW, ARE, CAN WE SOMEHOW, I MEAN, IF WE, IF WE KNOW THAT WE'RE GONNA NEED OR WE WANT TO HAVE ADDITIONAL COMMUNITY HEALTH WORKERS, UH, BUT WE, THE CITY CAN'T BRING THEM IN BECAUSE WE'RE, WE PROBABLY DON'T HAVE THE BUDGET. UM, YOU KNOW, IS THERE AN INITIATIVE PERHAPS TO, I'M SORRY, I'M STRUGGLING WITH THIS A LITTLE BIT, BUT I, I GUESS WHAT I'M TRYING TO, WHICH IS I, BECAUSE I THINK IT'S NOT EXACTLY PART OF THIS COMMITTEE, BUT, UM, YOU KNOW, WHEN WE'RE TALKING ABOUT THE WORKFORCE SIDE AND THE NEED, UH, FOR PERHAPS MORE PEOPLE, UM, DOING INTENSE SANITATION, UM, AND ON THIS SIDE, KNOWING THAT THAT COMMUNITY HEALTH WORKERS ARE SO IMPORTANT, UH, YOU KNOW, IS THERE AN, I GUESS AN OPPORTUNITY TO MAKE SURE THAT THEY'RE TRAINED TO TAKE ON OTHER POSITIONS? AND SO, UH, AND LET ME GIVE YOU AN EXAMPLE AND MAYBE IT WILL HELP, UM, ARTICULATE MY, MY QUESTION. YOU KNOW, WHEN I, WHEN I TRIED TO DO THE PILOT PROGRAM FOR, UM, FOR CHILD ABUSE, AND WE USED A COMMUNITY HEALTH WORKER PROGRAM, WHAT ENDED UP HAPPENING WAS THAT SOME OF THE WOMEN ENDED UP GETTING JOBS AT THE CITY, UM, BECOMING COMMUNITY HEALTH WORKERS. MM-HMM. , THE IDEA WAS THAT THEY WERE GONNA WORK WITH A NONPROFIT AGENCY, BUT ACTUALLY, UM, SOME OF THE WOMEN THAT WE TRAINED AND ENDED UP GETTING JOBS ELSEWHERE, UH, WHICH WAS A GREAT OUTCOME OF THE PROJECT. BUT I GUESS, UH, YOU KNOW, IS, IS THERE ANY, UM, WAY THAT WE'RE, WE ARE, UH, ENCOURAGING PEOPLE ONCE THEY'VE BEEN TRAINED AND ARE, ARE WORKING WITH US AS TEMPORARY TO CONNECT THEM TO PERMANENT POSITIONS. [00:50:02] I GUESS THAT'S JUST NOT JUST THE PART OF THIS COMMITTEE THAT, THAT WE'RE DOING. UM, YEAH, I AM, I'M NOT SURE HOW TO ANSWER THAT QUESTION. I THINK THAT YOU RAISED A REALLY GOOD ONE AND, UM, I'D LOVE TO SHARE WITH YOU SOME WORK THAT WE DID IN OREGON WITH COMMUNITY HEALTH WORKERS IN A CERTIFICATION PROGRAM, UM, TO HELP EXACTLY WHAT YOU'RE JUST TALKING ABOUT. UM, MAYBE WE CAN HAVE, UH, ONE, WE CAN, CAN SET UP A TIME AND WE CAN TALK A LITTLE BIT MORE ABOUT THAT, BUT I'M NOT SURE HOW TO ANSWER YOUR GENERAL QUESTION. YEAH, NO, IT'S JUST, I, I'M, I THINK THAT I HAVE SOME OF THE CONCERNS THAT A LOT OF MY COLLEAGUES DO IS THAT, YOU KNOW, WE KNOW THAT WE'RE, WE NEED THIS FORCE, THIS WORKFORCE IMMEDIATELY, UM, BUT THE MONEY WAS GONNA RUN OUT AND WE DON'T HAVE LONG-TERM POSITIONS FOR THEM. RIGHT. BUT IT SEEMS LIKE A VERY EASY TRANSITION TO THE PRIVATE SECTOR TO BE DOING SOMETHING SIMILAR. UM, AND SO, YOU KNOW, THAT ONCE THEY HAVE THE SKILLS THEY NEED, THEY CAN GO OUT AND, AND DO IT TO SOMEBODY PERHAPS WHO HAS A LONGER, UM, LONGER, UH, UM, AND FUNDING POTENTIAL. UM, SO PERHAPS SOME OF THE NONPROFITS OR SOMETHING LIKE THAT. SO I THINK THAT'S KIND OF WHERE I WAS GOING WITH THOSE QUESTIONS. BUT, UM, I KNOW THAT, THAT WE ARE, UM, YOU KNOW, I LOOK FORWARD TO THE COMMUNICATION PLAN THAT I THINK, UM, WE'LL GET PRESENTED ON BECAUSE I ALSO AM, AM AFRAID THAT, WHICH IS WHAT WE ALWAYS WORRIED ABOUT. I MEAN, I THINK OUR AMERICAN PUBLIC DOESN'T HAVE, UM, THE PATIENCE TO, UH, GO BACK TO ANOTHER TYPE OF, UM, STAY AT HOME ORDER. UH, BUT I, IT IT'S GETTING PRETTY SERIOUS OUT THERE IN THE COMMUNITY. I KNOW I HAD, UM, ONE OF MY EMPLOYEES, HER ENTIRE FAMILY TESTED POSITIVE AFTER GETTING TOGETHER, I THINK OVER THE MOTHER'S DAY, UH, HOLIDAY. SO HOW, HOW CAN WE CONTINUE TO REMIND PEOPLE THAT IT'S, IT'S STILL VERY SERIOUS. SO I'LL, UM, I'LL YIELD, UH, THANK YOU VERY MUCH. THANK YOU, COUNCILWOMAN. YOU HAVE AN EXCELLENT SENSE OF TIMING YOUR 10 MINUTES. WERE ABOUT TO BE UP, SO, UM, THANK YOU. OH, YOU'RE MUTED, . OH, SORRY. BUT I COULDN'T SEE THE THOUGHT, BUT I FIGURE MY TIME WAS WINDING DOWN, SO, UH, , BUT I THINK THANK YOU. BEFORE WE LET, UH, NO THANK YOU. BEFORE WE LET THAT COMMENT GO, MAY I, UM, REQUEST THAT, UM, EITHER DR. BRIDGER OR DR. EMER, UH, TAKE THAT ITEM TO THE ECONOMIC AND WORKFORCE DEVELOPMENT, UH, I GUESS CITY STAFF TO DISCUSS IT AND MAYBE BRING BACK AN OPTION TO SEE IF IT'S TO INVESTIGATE THE FEASIBILITY OF DOING SOMETHING LIKE THE COUNCILWOMAN IS SUGGESTING. IS THAT POSSIBLE, DR. BRIDGER? YEAH, WE'VE BEEN HAVING SIMILAR CONVERSATIONS, SO I DON'T THINK THAT'S THE PROBLEM. OKAY, GREAT. THANK YOU. UM, I'LL MOVE ON TO COUNCILWOMAN. THANK YOU, MADAM CHAIR. I DON'T ACTUALLY HAVE ANY QUESTIONS. I JUST WANTED TO TAKE THAT MOMENT TO CONGRATULATE, UH, CHIEF HOOD ON BEING THE FIRE CHIEF OF THE YEAR FROM THE METRO FIRE CHIEFS ASSOCIATION. WELL DESERVED CHIEF, AND I CAN VOUCH FOR THE FACT THAT HE LOOKED PRETTY HANDSOME AT HIS, UH, CEREMONY THIS MORNING. THAT'S ALL. CONGRATULATIONS. THANK YOU, MA'AM. THANK YOU FOR THE KIND WORDS. UH, I, I'M VERY HUMBLE. SO, UH, VERY HUMBLE, VERY, BEEN A VERY EMOTIONAL DAY. SO WE TRY REALLY HARD TO DO A GREAT JOB. SO I THINK THIS VALIDATES IT. SO AGAIN, THANK YOU. GREAT. UH, THANK YOU COUNCILWOMAN. QUESTION REGARDING THE, UM, I'LL START WITH, THE DOOR MEMBERS HAVE BROUGHT UP, YOU HAD MENTIONED, UH, IN, PREVIOUSLY IN AN EMAIL TO ME THAT THERE'S A LOT OF FEEDBACK. OH, YEAH. THERE'S SOME FEEDBACK. CAN, UM, A LOT OF FEEDBACK. OKAY. THANK YOU. OH, THAT WAS , UM, UH, THAT THERE IS, UH, A WEBSITE OR A, A MAP WHERE WE CAN SEE, UH, WHERE THE OUTREACH HAS BEEN COMPLETED OR WHERE IT'S UNDERWAY. UM, I DON'T KNOW IF THAT'S SOMETHING THAT WE COULD SHARE ON THE, ON THE SCREEN. IS THAT POSSIBLE TO, TO DO THAT IF YOU KNOW THAT? UM, AND, AND THE REASON I, I WANTED TO ASK ABOUT THAT IS I, I THINK THE COUNCIL MEMBERS WOULD APPRECIATE, UH, SEEING THAT. AND THEN I, I ALSO HAVE SOME QUESTIONS ABOUT HOW THAT, UH, WHAT'S REALLY DEPICTED IN THAT MAP. UM, UM, SO IT IS, UH, SO AMANDA WILL BE BRINGING IT UP. IT IS, UH, THE MAP THAT SHOWS THE OUTREACH, THE DOOR TO DOOR OUTREACH THAT HAS BEEN DONE MM-HMM. . YEP. WAITING FOR THE MAP TO COME UP. AMANDA'S LOOKING FOR IT RIGHT NOW. [00:55:01] IT'S DEEPER DOWN IN THE SLIDES. IT'S IN THE SECTION IN THE SECOND SESSION OF THE SLIDE DECK. OH, IS THERE A LINK TO IT IN THE SLIDES? NO, NO, IT'S JUST, UM, I HAVE A VISUAL THERE. IT'S, UH, IT'S IN THE, IT'S WAY DOWN. YEAH, KEEP GOING WAY DOWN. NO, NOT, NOT IN THE BEGINNING. IT'S LIKE SLIDE, I WANNA SAY LIKE SLIDE 27, LIKE LET'S START THERE. IT'S WAY DOWN. OKAY. IS IT IN YOUR WORK GROUP REPORT, DAWN, OR IS IT IN THE BUDGET REPORT? IT'S IN THE WORK GROUP REPORT. OKAY. IT'S NOT IN THE BUDGET TO BRING UP THE SLIDES FOR THE WORK GROUP. I THINK IT'LL BE EASIER. YEAH, I THINK, UH, I THINK AMANDA'S GONNA GO TO THE DASHBOARD AND THANK YOU EVERYONE FOR YOUR, FOR YOUR PATIENCE. UH, ON THE, WHAT I WAS, WHILE SHE'S BRINGING IT UP, I'LL, I'LL TELL YOU WHAT I HAD NOTICED IS THAT, UH, A LOT OF, THERE'S A LOT OF DOTS ON THERE AND I GUESS THAT INDICATES THAT THE OUTREACH HAS BEEN DONE AND THE DOTS ARE ON, UM, MOSTLY ON THE MAJOR THOROUGHFARES, NOT IN THE RESIDENTIAL AREAS. AND I JUST WANTED TO KNOW, IS THAT, UM, BECAUSE YOU'RE REACHING OUT TO A APARTMENT COMPLEXES OR BUSINESSES AS OPPOSED TO RESIDENCES, FOR THE MOST PART, I'M GONNA ASK MARIO IS OVERSEEING THAT PROGRAM, THE ONE THAT, THAT HELPED DESIGN THAT DASHBOARD. SO I'M GONNA LET HIM SPEAK TO THAT. YES, COUNCILWOMAN. SO THE DOCS WILL REFLECT, UH, BUSINESSES AND ALSO APARTMENT COMPLEXES, UM, INCLUDING MEDICAL CLINICS. AND THEN WE ALSO HAD ANOTHER TIER WITH THEIR COMMUNICATION TEAM, UH, CONDUCT, UH, DOOR HANGERS WITH RESIDENTS. AND SO YOU SEE THAT NUMBER OF 73,000 HOUSEHOLD REACH. UH, WHAT YOU SEE ON THE MAP OF THE DOTS ARE ACTUALLY THOSE LOCATIONS THAT ARE, UH, COMMUNITY HEALTH AND PREVENTION TEAM VISITED ON THOSE MAIN STREETS. OKAY. UH, THANK YOU MARIO. THAT EXPLAINS IT. UM, SO YOU KNOW WHAT, WE'RE HAVING A LITTLE BIT OF A HARD TIME FINDING THE DASHBOARD, WHICH IS, UM, PROBABLY SOMETHING WE SHOULD RESOLVE TO MAKE SURE THAT WE'RE ABLE TO ACCESS IT WHEN, WHEN WE NEED IT. SO, UH, AMANDA, IF YOU WANNA SHARE JUST THE SCREEN OF WHAT YOU HAVE FOR THE COVID-19 WEBSITE, AND THEN MAYBE IF ONE OF THE STAFF PEOPLE CAN WALK US THROUGH HOW TO, TO THAT LINK. SO COUNCILWOMAN, I DON'T BELIEVE THAT THAT IS THE, THE WEBSITE THAT WE USE WITH THAT IS AN INTERNAL RESOURCE. SO THAT'S NOT A PUBLIC FACING, UM, RESOURCE. THAT MAY BE THE REASON WHY YOU COULD, YOU'RE NOT ABLE TO FIND IT. UM, SO MARIO, WOULD YOU PLEASE VERIFY THAT? I DO BELIEVE THAT THAT IS JUST AN INTERNAL DASHBOARD THAT WE USE FOR PROGRAMMATIC PURPOSES, CORRECT? THERE'S TWO, ONE THAT OUR TEAM USES AND I JUST EMAILED THE LINK TO AMANDA, THAT'S THE PUBLIC BASED DASHBOARD. SO IF AMANDA CAN OPEN THAT LINK AND SHARE THAT, IT WILL SHOW THE PUBLIC FACING DASHBOARD. UM, SO MARIO, IS THIS, OH, OKAY. YES, THAT'S THE LINK THAT SOMEONE SENT TO ME AND UM, I JUST WASN'T CLEAR HOW TO, HOW TO GET THERE IF YOU DON'T HAVE THAT LINK. UM, SO, ALRIGHT. SO MOST OF THE, MOST OF THE DOC INDICATE CONTACT HAS BEEN MADE ARE ON UM, THE MAJOR STREETS LIKE YOU, LIKE YOU INDICATED. SO I GUESS AT WHAT POINT DO THE, DO THE COMMUNITY WORKERS GO TO RESIDENCES OR DO THEY GO TO RESIDENCES AT ALL? SO THAT WORK IS BEING DONE THROUGH, UH, A CONTRACT WE HAVE WITH DOOR DIRECT TO DO THE DOOR HANGERS. IT SUPPLEMENTS THE WORK THAT WE DO WITH APARTMENT COMPLEXES AND BUSINESSES AND THE OTHER THAT I MENTIONED EARLIER. UH, I'M SORRY. SO IT'S A CONTRACT WITH SOMEBODY ELSE THAT HERE THEN? CORRECT. OKAY. AND UM, CAN YOU, IS IT POSSIBLE TO INDICATE AT LEAST WHICH CENSUS FACTS ARE BEING, UM, ARE BEING REACHED OUT TO? YES. SO BASICALLY IT IS THE SAME CENSUS TRACK THAT OUR COMMUNITY HEALTH AND PREVENTION TEAM ARE IN. SO THEY'RE OVERLAID WITH THE DOOR HANGER, THE SAME, UH, CENSUS TRACKS THAT HAVE THE HIGH EQUITY SCORE. ALL RIGHT. THANK YOU VERY MUCH. UH, [01:00:01] MARIO, IS THERE STILL FEEDBACK? YEAH, THERE'S SOME FEEDBACK. OKAY, GOT IT. ALRIGHT, THANKS. UM, ANOTHER, UH, ANOTHER QUESTION I HAD WAS, UM, IN THE BUDGET, UH, THE LINES THAT YOU PRESENTED TO US, UM, THERE IS, UH, WELL TWO QUESTIONS. NUMBER ONE, I THOUGHT WE WERE AIMING FOR A 3000 TEST A DAY CAPACITY. IS THAT, AM I MISREMEMBERING THAT OR WAS THAT, I DON'T KNOW WHERE I GOT THAT NUMBER, BUT, BUT YOUR SLIDES HAVE 1,250. SO OUR YES. LET ME JUST CLARIFY. SO YES, YOU'RE RIGHT. THAT IS FOR CAPACITY. SO TWO, TWO ITEMS. WE WANTED TO INCREASE THE CAPACITY, OUR ABILITY TO DO 3000 TESTS IN OUR COMMUNITY. WE'VE EXCEEDED THAT WE'RE ABOUT 4,000. WE HAVE THE CAPACITY TO DO 4,000 TESTS JUST ABOUT A DAY. UM, THE 1250 IS THE ACTUAL, SO THERE IS A LITTLE BIT OF A DELTA THERE. LIKE WE WANNA MAKE SURE THAT WE HAVE ENOUGH TO DO THE TEST, BUT THE DEMAND HASN'T BEEN THERE. AND SO THAT'S WHERE THE 1250 IS COMING IN. SO THE DEMAND, I THINK YOU'RE GONNA FIND THAT THE DEMAND IS DEFINITELY UP. NOW WE DON'T KNOW WHAT THOSE NUMBERS ARE, BUT WE ARE, WE ARE SEEING MORE PEOPLE WANTING TO GET TESTED. SO THAT'S THE DIFFERENCE. SO IT'S CAPACITY, DO WE HAVE THE ABILITY TO DO THE TEST AND THEN THE ACTUAL TEST. ALRIGHT. ALTHOUGH YOUR BUDGET THOUGH, JUST TO BE CLEAR, IS BUILT ON THE ACTUAL, IT APPEARS IT'S A HUNDRED TESTS A DAY FOR UP TO, IT SAYS 1,250. SO THAT'S WHAT THE BUDGET IS. THAT'S RIGHT HERE. THAT'S CORRECT. AND WE DID IT THAT WAY WITH THE LIMITATIONS THAT WE HAVE WITH C P L. AND SO THAT'S THEIR LIMITATION FROM THE CONTRACTOR THAT WE HAVE DOING THE TEST. ALRIGHT. SO IF THERE'S A NEED TO EXCEED THE 1,250, WHAT, HOW DOES THAT, WHAT HAPPENS? YEAH, WE WOULD HAVE TO WORK WITH C P L TO SEE IF THEY HAVE THE ABILITY, THE CAPACITY TO DO 3000 TESTS. IT'S NOT JUST THE CITY DOING THE 3000, IT'S REALLY THE ENTIRE COMMUNITY THAT'S TAKEN IN CONSIDERATION. TEXAS MED CLINIC TAKING CONSIDERATION OF OUR HOSPITALS, UM, THE CVSS, WALMART. AND SO WE'RE TRYING TO LOOK AT ALL TEST CAPACITY IN OUR COMMUNITY. AND PRI UM, PRIVATE PROVIDERS THAT NUMBER, THE 1250 IS WHAT THE CITY CAN DO. AND WE DO THAT THROUGH C P O. SO IF WE WANT TO DO MORE TESTING THROUGH CITY LOCATIONS, LIKE THE DRIVE-THROUGH AND OUR NEIGHBORHOOD POP-UPS, WE WOULD THEN IN OUR NURSING, ALL OF THE NURSING HOME WORK THAT WE'VE BEEN DOING HAS BEEN USED UTILIZING THOSE TESTS. WE WOULD HAVE TO RENEGOTIATE WITH C P L TO DO THAT. UM, OKAY. AND CAN YOU REMIND ME AGAIN THE TURNAROUND, SO THIS CONTRACT WITH C P L, WAS THAT BASED ON A SPECIFIC TURNAROUND TIME FOR THE TEST RESULTS? SOMEHOW? I, I WAS UNDER THE IMPRESSION THAT WE WERE GONNA GET FASTER TEST RESULTS, BUT I'M HEARING FROM PEOPLE IN THE COMMUNITY THAT THEY'RE STILL TAKING FIVE TO SEVEN DAYS TO HEAR THEIR THEIR RESULTS. THAT IS CORRECT. WE DO HAVE A CONTRACT WITH C P O WITH THE UNDERSTANDING THAT IT WOULD BE THREE TO FOUR DAY TURNAROUND. UM, IT IS TAKING LONGER. UM, I THINK IT'S GETTING BETTER, BUT ALL LABS IN THE STATE OF TEXAS SAW A TREMENDOUS LAG, MOSTLY BECAUSE OF THE ORDER THAT THE GOVERNOR DID TO REQUIRE ALL NURSING HOMES ACROSS THE STATE TO BE TESTED. AND SO THAT IS A LARGE VOLUME OF TESTS THAT ARE LABS ACROSS THE STATE WE'RE HAVING A REALLY DIFFICULT TIME KEEPING UP WITH, AND THAT INCLUDES C P L AS WELL AS SOME OTHER LABS. AND SO IT'S GOTTEN BETTER. THERE WAS DEFINITELY A DELAY, BUT I THINK THEY'RE DOING BETTER, UM, IN THEIR PRODUCTIVITY. IT'S NOT THREE TO FOUR YET, BUT IT'S DEFINITELY BETTER. OKAY. AND, AND SO ONCE, UH, SOMEONE RECEIVES THEIR POSITIVE RESULTS, UH, I KNOW SOMEONE FROM METRO HEALTH IS SUPPOSED TO CONTACT THEM. UM, WHAT'S THE, I GUESS HOW MUCH ADDITIONAL TIME DOES IT TAKE? IS IT THE SAME DAY THAT THEY GET THE POSITIVE RESULT OR ONE OR TWO DAYS LATER? IT IS A REQUIREMENT OF MM-HMM. NO, GO AHEAD. AND I'LL TELL YOU WHY I ASK. I'VE HEARD OF SOME ANECDOTAL INFORMATION, RIGHT, UH, AT MY OFFICE THAT, UM, PEOPLE ARE BEING CONTACTED TWO DAYS AFTER THE, THEY'VE GOTTEN THEIR POSITIVE RESULTS. AND AGAIN, I DON'T KNOW IF THIS IS ACROSS THE BOARD OR IF THIS IS JUST THESE ISOLATED INCIDENTS, SO THAT'S WHY I'M ASKING. AND SO MY CONCERN WOULD BE IF IT'S TAKING SOMEONE FIVE DAYS TO GET THEIR RESULTS AND ANOTHER TWO DAYS TO HEAR FROM METRO HEALTH, WE'RE, WE'RE [01:05:01] HALFWAY THROUGH THE INCUBATION PERIOD, RIGHT? AND THEN SOMEONE THAT PROBABLY DIDN'T GO ON DAY ONE OF INCUBATION PERIOD TO GET TESTED. SO I'M JUST WORRIED ABOUT OUR ABILITY TO CONTROL THE SPREAD IF WE'RE, IF WE'RE COMING IN THAT LATE. YES, MA'AM. SO THE PROTOCOL BASICALLY IS 24 TO 48 HOURS IS OUR REQUIREMENT TO DO THAT FIRST ENGAGEMENT ONCE WE ARE NOTIFIED OF A POSITIVE. AND SO, UM, UP UNTIL MAYBE ABOUT THREE OR FOUR DAYS AGO WHEN WE WENT FROM 24 CASES TO 40 CASES TO, YOU KNOW, 200 CASES, UM, I WOULD SAY THAT WE'RE PROBABLY HITTING AROUND THAT 48, UM, PERIOD TIME, TIME PERIOD. BUT THAT IS WITHIN THE RANGE OF THE EXPECTATIONS OF THE STATE. OKAY. IF IT'S THE LIMITATIONS. BUT, UM, OKAY. SO, AND LOOKING THROUGH YOUR PRESENTATION, I SEE, UM, IN THE, IN THE BUDGET LINES, WE'VE GOT CONTACT TRACING AT 2.175 AND CASE INVESTIGATIONS AT 2.369 MILLION. BUT I DID I MISS THE SLIDE ON CONTACT TRACING? YOU DID NOT MISS THE SLIDE ON THAT. THAT IS CON OUR, SO THE CON THE CASE INVESTIGATIONS ARE BEING DONE. LET ME JUST TALK ABOUT THAT FIRST. THE CASE INVESTIGATIONS ARE BEING DONE TWOFOLD. NUMBER ONE, IT'S BEING DONE BY OUR STAFF AND THE HIRING OF THE TEMPORARY STAFF TO DO THAT, AS WELL AS SOME, UM, EMPLOYEES FROM FIRE. SO WE HAVE M I H'S HELPING US WITH THAT AS WELL. THE OTHER PIECE OF THE CASE INVESTIGATION IS THAT CONTRACT WITH, UH, UT HEALTH. SO THEIR STUDENTS WILL ALSO BE HELPING WITH THAT INITIAL CASE INVESTIGATION. THE CONTACT TRACING COMPONENT WITH IS THAT, UM, THAT CONTRACT THAT WE HAVE, OR THE PILOT THAT WE HAVE WITH IMOCA, IMOCA IS HANDLING ALL OF THE, UH, CONTACT TRACING FOR OUR WORK THAT IS NOT INCLUDED IN OUR BUDGET BECAUSE THAT IS BEING PAID FOR BY I T S D, CRAIG HOPKINS AREA. SO, SO AGAIN, SLIDE TWO OF THE PRESENTATION SAYS CASE CONTACT TRACING 2.175 MILLION. SO IS THAT, UH, IS, SHOULD THAT SAY SOMETHING ELSE? IT REALLY SHOULD, IT SHOULD SAY CASE INVESTIGATION. WE CAN'T DO CONTACT TRACING UNTIL YOU DO THE INVESTIGATION. SO THAT, THAT IS JUST, THAT'S AN ERROR ON OUR END, BUT IT STILL SHOULD BE, IT'S, THAT LANGUAGE HAS EVOLVED OVER THE LAST SEVERAL MONTHS, AND THAT'S JUST AN ERROR ON OUR END. WE'LL GET THAT FIXED. OKAY. SO I THINK IT WOULD BE HELPFUL IF YOU WOULD BE ABLE TO SUMMARIZE FOR US ANY DIFFERENCES IN WHAT WE APPROVED ON JUNE 4TH AND WHAT'S ACTUALLY BEING CARRIED OUT NOW. I THINK, UM, I UNDERSTAND THAT THERE'S A, A NEED FOR THINGS TO CHANGE, RIGHT, AS THE, AS THE SITUATION IS CHANGING. UM, BUT I THINK JUST IN FULL TRANSPARENCY, IT WOULD BE GOOD TO KNOW IF, YOU KNOW, IF WE'RE NO LONGER DEDICATING $2 MILLION SPECIFIC, UH, ISSUE JUST, UH, THAT THE COUNCIL BE AWARE THAT THERE'S BEEN, UH, I WOULD CONSIDER THAT A SIGNIFICANT CHANGE IN A BUDGET. SO WHAT, UM, HOW CAN WE GET THOSE TYPES OF UPDATES? I'LL GET WORKING ON THEM AND GET 'EM OUT TO YOU. I'LL WORK WITH DR. BRIDGER ON THAT. UM, SO, SO DR. BRIDGER, WOULD THAT BE LIKE A REGULAR THING OR JUST AS IT OCCURS, WHAT DO YOU THINK WOULD BE, UM, EASIEST? I WOULD PROPOSE A MONTHLY, UM, BUDGET REPORT, JUST LIKE WE DO WITH THE RECOVERY AND RESILIENCY PLAN. SO WE CAN, WE CAN GET THAT OUT TO YOU THAT WILL SHOW WHAT DID WE BUDGET, WHAT DID WE SPEND, WHAT DID WE CHANGE? OKAY. WONDERFUL. THANK YOU. UM, AND THEN, UH, LAST QUESTION. UM, SO WE'RE SEEING A LOT OF SPIKES, RIGHT? UH, WHEN WE THOUGHT WE WERE ON, ON THE DECREASE. SO I, I THINK THE QUESTION ON, ON ALL OF OUR MINDS IS, UM, WHAT CAN WE DO TO HELP, UH, BRING THAT UNDER CONTROL? IS THERE ANY COUNCIL ACTION THAT YOU NEED? IS, ARE THERE ANY, UH, PLANS IN PLACE? WAS THERE SOMETHING IN THE H T T THAT MAY BE REFERRED TO WHAT TO DO IN THE EVENT OF A SPIKE? UM, I THINK WE'RE JUST LOOKING FOR SOME PEACE OF MIND THAT WE'RE DOING ALL THAT WE CAN TO GET THAT UNDER CONTROL. YEAH, SO WE ARE IMPLEMENTING THE PLAN. WE ALSO KNOW THAT THE PLAN, UM, YOU KNOW, I DON'T THINK ANYONE, I DON'T THINK ANYONE OUR HOSPITAL, UM, TRACK OUR FIRE US. I DON'T THINK ANYONE, UM, SOLVED THIS COMING. AND SO WE ARE IMPLEMENTING OUR PLAN. WE ARE DOING, GOING ABOVE AND BEYOND AND DOING MORE IN OUR PLAN. WE ALSO KNOW THAT THERE'S OPPORTUNITIES [01:10:01] TO DO SOME SCALE AND TO WORK CLOSER WITH OUR PARTNERS. AND SO WE ARE HAVING A MEETING TOMORROW OVER AT STRAT TO LOOK AT EFFICIENCIES AND, UM, ECONOMIES OF SCALE WITH SOME OF OUR STAFF. UM, SOME OF US ARE DUPLICATING SERVICES AND THERE'S AN OPPORTUNITY FOR US TO COME TOGETHER AND ACTUALLY DO SOME MORE WORK TOGETHER. SO WE'LL HAVE A BETTER UNDERSTANDING. AND SO FAR WE'RE OKAY. UM, WE'RE RESPONDING THE BEST THAT WE CAN. WE WILL HAVE SOME EFFICIENCIES, UM, THAT IDENTIFIED TOMORROW. UM, DR. BRIDGER IS ACTUALLY FACILITATING THAT CALL OR THAT MEETING TOMORROW. AND, UH, WE'LL HAVE SOMETHING, UM, YOU KNOW, IN PLACE IN TERMS OF WHAT THAT LONG TERM, UM, SOLUTIONS ARE. I THINK WE'RE FINE. WE JUST, WE HAVE THIS BACKUP BECAUSE OF THE, UM, JUST THE SURGE, LIKE THE SPIKE, JUST REALLY, REALLY HIGH NUMBERS THAT NONE OF US WERE REALLY PREPARED FOR. UM, BUT WE DO HAVE A PLAN IN PLACE. WE'RE GONNA MEET AGAIN TOMORROW TO SEE WHAT SOME OF THOSE EFFICIENCIES ARE. WE'VE GOT CONTRACTS IN PLACE, WE JUST NEED TO GET THOSE FOLKS BOARD ONBOARDED AND, UM, OUR DELTA WILL GET SMALLER, UM, OVER THE NEXT FEW DAYS. DR. BRIDGER, THANK YOU. AND DON, UM, DR. BRIDGER, WOULD IT BE POSSIBLE TO GET AN UPDATE AFTER, UM, AFTER THAT CONVENING THAT YOU HAVE? UM, I, I THINK THE SPIKES ARE EXTREMELY CONCERNING. UM, AND I, YOU KNOW, WE HEAR FROM OUR COMMUNITY, THEY, THEY ARE SCARED. UM, AND, UH, ALTHOUGH THERE WILL PROBABLY NOT BE A SHUTDOWN, I THINK WE JUST WANNA BE ABLE TO SAY, WHAT, WHAT ACTION, LIKE WHAT SPECIFIC ACTIONS ARE WE TAKING, UH, IN RESPONSE THERE? YEAH, THERE, I I DO NEED TO CLARIFY WHAT WE'RE DOING TOMORROW IS IMPROVING OUR INTERNAL FUNCTION. THAT'S NOT GOING TO DECREASE THE NUMBER OF PEOPLE WHO ARE TESTING POSITIVE FOR C OVID 19, THAT WILL MAKE SURE THAT WE'RE DOING A BETTER JOB RESPONDING TO THOSE PEOPLE WHO TEST POSITIVE FOR C OVID 19. WHAT I HEAR YOU ASKING IS WHAT CAN WE DO TO DECREASE THE NUMBER OF PEOPLE TESTING POSITIVE AND, UM, TELL THEM NOT TO GET TESTED? OBVIOUSLY, NO, NO, NO. WE JUST DON'T WANT PEOPLE SICK. AND, UM, I THINK THAT THAT IS AN IMPORTANT CONVERSATION FOR THE MAYOR AND COUNCIL TO HAVE. UM, THE, THE GOVERNOR HAS SEVERELY LIMITED YOUR ABILITY TO, TO MAKE CHANGES TO THE ENVIRONMENT TO DECREASE COVID 19 TRANSMISSION. UM, BUT I DO THINK THAT'S, THAT'S A WORTHWHILE CONVERSATION FOR, FOR YOU TO HAVE. SO, UM, YES, WHAT'S HAPPENING TOMORROW THOUGH IS NOT GOING TO ANSWER THAT QUESTION, BUT THAT'S ON OUR RADAR SCREEN TOO. UM, SO I GUESS IT WOULD BE GREAT TO HEAR SUGGESTIONS. UM, I MEAN, WE CAN HAVE THE, THE CONVERSATION, BUT, UM, WHAT, WHAT DO YOU RECOMMEND? CAN WE TAKE, SUGGEST, CAN THIS COMMITTEE TAKE A HANDFUL OF, OF SUGGESTIONS FORWARD OR, OR WILL WE NEED TO BRING THEM UP AT, AT A SESSION? I GUESS THIS, THIS WEEK WE HAVE AN UPDATE ON THE COVID RESPONSE, RIGHT? UH, THAT EVERY WEEK THERE IS ONE. UM, I NEED TO CHECK IN WITH THE CITY MANAGER AND SEE WHAT THE FOCUS OF THAT UPDATE IS. AND, UM, AND THEN YES, I BELIEVE THAT STAFF CAN PREPARE RECOMMENDATIONS FOR WHAT TO DO, AND THEN I'LL TALK TO YOU ABOUT WHETHER YOU WANT IT TO GO THROUGH YOUR COMMITTEE OR WHETHER YOU WANT IT TO GO STRAIGHT TO FULL COUNSEL. JUST DEPENDS ON THE TIMING OF THINGS. SURE. OKAY. THANK YOU VERY MUCH. APPRECIATE IT. YEAH. UM, UH, THANK YOU EVERYONE FOR YOUR, FOR YOUR PATIENCE. THAT WAS A, A LOT OF CONTENT AND A AND A LOT OF QUESTIONS. SO, UM, WE, WE WILL GO AHEAD AND MOVE ON TO THE NEXT ITEM. AND I BELIEVE THAT'S, UH, THAT'S JEFF, RIGHT? UH, YES. THANK YOU, CHAIRWOMAN. UM, AND ACTUALLY I WILL ADD THAT, UH, VERY MUCH OF THIS COMMUNICATIONS PLAN IS FOCUSED ON WHAT WE CAN DO IN AN ENVIRONMENT WHERE THE STATE HAS LIMITED OUR ACTUAL ENFORCEMENT AUTHORITY. UH, IT DOESN'T LIMIT OUR ABILITY TO ENCOURAGE AND PROMOTE GOOD BEHAVIORS AND GET INFORMATION OUT TO THE PUBLIC THAT, THAT WILL HELP BE HELPFUL IN THIS. AND SO THAT'S THE MAIN OBJECTIVE HERE. UH, AMANDA, DO YOU HAVE THE SLIDES READY FOR ME? ALL RIGHT, GREAT. THANK YOU. SO, UM, JUST GOING BACK, UH, UH, TWO WEEKS AGO, UH, TO THIS COMMITTEE MEETING, UM, WHEN, UH, DAWN WAS WALKING THROUGH WHAT IS NOW CALLED THE HEALTH TRANSITION TEAM IMPLEMENTATION PLAN, UH, COUNCILWOMAN ANDREW SULLIVAN REQUESTED A COMMUNICATIONS PLAN TO SUPPORT THAT. AND SO, UH, WE'VE PUT PEN TO PAPER AND, AND FRANKLY, IT WAS A GOOD TIME TO CATCH OUR BREATH AFTER THE FIRST THREE MONTHS OF, [01:15:01] OF TRUE CRISIS MODE. UH, AND BEFORE WE STARTED TO SEE THE SECOND WAVE OVER THE PAST FEW DAYS TO REALLY REASSESS WHERE WE WERE AND, AND LAY OUT ON, ON PAPER WHAT THE PLAN IS, UH, GOING FORWARD IN THE LONG TERM. UH, NEXT SLIDE, PLEASE. UH, SO THE, UM, MAN, OKAY, SO, GREAT. SO THE PURPOSE OF THIS PLAN IS TO GUIDE THE COMMUNICATIONS EFFORTS, UH, OF THE CITY AS, UH, BOTH METRO HEALTH AND THE FIRE DEPARTMENT EXECUTE THE HEALTH TRANSITION TEAMS IMPLEMENTATION PLAN. NEXT SLIDE. AND SO, IT, IT, UH, THE PLAN AS WRITTEN, UH, HAS, HAS SIX SECTIONS THAT LAYS OUT AN OVERARCHING GOAL. IT, UH, IDENTIFIES OBJECTIVES THAT SUPPORT THE THREE MAIN PILLARS OF THE H T T IMPLEMENTATION PLAN. THE WATCH EXPAND ASSURE, UH, IT IDENTIFIES THE TARGET AUDIENCES, WHICH REALLY HAD ALREADY BEEN IDENTIFIED IN THE H T T, UH, PLAN. UH, IT LAYS OUT SOME MESSAGING THAT WHILE WILL CHANGE FROM DAY TO DAY, DEPENDING ON THE NEEDS ARE INTENDED TO BE SORT OF THE OVERARCHING POINTS THAT WE WANT TO CONTINUE TO HAMMER. AND THEN IT, UM, PROPOSES SOME STRATEGIES AND TACTICS. NOW, YOU'LL SEE A LOT OF THE TACTICS THAT WE'VE BEEN USING THROUGHOUT THIS PROCESS WITH A FEW NEW WRINKLES, BUT MORE IMPORTANTLY, UH, UH, INTENDED TO SUPPORT A COUPLE OF KEY STRATEGIC OBJECTIVES. AND THEN FINALLY, UM, HOW WE PLAN TO MEASURE THE EFFECT OF THIS, UH, AND BE ABLE TO PIVOT WHEN NECESSARY. NEXT SLIDE. UH, BEFORE I GET INTO THAT, I JUST WANNA TAKE ONE STEP BACK TO, UM, A VERY SHORT SUMMARY OF THE LONG PRESENTATION I GAVE TO COUNCIL AT THE END OF APRIL. ON OUR COMMUNICATIONS EFFORTS, WE HAD A STRATEGIC FRAMEWORK THAT OUR JOINT INFORMATION CENTER HAS FOLLOWED FROM THE BEGINNING OF GENERATING A STEADY DRUMBEAT OF CONTENT TO DELIVER CRITICAL INFORMATION TO THE PUBLIC, UH, USING TWO CENTRAL REPOSITORIES OF INFORMATION, OUR WEBSITE, AND FOR THOSE WHO DON'T HAVE ACCESS TO THE INTERNET, OUR HOTLINE, UH, REACHING VULNERABLE POPULATIONS THROUGH TARGETED OUTREACH THAT HAS VERY MUCH BEEN, UH, A FOUNDATION OF THE ENTIRE EFFORT, UH, UTILIZING DATA TO HELP THE PUBLIC UNDERSTAND THE OUTBREAK DISTRIBUTING CONTENT THAT IS USABLE BY OTHER STAKEHOLDERS TO BE ABLE TO HELP AMPLIFY OUR VOICE. AND FINALLY, USING OUR FULL SUITE OF COMMUNICATIONS CHANNELS, WHETHER IT BE TEXTING OR SOCIAL MEDIA, OR NEXTDOOR, ORT, V S A, UH, WHAT HAVE YOU. NEXT SLIDE, PLEASE. UM, I JUST WANNA THANK THE CHAIRWOMAN. UH, SHE AND I HAD A GOOD CONVERSATION LAST WEEK, AND SHE SHARED, UH, WITH US SEVERAL DIFFERENT GUIDES, UH, FOR COMMUNICATING ABOUT PUBLIC, UM, UM, HEALTH CRISES AND OUTBREAKS. UH, ONE THAT WAS SPECIFIC TO COVID. AND SO I TOOK IT TO HEART AND READ ALL OF THEM CLOSELY. UH, SORRY. CHAIRWOMAN, YOU'RE ON MUTE, I THINK, AND THAT'S A GOOD THING. . NO, I WAS SHARING, UH, WITH THE PEOPLE IN THE ROOM, THE, THE INFORMATION THAT I SHARED WITH YOU. THANK YOU. OH, GOOD. UM, SO I JUST WANT TO TOUCH BRIEFLY, UM, UH, THAT, THAT I, I THINK THAT MOST OF WHAT WE HAVE DONE THROUGHOUT THIS EFFORT HAS BEEN REFLECTED IN THESE GUIDES, WHICH WAS VERY ENCOURAGING TO ME. SO THE PAN-AMERICAN HEALTH ORGANIZATION, THE WORLD HEALTH ORGANIZATION, LAID OUT A WHOLE SERIES OF PRINCIPLES. I WON'T GO THROUGH EACH ONE, BUT IT'S ABOUT COMMUNICATING INFORMATION RIGHT FROM THE START, FROM THAT VERY FIRST CASE. IT'S ABOUT USING SCIENCE-BASED DATA AND ACKNOWLEDGING THE UNCERTAINTY. IT'S ABOUT CORRECTING MISINFORMATION WHEN IT OCCURS, PROTECTING PRIVACY, RIGHTS OF PATIENTS, UM, AND SO ON AND SO FORTH. THE ENDING WITH, UH, TELLING PEOPLE AS OFTEN AS POSSIBLE WHAT THEY INDIVIDUALLY CAN DO TO REDUCE THEIR EXPOSURE AND PROTECT THEIR FAMILIES. NEXT SLIDE. THE, UH, OTHER GUIDE THAT WE STUDIED CLOSELY, UH, THAT THE CHAIRWOMAN SENT US WAS FROM THE C D C, UH, AND IT RECOMMENDED SIX TACTICS, WHICH LINED UP PERFECTLY WITH WHAT WE'VE BEEN DOING, A WEBSITE AND A CALL CENTER, WHICH AGAIN, ARE OUR TWO, UH, CENTRAL REPOSITORIES OF INFORMATION SUPPORTED BY SOCIAL MEDIA OUTREACH TO PHYSICIANS, UH, PRESS, DIGITAL PRESS KITS, SUCH AS THE VIDEOS AND SO FORTH THAT WE'VE BEEN PROVIDING TO MEDIA FOR THEIR USE. AND THEN TAILORING OUR COMMUNICATIONS, FOR EXAMPLE, WHEN THE EASTER WEEKEND WAS COMING UP. AND, AND WE'LL BE DOING THE SAME THING WITH JULY 4TH. SO I SAY ALL OF THIS TO, UH, TO LET YOU KNOW THAT WE'VE TAKEN THE, THE CHAIRS AND OTHER ADVICE TO HEART, AND, UH, AND I'M REALLY PROUD THAT I THINK OUR EFFORTS TO DATE HAVE PRETTY CLOSELY LINED UP WITH THOSE RECOMMENDATIONS. ALRIGHT, SO LET'S GET BACK TO THE PLAN HERE TO SUPPORT THE H T T IMPLEMENTATION. NEXT SLIDE, PLEASE. UM, THE OVERARCHING GOAL OF THIS IS TO CONTINUE TO PROVIDE [01:20:01] CRITICAL INFORMATION USING AN EQUITY APPROACH THAT MEETS RESIDENTS WHERE THEY ARE, SO THAT WE MINIMIZE THE SPREAD OF COVID AND EDUCATE BOTH RESIDENTS AND BUSINESSES ON HOW TO PROTECT THEMSELVES. SOUNDS PRETTY FAMILIAR. NEXT SLIDE, PLEASE. THE, UH, THE THREE MAIN OBJECTIVES OF THE H T T IMPLEMENTATION PLAN, OF COURSE, ARE WATCH, EXPAND, AND ASSURE. SO WHAT WE DID WAS IDENTIFY COMMUNICATIONS OBJECTIVES TO SUPPORT EACH ONE OF THOSE PILLARS. SO THIS IS REALLY A CRITICAL PART OF THIS. SO, WHILE THE PROFESSIONALS ARE WATCHING THE DATA AND THE INDICATORS TO DETERMINE WHAT ADDITIONAL STEPS CAN AND NEED TO BE TAKEN, UH, FROM A COMMUNICATION STANDPOINT, WE WANT TO EDUCATE THE PUBLIC ON THOSE INDICATORS. AND TO DO THAT, WE HAVE TO MAKE THOSE INDICATORS BE A PART OF THE PUBLIC LEXICON, WHICH IT REALLY HASN'T BEEN TO DATE YET. THE PUBLIC HAS BEEN FOCUSED ON THE RAW NUMBERS EACH NIGHT, YOU KNOW, FOR EXAMPLE, THE MAYOR AND JUDGE TALKING ABOUT HOW MANY NEW CASES WE'VE HAD. BUT WE KNOW THAT THOSE INDICATORS ARE QUITE A BIT MORE SOPHISTICATED THAN THAT. UH, AND SO WE WANNA REALLY SHIFT OUR EFFORTS TO BE ABLE TO HELP THE PUBLIC UNDERSTAND WHAT THOSE INDICATORS ARE AND WATCH THEM CLOSELY. AND I'LL COME BACK TO THAT IN A MINUTE. UH, THE SECOND PART IS, WHILE DAWN AND HER TEAM ARE EXPANDING, TESTING, EXPANDING, CONTACT TRACING, WE NEED TO PROVIDE THE COMMUNICATIONS, UH, SUPPORT TO SUPPORT THAT. SO, SPECIFICALLY CONTINUING TO INFORM THE PUBLIC ON HOW AND WHERE THEY CAN GET TESTED. AND I THINK MORE IMPORTANTLY, UH, ENCOURAGING THE PUBLIC TO GET TESTED, PROMOTING TESTING, UH, SO THAT THOSE DEMAND NUMBERS ARE CLOSER TO WHAT THE CAPACITY NUMBERS ARE. BACK TO THE CONVERSATION EARLIER. UH, IF AND WHEN THE NEED COMES UP TO RECRUIT CONTACT TRACERS. SIMILARLY, UH, PROVIDING COMMUNICATION SUPPORT TO HELP, UH, HELP THE RE RECRUITING EFFORTS WOULD FALL UNDER THAT PILLAR. AND FINALLY, THE ASSURE IS REALLY THE BIG PILLAR, I BELIEVE, OF THE WHOLE PLAN. IT'S EDUCATING THE PUBLIC AND FORCING THE ORDERS, EVEN THOUGH THERE AREN'T REALLY LOCAL ONES. NOW, UH, REALLY TO ME, THE COMMUNICATIONS SUPPORT FOR ASSURING THE PUBLIC IS ALL ABOUT WHAT WE'VE BEEN TRYING TO PUSH ALL ALONG. PROMOTING THE THINGS THAT YOU CAN DO TO SLOW THE SPREAD, WHETHER YOU'RE A BUSINESS, WHETHER YOU'RE AN INDIVIDUAL, UH, AND ALL OF THAT WITH A PARTICULAR EMPHASIS ON THE VULNERABLE POPULATIONS, THE MARGINALIZED COMMUNITIES, AND THOSE WHO ARE MOST AT RISK. NEXT SLIDE, PLEASE. SO WE TALKED ABOUT TARGET AUDIENCES. NEXT SLIDE. UH, AND THESE ARE TAKEN, RIGHT? UM, FOR, WELL, I'LL GET TO THAT IN A SECOND. OBVIOUSLY, OUR COMMUNICATIONS EFFORTS ARE INTENDED TO REACH ALL RESIDENTS AND ALL BUSINESSES, BUT WE KNOW WE HAVE TO MAKE AN EXTRA EFFORT TO REACH THOSE POPULATIONS WHO ARE AT RISK, AT RISK BECAUSE OF THE SYSTEMS AND STRUCTURES IN PLACE. I THINK, UH, BETWEEN ALL THE VARIOUS DEPARTMENTS INVOLVED IN THIS EFFORT, WE'VE, WE'VE DONE THAT THROUGHOUT THIS, WE'VE FOCUSED ON THAT, AND THAT WILL CONTINUE TO BE, BE A PRIORITY. NEXT SLIDE. UH, THE TARGET AUDIENCES IDENTIFIED IN THE H T T PLAN, UH, BEGIN WITH, MOST IMPORTANTLY, THOSE CENSUS TRACKS THAT HAVE AN EQUITY SCORE OF 10 USING THE ATLAS THAT ZAN AND HER TEAM HAVE DEVELOPED. AND OF COURSE, WITHIN THOSE CENSUS TRACKS AND OTHERS ARE OFTEN THE SPECIFIC DEMOGRAPHICS OF THE FOLKS WHO, WHO WE REALLY NEED TO MAKE SURE THE MESSAGES ARE GETTING TO COMMUNITIES OF COLOR, MIGRANTS, NON-ENGLISH SPEAKERS, UH, LOWER INCOME COMMUNITIES, INCLUDING HOMELESS INDIVIDUALS, UH, THOSE WITHOUT A LOT OF MEDICAL LITERACY OR LITERACY IN GENERAL, UH, THE DISABLED, AND THEN SMALL BUSINESSES, HEALTHCARE PROVIDERS, AND OF COURSE, THE L G B T Q UH, POPULATION. NEXT SLIDE, PLEASE. UH, AND THEN KEEP GOING. SO, OUR MESSAGING, UH, REALLY THREE MAIN POINTS. UH, AGAIN, I MENTIONED AT THE BEGINNING THAT OUR MESSAGING CHANGES, OF COURSE, DAY TO DAY IN TERMS OF WHAT'S CRITICAL TO COMMUNICATE. BUT FROM A SORT OF PLATFORM STANDPOINT, UH, WHAT I'M PROPOSING ARE THESE THREE AS OUR MAJOR, UH, MESSAGES TO CONTINUE TO, TO HAMMER. NUMBER ONE IS THAT C O V I D CONTINUES TO EXIST. IT DIDN'T GO ANYWHERE. AND THAT THE INDICATORS ARE WHAT SHOW US HOW WE ARE PROGRESSING OR NOT, UH, IN OUR EFFORTS TO LOP IT. STOP, EXCUSE ME, SLOW AND STOP THE VIRUS. NUMBER TWO, TESTING REMAINS THE BEST WAY TO DETERMINE THE SPREAD OF COVID IN OUR COMMUNITY. AND WE'VE INCREASED THE CAPACITY, BUT WE NEED TO INCREASE THE DEMAND. WE ENCOURAGE YOU AND THE PUBLIC TO GET TESTED. AND THEN THIRD, EVEN THOUGH THE STATE HAS LIFTED MANY OF THE MANDATED CLOSURES AND PREEMPTED OUR ABILITY TO DO IT LOCALLY, PRACTICING GOOD HYGIENE, SOCIAL DISTANCING, WEARING A MASK, ET CETERA, UH, ARE STILL THE BEST ACTIVITIES, WHETHER THEY'RE REQUIRED OR WHETHER THEY ARE A HEALTH ADVISORY [01:25:01] AS A VOLUNTARY ACTION, VOLUNTARY BEHAVIOR AS THEY ARE NOW, UH, THOSE ARE STILL, UH, THE SOLUTIONS TO PROTECT YOU AND YOUR FAMILY. NEXT SLIDE. SO UNDER THE STRATEGIES AND TACTICS, UM, AGAIN, GOING BACK TO THE, THE COMMUNICATIONS OBJECTIVES, UNDER THOSE THREE PILLARS, WE WANT TO BEGIN EMPHASIZING THE INDICATORS IN ALL OF OUR COMMUNITY UPDATES. AND WE'VE ACTUALLY STARTED THIS ONE ALREADY. IF YOU WATCHED THE TUESDAY BRIEFING THAT THE MAYOR AND JUDGED DELIVERED LAST WEEK, IT FOLLOWED THE, THE MONDAY MEETING OF THE INDICATOR WORK GROUP WHERE THEY DEVELOPED THEIR, THEIR STATEMENTS INTERPRETING THE DATA AND WHERE WE STOOD IN TERMS OF THE INDICATORS. AND SO WE NEED TO TAKE THAT INFORMATION THAT'S GONNA OCCUR EVERY WEEK NOW, THE INTERPRETATION BY THE WORK GROUP, AND BLAST IT OUT TO FAR AND WIDE. AND SO TO DO THAT, WE'VE REALLY GOTTA CREATE A SIMPLE, EASY TO UNDERSTAND GRAPHIC PRESENTATION TO SHOW THE CURRENT STATUS. IT'S NOT EASY 'CAUSE THERE ARE SEVEN INDICATORS, AND WE'VE TALKED A LOT ABOUT HOW NO ONE INDICATOR REFLECTS THE OVERALL PICTURE. WE NEED TO UNDERSTAND ALL OF THEM. UH, SO WE'RE WORKING ON HOW TO SIMPLIFY THAT AND, AND IF AND WHEN WE CAN, WE WANT TO BEGIN POSTING THOSE INDICATORS IN THE VARIOUS MEDIUMS THAT WE CONTROL AND THAT ARE EASILY CHANGEABLE DAY-TO-DAY, SUCH AS THE KIOSK, DIGITAL KIOSK THAT WE HAVE, MARQUEES, OUR WEBSITE, OUR TV STATION, OUR SOCIAL MEDIA. UH, WE WANT TO PRODUCE A, AN INDICATOR STATEMENT OR REPORT FROM THAT WORK GROUP WEEKLY AND DISTRIBUTE THAT TO ALL OF OUR AUDIENCES, OUR MEDIA, ALL THE STAKEHOLDER GROUPS THAT HELP, CAN HELP SHARE IT WITH THEIR, UH, NETWORKS OF, OF FOLLOWERS AND TARGET POPULATIONS. WE WANT TO FOCUS THESE TUESDAY MAYOR JUDGE BRIEFINGS ON A REPORTING OF THE STATUS OF THOSE INDICATORS. YOU'RE GONNA SEE THAT TONIGHT. IT'S GONNA BE A VERY, VERY IMPORTANT UPDATE TONIGHT, I BELIEVE. AND THEN FINALLY, WE WANNA ARM OUR HOTLINE CALL TAKERS WITH THAT INFORMATION AS WELL, SO THAT, AGAIN, THE, THE NET EFFECT HOPEFULLY IS THE PUBLIC HAVING A BETTER UNDERSTANDING OF WHAT WE'RE TRACKING. NEXT SLIDE, PLEASE. IN TERMS OF THE OBJECTIVE OF, UM, OF, UH, PROMOTING TESTING, UM, AND ACTUALLY THIS IS REALLY THE NEW, THE NEW WRINKLE IN A LOT OF THIS, UM, UH, WRINKLE. UH, WE WANT TO, WE WANNA LAUNCH A MULTIFACETED BRANDED BRANDED MARKETING CAMPAIGN USING SOME OF THE BUDGET THAT DAWN LAID OUT, UH, TO REALLY REFRESH THE ENTIRE PUSH. UM, AND, AND IT WOULD FOCUS ON THE TESTING, WHERE TO GET IT, HOW TO GET IT, AND IT WOULD ALSO FOCUS ON THOSE SAFE, UH, SOCIAL DISTANCING PROTOCOLS. UH, BUT WE WANT TO DEVELOP A BRAND AROUND IT, UH, HAVE SOME PROFESSIONAL INPUT, UM, ON THE PAID, UH, MEDIA MIX THAT WE USE TO BE ABLE TO REACH ALL THOSE TARGETED AUDIENCES. AND THEN THE IDEA WOULD BE THAT WITH THIS CAMPAIGN, WE'D PRO PRODUCE COLLATERAL MATERIALS THAT CAN BE USED THROUGH ALL THE EXISTING TACTICS THAT WE'RE DOING, THE DOOR HANGERS, UH, THAT THE C H P TEAMS HAVE DONE, THE PRINTED MATERIALS THAT WE HAVE AT TESTING SITES, UH, ROBO CALLING, UH, FROM TIME TO TIME. UH, SO, SO BOTTOM LINE IS WE'D LIKE TO USE A PORTION OF THIS BUDGET TO GO, UM, DEVELOP A BRANDED CAMPAIGN. THAT CAN BE OUR PUSH OVER THE, OVER THE COMING MONTHS. NEXT SLIDE PLEASE. NEXT STRATEGY IS TO CONTINUE, UH, OUR COMMUNICATIONS WITH HEALTHCARE PROVIDERS AND REFINE IT A LITTLE BIT. DON TALKED MOSTLY ABOUT THE THINGS THAT METRO HEALTH IS DOING, AND THAT'S WHERE IT SHOULD CONTINUE TO LIE. UH, BUT WE'VE TALKED ABOUT A SURVEY OF PROVIDERS TO DETERMINE WHAT INFORMATION THEY NEED, UH, ON AN ONGOING BASIS FROM US, UM, AND TO CONTINUE TO FOCUS THE CONVERSATIONS WITH THEM, WHETHER THROUGH WEBINARS, TELE-TOWN HALLS, DOC ALERT TECHS ON HOW THEY CAN HELP US INCREASE ACCESS TO THOSE VULNERABLE POPULATIONS WE'RE TARGETING. NEXT SLIDE, PLEASE. UH, WE CAN'T FORGET ABOUT, ABOUT THE, THE BUSINESSES AND ALTHOUGH THE GREATER SAFER TOGETHER EFFORTS HAVE FALLEN A LITTLE BIT OUTSIDE OF THIS THROUGH THE EFFORTS OF E D D AND SO FORTH, UH, IT REALLY ALL DOES FIT TOGETHER IN THE OVERALL PICTURE WHERE WE NEED TO CONTINUE TO REMIND AND HELP BUSINESSES, UH, UH, USE SAFE PRACTICES AS THEY REOPEN AND, AND INTERFACE WITH THE PUBLIC. UH, WE WANT TO DO THAT BY HIGHLIGHTING BUSINESSES, DOING THE RIGHT THINGS THROUGH VIDEOS, THROUGH SOCIAL MEDIA POSTS, AND OF COURSE, CONTINUE TO WORK WITH OUR C H P TEAMS TO WORK WITH THOSE SMALL BUSINESSES WHO MAY NEED THE MOST, UH, SUPPORT, BOTH IN TERMS OF RESOURCES AND INFORMATION, AND WHO MAY ALSO HAVE SOME OF THE HIGHEST TOUCH, UH, INTERACTIONS WITH OUR TARGET POPULATIONS. NEXT SLIDE. SO, UH, WE'LL MEASURE ALL OF THIS BY, BY CONTINUING TO WATCH, UH, UH, THESE DATA SETS. NUMBER ONE, AND MOST IMPORTANTLY, OF COURSE, IS THE EPIDEMIOLOGICAL OUTCOMES. CHAIRWOMAN, YOU MENTIONED IT, WE'RE ALL CONCERNED [01:30:01] ABOUT THE SPIKE. UH, I THINK THE, THE SPIKE OVER THE LAST FEW DAYS HAS OCCURRED. UH, AS MUCH OF THIS PLAN WAS ALREADY BEING DRAFTED, AND, AND I THINK A LOT OF THE PLAN IS FLEXIBLE ENOUGH TO BE ABLE TO ADJUST AND ADAPT TO THE CHANGING SITUATION OUT THERE. UM, WE'RE GONNA CONTINUE TO WATCH WEBSITE TRAFFIC HOTLINE CALLS, UH, MEASURE OUR SOCIAL MEDIA ENGAGEMENT, OUR MEDIA COVERAGE, WHICH HAS REALLY RAMPED UP THE LAST COUPLE DAYS. AND, AND, YOU KNOW, BASED ON OBSERVATION, IT'S MUCH MORE SUBJECTIVE. BUT OBVIOUSLY WE'RE ALL WATCHING THE BEHAVIORAL COMPLIANCE OF THE, THE COMMUNITY OUT THERE. I WILL SAY THAT, UM, THIS, THIS, UH, SECOND WAVE, OR, OR WHATEVER YOU WANNA CALL IT, HAS, UM, IS NOT JUST CONCERNING US. I THINK YOU, YOU ALL HAVE MENTIONED YOU'RE HEARING IT IN THE DISTRICTS, UH, WE'RE SEEING IT THROUGH A LOT OF THESE CHANNELS AS WELL. I, I COMMENTED YESTERDAY THAT THE PRESS RELEASE THAT WE PUT OUT OVER THE WEEKEND SHOWING THE, THE BIG JUMP IN NUMBERS AND REMINDING EVERYBODY OF WHAT THEY NEED TO BE DOING, EVEN IF IT'S NOT MANDATED ANYMORE, UM, I SAW BEING SHARED FAR AND WIDE, UH, BY MANY OF YOU COUNCIL MEMBERS AND SOCIAL MEDIA BY, UH, REPORTERS, BY NEIGHBORS OF MINE, BY RANDOM FOLKS ON SOCIAL MEDIA. AND AT THE END OF THE DAY, THAT'S WHAT WE WANT IS PEOPLE HELPING TO, UH, EXTEND OUR MESSAGES OUT TO OTHERS SO THAT THEY ARE TRUSTED VOICES REACHING OUR POPULATIONS. AND I THINK, UM, A LITTLE BIT OF SCARE THAT WE'RE SEEING RIGHT NOW IS HAVING THAT EFFECT, UH, SOMEWHAT NATURALLY, BUT WITH A, WITH A LITTLE BIT OF PUSH OF INFORMATION ON OUR PART. UH, SO WITH THAT, I'LL, I'LL PAUSE. UM, WE DO INTEND TO WORK CLOSELY WITH THE WORK GROUPS THROUGH THE IMPLEMENTATION AND HAVE THEM HELP GUIDE US THROUGH SOME OF THIS. BUT, UM, THIS WAS OUR, OUR FIRST, UH, SORT OF PEN TO PAPER IN, IN HOW WE SEE, UH, THE COMMUNICATIONS EFFORT GOING FORWARD. AND I'LL PAUSE AND ANSWER QUESTIONS AS AS NEEDED. THANKS. UM, THANK YOU JEFF. I KNOW THAT, THAT WE STILL HAVE THE, UH, EQUITY ATLAS TO REVIEW AFTER THIS. DR. BRIDGER, DID YOU WANT TO HEAR THEM TOGETHER AND TAKE QUESTIONS AT THE END, OR DID YOU WANT TO BREAK DOWN? I THINK IT'D BE BETTER TO GO THROUGH Z'S PRESENTATION AND THEN MY QUICK ONE, AND THEN WE CAN DO QUESTIONS ABOUT ALL THINGS COMMUNICATION, ENGAGEMENT, AND EQUITY AT THE SAME TIME, IF THAT WORKS FOR YOU. OKAY. UM, LET'S SEE IF WE CAN FIT THAT ALL IN . I HAVE A FEELING IT'LL BE CONTINUED. . EXCELLENT. THANK YOU [4 20-3790 An overview of the Equity Atlas and Matrix created in collaboration with the Office of Equity, ITSD and Planning, and used by all Departments to apply an equity lens in a variety of decision-making processes; briefing on the equity and engagement strategy for the COVID-19 Recovery and Resiliency Plan. [Colleen M. Bridger, MPH, PhD; Zan Gibbs, MPH, Chief Equity Officer, Office of Equity]] SO MUCH, CHAIRWOMAN FOR INVITING ME TODAY. THIS IS DAN GIBBS, CHIEF EQUITY OFFICER FOR THE CITY OF SAN ANTONIO, AND I'M VERY EXCITED TO SHARE WITH YOU ALL A LITTLE BIT ABOUT OUR EQUITY MAPS AND OUR MATRIX TOOL, WHICH WE'VE HAD UP FOR A WHILE NOW, AND IS AVAILABLE FOR USE BY ALL OF OUR DEPARTMENTS FOR A VARIETY OF DIFFERENT PROJECTS. NEXT SLIDE, PLEASE. SO HERE YOU'LL SEE JUST SORT OF A SCREENSHOT OF WHAT IT IS. SO THE NUTS AND BOLTS OF WHAT THIS IS, IS THAT IT'S AN ARC G I SS WEBSITE THAT SITS ON THE OFFICE OF EQUITY WEBPAGE, BUT IS BUILT BY I T SS D. WE ALSO COLLABORATE WITH THE PLANNING DEPARTMENT ON THE IMPLEMENTATION AND CREATION OF THIS TOOL, BECAUSE IT'S ALSO PART OF THE CITY'S DATA COLLABORATIVE. WHAT YOU CAN SEE AT THE TOP CORNER IS A SERIES OF TABS. SO THERE ARE CURRENTLY SIX TABS, WHICH I WILL TALK ABOUT AS PART OF THIS TOOL. AND REALLY THE WHY IS JUST TO BE ABLE TO PROVIDE DATA SO THAT DIFFERENT DEPARTMENTS CAN SORT OF LOOK AT DATA THAT IS RELEVANT TO ADVANCING EQUITY IN THEIR POLICIES, PROGRAMS, AND SERVICE DELIVERY. THE FIRST TAB, WHICH IS THE IMAGE THAT YOU CAN SEE HERE, IS THE RACE AND ETHNICITY TAB. SO ALL THIS IS IS CENSUS DATA SHOWN ON A MAP FORMAT OF THE RACIAL AND ETHNIC BREAKDOWN OF SAN ANTONIO, USING WHAT'S CALLED A QUINTILE METHODOLOGY. SO QUINTILE MEANS FIVE, YOU'LL SEE FIVE DIFFERENT COLORS, AND YOU'LL SEE SCORES FROM ONE THROUGH FIVE. ALL THIS MEANS IS IT'S BREAKING IT DOWN BY 20% OF THE POPULATION. SO 20% OF THE POPULATION IS IN THE WHITE COLOR SQUARES, 20% IS IN THE TWO, WHICH IS THE LIGHTER PINK, AND THEN IT GOES DOWN TO THE FIVE. THE BREAKING POINTS ARE REALLY JUST DIFFERENTIATING IN THIS PARTICULAR CASE, THE PERCENT OF THE POPULATION THAT IDENTIFIES AS PEOPLE OF COLOR. SO THE HIGHER THE NUMBER AND THE DARKER THE PURPLE, THE HIGHER THE PERCENT IN THAT CENSUS TRACT OF RESIDENTS WHO IDENTIFY AS PEOPLE OF COLOR. NEXT SLIDE PLEASE. SO HERE'S JUST THE TOP LEVEL VIEW OF WHAT THE LAYERS ARE. SO CURRENTLY WE HAVE THAT FIRST ONE WHICH YOU SAW, WHICH WAS RACE. THIS IMAGE HERE IS OUR INCOME TAB. THE COLORING HERE IS BLUE AND GREEN. [01:35:01] THEN WE HAVE A COMBINED SCORE, WHICH IS THE RACE AND THE INCOME TAB TOGETHER. THEN WE HAVE A LANGUAGE TAB, AN EDUCATIONAL ATTAINMENT TAB, AND A BRAND NEW TAB ABOUT REDLINING. THE PLAN IS THAT WE WILL CONTINUALLY BE ADDING NEW DATA LAYERS AND NEW TABS WITH RELEVANT EQUITY DATA THAT WILL SUPPORT THE RECOVERY EFFORTS AS WELL AS DEPARTMENTAL NEEDS AND THE OFFICE OF EQUITY NEEDS MOVING FORWARD. SO IT'S AN EVER EVOLVING TOOL THAT WE CONTINUALLY WORK WITH I T S D ON AND WE MEET EVERY OTHER WEEK ONGOING TO MAKE ADJUSTMENTS AND ADDITIONS TO THIS TOOL. NEXT SLIDE PLEASE. SO HERE, THIS IS A SCREENSHOT OF THE THIRD TAB, WHICH IS WHAT WE CALL COMBINED SCORE. AND WHAT WE WANTED TO DO HERE WAS CREATE A VERY INTERSECTIONAL APPROACH THAT COULD HELP IDENTIFY THE MOST MARGINALIZED SAN ANTONIO RESIDENTS, INCLUDING AS JEFF COYLE OUTLINED, THOSE WHO IDENTIFY AS L G B T Q, THOSE WITH DISABILITIES, FEMALE IDENTIFIED FOLKS. AND WE RECOGNIZE THAT THE MOST MARGINALIZED IN OUR COMMUNITIES ALSO HAPPEN TO BE LOW INCOME AND OR PEOPLE OF COLOR. SO FOR EXAMPLE, IF YOU WANTED TO TARGET WOMEN OR PEOPLE WITH DISABILITIES WHO WERE EXPERIENCING THE MOST DISPARITIES, THEY WOULD ALSO HAVE AN IDENTITY THAT WAS LOW INCOME AND OR BE A PERSON OF COLOR. SO USING THAT, THINKING THAT WE WANTED TO TARGET ALL OF THOSE GROUPS THAT JEFF OUTLINED, WE CREATED WHAT WE CALLED A COMBINED SCORE, WHICH SIMPLY ADDS THE ONE THROUGH FIVE NUMBERING THE QUINTILE METHODOLOGY FROM RACE AND INCOME. SO IT'S A PRETTY SIMPLE MATH. AND THEN THE FORMULA INDICATES THAT CENSUS TRACKS ON THIS TAB HAVE A SCORE FROM TWO THROUGH 10. SO THE LOWEST SCORE IS A TWO BECAUSE THAT'S ONE POINT FOR THE RACE, ONE POINT FOR INCOME, ALL THE WAY UP TO A MAXIMUM SCORE OF 10. SO I KNOW YOU'VE HEARD IN THE LAST TWO PRESENTATIONS THAT SOME OF THE OUTREACH THAT WE DID FOR COVID WAS TARGETING CENSUS TRACKS WITH A SCORE OF 10. SO NOW WHAT YOU CAN SEE IS ESSENTIALLY WHAT THAT MEANS IS THOSE WERE THE CENSUS TRACKS WITH THE HIGHEST PERCENT RESIDENTS WHO IDENTIFIED AS LOW INCOME AND ALSO PEOPLE OF COLOR. NEXT SLIDE PLEASE. WE ALSO HAVE SOME GREAT OVERLAYS AND DIFFERENT DATA POINTS. SO THE MAPS ARE HIGHLY INTERACTIVE. YOU CAN ZOOM IN, YOU CAN ZOOM OUT, AND THERE IS A LAYERS TAB AT THE TOP, WHICH I ALWAYS REFER TO AS THE THING THAT LOOKS LIKE A STACK OF PAPER. AND IF YOU CLICK ON THE ICON THAT LOOKS LIKE A STACK OF PAPER, YOU CAN ADD DIFFERENT THINGS TO OVERLAY ON ALL OF THE MAPS. YOU CAN ADD WHERE EXACTLY IS THE CITY OF SAN ANTONIO BOUNDARY, WHAT ARE ALL THE ZIP CODES, WHAT ARE THE DIFFERENT COUNCIL DISTRICTS? SO IF YOU WANNA LOOK AT ANY OF THESE DATA POINTS WITH THOSE OVERLAYS, YOU CAN TOGGLE ON AND TOGGLE OFF THOSE LAYERS. WE ARE GONNA INCREASE THE LAYERS THAT YOU CAN TOGGLE ON AND TOGGLE OFF SO THAT YOU CAN SORT OF SEE DIFFERENT THINGS OVERLAID WITH THE COMBINED SCORE TO HELP DEPARTMENTS MAKE INFORMED DECISIONS. IF YOU CLICK ON A SPECIFIC CENSUS TRACT, YOU'LL SEE SOME EXAMPLE INFORMATION THAT HELPS GIVE YOU MORE DETAILS SUCH AS THE TEXT HERE I JUST CLICKED ON A RANDOM, UM, CENSUS TRACT ON THE NORTHEAST SIDE, AND IT TELLS YOU WHAT THE NUMBER IS OF THAT CENSUS TRACT, WHAT THE SCORE WAS. AND IN THIS CASE, FOR THAT CENSUS TRACK, THE TOTAL POPULATION WITH AN EDUCATIONAL ATTAINMENT OF LESS THAN A HIGH SCHOOL GRADUATE DEGREE IS 753 PEOPLE. SO YOU CAN DRILL DOWN ON ALL OF THESE LAYERS TO GET MORE ADDITIONAL INFORMATION ABOUT WHO LIVES IN THOSE PARTICULAR CENSUS TRACKS. NEXT SLIDE PLEASE. SO HERE IN THE LANGUAGE TAB, WHEN YOU CLICK ON A CENSUS TRACT, YOU CAN SEE THE TOP FIVE LANGUAGES SPOKEN IN THAT CENSUS TRACT. SO I KNOW THAT THE CHARWOMAN AND I HAVE TALKED ABOUT WHAT'S CALLED SAFE HARBOR LANGUAGES. AND REALLY WHAT THAT MEANS IS UNDERSTANDING WHAT ARE THE TOP SIZE LANGUAGES SPOKEN IN YOUR CITY. WE WANTED TO KNOW WHERE THOSE PEOPLE WERE LIVING THAT WERE SPEAKING LANGUAGES OTHER THAN ENGLISH. SO WE USE CENSUS DATA TO MAP THAT OUT BY CENSUS TRACT. SO NOT ONLY NOW DO WE KNOW WHAT THE TOP FIVE LANGUAGES SPOKEN IN SAN ANTONIO ARE, IF YOU WANTED TO DO SPECIFIC TARGETED OUTREACH, YOU COULD CLICK ON A CENSUS TRACT TO RECEIVE MORE INFORMATION. SO AGAIN, THAT SAME CENSUS TRACT ON THE NORTHEAST SIDE, [01:40:01] I CLICKED ON IT AND THAT CENSUS TRACT RECEIVED A SCORE OF FIVE. BUT YOU CAN SEE HERE THAT THE SECOND MOST COMMON LANGUAGE AFTER ENGLISH IS AN ASIAN LANGUAGE, WHICH IS GOING TO BE MANDARIN OR VIETNAMESE. AFTER THAT SPANISH WAS THE THIRD MOST SPOKEN LANGUAGE. THEN THERE WERE OTHER INDO-EUROPEAN LANGUAGES, MOST LIKELY GERMAN, AND THEN OTHER LANGUAGES, UH, WHICH IS A MIX BASED ON CENSUS DATA THAT IS, UH, UNABLE TO BE DISAGGREGATED ANY FURTHER THAN THAT. BUT YOU CAN AT LEAST SEE IN THAT CENSUS TRACK THAT YOU'VE GOT ALMOST A THOUSAND PEOPLE WHO ARE SPEAKING ANOTHER LANGUAGE ON TOP OF THOSE TOP FOUR, INCLUDING ENGLISH. NEXT SLIDE PLEASE. SO OUR FINAL NEW EDITION IS A VERY RUDIMENTARY MAP THAT INDICATES REDLINING. WE ADDED THIS BECAUSE OF SOME WORK THAT NOT ONLY WE WERE DOING WITH THE NEIGHBORHOOD AND HOUSING SERVICES DEPARTMENT, BUT ALSO BECAUSE WE HAVE AN ART EXHIBIT UP IN OUR BUILDING AT THE INTERNATIONAL CENTER. THAT'S ABOUT THE HISTORY OF REDLINING. UNFORTUNATELY, WE HAD TO GO SORT OF REMOTE, UH, A MONTH INTO THE EXHIBIT, BUT IT IS TECHNICALLY STILL INSTALLED AT THE INTERNATIONAL CENTER. AND WE CURRENTLY HAVE A TWO MONTH EXTENSION, AND WE'RE WORKING ON ANOTHER TWO MONTH EXTENSION IN HOPES THAT WE CAN STILL BE ABLE TO PROVIDE YOU WITH THE TOURS THAT WE PROMISED YOU OF THESE EXHIBITS PRIOR TO IT HAVING TO GO BACK TO NEW YORK. UH, IT IS STILL IN THE LOBBY AND THE LOBBY IS OPEN. IF YOU WOULD LIKE TO DO A SELF-GUIDED TOUR, YOU'RE MORE THAN WELCOME TO CHECK OUT THE REDLINING EXHIBIT. WE HOPE TO ADD MORE DETAILS TO THIS PARTICULAR MAP. AND ALSO WE WOULD LOVE FOR THIS TO BE ABLE TO BE DISPLAYED AS AN OVERLAY ON SOME OF THE OTHER MAPS SO THAT YOU COULD SEE WHAT THE HISTORY OF REDLINING HAS DONE TO SORT OF, UM, INFORM THE DISPARITIES IN SOME OF THE OUTCOMES THAT YOU SEE TODAY. CURRENTLY, THIS MAP IS A STANDALONE AND NOT AN OVERLAY, BUT THIS IS PART OF OUR CONTINUAL WORK THAT WE'RE DOING WITH THE G I S TEAM AT I T S C TO FURTHER REFINE AND BUILD OUT THESE MAPS AS WE ADD MORE LAYERS AND ADD MORE FEATURES TO THEM SO THAT THEY BECOME VERY IMPORTANT AND HAVE INCREASED DATA SETS FOR DEPARTMENTS TO USE FOR DIFFERENT SORT OF PROGRAMS AND POLICIES. NEXT SLIDE. SO, THE GOAL OF THIS TOOL IS REALLY TO JUST PROVIDE DATA FOR DEPARTMENTS. THE TOOL ITSELF DOESN'T NECESSARILY INCLUDE GUIDANCE ON IT IN TERMS OF HOW IT SHOULD BE APPLIED, BECAUSE THAT'S OUR JOB AS AN OFFICE OF EQUITY TO REALLY WORK WITH EACH DEPARTMENT TO FIGURE OUT HOW TO BEST USE THIS DATA. SO THE EXAMPLE THAT DON GAVE WITH THE COMMUNITY HEALTH AND PREVENTION TEAM WAS A REALLY GOOD EXAMPLE OF HOW THESE MAPS WERE USED BECAUSE THEY WERE ALREADY READY TO GO AND AVAILABLE. SO THE TEAMS WERE ABLE TO QUICKLY, UH, LOAD IT ONTO THEIR IPADS AND GO OUT INTO COMMUNITY TO DO OUTREACH AND VERY EASILY JUST TARGET CENSUS TRACKS THAT SCORED AN EIGHT, NINE, AND A 10 FOR THEIR COVID OUTREACH. THE MAPS ARE ABLE TO BE ZOOMED IN ON, AND YOU CAN SEE STREET NAMES AND STREET BOUNDARIES. SO IT WAS A VERY EASY TOOL THAT WAS ADJUSTED VERY QUICKLY FOR IPAD USE AND ON THE GROUND, AND WE DIDN'T HAVE TO DO ANYTHING ON OUR END BECAUSE IT WAS ALREADY LIVE AND USABLE AS IS. SO OUR WORK IS TO CONTINUE TO EXPAND THIS TOOL AND TO WORK SPECIFICALLY WITH EACH DEPARTMENT ON THE BEST WAY THAT THEY CAN USE THIS TOOL FOR, TO HELP INFORM THEIR EQUITY EFFORTS. NEXT SLIDE. AND SO WITH THAT, I THINK WE CAN HAVE SOME QUESTIONS AS IT RELATES TO, UH, JEFF'S COMMUNICATION PLAN AND THEN THE USE OF THE TOOL. BUT IT WAS REALLY GREAT TO SEE THAT IT WAS MENTIONED BOTH IN DON'S PRESENTATION AND JEFF'S PRESENTATION. SO IT WAS EXCELLENT TIMING TO FINALLY BE ABLE TO GIVE YOU ALL AN OVERVIEW OF WHAT IT LOOKS LIKE AND WHAT DOES IT MEAN WHEN THEY SAY THEY'VE TARGETED A CENSUS TRACK THAT SCORED A 10. THANK YOU SO MUCH. THANK YOU, DAN, FOR YOUR PRESENTATION. YES, WE WERE WAITING FOR THE PERFECT MOMENT TO, TO BRING YOU TO TO COMMITTEE. UM, I, GIVEN THE TIME CONSTRAINTS WE HAVE, WE'RE GOING TO HAVE FIVE MINUTES FOR COUNCIL MEMBER COMMENT. SO EXCEPT FOR JADA, 'CAUSE SHE'S GIVING ME THE EYES. UM, , UH, WE'LL START WITH COUNCIL TREVINO. UH, THANK YOU CHAIR. UH, LOTS OF INFORMATION TO UNPACK HERE. UH, CERTAINLY AGAIN, WE'LL, WE'LL BE TAKING A CLOSER LOOK. UM, BUT ONE OF THE FIRST THINGS I WANNA TALK ABOUT, UH, JEFF, YOU MENTIONED IN THE COMMUNICATIONS, YOU KNOW, THERE'S A LOT OF THINGS THAT, THAT PEOPLE ARE, ARE REALLY KIND OF CONFUSED ABOUT IN TERMS OF WHAT THE CITY, UM, [01:45:01] IS, IS RECOMMENDING SINCE THE STATE HAS SORT OF, UH, COME IN AND, AND, UH, MANDATED SEVERAL, UM, MANDATED EVERYTHING. AND, UH, AND SO I, MY CONCERN IS THAT, THAT THAT CONFUSION CAN, CAN CREATE, UM, YOU KNOW, SOME INSECURITY IN THE, IN THE COMMUNITY. AND SOMETHING THAT WE'VE BEEN HEARING, UH, AS AN EXAMPLE IS, UM, AS PEOPLE ARE, ARE, ARE SORT OF TRYING TO RETURN BACK TO NORMAL, THERE'S ALSO, UM, A LOT OF FOLKS, LIKE SOME RESTAURANTS, SOME BARS THAT, UM, UH, MIGHT HAVE, UM, AN EMPLOYEE THAT THAT IS, THAT IS INFECTED OR TESTED POSITIVE, BUT NOT NECESSARILY TELLING, UM, THE, THE OTHER EMPLOYEES AND OR, OR THE OTHER PEOPLE WHO ARE, UH, PATRONIZING THE, THE BUSINESS, UM, PATRONIZING THE BUSINESS. THEY, YOU, WHAT CAN WE DO TO COMMUNICATE THE SERIOUSNESS OF, OF THIS, THIS ISSUE? BECAUSE THERE SEEMS TO BE JUST SOME SERIOUS, UM, UH, CONFUSION AROUND, UH, HOW PEOPLE CAN, CAN, CAN REALLY, UH, UNDERSTAND THE, THE, THE, THE INCREDIBLE SPREAD THAT'S STILL OCCURRING. AND, UH, AGAIN, JUST, UH, PEOPLE ARE CONCERNED THAT THERE'S, THERE'S BUSINESSES THAT ARE JUST NOT, UM, NECESSARILY TAKING, UH, RECOMMENDATIONS, UH, SERIOUSLY, BECAUSE THEY'RE JUST SIMPLY RECOMMENDATIONS FROM THE CITY. WELL, I THINK, UM, UH, I'M NOT SURE IF IT'S CONFUSION AS MUCH AS A SORT OF WILLFUL, UH, UH, DISREGARDING OF THE GUIDANCE. UH, AND I, BUT I THINK YOU ARE HAMMERING ON A CRITICAL POINT, WHICH ACTUALLY WOULD'VE BEEN A CRITICAL POINT EVEN A WEEK AGO BEFORE WE SAW THIS UPTICK, WHICH IS WE CANNOT LET OUR GUARD DOWN. WE HAVE TO REDOUBLE AND TRIPLE THE EFFORTS. WHEN I FIRST LOOKED AT THE H T T PLAN AND UNDER ASSURE IT TALKED ABOUT EDUCATING THE PUBLIC ON THE GOVERNMENT, UH, OR THE MANDATED CLOSURE OR EMERGENCY ORDERS, MY FIRST THOUGHT WAS, WELL WAIT A SECOND. THAT IS THOSE, WE CAN'T DO THAT ANYMORE. SO THAT'S NOT REALLY RELEVANT, BUT THE REALITY IS, IS IT'S MORE RELEVANT THAN EVER. WE CAN'T MANDATE IT. SO WE HAVE TO DOUBLE DOWN ON THE EFFORTS TO COMMUNICATE IT AND ENCOURAGE IT AND PROMOTE IT. AND, AND I THINK THAT'S WHY THIS GIVES US AN OPPORTUNITY HERE TO REALLY, UH, UH, SORT OF START A NEW AND FRESH CAMPAIGN THAT GRABS PEOPLE'S ATTENTION. AGAIN, CERTAINLY THE NUMBERS ARE GETTING THEIR ATTENTION, WHICH WILL HELP, BUT I THINK WE ALL KNOW THAT WE'RE GONNA BE DEALING WITH THIS FOR A, FOR A LONG PERIOD OF TIME, MUCH MORE THAN JUST THE NEXT FEW WEEKS. AND I THINK WE'RE GONNA HAVE TO CONTINUE TO HAMMER THAT EVEN THOUGH YOU DON'T HAVE TO, UH, YOU, YOU MUST FOR THE SAKE OF, OF ALL OF US. AND THAT'S PROBABLY THE KEY, JEFF, RIGHT? TO, TO COMMUNICATE THAT, THAT THIS IS NOT OVER. AND, AND THERE'S A LOT OF FOLKS WHO FEEL LIKE, UM, BECAUSE OF THE SORT OF THE MIXED BAG OF COMMUNICATIONS FROM THE STATE, AND THEN WE'RE SAYING SOMETHING DIFFERENT THAT THERE, THERE'S JUST THIS FEELING LIKE IT, IT'S, IT'S OVER. AND, UH, PEOPLE CAN CAN, AND TO YOUR POINT, I MEAN, THERE'S CERTAINLY, THERE'S, THERE'S SOME WHO ARE JUST WILLFULLY UH, IGNORING, UH, COMMON SOME COMMON SENSE PRACTICES. BUT I THINK WE NEED TO DRIVE IT HOME THAT, UH, THIS, THIS IS FAR FROM OVER, UM, AND, UH, AND CERTAINLY WE'RE DEPENDING ON YOU TO MAKE SURE THAT PEOPLE FULLY UNDERSTAND, UH, THE, THE, THE UPTICK AND THE SERIOUSNESS OF, OF WHAT WE ARE, UH, RECOMMENDING, BECAUSE THAT'S ALL WE CAN DO. BUT THAT RECOMMENDATION IS NOT, UH, IT'S, IT'S NOT A, IT'S A SERIOUS RECOMMENDATION AND, AND IT'S ONE THAT COMES WITH CONSEQUENCES IF IT'S NOT FOLLOWED. CORRECT. SO, I, I COULDN'T AGREE. YEAH. SORRY. YEAH, I, I APOLOGIZE. A LITTLE BIT OF A DELAY. THIS IS DAWN AGAIN. UM, I ALSO JUST WANTED TO COMPLIMENT WHAT JEFF WAS INDICATING. AND TO ANSWER YOUR QUESTION AS WELL, WE DID TAKE SOME IMMEDIATE OUTREACH TO OUR BUSINESS COMMUNITY. UM, SO METROHEALTH WORKED WITH ECONOMIC DEVELOPMENT AND DID SOME SHARED MESSAGING OVER THE WEEKEND INTO YESTERDAY AS WELL. 24,500 CONTACTS WERE, UM, ENGAGED WITH THAT MESSAGE. WE BASICALLY PROMOTED OUR HEALTH DIRECTIVES THAT WE RELEASED LAST WEEK, BUT IT WAS WITH A BUSINESS PERSPECTIVE. UM, WE ALSO, UM, ENGAGED 108 PEOPLE WITHIN THE WORLD HERITAGE OFFICE, WHICH AS YOU KNOW, IS THE GASTRONOMY, UM, THE GASTRONOMY BUSINESSES AND OUR RESTAURANT. SO WE DEFINITELY HAVE DONE SOMETHING NOW AND THEN LOOKING TO JEFF TO HELP US HAMMER IT, YOU KNOW, HAMMER IT HOME, JUST AS YOU MENTIONED. THANK YOU. THANK YOU ALL FOR WHAT YOU'RE DOING, UH, THAT, THAT DEFINITELY, UH, DRIVES [01:50:01] HOME THE POINT. THANKS, CHAIR. THANK YOU. COUNCILMAN COUNCILWOMAN. ANDREW SULLIVAN. THANK YOU COUNCILWOMAN, AND THANK YOU CHAIR. I, I, I REALLY APPRECIATE IT. I WASN'T GIVING YOU THE EYE FOR THE FIVE MINUTES , BUT, UM, AS WE GO FORWARD, UH, JEFF, AND WE'RE LOOKING AT COMMUNICATIONS. ARE WE WORKING WITH ANY OF THE SMALL COMMUNITY NEWSPAPERS, UM, SUCH AS THE SA CURRENT, THE SA HARRAN? ARE WE WORKING WITH THEM TO PUT THAT INFORMATION OUT AS WELL? YES, UH, WE ARE, I DON'T HAVE IT RIGHT IN FRONT OF ME, BUT I BELIEVE WE'VE ALREADY PLACED, UH, ADVERTISEMENTS IN SOME OF THOSE TYPES OF PUBLICATIONS. BUT I THINK THE IDEA OF US HIRING A MARKETING FIRM TO SIT DOWN WITH US BRAND A CAMPAIGN AND PROPOSE A MIX OF MEDIA, WILL ALLOW US TO REALLY REFOCUS ON THOSE TYPES OF OUTLETS. AND, AND THE DATA THAT ZAN JUST WENT THROUGH IS A WEALTH OF DATA TO BE ABLE TO PUT IN FRONT OF A MARKETER AND SAY, HERE ARE THE PEOPLE IN THE AREAS WE NEED TO REACH, WHAT MIX OF MEDIA IS THE BEST BANG FOR OUR BUCK? AND, AND APPROACH IT THAT WAY. SO AS WE SPEAK ABOUT BUDGETS AND, AND BRINGING IN MARKETING FIRMS AND THINGS OF THAT NATURE, I, I BELIEVE THAT WE HAVE ENOUGH TALENT THAT CAN REALLY SPEAK TO, TO Z'S, UH, PRESENTATION AND HOW TO REACH OUT TO THOSE, THOSE, UH, AREAS OF MEDIA THAT WE NEED TO REACH OUT TO, UH, WITHIN THE PERSONNEL THAT WE HAVE HERE WITHIN THE CITY. UM, I, I THINK WE JUST NEED TO TAP INTO THE RESOURCES THAT WE HAVE RIGHT HERE AT OUR FINGERTIPS, THEN SEARCHING OUTSIDE OF OUR SOURCES. UM, THAT'S JUST MY, MY THOUGHT PROCESS. UM, AS WE ARE LOOKING AT THE DIFFERENT AREAS ARE WE HAVE, DO WE HAVE ANYONE THAT IS WORKING WITH THE NEXTDOOR APP TO SPEAK TO NEIGHBORHOOD ASSOCIATIONS AND THOSE RESIDENTS DIRECTLY? YES, ABSOLUTELY. WE HAVE A CITY OF SAN ANTONIO NEXT DOOR APP THAT HAS ACCESS INTO ALL THE NEIGHBORHOODS. UH, I AM SURE YOU KNOW HOW NEXTDOOR WORKS. IT'S NOT JUST OPEN TO EVERYONE. YOU'VE GOTTA BE WITHIN THAT NEIGHBORHOOD TO GET THAT. WE HAVE A CITYWIDE ONE THAT WILL REACH EVERYBODY. UH, AND, AND THAT HAS VERY MUCH BEEN A PART OF THE, A TACTICAL MIX OF THE COMMUNICATIONS THAT WE'VE BEEN PUSHING THROUGHOUT THIS. AND WE'LL CONTINUE TO, YES. OKAY. AND AS WE'RE TALKING ABOUT THE DISABLED, UM, AND THOSE THAT ARE GOING THROUGH DIFFERENT MEDICAL, UH, SITUATIONS, AND WE KNOW THAT WITHIN THE MARGINALIZED COMMUNITIES, A LOT OF THEM ARE GOING TO THE PHARMACY EVEN MORE OFTEN NOW, OR THEY HAVE, UH, MONTHLY REFILLS AND MONTHLY EQUIPMENT SUPPLIES AND DURABLE MEDICAL EQUIPMENT THAT THEY RECEIVE. ARE WE WORKING WITH ANY OF THE PHARMACIES OR DURABLE MEDICAL EQUIPMENT COMPANIES TO HAVE THAT INFORMATION EITHER PLACED IN THEIR PRESCRIPTIONS AS THEY RECEIVE 'EM, OR, UM, DELIVERED WITH THEIR MONTHLY SUPPLIES? UH, COUNCILMAN, I'LL HAVE TO CHECK, BUT I DON'T THINK WE HAVE TO THIS POINT, AND I THINK THAT'S A GREAT SUGGESTION, SOMETHING WE MIGHT LOOK INTO TO TRY TO ADD TO OUR MIX. UM, I'M NOT FAMILIAR WITH IT, IT DOESN'T MEAN THAT OUR, THAT OUR TEAM HASN'T DONE THAT OVERALL, BUT, UM, BUT I, I THINK THAT'S A GOOD SUGGESTION AND WE'LL WE'LL LOOK INTO IT. OKAY. THANKS JEFF. UM, ONE OF THE OTHER QUESTIONS I HAVE ABOUT, UH, THE HOTLINE, UM, I KNOW WE WERE TALKING ABOUT WHEN WE WERE DOING THE RESTAURANT PLACE CARDS, UM, WE WERE SPEAKING ABOUT PUTTING UP MAYBE IN THE RESTROOM ON THE BACK OF THE DOOR, LIKE THE HOTLINE NUMBER FOR THE DOMESTIC VIOLENCE. HAVE WE LOOKED AT PUTTING LIKE THE HOTLINE CARDS, UH, PLACERS WITHIN LIKE THE RIDE SHARE, UM, UBERS OR RESTAURANT, UM, FACILITIES TO WHERE THEY CAN PUT 'EM ON THE RESTROOM DOORS? I DON'T BELIEVE WE'VE DONE IT WITH RIDE SHARE. UH, BUT LET ME BACK UP AND SAY THE HOTLINE NUMBER IS IN EVERY BIT OF COMMUNICATION WE USE, THE HOTLINE AND THE WEBSITE ARE THE SORT OF STANDARDS. UM, I DON'T THINK WE'VE DONE IT IN RIDESHARE. WE HAVE SHARED THAT WITH RESTAURANTS AND SO FORTH. UM, UH, SO I, I, I DON'T BELIEVE SO. I DON'T BELIEVE WE HAVE, I, AND I THINK MOSTLY BECAUSE THROUGHOUT THE LAST FEW MONTHS, RIDESHARE WAS NOT ONE OF THE PLACES WHERE WE THOUGHT MOST PEOPLE WERE SPENDING THEIR TIME UNDER THE STAY HOME ORDERS. BUT MAYBE THAT'S CHANGING NOW. OKAY. I THINK THAT'S SOMETHING THAT WE MIGHT NEED TO GO BACK AND DOUBLE CHECK AS RESTRICTIONS HAVE STARTED TO BE LOOSE AND A LOT OF PEOPLE ARE NOW TAKING, UH, RIDESHARE TO GET BACK TO WORK. UM, AND THEN, UM, ONE LAST QUESTION BECAUSE I ONLY HAVE 30 SECONDS. UM, BUT WORKING WITH, UH, BA OR A A R P, UM, AS WELL TO TOUCH THAT POPULATION, UM, OF INDIVIDUALS, I THINK WILL BE GREAT, UM, TO, TO REACH MORE PEOPLE AS WELL, ESPECIALLY WITHIN OUR SENIOR COMMUNITY AND THOSE THAT ARE WITHIN THE, UM, THE VERY MINIMUM, UH, MARGINALIZED, UM, THAT DON'T HAVE EITHER [01:55:01] INSURANCE AND THEY'RE FOR QUESTIONS. AND, SORRY, WAS THERE A RESPONSE TO, TO YOUR QUESTION, COUNCILWOMAN? I, I'M, I'M SORRY. MY BAD. I'M, I'M JUST MAKING NOTES OF WHAT YOU SAID. UH, THOSE ARE GOOD SUGGESTIONS AND WE'LL, WE'LL LOOK INTO THEM. A A R P PHARMACIES RIDESHARE. I'M JOTTING THAT DOWN. I APOLOGIZE. OKAY. ALL RIGHT, GREAT. UM, COUNCILWOMAN GONZALEZ. UH, SO I GUESS, UH, UH, I MEAN, I, I AM GLAD TO HEAR THAT WE ARE GONNA, UM, USE AN OUTSIDE FIRM. UM, I, I GUESS MY ONLY CONCERN IS THAT HOW QUICKLY WE CAN TURN A PRODUCT AROUND AND LIKE GET IT OUT TO THE, UM, THE PUBLIC. UH, I DIDN'T SEE A TIMELINE THERE, JEFF. WHAT, WHAT'S THE, WHAT'S THE, I MEAN, 'CAUSE I IMAGINE IT HAS TO GO THROUGH AN R F P PROCESS AND THEN THE CONTENT HAS TO BE, UM, APPROVED. AND I MEAN, IT, I MEAN, I, I LOVE THE IDEA. I'M JUST AFRAID THAT IT WILL TAKE TOO LONG. WELL, I, I THINK YOU, YOU RAISED A VALID POINT. UM, UH, NUMBER ONE, LET ME JUST SAY THAT OUR COMMUNICATIONS ON ALL THESE FRONTS HAVEN'T STOPPED NOW. I MEAN, WE'RE PUSHING THINGS OUT AS WE SPEAK, USING OUR EXISTING MATERIALS AND SO FORTH. I APPRECIATE COUNCILMAN ANDREWS SULLIVAN CONFIDENCE IN OUR TEAM. I THINK THEY'RE EXCELLENT. ALSO, UH, WE'VE ALSO GOT A WHOLE LOT OF THINGS GOING ON AT THE CITY RIGHT NOW BETWEEN, UM, POLICING REFORM ISSUES AND BUDGET AND MANY OTHER THINGS. AND I THINK THERE MAY BE SOME BENEFIT IN BRINGING OUTSIDE PROFESSIONALS IN THE SOLELY ON THAT. UH, COUNCILWOMAN, UH, I BELIEVE TECHNICALLY, UH, A FULL R F P PROCESS IS NOT REQUIRED PER SE BECAUSE OF THE EMERGENCY STATUS THAT WE REMAIN IN. UH, AND I WOULD RECOMMEND SOME ABBREVIATED VERSION TO BE ABLE TO GET INTO MARKET FASTER THAN WE MIGHT NORMALLY OTHERWISE. THAT SAID, WE, WE WOULD WANT TO HAVE SOME PROCESS AROUND THIS AND GIVE FIRMS AN OPPORTUNITY TO PROPOSE, UH, YOU KNOW, MAKE PROPOSALS TO US. SO I HAVEN'T DEVELOPED OUT A TIMELINE YET. THIS WAS OUR, OUR FIRST, YOU KNOW, PRESENTATION OF THIS TO YOU HERE WANTING YOUR FEEDBACK. AND, UM, YOU KNOW, WE, WE CAN GO IN WHICHEVER DIRECTION WE NEED TO, BUT YOU'RE RIGHT THERE. IT WILL TAKE, IT WILL TAKE SOME TIME. AND WE'RE DEALING WITH AN IMMEDIATE ISSUE RIGHT NOW, . WELL, AND SO THAT'S MY ONLY, I MEAN, LIKE, YOU KNOW, THAT THERE IS SOME URGENCY AND, UM, YOU KNOW, TO APPROVE CONTENT AND ALL THAT STUFF. WILL IT COME BACK TO THIS COMMITTEE OR YOU GUYS ARE JUST GONNA MAKE A DECISION AND MOVE ON? OR WHAT, WHAT ARE, UM, YOU KNOW, I, I KNOW THAT MOST OF US ARE, OR AT LEAST, YOU KNOW, UM, FROM THOSE WE'VE HEARD SO FAR, ARE SUPPORTIVE OF THE IDEA OF AN OUTSIDE FIRM. SO WHAT, I MEAN, HOW IS THIS, IT GONNA COME BACK TO THE COMMITTEE? DOES IT GO STRAIGHT TO A SESSION OR ARE YOU GUYS JUST GONNA GET IT OUT? DR. BRIDGER, DO YOU WANNA TRY TO ANSWER THAT? I'M NOT SURE I'VE FULLY CONTEMPLATED THE PROCESS. SURE. I I THINK THAT, UM, IF MEMBERS OF THIS COMMITTEE WOULD LIKE TO REVIEW IT, WE WOULD BE HAPPY TO SHARE IT WITH YOU. UM, NOT NECESSARILY IN A COMMITTEE FORMAT, BECAUSE I THINK THAT WOULD SLOW THINGS DOWN. UM, BUT WE'RE HAPPY TO COME VISIT WITH YOU ONE-ON-ONE, SHARE THE INFORMATION, GET YOUR FEEDBACK, UM, AND THEN THE CONTENT DOES NOT NEED TO BE APPROVED BY COUNCIL, JUST THE CONTRACT FOR THE PAYMENT. UM, SO THAT IS WHAT WOULD GO BEFORE COUNCIL. SO, UM, WE CAN COME UP WITH A BIT OF A HYBRID. IF IT'S SOMETHING, UM, THAT YOU'D LIKE TO WEIGH IN ON, LET US KNOW AND WE'LL COME SIT WITH YOU AND GET YOUR FEEDBACK. UH, WELL, UM, YOU KNOW, MY, I I DON'T NECESSARILY WANNA WEIGH IN ON THE CONTENT, I JUST WANNA MAKE SURE, I MEAN, THIS WHOLE PRESENTATION, YOU KNOW, HAS BEEN TARGETING, UM, YOU KNOW, VULNERABLE COMMUNITIES, AND YET, LIKE, I DON'T REALLY, I NEVER SEE THAT, UM, ACTUALLY IN, IN, UM, PRACTICE. SO, UM, I MEAN, WE, WE DID SEE THE PEOPLE COME BY EARLY ON, BUT NOW THAT I THINK ABOUT IT, IT WAS IN THE VERY BEGINNING OF THIS FOR THIS PANDEMIC, UM, WHEN THE COMMUNITY HEALTH WORKERS CAME AROUND, UM, WHICH, YOU KNOW, I HATE TO SAY IN THE BEGINNING, MAYBE IT'S BEEN THREE WEEKS. I MEAN, IT'S HARD TO TIME IS LIKE, UM, I DON'T, LIKE WE, WE NEVER KNOW WHAT DAY IT'S BEEN. BUT, BUT, UM, I GUESS THAT THAT'S REALLY MY, MY CONCERN IS THAT AS YOU KNOW, WE'RE GETTING IT OUT, YOU KNOW, THAT THE FIRM THAT YOU USE IS ALSO A FIRM THAT IS EITHER BLACK OR LATINO. UM, [02:00:01] AND THAT, YOU KNOW, WE ARE TAKING THOSE OTHER THINGS INTO CONSIDERATION AS WE ARE, UM, THIS, UH, SIGNING CONTRACTS. UM, SO I, I KNOW, I MEAN, I, I, WE ALL KNOW THAT THE DATA IS SO IMPORTANT, BUT AT THE SAME TIME, I JUST AM ALSO NOT SEEING THAT OUT ON THE GROUND. SO I WOULD JUST ASK THAT, UM, IT, IT, YOU KNOW, WHETHER IT COME BACK TO THE COMMITTEE OR, UM, THAT THE COMPANY THAT YOU USE IS VERY FAMILIAR WITH THE COMMUNITIES. WE, WE HAD SOME DISCUSSION SORT OF EARLY ON ABOUT, UM, MESSAGING, UH, BECAUSE, YOU KNOW, THAT WAS ALSO VERY IMPORTANT IS THAT PEOPLE WERE SORT OF LEAVING THEIR ELDERLY FAMILY MEMBERS ALONE BECAUSE THERE WAS MESSAGING THAT, THAT THE ELDERLY OR ARE VULNERABLE AND THEREFORE SHOULDN'T BE CONTACTED. AND I THINK THAT WAS NOT REALLY WHAT WAS INTENDED, BUT THAT WAS WHAT PEOPLE UNDERSTOOD. SO NOW THAT, YOU KNOW, CLEARLY PEOPLE ARE SOCIALIZING AGAIN, UM, AND YOU KNOW, THE RATE OF INFECTION IS GOING UP SO THAT IT'D BE TARGETED IN SOME WAY TOWARDS YOUNGER PEOPLE BECAUSE THAT'S WHO SEEMS TO BE OUT AND ABOUT, OR YOUNGER PEOPLE. UM, AND ALSO THAT THE MESSAGE IS VERY SPECIFIC TO, UM, TO, I THINK DIFFERENT MARKETS. SO, UM, I'LL JUST LEAVE IT AT THAT. UH, THANK YOU COUNCILWOMAN, UH, COUNCILWOMAN CDA. THANK YOU. UH, UM, MADAM CHAIR, MY QUESTION IS SIMILAR COUNCIL, EXCEPT WITH THE SLIGHT NUANCE ABOUT, UM, THE INFORMATION THAT'S OUT THERE. NOT, NOT THAT WE ARE GIVING AS A CITY, BUT THERE'S, THERE'S OTHER SOURCES OF INFORMATION THAT PEOPLE ARE GETTING NOT NECESSARILY, UM, FROM A PROFESSIONAL THAT ARE SAYING THINGS LIKE, FOR EXAMPLE, THAT MASKS OR MASKS ARE NOT HELPFUL TO, TO PREVENT SPREAD. SO I'M WONDERING IF, UH, I KNOW WE'RE TELLING PEOPLE, WASH YOUR HANDS, UH, DON'T TOUCH YOUR FACE, WEAR YOUR MASK. BUT MAYBE JUST A LITTLE BIT MORE INFORMATION SOMETIMES ABOUT WHY THESE THINGS ARE, ARE IMPORTANT AND HOW THEY WORK. BECAUSE PEOPLE I KNOW ARE READING OTHER OPINIONS ABOUT THIS AND THEN SAYING, WELL, WHY SHOULD I WEAR A MASK? IT DOESN'T DO ANYTHING. YOU KNOW? SO I THINK THAT'S, THAT'S PART OF MAYBE THE PROBLEM. I WONDER IF WE CAN ADD JUST A LITTLE BIT MORE INFORMATION ABOUT HOW THESE THINGS ARE HELPFUL. YEAH, MAYBE SOME SCIENCE BEHIND THE, UM, THE USE OF MASKS AND, YOU KNOW, PERCENTAGES OF, UH, OF THE IMPACT, THAT SORT OF THING. IS THAT WHAT YOU MEAN? I'M SORRY. ABSOLUTELY. THERE. I THINK WE'RE COMBATING JUST SOME MISINFORMATION THAT'S, THAT'S GOING OUT ON THINGS LIKE SOCIAL MEDIA AND, AND OTHER PLACES. BUT, UM, PEOPLE HAVE TO MAKE THEIR OWN CHOICES, OF COURSE, RIGHT? BUT IF WE CAN JUST GIVE THEM A LITTLE BIT MORE INFORMATION TO HELP THEM OUT, I THINK THAT WOULD BE HELPFUL. OKAY, GREAT. AND THAT'S ALL. THANK YOU. UH, THANK YOU COUNCILWOMAN. UH, I KNOW COUNCILWOMAN ANDREW SULLIVAN HAD A FOLLOW UP QUESTION, SO I'M GONNA GIVE HER YOUR REMAINING TIME IF THAT'S, THANK YOU, MADAM CHAIR. I JUST HAVE ONE QUESTION FOR, FOR ZEN. WHEN IT COMES TO THE, UM, LANGUAGES, I JUST WANTED TO KNOW, ARE THOSE LANGUAGES BASED ON PRIMARY LANGUAGE OR SECONDARY LANGUAGE? UM, AND THEN WHEN IT COMES TO THE OTHER LANGUAGES, IF WE COULD JUST GET A FOLLOW UP ON EXACTLY WHAT THOSE, THOSE LANGUAGES, UM, WITHIN THE OTHER CATEGORY FALLS UNDER. THANK YOU MADAM CHAIR. MM-HMM. . YEAH, THAT'S A PHENOMENAL QUESTION. UH, COUNCILWOMAN, WE STRUGGLED WITH THE DATA BECAUSE THE CENSUS DATA, THAT'S HOW IT'S DISPLAYED. SO WE HAD TO DO FURTHER DIGGING WITHIN OTHER SOURCES TO FIGURE OUT WHAT THE LANGUAGES ARE. SO UN UNFORTUNATELY, THE CENSUS DATA DOES HAVE A REALLY HIGH MARGIN OF ERROR AS IT RELATES TO LANGUAGES. BUT WHAT THE QUESTION IS ON THE CENSUS FOR THE DATA THAT WE'RE USING, WHICH IS THE MOST RECENT DATA, IT WAS JUST UPDATED BY I T S D, IS, UM, THE LANGUAGE SPOKEN AT HOME WHEN ENGLISH IS NOT YOUR PRIMARY LANGUAGE. SO IT'S NOT SO MUCH THEIR SECOND LANGUAGE, IT'S LITERALLY MORE TARGETING LIMITED ENGLISH PROFICIENCY SPEAKERS. SO IT'S NOT THE NUMBER OF BILINGUAL SPEAKERS, IT'S THE NUMBER OF SPEAKERS WHO THEY RELY ON THAT PARTICULAR LANGUAGE TO COMMUNICATE. SO THAT IS A LITTLE BIT MORE HELPFUL FROM AN OUTREACH PERSPECTIVE. 'CAUSE THE SPANISH NUMBER, FOR EXAMPLE, IS NOT INDICATING BILINGUAL ENGLISH AND SPANISH, BUT REALLY THOSE WHO ARE DEPENDENT UPON THE SPANISH LANGUAGE MATERIALS TO BE, TO HAVE BASIC COMPREHENSION. UM, THE ASIAN LANGUAGES IS INDICATED BY THE CENSUS ARE ALMOST EXCLUSIVELY VIETNAMESE AND MANDARIN CHINESE. SO [02:05:01] WHEN YOU SEE THE CENSUS DATA, SAY ASIAN, THOSE ARE THE TOP TWO IN SAN ANTONIO. AND THEN THE EUROPEAN SIMILARLY, UH, GERMAN WAS THE HIGHEST AND THEN ARABIC WITH PRETTY HIGH. AND THAT IS PROBABLY CAPTURED IN THE OTHER CATEGORY. UM, BUT THOSE ARE THE ONES THAT WE WOULD ALWAYS WANNA SORT OF STAY, UH, ON TOP OF IT WOULD BE THE, THE MANDARIN, CHINESE, VIETNAMESE, GERMAN, ARABIC, AND SPANISH. SO THOSE WOULD BE THE, THE TOP FIVE AS WELL AS ENGLISH. THANK YOU, MADAM CHAIR. THANK YOU VERY MUCH EVERYBODY FOR, FOR YOUR PATIENCE AND FOR YOUR INTEREST IN, UH, IN THESE TOPICS. I THINK THIS IS A, A WHOLE LOT OF CONTENT AND, UM, THERE'S A LOT OF RESPONSIBILITY, UH, ON THE COMMITTEE IN TERMS OF, UM, YOU KNOW, MAKING, MAKING SURE THAT WE, UM, WE'RE TRUE TO THE SPIRIT OF EQUITY IN WHAT WE ADOPTED WITH, WITH THE CARES FUNDING. UM, MY OFFICE WILL BE REACHING OUT TO YOU FOR OUR NEXT COMMITTEE MEETING. UM, I JUST WANTED TO, TO REMIND YOU THAT, UM, IN THE TOPICS WE WILL HEAR IN THE FUTURE INCLUDE OF COURSE, UM, CONTINUED UPDATES ON THE IMPLEMENTATION PLAN FOR HEALTH. UM, WE WILL ALSO BE, UH, GOING BACK TO PUBLIC PARTICIPATION. I KNOW JEFF IS, IS WORKING ON SOMETHING AND, UH, WE HAD HOPED TO HAVE SOMETHING READY TODAY, BUT WE'RE NOT QUITE THERE YET. SO, UH, WE'LL BE BRINGING THAT BACK, UH, IN TERMS OF HOW DO WE, HOW DO WE CONDUCT PUBLIC PARTICIPATION, UH, DURING C OVID 19, AND WHAT ARE THE EXPECTATIONS OF OUR DEPARTMENT, UM, IN TERMS OF PUBLIC PARTICIPATION. AND THEN LASTLY, UM, THE MAYOR ISSUED, UH, A MEMO, UH, REGARDING, UH, POLICE REFORM, AS YOU KNOW, UH, UH, PUBLIC SAFETY, UH, PRIORITIES. AND THIS COMMITTEE HAS BEEN CHARGED WITH, UH, EVALUATING BEST POLICING PRACTICES TO HELP PROMOTE RACE AND GENDER EQUITY IN OUR COMMUNITY AND TO REVIEW MENTAL HEALTH DEESCALATION MEASURES. SO WE WILL BE TAKING THAT UP, UH, AS WELL. SO, UM, I DON'T BELIEVE WE WILL ONLY BE, UH, THAT WE HAVE THE LUXURY OF ONLY MEETING ONCE A MONTH IN THE TIME BEING. UH, SO PLEASE, UH, BE ON THE LOOKOUT FOR ANOTHER, UH, CALENDAR INVITE OR CALENDAR, UH, QUERY. SO, UH, WITH THAT, I WANNA THANK THE STAFF FOR YOUR PHENOMENAL PRESENTATIONS. UH, Z THANK YOU FOR JOINING US. JEFF, THANK YOU VERY MUCH FOR, FOR ALL OF YOUR WORK AND, AND THE HEALTH DEPARTMENT AS WELL. THANK YOU COUNCIL MEMBERS. THE MEETING IS ADJOURNED. * 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.