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So I'm I'm usually here taking a lot of

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you guys time with listening session,

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right?

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>> Yeah. But

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>> I feel like the ramp up's going to

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happen.

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» Um there's going to be new reporting

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requirements they're going to talk about

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that also impacts me. So it's

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>> it's all kind of mesh

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like

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>> I just posted to the

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Well, the data notebook just came out

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and it's on foster care and behavioral

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health and so

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>> so just listen to the cow presentation

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on that and all that

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work.

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>> Yes, we have to implement by July 1, but

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we don't really know what we have to

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implement. I love it when they do that.

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>> Yeah. Yeah.

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>> There's a lot of that going around like oh we know we need to be doing

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stuff. We just don't know how to do it

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yet.

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>> Yeah. They have

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>> Exactly.

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» Be in that space,

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» right?

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>> You're not going to enjoy yourself.

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>> They don't know how good you got it.

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>> My kids have wrapped it up to

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awful kids.

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You hold me sing. You're the crowd.

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I'm sure

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she

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was waiting on her and

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I just

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could figure out how to do that would be

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Madison

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has to leave an hour. I don't know.

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Michael has to

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I know they're both loving it

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complaining a little bit about that.

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And I think what it is

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with

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their own

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looking forward to next

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Last

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week of July

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15.

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Okay.

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» July.

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>> It's crazy.

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» Flash.

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>> Yeah.

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when I was

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» it's interesting you know here like with

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that kind of love we should buy

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[laughter]

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all Sorry. Emmy said she's going to be a

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few minutes late, but she will. She is

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coming. She knows how stressed I get if

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I don't know that she's going to be

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sitting.

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The day that I'm not stressed before

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this meeting, it's the day before the

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day I quit.

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I'm out.

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It's the compass dashboard. It's online.

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>> Yeah.

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» Okay. Let's

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see.

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learning

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[laughter]

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hydrated. Stay hydrated. Stay hydrated.

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since house cool

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there

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and take a to where they're training

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it right down here on the bank.

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» It's right next door. They have that

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twotory building.

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>> Yeah.

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Room.

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>> Very nice.

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>> Boats there.

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>> No, no. No, they just

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>> Yeah, what they did yesterday was they

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did.

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» I've been with the five years.

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>> We have kayaks in there.

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Well, thank you.

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Exactly.

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» River

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season.

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>> I feel like it's one of those

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» and you'll alcohol day. We'll take

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three.

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are there.

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» You guys find it challenging sometimes.

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» Exactly.

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that

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I don't think

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>> anyways

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I was some of them more than

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you were in an

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of

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a great example of clients.

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We were shuttling my uncle, my mom,

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come back.

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» Oh my god. Yeah.

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I think they tried to take that name

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somewhere else.

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» I I remember

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but then there's the other like

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>> exactly

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>> around the ocean.

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>> So great. We were just talking about

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no matter what

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» different

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very very one

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We like to grow each

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» I was in the way

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but I was

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» going straight down.

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It's a part

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very

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shocked

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family or a family friend or a neighbor.

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» Okay.

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already.

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>> Well, it sounds like

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» crazy.

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This is a huge lesson.

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grateful to have learned. But I mean I

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originally from

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>> I have to take care of I thought about

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I've got like stairs going up to my

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house

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>> just like

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» I

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originally

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I'm from

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living in the area.

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» We might

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just

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absolutely

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How are you?

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>> How you doing?

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rings back

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» she was like what she said this year.

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So, it's so funny having

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all these

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women

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like way back in the day. I go yes,

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but I was like, "No, you're all good.

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short. Is there anyone sitting next to

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you?

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» Just have you

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come back in a while.

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» Whenever I can, I definitely try. I have

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to go back.

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» I know. I was like

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» also

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makes you question the US

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>> today.

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>> Yeah. that has always been a lot

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» very

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literally half an hour on my

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» Yes.

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and talked about that's happens

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me right back.

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We're having a conversation about this

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because like Yeah, we'll talk. I mean,

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» how are you

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doing? All right.

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It was funny because I saw you come in

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and it didn't phase me like you go here

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and then he says, "Oh, Jerseyy's here."

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And I'm like, "Oh, no. Jeremy's here."

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[laughter]

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» It's cold.

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>> I like that it's cold.

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Usually I

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>> my office was so

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home I had like two going home.

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>> Yeah. My office of the VH

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in what used to be an exam room. No

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windows.

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I have to have the door open, put the

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fan on just my office at general the

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general hospital building

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and

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it was all

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>> Yeah, I think was it used to be a

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Safeway

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and our offices are back where

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>> I think the refrigerator

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» and

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Who's doing what?

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» That's

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just Never mind.

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How many

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of you

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» heard from

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that?

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It's not very burdens.

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like I walked surgery.

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» Just take a step out of the way.

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All right, everyone.

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>> 12:15.

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Before we begin, let us take a moment to

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recognize and appreciate the time,

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expertise, and commitment each of us

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brings to this symp.

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As we gather today, let us be

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intentional in showing up as

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traumainformed, compassionate partners

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grounded in empathy, respect, and

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collaboration as we work together to

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strengthen behavioral health outcomes in

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our community. With that, calling the

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meeting to order at 12:15. Welcome to

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the monthly behavioral health board

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meeting. We are the advisory to the

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board of supervisors. We hold this

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meeting on the 4th Thursday of each

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month and it runs from 12:15 till 2:15.

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We meet in person at 507 F Street in

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Eureka. This is a public meeting and

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everyone is invited to attend. Members

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of the public may participate remotely.

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The minutes and the agenda can be found

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00:19:53,120 --> 00:19:54,640
by searching Humble County Behavioral

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Health Board online. We provide time for

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public comments early on the agenda.

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Public comments are limited to three

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00:20:02,160 --> 00:20:03,919
minutes and pertain to matters related

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to behavioral health. We ask you to make

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your comment in a respectful manner.

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Please note this meeting is being

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00:20:10,160 --> 00:20:12,720
recorded and please contact myself or

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00:20:12,720 --> 00:20:14,000
any of the behavioral health board

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00:20:14,000 --> 00:20:15,600
members if you have questions about our

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work as a board. With that, will you

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take the role? Sure.

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Sean Burger here.

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» Montana

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>> present.

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>> Royal

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Johnson

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>> here.

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Peter

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Joshua

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here.

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Okay. Are there any adjustments to the

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agenda?

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Now is time for public comments. If

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00:21:11,840 --> 00:21:14,240
anyone has a public comment, we'll start

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00:21:14,240 --> 00:21:16,960
within the room.

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Any have a public comment in the room

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00:21:22,000 --> 00:21:29,699
online?

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00:21:29,709 --> 00:21:31,990
[laughter]

264
00:21:32,000 --> 00:21:34,960
» Oh, there's no public comments.

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00:21:34,960 --> 00:21:37,120
>> Well, let's go to introduction of

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00:21:37,120 --> 00:21:39,534
Stephan.

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00:21:39,534 --> 00:21:41,909
[laughter]

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» We will start with you now.

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00:21:44,159 --> 00:21:46,159
>> Hi, good afternoon. Emmy Bachelor

270
00:21:46,159 --> 00:21:47,919
Rogers. I'm the behal health director.

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Nice to see you all.

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00:21:52,400 --> 00:21:58,000
» I'm Alex Olivera, BHSA and QI um

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program manager Q.

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>> Scott

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Miller, social worker for Bar Ryan.

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» Laurel Johnson.

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Amy Scott manager for Cher Youth

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>> Jeremy Nelson deputy director for

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children's behavior health

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program manager for PHFA

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Morgan County dependent living

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go online.

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>> Good afternoon. My name is Edward

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Jidome. I'm a QI analyst.

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00:22:38,559 --> 00:22:40,559
Hi, I'm Nancy Stark. I'm the legislative

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and policy manager for DHS.

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00:22:48,000 --> 00:22:50,240
» Hello, I'm Saul Lopez. I'm a site

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00:22:50,240 --> 00:22:57,990
director with Nation's Finest

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» and and we can do guests as well. You're

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00:23:00,320 --> 00:23:03,600
a guest online and you want to introduce

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00:23:03,600 --> 00:23:09,510
yourself and we'll come back.

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00:23:09,520 --> 00:23:13,280
Melissa chatted something that I cannot

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see.

294
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That too.

295
00:23:16,400 --> 00:23:19,039
>> Hi everyone. I was Melissa Nelson here,

296
00:23:19,039 --> 00:23:21,520
patient navigator at Aegis Eureka and

297
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now Crescent City as well.

298
00:23:24,480 --> 00:23:29,590
>> Thank you.

299
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» And back to the room if there's any

300
00:23:31,280 --> 00:23:32,400
guests that would like to introduce

301
00:23:32,400 --> 00:23:33,679
themselves.

302
00:23:33,679 --> 00:23:35,280
>> My name is Austin Barnett. the director

303
00:23:35,280 --> 00:23:37,120
of operations and IT for Patrick's

304
00:23:37,120 --> 00:23:40,470
Foundation.

305
00:23:40,480 --> 00:23:42,720
» Anyone else?

306
00:23:42,720 --> 00:23:45,039
>> Was I was a guest. I just kind of came

307
00:23:45,039 --> 00:23:45,520
to line there.

308
00:23:45,520 --> 00:23:46,320
>> No, you're good.

309
00:23:46,320 --> 00:23:48,720
>> All right.

310
00:23:48,720 --> 00:23:51,679
Thank you, Sean Burgerer.

311
00:23:51,679 --> 00:23:53,840
That's why you're the second VP. I'm

312
00:23:53,840 --> 00:23:57,360
fine. Uh,

313
00:23:57,360 --> 00:24:00,000
so we do not have a quorum. So, I'm

314
00:24:00,000 --> 00:24:03,440
going to say we're gonna uh Josh Ros is

315
00:24:03,440 --> 00:24:07,840
on today. of we will perhaps of well we

316
00:24:07,840 --> 00:24:09,840
still won't have that so we will put

317
00:24:09,840 --> 00:24:13,200
these minutes off to September meeting

318
00:24:13,200 --> 00:24:15,440
um just a reminder we have no meetings

319
00:24:15,440 --> 00:24:17,600
in August

320
00:24:17,600 --> 00:24:19,600
dark in August so we'll be back in

321
00:24:19,600 --> 00:24:22,400
September

322
00:24:22,400 --> 00:24:24,960
wow and here we are the highlight of our

323
00:24:24,960 --> 00:24:28,159
day our QI presentation I'm super

324
00:24:28,159 --> 00:24:30,000
excited

325
00:24:30,000 --> 00:24:34,000
>> take it away all right good afternoon Um

326
00:24:34,000 --> 00:24:35,919
the quality improvement unit today will

327
00:24:35,919 --> 00:24:38,240
be presenting to you on some of the high

328
00:24:38,240 --> 00:24:40,080
level changes that have been implemented

329
00:24:40,080 --> 00:24:41,520
by the state through the department of

330
00:24:41,520 --> 00:24:43,840
healthcare services. These changes

331
00:24:43,840 --> 00:24:45,840
impact counties due to the number of

332
00:24:45,840 --> 00:24:47,120
steps that are involved in these

333
00:24:47,120 --> 00:24:49,520
initiatives. The fund the staff time

334
00:24:49,520 --> 00:24:51,840
that is necessary to meet requirements.

335
00:24:51,840 --> 00:24:53,520
All of these initiatives have added to

336
00:24:53,520 --> 00:24:56,159
our daily tasks. Not only us but our

337
00:24:56,159 --> 00:24:58,400
other our the other staff that have to

338
00:24:58,400 --> 00:25:00,720
deliver services and nothing is being

339
00:25:00,720 --> 00:25:02,240
removed from our requirements

340
00:25:02,240 --> 00:25:04,880
responsibilities. and we will um

341
00:25:04,880 --> 00:25:06,720
hopefully you guys can hold questions to

342
00:25:06,720 --> 00:25:08,159
the end so we can get through the

343
00:25:08,159 --> 00:25:11,279
content and open it up for questions. So

344
00:25:11,279 --> 00:25:14,000
next slide please. [clears throat]

345
00:25:14,000 --> 00:25:17,760
So our unit is comprised of myself and

346
00:25:17,760 --> 00:25:19,760
um several others but what we're going

347
00:25:19,760 --> 00:25:21,840
to do right now is give it yourself give

348
00:25:21,840 --> 00:25:23,440
you um a little bit more of an

349
00:25:23,440 --> 00:25:24,880
introduction than what we've already

350
00:25:24,880 --> 00:25:28,000
done. So I'm Amy Conn again and I'm the

351
00:25:28,000 --> 00:25:30,080
quality improvement program manager and

352
00:25:30,080 --> 00:25:32,640
I'm also the interim quality improvement

353
00:25:32,640 --> 00:25:35,120
coordinator since that is a vacancy. I

354
00:25:35,120 --> 00:25:38,240
oversee all the QI activities. I do have

355
00:25:38,240 --> 00:25:41,520
26 of 26 years of experience with the

356
00:25:41,520 --> 00:25:43,600
department of health and human services.

357
00:25:43,600 --> 00:25:45,679
I've had about four years specifically

358
00:25:45,679 --> 00:25:47,039
with behavioral health two as an

359
00:25:47,039 --> 00:25:49,440
interimm deputy director of the

360
00:25:49,440 --> 00:25:51,120
performance management unit and then I

361
00:25:51,120 --> 00:25:52,640
have currently two years in its

362
00:25:52,640 --> 00:25:55,679
position. So previously most of my

363
00:25:55,679 --> 00:25:57,279
experience was with um quality

364
00:25:57,279 --> 00:25:59,440
management services doing quality

365
00:25:59,440 --> 00:26:02,320
assurance. I was the BHS compliance and

366
00:26:02,320 --> 00:26:03,520
quality assurance administrator and

367
00:26:03,520 --> 00:26:06,400
privacy officer for about 14 years. With

368
00:26:06,400 --> 00:26:08,720
that I'll hand it over to Alex.

369
00:26:08,720 --> 00:26:10,559
>> Hello. My name is Alex Olivera. I'm a

370
00:26:10,559 --> 00:26:13,600
BHSA and QI admin analyst. Been with the

371
00:26:13,600 --> 00:26:17,039
county now for six plus years. Um for my

372
00:26:17,039 --> 00:26:19,440
QI focus uh those things include uh

373
00:26:19,440 --> 00:26:20,880
reliance training and compliance

374
00:26:20,880 --> 00:26:22,799
monitoring, client satisfaction

375
00:26:22,799 --> 00:26:25,200
monitoring, grievance and appeals, uh

376
00:26:25,200 --> 00:26:27,039
data monitoring and reporting, cultural

377
00:26:27,039 --> 00:26:28,960
responsiveness monitoring, contracts and

378
00:26:28,960 --> 00:26:30,320
special projects. With that, I'll pass

379
00:26:30,320 --> 00:26:31,360
it over to Scott.

380
00:26:31,360 --> 00:26:34,320
>> I'm Scott Barry. I'm a UI analyst too

381
00:26:34,320 --> 00:26:37,039
that I've been here at UI for over two

382
00:26:37,039 --> 00:26:40,559
years and I focus on timely access

383
00:26:40,559 --> 00:26:43,279
providing the provider list and doing

384
00:26:43,279 --> 00:26:47,039
other reports that track our components.

385
00:26:47,039 --> 00:26:48,640
>> Then Edward is online. Edward, do you

386
00:26:48,640 --> 00:26:51,039
want to give your little introduction?

387
00:26:51,039 --> 00:26:52,960
>> Absolutely. Thank you. Good afternoon.

388
00:26:52,960 --> 00:26:55,360
My name is Edward Dome. I'm a QI analyst

389
00:26:55,360 --> 00:26:58,080
with a focus on or provider relations

390
00:26:58,080 --> 00:27:01,039
and also doing the um uh county network

391
00:27:01,039 --> 00:27:04,159
adequacy. So all of the 274 um which is

392
00:27:04,159 --> 00:27:07,520
how DHTS refers to it um uh how they

393
00:27:07,520 --> 00:27:10,640
determine our network adequacy.

394
00:27:10,640 --> 00:27:13,440
>> All right, next slide please.

395
00:27:13,440 --> 00:27:16,080
>> So as we know um there's a lot of

396
00:27:16,080 --> 00:27:20,080
acronyms and things terms that the state

397
00:27:20,080 --> 00:27:22,320
and government uses. So here's just a

398
00:27:22,320 --> 00:27:24,559
snippet of some of the highle ones you

399
00:27:24,559 --> 00:27:27,200
may hear today. Um if you're accessing

400
00:27:27,200 --> 00:27:29,840
this um presentation online, there are

401
00:27:29,840 --> 00:27:33,039
links within it. um many of our um

402
00:27:33,039 --> 00:27:35,120
PowerPoint slides, we're not reading the

403
00:27:35,120 --> 00:27:37,200
slide. It's mostly there for information

404
00:27:37,200 --> 00:27:40,640
for you um to reference. With that, next

405
00:27:40,640 --> 00:27:43,279
slide.

406
00:27:43,279 --> 00:27:45,279
So, now I'm going to go over just an

407
00:27:45,279 --> 00:27:47,520
overview of UI itself. Many of you may

408
00:27:47,520 --> 00:27:49,200
have already interacted with quality

409
00:27:49,200 --> 00:27:51,679
improvement, the quality improvement

410
00:27:51,679 --> 00:27:53,760
supports all of the behavioral health by

411
00:27:53,760 --> 00:27:55,760
helping to deliver effective, safe, and

412
00:27:55,760 --> 00:27:57,919
client- centered services. Our focus is

413
00:27:57,919 --> 00:28:00,000
on improving care and outcomes across

414
00:28:00,000 --> 00:28:02,399
the whole system. So what we do is we

415
00:28:02,399 --> 00:28:05,679
review data uh client feedback

416
00:28:05,679 --> 00:28:07,760
compliance standards and then to

417
00:28:07,760 --> 00:28:09,760
understand how services are working

418
00:28:09,760 --> 00:28:12,159
through identifies areas where we can be

419
00:28:12,159 --> 00:28:14,240
strengthened and support teams and

420
00:28:14,240 --> 00:28:16,159
making changes using simple structured

421
00:28:16,159 --> 00:28:19,440
me methods like PDSA plan do study act I

422
00:28:19,440 --> 00:28:21,120
don't know if you're familiar with those

423
00:28:21,120 --> 00:28:24,799
methods um of looking at a system trying

424
00:28:24,799 --> 00:28:27,679
things if they don't work going back and

425
00:28:27,679 --> 00:28:29,919
you know engaging with new systems and

426
00:28:29,919 --> 00:28:31,679
seeing if those work and presenting on

427
00:28:31,679 --> 00:28:34,080
those outcomes. So we also have

428
00:28:34,080 --> 00:28:36,880
regulatory and compliance that we um are

429
00:28:36,880 --> 00:28:38,880
doing which is Qi helping the county

430
00:28:38,880 --> 00:28:41,039
meet state federal requirements and

431
00:28:41,039 --> 00:28:42,320
managing required performance

432
00:28:42,320 --> 00:28:44,399
improvement projects. We also help

433
00:28:44,399 --> 00:28:48,000
maintain our quy plan which is on the

434
00:28:48,000 --> 00:28:52,559
acronym as the at least miss the quality

435
00:28:52,559 --> 00:28:54,799
assessment and performance improvement

436
00:28:54,799 --> 00:28:56,480
plan.

437
00:28:56,480 --> 00:28:58,559
So uh we do that we also do data

438
00:28:58,559 --> 00:29:00,799
reporting. So we analyze trends in

439
00:29:00,799 --> 00:29:02,960
access, timeliness, service use,

440
00:29:02,960 --> 00:29:06,240
disparities, complaints and outcomes and

441
00:29:06,240 --> 00:29:07,840
whole slew of other things but those are

442
00:29:07,840 --> 00:29:10,399
more the regulatory ones. We share this

443
00:29:10,399 --> 00:29:13,440
information with leadership programs and

444
00:29:13,440 --> 00:29:15,679
boards so decisions can be data

445
00:29:15,679 --> 00:29:19,039
informed. We support we are support for

446
00:29:19,039 --> 00:29:20,880
staff and programs. We work with teams

447
00:29:20,880 --> 00:29:23,039
to improve workflows, reduce

448
00:29:23,039 --> 00:29:25,120
inefficiencies and enhance the client

449
00:29:25,120 --> 00:29:27,600
experience. We offer coaching and tools

450
00:29:27,600 --> 00:29:29,279
for problem solving and measurement.

451
00:29:29,279 --> 00:29:31,200
This includes of course policy and

452
00:29:31,200 --> 00:29:34,159
procedure development and data reports

453
00:29:34,159 --> 00:29:35,440
which is we're going to spend a lot of

454
00:29:35,440 --> 00:29:38,240
time on those data reports today. So why

455
00:29:38,240 --> 00:29:40,559
does this matter? It mattered because QI

456
00:29:40,559 --> 00:29:42,720
helps ensure our system is accountable,

457
00:29:42,720 --> 00:29:45,200
consistent, and responsive to community

458
00:29:45,200 --> 00:29:47,120
needs ultimately supporting better

459
00:29:47,120 --> 00:29:49,039
outcomes for clients.

460
00:29:49,039 --> 00:29:53,350
>> Happy

461
00:29:53,360 --> 00:29:55,120
did I hear something?

462
00:29:55,120 --> 00:29:57,200
>> No. Okay, next um Scott's going to go

463
00:29:57,200 --> 00:29:59,360
over our org chart in brief.

464
00:29:59,360 --> 00:30:02,240
>> Next slide, please.

465
00:30:02,240 --> 00:30:06,000
>> So, this is the QI organization chart

466
00:30:06,000 --> 00:30:07,919
quality improvement

467
00:30:07,919 --> 00:30:09,919
and the closer related training audits

468
00:30:09,919 --> 00:30:11,760
and certification sections are overseen

469
00:30:11,760 --> 00:30:16,399
by our director Emmy Boxler Andur.

470
00:30:16,399 --> 00:30:18,399
There are 16 allocated staff positions

471
00:30:18,399 --> 00:30:20,720
for the quality improvement and training

472
00:30:20,720 --> 00:30:23,840
and certification sections. three uh

473
00:30:23,840 --> 00:30:26,320
full-time analyst positions. Oh,

474
00:30:26,320 --> 00:30:28,159
actually three and a half and three

475
00:30:28,159 --> 00:30:30,880
review nurse positions are filled with

476
00:30:30,880 --> 00:30:35,039
two additional half or eight time nurse

477
00:30:35,039 --> 00:30:36,960
review nurse positions. Currently I have

478
00:30:36,960 --> 00:30:39,600
five full-time positions making vacant

479
00:30:39,600 --> 00:30:43,600
and Amy is uh filling in for the

480
00:30:43,600 --> 00:30:47,039
management improve or UIC the quality

481
00:30:47,039 --> 00:30:52,230
management improvement coordinator tire.

482
00:30:52,240 --> 00:30:54,480
All right. So, how is QI Next slide,

483
00:30:54,480 --> 00:30:57,600
please. Um, how is QI helping transform

484
00:30:57,600 --> 00:31:00,080
behavioral health? Um, the quality

485
00:31:00,080 --> 00:31:01,520
improvement unit has always been

486
00:31:01,520 --> 00:31:03,440
responsible for compliance and

487
00:31:03,440 --> 00:31:06,399
oversight, but behavioral health systems

488
00:31:06,399 --> 00:31:08,320
um have historically been sort of

489
00:31:08,320 --> 00:31:11,200
stagnant. So, it's been very set in many

490
00:31:11,200 --> 00:31:14,159
ways and slow to change. But in the last

491
00:31:14,159 --> 00:31:17,200
five years, it has completely shifted to

492
00:31:17,200 --> 00:31:21,039
a very much changing place for

493
00:31:21,039 --> 00:31:23,919
especially for all um but in QI it's

494
00:31:23,919 --> 00:31:25,919
like every day there's a new thing and

495
00:31:25,919 --> 00:31:27,360
so we're going to go over some of these

496
00:31:27,360 --> 00:31:29,279
big level changes that have happened in

497
00:31:29,279 --> 00:31:31,679
the last five years. We're in it and we

498
00:31:31,679 --> 00:31:34,960
have more coming. So even as we give you

499
00:31:34,960 --> 00:31:38,000
some information is ever changing and

500
00:31:38,000 --> 00:31:41,760
more items are added. So both this shift

501
00:31:41,760 --> 00:31:43,919
has mostly been due to state reforms,

502
00:31:43,919 --> 00:31:46,080
legis new legislation, new technology

503
00:31:46,080 --> 00:31:48,720
and requirements and rising expectations

504
00:31:48,720 --> 00:31:51,440
for data driven care. For many years,

505
00:31:51,440 --> 00:31:52,960
quality improvement, behavioral health

506
00:31:52,960 --> 00:31:54,880
was mostly focused again on that

507
00:31:54,880 --> 00:31:58,640
compliance side and doing corrections,

508
00:31:58,640 --> 00:32:01,679
much more simple or simple seaming.

509
00:32:01,679 --> 00:32:04,320
Still could be complex, but definitely

510
00:32:04,320 --> 00:32:06,399
if you compare now to back then, it was

511
00:32:06,399 --> 00:32:09,039
much simpler back then. um processes

512
00:32:09,039 --> 00:32:10,720
were slow, fragmented, and largely

513
00:32:10,720 --> 00:32:12,480
manual. Systems were considered

514
00:32:12,480 --> 00:32:14,720
stagnant, did not change much over time.

515
00:32:14,720 --> 00:32:16,880
So, we're transitioning from a largely

516
00:32:16,880 --> 00:32:19,919
paper driven manual corrective action

517
00:32:19,919 --> 00:32:22,080
model to a more modern proactive model

518
00:32:22,080 --> 00:32:24,399
with closer to how the medical health

519
00:32:24,399 --> 00:32:27,760
field has been operating. Um we've seen

520
00:32:27,760 --> 00:32:30,240
even though we had an EHR avatar before

521
00:32:30,240 --> 00:32:33,039
we've moved to smart care and even in

522
00:32:33,039 --> 00:32:34,640
Avatar we still have a lot of paper

523
00:32:34,640 --> 00:32:36,960
charts a lot of paper forms things that

524
00:32:36,960 --> 00:32:39,279
we're doing on the side workarounds and

525
00:32:39,279 --> 00:32:41,760
now we're really moving to an all

526
00:32:41,760 --> 00:32:44,000
inclusive electronic health record of

527
00:32:44,000 --> 00:32:45,760
our clients and it's not only going to

528
00:32:45,760 --> 00:32:48,000
help them keep and maintain all their

529
00:32:48,000 --> 00:32:50,000
information but it helps us assess our

530
00:32:50,000 --> 00:32:52,720
systems and look at things in much

531
00:32:52,720 --> 00:32:55,279
different ways than we have before. So

532
00:32:55,279 --> 00:32:57,760
technology is now central. Our EHR is

533
00:32:57,760 --> 00:33:00,720
called SmartCare and we implemented the

534
00:33:00,720 --> 00:33:03,360
um program in July of 2023. So we've

535
00:33:03,360 --> 00:33:05,840
only had it for about three years now.

536
00:33:05,840 --> 00:33:07,840
Um but it updated documentation

537
00:33:07,840 --> 00:33:09,760
standards, digital reporting tools,

538
00:33:09,760 --> 00:33:12,399
dashboards, and secure data sharing

539
00:33:12,399 --> 00:33:15,360
processes that require us to guide staff

540
00:33:15,360 --> 00:33:17,679
and contract contracted providers in

541
00:33:17,679 --> 00:33:20,559
adopting new workflows. Um data

542
00:33:20,559 --> 00:33:22,080
expectations have increased

543
00:33:22,080 --> 00:33:25,440
significantly. So QI ensures not just

544
00:33:25,440 --> 00:33:27,840
documentation accuracy but data

545
00:33:27,840 --> 00:33:30,240
completeness, timeliness and integrity

546
00:33:30,240 --> 00:33:32,080
so that county can meet those state

547
00:33:32,080 --> 00:33:34,159
requirements, evaluate outcomes and

548
00:33:34,159 --> 00:33:36,720
participate in statewide improvement

549
00:33:36,720 --> 00:33:40,799
efforts. Analytics analytics analytics

550
00:33:40,799 --> 00:33:43,279
are becoming core to how we operate. The

551
00:33:43,279 --> 00:33:45,360
unit now helps programs understand the

552
00:33:45,360 --> 00:33:47,279
trends, performance indicators,

553
00:33:47,279 --> 00:33:48,559
timeliness of service. You're going to

554
00:33:48,559 --> 00:33:50,640
hear timeliness a lot because that's way

555
00:33:50,640 --> 00:33:53,200
one of the biggest things with DHCS is

556
00:33:53,200 --> 00:33:56,240
how timeliness of services are going. Um

557
00:33:56,240 --> 00:33:58,320
there's other quality measures and we

558
00:33:58,320 --> 00:33:59,919
also are looking for areas for to

559
00:33:59,919 --> 00:34:01,440
improve.

560
00:34:01,440 --> 00:34:02,960
This aligns behavioral health with

561
00:34:02,960 --> 00:34:05,519
broader health care practices. Business

562
00:34:05,519 --> 00:34:07,279
practices are evolving as well. also

563
00:34:07,279 --> 00:34:09,599
medical reform one of our initiatives

564
00:34:09,599 --> 00:34:11,679
calam that we'll be talking more about

565
00:34:11,679 --> 00:34:13,760
and also looking at utilizing

566
00:34:13,760 --> 00:34:15,599
utilization requirements pushes towards

567
00:34:15,599 --> 00:34:17,839
standardized pathways consistent

568
00:34:17,839 --> 00:34:20,159
documentation improve billing accuracy

569
00:34:20,159 --> 00:34:22,879
and audit readiness UI trains and

570
00:34:22,879 --> 00:34:26,000
support staff in processes the medical

571
00:34:26,000 --> 00:34:27,760
side alignment means we're operating

572
00:34:27,760 --> 00:34:29,760
more like an integrated health system

573
00:34:29,760 --> 00:34:32,000
focusing on outcomes value based care

574
00:34:32,000 --> 00:34:34,159
principles quality metrics and

575
00:34:34,159 --> 00:34:36,320
measurable improvement is the unit

576
00:34:36,320 --> 00:34:38,879
driving that change. For contracted

577
00:34:38,879 --> 00:34:40,879
providers, the shift means more support,

578
00:34:40,879 --> 00:34:42,879
player expectations, consistent with

579
00:34:42,879 --> 00:34:46,079
things like using um cans or ANSA. I

580
00:34:46,079 --> 00:34:47,119
don't know if you guys know what those

581
00:34:47,119 --> 00:34:50,000
are. It's a child um needs assessment

582
00:34:50,000 --> 00:34:52,079
and then that helps measure how a child

583
00:34:52,079 --> 00:34:54,560
is doing and then of course

584
00:34:54,560 --> 00:34:56,639
documentation. If we can be consistent

585
00:34:56,639 --> 00:34:58,240
in the training of these kind of things,

586
00:34:58,240 --> 00:35:01,280
then staff are doing their processes

587
00:35:01,280 --> 00:35:03,680
consistently and thus the data we get

588
00:35:03,680 --> 00:35:06,960
from that is consistent better.

589
00:35:06,960 --> 00:35:08,960
Um, ultimately QI ensures that these

590
00:35:08,960 --> 00:35:11,680
statewide changes that we're undergoing

591
00:35:11,680 --> 00:35:13,200
translate into better care, better

592
00:35:13,200 --> 00:35:15,200
access, and better outcomes for Humble

593
00:35:15,200 --> 00:35:17,200
County clients and the community at

594
00:35:17,200 --> 00:35:20,880
large. So, next slide, please. Um we

595
00:35:20,880 --> 00:35:23,520
have three of these huge initiatives

596
00:35:23,520 --> 00:35:25,040
that we're going to go over today

597
00:35:25,040 --> 00:35:27,280
because they're all connected to a mass

598
00:35:27,280 --> 00:35:30,800
amount of data. Um the three are CalaN

599
00:35:30,800 --> 00:35:33,440
VH connect and VHSA and we'll talk

600
00:35:33,440 --> 00:35:36,640
specifically about what we are. So next

601
00:35:36,640 --> 00:35:38,880
slide please. We'll go into Cal AIM.

602
00:35:38,880 --> 00:35:40,000
This is like one of those slides. I'm

603
00:35:40,000 --> 00:35:41,040
not going to read the slides. They're

604
00:35:41,040 --> 00:35:43,440
for reference and for you guys to uh

605
00:35:43,440 --> 00:35:45,200
engage in if you want. And the links

606
00:35:45,200 --> 00:35:47,520
like I said earlier are electronic and

607
00:35:47,520 --> 00:35:49,839
workable if you look if you get the

608
00:35:49,839 --> 00:35:52,320
electronic version that's on the left.

609
00:35:52,320 --> 00:35:54,800
So behavioral health payment reform is

610
00:35:54,800 --> 00:35:56,640
really what CalaM was about mostly. I

611
00:35:56,640 --> 00:35:58,640
mean there were a lot of elements to it

612
00:35:58,640 --> 00:36:02,240
but it was about really shifting um how

613
00:36:02,240 --> 00:36:04,560
payment was happening. So, it was

614
00:36:04,560 --> 00:36:07,520
implemented in July of 2023, the same

615
00:36:07,520 --> 00:36:11,280
time as our new EHR smart care. Um, and

616
00:36:11,280 --> 00:36:13,440
it changed the financial foundation for

617
00:36:13,440 --> 00:36:15,040
county behavioral health by moving from

618
00:36:15,040 --> 00:36:17,599
a crossb costbased system to a fee for

619
00:36:17,599 --> 00:36:20,000
service model. The shift means counties

620
00:36:20,000 --> 00:36:21,599
are reimbursed based on services

621
00:36:21,599 --> 00:36:23,440
delivered rather than overall costs,

622
00:36:23,440 --> 00:36:25,040
which increases transparency and

623
00:36:25,040 --> 00:36:27,200
predictability. It also brings

624
00:36:27,200 --> 00:36:28,560
behavioral health into alignment with

625
00:36:28,560 --> 00:36:30,640
other parts of medical and encourages

626
00:36:30,640 --> 00:36:32,560
clearer documentation, consistent

627
00:36:32,560 --> 00:36:35,040
service delivery, measurable outcomes

628
00:36:35,040 --> 00:36:37,839
for Humble County. This has uh required

629
00:36:37,839 --> 00:36:40,079
major operational adjustments, including

630
00:36:40,079 --> 00:36:42,240
updated workflows, billing practices,

631
00:36:42,240 --> 00:36:44,079
and data reporting, and they're still

632
00:36:44,079 --> 00:36:46,160
underway. In fact, we were just

633
00:36:46,160 --> 00:36:48,240
communicating this morning about um

634
00:36:48,240 --> 00:36:50,960
cases that we needed to close out from

635
00:36:50,960 --> 00:36:52,880
the transition from Avatar to Smart

636
00:36:52,880 --> 00:36:55,119
Care. We um our medical records just

637
00:36:55,119 --> 00:36:57,040
finished that project. Thousands of

638
00:36:57,040 --> 00:36:58,960
records that when they were transferred

639
00:36:58,960 --> 00:37:01,119
from Avatar to smart care didn't

640
00:37:01,119 --> 00:37:03,599
automatically close and that shifted our

641
00:37:03,599 --> 00:37:06,560
numbers. We found that out um during one

642
00:37:06,560 --> 00:37:11,839
of our uh EQRO re um or state audits and

643
00:37:11,839 --> 00:37:14,079
then we took action of you know cleaning

644
00:37:14,079 --> 00:37:16,195
up the data.

645
00:37:16,195 --> 00:37:16,800
[clears throat]

646
00:37:16,800 --> 00:37:18,800
Next slide please.

647
00:37:18,800 --> 00:37:20,640
So, the next initiative we're going to

648
00:37:20,640 --> 00:37:24,000
um look out to review briefly is BH

649
00:37:24,000 --> 00:37:26,960
Connect. And BH Connect is a new medical

650
00:37:26,960 --> 00:37:31,359
initiative running from 2025 to 2029

651
00:37:31,359 --> 00:37:33,359
that expands and coordinates behavioral

652
00:37:33,359 --> 00:37:36,160
health services statewide. It increases

653
00:37:36,160 --> 00:37:38,160
access to mental health care for people

654
00:37:38,160 --> 00:37:40,640
with significant needs, adds short-term

655
00:37:40,640 --> 00:37:42,800
inpatient and residential treatment

656
00:37:42,800 --> 00:37:44,880
options, and provides up to six months

657
00:37:44,880 --> 00:37:46,720
of housing assistance for individuals at

658
00:37:46,720 --> 00:37:49,200
risk of losing stability. The program

659
00:37:49,200 --> 00:37:51,280
also enhances services for children and

660
00:37:51,280 --> 00:37:54,160
units such as multi-ymic therapy, high

661
00:37:54,160 --> 00:37:56,640
fidelity, wraparound,

662
00:37:56,640 --> 00:37:59,040
and it also expands based and community

663
00:37:59,040 --> 00:38:01,200
health work support for supports.

664
00:38:01,200 --> 00:38:03,119
Overall, BH Connect strengthens

665
00:38:03,119 --> 00:38:05,280
community- based care and fills critical

666
00:38:05,280 --> 00:38:07,680
gaps in the behavioral health system.

667
00:38:07,680 --> 00:38:10,480
Next, Alex will do the last of our three

668
00:38:10,480 --> 00:38:13,040
initiatives because is the panelist for

669
00:38:13,040 --> 00:38:14,960
this program.

670
00:38:14,960 --> 00:38:17,599
>> All right. Uh, Behavioral Health

671
00:38:17,599 --> 00:38:19,680
Services Act or BHSA as we know it. It

672
00:38:19,680 --> 00:38:21,839
was enacted in 2024, replacing the

673
00:38:21,839 --> 00:38:24,000
mental health services act, MHSA as it

674
00:38:24,000 --> 00:38:26,160
was called, uh, and expands behavioral

675
00:38:26,160 --> 00:38:28,079
health funding to prioritize individuals

676
00:38:28,079 --> 00:38:29,760
with the most significant behavioral

677
00:38:29,760 --> 00:38:31,680
needs, health needs. It includes

678
00:38:31,680 --> 00:38:33,520
substance use disorder treatment,

679
00:38:33,520 --> 00:38:35,839
increases in investment in housing and

680
00:38:35,839 --> 00:38:38,079
behavioral health workforce development.

681
00:38:38,079 --> 00:38:40,400
It requires counties to plan across the

682
00:38:40,400 --> 00:38:42,320
entire behavioral health continuum of

683
00:38:42,320 --> 00:38:45,200
care and it strengthens oversight,

684
00:38:45,200 --> 00:38:47,520
transparency, accountability, and equity

685
00:38:47,520 --> 00:38:49,200
to improve access and reduce

686
00:38:49,200 --> 00:38:52,240
disparities. Uh part of Prop One, which

687
00:38:52,240 --> 00:38:55,839
is also included uh which also includes

688
00:38:55,839 --> 00:38:59,680
um $6.4 4 billion in behavioral health

689
00:38:59,680 --> 00:39:02,000
uh bonds to fund treatment meds,

690
00:39:02,000 --> 00:39:04,320
supportive housing, community behavioral

691
00:39:04,320 --> 00:39:06,079
health facilities, and housing for

692
00:39:06,079 --> 00:39:08,880
veterans with behavioral health needs.

693
00:39:08,880 --> 00:39:11,760
The BHSA represents a bit a significant

694
00:39:11,760 --> 00:39:14,480
shift from MHSA by broadening the focus

695
00:39:14,480 --> 00:39:18,800
of mental health uh alone to be

696
00:39:18,800 --> 00:39:21,040
from mental health alone to full

697
00:39:21,040 --> 00:39:23,359
behavioral health system including

698
00:39:23,359 --> 00:39:25,520
substance use treatment, housing and

699
00:39:25,520 --> 00:39:27,359
workforce development and improving

700
00:39:27,359 --> 00:39:29,760
accountability. Combined with the Prop 1

701
00:39:29,760 --> 00:39:32,960
$6.4 or million-dollar bond um billion

702
00:39:32,960 --> 00:39:35,119
dollar bond. It provides new

703
00:39:35,119 --> 00:39:36,880
opportunities for counties to expand

704
00:39:36,880 --> 00:39:38,720
behavioral health infrastructure and

705
00:39:38,720 --> 00:39:40,480
services.

706
00:39:40,480 --> 00:39:42,000
So

707
00:39:42,000 --> 00:39:45,200
data. Next slide, please.

708
00:39:45,200 --> 00:39:48,240
Data. Behavioral health is becoming

709
00:39:48,240 --> 00:39:51,119
increasingly data driven. DHCS is

710
00:39:51,119 --> 00:39:53,359
requiring more reporting than ever

711
00:39:53,359 --> 00:39:55,280
before and many of these systems are

712
00:39:55,280 --> 00:39:57,119
still evolving with new measures and

713
00:39:57,119 --> 00:39:59,839
reporting requirements. This reflects

714
00:39:59,839 --> 00:40:02,079
the ongoing transformation of behavioral

715
00:40:02,079 --> 00:40:03,280
health under behavioral health

716
00:40:03,280 --> 00:40:06,240
transformation, CALINA, MBHSA and all

717
00:40:06,240 --> 00:40:07,359
these other initiatives we'll be

718
00:40:07,359 --> 00:40:13,030
discussing today. Next slide.

719
00:40:13,040 --> 00:40:14,880
Beyond meeting state requirements, we're

720
00:40:14,880 --> 00:40:17,839
also use data internally to monitor uh

721
00:40:17,839 --> 00:40:19,920
quality, identify opportunities for

722
00:40:19,920 --> 00:40:22,000
improvement, and evaluate whether we're

723
00:40:22,000 --> 00:40:24,000
providing effective care for our

724
00:40:24,000 --> 00:40:26,320
community. This slide shows that none of

725
00:40:26,320 --> 00:40:28,960
our data systems stand alone.

726
00:40:28,960 --> 00:40:31,359
So some of the primary data sources and

727
00:40:31,359 --> 00:40:33,920
reports that we we use include medical

728
00:40:33,920 --> 00:40:36,800
connect DHCS's new statewide reporting

729
00:40:36,800 --> 00:40:38,960
platform supporting behavioral health

730
00:40:38,960 --> 00:40:41,040
payment reform and standardizing

731
00:40:41,040 --> 00:40:44,400
reporting the BHAS EIS measures which

732
00:40:44,400 --> 00:40:46,480
are national quality measures that track

733
00:40:46,480 --> 00:40:48,800
access timeliness and followup and

734
00:40:48,800 --> 00:40:50,800
treatment engagement with growing

735
00:40:50,800 --> 00:40:53,280
importance which is with with growing

736
00:40:53,280 --> 00:40:56,079
importance under calim the voter which

737
00:40:56,079 --> 00:40:57,839
we'll discuss these things in further

738
00:40:57,839 --> 00:40:58,720
slides

739
00:40:58,720 --> 00:41:01,920
a developing DHCS framework focused on

740
00:41:01,920 --> 00:41:03,359
behavioral health outcomes,

741
00:41:03,359 --> 00:41:05,839
accountability and public transparency.

742
00:41:05,839 --> 00:41:08,560
We have monthly reports which we use to

743
00:41:08,560 --> 00:41:10,400
monitor our operational performance and

744
00:41:10,400 --> 00:41:12,400
including access utilization, weight

745
00:41:12,400 --> 00:41:14,319
times, crisis services and workforce

746
00:41:14,319 --> 00:41:16,880
trends. We have quarterly reports which

747
00:41:16,880 --> 00:41:18,560
provide deeper analysis of the trends

748
00:41:18,560 --> 00:41:20,240
and disparities and compliance and

749
00:41:20,240 --> 00:41:22,960
quality improvement efforts. And then we

750
00:41:22,960 --> 00:41:24,800
have our annual reports which will which

751
00:41:24,800 --> 00:41:27,718
summarize the system performance. um

752
00:41:27,718 --> 00:41:28,800
[clears throat] outcomes and quality

753
00:41:28,800 --> 00:41:31,040
measures, equity and the progress

754
00:41:31,040 --> 00:41:34,000
towards improving improvement goals. We

755
00:41:34,000 --> 00:41:35,680
also have our quality assurance and

756
00:41:35,680 --> 00:41:37,920
performance improvement plan, our quapy

757
00:41:37,920 --> 00:41:40,880
activities um which is ongoing quality

758
00:41:40,880 --> 00:41:45,200
improvement work including performance improvement projects,

759
00:41:45,200 --> 00:41:47,599
process reviews, client feedback,

760
00:41:47,599 --> 00:41:49,920
corrective actions.

761
00:41:49,920 --> 00:41:51,760
All of this gets put together in our

762
00:41:51,760 --> 00:41:55,839
quapy work in our QI work plans. Um

763
00:41:55,839 --> 00:41:57,520
using every data source to set

764
00:41:57,520 --> 00:41:59,760
priorities, test changes, and monitor

765
00:41:59,760 --> 00:42:02,240
improvements over time. Together, these

766
00:42:02,240 --> 00:42:04,400
interconnected data systems allow us to

767
00:42:04,400 --> 00:42:07,200
meet state expectations, support calain,

768
00:42:07,200 --> 00:42:09,040
behavioral health transformation, Prop

769
00:42:09,040 --> 00:42:19,190
One, and all these

770
00:42:19,200 --> 00:42:22,319
» from Memphis down here.

771
00:42:22,319 --> 00:42:24,480
>> Coming from Memphis, Tennessee.

772
00:42:24,480 --> 00:42:26,079
>> I'm trying.

773
00:42:26,079 --> 00:42:27,359
>> Oh, heck yeah.

774
00:42:27,359 --> 00:42:28,640
>> Fine.

775
00:42:28,640 --> 00:42:31,040
My mom said of the family grew up down

776
00:42:31,040 --> 00:42:36,390
here in this area.

777
00:42:36,400 --> 00:42:38,640
» I'm trying

778
00:42:38,640 --> 00:42:52,550
things to do.

779
00:42:52,560 --> 00:42:54,640
» All right. So, next slide, please.

780
00:42:54,640 --> 00:43:00,230
Ember.

781
00:43:00,240 --> 00:43:03,599
Um, what is Medical Connect? Medical

782
00:43:03,599 --> 00:43:05,920
Connect is THCS's statewide data

783
00:43:05,920 --> 00:43:07,359
platform that brings together

784
00:43:07,359 --> 00:43:09,440
information from multiple sources to

785
00:43:09,440 --> 00:43:11,680
create more complete pictures of the

786
00:43:11,680 --> 00:43:14,000
people we serve. Rather than looking at

787
00:43:14,000 --> 00:43:16,000
individual services in isolation, it

788
00:43:16,000 --> 00:43:18,400
helps us understand population health,

789
00:43:18,400 --> 00:43:20,400
identifies gaps in care, and improve

790
00:43:20,400 --> 00:43:22,720
coordination across the medical medical

791
00:43:22,720 --> 00:43:25,520
system. This supports the goal of calaim

792
00:43:25,520 --> 00:43:27,440
by promoting whole person care and

793
00:43:27,440 --> 00:43:30,319
better health outcomes for the val for

794
00:43:30,319 --> 00:43:32,160
quality improvement unit. Medical

795
00:43:32,160 --> 00:43:34,079
connect is becoming one of the most

796
00:43:34,079 --> 00:43:35,839
valuable tools because it provides

797
00:43:35,839 --> 00:43:38,480
standardized data that helps us monitor

798
00:43:38,480 --> 00:43:40,800
performance, identify opportunities for

799
00:43:40,800 --> 00:43:42,880
improvement, and make well-informed

800
00:43:42,880 --> 00:43:44,319
decisions.

801
00:43:44,319 --> 00:43:46,720
Some of the examples of medical data are

802
00:43:46,720 --> 00:43:48,560
data dashboards that we have access to

803
00:43:48,560 --> 00:43:50,720
now are uh behavioral health quality

804
00:43:50,720 --> 00:43:53,760
measures, behavioral health um care

805
00:43:53,760 --> 00:43:55,520
management demographics, which I'll

806
00:43:55,520 --> 00:43:57,599
share here in some subsequent slides, a

807
00:43:57,599 --> 00:44:00,240
behavioral health condition prevalence,

808
00:44:00,240 --> 00:44:03,359
uh behavioral health uh equity

809
00:44:03,359 --> 00:44:06,640
and behavioral health uh BH BH connect

810
00:44:06,640 --> 00:44:10,079
and BHT member tales and we'll be going

811
00:44:10,079 --> 00:44:11,839
into these here shortly. Next slide,

812
00:44:11,839 --> 00:44:13,599
please. But can I just ask?

813
00:44:13,599 --> 00:44:16,240
>> So I think I asked you before you have

814
00:44:16,240 --> 00:44:20,160
all this data but only you all can see

815
00:44:20,160 --> 00:44:22,720
it right it's not public that

816
00:44:22,720 --> 00:44:24,720
>> some of it is public

817
00:44:24,720 --> 00:44:26,079
you guys don't have access to this but

818
00:44:26,079 --> 00:44:27,920
you have access to other sites that have

819
00:44:27,920 --> 00:44:30,720
the same at all.

820
00:44:30,720 --> 00:44:33,200
>> Well it would be great for our board to

821
00:44:33,200 --> 00:44:36,079
um know where we can access some data.

822
00:44:36,079 --> 00:44:38,640
So I can reach out to them.

823
00:44:38,640 --> 00:44:39,040
>> Yes.

824
00:44:39,040 --> 00:44:41,119
>> Thank you.

825
00:44:41,119 --> 00:44:45,920
Um looking at this slide here, this is a high-level overview example on the

826
00:44:45,920 --> 00:44:48,160
screen here. It's looks small, but it's

827
00:44:48,160 --> 00:44:50,000
a high level overview example of the

828
00:44:50,000 --> 00:44:51,599
volume of measures captured within

829
00:44:51,599 --> 00:44:53,200
medical connect. If you look in that

830
00:44:53,200 --> 00:44:54,640
bottom left corner there, you'll see

831
00:44:54,640 --> 00:44:57,040
that there's 213

832
00:44:57,040 --> 00:44:59,440
quality measures over eight different

833
00:44:59,440 --> 00:45:02,160
category initiatives for both behavioral

834
00:45:02,160 --> 00:45:05,040
health plans and managed care plans. So,

835
00:45:05,040 --> 00:45:07,599
a ton of data that we're now looking at

836
00:45:07,599 --> 00:45:09,760
on the regular.

837
00:45:09,760 --> 00:45:15,430
Uh oh, next slide please.

838
00:45:15,440 --> 00:45:17,760
» This is uh this is an of our this is an

839
00:45:17,760 --> 00:45:19,359
example of our behavioral health

840
00:45:19,359 --> 00:45:21,440
accountability set or behas as we know

841
00:45:21,440 --> 00:45:24,240
it. Uh these quality measures that track

842
00:45:24,240 --> 00:45:26,400
that DHCS tracks for behavioral health

843
00:45:26,400 --> 00:45:29,119
plans. These standardized healthc care

844
00:45:29,119 --> 00:45:31,920
effectiveness data and information set

845
00:45:31,920 --> 00:45:33,839
measures known as HETIS. You'll hear

846
00:45:33,839 --> 00:45:36,960
that term to use fetus. Um, evaluates

847
00:45:36,960 --> 00:45:39,440
areas like access to care, followup

848
00:45:39,440 --> 00:45:41,599
after hospitalization,

849
00:45:41,599 --> 00:45:43,599
uh, treatment engagement, and medication

850
00:45:43,599 --> 00:45:45,680
adherence.

851
00:45:45,680 --> 00:45:47,599
The important takeaways isn't that the

852
00:45:47,599 --> 00:45:49,599
indivi isn't the individual numbers.

853
00:45:49,599 --> 00:45:51,760
It's that the state is now measuring

854
00:45:51,760 --> 00:45:54,079
performance across different quality

855
00:45:54,079 --> 00:45:56,319
indicators and comparing counties

856
00:45:56,319 --> 00:45:59,040
against an established benchmark. That's

857
00:45:59,040 --> 00:46:02,400
this is all new under new or being

858
00:46:02,400 --> 00:46:04,960
modified under all these initiatives

859
00:46:04,960 --> 00:46:06,720
that we're working through. These

860
00:46:06,720 --> 00:46:08,560
measures help us identify where we're

861
00:46:08,560 --> 00:46:10,079
performing well and where improvements

862
00:46:10,079 --> 00:46:11,599
are needed and ultimately guide our

863
00:46:11,599 --> 00:46:14,160
quality improvement efforts.

864
00:46:14,160 --> 00:46:17,280
Next slide.

865
00:46:17,280 --> 00:46:19,440
This slide is an example of one of the

866
00:46:19,440 --> 00:46:21,200
equity and demographic dashboards

867
00:46:21,200 --> 00:46:23,040
available through medical connect. It

868
00:46:23,040 --> 00:46:24,800
allows us to look beyond overall

869
00:46:24,800 --> 00:46:27,280
performance and better understand who we

870
00:46:27,280 --> 00:46:29,440
serve by examining data across

871
00:46:29,440 --> 00:46:31,440
demographics, in this case, social

872
00:46:31,440 --> 00:46:34,079
determin determinance of health. These

873
00:46:34,079 --> 00:46:36,240
dashboards help us identify disparities,

874
00:46:36,240 --> 00:46:38,240
recognize populations that may be

875
00:46:38,240 --> 00:46:40,480
experiencing barriers to care, and use

876
00:46:40,480 --> 00:46:42,640
that information to improve health

877
00:46:42,640 --> 00:46:46,640
equity and guide improvement.

878
00:46:46,640 --> 00:46:51,990
Next slide.

879
00:46:52,000 --> 00:46:54,720
So, how does this impact DHHS uh

880
00:46:54,720 --> 00:46:56,480
behavioral health quality improvement?

881
00:46:56,480 --> 00:46:59,119
Well, DHCS's current initiatives shift

882
00:46:59,119 --> 00:47:02,000
the focus from simply providing services

883
00:47:02,000 --> 00:47:05,119
to demonstrating improved access quality

884
00:47:05,119 --> 00:47:07,760
and outcomes for medical members. While

885
00:47:07,760 --> 00:47:09,920
compliance remains important, the

886
00:47:09,920 --> 00:47:12,240
emphasis is increasingly on whether

887
00:47:12,240 --> 00:47:14,480
people can access services quickly,

888
00:47:14,480 --> 00:47:16,960
receive evidence-based care, and achieve

889
00:47:16,960 --> 00:47:19,200
better health outcomes. For the quality

890
00:47:19,200 --> 00:47:21,280
improvement unit, this means using data

891
00:47:21,280 --> 00:47:23,280
not only to monitor compliance, but also

892
00:47:23,280 --> 00:47:25,040
to partner with program to improve

893
00:47:25,040 --> 00:47:27,200
performance, reduce disparities, and

894
00:47:27,200 --> 00:47:29,200
demonstrate the value of our behavioral

895
00:47:29,200 --> 00:47:31,920
health system.

896
00:47:31,920 --> 00:47:35,750
Next slide.

897
00:47:35,760 --> 00:47:37,839
The behavioral health outcomes

898
00:47:37,839 --> 00:47:39,760
accountability and transparency report

899
00:47:39,760 --> 00:47:42,720
or the voter is one of the largest new

900
00:47:42,720 --> 00:47:44,640
reporting requirements under behavioral

901
00:47:44,640 --> 00:47:46,800
health services act. Rather than

902
00:47:46,800 --> 00:47:49,520
reporting on just one area, counties now

903
00:47:49,520 --> 00:47:52,240
provide a comprehensive picture of how

904
00:47:52,240 --> 00:47:55,440
behavioral health ser is performing.

905
00:47:55,440 --> 00:47:58,079
That includes how funding is spent, who

906
00:47:58,079 --> 00:48:00,319
is receiving the services, quality and

907
00:48:00,319 --> 00:48:02,880
outcome measures, health disparities,

908
00:48:02,880 --> 00:48:05,599
workforce capacity, and overall system

909
00:48:05,599 --> 00:48:09,040
performance. The key takeaway here is

910
00:48:09,040 --> 00:48:11,280
that DHCS is moving towards greater

911
00:48:11,280 --> 00:48:13,760
transparency and accountability.

912
00:48:13,760 --> 00:48:15,839
Counties are expected to demonstrate not

913
00:48:15,839 --> 00:48:18,640
only where resources are being invested,

914
00:48:18,640 --> 00:48:20,800
but how those investments are improving

915
00:48:20,800 --> 00:48:23,520
access and qual quality and outcomes for

916
00:48:23,520 --> 00:48:26,640
the communities we serve.

917
00:48:26,640 --> 00:48:30,950
Next slide.

918
00:48:30,960 --> 00:48:32,400
Here are the building blocks of the

919
00:48:32,400 --> 00:48:35,040
voter. One thing to keep in mind is that

920
00:48:35,040 --> 00:48:37,040
the voter is still under development.

921
00:48:37,040 --> 00:48:39,440
And what you're seeing here is DHCS's

922
00:48:39,440 --> 00:48:42,079
long-term vision. Additional data

923
00:48:42,079 --> 00:48:44,000
sources and reporting requirements will

924
00:48:44,000 --> 00:48:46,000
continue to be phased in over the next

925
00:48:46,000 --> 00:48:49,280
several years. With that, I will hand it

926
00:48:49,280 --> 00:48:52,720
over to Scott. Next slide, please.

927
00:48:52,720 --> 00:48:55,760
So, some of the monthly reporting that

928
00:48:55,760 --> 00:48:57,839
we do come straight off of our

929
00:48:57,839 --> 00:48:59,839
electronic health record called Smart

930
00:48:59,839 --> 00:49:01,839
Care. Smart Care is a cloud-based

931
00:49:01,839 --> 00:49:03,440
platform designed for behavioral health

932
00:49:03,440 --> 00:49:06,720
and human services.

933
00:49:06,720 --> 00:49:09,440
enabler staff securely access document

934
00:49:09,440 --> 00:49:12,640
and share patient control. It

935
00:49:12,640 --> 00:49:14,400
streamlines clinical administrative and

936
00:49:14,400 --> 00:49:15,839
billing task with a single system

937
00:49:15,839 --> 00:49:17,760
helping teams put into care and maintain

938
00:49:17,760 --> 00:49:20,079
clients efficiency. We use this

939
00:49:20,079 --> 00:49:22,319
dashboard shown

940
00:49:22,319 --> 00:49:24,160
and others like it to help us track how

941
00:49:24,160 --> 00:49:25,680
well we're performing and make sure we

942
00:49:25,680 --> 00:49:26,960
meet the numerous requirements that

943
00:49:26,960 --> 00:49:29,920
apply to us. This uh dashboard was

944
00:49:29,920 --> 00:49:31,920
created by an organization we call Cal

945
00:49:31,920 --> 00:49:33,520
Mesa.

946
00:49:33,520 --> 00:49:35,760
The dashboard allows us to filter out

947
00:49:35,760 --> 00:49:37,520
data in various ways to look at smart

948
00:49:37,520 --> 00:49:40,160
care timely access data using different

949
00:49:40,160 --> 00:49:42,800
levels of detail. Timely access to

950
00:49:42,800 --> 00:49:44,079
California means you have the right to

951
00:49:44,079 --> 00:49:46,400
behavioral health to to get behavioral

952
00:49:46,400 --> 00:49:48,319
health care like therapy or psychiatric

953
00:49:48,319 --> 00:49:51,200
help within a set number of days and

954
00:49:51,200 --> 00:49:52,559
you're not left waiting too long and

955
00:49:52,559 --> 00:49:54,960
needing support. These rules help make

956
00:49:54,960 --> 00:49:56,559
sure care is available quickly enough to

957
00:49:56,559 --> 00:49:58,079
address your mental health needs before

958
00:49:58,079 --> 00:50:03,589
they even worse. Next slide, please.

959
00:50:03,599 --> 00:50:05,520
uh users can turn on and off different

960
00:50:05,520 --> 00:50:08,160
subsets of the data look using filtered

961
00:50:08,160 --> 00:50:10,800
also called slicers which allows us to

962
00:50:10,800 --> 00:50:13,520
focus on certain aspects of the data.

963
00:50:13,520 --> 00:50:14,960
This picture is showing the data in a

964
00:50:14,960 --> 00:50:17,200
different time period than the last one

965
00:50:17,200 --> 00:50:19,119
allows to see better detail and focus on

966
00:50:19,119 --> 00:50:20,880
the numbers better. We can also explore

967
00:50:20,880 --> 00:50:24,480
by other categories such as

968
00:50:24,480 --> 00:50:29,359
many other ways. Next slide please.

969
00:50:29,359 --> 00:50:33,680
Uh here's a a final uh dashboard from a

970
00:50:33,680 --> 00:50:35,680
different part of the same compass

971
00:50:35,680 --> 00:50:38,880
website that shows patient demographics

972
00:50:38,880 --> 00:50:44,470
in the context of service providation

973
00:50:44,480 --> 00:50:46,640
back to Amy so she can work with us.

974
00:50:46,640 --> 00:50:48,800
>> Right. Next slide. So that's just some

975
00:50:48,800 --> 00:50:50,480
of the

976
00:50:50,480 --> 00:50:52,400
most of it is either still under

977
00:50:52,400 --> 00:50:54,880
development or brand new. So we're still

978
00:50:54,880 --> 00:50:58,319
trying to navigate it and get exposed to

979
00:50:58,319 --> 00:51:01,040
it and work with it. But where are we

980
00:51:01,040 --> 00:51:05,440
heading? Um that sort of next uh we QI

981
00:51:05,440 --> 00:51:07,280
has become more strategic and not just

982
00:51:07,280 --> 00:51:09,599
regulatory. Qi helps guide system

983
00:51:09,599 --> 00:51:10,960
improvement of language for the

984
00:51:10,960 --> 00:51:13,200
company's initiatives

985
00:51:13,200 --> 00:51:15,680
connect the HSA and other statewide

986
00:51:15,680 --> 00:51:18,480
expectations. QI is increasingly data

987
00:51:18,480 --> 00:51:21,920
driven in real time. medical connectis

988
00:51:21,920 --> 00:51:24,079
the booger and other reporting cycle

989
00:51:24,079 --> 00:51:25,680
provide the data needed for quicker and

990
00:51:25,680 --> 00:51:28,000
more informed decisions

991
00:51:28,000 --> 00:51:29,520
is the engine for accountability

992
00:51:29,520 --> 00:51:31,200
continuous improvement and it ties all

993
00:51:31,200 --> 00:51:32,720
the data systems together to show

994
00:51:32,720 --> 00:51:35,119
progress identify gaps and improve

995
00:51:35,119 --> 00:51:37,920
outcomes for the community the next

996
00:51:37,920 --> 00:51:40,800
slide please so in final this is the

997
00:51:40,800 --> 00:51:43,520
future so as I said before we have been

998
00:51:43,520 --> 00:51:45,599
hit with these initiatives were in

999
00:51:45,599 --> 00:51:48,400
various points of their implementation

1000
00:51:48,400 --> 00:51:50,000
and development

1001
00:51:50,000 --> 00:51:53,200
But um still more change is coming. So

1002
00:51:53,200 --> 00:51:54,319
you're going to hear some of what we've

1003
00:51:54,319 --> 00:51:55,920
already stated because we're still in

1004
00:51:55,920 --> 00:51:58,640
development and some new things. So what

1005
00:51:58,640 --> 00:52:00,319
continues to be developed and is

1006
00:52:00,319 --> 00:52:03,040
upcoming is in limous service expansion.

1007
00:52:03,040 --> 00:52:06,400
So this is counties will soon be um

1008
00:52:06,400 --> 00:52:08,559
having expanded alternative supports

1009
00:52:08,559 --> 00:52:10,800
like respbit and pure services. This

1010
00:52:10,800 --> 00:52:12,800
will mean new workflows tracking as we

1011
00:52:12,800 --> 00:52:16,480
prepare for a January 1st 2027 launch.

1012
00:52:16,480 --> 00:52:19,280
These are services that we may provide

1013
00:52:19,280 --> 00:52:21,119
and have provided, but we haven't had to

1014
00:52:21,119 --> 00:52:23,760
do the data um elements to it. So now

1015
00:52:23,760 --> 00:52:24,880
we're having to do a whole bunch of

1016
00:52:24,880 --> 00:52:27,280
recoding in our system. Again, new

1017
00:52:27,280 --> 00:52:29,200
workflows will be developed, policies

1018
00:52:29,200 --> 00:52:30,880
and procedures.

1019
00:52:30,880 --> 00:52:32,559
A lot of steps will go into this

1020
00:52:32,559 --> 00:52:34,640
implementation in a very short period of

1021
00:52:34,640 --> 00:52:37,760
time. Again, I'll go over the voter um

1022
00:52:37,760 --> 00:52:39,599
the transparency and outcome reporting

1023
00:52:39,599 --> 00:52:42,079
because state reporting is increasing

1024
00:52:42,079 --> 00:52:43,599
with long-term move towards public

1025
00:52:43,599 --> 00:52:45,680
dashboards. Counties will need to

1026
00:52:45,680 --> 00:52:47,359
provide more detailed outcomes and

1027
00:52:47,359 --> 00:52:50,319
disparity data payment reform. You know,

1028
00:52:50,319 --> 00:52:53,119
CAL was payment reform and we've been in

1029
00:52:53,119 --> 00:52:55,520
process. So the next step is full

1030
00:52:55,520 --> 00:52:59,920
implementation. So the fee for service model will require stronger

1031
00:52:59,920 --> 00:53:01,839
documentation, accurate encounters, and

1032
00:53:01,839 --> 00:53:04,640
more data drivens. Growing medical

1033
00:53:04,640 --> 00:53:06,720
connect requirements and more reporting

1034
00:53:06,720 --> 00:53:09,200
will shift to medical connect. back just

1035
00:53:09,200 --> 00:53:11,359
this last week, the state was um talking

1036
00:53:11,359 --> 00:53:14,400
about um not only new things coming in,

1037
00:53:14,400 --> 00:53:15,520
but some of the stuff that they've

1038
00:53:15,520 --> 00:53:19,839
already implemented since October um needing corrections. So,

1039
00:53:19,839 --> 00:53:21,599
they're finding gaps in their own data

1040
00:53:21,599 --> 00:53:23,760
analysis and making changes with affects

1041
00:53:23,760 --> 00:53:26,319
us on you know what measures we've seen

1042
00:53:26,319 --> 00:53:27,760
already and what we were trying to make

1043
00:53:27,760 --> 00:53:31,520
change to being readjusted over time.

1044
00:53:31,520 --> 00:53:33,680
So, this will um as it gets better,

1045
00:53:33,680 --> 00:53:35,440
we'll tighten validation. will have

1046
00:53:35,440 --> 00:53:37,520
tighter validation rules and additional

1047
00:53:37,520 --> 00:53:39,520
performance indicators.

1048
00:53:39,520 --> 00:53:41,359
Petus align performance measures.

1049
00:53:41,359 --> 00:53:43,359
Counties will see a little focus on

1050
00:53:43,359 --> 00:53:46,000
femininess and we keep saying that

1051
00:53:46,000 --> 00:53:48,240
followup after crisis engagement and

1052
00:53:48,240 --> 00:53:50,480
youth access with expectations to show

1053
00:53:50,480 --> 00:53:54,079
improvement. The prop one BHS HSA

1054
00:53:54,079 --> 00:53:56,240
modernization new rules emphasize

1055
00:53:56,240 --> 00:53:58,319
tracking high acuity compliance

1056
00:53:58,319 --> 00:54:00,640
coordinating cross crisis housing

1057
00:54:00,640 --> 00:54:02,240
treatment and clear outcome reporting

1058
00:54:02,240 --> 00:54:04,640
for state requirements. workforce

1059
00:54:04,640 --> 00:54:07,040
reporting. We don't do a lot of

1060
00:54:07,040 --> 00:54:08,880
workforce reporting with the state. So,

1061
00:54:08,880 --> 00:54:10,400
this is going to be new. They're going

1062
00:54:10,400 --> 00:54:13,760
to expect us to provide more data than

1063
00:54:13,760 --> 00:54:18,000
we have around staffing, vacancies,

1064
00:54:18,000 --> 00:54:19,839
um along with workforce planning, type

1065
00:54:19,839 --> 00:54:22,000
of service needs. They know we've

1066
00:54:22,000 --> 00:54:23,920
reported some things, you know, verbally

1067
00:54:23,920 --> 00:54:25,359
in meetings, but this is going to be

1068
00:54:25,359 --> 00:54:28,960
more official documented data so uh that

1069
00:54:28,960 --> 00:54:32,000
they can see it as we can with other

1070
00:54:32,000 --> 00:54:34,079
dashboards. crisis system

1071
00:54:34,079 --> 00:54:36,319
transformation. With the federal 988

1072
00:54:36,319 --> 00:54:38,480
changes, counties will need stronger

1073
00:54:38,480 --> 00:54:40,720
mobile crisis response, stabilization

1074
00:54:40,720 --> 00:54:42,400
services, and more crisis related

1075
00:54:42,400 --> 00:54:44,559
reporting. And then sort of the last

1076
00:54:44,559 --> 00:54:47,599
area um in the future is equity and

1077
00:54:47,599 --> 00:54:49,520
disparities reporting. Counties will

1078
00:54:49,520 --> 00:54:51,119
continue to expand demographic and

1079
00:54:51,119 --> 00:54:53,440
outcomes by population reporting with

1080
00:54:53,440 --> 00:54:55,359
expectations to demonstrate reductions

1081
00:54:55,359 --> 00:54:58,400
in disparity. With that, that is the end

1082
00:54:58,400 --> 00:55:01,280
of our presentation on the changes that

1083
00:55:01,280 --> 00:55:04,000
have been happening and what to expect

1084
00:55:04,000 --> 00:55:06,640
in the future. And does anyone have any

1085
00:55:06,640 --> 00:55:09,520
questions for us?

1086
00:55:09,520 --> 00:55:11,280
>> Yes.

1087
00:55:11,280 --> 00:55:14,640
>> Oh, sorry. I guess I'm being offered a

1088
00:55:14,640 --> 00:55:19,568
first. Um, do you guys have

1089
00:55:19,578 --> 00:55:21,440
[laughter]

1090
00:55:21,440 --> 00:55:24,480
>> Do you guys have um any plans to give

1091
00:55:24,480 --> 00:55:26,720
more staff for your team for me

1092
00:55:26,720 --> 00:55:29,680
specifically because there's a lot of

1093
00:55:29,680 --> 00:55:32,800
how do you guys fit this into the frame?

1094
00:55:32,800 --> 00:55:34,079
Needless to say, that's why I'm sort of

1095
00:55:34,079 --> 00:55:35,359
reading the presentation instead of

1096
00:55:35,359 --> 00:55:37,680
giving one that I was not read because

1097
00:55:37,680 --> 00:55:39,200
it's like I just need to get it down and

1098
00:55:39,200 --> 00:55:42,240
go to the next thing because there is so

1099
00:55:42,240 --> 00:55:46,400
much we need to be working on and we we

1100
00:55:46,400 --> 00:55:47,920
aren't meeting everything because we

1101
00:55:47,920 --> 00:55:50,400
don't have enough staffing. I can say um

1102
00:55:50,400 --> 00:55:52,400
in the last year since I've been here, I

1103
00:55:52,400 --> 00:55:55,119
have not successfully hired anyone yet.

1104
00:55:55,119 --> 00:55:58,000
So, we we had only four vacancies when I

1105
00:55:58,000 --> 00:56:00,000
first started. Now, we have five. I'm

1106
00:56:00,000 --> 00:56:04,240
still waiting on hiring. I mean this is

1107
00:56:04,240 --> 00:56:08,000
a lot of data the data centers so

1108
00:56:08,000 --> 00:56:10,880
>> right not to say that I'm not using some

1109
00:56:10,880 --> 00:56:12,720
AI to help out with some writing and

1110
00:56:12,720 --> 00:56:13,040
some

1111
00:56:13,040 --> 00:56:14,960
>> if it's got to be done it's kind of

1112
00:56:14,960 --> 00:56:16,960
>> yeah I don't love it but

1113
00:56:16,960 --> 00:56:22,549
>> we need

1114
00:56:22,559 --> 00:56:24,640
» I am curious about the um you mentioned

1115
00:56:24,640 --> 00:56:27,359
the federal 98 aid requirements changing

1116
00:56:27,359 --> 00:56:29,839
and I am not that familiar with what

1117
00:56:29,839 --> 00:56:32,240
that entails um and the level crisis

1118
00:56:32,240 --> 00:56:33,839
component of that. Did you say a little

1119
00:56:33,839 --> 00:56:36,799
bit more about that or somebody here?

1120
00:56:36,799 --> 00:56:38,000
>> I actually don't have a lot of

1121
00:56:38,000 --> 00:56:39,760
information on that as I was compiling.

1122
00:56:39,760 --> 00:56:41,280
I too was like, "Oh, I'm going to have

1123
00:56:41,280 --> 00:56:42,880
to look into that a little more." So,

1124
00:56:42,880 --> 00:56:43,680
>> okay.

1125
00:56:43,680 --> 00:56:46,000
>> I think it's referencing the changes

1126
00:56:46,000 --> 00:56:48,240
related to MC mobile crisis benefit,

1127
00:56:48,240 --> 00:56:50,880
which they're now because they've

1128
00:56:50,880 --> 00:56:54,480
proposed potential changes to MCB. One

1129
00:56:54,480 --> 00:56:57,680
of the solutions is linking it to 988 so

1130
00:56:57,680 --> 00:57:00,000
that um those calls go through there and

1131
00:57:00,000 --> 00:57:01,440
then some of that funding can be

1132
00:57:01,440 --> 00:57:03,200
associated with that. But that's still

1133
00:57:03,200 --> 00:57:05,839
being worked out like that hasn't been

1134
00:57:05,839 --> 00:57:09,440
um entirely formalized and there could

1135
00:57:09,440 --> 00:57:11,040
be some problems with that but that's

1136
00:57:11,040 --> 00:57:13,440
part of what the 988 transition or

1137
00:57:13,440 --> 00:57:16,559
changes would include. So part of the

1138
00:57:16,559 --> 00:57:18,480
idea would be someone calls 988 and they

1139
00:57:18,480 --> 00:57:19,839
think that they're in crisis and we go

1140
00:57:19,839 --> 00:57:21,040
to that basically

1141
00:57:21,040 --> 00:57:25,440
>> that that that through 988 the MCB teams

1142
00:57:25,440 --> 00:57:28,079
get dispatched and it makes it a little

1143
00:57:28,079 --> 00:57:30,240
tricky because part of what they've

1144
00:57:30,240 --> 00:57:32,480
talked about is

1145
00:57:32,480 --> 00:57:34,640
shifting funding for mobile crisis

1146
00:57:34,640 --> 00:57:38,400
benefit only if you can track from 988

1147
00:57:38,400 --> 00:57:40,240
only if you can track the calls coming

1148
00:57:40,240 --> 00:57:41,520
through there and we know that that's

1149
00:57:41,520 --> 00:57:43,520
not the only way that we get calls. So

1150
00:57:43,520 --> 00:57:45,119
anyway, there's some elements to work

1151
00:57:45,119 --> 00:57:47,440
out, but yeah, that's like high level

1152
00:57:47,440 --> 00:57:50,559
looking at 988 being the the number to

1153
00:57:50,559 --> 00:57:52,799
call to get mobile crisis benefits is

1154
00:57:52,799 --> 00:57:54,400
not is

1155
00:57:54,400 --> 00:57:56,960
>> um so not 911 or local calls.

1156
00:57:56,960 --> 00:57:58,480
>> Well, I mean, we go through that too,

1157
00:57:58,480 --> 00:58:00,960
but just if we wanted to use the 988

1158
00:58:00,960 --> 00:58:03,280
funding that goes with that, then it

1159
00:58:03,280 --> 00:58:08,789
would go through that.

1160
00:58:08,799 --> 00:58:11,280
» Yes. Um so

1161
00:58:11,280 --> 00:58:13,599
a question about A lot of this data

1162
00:58:13,599 --> 00:58:15,680
seems to come from like smart from like

1163
00:58:15,680 --> 00:58:18,160
kind of the provider inputs. What are

1164
00:58:18,160 --> 00:58:21,680
like the measures of getting like um

1165
00:58:21,680 --> 00:58:24,400
data from like the actual clients

1166
00:58:24,400 --> 00:58:26,799
services like are there avenues for

1167
00:58:26,799 --> 00:58:28,960
feedback from them and is that included

1168
00:58:28,960 --> 00:58:30,319
in

1169
00:58:30,319 --> 00:58:34,115
>> quite sure question

1170
00:58:34,115 --> 00:58:34,480
[clears throat]

1171
00:58:34,480 --> 00:58:36,319
>> I was there are there are mechanisms

1172
00:58:36,319 --> 00:58:38,960
that we have for client patient feedback

1173
00:58:38,960 --> 00:58:39,839
that are

1174
00:58:39,839 --> 00:58:41,760
>> survey I was going to say we have

1175
00:58:41,760 --> 00:58:43,599
something that's run annually that's

1176
00:58:43,599 --> 00:58:44,400
>> in smart

1177
00:58:44,400 --> 00:58:47,200
>> no it's not in smart it's

1178
00:58:47,200 --> 00:58:48,480
That's where I was missing.

1179
00:58:48,480 --> 00:58:49,119
>> Yeah.

1180
00:58:49,119 --> 00:58:49,839
>> Yes.

1181
00:58:49,839 --> 00:58:52,079
>> Yeah. So, we have the the client

1182
00:58:52,079 --> 00:58:54,079
perception survey and then on side

1183
00:58:54,079 --> 00:58:55,760
there's the treatment perception survey

1184
00:58:55,760 --> 00:58:58,880
which is an annual that provides data um

1185
00:58:58,880 --> 00:59:00,720
that we distribute to our partners and

1186
00:59:00,720 --> 00:59:02,720
we review internally. There's also our

1187
00:59:02,720 --> 00:59:04,720
you know client satisfaction forms and

1188
00:59:04,720 --> 00:59:06,960
other things that we do internally to

1189
00:59:06,960 --> 00:59:08,720
gather that feedback. It's not directly

1190
00:59:08,720 --> 00:59:12,720
through the EHR, but um but we collect

1191
00:59:12,720 --> 00:59:13,119
that

1192
00:59:13,119 --> 00:59:15,200
>> and like do we do any like community

1193
00:59:15,200 --> 00:59:19,200
needs assessments like as part of that

1194
00:59:19,200 --> 00:59:21,680
how that all folds in? I see like how

1195
00:59:21,680 --> 00:59:23,040
easy it is to pull data from like the

1196
00:59:23,040 --> 00:59:25,520
smart systems like like I can't imagine

1197
00:59:25,520 --> 00:59:28,160
them like getting data outside of that.

1198
00:59:28,160 --> 00:59:31,359
>> So the public health does a community

1199
00:59:31,359 --> 00:59:35,359
health assessment and which includes

1200
00:59:35,359 --> 00:59:37,680
for that. where we, you know, partner

1201
00:59:37,680 --> 00:59:39,760
with them, they get data, it gets

1202
00:59:39,760 --> 00:59:40,559
included.

1203
00:59:40,559 --> 00:59:41,520
>> Okay, cool.

1204
00:59:41,520 --> 00:59:44,559
>> And also, for instance, um, we mentioned

1205
00:59:44,559 --> 00:59:46,079
that medical connect and some of these

1206
00:59:46,079 --> 00:59:47,839
new portals and dashboards that we

1207
00:59:47,839 --> 00:59:49,119
didn't have. The state is now

1208
00:59:49,119 --> 00:59:51,760
aggregating that data in places where we

1209
00:59:51,760 --> 00:59:53,920
can kind of go and we can see, hey,

1210
00:59:53,920 --> 00:59:55,599
there's we can look at our clients in

1211
00:59:55,599 --> 00:59:56,720
different ways that we didn't have

1212
00:59:56,720 --> 00:59:59,280
before and see, okay, there might maybe

1213
00:59:59,280 --> 01:00:00,640
there's a barrier for this age

1214
01:00:00,640 --> 01:00:02,880
population, for this type of service.

1215
01:00:02,880 --> 01:00:05,200
Uh, that data is really new to us. So,

1216
01:00:05,200 --> 01:00:07,040
it's figuring out how we can build that

1217
01:00:07,040 --> 01:00:09,599
into our flow and evaluate it and then

1218
01:00:09,599 --> 01:00:12,799
use it to to try and improve. There's a

1219
01:00:12,799 --> 01:00:14,480
lot of new new things out there that are

1220
01:00:14,480 --> 01:00:15,520
helping us do that as well.

1221
01:00:15,520 --> 01:00:17,599
>> Like the compass things that we showed,

1222
01:00:17,599 --> 01:00:20,079
we've only been looking at this for two

1223
01:00:20,079 --> 01:00:21,680
months.

1224
01:00:21,680 --> 01:00:23,440
>> So,

1225
01:00:23,440 --> 01:00:25,839
just how new it is and how fast it's all

1226
01:00:25,839 --> 01:00:27,200
coming out.

1227
01:00:27,200 --> 01:00:31,829
>> Cool. You're doing great. [laughter]

1228
01:00:31,839 --> 01:00:36,559
So what I understand is that feel that it's

1229
01:00:36,559 --> 01:00:38,960
scalable that people individuals at some

1230
01:00:38,960 --> 01:00:40,319
point will be able to use the

1231
01:00:40,319 --> 01:00:42,000
information that is available to

1232
01:00:42,000 --> 01:00:44,160
everybody else to see how they compare

1233
01:00:44,160 --> 01:00:46,000
in their community.

1234
01:00:46,000 --> 01:00:48,079
>> They are actually like on medical

1235
01:00:48,079 --> 01:00:49,680
connect we can already compare with

1236
01:00:49,680 --> 01:00:52,000
other counties of the same or similar

1237
01:00:52,000 --> 01:00:54,559
size those measurements that they've

1238
01:00:54,559 --> 01:00:57,280
imposed put in there so far.

1239
01:00:57,280 --> 01:00:59,040
>> So there are those mechanisms. I've seen

1240
01:00:59,040 --> 01:01:01,200
it on other websites. I think back to

1241
01:01:01,200 --> 01:01:03,599
the question um somebody had earlier

1242
01:01:03,599 --> 01:01:06,079
about access to the community to data.

1243
01:01:06,079 --> 01:01:08,799
There are plenty of DHCS websites that

1244
01:01:08,799 --> 01:01:12,079
have elements. Um these ones that we're

1245
01:01:12,079 --> 01:01:13,680
showing are the ones we directly have

1246
01:01:13,680 --> 01:01:15,680
access to because what happens is you

1247
01:01:15,680 --> 01:01:18,720
get into PHI to at some point and we

1248
01:01:18,720 --> 01:01:21,520
can't give the community access to those

1249
01:01:21,520 --> 01:01:24,240
u you know individual level data points.

1250
01:01:24,240 --> 01:01:26,640
So for us to affect change, we need that

1251
01:01:26,640 --> 01:01:28,880
information whereas the community only

1252
01:01:28,880 --> 01:01:30,799
needs the aggregate. So they're on other

1253
01:01:30,799 --> 01:01:34,309
sites.

1254
01:01:34,319 --> 01:01:36,319
» Oh, I'm sorry. Um you had early you

1255
01:01:36,319 --> 01:01:37,680
mentioned a little bit earlier that you

1256
01:01:37,680 --> 01:01:40,480
were measuring uh performance per county

1257
01:01:40,480 --> 01:01:43,440
based on benchmarks but if this is all

1258
01:01:43,440 --> 01:01:45,200
new where are the benchmarks coming from

1259
01:01:45,200 --> 01:01:47,920
and who and where did how are they

1260
01:01:47,920 --> 01:01:49,760
decided or you know is this like a

1261
01:01:49,760 --> 01:01:51,440
federal benchmark which is kind of

1262
01:01:51,440 --> 01:01:53,680
strange because there's no real program

1263
01:01:53,680 --> 01:01:55,280
like medical anywhere else

1264
01:01:55,280 --> 01:01:57,440
>> right well there is medical is called

1265
01:01:57,440 --> 01:01:59,599
Medicaid in other states so it's the

1266
01:01:59,599 --> 01:02:01,599
same program then California takes it

1267
01:02:01,599 --> 01:02:03,839
and likes to scoop it up you know its

1268
01:02:03,839 --> 01:02:06,960
own Right. So, um

1269
01:02:06,960 --> 01:02:07,839
yeah. So,

1270
01:02:07,839 --> 01:02:09,040
>> federal benchmark.

1271
01:02:09,040 --> 01:02:11,359
>> No, not for these. There are in HEATUS,

1272
01:02:11,359 --> 01:02:13,760
the HEADESS ones. Um there are federal

1273
01:02:13,760 --> 01:02:17,200
benchmarks. Um the but the state of

1274
01:02:17,200 --> 01:02:19,599
California also giving us the HEADES

1275
01:02:19,599 --> 01:02:22,319
measures as well and so they're adding

1276
01:02:22,319 --> 01:02:25,359
their components to it um and setting

1277
01:02:25,359 --> 01:02:26,640
benchmarks and then wanting and

1278
01:02:26,640 --> 01:02:28,880
evaluating us on it. I will say that

1279
01:02:28,880 --> 01:02:31,520
even last week in the call when they

1280
01:02:31,520 --> 01:02:34,480
were saying, you know, well, my year 24

1281
01:02:34,480 --> 01:02:36,640
was going to be our benchmark year, but

1282
01:02:36,640 --> 01:02:39,440
you guys, it was a do not report year.

1283
01:02:39,440 --> 01:02:42,240
So now we're looking at 2025. So again,

1284
01:02:42,240 --> 01:02:44,000
they're still trying to really establish

1285
01:02:44,000 --> 01:02:45,839
the foundation

1286
01:02:45,839 --> 01:02:48,720
and causing, you know, us to just keep

1287
01:02:48,720 --> 01:02:51,440
reestablishing, you know, with next

1288
01:02:51,440 --> 01:02:52,640
changes. So,

1289
01:02:52,640 --> 01:02:55,680
>> and that started in 2023 with the what

1290
01:02:55,680 --> 01:02:58,319
they called measurement year 2023. For

1291
01:02:58,319 --> 01:03:00,480
years, the state had a hard time

1292
01:03:00,480 --> 01:03:01,760
comparing counties to counties because

1293
01:03:01,760 --> 01:03:03,280
it really was apples to oranges because

1294
01:03:03,280 --> 01:03:05,119
our services and counties are very

1295
01:03:05,119 --> 01:03:07,200
different. But they started with

1296
01:03:07,200 --> 01:03:09,440
measurement year 2023

1297
01:03:09,440 --> 01:03:11,520
and establishing standards and then

1298
01:03:11,520 --> 01:03:13,839
holding us each all of the counties to

1299
01:03:13,839 --> 01:03:15,119
those and that's what started the

1300
01:03:15,119 --> 01:03:17,680
benchmarks. So now measurement year 2024

1301
01:03:17,680 --> 01:03:20,160
is based off of benchmarks from that and

1302
01:03:20,160 --> 01:03:22,160
that's all we're we're really adapting

1303
01:03:22,160 --> 01:03:23,760
and being counties we're don't

1304
01:03:23,760 --> 01:03:27,200
necessarily adapt as quickly as um you

1305
01:03:27,200 --> 01:03:30,240
know p the private sector does um

1306
01:03:30,240 --> 01:03:32,240
adapting to how quickly we have to start

1307
01:03:32,240 --> 01:03:34,079
measuring new data that we weren't doing

1308
01:03:34,079 --> 01:03:36,960
before and you know keeping to those

1309
01:03:36,960 --> 01:03:39,039
goals at the same time is that it's a

1310
01:03:39,039 --> 01:03:41,920
huge administrative burden but it's not

1311
01:03:41,920 --> 01:03:43,839
what our direct service staff are you

1312
01:03:43,839 --> 01:03:48,480
know they're serving clients. So it's on an administrative level of

1313
01:03:48,480 --> 01:03:52,400
overload for the data component of this.

1314
01:03:52,400 --> 01:03:55,829
>> Thank you.

1315
01:03:55,839 --> 01:03:59,200
» So let me just ask overall how do you

1316
01:03:59,200 --> 01:04:02,400
think our counties do or can you say one

1317
01:04:02,400 --> 01:04:05,549
thing that we're super awesome in this

1318
01:04:05,549 --> 01:04:07,280
[laughter]

1319
01:04:07,280 --> 01:04:09,440
>> like um I don't know all the measures.

1320
01:04:09,440 --> 01:04:10,880
There's no way to know all the measures.

1321
01:04:10,880 --> 01:04:13,520
So I don't overall tell you specifically

1322
01:04:13,520 --> 01:04:15,440
how well we're doing or comparably but

1323
01:04:15,440 --> 01:04:17,280
what I can say is what I have reviewed

1324
01:04:17,280 --> 01:04:19,680
recently and getting a lot of aha

1325
01:04:19,680 --> 01:04:22,079
moments is some of the heat ones which

1326
01:04:22,079 --> 01:04:24,559
we have about four to seven that we're

1327
01:04:24,559 --> 01:04:27,599
being um measured on and we're getting

1328
01:04:27,599 --> 01:04:30,240
again we're doing this roving change

1329
01:04:30,240 --> 01:04:33,200
every you know week it seems but we have

1330
01:04:33,200 --> 01:04:34,799
the heat measures coming out straight

1331
01:04:34,799 --> 01:04:37,680
out of smart care is giving us what they

1332
01:04:37,680 --> 01:04:40,160
have put together with their methodology

1333
01:04:40,160 --> 01:04:43,760
we've got one from our EQRO vendor HSAG

1334
01:04:43,760 --> 01:04:45,359
and then we've got with the state of

1335
01:04:45,359 --> 01:04:47,680
California has given us for DHCS. I

1336
01:04:47,680 --> 01:04:48,960
haven't been able to compare all three

1337
01:04:48,960 --> 01:04:50,559
of them but when I've looked at a couple

1338
01:04:50,559 --> 01:04:53,520
of them for the most part with like FUM

1339
01:04:53,520 --> 01:04:56,720
which is followup after medical care I

1340
01:04:56,720 --> 01:05:00,559
think and then FUA followup after

1341
01:05:00,559 --> 01:05:02,880
hospitalization. Um we're actually doing

1342
01:05:02,880 --> 01:05:07,200
pretty good on those currently. Um so

1343
01:05:07,200 --> 01:05:09,839
and that's from the my 25 measurement

1344
01:05:09,839 --> 01:05:12,559
year 2025 that we just got that report

1345
01:05:12,559 --> 01:05:15,359
from. So we are doing there's obviously

1346
01:05:15,359 --> 01:05:17,440
some areas where we need to do some work

1347
01:05:17,440 --> 01:05:19,520
like mostly I think that's in the SED

1348
01:05:19,520 --> 01:05:21,599
realm which I think is a struggle across

1349
01:05:21,599 --> 01:05:25,039
the board for every county every state

1350
01:05:25,039 --> 01:05:29,039
you know SED is a very complex um

1351
01:05:29,039 --> 01:05:31,359
program so those are areas we need

1352
01:05:31,359 --> 01:05:33,520
improvement and our numbers are super

1353
01:05:33,520 --> 01:05:36,880
small. So one client can change and

1354
01:05:36,880 --> 01:05:39,359
offset the whole measurement you know

1355
01:05:39,359 --> 01:05:42,160
for any measure or one situation you

1356
01:05:42,160 --> 01:05:45,119
know that ex extra thing that happens

1357
01:05:45,119 --> 01:05:47,839
that triggers something that results in

1358
01:05:47,839 --> 01:05:51,440
whatnot it can completely make our

1359
01:05:51,440 --> 01:05:53,200
measures go side scientific some of them

1360
01:05:53,200 --> 01:05:54,559
have a lot of numbers in them but

1361
01:05:54,559 --> 01:05:57,520
they're most not most some of them have

1362
01:05:57,520 --> 01:06:00,000
very small numbers as well in fact one

1363
01:06:00,000 --> 01:06:01,839
of the measurements I just heard the

1364
01:06:01,839 --> 01:06:04,240
state say again her state

1365
01:06:04,240 --> 01:06:08,160
from the same meeting last week um that

1366
01:06:08,160 --> 01:06:10,799
the numbers if they're less than 30 in

1367
01:06:10,799 --> 01:06:14,079
the count they um are going to hold us

1368
01:06:14,079 --> 01:06:16,319
to that and I do know one of the

1369
01:06:16,319 --> 01:06:18,240
measures that I was looking at earlier

1370
01:06:18,240 --> 01:06:20,240
this week had less than 30. I think

1371
01:06:20,240 --> 01:06:22,400
we're still doing okay but it was still

1372
01:06:22,400 --> 01:06:24,880
less than 30 so we wouldn't be held to

1373
01:06:24,880 --> 01:06:27,280
any kind of fines penalties or sanctions

1374
01:06:27,280 --> 01:06:30,000
because of that.

1375
01:06:30,000 --> 01:06:33,359
So I heard we're doing well in followup

1376
01:06:33,359 --> 01:06:35,359
after hospitalization,

1377
01:06:35,359 --> 01:06:38,240
>> right? And what was followup?

1378
01:06:38,240 --> 01:06:40,799
>> It's there's like two components of one

1379
01:06:40,799 --> 01:06:43,039
is like when you go to the ER, there's a

1380
01:06:43,039 --> 01:06:44,640
follow-up and we're doing good there.

1381
01:06:44,640 --> 01:06:47,359
And the other one's um the followup

1382
01:06:47,359 --> 01:06:50,160
after

1383
01:06:50,160 --> 01:06:53,119
>> that M&MD visit. So that one I think

1384
01:06:53,119 --> 01:06:55,440
Ross is still doing. We haven't spent a

1385
01:06:55,440 --> 01:06:56,960
lot of time on the ED ones, so I have

1386
01:06:56,960 --> 01:07:00,880
that one really long in my head.

1387
01:07:00,880 --> 01:07:02,079
These are the ones that are showing up

1388
01:07:02,079 --> 01:07:03,200
on page 15. I think

1389
01:07:03,200 --> 01:07:04,480
>> I was going to say if you look at 15,

1390
01:07:04,480 --> 01:07:05,839
those are

1391
01:07:05,839 --> 01:07:08,160
>> I mean sorry to interfer with this mean

1392
01:07:08,160 --> 01:07:12,309
but yeah.

1393
01:07:12,319 --> 01:07:15,599
I am but this raising questions of

1394
01:07:15,599 --> 01:07:21,359
around so is there a need to push more

1395
01:07:21,359 --> 01:07:23,039
for

1396
01:07:23,039 --> 01:07:26,079
using numbers of clients rather than

1397
01:07:26,079 --> 01:07:29,119
percentages personal accounts and is

1398
01:07:29,119 --> 01:07:32,720
that an area that's like a meaningful

1399
01:07:32,720 --> 01:07:35,680
area for reform or is it kind of too

1400
01:07:35,680 --> 01:07:37,200
soon to say because you're aligning some

1401
01:07:37,200 --> 01:07:39,920
of these systems under new guidelines

1402
01:07:39,920 --> 01:07:41,359
that kind of thing. I think if you're

1403
01:07:41,359 --> 01:07:43,520
trying to do a comparative analysis, it

1404
01:07:43,520 --> 01:07:45,359
you need to stick with the percentages.

1405
01:07:45,359 --> 01:07:46,720
If you're trying to actually affect

1406
01:07:46,720 --> 01:07:49,359
change, we need to know the number. We

1407
01:07:49,359 --> 01:07:51,599
need to say who are those people in the

1408
01:07:51,599 --> 01:07:54,160
ER that we need to follow up on. So,

1409
01:07:54,160 --> 01:07:55,359
which is what some of the work we've

1410
01:07:55,359 --> 01:07:57,280
done in our performance improvement

1411
01:07:57,280 --> 01:07:59,760
projects is to have connections with the

1412
01:07:59,760 --> 01:08:01,599
hospitals. They're giving us a list,

1413
01:08:01,599 --> 01:08:04,880
which is very forward because for years

1414
01:08:04,880 --> 01:08:06,160
we've struggled with sharing

1415
01:08:06,160 --> 01:08:08,799
information. Even though HIPPA says with

1416
01:08:08,799 --> 01:08:11,440
the treating relationship you can share,

1417
01:08:11,440 --> 01:08:13,280
they still nobody wants to share because

1418
01:08:13,280 --> 01:08:15,440
everyone's risk adverse and don't want

1419
01:08:15,440 --> 01:08:18,640
to be the people in trouble. Um so but

1420
01:08:18,640 --> 01:08:21,520
we've made a lot of good partnerships

1421
01:08:21,520 --> 01:08:23,440
and communications and we're getting the

1422
01:08:23,440 --> 01:08:25,920
information. So I think numbers are

1423
01:08:25,920 --> 01:08:28,799
important when you really want to do the

1424
01:08:28,799 --> 01:08:31,839
deep dive. Um I don't know how that sort

1425
01:08:31,839 --> 01:08:34,640
of lays out with legislation and changes

1426
01:08:34,640 --> 01:08:38,000
for that. Um, I know it does when you

1427
01:08:38,000 --> 01:08:39,600
have big numbers and you want something

1428
01:08:39,600 --> 01:08:42,080
done, but I don't know about the small

1429
01:08:42,080 --> 01:08:44,239
numbers.

1430
01:08:44,239 --> 01:08:47,349
>> Thanks.

1431
01:08:47,359 --> 01:08:49,120
» Quick question.

1432
01:08:49,120 --> 01:08:50,560
I'm a little biased about Humble County.

1433
01:08:50,560 --> 01:08:52,239
I think Humble County is great

1434
01:08:52,239 --> 01:08:53,839
>> and I would think that a lot of

1435
01:08:53,839 --> 01:08:56,159
nonprofits are cooperating. I they're

1436
01:08:56,159 --> 01:08:58,719
very involved with the CA, the 998 and

1437
01:08:58,719 --> 01:09:01,120
things like that. What mechanisms are

1438
01:09:01,120 --> 01:09:02,960
there for nonprofits to help if that

1439
01:09:02,960 --> 01:09:08,229
information process that data we sites

1440
01:09:08,239 --> 01:09:09,759
when reports like that are the

1441
01:09:09,759 --> 01:09:11,759
committees and things like that or or

1442
01:09:11,759 --> 01:09:13,920
we're not there yet?

1443
01:09:13,920 --> 01:09:15,759
>> Um

1444
01:09:15,759 --> 01:09:17,839
well we're looking a lot at our own data

1445
01:09:17,839 --> 01:09:20,080
so I'm not really connected to our

1446
01:09:20,080 --> 01:09:22,159
nonprofits

1447
01:09:22,159 --> 01:09:24,159
>> talking about the hospitals providing

1448
01:09:24,159 --> 01:09:25,759
information. They're nonprofits.

1449
01:09:25,759 --> 01:09:28,400
>> That's true. Um

1450
01:09:28,400 --> 01:09:30,799
>> I I think meetings with them.

1451
01:09:30,799 --> 01:09:32,319
>> Yeah. I think another element that I

1452
01:09:32,319 --> 01:09:34,960
would say too is part of these

1453
01:09:34,960 --> 01:09:37,120
initiatives are also integrating us some

1454
01:09:37,120 --> 01:09:38,719
data exchange with other parts of the

1455
01:09:38,719 --> 01:09:40,239
county, right? Like public as an

1456
01:09:40,239 --> 01:09:41,359
example.

1457
01:09:41,359 --> 01:09:43,279
>> So part of like the chimp and chop

1458
01:09:43,279 --> 01:09:45,440
process is going to be integrated in

1459
01:09:45,440 --> 01:09:47,359
some capacity within the integrated plan

1460
01:09:47,359 --> 01:09:48,719
at some point. So if you're doing like

1461
01:09:48,719 --> 01:09:50,480
engagement with public health as an

1462
01:09:50,480 --> 01:09:52,560
example, chances are some of that input

1463
01:09:52,560 --> 01:09:54,080
and feedback will trickle down to our

1464
01:09:54,080 --> 01:09:57,280
planning process as well.

1465
01:09:57,280 --> 01:09:59,760
payment of that data exchange.

1466
01:09:59,760 --> 01:10:02,400
>> And to what Amy was saying earlier, a

1467
01:10:02,400 --> 01:10:04,480
lot of this is spurring conversation and

1468
01:10:04,480 --> 01:10:07,199
increasing health information exchange.

1469
01:10:07,199 --> 01:10:09,280
More people are getting into health

1470
01:10:09,280 --> 01:10:11,040
information exchanges, which is allowing

1471
01:10:11,040 --> 01:10:13,199
us to have access to the data at a level

1472
01:10:13,199 --> 01:10:15,040
we didn't have in the past,

1473
01:10:15,040 --> 01:10:16,719
>> right? Because the state is now saying,

1474
01:10:16,719 --> 01:10:18,719
"Here's your humble county behavioral

1475
01:10:18,719 --> 01:10:21,120
health and then the managed care plans,

1476
01:10:21,120 --> 01:10:23,040
and we want you to play nice and we want

1477
01:10:23,040 --> 01:10:25,600
you to share your information." Yeah,

1478
01:10:25,600 --> 01:10:34,550
that is definitely a heavy lift.

1479
01:10:34,560 --> 01:10:37,199
» Any other questions?

1480
01:10:37,199 --> 01:10:38,640
>> I don't know. There's a lot of letters

1481
01:10:38,640 --> 01:10:42,400
in my brain and a lot of

1482
01:10:42,400 --> 01:10:44,320
soup in there. There's little recipe

1483
01:10:44,320 --> 01:10:44,880
book.

1484
01:10:44,880 --> 01:10:47,040
>> I mean, I probably have other questions

1485
01:10:47,040 --> 01:10:48,640
if that's okay to

1486
01:10:48,640 --> 01:10:50,480
>> absolutely anytime ask.

1487
01:10:50,480 --> 01:10:53,440
>> Yeah. Thank you so so much. really well

1488
01:10:53,440 --> 01:10:53,840
done

1489
01:10:53,840 --> 01:10:56,480
>> and we appreciate all the work you do.

1490
01:10:56,480 --> 01:10:57,280
>> Yeah.

1491
01:10:57,280 --> 01:11:00,560
>> Yes. Thank you.

1492
01:11:00,560 --> 01:11:03,280
>> Well, with that we

1493
01:11:03,280 --> 01:11:05,199
>> Do you guys mind if we hop out so we can

1494
01:11:05,199 --> 01:11:06,159
get back some of that?

1495
01:11:06,159 --> 01:11:10,310
>> Yes.

1496
01:11:10,320 --> 01:11:14,000
» Some of them smell a flower on the web.

1497
01:11:14,000 --> 01:11:16,320
>> I'll go ahead and stop uh the screen

1498
01:11:16,320 --> 01:11:20,709
share if that's okay.

1499
01:11:20,719 --> 01:11:22,640
» Absolutely. Thank you all for your time.

1500
01:11:22,640 --> 01:11:29,430
>> Thank you.

1501
01:11:29,440 --> 01:11:34,239
» At this moment, um, we have a quorum.

1502
01:11:34,239 --> 01:11:36,080
>> So, I would like to bring back the

1503
01:11:36,080 --> 01:11:38,719
action items of approving minutes from

1504
01:11:38,719 --> 01:11:42,560
618 and 625.

1505
01:11:42,560 --> 01:11:44,960
Anybody want to make a motion? Make a

1506
01:11:44,960 --> 01:11:45,600
motion.

1507
01:11:45,600 --> 01:11:46,880
>> I'll second.

1508
01:11:46,880 --> 01:11:49,600
>> All right. All in favor of approving all

1509
01:11:49,600 --> 01:11:51,280
those minutes.

1510
01:11:51,280 --> 01:11:54,239
>> I opposed.

1511
01:11:54,239 --> 01:11:56,480
>> All right, there we go. We got that

1512
01:11:56,480 --> 01:11:58,239
done. There's no other action items,

1513
01:11:58,239 --> 01:11:59,520
right? That's it.

1514
01:11:59,520 --> 01:12:01,840
>> You're just

1515
01:12:01,840 --> 01:12:04,960
Yes, I know. Thank you so much.

1516
01:12:04,960 --> 01:12:06,159
>> For that,

1517
01:12:06,159 --> 01:12:10,000
>> I only want you here for your vote.

1518
01:12:10,000 --> 01:12:18,550
I'm kidding. Sorry, I'm sassy today.

1519
01:12:18,560 --> 01:12:20,320
All right. So now we will go to

1520
01:12:20,320 --> 01:12:23,120
communications before you leave.

1521
01:12:23,120 --> 01:12:24,880
Supervisor Aoyo, do you have any

1522
01:12:24,880 --> 01:12:25,840
communications?

1523
01:12:25,840 --> 01:12:29,520
>> I um don't at this time. Sorry, this

1524
01:12:29,520 --> 01:12:32,080
very anticlimactic. Um I do I do have to

1525
01:12:32,080 --> 01:12:37,350
depart early. I'm sorry, but

1526
01:12:37,360 --> 01:12:39,280
this is the time when a board members

1527
01:12:39,280 --> 01:12:42,800
can communicate. Hello. Um I don't have

1528
01:12:42,800 --> 01:12:45,760
Well, I guess um I wanted Austin to kind

1529
01:12:45,760 --> 01:12:49,760
of announce um is that okay announce

1530
01:12:49,760 --> 01:12:51,440
>> for you? Sure.

1531
01:12:51,440 --> 01:12:53,760
>> Uh yeah, Patrick's Foundation is uh

1532
01:12:53,760 --> 01:12:55,760
still on course for our sobering center

1533
01:12:55,760 --> 01:12:59,280
and the 3.2 social model detox. Uh we're

1534
01:12:59,280 --> 01:13:01,920
looking for properties currently and um

1535
01:13:01,920 --> 01:13:03,520
we're working on getting the lensure

1536
01:13:03,520 --> 01:13:05,679
figured out as we speak. So we believe

1537
01:13:05,679 --> 01:13:07,600
we've staffed up appropriately. We're

1538
01:13:07,600 --> 01:13:10,400
just kind of uh getting a lot of fine

1539
01:13:10,400 --> 01:13:12,480
tuning done before we're making that

1540
01:13:12,480 --> 01:13:14,480
final step there. And we also will be

1541
01:13:14,480 --> 01:13:16,080
one of the sponsors for International

1542
01:13:16,080 --> 01:13:20,390
Overdose Awareness Day for 2026.

1543
01:13:20,400 --> 01:13:35,110
It worked.

1544
01:13:35,120 --> 01:13:37,679
» So, at this time, uh, just so Eddie,

1545
01:13:37,679 --> 01:13:40,239
Saul, and Allan know, we didn't get on

1546
01:13:40,239 --> 01:13:43,760
the board of soups agenda, but, uh,

1547
01:13:43,760 --> 01:13:46,719
August 10th is what I hear. So,

1548
01:13:46,719 --> 01:13:49,600
>> okay. I think it might be August 11th.

1549
01:13:49,600 --> 01:13:52,159
>> 11

1550
01:13:52,159 --> 01:13:53,440
days. I saw your note.

1551
01:13:53,440 --> 01:13:55,360
>> Oh, August 11th.

1552
01:13:55,360 --> 01:13:56,239
>> 11. Thank you.

1553
01:13:56,239 --> 01:13:57,520
>> And it should be on the consent

1554
01:13:57,520 --> 01:13:59,280
calendar. So, I mean, if you want to

1555
01:13:59,280 --> 01:14:02,400
come, you're welcome to, but um it's

1556
01:14:02,400 --> 01:14:05,040
hard to imagine that it will not pass.

1557
01:14:05,040 --> 01:14:06,320
You never know.

1558
01:14:06,320 --> 01:14:07,840
>> So,

1559
01:14:07,840 --> 01:14:09,040
it would be shocking.

1560
01:14:09,040 --> 01:14:10,960
>> You don't What I'm saying is you don't

1561
01:14:10,960 --> 01:14:12,800
need to be there. Although, if want to,

1562
01:14:12,800 --> 01:14:15,360
for sure.

1563
01:14:15,360 --> 01:14:17,199
>> Thanks.

1564
01:14:17,199 --> 01:14:19,199
John, do you have anything to run out at

1565
01:14:19,199 --> 01:14:21,280
this time? Okay,

1566
01:14:21,280 --> 01:14:22,640
>> Jess.

1567
01:14:22,640 --> 01:14:24,400
>> Yeah, give me just a second to pull up

1568
01:14:24,400 --> 01:14:26,400
the flyer. Oh, well, I believe that Joe

1569
01:14:26,400 --> 01:14:28,080
already sent it out to everybody, but

1570
01:14:28,080 --> 01:14:30,000
the wellness day barbecue that's going

1571
01:14:30,000 --> 01:14:33,199
to be happening from HTC Quark, make

1572
01:14:33,199 --> 01:14:35,280
sure you get over there. We got some

1573
01:14:35,280 --> 01:14:38,159
good chefs. And other than that, the

1574
01:14:38,159 --> 01:14:41,600
popup photography event was a really big

1575
01:14:41,600 --> 01:14:43,360
success. We had lots of people coming in

1576
01:14:43,360 --> 01:14:45,840
and out of that. And yeah, that's pretty

1577
01:14:45,840 --> 01:14:48,320
much all that I have for now.

1578
01:14:48,320 --> 01:14:51,679
>> That's Sean. I know you have something.

1579
01:14:51,679 --> 01:14:55,360
>> I don't think I screw up. I haven't

1580
01:14:55,360 --> 01:14:59,199
>> Okay, save my for

1581
01:14:59,199 --> 01:15:00,719
that. Doesn't matter. I guess

1582
01:15:00,719 --> 01:15:02,640
>> I don't really have anything except for

1583
01:15:02,640 --> 01:15:05,280
I wanted to

1584
01:15:05,280 --> 01:15:07,120
just kind of check back in with Jess

1585
01:15:07,120 --> 01:15:11,760
about any HCTC response to the

1586
01:15:11,760 --> 01:15:14,080
recommendations conversation we had last

1587
01:15:14,080 --> 01:15:16,159
month. Not to put you on the spot.

1588
01:15:16,159 --> 01:15:18,080
>> Well, I guess it's my time to be on

1589
01:15:18,080 --> 01:15:21,120
this. Not yet because I haven't uh I was

1590
01:15:21,120 --> 01:15:23,040
busy during our last meeting, but

1591
01:15:23,040 --> 01:15:23,840
>> that's fine.

1592
01:15:23,840 --> 01:15:26,159
>> I'll make a note to myself.

1593
01:15:26,159 --> 01:15:28,400
I just wanted you to know that at the or

1594
01:15:28,400 --> 01:15:30,480
everybody to know at the last executive

1595
01:15:30,480 --> 01:15:33,600
committee meeting we agreed uh that we

1596
01:15:33,600 --> 01:15:35,920
just want to revisit continuously like

1597
01:15:35,920 --> 01:15:38,400
every six months or so. So we'll

1598
01:15:38,400 --> 01:15:40,560
>> we want and and also not just for

1599
01:15:40,560 --> 01:15:42,480
transition age youth we want to hear

1600
01:15:42,480 --> 01:15:45,920
feedback about how this board is

1601
01:15:45,920 --> 01:15:48,880
accessible and inclusive to all the

1602
01:15:48,880 --> 01:15:51,440
folks in our community. So uh please you

1603
01:15:51,440 --> 01:15:53,760
know keep that in mind when you come to

1604
01:15:53,760 --> 01:15:56,159
these meetings that uh we want to hear

1605
01:15:56,159 --> 01:15:59,679
from folks about how to improve

1606
01:15:59,679 --> 01:16:04,800
uh our accessibility for folks. So

1607
01:16:04,800 --> 01:16:06,400
it

1608
01:16:06,400 --> 01:16:11,120
all right what I have is um

1609
01:16:11,120 --> 01:16:14,800
CIT just

1610
01:16:14,800 --> 01:16:20,800
my gosh CIT will be October 22nd to 26

1611
01:16:20,800 --> 01:16:21,199
um

1612
01:16:21,199 --> 01:16:22,560
>> October 27th.

1613
01:16:22,560 --> 01:16:24,640
>> Yes. The training of the contract 40

1614
01:16:24,640 --> 01:16:26,320
hour training

1615
01:16:26,320 --> 01:16:28,719
to do all of it over time. Just catch

1616
01:16:28,719 --> 01:16:30,000
little bits

1617
01:16:30,000 --> 01:16:34,390
>> and it's going to change.

1618
01:16:34,400 --> 01:16:34,640
» Um

1619
01:16:34,640 --> 01:16:36,000
>> October what?

1620
01:16:36,000 --> 01:16:38,719
>> October 22nd through the 26th. It's a

1621
01:16:38,719 --> 01:16:40,719
40-hour training for law enforcement and

1622
01:16:40,719 --> 01:16:42,880
social workers.

1623
01:16:42,880 --> 01:16:45,120
>> Thursday through a Monday.

1624
01:16:45,120 --> 01:16:47,199
October.

1625
01:16:47,199 --> 01:16:50,320
>> Or Monday through Thursday.

1626
01:16:50,320 --> 01:16:53,440
All right, y'all.

1627
01:16:53,440 --> 01:16:55,199
>> 26th. I need 26.

1628
01:16:55,199 --> 01:16:56,400
>> Okay.

1629
01:16:56,400 --> 01:17:01,430
>> 26 through 30th.

1630
01:17:01,440 --> 01:17:04,960
» 31st is Halloween.

1631
01:17:04,960 --> 01:17:09,600
>> It's a whole week. Yeah.

1632
01:17:09,600 --> 01:17:11,520
Um, and then also just wanted to let you

1633
01:17:11,520 --> 01:17:14,560
all know that Eureka, the Eureka Police

1634
01:17:14,560 --> 01:17:16,960
Department and the Crisis Alternative

1635
01:17:16,960 --> 01:17:19,840
Response of Eureka Mental Health Team

1636
01:17:19,840 --> 01:17:22,960
and DHS are going out to Huba to present

1637
01:17:22,960 --> 01:17:26,560
on SP 43550s,

1638
01:17:26,560 --> 01:17:28,640
the escalation stuff. And so that's

1639
01:17:28,640 --> 01:17:31,520
becoming quite a nice partnership. We've

1640
01:17:31,520 --> 01:17:34,400
been interacting with Lubo Valley Tribal

1641
01:17:34,400 --> 01:17:37,520
and now out there. So it's been very

1642
01:17:37,520 --> 01:17:39,199
nice

1643
01:17:39,199 --> 01:17:42,560
to share that. What about the CIT

1644
01:17:42,560 --> 01:17:44,480
international conference?

1645
01:17:44,480 --> 01:17:47,120
>> Oh, the CIT international conference is

1646
01:17:47,120 --> 01:17:51,199
in August. The I don't know the second

1647
01:17:51,199 --> 01:17:53,679
Monday, Tuesday, Wednesday, which is in

1648
01:17:53,679 --> 01:17:56,800
Orlando, Florida, which place to be in

1649
01:17:56,800 --> 01:17:58,480
August. Yes,

1650
01:17:58,480 --> 01:18:00,880
>> it was in

1651
01:18:00,880 --> 01:18:03,600
>> what's next to

1652
01:18:03,600 --> 01:18:06,480
in Fort Lauderdale, but

1653
01:18:06,480 --> 01:18:09,440
>> I'm excited to go. Not that far, but

1654
01:18:09,440 --> 01:18:11,120
>> Well, I know there's a Canadian version.

1655
01:18:11,120 --> 01:18:12,800
I I saw that.

1656
01:18:12,800 --> 01:18:16,320
>> I know Canada has their CIT together. I

1657
01:18:16,320 --> 01:18:18,159
bet they Yeah.

1658
01:18:18,159 --> 01:18:19,199
>> Anyway,

1659
01:18:19,199 --> 01:18:20,880
>> yes. Thank you, Kelly.

1660
01:18:20,880 --> 01:18:22,239
>> How many I'm just curious, how many

1661
01:18:22,239 --> 01:18:23,760
people are going? What kind of agencies

1662
01:18:23,760 --> 01:18:25,360
are represented?

1663
01:18:25,360 --> 01:18:27,840
>> Seven people are going. Uh, public

1664
01:18:27,840 --> 01:18:29,920
defender, uh, someone from the district

1665
01:18:29,920 --> 01:18:34,560
attorney's office. Uh, Arcada

1666
01:18:34,560 --> 01:18:41,590
Gman's going. No, supervisors are going.

1667
01:18:41,600 --> 01:18:45,360
Hang on. Uh, sorry.

1668
01:18:45,360 --> 01:18:45,679
>> I know.

1669
01:18:45,679 --> 01:18:48,080
>> I'm just nosy more than anything.

1670
01:18:48,080 --> 01:18:49,600
>> Well, I'm happy to fill you in on

1671
01:18:49,600 --> 01:18:51,199
everyone else who's coming in as soon as

1672
01:18:51,199 --> 01:18:53,120
I can remember who they are, but don't

1673
01:18:53,120 --> 01:18:55,280
do that again.

1674
01:18:55,280 --> 01:18:59,840
Um yes, different agencies are gone.

1675
01:18:59,840 --> 01:19:03,920
Coming back to report to you.

1676
01:19:03,920 --> 01:19:06,000
>> It just the CIT international conference

1677
01:19:06,000 --> 01:19:08,800
is such a good opportunity to learn

1678
01:19:08,800 --> 01:19:11,199
what's happening in other places across

1679
01:19:11,199 --> 01:19:13,040
the country and outside of the country

1680
01:19:13,040 --> 01:19:15,199
around crisis intervention. and our

1681
01:19:15,199 --> 01:19:17,120
county has always done a very good job

1682
01:19:17,120 --> 01:19:20,000
at like bringing folks from all the

1683
01:19:20,000 --> 01:19:22,719
different agencies and it's a great

1684
01:19:22,719 --> 01:19:24,800
opportunity for them to network and

1685
01:19:24,800 --> 01:19:26,800
build better collaborative

1686
01:19:26,800 --> 01:19:30,400
relationships. So I'm it's I'm biased

1687
01:19:30,400 --> 01:19:32,480
obviously but it's a it's a great thing.

1688
01:19:32,480 --> 01:19:35,440
So good job.

1689
01:19:35,440 --> 01:19:39,120
All right. Now we'll go to reports. Uh

1690
01:19:39,120 --> 01:19:44,550
behavioral health direct

1691
01:19:44,560 --> 01:19:48,640
today. Um let's see.

1692
01:19:48,640 --> 01:19:51,199
We're continuing to move forward with a

1693
01:19:51,199 --> 01:19:53,760
new administrator for the DMCO. Yes.

1694
01:19:53,760 --> 01:19:55,679
Which is good. Just regular meetings

1695
01:19:55,679 --> 01:19:58,400
with Hel Mesa,

1696
01:19:58,400 --> 01:20:03,440
BER, CHCS county. So we're kind of in

1697
01:20:03,440 --> 01:20:05,679
the phase where Calme State is working

1698
01:20:05,679 --> 01:20:08,960
with DHCS on the keys the key structure

1699
01:20:08,960 --> 01:20:11,120
and working really hard to create

1700
01:20:11,120 --> 01:20:12,800
something that's reasonable and

1701
01:20:12,800 --> 01:20:16,960
sustainable. So that's good. Um

1702
01:20:16,960 --> 01:20:22,640
we let's see what else we had. Um

1703
01:20:22,640 --> 01:20:25,199
Oliver who was here and left went out

1704
01:20:25,199 --> 01:20:27,199
Tuesday to the groundbreaking for the

1705
01:20:27,199 --> 01:20:29,679
Euro Health and Wellness Center which is

1706
01:20:29,679 --> 01:20:33,360
should be amazing. Um, pretty excited

1707
01:20:33,360 --> 01:20:35,280
about that and just happy that our

1708
01:20:35,280 --> 01:20:37,440
community, Humble County, is really

1709
01:20:37,440 --> 01:20:39,600
building out our health of care in so

1710
01:20:39,600 --> 01:20:42,320
many ways. That's

1711
01:20:42,320 --> 01:20:46,400
Boy, we we are waiting to hear back on a

1712
01:20:46,400 --> 01:20:48,560
community reinvestment application to

1713
01:20:48,560 --> 01:20:51,280
DHCS. I think I talked about this here a

1714
01:20:51,280 --> 01:20:53,760
little bit previously, but um

1715
01:20:53,760 --> 01:20:56,640
Partnership Health in collaboration with

1716
01:20:56,640 --> 01:20:58,640
public health and behavioral health has

1717
01:20:58,640 --> 01:21:02,159
community reinvestment funds that um

1718
01:21:02,159 --> 01:21:03,760
public health and behavioral health need

1719
01:21:03,760 --> 01:21:07,520
to come to an agreement on in terms of

1720
01:21:07,520 --> 01:21:10,239
how we recommend investing that in our

1721
01:21:10,239 --> 01:21:12,800
community. And one of the ways that um

1722
01:21:12,800 --> 01:21:14,320
we talked about here in the whole county

1723
01:21:14,320 --> 01:21:16,880
was using some of those funds for DMCODS

1724
01:21:16,880 --> 01:21:20,400
for um supporting the contract with Cal

1725
01:21:20,400 --> 01:21:22,800
Mesa so that we can you know sure that

1726
01:21:22,800 --> 01:21:24,800
we have resources available for that.

1727
01:21:24,800 --> 01:21:26,159
We're waiting like I said we're waiting

1728
01:21:26,159 --> 01:21:28,400
to hear back from DHCS on that proposal.

1729
01:21:28,400 --> 01:21:31,840
So certainly update this group.

1730
01:21:31,840 --> 01:21:33,600
And then I guess the other thing I'll

1731
01:21:33,600 --> 01:21:38,320
mention is DHS OAC which is Behavioral

1732
01:21:38,320 --> 01:21:39,840
Health Services Oversight and

1733
01:21:39,840 --> 01:21:41,600
Accountability Commission reached out

1734
01:21:41,600 --> 01:21:43,760
and asked if they could come visit. So

1735
01:21:43,760 --> 01:21:46,560
that's great and you know a little

1736
01:21:46,560 --> 01:21:48,800
stressful. So we're we've talked

1737
01:21:48,800 --> 01:21:50,960
internally about creating an opportunity

1738
01:21:50,960 --> 01:21:52,560
for them to come see how things are

1739
01:21:52,560 --> 01:21:54,480
going in Humble County. They would

1740
01:21:54,480 --> 01:21:57,679
certainly talk about some of um the BHSA

1741
01:21:57,679 --> 01:21:59,280
transition and maybe would have

1742
01:21:59,280 --> 01:22:02,000
conversations with some of our um

1743
01:22:02,000 --> 01:22:03,760
community partners and other local

1744
01:22:03,760 --> 01:22:06,159
groups. So possibly behavioral health

1745
01:22:06,159 --> 01:22:08,880
would be a group that could

1746
01:22:08,880 --> 01:22:10,719
share.

1747
01:22:10,719 --> 01:22:13,280
So you know why what well no they just

1748
01:22:13,280 --> 01:22:15,440
said they wanted to come. it they gave

1749
01:22:15,440 --> 01:22:17,520
it as an option and I didn't really feel

1750
01:22:17,520 --> 01:22:21,840
like I should say no but um they are

1751
01:22:21,840 --> 01:22:23,520
just offering to come and see how things

1752
01:22:23,520 --> 01:22:26,719
are going and ta and help us gather

1753
01:22:26,719 --> 01:22:29,520
information so it I mean it sounds

1754
01:22:29,520 --> 01:22:31,920
>> have you seen humble I mean it makes

1755
01:22:31,920 --> 01:22:32,639
sense correct

1756
01:22:32,639 --> 01:22:35,760
>> yeah exactly so anyway I'll keep you

1757
01:22:35,760 --> 01:22:37,280
guys posted on that we're just Oliver

1758
01:22:37,280 --> 01:22:40,400
and I and the deputies have been about

1759
01:22:40,400 --> 01:22:42,080
what how we could actually make it a

1760
01:22:42,080 --> 01:22:43,360
meaningful visit like what are the

1761
01:22:43,360 --> 01:22:44,719
things we might want to talk about or

1762
01:22:44,719 --> 01:22:46,880
get put on and who might we want to

1763
01:22:46,880 --> 01:22:48,960
connect them with. So, we're kind of

1764
01:22:48,960 --> 01:22:50,560
organizing around that and thinking

1765
01:22:50,560 --> 01:22:53,840
about dates.

1766
01:22:53,840 --> 01:22:56,880
>> Are there still any funds coming from

1767
01:22:56,880 --> 01:22:58,639
them for like crisis triage or anything

1768
01:22:58,639 --> 01:23:00,400
like that?

1769
01:23:00,400 --> 01:23:03,440
>> Isn't that the over

1770
01:23:03,440 --> 01:23:05,280
the innovation?

1771
01:23:05,280 --> 01:23:09,199
>> No, the crisis. Oh, this is no

1772
01:23:09,199 --> 01:23:11,360
>> I think all of them.

1773
01:23:11,360 --> 01:23:13,679
I just was curious cuz like we had we

1774
01:23:13,679 --> 01:23:15,360
would go to those meetings and stuff

1775
01:23:15,360 --> 01:23:17,280
with them regularly, but they were I

1776
01:23:17,280 --> 01:23:19,040
mean they were always really

1777
01:23:19,040 --> 01:23:21,280
>> they have been helpful. Yeah. With Yes,

1778
01:23:21,280 --> 01:23:23,199
that's true. That's right. I just was

1779
01:23:23,199 --> 01:23:26,790
curious.

1780
01:23:26,800 --> 01:23:28,560
» Yeah,

1781
01:23:28,560 --> 01:23:30,800
>> Jeremy.

1782
01:23:30,800 --> 01:23:33,840
>> Um yeah, in the children's world, uh

1783
01:23:33,840 --> 01:23:35,840
things don't slow down summer like they

1784
01:23:35,840 --> 01:23:37,440
used to.

1785
01:23:37,440 --> 01:23:40,320
a lot of contracts right now where um

1786
01:23:40,320 --> 01:23:43,280
anytime a youth gets placed in a in a

1787
01:23:43,280 --> 01:23:45,120
short-term residential facility what

1788
01:23:45,120 --> 01:23:46,960
used to be called group homes that

1789
01:23:46,960 --> 01:23:48,800
requires new contracts with those

1790
01:23:48,800 --> 01:23:52,080
facilities. Um we're trying to get new

1791
01:23:52,080 --> 01:23:53,920
contracts in place for some additional

1792
01:23:53,920 --> 01:23:56,239
providers and so just there's a lot of

1793
01:23:56,239 --> 01:23:59,040
activity around that contracting

1794
01:23:59,040 --> 01:24:00,880
certifying our sites. So our humble

1795
01:24:00,880 --> 01:24:03,920
flash site fortune site said are all

1796
01:24:03,920 --> 01:24:06,480
going through medical reertification

1797
01:24:06,480 --> 01:24:08,080
that's a lot of work that are going into

1798
01:24:08,080 --> 01:24:10,719
those things. um all the initiatives

1799
01:24:10,719 --> 01:24:13,600
that Amy talked about in the Cal AIM

1800
01:24:13,600 --> 01:24:16,480
world. Um we're working with uh

1801
01:24:16,480 --> 01:24:20,320
probation as far as solidifying anou

1802
01:24:20,320 --> 01:24:22,880
that outlines a lot of the new

1803
01:24:22,880 --> 01:24:25,520
requirements around pre-release

1804
01:24:25,520 --> 01:24:28,960
services and making sure that that

1805
01:24:28,960 --> 01:24:31,440
on the June slide that youth that are

1806
01:24:31,440 --> 01:24:33,520
getting ready to be discharged from the

1807
01:24:33,520 --> 01:24:36,320
facility are set up with services pri

1808
01:24:36,320 --> 01:24:39,199
prior to being released. and then uh

1809
01:24:39,199 --> 01:24:40,719
looking at all the screening and the

1810
01:24:40,719 --> 01:24:43,840
assessment tools and finalizing that

1811
01:24:43,840 --> 01:24:46,080
probation. So that's part of the cali

1812
01:24:46,080 --> 01:24:50,159
project um under BH connect what Amy

1813
01:24:50,159 --> 01:24:51,760
mentioned a lot of the evidence based

1814
01:24:51,760 --> 01:24:53,600
practices that are now required. So

1815
01:24:53,600 --> 01:24:57,600
we're in the process of um for two

1816
01:24:57,600 --> 01:24:59,840
practices functional family therapy and

1817
01:24:59,840 --> 01:25:03,120
parent child interaction therapy. for

1818
01:25:03,120 --> 01:25:04,719
identifying staff to be trained and

1819
01:25:04,719 --> 01:25:06,719
moving closer to setting up the

1820
01:25:06,719 --> 01:25:09,679
trainings for staff. Um and then once we

1821
01:25:09,679 --> 01:25:11,280
get staff trained then we'll be able to

1822
01:25:11,280 --> 01:25:13,440
roll those specific evidence-based

1823
01:25:13,440 --> 01:25:16,800
practices out to offer those services.

1824
01:25:16,800 --> 01:25:20,880
And then MST multi- systemic therapy is

1825
01:25:20,880 --> 01:25:22,800
a more challenging one because it

1826
01:25:22,800 --> 01:25:26,159
requires 247 247

1827
01:25:26,159 --> 01:25:28,320
crisis availability. that we're looking

1828
01:25:28,320 --> 01:25:30,560
at. It's putting out a request for

1829
01:25:30,560 --> 01:25:32,800
proposals to see if another agency be

1830
01:25:32,800 --> 01:25:34,560
willing to maybe contract with that

1831
01:25:34,560 --> 01:25:38,400
service. Um, so lots of work on BH

1832
01:25:38,400 --> 01:25:42,239
connect stuff um under BHSA which Amy

1833
01:25:42,239 --> 01:25:45,040
also talked about, but the high fidelity

1834
01:25:45,040 --> 01:25:47,600
wraparound is the other really big state

1835
01:25:47,600 --> 01:25:50,080
initiative right now. So there's a kind

1836
01:25:50,080 --> 01:25:53,360
of work both on with behavior health and

1837
01:25:53,360 --> 01:25:57,040
child welfare because child welfare has

1838
01:25:57,040 --> 01:26:00,880
the mandate to offer wrap around to

1839
01:26:00,880 --> 01:26:03,040
section or portions of their youth that

1840
01:26:03,040 --> 01:26:05,520
are identified as immediate needs youth

1841
01:26:05,520 --> 01:26:08,080
or youth coming back from a group home.

1842
01:26:08,080 --> 01:26:09,920
Behavioral health has requirements to

1843
01:26:09,920 --> 01:26:12,880
offer wraparound to our full service

1844
01:26:12,880 --> 01:26:15,679
partnership highle youth. So we're

1845
01:26:15,679 --> 01:26:17,600
trying to organize all of these

1846
01:26:17,600 --> 01:26:20,080
wraparound efforts. So it's essentially

1847
01:26:20,080 --> 01:26:24,000
one wraparound system, one process. So

1848
01:26:24,000 --> 01:26:25,600
it's there's a lot of moving parts right

1849
01:26:25,600 --> 01:26:27,520
now. The state has not finalized the

1850
01:26:27,520 --> 01:26:28,800
pledge of the guidance that we're

1851
01:26:28,800 --> 01:26:31,600
getting on. So right now it's a lot of

1852
01:26:31,600 --> 01:26:33,280
wraparound meetings that are happening,

1853
01:26:33,280 --> 01:26:35,760
but we're getting closer where we have

1854
01:26:35,760 --> 01:26:38,480
two providers in the county that uh both

1855
01:26:38,480 --> 01:26:41,120
been certified by the state to be high

1856
01:26:41,120 --> 01:26:43,600
fidelity wraparound providers. And so

1857
01:26:43,600 --> 01:26:45,679
that's really in many ways we're ahead

1858
01:26:45,679 --> 01:26:47,920
of other counties because we have

1859
01:26:47,920 --> 01:26:50,560
providers. We're just kind of waiting in

1860
01:26:50,560 --> 01:26:52,000
the state for a lot of things to

1861
01:26:52,000 --> 01:26:53,760
finalize things and really be able to

1862
01:26:53,760 --> 01:26:56,480
roll out the services. So lots of things

1863
01:26:56,480 --> 01:26:58,880
going on right now in children. Yeah.

1864
01:26:58,880 --> 01:27:00,880
>> Who are the providers? So, Revenue

1865
01:27:00,880 --> 01:27:03,280
Community Services is they they already

1866
01:27:03,280 --> 01:27:05,760
are doing rapid specifically for child

1867
01:27:05,760 --> 01:27:08,719
welfare youth and so um we'll be

1868
01:27:08,719 --> 01:27:11,679
updating their contract to add

1869
01:27:11,679 --> 01:27:13,920
>> the behavior health portion to that and

1870
01:27:13,920 --> 01:27:16,000
then humble neuro health will be a new

1871
01:27:16,000 --> 01:27:19,520
provider. So, between the two of them

1872
01:27:19,520 --> 01:27:21,840
will have capacities for both child

1873
01:27:21,840 --> 01:27:28,310
welfare and non childare.

1874
01:27:28,320 --> 01:27:31,669
Thanks. Yeah.

1875
01:27:31,679 --> 01:27:35,120
I think people would see Jack, what have

1876
01:27:35,120 --> 01:27:37,840
you got for us?

1877
01:27:37,840 --> 01:27:40,159
>> Hi. Uh, good afternoon everyone. Sorry I

1878
01:27:40,159 --> 01:27:42,159
couldn't make it in person, but nice to

1879
01:27:42,159 --> 01:27:45,600
see everyone. Um, probably not a lot on

1880
01:27:45,600 --> 01:27:48,880
the adult side. Um, you know, we we

1881
01:27:48,880 --> 01:27:51,840
definitely are are uh in the the

1882
01:27:51,840 --> 01:27:54,159
recruitment and hiring phase for for

1883
01:27:54,159 --> 01:27:57,040
some clinicians and uh we've got some

1884
01:27:57,040 --> 01:28:00,480
interviews coming up and that's uh good

1885
01:28:00,480 --> 01:28:03,040
for us. Um but we [clears throat] remain

1886
01:28:03,040 --> 01:28:05,280
pretty pretty busy. We've been working

1887
01:28:05,280 --> 01:28:10,480
on um this transitional rent uh with the

1888
01:28:10,480 --> 01:28:13,199
home program. Uh that's a new

1889
01:28:13,199 --> 01:28:15,760
partnership benefit that uh

1890
01:28:15,760 --> 01:28:17,760
theoretically you're supposed to, you

1891
01:28:17,760 --> 01:28:20,000
know, allow for

1892
01:28:20,000 --> 01:28:23,280
a portion of rent to be paid by uh the

1893
01:28:23,280 --> 01:28:25,199
partnership health plan. And so we're

1894
01:28:25,199 --> 01:28:27,600
kind of working on the the kinks for

1895
01:28:27,600 --> 01:28:30,960
that. But um that's probably the the

1896
01:28:30,960 --> 01:28:34,000
latest initiative that I could recall

1897
01:28:34,000 --> 01:28:40,550
here. Um but yeah, have my updates.

1898
01:28:40,560 --> 01:28:42,800
» Thanks,

1899
01:28:42,800 --> 01:28:45,679
Um, I just wanna I'm gonna just pop it

1900
01:28:45,679 --> 01:28:47,520
in here, Jack, since you just spoke, but

1901
01:28:47,520 --> 01:28:51,120
at the executive committee, we had a a

1902
01:28:51,120 --> 01:28:54,320
wonderful commenation testimonial from a

1903
01:28:54,320 --> 01:28:57,920
man who Jack had helped his family

1904
01:28:57,920 --> 01:29:01,760
member and it was um wonderful to hear

1905
01:29:01,760 --> 01:29:04,080
that. And you know, it's a private

1906
01:29:04,080 --> 01:29:08,080
matter, but good job, Jack. It's

1907
01:29:08,080 --> 01:29:10,400
heartwarming to hear how you helped and

1908
01:29:10,400 --> 01:29:13,120
that's pretty cool that the deputy

1909
01:29:13,120 --> 01:29:14,800
director

1910
01:29:14,800 --> 01:29:17,120
is doing that kind of work. So, good

1911
01:29:17,120 --> 01:29:18,719
job, Jack. You're awesome.

1912
01:29:18,719 --> 01:29:21,120
>> Yeah, I'm I'm out in the field.

1913
01:29:21,120 --> 01:29:22,400
>> I know.

1914
01:29:22,400 --> 01:29:24,159
>> Helping helping the helping the

1915
01:29:24,159 --> 01:29:26,159
community. It's good stuff.

1916
01:29:26,159 --> 01:29:28,639
>> Yeah.

1917
01:29:28,639 --> 01:29:32,639
>> Awesome. All right. Next. Sud committee,

1918
01:29:32,639 --> 01:29:33,840
right? Yes.

1919
01:29:33,840 --> 01:29:37,199
>> SUD committee. So, the last SUD uh

1920
01:29:37,199 --> 01:29:40,239
meeting that we had um we invited Dette

1921
01:29:40,239 --> 01:29:43,920
invited the Good News Rescue Mission to

1922
01:29:43,920 --> 01:29:47,040
come and do a presentation. They are one

1923
01:29:47,040 --> 01:29:50,320
of several new um businesses that have

1924
01:29:50,320 --> 01:29:52,880
come into our community uh specifically

1925
01:29:52,880 --> 01:29:57,760
for ECM services. Um and so we pretty

1926
01:29:57,760 --> 01:30:00,320
much wanted to know, you know, more

1927
01:30:00,320 --> 01:30:03,280
about them quite frankly. um a little

1928
01:30:03,280 --> 01:30:06,080
concerning. Um they uh are coming into

1929
01:30:06,080 --> 01:30:07,760
encampments

1930
01:30:07,760 --> 01:30:12,719
um and other places uh where um most of

1931
01:30:12,719 --> 01:30:18,080
our folks that we serve congregate. Um I think maybe offering them some kind of

1932
01:30:18,080 --> 01:30:20,960
monetary compensation like a gift card

1933
01:30:20,960 --> 01:30:23,920
um signing them up. Um and so we just

1934
01:30:23,920 --> 01:30:26,159
want to make sure that you know they are

1935
01:30:26,159 --> 01:30:28,159
being held accountable. Quite frankly,

1936
01:30:28,159 --> 01:30:29,760
you know, it's my experience and a few

1937
01:30:29,760 --> 01:30:33,360
other navigators um that when we are um

1938
01:30:33,360 --> 01:30:34,800
doing, you know, some kind of

1939
01:30:34,800 --> 01:30:37,760
screenings, you know, a big percentage

1940
01:30:37,760 --> 01:30:40,560
of the folks um you know, will find out

1941
01:30:40,560 --> 01:30:44,080
they they are um signed up for services

1942
01:30:44,080 --> 01:30:46,159
and they have no idea. They don't

1943
01:30:46,159 --> 01:30:48,159
remember signing anything. They don't

1944
01:30:48,159 --> 01:30:49,920
remember having a conversation. And so

1945
01:30:49,920 --> 01:30:53,199
it's a little concerning um you know for

1946
01:30:53,199 --> 01:30:55,520
uh kind of like messes up you know some

1947
01:30:55,520 --> 01:30:57,600
of the services that some of you know us

1948
01:30:57,600 --> 01:30:59,440
folks that are actually kind of want to

1949
01:30:59,440 --> 01:31:01,760
that are here actually doing services

1950
01:31:01,760 --> 01:31:03,920
you know in our community um you know

1951
01:31:03,920 --> 01:31:05,120
when we have someone that's already

1952
01:31:05,120 --> 01:31:07,679
signed up. It's a conflict and you know

1953
01:31:07,679 --> 01:31:10,320
um it just makes it very difficult for

1954
01:31:10,320 --> 01:31:13,120
these people to to get services. So, we

1955
01:31:13,120 --> 01:31:16,000
want to kind of, you know, form like um

1956
01:31:16,000 --> 01:31:18,880
uh more of an accountability uh group.

1957
01:31:18,880 --> 01:31:21,199
Um so, Janette is working on that.

1958
01:31:21,199 --> 01:31:25,120
She'll have more to report um next uh

1959
01:31:25,120 --> 01:31:28,159
meeting. Um she is going to be I guess

1960
01:31:28,159 --> 01:31:31,760
scheduling other um of these groups. Uh

1961
01:31:31,760 --> 01:31:34,000
so, the next um is there going to be an

1962
01:31:34,000 --> 01:31:35,520
August SVG meeting?

1963
01:31:35,520 --> 01:31:36,000
>> No.

1964
01:31:36,000 --> 01:31:38,800
>> Okay. So, that would be the um

1965
01:31:38,800 --> 01:31:40,560
>> in September. So that's the second

1966
01:31:40,560 --> 01:31:42,800
Thursday,

1967
01:31:42,800 --> 01:31:43,199
right?

1968
01:31:43,199 --> 01:31:44,400
>> Yes. Yeah.

1969
01:31:44,400 --> 01:31:47,280
>> Um and so yeah, we will know more about

1970
01:31:47,280 --> 01:31:51,040
that. Uh Laura and uh Kim Burgel joined

1971
01:31:51,040 --> 01:31:53,600
the meeting and they had some questions.

1972
01:31:53,600 --> 01:31:56,159
Um I had some specific questions about

1973
01:31:56,159 --> 01:31:58,960
capacity that I'm still unclear about.

1974
01:31:58,960 --> 01:32:02,480
Uh so we did contact the administration

1975
01:32:02,480 --> 01:32:04,400
of that and we are going to get some

1976
01:32:04,400 --> 01:32:06,000
answers, Laura, and we're going to

1977
01:32:06,000 --> 01:32:08,159
proceed with the meeting I guess. So

1978
01:32:08,159 --> 01:32:11,600
>> yeah, we we met with uh the person uh

1979
01:32:11,600 --> 01:32:14,800
who's the director here locally and our

1980
01:32:14,800 --> 01:32:17,440
chief of police on 17 is we're meeting

1981
01:32:17,440 --> 01:32:20,320
next Thursday with their CEO.

1982
01:32:20,320 --> 01:32:21,520
>> Perfect.

1983
01:32:21,520 --> 01:32:24,480
>> And so yes, we have many questions.

1984
01:32:24,480 --> 01:32:26,400
>> Yes. Awesome. So more will be revealed

1985
01:32:26,400 --> 01:32:27,360
with that.

1986
01:32:27,360 --> 01:32:32,080
>> Um and uh let's see. So yes, um we are

1987
01:32:32,080 --> 01:32:38,480
also um going to be uh so 811 at 9087

1988
01:32:38,480 --> 01:32:41,760
street is the next SCD MAT uh

1989
01:32:41,760 --> 01:32:44,239
collaborative meeting where all uh

1990
01:32:44,239 --> 01:32:46,560
providers SCT

1991
01:32:46,560 --> 01:32:49,920
SD and MAT folks are encouraged to come.

1992
01:32:49,920 --> 01:32:53,280
Um Beth Jansen and Melissa Nelson and I

1993
01:32:53,280 --> 01:32:56,159
are the uh facilitators. We're working

1994
01:32:56,159 --> 01:32:58,000
on

1995
01:32:58,000 --> 01:33:00,800
creating a pool of funds for folks that

1996
01:33:00,800 --> 01:33:02,480
we have a lot of folks that are just

1997
01:33:02,480 --> 01:33:04,320
resistant to going to rehab because they

1998
01:33:04,320 --> 01:33:06,080
have animals. A lot of them are

1999
01:33:06,080 --> 01:33:08,080
houseless. Some of them some some of

2000
01:33:08,080 --> 01:33:09,920
them aren't houseless. They just don't

2001
01:33:09,920 --> 01:33:11,840
have anywhere to put their house their

2002
01:33:11,840 --> 01:33:14,159
animals. So, we're working on a proposal

2003
01:33:14,159 --> 01:33:16,480
to Myrtle Avenue for for boarding

2004
01:33:16,480 --> 01:33:19,600
services and coordination of care,

2005
01:33:19,600 --> 01:33:22,159
getting the animals uh their required

2006
01:33:22,159 --> 01:33:25,199
shots so that they can um there are some

2007
01:33:25,199 --> 01:33:26,800
rehabs that are going to allow the

2008
01:33:26,800 --> 01:33:28,880
animal to go with the patient once they

2009
01:33:28,880 --> 01:33:31,760
complete the detox process, but the

2010
01:33:31,760 --> 01:33:33,520
animals need to have their shots. They

2011
01:33:33,520 --> 01:33:35,760
need to have they just need specific

2012
01:33:35,760 --> 01:33:39,360
things. And so, we're working on that

2013
01:33:39,360 --> 01:33:41,440
for folks that aren't able to do that.

2014
01:33:41,440 --> 01:33:43,920
We're also working on an emergency fund

2015
01:33:43,920 --> 01:33:47,199
for medications. Um I'm having a

2016
01:33:47,199 --> 01:33:51,280
difficult time um finding funding for

2017
01:33:51,280 --> 01:33:54,560
people that don't have money for

2018
01:33:54,560 --> 01:33:56,320
medications and there's like either

2019
01:33:56,320 --> 01:33:58,320
they're not from this area, they don't

2020
01:33:58,320 --> 01:34:00,400
have insurance. Before I was able to

2021
01:34:00,400 --> 01:34:03,199
just have a hospital um on that. I don't

2022
01:34:03,199 --> 01:34:06,639
have access to that anymore. Um, and I'm

2023
01:34:06,639 --> 01:34:09,520
getting shot down when I try to reach

2024
01:34:09,520 --> 01:34:12,719
out to the hospital. So, um, we're

2025
01:34:12,719 --> 01:34:14,800
trying to figure out how the hospital

2026
01:34:14,800 --> 01:34:17,280
can help with that. So I I have a we

2027
01:34:17,280 --> 01:34:20,080
have reached out to um Joy Victorine and

2028
01:34:20,080 --> 01:34:22,639
Martha Shanahan to see if that service

2029
01:34:22,639 --> 01:34:25,280
can still happen because we we are now

2030
01:34:25,280 --> 01:34:28,719
experiencing folks and Melissa Nelson

2031
01:34:28,719 --> 01:34:30,000
and I are trying to put our heads

2032
01:34:30,000 --> 01:34:32,000
together to figure out how people can

2033
01:34:32,000 --> 01:34:34,560
get their suboxone as the alternative is

2034
01:34:34,560 --> 01:34:36,639
them not having it and then them

2035
01:34:36,639 --> 01:34:37,679
>> being hospitalized.

2036
01:34:37,679 --> 01:34:40,000
>> Yes. Exactly. So overutilized in the

2037
01:34:40,000 --> 01:34:41,760
emergency room or sometimes them not

2038
01:34:41,760 --> 01:34:43,679
even going to the emergency room, them

2039
01:34:43,679 --> 01:34:45,520
saying, "Forget it. I'm just going to go

2040
01:34:45,520 --> 01:34:46,719
out there and we don't want that to

2041
01:34:46,719 --> 01:34:50,320
happen. So, um that's what we're working

2042
01:34:50,320 --> 01:34:53,760
on. And uh recovery happens is scheduled

2043
01:34:53,760 --> 01:34:58,000
um for September 19, I believe, right

2044
01:34:58,000 --> 01:34:59,280
Melissa.

2045
01:34:59,280 --> 01:35:00,800
>> Okay. She does her hand up.

2046
01:35:00,800 --> 01:35:03,920
>> Okay. Yeah. Um and uh International

2047
01:35:03,920 --> 01:35:06,960
Overdose Awareness Day um is August

2048
01:35:06,960 --> 01:35:09,840
31st. However, that falls on a Monday.

2049
01:35:09,840 --> 01:35:12,719
So, a lot of places are having the

2050
01:35:12,719 --> 01:35:16,000
actual event on Saturday the 29th. Uh,

2051
01:35:16,000 --> 01:35:18,159
Humble is having that actual event at

2052
01:35:18,159 --> 01:35:20,000
the Adorn I'm sorry, not the Adorning

2053
01:35:20,000 --> 01:35:24,320
Center, the Gazebo from 12 to 5. Um, and

2054
01:35:24,320 --> 01:35:26,719
so, yes, there's going to be I think I

2055
01:35:26,719 --> 01:35:28,400
don't know we're up to I think in the

2056
01:35:28,400 --> 01:35:30,880
teens with vendors and tables that are

2057
01:35:30,880 --> 01:35:33,600
going to be there. We have speakers

2058
01:35:33,600 --> 01:35:35,280
going to be giving her mayoral

2059
01:35:35,280 --> 01:35:38,239
proclamation. Hatcher and Patrick's

2060
01:35:38,239 --> 01:35:40,560
Foundation are going to be uh sponsors

2061
01:35:40,560 --> 01:35:43,840
along with Crossroads and Eegis um and

2062
01:35:43,840 --> 01:35:45,600
Redwood Recovery Center. So, it's going

2063
01:35:45,600 --> 01:35:48,639
to be a collaboration. Um so, hopefully

2064
01:35:48,639 --> 01:35:52,480
everybody can attend that. Um and then

2065
01:35:52,480 --> 01:35:55,760
there is October 14th through the 18th

2066
01:35:55,760 --> 01:35:59,199
the annual um CAC uh California

2067
01:35:59,199 --> 01:36:01,679
convention on STG consortium is going to

2068
01:36:01,679 --> 01:36:05,760
be in um Universal City and we'll have

2069
01:36:05,760 --> 01:36:08,719
more um information on that. A group of

2070
01:36:08,719 --> 01:36:12,560
us like to go every year. Um and I think

2071
01:36:12,560 --> 01:36:16,239
that is it. Yeah, that's it for me. I

2072
01:36:16,239 --> 01:36:18,880
think Melissa have something to add

2073
01:36:18,880 --> 01:36:20,880
might have something to add.

2074
01:36:20,880 --> 01:36:23,120
Thank you so much. I was typing away and

2075
01:36:23,120 --> 01:36:25,360
I was not doing a good job putting it in

2076
01:36:25,360 --> 01:36:29,120
text. Okay. So um for in regards to

2077
01:36:29,120 --> 01:36:31,679
medication cost if there is an

2078
01:36:31,679 --> 01:36:34,880
individual who is not eligible for

2079
01:36:34,880 --> 01:36:37,199
medical and does how to have an

2080
01:36:37,199 --> 01:36:40,560
out-ofpocket cost for their medications

2081
01:36:40,560 --> 01:36:42,400
and treatment for their Matt treatment

2082
01:36:42,400 --> 01:36:44,960
and if they are seeking buponorphine

2083
01:36:44,960 --> 01:36:47,040
treatment or methodone treatment. We do

2084
01:36:47,040 --> 01:36:49,679
have the state opioid response still a

2085
01:36:49,679 --> 01:36:52,560
grant still at Aegis that can cover the

2086
01:36:52,560 --> 01:36:55,199
cost of treatment, but it is

2087
01:36:55,199 --> 01:36:57,679
monthtomonth until funds are exhausted.

2088
01:36:57,679 --> 01:37:01,440
So, it's not um a long-term solution at

2089
01:37:01,440 --> 01:37:03,840
all, but it is something that can help

2090
01:37:03,840 --> 01:37:06,880
temporarily in regards to medication

2091
01:37:06,880 --> 01:37:08,880
costs. The tricky thing with that with

2092
01:37:08,880 --> 01:37:12,880
BU especially is that we require daily

2093
01:37:12,880 --> 01:37:15,199
medicating for patients that are new to

2094
01:37:15,199 --> 01:37:17,679
our program. So, it's just not a

2095
01:37:17,679 --> 01:37:19,840
realistic option for some if they're not

2096
01:37:19,840 --> 01:37:21,840
able to come to our clinic daily in the

2097
01:37:21,840 --> 01:37:23,840
beginning before establishing stability

2098
01:37:23,840 --> 01:37:27,040
and treatment. But, um, again, if if

2099
01:37:27,040 --> 01:37:29,360
cost is a factor, we do still have those

2100
01:37:29,360 --> 01:37:32,400
grant funds um until they're exhausted.

2101
01:37:32,400 --> 01:37:35,040
And we have the grant until, um,

2102
01:37:35,040 --> 01:37:37,840
September of 2027,

2103
01:37:37,840 --> 01:37:39,920
but we are trying to use those funds

2104
01:37:39,920 --> 01:37:42,320
now. Um,

2105
01:37:42,320 --> 01:37:44,080
so yeah, you can reach out. I'm going to

2106
01:37:44,080 --> 01:37:45,600
put my number in the chat. If you have

2107
01:37:45,600 --> 01:37:48,320
someone that has questions about that or

2108
01:37:48,320 --> 01:37:51,520
is needing um grant assistance for

2109
01:37:51,520 --> 01:37:54,960
treatment costs, please reach out.

2110
01:37:54,960 --> 01:37:55,600
>> Thank you.

2111
01:37:55,600 --> 01:37:59,510
Melissa.

2112
01:37:59,520 --> 01:38:02,159
» All righty. Um adult older adult

2113
01:38:02,159 --> 01:38:04,880
committee update. We did have a meeting.

2114
01:38:04,880 --> 01:38:07,040
Mark Elliot was going to join but then

2115
01:38:07,040 --> 01:38:09,600
he had to somebody had called out so we

2116
01:38:09,600 --> 01:38:11,760
had to take on

2117
01:38:11,760 --> 01:38:16,480
a different role. Um we have another

2118
01:38:16,480 --> 01:38:18,880
remember if we have another meeting but

2119
01:38:18,880 --> 01:38:21,760
that's slow in ramping up however it

2120
01:38:21,760 --> 01:38:24,000
will be with

2121
01:38:24,000 --> 01:38:27,520
as far as other committees uh

2122
01:38:27,520 --> 01:38:30,239
legislative com ad hoc has a meeting on

2123
01:38:30,239 --> 01:38:33,280
the 27th Nancy Stark thank you for

2124
01:38:33,280 --> 01:38:39,280
sending out that invite and uh the

2125
01:38:39,280 --> 01:38:40,880
minutes from your last meeting because

2126
01:38:40,880 --> 01:38:43,119
there's there's a lot in that world and

2127
01:38:43,119 --> 01:38:44,960
I know Vernon wanted to be here today.

2128
01:38:44,960 --> 01:38:46,320
He's not. Do you have anything to say

2129
01:38:46,320 --> 01:38:48,960
about that admark?

2130
01:38:48,960 --> 01:38:51,520
>> No, just that we might delay the meeting

2131
01:38:51,520 --> 01:38:55,119
on Monday uh due to Margarit.

2132
01:38:55,119 --> 01:38:55,520
So,

2133
01:38:55,520 --> 01:38:56,159
>> okay.

2134
01:38:56,159 --> 01:38:57,920
>> We may be delaying the meeting just a

2135
01:38:57,920 --> 01:38:59,920
little bit, but that's okay because the

2136
01:38:59,920 --> 01:39:01,840
behavioral health board is dark in

2137
01:39:01,840 --> 01:39:04,960
August. So, we have time.

2138
01:39:04,960 --> 01:39:07,280
>> Yeah. Awesome. Thanks for that work that

2139
01:39:07,280 --> 01:39:10,239
you're doing there. And then Peter's not

2140
01:39:10,239 --> 01:39:13,360
here, but we do have some people ready

2141
01:39:13,360 --> 01:39:15,360
to go. Jess being one of them that Peter

2142
01:39:15,360 --> 01:39:17,360
stole for the children and family

2143
01:39:17,360 --> 01:39:20,080
committee. And we are waiting for

2144
01:39:20,080 --> 01:39:23,360
September. Maybe we'll have a secretary.

2145
01:39:23,360 --> 01:39:26,790
Yeah.

2146
01:39:26,800 --> 01:39:30,880
Okay. So that's kind of so

2147
01:39:30,880 --> 01:39:34,560
All right. Um do you have anything, Vice

2148
01:39:34,560 --> 01:39:37,360
Chair?

2149
01:39:37,360 --> 01:39:40,639
I just wanted to piggyback on the other

2150
01:39:40,639 --> 01:39:46,159
committees in that we we had our

2151
01:39:46,159 --> 01:39:47,840
behavioral health board retreat a while

2152
01:39:47,840 --> 01:39:49,679
back that we talked about how everybody

2153
01:39:49,679 --> 01:39:52,880
is going to join a committee and so we

2154
01:39:52,880 --> 01:39:54,400
were kind of waiting for our new members

2155
01:39:54,400 --> 01:39:56,960
to become official members to like

2156
01:39:56,960 --> 01:39:59,360
figure that out. So I know there's a

2157
01:39:59,360 --> 01:40:01,520
couple other people that might be

2158
01:40:01,520 --> 01:40:06,719
interested in doing the children and families committee

2159
01:40:06,719 --> 01:40:11,520
>> or adults or um I also have space on the

2160
01:40:11,520 --> 01:40:13,840
membership committee possibly. I know

2161
01:40:13,840 --> 01:40:16,560
supervisor Royal. So I think we can

2162
01:40:16,560 --> 01:40:21,590
revisit that maybe

2163
01:40:21,600 --> 01:40:22,480
September.

2164
01:40:22,480 --> 01:40:25,760
>> Yeah. Okay. Yeah. So I just wanted to

2165
01:40:25,760 --> 01:40:28,239
put that out there. So if you're going

2166
01:40:28,239 --> 01:40:30,320
to be a new member or if you're already

2167
01:40:30,320 --> 01:40:32,560
a member and aren't on a committee,

2168
01:40:32,560 --> 01:40:34,560
we'll be figuring that out. So So think

2169
01:40:34,560 --> 01:40:37,280
about So the the mandated committees are

2170
01:40:37,280 --> 01:40:41,360
the SUD, the adult older adult, the

2171
01:40:41,360 --> 01:40:44,239
children and families and the membership

2172
01:40:44,239 --> 01:40:46,400
committee and the executive committee.

2173
01:40:46,400 --> 01:40:49,199
So uh think about what committees you

2174
01:40:49,199 --> 01:40:52,960
might be most interested in shortly.

2175
01:40:52,960 --> 01:40:54,400
>> Thank you very much.

2176
01:40:54,400 --> 01:40:58,400
>> Thank you. Okay, so I just got the data

2177
01:40:58,400 --> 01:41:00,960
notebook 2026 for California where all

2178
01:41:00,960 --> 01:41:02,560
behavioral health boards, they have a

2179
01:41:02,560 --> 01:41:05,440
subject every time. It was SUD last

2180
01:41:05,440 --> 01:41:10,719
time. This time it's foster youth and uh

2181
01:41:10,719 --> 01:41:13,040
in behavioral health and social

2182
01:41:13,040 --> 01:41:16,400
services. It's 25 questions. Last year,

2183
01:41:16,400 --> 01:41:17,679
I don't know why, if it's just that I'm

2184
01:41:17,679 --> 01:41:20,159
more into like more aware of SUD stuff,

2185
01:41:20,159 --> 01:41:23,600
it was easy. These questions are super

2186
01:41:23,600 --> 01:41:27,280
hard. So, I will be reaching out to

2187
01:41:27,280 --> 01:41:29,920
Peter, Jess, and Jeremy to help answer

2188
01:41:29,920 --> 01:41:34,080
some of these. Um, just a little teaser,

2189
01:41:34,080 --> 01:41:36,159
who provides the child and adolescent

2190
01:41:36,159 --> 01:41:37,840
needs and strengths assessment for

2191
01:41:37,840 --> 01:41:40,400
foster care youth in our county? That's

2192
01:41:40,400 --> 01:41:42,000
can

2193
01:41:42,000 --> 01:41:43,280
be read.

2194
01:41:43,280 --> 01:41:49,030
>> Okay, great.

2195
01:41:49,040 --> 01:41:51,760
» So, there we go. What was that? Well,

2196
01:41:51,760 --> 01:41:56,870
then you just answer these.

2197
01:41:56,880 --> 01:41:58,560
» And then how is your county planning to

2198
01:41:58,560 --> 01:42:00,080
provide high fidelity wraparound

2199
01:42:00,080 --> 01:42:01,600
services?

2200
01:42:01,600 --> 01:42:05,910
>> Planning a lot of planning. [laughter]

2201
01:42:05,920 --> 01:42:07,440
» Well, I like that it says that are

2202
01:42:07,440 --> 01:42:11,040
required starting July 1. And

2203
01:42:11,040 --> 01:42:11,840
>> yeah,

2204
01:42:11,840 --> 01:42:15,119
>> but giving you all a little taste of a

2205
01:42:15,119 --> 01:42:18,159
few of the questions. Um

2206
01:42:18,159 --> 01:42:21,199
yes, but that is due

2207
01:42:21,199 --> 01:42:22,960
>> our houseful policy. So

2208
01:42:22,960 --> 01:42:25,040
>> October 12th

2209
01:42:25,040 --> 01:42:28,000
>> and that will be submitted early. I just

2210
01:42:28,000 --> 01:42:29,840
it's one of those things where in the

2211
01:42:29,840 --> 01:42:32,000
past they were never submitted on time

2212
01:42:32,000 --> 01:42:34,960
and last time I got it in on time and

2213
01:42:34,960 --> 01:42:37,119
the time before that was late. But um

2214
01:42:37,119 --> 01:42:40,159
yes, super excited about that.

2215
01:42:40,159 --> 01:42:42,400
>> And one quick little thing

2216
01:42:42,400 --> 01:42:44,239
>> and one more quick little thing on

2217
01:42:44,239 --> 01:42:46,400
advice.

2218
01:42:46,400 --> 01:42:49,199
Uh Melissa Nelson put her number in the

2219
01:42:49,199 --> 01:42:50,719
chat for grant funds available for

2220
01:42:50,719 --> 01:42:52,960
streaming costs. Um so if anybody would

2221
01:42:52,960 --> 01:42:57,360
like it, get your pen ready. 707

2222
01:42:57,360 --> 01:43:01,109
5727586.

2223
01:43:01,119 --> 01:43:02,000
Thank you, Melissa.

2224
01:43:02,000 --> 01:43:04,560
>> Thank you, Melissa.

2225
01:43:04,560 --> 01:43:07,119
>> All right.

2226
01:43:07,119 --> 01:43:10,080
>> I'm monitoring the chat. Yeah.

2227
01:43:10,080 --> 01:43:11,520
>> I keep freaking out because I look at

2228
01:43:11,520 --> 01:43:14,406
Saul and I'm like, "No, his eyes are

2229
01:43:14,406 --> 01:43:17,430
>> [laughter]

2230
01:43:17,440 --> 01:43:20,400
» Right on us unfinished business. NAV

2231
01:43:20,400 --> 01:43:22,480
center. [laughter]

2232
01:43:22,480 --> 01:43:25,199
I don't think there's anything new.

2233
01:43:25,199 --> 01:43:28,639
Crisis triage from what I heard in the

2234
01:43:28,639 --> 01:43:30,320
homeless

2235
01:43:30,320 --> 01:43:32,320
leadership work group. Everything is

2236
01:43:32,320 --> 01:43:36,320
progressing uh with those. And then care

2237
01:43:36,320 --> 01:43:38,880
court. Uh we're still killing it. If I

2238
01:43:38,880 --> 01:43:41,600
get out of here on time, I might go see

2239
01:43:41,600 --> 01:43:43,760
if I can pop in because I've been

2240
01:43:43,760 --> 01:43:49,030
invited.

2241
01:43:49,040 --> 01:43:50,960
I think is anybody have any future

2242
01:43:50,960 --> 01:43:53,920
items?

2243
01:43:53,920 --> 01:43:56,480
Seeing hearing none,

2244
01:43:56,480 --> 01:43:57,520
I will

2245
01:43:57,520 --> 01:43:58,800
>> no meeting,

2246
01:43:58,800 --> 01:43:59,199
>> right?

2247
01:43:59,199 --> 01:44:00,880
>> That is correct.

2248
01:44:00,880 --> 01:44:02,960
>> I will adjourn this meeting. Thank you

2249
01:44:02,960 --> 01:44:06,790
all. At 13:40,

2250
01:44:06,800 --> 01:44:09,040
» thank you all. Thank you all. Good to

2251
01:44:09,040 --> 01:44:10,480
see everybody.

2252
01:44:10,480 --> 01:44:12,400
>> We're going to have a full board next

2253
01:44:12,400 --> 01:44:16,080
September when we look back.