So I'm I'm usually here taking a lot of
you guys time with listening session,
right?
>> Yeah. But
>> I feel like the ramp up's going to
happen.
» Um there's going to be new reporting
requirements they're going to talk about
that also impacts me. So it's
>> it's all kind of mesh
like
>> I just posted to the
Well, the data notebook just came out
and it's on foster care and behavioral
health and so
>> so just listen to the cow presentation
on that and all that
work.
>> Yes, we have to implement by July 1, but
we don't really know what we have to
implement. I love it when they do that.
>> Yeah. Yeah.
>> There's a lot of that going around like oh we know we need to be doing
stuff. We just don't know how to do it
yet.
>> Yeah. They have
>> Exactly.
» Be in that space,
» right?
>> You're not going to enjoy yourself.
>> They don't know how good you got it.
>> My kids have wrapped it up to
awful kids.
You hold me sing. You're the crowd.
I'm sure
she
was waiting on her and
I just
could figure out how to do that would be
Madison
has to leave an hour. I don't know.
Michael has to
I know they're both loving it
complaining a little bit about that.
And I think what it is
with
their own
looking forward to next
Last
week of July
15.
Okay.
» July.
>> It's crazy.
» Flash.
>> Yeah.
when I was
» it's interesting you know here like with
that kind of love we should buy
[laughter]
all Sorry. Emmy said she's going to be a
few minutes late, but she will. She is
coming. She knows how stressed I get if
I don't know that she's going to be
sitting.
The day that I'm not stressed before
this meeting, it's the day before the
day I quit.
I'm out.
It's the compass dashboard. It's online.
>> Yeah.
» Okay. Let's
see.
learning
[laughter]
hydrated. Stay hydrated. Stay hydrated.
since house cool
there
and take a to where they're training
it right down here on the bank.
» It's right next door. They have that
twotory building.
>> Yeah.
Room.
>> Very nice.
>> Boats there.
>> No, no. No, they just
>> Yeah, what they did yesterday was they
did.
» I've been with the five years.
>> We have kayaks in there.
Well, thank you.
Exactly.
» River
season.
>> I feel like it's one of those
» and you'll alcohol day. We'll take
three.
are there.
» You guys find it challenging sometimes.
» Exactly.
that
I don't think
>> anyways
I was some of them more than
you were in an
of
a great example of clients.
We were shuttling my uncle, my mom,
come back.
» Oh my god. Yeah.
I think they tried to take that name
somewhere else.
» I I remember
but then there's the other like
>> exactly
>> around the ocean.
>> So great. We were just talking about
no matter what
» different
very very one
We like to grow each
» I was in the way
but I was
» going straight down.
It's a part
very
shocked
family or a family friend or a neighbor.
» Okay.
already.
>> Well, it sounds like
» crazy.
This is a huge lesson.
grateful to have learned. But I mean I
originally from
>> I have to take care of I thought about
I've got like stairs going up to my
house
>> just like
» I
originally
I'm from
living in the area.
» We might
just
absolutely
How are you?
>> How you doing?
rings back
» she was like what she said this year.
So, it's so funny having
all these
women
like way back in the day. I go yes,
but I was like, "No, you're all good.
short. Is there anyone sitting next to
you?
» Just have you
come back in a while.
» Whenever I can, I definitely try. I have
to go back.
» I know. I was like
» also
makes you question the US
>> today.
>> Yeah. that has always been a lot
» very
literally half an hour on my
» Yes.
and talked about that's happens
me right back.
We're having a conversation about this
because like Yeah, we'll talk. I mean,
» how are you
doing? All right.
It was funny because I saw you come in
and it didn't phase me like you go here
and then he says, "Oh, Jerseyy's here."
And I'm like, "Oh, no. Jeremy's here."
[laughter]
» It's cold.
>> I like that it's cold.
Usually I
>> my office was so
home I had like two going home.
>> Yeah. My office of the VH
in what used to be an exam room. No
windows.
I have to have the door open, put the
fan on just my office at general the
general hospital building
and
it was all
>> Yeah, I think was it used to be a
Safeway
and our offices are back where
>> I think the refrigerator
» and
Who's doing what?
» That's
just Never mind.
How many
of you
» heard from
that?
It's not very burdens.
like I walked surgery.
» Just take a step out of the way.
All right, everyone.
>> 12:15.
Before we begin, let us take a moment to
recognize and appreciate the time,
expertise, and commitment each of us
brings to this symp.
As we gather today, let us be
intentional in showing up as
traumainformed, compassionate partners
grounded in empathy, respect, and
collaboration as we work together to
strengthen behavioral health outcomes in
our community. With that, calling the
meeting to order at 12:15. Welcome to
the monthly behavioral health board
meeting. We are the advisory to the
board of supervisors. We hold this
meeting on the 4th Thursday of each
month and it runs from 12:15 till 2:15.
We meet in person at 507 F Street in
Eureka. This is a public meeting and
everyone is invited to attend. Members
of the public may participate remotely.
The minutes and the agenda can be found
by searching Humble County Behavioral
Health Board online. We provide time for
public comments early on the agenda.
Public comments are limited to three
minutes and pertain to matters related
to behavioral health. We ask you to make
your comment in a respectful manner.
Please note this meeting is being
recorded and please contact myself or
any of the behavioral health board
members if you have questions about our
work as a board. With that, will you
take the role? Sure.
Sean Burger here.
» Montana
>> present.
>> Royal
Johnson
>> here.
Peter
Joshua
here.
Okay. Are there any adjustments to the
agenda?
Now is time for public comments. If
anyone has a public comment, we'll start
within the room.
Any have a public comment in the room
online?
[laughter]
» Oh, there's no public comments.
>> Well, let's go to introduction of
Stephan.
[laughter]
» We will start with you now.
>> Hi, good afternoon. Emmy Bachelor
Rogers. I'm the behal health director.
Nice to see you all.
» I'm Alex Olivera, BHSA and QI um
program manager Q.
>> Scott
Miller, social worker for Bar Ryan.
» Laurel Johnson.
Amy Scott manager for Cher Youth
>> Jeremy Nelson deputy director for
children's behavior health
program manager for PHFA
Morgan County dependent living
go online.
>> Good afternoon. My name is Edward
Jidome. I'm a QI analyst.
Hi, I'm Nancy Stark. I'm the legislative
and policy manager for DHS.
» Hello, I'm Saul Lopez. I'm a site
director with Nation's Finest
» and and we can do guests as well. You're
a guest online and you want to introduce
yourself and we'll come back.
Melissa chatted something that I cannot
see.
That too.
>> Hi everyone. I was Melissa Nelson here,
patient navigator at Aegis Eureka and
now Crescent City as well.
>> Thank you.
» And back to the room if there's any
guests that would like to introduce
themselves.
>> My name is Austin Barnett. the director
of operations and IT for Patrick's
Foundation.
» Anyone else?
>> Was I was a guest. I just kind of came
to line there.
>> No, you're good.
>> All right.
Thank you, Sean Burgerer.
That's why you're the second VP. I'm
fine. Uh,
so we do not have a quorum. So, I'm
going to say we're gonna uh Josh Ros is
on today. of we will perhaps of well we
still won't have that so we will put
these minutes off to September meeting
um just a reminder we have no meetings
in August
dark in August so we'll be back in
September
wow and here we are the highlight of our
day our QI presentation I'm super
excited
>> take it away all right good afternoon Um
the quality improvement unit today will
be presenting to you on some of the high
level changes that have been implemented
by the state through the department of
healthcare services. These changes
impact counties due to the number of
steps that are involved in these
initiatives. The fund the staff time
that is necessary to meet requirements.
All of these initiatives have added to
our daily tasks. Not only us but our
other our the other staff that have to
deliver services and nothing is being
removed from our requirements
responsibilities. and we will um
hopefully you guys can hold questions to
the end so we can get through the
content and open it up for questions. So
next slide please. [clears throat]
So our unit is comprised of myself and
um several others but what we're going
to do right now is give it yourself give
you um a little bit more of an
introduction than what we've already
done. So I'm Amy Conn again and I'm the
quality improvement program manager and
I'm also the interim quality improvement
coordinator since that is a vacancy. I
oversee all the QI activities. I do have
26 of 26 years of experience with the
department of health and human services.
I've had about four years specifically
with behavioral health two as an
interimm deputy director of the
performance management unit and then I
have currently two years in its
position. So previously most of my
experience was with um quality
management services doing quality
assurance. I was the BHS compliance and
quality assurance administrator and
privacy officer for about 14 years. With
that I'll hand it over to Alex.
>> Hello. My name is Alex Olivera. I'm a
BHSA and QI admin analyst. Been with the
county now for six plus years. Um for my
QI focus uh those things include uh
reliance training and compliance
monitoring, client satisfaction
monitoring, grievance and appeals, uh
data monitoring and reporting, cultural
responsiveness monitoring, contracts and
special projects. With that, I'll pass
it over to Scott.
>> I'm Scott Barry. I'm a UI analyst too
that I've been here at UI for over two
years and I focus on timely access
providing the provider list and doing
other reports that track our components.
>> Then Edward is online. Edward, do you
want to give your little introduction?
>> Absolutely. Thank you. Good afternoon.
My name is Edward Dome. I'm a QI analyst
with a focus on or provider relations
and also doing the um uh county network
adequacy. So all of the 274 um which is
how DHTS refers to it um uh how they
determine our network adequacy.
>> All right, next slide please.
>> So as we know um there's a lot of
acronyms and things terms that the state
and government uses. So here's just a
snippet of some of the highle ones you
may hear today. Um if you're accessing
this um presentation online, there are
links within it. um many of our um
PowerPoint slides, we're not reading the
slide. It's mostly there for information
for you um to reference. With that, next
slide.
So, now I'm going to go over just an
overview of UI itself. Many of you may
have already interacted with quality
improvement, the quality improvement
supports all of the behavioral health by
helping to deliver effective, safe, and
client- centered services. Our focus is
on improving care and outcomes across
the whole system. So what we do is we
review data uh client feedback
compliance standards and then to
understand how services are working
through identifies areas where we can be
strengthened and support teams and
making changes using simple structured
me methods like PDSA plan do study act I
don't know if you're familiar with those
methods um of looking at a system trying
things if they don't work going back and
you know engaging with new systems and
seeing if those work and presenting on
those outcomes. So we also have
regulatory and compliance that we um are
doing which is Qi helping the county
meet state federal requirements and
managing required performance
improvement projects. We also help
maintain our quy plan which is on the
acronym as the at least miss the quality
assessment and performance improvement
plan.
So uh we do that we also do data
reporting. So we analyze trends in
access, timeliness, service use,
disparities, complaints and outcomes and
whole slew of other things but those are
more the regulatory ones. We share this
information with leadership programs and
boards so decisions can be data
informed. We support we are support for
staff and programs. We work with teams
to improve workflows, reduce
inefficiencies and enhance the client
experience. We offer coaching and tools
for problem solving and measurement.
This includes of course policy and
procedure development and data reports
which is we're going to spend a lot of
time on those data reports today. So why
does this matter? It mattered because QI
helps ensure our system is accountable,
consistent, and responsive to community
needs ultimately supporting better
outcomes for clients.
>> Happy
did I hear something?
>> No. Okay, next um Scott's going to go
over our org chart in brief.
>> Next slide, please.
>> So, this is the QI organization chart
quality improvement
and the closer related training audits
and certification sections are overseen
by our director Emmy Boxler Andur.
There are 16 allocated staff positions
for the quality improvement and training
and certification sections. three uh
full-time analyst positions. Oh,
actually three and a half and three
review nurse positions are filled with
two additional half or eight time nurse
review nurse positions. Currently I have
five full-time positions making vacant
and Amy is uh filling in for the
management improve or UIC the quality
management improvement coordinator tire.
All right. So, how is QI Next slide,
please. Um, how is QI helping transform
behavioral health? Um, the quality
improvement unit has always been
responsible for compliance and
oversight, but behavioral health systems
um have historically been sort of
stagnant. So, it's been very set in many
ways and slow to change. But in the last
five years, it has completely shifted to
a very much changing place for
especially for all um but in QI it's
like every day there's a new thing and
so we're going to go over some of these
big level changes that have happened in
the last five years. We're in it and we
have more coming. So even as we give you
some information is ever changing and
more items are added. So both this shift
has mostly been due to state reforms,
legis new legislation, new technology
and requirements and rising expectations
for data driven care. For many years,
quality improvement, behavioral health
was mostly focused again on that
compliance side and doing corrections,
much more simple or simple seaming.
Still could be complex, but definitely
if you compare now to back then, it was
much simpler back then. um processes
were slow, fragmented, and largely
manual. Systems were considered
stagnant, did not change much over time.
So, we're transitioning from a largely
paper driven manual corrective action
model to a more modern proactive model
with closer to how the medical health
field has been operating. Um we've seen
even though we had an EHR avatar before
we've moved to smart care and even in
Avatar we still have a lot of paper
charts a lot of paper forms things that
we're doing on the side workarounds and
now we're really moving to an all
inclusive electronic health record of
our clients and it's not only going to
help them keep and maintain all their
information but it helps us assess our
systems and look at things in much
different ways than we have before. So
technology is now central. Our EHR is
called SmartCare and we implemented the
um program in July of 2023. So we've
only had it for about three years now.
Um but it updated documentation
standards, digital reporting tools,
dashboards, and secure data sharing
processes that require us to guide staff
and contract contracted providers in
adopting new workflows. Um data
expectations have increased
significantly. So QI ensures not just
documentation accuracy but data
completeness, timeliness and integrity
so that county can meet those state
requirements, evaluate outcomes and
participate in statewide improvement
efforts. Analytics analytics analytics
are becoming core to how we operate. The
unit now helps programs understand the
trends, performance indicators,
timeliness of service. You're going to
hear timeliness a lot because that's way
one of the biggest things with DHCS is
how timeliness of services are going. Um
there's other quality measures and we
also are looking for areas for to
improve.
This aligns behavioral health with
broader health care practices. Business
practices are evolving as well. also
medical reform one of our initiatives
calam that we'll be talking more about
and also looking at utilizing
utilization requirements pushes towards
standardized pathways consistent
documentation improve billing accuracy
and audit readiness UI trains and
support staff in processes the medical
side alignment means we're operating
more like an integrated health system
focusing on outcomes value based care
principles quality metrics and
measurable improvement is the unit
driving that change. For contracted
providers, the shift means more support,
player expectations, consistent with
things like using um cans or ANSA. I
don't know if you guys know what those
are. It's a child um needs assessment
and then that helps measure how a child
is doing and then of course
documentation. If we can be consistent
in the training of these kind of things,
then staff are doing their processes
consistently and thus the data we get
from that is consistent better.
Um, ultimately QI ensures that these
statewide changes that we're undergoing
translate into better care, better
access, and better outcomes for Humble
County clients and the community at
large. So, next slide, please. Um we
have three of these huge initiatives
that we're going to go over today
because they're all connected to a mass
amount of data. Um the three are CalaN
VH connect and VHSA and we'll talk
specifically about what we are. So next
slide please. We'll go into Cal AIM.
This is like one of those slides. I'm
not going to read the slides. They're
for reference and for you guys to uh
engage in if you want. And the links
like I said earlier are electronic and
workable if you look if you get the
electronic version that's on the left.
So behavioral health payment reform is
really what CalaM was about mostly. I
mean there were a lot of elements to it
but it was about really shifting um how
payment was happening. So, it was
implemented in July of 2023, the same
time as our new EHR smart care. Um, and
it changed the financial foundation for
county behavioral health by moving from
a crossb costbased system to a fee for
service model. The shift means counties
are reimbursed based on services
delivered rather than overall costs,
which increases transparency and
predictability. It also brings
behavioral health into alignment with
other parts of medical and encourages
clearer documentation, consistent
service delivery, measurable outcomes
for Humble County. This has uh required
major operational adjustments, including
updated workflows, billing practices,
and data reporting, and they're still
underway. In fact, we were just
communicating this morning about um
cases that we needed to close out from
the transition from Avatar to Smart
Care. We um our medical records just
finished that project. Thousands of
records that when they were transferred
from Avatar to smart care didn't
automatically close and that shifted our
numbers. We found that out um during one
of our uh EQRO re um or state audits and
then we took action of you know cleaning
up the data.
[clears throat]
Next slide please.
So, the next initiative we're going to
um look out to review briefly is BH
Connect. And BH Connect is a new medical
initiative running from 2025 to 2029
that expands and coordinates behavioral
health services statewide. It increases
access to mental health care for people
with significant needs, adds short-term
inpatient and residential treatment
options, and provides up to six months
of housing assistance for individuals at
risk of losing stability. The program
also enhances services for children and
units such as multi-ymic therapy, high
fidelity, wraparound,
and it also expands based and community
health work support for supports.
Overall, BH Connect strengthens
community- based care and fills critical
gaps in the behavioral health system.
Next, Alex will do the last of our three
initiatives because is the panelist for
this program.
>> All right. Uh, Behavioral Health
Services Act or BHSA as we know it. It
was enacted in 2024, replacing the
mental health services act, MHSA as it
was called, uh, and expands behavioral
health funding to prioritize individuals
with the most significant behavioral
needs, health needs. It includes
substance use disorder treatment,
increases in investment in housing and
behavioral health workforce development.
It requires counties to plan across the
entire behavioral health continuum of
care and it strengthens oversight,
transparency, accountability, and equity
to improve access and reduce
disparities. Uh part of Prop One, which
is also included uh which also includes
um $6.4 4 billion in behavioral health
uh bonds to fund treatment meds,
supportive housing, community behavioral
health facilities, and housing for
veterans with behavioral health needs.
The BHSA represents a bit a significant
shift from MHSA by broadening the focus
of mental health uh alone to be
from mental health alone to full
behavioral health system including
substance use treatment, housing and
workforce development and improving
accountability. Combined with the Prop 1
$6.4 or million-dollar bond um billion
dollar bond. It provides new
opportunities for counties to expand
behavioral health infrastructure and
services.
So
data. Next slide, please.
Data. Behavioral health is becoming
increasingly data driven. DHCS is
requiring more reporting than ever
before and many of these systems are
still evolving with new measures and
reporting requirements. This reflects
the ongoing transformation of behavioral
health under behavioral health
transformation, CALINA, MBHSA and all
these other initiatives we'll be
discussing today. Next slide.
Beyond meeting state requirements, we're
also use data internally to monitor uh
quality, identify opportunities for
improvement, and evaluate whether we're
providing effective care for our
community. This slide shows that none of
our data systems stand alone.
So some of the primary data sources and
reports that we we use include medical
connect DHCS's new statewide reporting
platform supporting behavioral health
payment reform and standardizing
reporting the BHAS EIS measures which
are national quality measures that track
access timeliness and followup and
treatment engagement with growing
importance which is with with growing
importance under calim the voter which
we'll discuss these things in further
slides
a developing DHCS framework focused on
behavioral health outcomes,
accountability and public transparency.
We have monthly reports which we use to
monitor our operational performance and
including access utilization, weight
times, crisis services and workforce
trends. We have quarterly reports which
provide deeper analysis of the trends
and disparities and compliance and
quality improvement efforts. And then we
have our annual reports which will which
summarize the system performance. um
[clears throat] outcomes and quality
measures, equity and the progress
towards improving improvement goals. We
also have our quality assurance and
performance improvement plan, our quapy
activities um which is ongoing quality
improvement work including performance improvement projects,
process reviews, client feedback,
corrective actions.
All of this gets put together in our
quapy work in our QI work plans. Um
using every data source to set
priorities, test changes, and monitor
improvements over time. Together, these
interconnected data systems allow us to
meet state expectations, support calain,
behavioral health transformation, Prop
One, and all these
» from Memphis down here.
>> Coming from Memphis, Tennessee.
>> I'm trying.
>> Oh, heck yeah.
>> Fine.
My mom said of the family grew up down
here in this area.
» I'm trying
things to do.
» All right. So, next slide, please.
Ember.
Um, what is Medical Connect? Medical
Connect is THCS's statewide data
platform that brings together
information from multiple sources to
create more complete pictures of the
people we serve. Rather than looking at
individual services in isolation, it
helps us understand population health,
identifies gaps in care, and improve
coordination across the medical medical
system. This supports the goal of calaim
by promoting whole person care and
better health outcomes for the val for
quality improvement unit. Medical
connect is becoming one of the most
valuable tools because it provides
standardized data that helps us monitor
performance, identify opportunities for
improvement, and make well-informed
decisions.
Some of the examples of medical data are
data dashboards that we have access to
now are uh behavioral health quality
measures, behavioral health um care
management demographics, which I'll
share here in some subsequent slides, a
behavioral health condition prevalence,
uh behavioral health uh equity
and behavioral health uh BH BH connect
and BHT member tales and we'll be going
into these here shortly. Next slide,
please. But can I just ask?
>> So I think I asked you before you have
all this data but only you all can see
it right it's not public that
>> some of it is public
you guys don't have access to this but
you have access to other sites that have
the same at all.
>> Well it would be great for our board to
um know where we can access some data.
So I can reach out to them.
>> Yes.
>> Thank you.
Um looking at this slide here, this is a high-level overview example on the
screen here. It's looks small, but it's
a high level overview example of the
volume of measures captured within
medical connect. If you look in that
bottom left corner there, you'll see
that there's 213
quality measures over eight different
category initiatives for both behavioral
health plans and managed care plans. So,
a ton of data that we're now looking at
on the regular.
Uh oh, next slide please.
» This is uh this is an of our this is an
example of our behavioral health
accountability set or behas as we know
it. Uh these quality measures that track
that DHCS tracks for behavioral health
plans. These standardized healthc care
effectiveness data and information set
measures known as HETIS. You'll hear
that term to use fetus. Um, evaluates
areas like access to care, followup
after hospitalization,
uh, treatment engagement, and medication
adherence.
The important takeaways isn't that the
indivi isn't the individual numbers.
It's that the state is now measuring
performance across different quality
indicators and comparing counties
against an established benchmark. That's
this is all new under new or being
modified under all these initiatives
that we're working through. These
measures help us identify where we're
performing well and where improvements
are needed and ultimately guide our
quality improvement efforts.
Next slide.
This slide is an example of one of the
equity and demographic dashboards
available through medical connect. It
allows us to look beyond overall
performance and better understand who we
serve by examining data across
demographics, in this case, social
determin determinance of health. These
dashboards help us identify disparities,
recognize populations that may be
experiencing barriers to care, and use
that information to improve health
equity and guide improvement.
Next slide.
So, how does this impact DHHS uh
behavioral health quality improvement?
Well, DHCS's current initiatives shift
the focus from simply providing services
to demonstrating improved access quality
and outcomes for medical members. While
compliance remains important, the
emphasis is increasingly on whether
people can access services quickly,
receive evidence-based care, and achieve
better health outcomes. For the quality
improvement unit, this means using data
not only to monitor compliance, but also
to partner with program to improve
performance, reduce disparities, and
demonstrate the value of our behavioral
health system.
Next slide.
The behavioral health outcomes
accountability and transparency report
or the voter is one of the largest new
reporting requirements under behavioral
health services act. Rather than
reporting on just one area, counties now
provide a comprehensive picture of how
behavioral health ser is performing.
That includes how funding is spent, who
is receiving the services, quality and
outcome measures, health disparities,
workforce capacity, and overall system
performance. The key takeaway here is
that DHCS is moving towards greater
transparency and accountability.
Counties are expected to demonstrate not
only where resources are being invested,
but how those investments are improving
access and qual quality and outcomes for
the communities we serve.
Next slide.
Here are the building blocks of the
voter. One thing to keep in mind is that
the voter is still under development.
And what you're seeing here is DHCS's
long-term vision. Additional data
sources and reporting requirements will
continue to be phased in over the next
several years. With that, I will hand it
over to Scott. Next slide, please.
So, some of the monthly reporting that
we do come straight off of our
electronic health record called Smart
Care. Smart Care is a cloud-based
platform designed for behavioral health
and human services.
enabler staff securely access document
and share patient control. It
streamlines clinical administrative and
billing task with a single system
helping teams put into care and maintain
clients efficiency. We use this
dashboard shown
and others like it to help us track how
well we're performing and make sure we
meet the numerous requirements that
apply to us. This uh dashboard was
created by an organization we call Cal
Mesa.
The dashboard allows us to filter out
data in various ways to look at smart
care timely access data using different
levels of detail. Timely access to
California means you have the right to
behavioral health to to get behavioral
health care like therapy or psychiatric
help within a set number of days and
you're not left waiting too long and
needing support. These rules help make
sure care is available quickly enough to
address your mental health needs before
they even worse. Next slide, please.
uh users can turn on and off different
subsets of the data look using filtered
also called slicers which allows us to
focus on certain aspects of the data.
This picture is showing the data in a
different time period than the last one
allows to see better detail and focus on
the numbers better. We can also explore
by other categories such as
many other ways. Next slide please.
Uh here's a a final uh dashboard from a
different part of the same compass
website that shows patient demographics
in the context of service providation
back to Amy so she can work with us.
>> Right. Next slide. So that's just some
of the
most of it is either still under
development or brand new. So we're still
trying to navigate it and get exposed to
it and work with it. But where are we
heading? Um that sort of next uh we QI
has become more strategic and not just
regulatory. Qi helps guide system
improvement of language for the
company's initiatives
connect the HSA and other statewide
expectations. QI is increasingly data
driven in real time. medical connectis
the booger and other reporting cycle
provide the data needed for quicker and
more informed decisions
is the engine for accountability
continuous improvement and it ties all
the data systems together to show
progress identify gaps and improve
outcomes for the community the next
slide please so in final this is the
future so as I said before we have been
hit with these initiatives were in
various points of their implementation
and development
But um still more change is coming. So
you're going to hear some of what we've
already stated because we're still in
development and some new things. So what
continues to be developed and is
upcoming is in limous service expansion.
So this is counties will soon be um
having expanded alternative supports
like respbit and pure services. This
will mean new workflows tracking as we
prepare for a January 1st 2027 launch.
These are services that we may provide
and have provided, but we haven't had to
do the data um elements to it. So now
we're having to do a whole bunch of
recoding in our system. Again, new
workflows will be developed, policies
and procedures.
A lot of steps will go into this
implementation in a very short period of
time. Again, I'll go over the voter um
the transparency and outcome reporting
because state reporting is increasing
with long-term move towards public
dashboards. Counties will need to
provide more detailed outcomes and
disparity data payment reform. You know,
CAL was payment reform and we've been in
process. So the next step is full
implementation. So the fee for service model will require stronger
documentation, accurate encounters, and
more data drivens. Growing medical
connect requirements and more reporting
will shift to medical connect. back just
this last week, the state was um talking
about um not only new things coming in,
but some of the stuff that they've
already implemented since October um needing corrections. So,
they're finding gaps in their own data
analysis and making changes with affects
us on you know what measures we've seen
already and what we were trying to make
change to being readjusted over time.
So, this will um as it gets better,
we'll tighten validation. will have
tighter validation rules and additional
performance indicators.
Petus align performance measures.
Counties will see a little focus on
femininess and we keep saying that
followup after crisis engagement and
youth access with expectations to show
improvement. The prop one BHS HSA
modernization new rules emphasize
tracking high acuity compliance
coordinating cross crisis housing
treatment and clear outcome reporting
for state requirements. workforce
reporting. We don't do a lot of
workforce reporting with the state. So,
this is going to be new. They're going
to expect us to provide more data than
we have around staffing, vacancies,
um along with workforce planning, type
of service needs. They know we've
reported some things, you know, verbally
in meetings, but this is going to be
more official documented data so uh that
they can see it as we can with other
dashboards. crisis system
transformation. With the federal 988
changes, counties will need stronger
mobile crisis response, stabilization
services, and more crisis related
reporting. And then sort of the last
area um in the future is equity and
disparities reporting. Counties will
continue to expand demographic and
outcomes by population reporting with
expectations to demonstrate reductions
in disparity. With that, that is the end
of our presentation on the changes that
have been happening and what to expect
in the future. And does anyone have any
questions for us?
>> Yes.
>> Oh, sorry. I guess I'm being offered a
first. Um, do you guys have
[laughter]
>> Do you guys have um any plans to give
more staff for your team for me
specifically because there's a lot of
how do you guys fit this into the frame?
Needless to say, that's why I'm sort of
reading the presentation instead of
giving one that I was not read because
it's like I just need to get it down and
go to the next thing because there is so
much we need to be working on and we we
aren't meeting everything because we
don't have enough staffing. I can say um
in the last year since I've been here, I
have not successfully hired anyone yet.
So, we we had only four vacancies when I
first started. Now, we have five. I'm
still waiting on hiring. I mean this is
a lot of data the data centers so
>> right not to say that I'm not using some
AI to help out with some writing and
some
>> if it's got to be done it's kind of
>> yeah I don't love it but
>> we need
» I am curious about the um you mentioned
the federal 98 aid requirements changing
and I am not that familiar with what
that entails um and the level crisis
component of that. Did you say a little
bit more about that or somebody here?
>> I actually don't have a lot of
information on that as I was compiling.
I too was like, "Oh, I'm going to have
to look into that a little more." So,
>> okay.
>> I think it's referencing the changes
related to MC mobile crisis benefit,
which they're now because they've
proposed potential changes to MCB. One
of the solutions is linking it to 988 so
that um those calls go through there and
then some of that funding can be
associated with that. But that's still
being worked out like that hasn't been
um entirely formalized and there could
be some problems with that but that's
part of what the 988 transition or
changes would include. So part of the
idea would be someone calls 988 and they
think that they're in crisis and we go
to that basically
>> that that that through 988 the MCB teams
get dispatched and it makes it a little
tricky because part of what they've
talked about is
shifting funding for mobile crisis
benefit only if you can track from 988
only if you can track the calls coming
through there and we know that that's
not the only way that we get calls. So
anyway, there's some elements to work
out, but yeah, that's like high level
looking at 988 being the the number to
call to get mobile crisis benefits is
not is
>> um so not 911 or local calls.
>> Well, I mean, we go through that too,
but just if we wanted to use the 988
funding that goes with that, then it
would go through that.
» Yes. Um so
a question about A lot of this data
seems to come from like smart from like
kind of the provider inputs. What are
like the measures of getting like um
data from like the actual clients
services like are there avenues for
feedback from them and is that included
in
>> quite sure question
[clears throat]
>> I was there are there are mechanisms
that we have for client patient feedback
that are
>> survey I was going to say we have
something that's run annually that's
>> in smart
>> no it's not in smart it's
That's where I was missing.
>> Yeah.
>> Yes.
>> Yeah. So, we have the the client
perception survey and then on side
there's the treatment perception survey
which is an annual that provides data um
that we distribute to our partners and
we review internally. There's also our
you know client satisfaction forms and
other things that we do internally to
gather that feedback. It's not directly
through the EHR, but um but we collect
that
>> and like do we do any like community
needs assessments like as part of that
how that all folds in? I see like how
easy it is to pull data from like the
smart systems like like I can't imagine
them like getting data outside of that.
>> So the public health does a community
health assessment and which includes
for that. where we, you know, partner
with them, they get data, it gets
included.
>> Okay, cool.
>> And also, for instance, um, we mentioned
that medical connect and some of these
new portals and dashboards that we
didn't have. The state is now
aggregating that data in places where we
can kind of go and we can see, hey,
there's we can look at our clients in
different ways that we didn't have
before and see, okay, there might maybe
there's a barrier for this age
population, for this type of service.
Uh, that data is really new to us. So,
it's figuring out how we can build that
into our flow and evaluate it and then
use it to to try and improve. There's a
lot of new new things out there that are
helping us do that as well.
>> Like the compass things that we showed,
we've only been looking at this for two
months.
>> So,
just how new it is and how fast it's all
coming out.
>> Cool. You're doing great. [laughter]
So what I understand is that feel that it's
scalable that people individuals at some
point will be able to use the
information that is available to
everybody else to see how they compare
in their community.
>> They are actually like on medical
connect we can already compare with
other counties of the same or similar
size those measurements that they've
imposed put in there so far.
>> So there are those mechanisms. I've seen
it on other websites. I think back to
the question um somebody had earlier
about access to the community to data.
There are plenty of DHCS websites that
have elements. Um these ones that we're
showing are the ones we directly have
access to because what happens is you
get into PHI to at some point and we
can't give the community access to those
u you know individual level data points.
So for us to affect change, we need that
information whereas the community only
needs the aggregate. So they're on other
sites.
» Oh, I'm sorry. Um you had early you
mentioned a little bit earlier that you
were measuring uh performance per county
based on benchmarks but if this is all
new where are the benchmarks coming from
and who and where did how are they
decided or you know is this like a
federal benchmark which is kind of
strange because there's no real program
like medical anywhere else
>> right well there is medical is called
Medicaid in other states so it's the
same program then California takes it
and likes to scoop it up you know its
own Right. So, um
yeah. So,
>> federal benchmark.
>> No, not for these. There are in HEATUS,
the HEADESS ones. Um there are federal
benchmarks. Um the but the state of
California also giving us the HEADES
measures as well and so they're adding
their components to it um and setting
benchmarks and then wanting and
evaluating us on it. I will say that
even last week in the call when they
were saying, you know, well, my year 24
was going to be our benchmark year, but
you guys, it was a do not report year.
So now we're looking at 2025. So again,
they're still trying to really establish
the foundation
and causing, you know, us to just keep
reestablishing, you know, with next
changes. So,
>> and that started in 2023 with the what
they called measurement year 2023. For
years, the state had a hard time
comparing counties to counties because
it really was apples to oranges because
our services and counties are very
different. But they started with
measurement year 2023
and establishing standards and then
holding us each all of the counties to
those and that's what started the
benchmarks. So now measurement year 2024
is based off of benchmarks from that and
that's all we're we're really adapting
and being counties we're don't
necessarily adapt as quickly as um you
know p the private sector does um
adapting to how quickly we have to start
measuring new data that we weren't doing
before and you know keeping to those
goals at the same time is that it's a
huge administrative burden but it's not
what our direct service staff are you
know they're serving clients. So it's on an administrative level of
overload for the data component of this.
>> Thank you.
» So let me just ask overall how do you
think our counties do or can you say one
thing that we're super awesome in this
[laughter]
>> like um I don't know all the measures.
There's no way to know all the measures.
So I don't overall tell you specifically
how well we're doing or comparably but
what I can say is what I have reviewed
recently and getting a lot of aha
moments is some of the heat ones which
we have about four to seven that we're
being um measured on and we're getting
again we're doing this roving change
every you know week it seems but we have
the heat measures coming out straight
out of smart care is giving us what they
have put together with their methodology
we've got one from our EQRO vendor HSAG
and then we've got with the state of
California has given us for DHCS. I
haven't been able to compare all three
of them but when I've looked at a couple
of them for the most part with like FUM
which is followup after medical care I
think and then FUA followup after
hospitalization. Um we're actually doing
pretty good on those currently. Um so
and that's from the my 25 measurement
year 2025 that we just got that report
from. So we are doing there's obviously
some areas where we need to do some work
like mostly I think that's in the SED
realm which I think is a struggle across
the board for every county every state
you know SED is a very complex um
program so those are areas we need
improvement and our numbers are super
small. So one client can change and
offset the whole measurement you know
for any measure or one situation you
know that ex extra thing that happens
that triggers something that results in
whatnot it can completely make our
measures go side scientific some of them
have a lot of numbers in them but
they're most not most some of them have
very small numbers as well in fact one
of the measurements I just heard the
state say again her state
from the same meeting last week um that
the numbers if they're less than 30 in
the count they um are going to hold us
to that and I do know one of the
measures that I was looking at earlier
this week had less than 30. I think
we're still doing okay but it was still
less than 30 so we wouldn't be held to
any kind of fines penalties or sanctions
because of that.
So I heard we're doing well in followup
after hospitalization,
>> right? And what was followup?
>> It's there's like two components of one
is like when you go to the ER, there's a
follow-up and we're doing good there.
And the other one's um the followup
after
>> that M&MD visit. So that one I think
Ross is still doing. We haven't spent a
lot of time on the ED ones, so I have
that one really long in my head.
These are the ones that are showing up
on page 15. I think
>> I was going to say if you look at 15,
those are
>> I mean sorry to interfer with this mean
but yeah.
I am but this raising questions of
around so is there a need to push more
for
using numbers of clients rather than
percentages personal accounts and is
that an area that's like a meaningful
area for reform or is it kind of too
soon to say because you're aligning some
of these systems under new guidelines
that kind of thing. I think if you're
trying to do a comparative analysis, it
you need to stick with the percentages.
If you're trying to actually affect
change, we need to know the number. We
need to say who are those people in the
ER that we need to follow up on. So,
which is what some of the work we've
done in our performance improvement
projects is to have connections with the
hospitals. They're giving us a list,
which is very forward because for years
we've struggled with sharing
information. Even though HIPPA says with
the treating relationship you can share,
they still nobody wants to share because
everyone's risk adverse and don't want
to be the people in trouble. Um so but
we've made a lot of good partnerships
and communications and we're getting the
information. So I think numbers are
important when you really want to do the
deep dive. Um I don't know how that sort
of lays out with legislation and changes
for that. Um, I know it does when you
have big numbers and you want something
done, but I don't know about the small
numbers.
>> Thanks.
» Quick question.
I'm a little biased about Humble County.
I think Humble County is great
>> and I would think that a lot of
nonprofits are cooperating. I they're
very involved with the CA, the 998 and
things like that. What mechanisms are
there for nonprofits to help if that
information process that data we sites
when reports like that are the
committees and things like that or or
we're not there yet?
>> Um
well we're looking a lot at our own data
so I'm not really connected to our
nonprofits
>> talking about the hospitals providing
information. They're nonprofits.
>> That's true. Um
>> I I think meetings with them.
>> Yeah. I think another element that I
would say too is part of these
initiatives are also integrating us some
data exchange with other parts of the
county, right? Like public as an
example.
>> So part of like the chimp and chop
process is going to be integrated in
some capacity within the integrated plan
at some point. So if you're doing like
engagement with public health as an
example, chances are some of that input
and feedback will trickle down to our
planning process as well.
payment of that data exchange.
>> And to what Amy was saying earlier, a
lot of this is spurring conversation and
increasing health information exchange.
More people are getting into health
information exchanges, which is allowing
us to have access to the data at a level
we didn't have in the past,
>> right? Because the state is now saying,
"Here's your humble county behavioral
health and then the managed care plans,
and we want you to play nice and we want
you to share your information." Yeah,
that is definitely a heavy lift.
» Any other questions?
>> I don't know. There's a lot of letters
in my brain and a lot of
soup in there. There's little recipe
book.
>> I mean, I probably have other questions
if that's okay to
>> absolutely anytime ask.
>> Yeah. Thank you so so much. really well
done
>> and we appreciate all the work you do.
>> Yeah.
>> Yes. Thank you.
>> Well, with that we
>> Do you guys mind if we hop out so we can
get back some of that?
>> Yes.
» Some of them smell a flower on the web.
>> I'll go ahead and stop uh the screen
share if that's okay.
» Absolutely. Thank you all for your time.
>> Thank you.
» At this moment, um, we have a quorum.
>> So, I would like to bring back the
action items of approving minutes from
618 and 625.
Anybody want to make a motion? Make a
motion.
>> I'll second.
>> All right. All in favor of approving all
those minutes.
>> I opposed.
>> All right, there we go. We got that
done. There's no other action items,
right? That's it.
>> You're just
Yes, I know. Thank you so much.
>> For that,
>> I only want you here for your vote.
I'm kidding. Sorry, I'm sassy today.
All right. So now we will go to
communications before you leave.
Supervisor Aoyo, do you have any
communications?
>> I um don't at this time. Sorry, this
very anticlimactic. Um I do I do have to
depart early. I'm sorry, but
this is the time when a board members
can communicate. Hello. Um I don't have
Well, I guess um I wanted Austin to kind
of announce um is that okay announce
>> for you? Sure.
>> Uh yeah, Patrick's Foundation is uh
still on course for our sobering center
and the 3.2 social model detox. Uh we're
looking for properties currently and um
we're working on getting the lensure
figured out as we speak. So we believe
we've staffed up appropriately. We're
just kind of uh getting a lot of fine
tuning done before we're making that
final step there. And we also will be
one of the sponsors for International
Overdose Awareness Day for 2026.
It worked.
» So, at this time, uh, just so Eddie,
Saul, and Allan know, we didn't get on
the board of soups agenda, but, uh,
August 10th is what I hear. So,
>> okay. I think it might be August 11th.
>> 11
days. I saw your note.
>> Oh, August 11th.
>> 11. Thank you.
>> And it should be on the consent
calendar. So, I mean, if you want to
come, you're welcome to, but um it's
hard to imagine that it will not pass.
You never know.
>> So,
it would be shocking.
>> You don't What I'm saying is you don't
need to be there. Although, if want to,
for sure.
>> Thanks.
John, do you have anything to run out at
this time? Okay,
>> Jess.
>> Yeah, give me just a second to pull up
the flyer. Oh, well, I believe that Joe
already sent it out to everybody, but
the wellness day barbecue that's going
to be happening from HTC Quark, make
sure you get over there. We got some
good chefs. And other than that, the
popup photography event was a really big
success. We had lots of people coming in
and out of that. And yeah, that's pretty
much all that I have for now.
>> That's Sean. I know you have something.
>> I don't think I screw up. I haven't
>> Okay, save my for
that. Doesn't matter. I guess
>> I don't really have anything except for
I wanted to
just kind of check back in with Jess
about any HCTC response to the
recommendations conversation we had last
month. Not to put you on the spot.
>> Well, I guess it's my time to be on
this. Not yet because I haven't uh I was
busy during our last meeting, but
>> that's fine.
>> I'll make a note to myself.
I just wanted you to know that at the or
everybody to know at the last executive
committee meeting we agreed uh that we
just want to revisit continuously like
every six months or so. So we'll
>> we want and and also not just for
transition age youth we want to hear
feedback about how this board is
accessible and inclusive to all the
folks in our community. So uh please you
know keep that in mind when you come to
these meetings that uh we want to hear
from folks about how to improve
uh our accessibility for folks. So
it
all right what I have is um
CIT just
my gosh CIT will be October 22nd to 26
um
>> October 27th.
>> Yes. The training of the contract 40
hour training
to do all of it over time. Just catch
little bits
>> and it's going to change.
» Um
>> October what?
>> October 22nd through the 26th. It's a
40-hour training for law enforcement and
social workers.
>> Thursday through a Monday.
October.
>> Or Monday through Thursday.
All right, y'all.
>> 26th. I need 26.
>> Okay.
>> 26 through 30th.
» 31st is Halloween.
>> It's a whole week. Yeah.
Um, and then also just wanted to let you
all know that Eureka, the Eureka Police
Department and the Crisis Alternative
Response of Eureka Mental Health Team
and DHS are going out to Huba to present
on SP 43550s,
the escalation stuff. And so that's
becoming quite a nice partnership. We've
been interacting with Lubo Valley Tribal
and now out there. So it's been very
nice
to share that. What about the CIT
international conference?
>> Oh, the CIT international conference is
in August. The I don't know the second
Monday, Tuesday, Wednesday, which is in
Orlando, Florida, which place to be in
August. Yes,
>> it was in
>> what's next to
in Fort Lauderdale, but
>> I'm excited to go. Not that far, but
>> Well, I know there's a Canadian version.
I I saw that.
>> I know Canada has their CIT together. I
bet they Yeah.
>> Anyway,
>> yes. Thank you, Kelly.
>> How many I'm just curious, how many
people are going? What kind of agencies
are represented?
>> Seven people are going. Uh, public
defender, uh, someone from the district
attorney's office. Uh, Arcada
Gman's going. No, supervisors are going.
Hang on. Uh, sorry.
>> I know.
>> I'm just nosy more than anything.
>> Well, I'm happy to fill you in on
everyone else who's coming in as soon as
I can remember who they are, but don't
do that again.
Um yes, different agencies are gone.
Coming back to report to you.
>> It just the CIT international conference
is such a good opportunity to learn
what's happening in other places across
the country and outside of the country
around crisis intervention. and our
county has always done a very good job
at like bringing folks from all the
different agencies and it's a great
opportunity for them to network and
build better collaborative
relationships. So I'm it's I'm biased
obviously but it's a it's a great thing.
So good job.
All right. Now we'll go to reports. Uh
behavioral health direct
today. Um let's see.
We're continuing to move forward with a
new administrator for the DMCO. Yes.
Which is good. Just regular meetings
with Hel Mesa,
BER, CHCS county. So we're kind of in
the phase where Calme State is working
with DHCS on the keys the key structure
and working really hard to create
something that's reasonable and
sustainable. So that's good. Um
we let's see what else we had. Um
Oliver who was here and left went out
Tuesday to the groundbreaking for the
Euro Health and Wellness Center which is
should be amazing. Um, pretty excited
about that and just happy that our
community, Humble County, is really
building out our health of care in so
many ways. That's
Boy, we we are waiting to hear back on a
community reinvestment application to
DHCS. I think I talked about this here a
little bit previously, but um
Partnership Health in collaboration with
public health and behavioral health has
community reinvestment funds that um
public health and behavioral health need
to come to an agreement on in terms of
how we recommend investing that in our
community. And one of the ways that um
we talked about here in the whole county
was using some of those funds for DMCODS
for um supporting the contract with Cal
Mesa so that we can you know sure that
we have resources available for that.
We're waiting like I said we're waiting
to hear back from DHCS on that proposal.
So certainly update this group.
And then I guess the other thing I'll
mention is DHS OAC which is Behavioral
Health Services Oversight and
Accountability Commission reached out
and asked if they could come visit. So
that's great and you know a little
stressful. So we're we've talked
internally about creating an opportunity
for them to come see how things are
going in Humble County. They would
certainly talk about some of um the BHSA
transition and maybe would have
conversations with some of our um
community partners and other local
groups. So possibly behavioral health
would be a group that could
share.
So you know why what well no they just
said they wanted to come. it they gave
it as an option and I didn't really feel
like I should say no but um they are
just offering to come and see how things
are going and ta and help us gather
information so it I mean it sounds
>> have you seen humble I mean it makes
sense correct
>> yeah exactly so anyway I'll keep you
guys posted on that we're just Oliver
and I and the deputies have been about
what how we could actually make it a
meaningful visit like what are the
things we might want to talk about or
get put on and who might we want to
connect them with. So, we're kind of
organizing around that and thinking
about dates.
>> Are there still any funds coming from
them for like crisis triage or anything
like that?
>> Isn't that the over
the innovation?
>> No, the crisis. Oh, this is no
>> I think all of them.
I just was curious cuz like we had we
would go to those meetings and stuff
with them regularly, but they were I
mean they were always really
>> they have been helpful. Yeah. With Yes,
that's true. That's right. I just was
curious.
» Yeah,
>> Jeremy.
>> Um yeah, in the children's world, uh
things don't slow down summer like they
used to.
a lot of contracts right now where um
anytime a youth gets placed in a in a
short-term residential facility what
used to be called group homes that
requires new contracts with those
facilities. Um we're trying to get new
contracts in place for some additional
providers and so just there's a lot of
activity around that contracting
certifying our sites. So our humble
flash site fortune site said are all
going through medical reertification
that's a lot of work that are going into
those things. um all the initiatives
that Amy talked about in the Cal AIM
world. Um we're working with uh
probation as far as solidifying anou
that outlines a lot of the new
requirements around pre-release
services and making sure that that
on the June slide that youth that are
getting ready to be discharged from the
facility are set up with services pri
prior to being released. and then uh
looking at all the screening and the
assessment tools and finalizing that
probation. So that's part of the cali
project um under BH connect what Amy
mentioned a lot of the evidence based
practices that are now required. So
we're in the process of um for two
practices functional family therapy and
parent child interaction therapy. for
identifying staff to be trained and
moving closer to setting up the
trainings for staff. Um and then once we
get staff trained then we'll be able to
roll those specific evidence-based
practices out to offer those services.
And then MST multi- systemic therapy is
a more challenging one because it
requires 247 247
crisis availability. that we're looking
at. It's putting out a request for
proposals to see if another agency be
willing to maybe contract with that
service. Um, so lots of work on BH
connect stuff um under BHSA which Amy
also talked about, but the high fidelity
wraparound is the other really big state
initiative right now. So there's a kind
of work both on with behavior health and
child welfare because child welfare has
the mandate to offer wrap around to
section or portions of their youth that
are identified as immediate needs youth
or youth coming back from a group home.
Behavioral health has requirements to
offer wraparound to our full service
partnership highle youth. So we're
trying to organize all of these
wraparound efforts. So it's essentially
one wraparound system, one process. So
it's there's a lot of moving parts right
now. The state has not finalized the
pledge of the guidance that we're
getting on. So right now it's a lot of
wraparound meetings that are happening,
but we're getting closer where we have
two providers in the county that uh both
been certified by the state to be high
fidelity wraparound providers. And so
that's really in many ways we're ahead
of other counties because we have
providers. We're just kind of waiting in
the state for a lot of things to
finalize things and really be able to
roll out the services. So lots of things
going on right now in children. Yeah.
>> Who are the providers? So, Revenue
Community Services is they they already
are doing rapid specifically for child
welfare youth and so um we'll be
updating their contract to add
>> the behavior health portion to that and
then humble neuro health will be a new
provider. So, between the two of them
will have capacities for both child
welfare and non childare.
Thanks. Yeah.
I think people would see Jack, what have
you got for us?
>> Hi. Uh, good afternoon everyone. Sorry I
couldn't make it in person, but nice to
see everyone. Um, probably not a lot on
the adult side. Um, you know, we we
definitely are are uh in the the
recruitment and hiring phase for for
some clinicians and uh we've got some
interviews coming up and that's uh good
for us. Um but we [clears throat] remain
pretty pretty busy. We've been working
on um this transitional rent uh with the
home program. Uh that's a new
partnership benefit that uh
theoretically you're supposed to, you
know, allow for
a portion of rent to be paid by uh the
partnership health plan. And so we're
kind of working on the the kinks for
that. But um that's probably the the
latest initiative that I could recall
here. Um but yeah, have my updates.
» Thanks,
Um, I just wanna I'm gonna just pop it
in here, Jack, since you just spoke, but
at the executive committee, we had a a
wonderful commenation testimonial from a
man who Jack had helped his family
member and it was um wonderful to hear
that. And you know, it's a private
matter, but good job, Jack. It's
heartwarming to hear how you helped and
that's pretty cool that the deputy
director
is doing that kind of work. So, good
job, Jack. You're awesome.
>> Yeah, I'm I'm out in the field.
>> I know.
>> Helping helping the helping the
community. It's good stuff.
>> Yeah.
>> Awesome. All right. Next. Sud committee,
right? Yes.
>> SUD committee. So, the last SUD uh
meeting that we had um we invited Dette
invited the Good News Rescue Mission to
come and do a presentation. They are one
of several new um businesses that have
come into our community uh specifically
for ECM services. Um and so we pretty
much wanted to know, you know, more
about them quite frankly. um a little
concerning. Um they uh are coming into
encampments
um and other places uh where um most of
our folks that we serve congregate. Um I think maybe offering them some kind of
monetary compensation like a gift card
um signing them up. Um and so we just
want to make sure that you know they are
being held accountable. Quite frankly,
you know, it's my experience and a few
other navigators um that when we are um
doing, you know, some kind of
screenings, you know, a big percentage
of the folks um you know, will find out
they they are um signed up for services
and they have no idea. They don't
remember signing anything. They don't
remember having a conversation. And so
it's a little concerning um you know for
uh kind of like messes up you know some
of the services that some of you know us
folks that are actually kind of want to
that are here actually doing services
you know in our community um you know
when we have someone that's already
signed up. It's a conflict and you know
um it just makes it very difficult for
these people to to get services. So, we
want to kind of, you know, form like um
uh more of an accountability uh group.
Um so, Janette is working on that.
She'll have more to report um next uh
meeting. Um she is going to be I guess
scheduling other um of these groups. Uh
so, the next um is there going to be an
August SVG meeting?
>> No.
>> Okay. So, that would be the um
>> in September. So that's the second
Thursday,
right?
>> Yes. Yeah.
>> Um and so yeah, we will know more about
that. Uh Laura and uh Kim Burgel joined
the meeting and they had some questions.
Um I had some specific questions about
capacity that I'm still unclear about.
Uh so we did contact the administration
of that and we are going to get some
answers, Laura, and we're going to
proceed with the meeting I guess. So
>> yeah, we we met with uh the person uh
who's the director here locally and our
chief of police on 17 is we're meeting
next Thursday with their CEO.
>> Perfect.
>> And so yes, we have many questions.
>> Yes. Awesome. So more will be revealed
with that.
>> Um and uh let's see. So yes, um we are
also um going to be uh so 811 at 9087
street is the next SCD MAT uh
collaborative meeting where all uh
providers SCT
SD and MAT folks are encouraged to come.
Um Beth Jansen and Melissa Nelson and I
are the uh facilitators. We're working
on
creating a pool of funds for folks that
we have a lot of folks that are just
resistant to going to rehab because they
have animals. A lot of them are
houseless. Some of them some some of
them aren't houseless. They just don't
have anywhere to put their house their
animals. So, we're working on a proposal
to Myrtle Avenue for for boarding
services and coordination of care,
getting the animals uh their required
shots so that they can um there are some
rehabs that are going to allow the
animal to go with the patient once they
complete the detox process, but the
animals need to have their shots. They
need to have they just need specific
things. And so, we're working on that
for folks that aren't able to do that.
We're also working on an emergency fund
for medications. Um I'm having a
difficult time um finding funding for
people that don't have money for
medications and there's like either
they're not from this area, they don't
have insurance. Before I was able to
just have a hospital um on that. I don't
have access to that anymore. Um, and I'm
getting shot down when I try to reach
out to the hospital. So, um, we're
trying to figure out how the hospital
can help with that. So I I have a we
have reached out to um Joy Victorine and
Martha Shanahan to see if that service
can still happen because we we are now
experiencing folks and Melissa Nelson
and I are trying to put our heads
together to figure out how people can
get their suboxone as the alternative is
them not having it and then them
>> being hospitalized.
>> Yes. Exactly. So overutilized in the
emergency room or sometimes them not
even going to the emergency room, them
saying, "Forget it. I'm just going to go
out there and we don't want that to
happen. So, um that's what we're working
on. And uh recovery happens is scheduled
um for September 19, I believe, right
Melissa.
>> Okay. She does her hand up.
>> Okay. Yeah. Um and uh International
Overdose Awareness Day um is August
31st. However, that falls on a Monday.
So, a lot of places are having the
actual event on Saturday the 29th. Uh,
Humble is having that actual event at
the Adorn I'm sorry, not the Adorning
Center, the Gazebo from 12 to 5. Um, and
so, yes, there's going to be I think I
don't know we're up to I think in the
teens with vendors and tables that are
going to be there. We have speakers
going to be giving her mayoral
proclamation. Hatcher and Patrick's
Foundation are going to be uh sponsors
along with Crossroads and Eegis um and
Redwood Recovery Center. So, it's going
to be a collaboration. Um so, hopefully
everybody can attend that. Um and then
there is October 14th through the 18th
the annual um CAC uh California
convention on STG consortium is going to
be in um Universal City and we'll have
more um information on that. A group of
us like to go every year. Um and I think
that is it. Yeah, that's it for me. I
think Melissa have something to add
might have something to add.
Thank you so much. I was typing away and
I was not doing a good job putting it in
text. Okay. So um for in regards to
medication cost if there is an
individual who is not eligible for
medical and does how to have an
out-ofpocket cost for their medications
and treatment for their Matt treatment
and if they are seeking buponorphine
treatment or methodone treatment. We do
have the state opioid response still a
grant still at Aegis that can cover the
cost of treatment, but it is
monthtomonth until funds are exhausted.
So, it's not um a long-term solution at
all, but it is something that can help
temporarily in regards to medication
costs. The tricky thing with that with
BU especially is that we require daily
medicating for patients that are new to
our program. So, it's just not a
realistic option for some if they're not
able to come to our clinic daily in the
beginning before establishing stability
and treatment. But, um, again, if if
cost is a factor, we do still have those
grant funds um until they're exhausted.
And we have the grant until, um,
September of 2027,
but we are trying to use those funds
now. Um,
so yeah, you can reach out. I'm going to
put my number in the chat. If you have
someone that has questions about that or
is needing um grant assistance for
treatment costs, please reach out.
>> Thank you.
Melissa.
» All righty. Um adult older adult
committee update. We did have a meeting.
Mark Elliot was going to join but then
he had to somebody had called out so we
had to take on
a different role. Um we have another
remember if we have another meeting but
that's slow in ramping up however it
will be with
as far as other committees uh
legislative com ad hoc has a meeting on
the 27th Nancy Stark thank you for
sending out that invite and uh the
minutes from your last meeting because
there's there's a lot in that world and
I know Vernon wanted to be here today.
He's not. Do you have anything to say
about that admark?
>> No, just that we might delay the meeting
on Monday uh due to Margarit.
So,
>> okay.
>> We may be delaying the meeting just a
little bit, but that's okay because the
behavioral health board is dark in
August. So, we have time.
>> Yeah. Awesome. Thanks for that work that
you're doing there. And then Peter's not
here, but we do have some people ready
to go. Jess being one of them that Peter
stole for the children and family
committee. And we are waiting for
September. Maybe we'll have a secretary.
Yeah.
Okay. So that's kind of so
All right. Um do you have anything, Vice
Chair?
I just wanted to piggyback on the other
committees in that we we had our
behavioral health board retreat a while
back that we talked about how everybody
is going to join a committee and so we
were kind of waiting for our new members
to become official members to like
figure that out. So I know there's a
couple other people that might be
interested in doing the children and families committee
>> or adults or um I also have space on the
membership committee possibly. I know
supervisor Royal. So I think we can
revisit that maybe
September.
>> Yeah. Okay. Yeah. So I just wanted to
put that out there. So if you're going
to be a new member or if you're already
a member and aren't on a committee,
we'll be figuring that out. So So think
about So the the mandated committees are
the SUD, the adult older adult, the
children and families and the membership
committee and the executive committee.
So uh think about what committees you
might be most interested in shortly.
>> Thank you very much.
>> Thank you. Okay, so I just got the data
notebook 2026 for California where all
behavioral health boards, they have a
subject every time. It was SUD last
time. This time it's foster youth and uh
in behavioral health and social
services. It's 25 questions. Last year,
I don't know why, if it's just that I'm
more into like more aware of SUD stuff,
it was easy. These questions are super
hard. So, I will be reaching out to
Peter, Jess, and Jeremy to help answer
some of these. Um, just a little teaser,
who provides the child and adolescent
needs and strengths assessment for
foster care youth in our county? That's
can
be read.
>> Okay, great.
» So, there we go. What was that? Well,
then you just answer these.
» And then how is your county planning to
provide high fidelity wraparound
services?
>> Planning a lot of planning. [laughter]
» Well, I like that it says that are
required starting July 1. And
>> yeah,
>> but giving you all a little taste of a
few of the questions. Um
yes, but that is due
>> our houseful policy. So
>> October 12th
>> and that will be submitted early. I just
it's one of those things where in the
past they were never submitted on time
and last time I got it in on time and
the time before that was late. But um
yes, super excited about that.
>> And one quick little thing
>> and one more quick little thing on
advice.
Uh Melissa Nelson put her number in the
chat for grant funds available for
streaming costs. Um so if anybody would
like it, get your pen ready. 707
5727586.
Thank you, Melissa.
>> Thank you, Melissa.
>> All right.
>> I'm monitoring the chat. Yeah.
>> I keep freaking out because I look at
Saul and I'm like, "No, his eyes are
>> [laughter]
» Right on us unfinished business. NAV
center. [laughter]
I don't think there's anything new.
Crisis triage from what I heard in the
homeless
leadership work group. Everything is
progressing uh with those. And then care
court. Uh we're still killing it. If I
get out of here on time, I might go see
if I can pop in because I've been
invited.
I think is anybody have any future
items?
Seeing hearing none,
I will
>> no meeting,
>> right?
>> That is correct.
>> I will adjourn this meeting. Thank you
all. At 13:40,
» thank you all. Thank you all. Good to
see everybody.
>> We're going to have a full board next
September when we look back.