[00:00:07]
WE HAVE ENOUGH PEOPLE? NO, I THINK WE NEED ONE MORE.
HOW MANY? WE NEED ONE FOR SIX NOW.
ARE WE READY TO START? UH, WE CAN CERTAINLY, WE'LL JUST HAVE TO FLOP THE AGENDA A LITTLE BIT, SO I TAKE IT OUT.
WE ARE CALLING THIS MEETING TO ORDER.
WELCOME EVERYBODY TO THE CITY OF LONG BEACH HALL HUMAN SERVICES MEETING, BEING HELD HERE AT THE HEALTH DEPARTMENT TRAINING CENTER.
I TRUST THAT EVERYBODY HAVE A PRODUCTIVE, THEY'RE LOOKING FORWARD TO THE WEEKEND BECAUSE WE MEETING DR.
UM, DO WE HAVE ANY NEW MEMBERS? WE HAVE A NEW STAFF.
AND DENNIS WILL BE RETIRING AND THIS IS HIS LAST MEETING WITH US, WITH US.
I'M NOT, IT'S STILL THE DREAM TO ME RIGHT NOW.
FOR IT TO ACTUALLY BECOME REALITY.
BUT IT'S GONNA TAKE A WHILE FOR, SO WE'RE VERY GRATEFUL FOR YOUR LEADERSHIP AND YOUR ADVISEMENT AND YOUR SUPPORT AND RUNNING AROUND AND CHASING US, AND ALL THE EXTRAS THAT YOU NEED.
SO, UH, IF WE CAN GIVE DENNIS A ROUND OF APPLAUSE.
ARE THERE ANY MEMBERS OF THE PUBLIC? I DON'T SEE ANY.
SO WE ARE REQUIRED TO HAVE A QUORUM, UM, TO MOVE FORWARD WITH FORMAL BUSINESS.
UM, WHICH MEANS WE NEED SIX MEMBERS, WHICH WE DO HAVE.
UM, I WILL NOW ASK ALEJANDRA, UH, TO TAKE THE ROLL CALL AND MEMBERS WHO ARE PRESENT.
JUST INDICATE THAT YOU'RE HERE BY SAYING HERE WHEN YOUR NAME IS CALLED CHAIR SANDERS.
UM, WE'LL NOW MOVE TO REVIEWING THE MINUTES.
AND THAT IS IN THE PACKET THAT YOU HAVE BEFORE YOU, HOPEFULLY EVERYBODY HAVE A CHANCE TO REVIEW THAT.
WE HAVE TO ALSO EMAIL TO YOU AFTER THIS WEEK.
UM, IS THERE ANY EDITS? I'M SORRY.
UM, I'D LIKE TO SECURE A MOTION TO APPROVE THE MINUTES.
UM, IF YOU COULD STATE YOUR NAME AND MOVE TO APPROVE THE MEETING MINUTES.
UM, LOOKING FOR A FIRST MOTION.
ANY CHANGES? THE MINUTES? ANY EDITS? EXCELLENT.
UM, WE DON'T HAVE ANY GUESTS FROM THE PUBLIC, UM, SO THERE'S NO COMMENTARY.
BUT WE DID TALK ABOUT IN OUR PLANNING GROUP, UH, ABOUT, UH, INCREASING THE MEMBER OUTSIDE COMMUNITY MEMBERS, UM, AND GUESTS AND MAKING IT KNOWN ABOUT THIS BEING A PUBLIC C MEETING.
SO THAT WILL BE SOMETHING THAT WE'LL BE TALKING ABOUT HOW WE FURTHER PROMOTE.
AND WE HAVE HAD GUESTS IN THE PAST.
UM, AND THAT'S ALWAYS EXCITING BECAUSE THERE'S, UM, INTERESTING AGENDA ITEMS, PERSPECTIVE AGENDA ITEMS AND INTEREST OR TRENDS OR JUST EDUCATION OF THEMSELVES FROM SOME, UH, STUDENTS FROM WANT THE CITY WANT.
UM, SO THAT WILL BE SOMETHING THAT WE'LL BE TALKING ABOUT, ABOUT HOW TO, YOU SAID THIS IS SOMETHING THAT IS A SIGNIFICANT CONVERSATION FOR THE COMMUNITY AND A COMMITMENT, THE COMMUNITY IN THE CONVERSATION.
SO WE ARE GONNA MOVE FORWARD WITH, UM, WE HAVE, UH, DOC, UH, ALLISON IS NOT HERE AT THE MOMENT, SO I'M GONNA ASK DR. DAVIS.
UM, SO I'LL JUST TALK ABOUT THE OIL, WATER, I, ALLISON TALK ABOUT THAT.
BUT, UM, SINCE SHE HASN'T MADE IT, SO, UM, BASICALLY WHAT HAPPENED WAS THAT THERE WAS A MAIN BREAK, A WATER BREAK AT, UH, AND, UM,
[00:05:01]
BOARD LOAD.AND THAT CAUSED A LOT OF FLOODING.
AND THEN ONE OF THE CONSEQUENCES OF THAT WAS THAT THERE WAS A DIP IN PRESSURE OF THE PIPES.
AND WHEN YOU HAVE THIS LIKE, DIP IN PRESSURE TO A CERTAIN DEGREE, IT, UM, CAN ALLOW THE WATER TO BECOME STAGNANT AND THEN BACTERIA CAN POSSIBLY GROW.
SO THERE WASN'T AN INDICATION OF THAT, BUT 'CAUSE THE PRESSURE HAD DROPPED TO THAT CERTAIN LEVEL, THEY, I DUNNO WHETHER IT'S A CAUTION TO PRECAUTIONARY MEASURES AND, AND ORDERED THE, UM, FO WATER NOTICE FOR THE AREAS THAT WERE, SO IT WAS JUST A DIFFERENT PRESSURE.
IT CAUSED A DIFFERENT PRESSURE.
UM, BUT IT WAS A DIFFERENT PRESSURE THAT MADE THE FOIL WATER.
UM, AND SO THAT HAPPENED YESTERDAY MORNING, SOMEWHERE IN THERE, UM, TO AN AFFECTED AREA.
LIKE, UH, PARTS OF 9 0 8, 0 6, ALL OF OH FIVE AND 9 0 7 I BELIEVE WERE THE ONE, UM, THREE COUNCIL DISTRICTS.
AND, UM, AND THEN ALSO BESIDES THE WATER ISSUE, THERE'S A LOT OF, UM, PAVEMENT ACCESS ISSUES AROUND THAT
UM, SO THEY, UM, DID SOME TESTING AT THE WATER AND UH, AND THINGS WERE FINE.
AND SO THE WATER NOTICE WAS DISCONTINUE.
SO DR. DAVIS, WHAT HAPPENED TO THE REST OF THE AREA? HOW IS THE WATER IN REST OF THE AREA? LIKE THE REST OF THE AREA? YEAH.
WHAT HAPPENED TO THE WATER? NO CONTAMINATION.
AND SO, UH, 'CAUSE IT TAKES LIKE 12 HOURS OR SO TO GET THE LAB RESULTS BACK.
WE JUST TOOK A PROCRASTINATE MEASURE.
UM, UNTIL WE GOT THE RESULTS BACK THAT SAID EVERYTHING WAS FINE.
SO IT WAS NEVER CONTAMINATED? IT WAS NEVER CONTAMINATED.
SO IT'S NOT THAT IT WAS AND NOW IT'S NOT.
UH, SO WE GAVE OUT WATER TO THE NEIGHBORHOOD JUST IN CASE OF A COUPLE.
UM, AND THEN A COUPLE OTHER THINGS.
SO THAT'S A HEMORRHAGIC VIRUS, KIND OF LIKE EBOLA, VERY SIMILAR AREAS THAT IT, IT, YOU KNOW, IN AFRICA.
AND, UM, SIMILAR SYMPTOMS AND SIGNS, FATALITY RATE.
AND THERE'S CURRENTLY AN OUTBREAK IN RWANDA.
UM, AND IT'S BEEN GOING ON FOR A LITTLE BIT.
AND THERE HAVE BEEN AS OF OCTOBER 8 56 CASES AND 12 DEATHS, LIKE A 20% CASE FATALITY RATE.
UM, THE MAJORITY ARE IN, UH, 12 INFECTED OUR HEALTHCARE WORKERS.
SO AS A RESULT OF THAT, IT'S HIGHLY INFECTIOUS AND, AND THERE'S NO TREATMENT.
IT'S JUST BASICALLY, UH, SUPPORTIVE CARE.
UM, THERE'S A COUPLE OF THINGS THAT WE'VE INSTITUTED.
UH, CDC, UM, WE STARTING TO MONITOR RETURN TRAVELERS FROM RWANDA TO 20 PEOPLE PER DAY.
SO WE'RE, UM, THE CDC IS FUNNELING THEM THROUGH THREE AIRPORTS, SO MOST LIKELY DALLAS AND, UM, NEW YORK AND SOMEWHERE ELSE ON THE WEST COAST.
UM, AND THEN THERE'S SCREENING AND SCREENING AND, UM, SO THAT'S HOW IT'LL BE.
WE HAVE A PRESIDENT WHO COMES BACK FROM, WHO IS AT RISK.
UM, THEY ALSO HAVE A TRAVEL, UH, THREE ADVISORY, WHICH IS, YOU KNOW, CONSIDER NOT.
AND THEN THE LAST THING IS JUST BIRD FLU.
WE'RE HAVING, UM, I THINK WE'RE UP TO ABOUT FOUR OR FIVE NEW CASES NOW IN CALIFORNIA.
UM, AND THESE ARE WORKERS EXPOSED TO, UM, DAIRY.
SO THEY'RE BEING EXPOSED TO LIKE COW.
THERE'S NO PERSON TO PERSON TRANSITION RIGHT NOW.
BUT THAT'S A CONCERN THAT YOU TAKE.
UM, SO A LOT OF P OUT VACCINES.
ABOUT THE MARONE MARS MAR AND THE WATER ISSUE.
THAT, AND, UM, ANY QUESTIONS ABOUT? THANK YOU SO MUCH.
[00:10:01]
I, UM, MY, I NEVER BEEN I SO FAR YOU DORITOS DERAILS ME THIS MORNING.UM, SO I JUST WANNA SAY GOOD MORNING.
FIRST OF ALL, UM, YOU KNOW, CERTAINLY I 27 YEARS AND WE'VE DONE THAT THIS WEEK WITH A POTLUCK ON YESTERDAY.
UM, WE HAD A LITTLE GATHERING AND ALL SOCIETY, UM, AND I JUST WANNA THANK HIM.
UM, BUT I JUST WANNA THANK HIM FOR ALL OF, HAS SUPPORTED THIS DEPARTMENT AND WHILE I HAVE BEEN IN THIS DEPARTMENT FOR MY, NOT MY ENTIRE TIME, UM, BUT FOR THE GREATEST PORTION OF MY 18 YEAR HERE, I HAVE HAD SOME CONNECTION TO HIM AND STRONGER AND THANK FOR TRANSITIONING ME IN, UM, AND HELPING ME TO GET MY PING.
UH, WITH THAT SAID, UM, WE DID HIRE OUR NEW EXECUTIVE AND, UH, SHE HAD REFERENCES AND REVIEWS FROM EVERYONE.
SO WE'RE EXCITED TO HAVE HER ON BOARD.
UM, I HAD THREE OF MY FORMER SECRETARIES OF THE CITY.
ONE IS THE EXECUTIVE ASSISTANT FOR THE CITY MANAGER.
ONE IS, UM, THE EXECUTIVE ASSISTANT TO THE BOARD, AND THE OTHER ONE IS AN ADMINISTRATIVE ANALYST FOR, UM, UH, DEPARTMENTAL SERVICES.
AND, UH, SO WE COULD BOTH BE FIT.
UH, AND THEN WE DID THE SECOND INTERVIEW TEAM.
SO WE'RE REALLY GRATEFUL FOR THAT.
UM, YESTERDAY WE CONDUCTED THE DEPUTY DIRECTOR INTERVIEW, AND I CAN TELL YOU THAT I, I WAS JUST SO BELIEVED, UM, THAT I BELIEVE WE HAVE FOUND MECHANIC.
I WANNA APOLOGIZE THAT THINGS A LITTLE CATTY US AT THE LAST MINUTE, WHICH IS WHY WE DIDN'T PULL IN A BOARD MEMBER.
UM, BUT I, I KNOW THAT YOU'LL BE VERY PLEASED TREMEND CONFIDENCE IN THIS INDIVIDUAL.
UM, AND YOU'LL HEAR MORE ABOUT IT, WE CAN ACTUALLY SHARE OUT.
UM, BUT WE'RE WORKING INTERNALLY.
I'M SURE MOST OF YOU HEARD ABOUT THE WATER MAKE BREAK.
I ALSO WANT TO THANK YOU FOR COMING TO THE DISTRICT EIGHT TOWN HALL MEETING.
WE WERE THERE ON WEDNESDAY NIGHT TOGETHER, AND AS SOON AS I WAS TAKEN TO CAR CALL FROM TOM
DAVIS' CALL TO MAKE, THAT WAS A STATE DECISION AS TO, YOU KNOW, WHETHER OR NOT WE WERE TO, YOU KNOW, DO A BOIL ORDER OR NOT.
AND THEY WERE STILL GATHERING INFORMATION, WHICH TEST TAKES 24 HOURS AND THEY ISSUED THE BOIL ORDER OUT OF AN ABUNDANCE OF CAUTION.
AND WHAT WE FOUND OUT WAS THERE WAS NOT CONTAMINATION WHEN IT DROPS TO A CERTAIN LEVEL OF PRESSURE DROPS.
BACTERIA HAS THE POTENTIAL FOR GROWTH AND THERE IS WHERE THE CONTAMINATION OCCURS.
BUT BECAUSE THEY COULDN'T NOT, THEY, THEY SAID THAT THE SAMPLES THAT THEY DID TAKE ON SITE THAT ARE NOT AS RELIABLE DID NOT INDICATE BACTERIA.
BUT AGAIN, IT WAS OUT ABUNDANCE OF CAUTION.
THERE WERE SNACK FOODS ARE, UM, ALERT, LONG BEACH DID NOT ALERT.
WE KNEW THAT THERE WERE 30,000 PEOPLE THAT WERE IMPACTED IN THE AREA, BUT WE ONLY GOT 55,000 OUT TO PEOPLE BECAUSE THE SYSTEM FAILED US.
SO WE ARE GOING TO BE DEBRIEFING THAT AS A CITY, BUT I WANT YOU TO KNOW THAT OUR DEPARTMENT GOES TO THE LEVEL DR. DAVIS WAS ON THE LIVE STREAM ON YESTERDAY.
I'M SORRY, I DIDN'T SAY ALL THAT.
I WANT TO UNDERSTAND THE CONTEXT BECAUSE AS I'M STILL, UM, LEARNING THIS SIDE OF HEALTH, UM, ALL OF IT HAS BEEN AN EXPERIENCE.
BUT, UM, IT TRULY WAS, UM, THAT OUR PUBLIC HEALTH EMERGENCY MANAGEMENT TEAM MOBILIZED, DEPLOYED IN AMAZING WAYS.
WE WERE ON TEXT MESSAGES, GOT THE NOTIFICATION AT LIKE EIGHT 30.
WE WERE TEXTING ONE ANOTHER BY EIGHT 40 AT OUR DRIVING DOWN THE NINE ON THE FREEWAY.
UM, AND, YOU KNOW, AS THE NIGHT WORE ON, WE HAD, I HAD MULTIPLE MEETINGS ALL ACROSS THE CITY OF PEOPLE.
AND WHEN WE SENT OUT A CLARION CALL TO OUR PUBLIC HEALTH EMERGENCY MANAGEMENT TEAM, I WANT YOU TO KNOW THAT WITHIN TWO TO THREE MINUTES THERE WAS
[00:15:01]
LIKE, I'LL BE THERE 15 MINUTES, I'LL BE THERE 20 MINUTES.AND THEY WERE THERE BECAUSE WE NEEDED TO DEPLOY WATER OUT TO FIRE STATIONS IN THE EVENT RESIDENTS NEEDED TO COME GET IT.
SO THAT HAPPENED AND IT CONTINUED ALL THE WAY UP UNTIL LAST NIGHT BECAUSE AS LATE AS EIGHT 30 LAST NIGHT OR SO, THEY WERE PICKING UP 13 PALLETS FROM COSTCO AND, UH, OTHER PLACES FROM DEPOT.
UM, SO IT WASN'T UNTIL WE GOT THE ACTUAL TEXT BACK LAST NIGHT, JUST BEFORE MIDNIGHT THAT WE FOUND OUT THERE WAS SOME THAT'S GREAT.
SO NEEDLESS TO SAY, THERE'S BEEN A LOT OF CALLS ABOUT PEOPLE WHO LIKE TO BE SICK FROM WATER THAT WASN'T CONTAMINATED WORKING PARTTIME IN PUBLIC WORK.
SHE SAID THAT THEIR DAY WAS COMPLETELY CONSUMED, UH, WITH CALLS.
UM, SO IT'S, IT'S SOMETHING THAT WE'RE GONNA LOOK INTO AS TO HOW WE THE CITY CAN ENSURE THAT PEOPLE ARE ALERTED.
BUT THE BIG PIECE FOR US WAS BUSINESSES THAT HANDLE FOOD.
NO, BECAUSE THEY COULD NOT SERVE THE WATER.
THEY COULD NOT GIVE OUT TO DRINKS AND THEY HAD TO ENSURE THAT THEY WERE SAFE AND WASHING AND USING FOR WATER.
SO A LOT FOR US TO, TO TRY TO FIGURE OUT GOING FORWARD.
UM, OUTSIDE OF THAT, WE DID WIN A BILLION DOLLAR, UM, AWARD FROM CPH, UM, FOR, I'M SORRY, FOUR 7,000.
UM, WHICH IS REALLY GOOD BECAUSE THAT'S A CHALLENGE FOR US FINANCIALLY FOR THAT IT ALLOWS US TO GO BACK RETROACTIVELY, UM, TO, UH, COVER SOME COSTS, BUT WE HAVE TO EXTEND IT BY DECEMBER 31ST.
WE DON'T NECESSARILY KNOW THAT THE EMERGENCY WILL BE OVER BY THEN, BUT WE HOPE, UM, THAT WE'LL BE VERY CLOSE TO IT.
WE DID GET $8 MILLION FOR, UM, UM, OUR COLLECTIVE IMPACT BUREAU, UH, FOR ANOTHER VIOLENCE PREVENTION GRANT, WHICH WE'RE VERY EXCITED ABOUT.
WE'RE FINISHING UP THE DEPARTMENT ONE, WE'LL CONVENE THAT GROUP.
UM, THEY'VE GONE THROUGH A COUPLE SCENARIOS.
WE'RE DOWN TO, UH, A FEW IDEAS THAT YOU BELIEVE CAN BE VETTED.
SO FOR THOSE OF YOU WHO INDICATED THAT YOU WOULD, YOU KNOW, SIT AND REVIEW THAT WITH US, WE'LL BE REACHING OUT TO YOU.
OH, UH, THIS IS NOT A FUN VACATION.
UH, NO
AND, UM, I'LL BE BACK ON THE 30TH.
THANK, CAN I ASK YOU A QUESTION? DO YOU KNOW WHETHER LONG BEACH LWSD HAS, UM, OPENED THEIR DRINKING FOUNTAINS AGAIN? DO YOU HAVE ANY IDEA? THEY SHOULD.
WE REACHED OUT TO ALL THE MAJOR SYSTEMS, UM, TO LET THEM KNOW.
AND SO WE BELIEVE THAT THEY ABSOLUTELY COOL.
HAVE AND ON THE WAY OVER HERE, I DID SOME OF YOU GET THAT THREE? I DID.
YOU KNOW, THIS IS SOMETHING THAT WE DO NEED TO DEBRIEF BECAUSE I WAS TOLD BY THE, THAT EVEN I'M THAT RIGHT.
SO I KNOW THAT SOME OF YOU GOT THAT IN THE WEE HOURS IN THE MORNING, BUT FOR ME IT JUST CAME AS I WAS TRYING TO WHO'S VENDOR? UH, THAT'S A GOOD QUESTION.
THERE WAS ALSO A WEIRD SITUATION WHERE IN THE MIDDLE OF THE DAY YESTERDAY, I GOT AN EMAIL SAYING, HAPPENING NOW LIVE BROADCAST FROM THE MAYOR.
AND I CLICKED ON IT AND DIDN'T, IT WASN'T, IT DIDN'T HAPPEN BECAUSE IT DIDN'T HAPPEN.
I DIDN'T, I WAS DOING INTERVIEWS, SO I DIDN'T GET TO SEE IT.
BUNCH OF PEOPLE IN MY OFFICE WERE TRYING TO FIGURE IT OUT.
I HAD IT ON UNTIL I LOST TIME.
WE HAD A LITTLE BREAK, BUT MY ALERT JUST CAME ONE HOUR AGO, SO IT'S SEVEN 18.
UM, THAT'S WHEN I GOT THE ALERT.
YEAH, I GOT THE SAME TIME TOO.
SO SOMEONE IN THE MAYOR'S OFFICE MIGHT WANNA KNOW THAT, THAT I'M SURE BY NOW THEY FIGURED OUT THAT THAT WAS NOT YES.
SO THE RIGHT COMMUNICATION AND WHAT YOU NEED TO KNOW.
ALSO, JUST AS AN ASIDE, UM, THE PRIOR UTILITIES GENERAL MANAGER WAS CHRIS GARNER, WHO RETIRED AFTER 30 SOME YEARS.
ANNA TO JUST TOOK OVER MY, BEEN IN UTILITIES FOR PROBABLY ALMOST THIS LONG, BUT HE TOOK OVER ON MONDAY.
HAD OUR HOUSE EXPLODED AND ON WEDNESDAY WE HAD MAN WATER.
SO, UH, SEND LOVE TO HIM BECAUSE I'M SURE.
SO HE, HE'S NOW SUBMITTED HIS RESIGNATION.
[00:20:01]
ATTACK,HE DIDN'T EVEN GET A CHANCE TO SIT IN THE SEAT TO BREATHE.
ANY OTHER QUESTIONS FOR ALYSSA? I I HAVE A QUESTION.
CAN YOU, THIS IS THE BEHAVIORAL HEALTH, UM, THAT SUPPORTS, UH, SUBSTANCE ABUSE USE.
UM, THAT WAS PASSED ON THE MAY BALLOT INITIATIVE.
IT ALLOWS US, THERE ARE A COUPLE OF ROUNDS, BUT THIS ROUND ALLOWS US TO ENHANCE CAPACITY, UM, FOR BEHAVIORAL HEALTH, UH, LOCATIONS THAT WILL SERVE FOR SUBSTANCE ABUSE AND OTHER, UH, BEHAVIORAL HEALTH ISSUES.
SO WE ARE LOOKING AT, UM, BUILDINGS WHERE WE CAN SUPPORT SOME CAPITAL IMPROVEMENTS AND ACTUALLY EXPAND, EXCUSE ME, THE SERVICES WITH PARTNERS BECAUSE WE DON'T TECHNICALLY DO BEHAVIORAL HEALTH, ALTHOUGH WE HAVE SEVERAL CLINICIANS THROUGHOUT OUR DEPARTMENT, UM, WHO SIT IN THE LIBRARY, UM, SIT AT THE JAIL, WHO, UM, GO OUT WITH OUR, UH, ALTERNATIVE CRISIS RESPONSE TEAM, UM, AS WELL AS OUR HOMELESS OUTREACH TEAMS. SO IT WILL INCORPORATE THOSE FOLKS.
WE ARE TALKED TO, WE TOUR COMMUNITY HOSPITAL, BEHAVIORAL HEALTH CENTER, UM, WE'VE BEEN WORKING WITH NHHA, WHICH IS THE NATIONAL HOUSING AND HOMELESS ADVISORS THAT ARE OCCUPYING THE OLD COMMUNITY HOSPITAL.
UM, AND THEY ARE BOTH POTENTIAL PARTNERS.
WE'VE CERTAINLY SPOKEN WITH FSC.
UM, IT'S, IT'S STILL AN APPLICATION, UM, IN PROCESS TO DETERMINE WHAT ARE THE BEST OPTIONS FOR POTENTIAL FUNDING.
SO YOU'LL HEAR MORE ABOUT THAT AS WE COME UP ON SOMETHING BECAUSE WE CERTAINLY, SO MUCH YOU GUYS HAVE BEEN BUSY, WE STAY LOOSE, RESPONSIVE.
AND I THINK HAVING A FRESH SET OF EYES IS THE OPPORTUNITY TO KIND OF THINK IT AND LOOK AT THINGS, STEP BACK AND REFLECT, SEE WHAT'S, WHAT'S WORKING, WHAT'S NOT WORKING.
OPEN OPPORTUNITY BECAUSE A WATER THING WAS A, A LIGHT THING, RIGHT? BUT IT A GOOD PRACTICE BLESSING HAD IN ORDER TO, FOR THE REAL THING THAT MIGHT TRANSPARENCY AND WANT YOU ALL TO BE INVOLVED AND TO KNOW WHAT'S GOING ON.
BECAUSE I TRULY DO BELIEVE THAT AS HEALTH MEMBERS, I SEE ALL OUT IN THE COMMUNITY.
I KNOW THAT YOU'RE, UM, INVOLVED AND I WANT TO KNOW WHAT'S GOING ON.
SO YOU BE AMBASSADOR, UM, HOW WE RESPOND, WHAT DO, ALRIGHT, SO WE NEED TO, UM, PASS A MOTION TO ACCEPT THE DIRECTOR OF HEALTH AND HUMAN SERVICES REPORT, UM, AS WELL AS THE CITY HEALTH OFFICER.
UM, SO IF I COULD GET A FIRST MOTION TO, UH, RECEIVE AND FILE A REPORT FOR THE CITY HEALTH OFFICER.
ALRIGHT, I'LL SECOND, FIRST AND SECOND.
AND, UH, FOR THE DIRECTOR OF HELPING HUMAN SERVICES REPORT, CAN I FIRST, SECOND, SECOND AND SECOND.
THE NEXT ITEM ON THE AGENDA IS A RE RECEIVE AND FILE UPDATE FROM THE CITY LEGISLATIVE AGENDA.
THERE WAS NO REPORT PROVIDED THIS TIME.
LET'S NOT PUT THAT ON THE AGENDA.
WELL, I HAD BEEN REACHING OUT TO HER TO, SHE DIDN'T WANTED TO BE ON THE AGENDA GOING FORWARD, SO SHE COULD PROVIDE THAT.
WHEN SHE CAN'T ATTEND HER, SHE USUALLY PROVIDES ME A WRITTEN REPORT.
BUT I DID NOT GET A RESPONSE FROM HER, AND SO I PUT HER ON THERE HOPING THAT, YOU KNOW, I WOULD GET SOMETHING BEFORE THE MEETING STARTED, BUT I DID NOT HEAR A RESPONSE.
SO WE'LL JUST LAY THIS SIGN OF OVER AND THEN WE'LL JUST POP UP ON NEXT MONTH'S AGENDA.
DO WE HAVE TO INCLUDE IT IF SHE, IF THE PERSON DOESN'T RESPOND, IT'S, WELL, IT'S, IT WAS THE TIMING OF THIS.
IT WAS JUST SIMPLY JUST THE TIMING WE CREATE.
I HAVE TO CREATE THE AGENDA FAR ENOUGH IN ADVANCE SO THAT I CAN POST IT MEETING THE REQUIREMENTS WE NEED TO POST IT.
I, SHE'S USUALLY NOT, NOT RESPONSIVE.
[00:25:01]
RESPONDS, I'LL FIX IT.UM, WHAT HAPPENED I THINK IS THAT SHE HAS BEEN HOLDING TWO ROLES.
SHE'S BEEN HOLDING LEGISLATIVE AND FUND DEVELOPED DEVELOPMENT.
WE JUST HIRED, UM, UH, AN INTERNAL CANDIDATE.
WE MOVED, UM, WHO, AND I'M SORRY, REPORT ON LOSS OF FUNDING, JUST SO, BUT, UM, THE, THE LOSS OF THIS PERSON WAS ON THE LOSS FUNDING LIST.
AND SO SHE'S MOVED INTO, UM, FUND DEVELOPMENT.
AND SO THAT TRANSITION IS HAPPENING ON, UH, THIS WEEK.
WE'VE MET WITH OUR LEGISLATIVE TEAM, THE LEGISLATIVE PRIORITIES YEAR.
SO SHE WILL HAVE A FULL REPORT WHEN SHE COMES, UM, THE NEXT TIME.
AND I DO WANT YOU TO KNOW THAT WE DID START OUT WITH 73 PEOPLE IN THE HEALTH DEPARTMENT WHO HAD, UM, A LOSS OF FUNDING TODAY, UH, OCTOBER 11TH.
UM, TECHNICALLY IT'S THE DAY THAT THEY ARE EFFECTIVELY LAID OFF IF THEY DID NOT FIND EMPLOYMENT.
BUT I'M VERY HAPPY TO REPORT THAT WE GOT THAT DOWN TO A SINGLE DIGIT NUMBER.
UM, AND SO WE ARE AT ABOUT NINE WITH TWO PEOPLE WHO ARE HAVING TO BE ON LEAVE AND WE CANNOT DO ANYTHING WITH BECAUSE WOW, THAT'S REALLY GREAT.
I CAN TELL YOU THAT OUR HOUSING AUTHORITY TOOK PEOPLE, OUR HOMELESS SERVICES DIVISION TOOK PEOPLE.
UM, WE, WE IN THE DEPARTMENT TRIED TO ABSORB AS MANY PEOPLE AS WE COULD.
UM, BUT THERE WERE OTHER DEPARTMENTS THAT DID SO AS WELL.
SOME PEOPLE RESIGNED ON THEIR OWN AND FOUND POSITIONS OUTSIDE THE CITY.
UM, BUT I CAN SAY THAT FOR MOST PEOPLE WHO MADE AN EFFORT TO FIND SOMETHING, THEY'LL ABSORB SOMEWHERE.
I WISH HIGHER EDUCATION WAS AS DILIGENT ABOUT KEEPING PEOPLE IN HAWAII
AND, AND I BRING THAT UP, UH, 'CAUSE WE HAVE A NEW PERSON KIND OF TAKING LEAD AND BECAUSE I, I DO THINK OF AN AGENDA BEING LIKE, WHAT TO EXPECT WHEN SOMEBODY WAS COMING FROM OFF THE STREET THINKING THAT THAT AGENDA ITEM WAS THERE AND THAT THEY ARE INTERESTED IN IT.
AND THAT MAY HAVE, YOU KNOW, WASTED THEIR TIME.
SO TO TRY TO VIA INTEGRITY, BUT STUFF WILL HAPPEN.
AND SOMEBODY MAY SAY THAT WE'RE GONNA PASS AGENDA AND THEY OFTENTIMES WILL.
UM, BUT, UH, I JUST THINK ABOUT THOSE FOLKS THAT MAY COMING THINKING THAT ITEM IS THERE AND IT'S NOT THERE.
AND I'VE BEEN, I'VE BEEN THAT PERSON A FEW TIMES.
SO, UM, THAT'S THE, THE SPIRIT OF WHY I WAS ASKING THE QUESTIONS.
AND WE HAVE ASKED AS A GROUP TO HAVE THOSE REPORTS BECAUSE IT'S A VERY PRODUCTIVE AND QUESTION AT THIS TIME, BUDGET AND ADVOCACY OPPORTUNITIES THAT WE WANT BE ENGAGED IN.
IT'S GOOD INFORMATION FOR US TO KNOW LIKE WHAT'S HAPPENING, THAT WE'LL BE A BIG PART OF HOW WE CAN SUPPORT YOU LIVE.
UM, SO I'M REALLY HAPPY THAT WE'RE ENGAGING THOSE CONVERSATIONS, BUT IF SOMETHING'S NOT ON AND, UM, JUST, UH, COGNIZANT OF WHAT WE'RE SENDING OUT.
UM, SO THE NEXT AGENDA ITEM IS A RECOMMENDATION TO SUBMIT A LETTER TO THE MAYOR AND CITY OF CITY COUNCIL PROPOSING THAT THE CITY INSTALL BEACH WATER HAZARD SIGNAGE ALONG TO THE CITY WATERWAYS.
THIS CAME UP FROM ONE OF OUR, UM, BOARD MEMBERS, UM, A PREVIOUS BOARD MEMBER WHO'S, UH, UH, JUST FIRED, UH, PARTICIPATION AT THIS TIME.
UM, AND THEY LIVED IN AN AREA WHERE THERE WAS, UH, SOME YUCKY BEACH WATER THAT CAME UP.
UM, AND THERE WAS NO COMMUNICATION.
AND WE HAD ANOTHER BOARD MEMBER WHOSE CHILD WAS INVOLVED IN SOME WATER SPORTS IN THAT SAME AREA.
AND THERE WAS NO COMMUNICATION THAT IT WASN'T HEALTHY TO BE OUT IN THAT WATER.
AND THEY FELT LIKE IT WAS A REALLY GOOD OPPORTUNITY FOR US TO ADVOCATE ON SIGNAGE, UM, FOR PEOPLE THAT USE THE WATERWAYS.
AND IF THE WATERWAYS IS NOT HEALTHY THAT LOOKS LIKE THIS WATER, HOW DO WE COMMUNICATE TO FOLKS THAT ARE USING THOSE AREAS? SO THIS WAS A LETTER, UM, THAT WAS DRAFTED.
UM, AND IT'S BEEN, WE'VE SHARED IT AROUND, UM, A FEW MONTHS AGO RECENTLY.
AND, UM, THE RECOMMENDATION IS TO MOVE FORWARD IN RECEIVING THIS LETTER AND SUBMITTING IT TO THE MAYOR AND CITY COUNCIL ABOUT, UH, THIS RECOMMENDATION FOR SIGNAGE, UM, WHEN THE WATER IS NOT HEALTHY.
AND I SEE THIS SOMETIMES ON THE BEACHES.
AND I'M NOT SURE WHO DOES THAT DEPARTMENT OR, BUT WE HAVE LOTS OF OTHER TYPES OF WATERWAYS, LONG BEACH THAT MAYBE THERE PRACTICE.
AND I BELIEVE YOU DID SOME INITIAL RESEARCH.
CAN'T, I CAN'T CONFIRM, UM, THAT THIS IS SOMETHING THAT, UH, WE CROSSED ALL OUR T PUBLIC WORKS OR ANYBODY ELSE MAY BE RESPONSIBLE ABOUT IT.
UM, BUT THE RECOMMENDATION IS TO, UH, SUBMIT THIS LETTER ON BEHALF OF THE, UM, THE BOARD.
AND BECAUSE THIS REPRESENTS THE BOARD, WE NEED TO HAVE, UH, A MAJORITY SUPPORT, UM, FOR US.
SO IF WE CAN TAKE A, A COUPLE MINUTES TO REVIEW THE LETTER AND IF YOU HAVE
[00:30:01]
ANY FEEDBACK WE CAN EDIT.UM, BUT LET'S, A COUPLE MINUTES.
I THINK YOU ASKED A GOOD QUESTION.
RESPONSIBLE SUBJECT MATTER, HOW, WHO WOULD THEY COMMUNICATE WITH? HOW DO WE HAVE PROCESS IN PLACE? SO I CAN TELL YOU THAT ON, UM, MULTIPLE TIMES THROUGHOUT WEEK, UM, ENVIRONMENTAL HEALTH IS RESPONSIBLE FOR TESTING WATER.
AND THEY SENT OUT AN EMAIL THAT GOES BROADLY TO EVERYONE ALONG THE WATERWAYS.
UM, WHETHER THAT'S PRIVATE BUSINESSES OR TO THE DEPARTMENT ON, UM, THAT WAS SOMETHING THAT WE KIND OF CLEANED UP AFTER THE LAST SITUATION THAT WE HAD.
UM, AND FOR THOSE WHO, YOU KNOW, ARE AT THE YACHT CLUBS AND THE SWIM CLUBS, UM, IT'S PRESUMED THAT THEY WILL GET MESSAGING OUT AND DISPLAY SOMETHING IN THOSE PLACES.
BUT FOR THE PRIVATE BEACH DOOR WHO JUST SHOWS UP, YOU'RE RIGHT THERE, THERE IS NO SIGNAGE.
AND I'M NOT SURE YOU KNOW, WHAT THAT WOULD LOOK LIKE.
I THINK TO ASSIGN THAT RESPONSIBILITY TO ALL THOSE DIFFERENT PEOPLE IN MAY AND MAY NOT WORK, WHAT PROBABLY WOULD WORK THAT IS PROBABLY FAR MORE EXPENSIVE IS SOMETHING THAT IS ELECTRONICALLY THAT WOULD JUST BE LIKE RED, YELLOW, OR GREEN.
UM, THAT IS SO WITH PEOPLE APPROPRIATE THAN, AGAIN, I'M GONNA LOSE KNOWLEDGE.
UM, WOULD IT BE APPROPRIATE TO THEN RECOMMEND MORE A FEASIBILITY STUDY TO LOOK INTO WHAT COULD BE A VIABLE SOLUTION? YEAH.
AS OPPOSED TO JUST SAYING SIGNAGE, SOME SORT OF IFICATION SYSTEM BROADLY.
YEAH, I WOULD PROBABLY, YOU KNOW, WORD ALONG THE LINES OF, YOU KNOW, RECOMMENDATIONS TO LOOK INTO THE FEASIBILITY, INSTALL PERMANENT, YOU KNOW, WATER QUALITY SIGNAGE ALONG RECREATIONAL WATERWAYS.
I MEAN, YOU KNOW, THERE'S RECREATIONAL, WHAT YOU JUST SPOKE THAT JUST OFF THE TOP.
I MEAN, WE DO POST, IF THERE IS A, YOU KNOW, IF THE WATER IS DETERMINED TO BE BAD, YOU KNOW, THE WAY THE OCEAN FLOWS, IT COULD BE CONCENTRATED REALLY STRONGLY, MAYBE HERE, BUT FIVE TO 10 MILES DOWN THE BEACH, THE WATER CAN BE FINE.
UM, SO, YOU KNOW, STAFF WOULD DO POST, WHEN WE DO GET A TESTING THAT THE BACTERIA LEVELS ARE HIGH, IT'S UNSAFE FOR SWIMMING.
THEY DO GO OUT THERE WITH, WITH STATES SIGN THE YELLOW SIGNAGE THAT SAYS CAUTION, YOU KNOW, UM, DO NOT ENTER THE WATER.
UM, AND BY HELP HEALTH HUMAN SERVICES DEPARTMENT AND THEY POST THEM UP AND DOWN THE BEACH AS WELL AS THE LIFEGUARDS AND AS WELL AS OUR WEBSITE.
UM, YOU CAN GO TO THE ENVIRONMENTAL HEALTH WEBSITE, PULL UP BEACH WATER, AND IT'LL SHOW ALL BEACHES AND RED, GREEN, YELLOW, WHETHER OR NOT THEY'RE SAFE OR NOT SAFE.
THEY PUT THE, THEY DO PUT THE STAKES IN THERE.
BUT A LOT OF TIMES WEAR, PEOPLE WALK AWAY WITH THEM.
IT'S A LITTLE THIN WOODEN STAIN WITH A LITTLE PAPER SIGN ON IT.
OH, A PAPER SIGN? YEAH, A PAPER SIGN.
THE CITY OF SANTA CRUZ DOES THIS, BUT THEY DON'T HAVE A LITTLE WOODEN PAPER SIGN.
THEY HAVE WOODEN, LARGE WOODEN SIGNS.
AND THEY, THEY'RE AND THEY, THE STAKE IS THERE AND THEY TAKE THE SIGN DOWN AND THEY JUST PUT IT BACK ON THE STAKE WHEN IT HAPPENS.
BUT IT'S NOT ELECTRONIC, BUT IT'S ALSO NOT PAPER.
AND, AND I KNOW THAT THE CITY OF SANTA CRUZ DOES IT, SO MAYBE IT MAKES SENSE TO SAY LIKE THE CITY OF SANTA CRUZ DOES.
BUT IF YOU PUT THE ELECTRONIC SIGN, YOU CAN CHANGE IT, YOU KNOW, AUTOMATICALLY JUST LIKE YOU UNIVERSITY AND EVERYTHING, THEN YOU DON'T HAVE TO GO OVER THERE AND CHANGE AGAIN AND CHANGE AGAIN.
IT THAT ALSO, AS SOMEONE WHO'S BEEN IN THIS SITUATION A LOT, SOMETHING LIKE THAT COULD BE A RIDICULOUS PRICE TAG.
COULD HAVE A PRETTY RIDICULOUS PRICE, PRICE TAG.
I'VE BEEN IN SITUATIONS WHERE I'M LIKE, ALL WE NEED IS A LITTLE, A LITTLE ACTUAL ELECTRONIC THING.
AND I FIND OUT THAT THAT LITTLE ELECTRONIC THING IS TWO AND A HALF MILLION DOLLARS.
NO, I'M SURE IT'D EXPENSIVE, BUT YEAH, FOR SURE.
THAT WOULD BE BETTER FOR SURE.
SO A LETTER IS, UM, A PROPOSAL FOR THE LONG BEACH HEALTH AND HUMAN SERVICES FOR THE CITY OF LONG BEACH TO INSTALL BEACH WATER HAZARD SIGNAGE ALONG THE RECOMMENDATION IS
[00:35:01]
IN PARTNER, THE LONG BEACH HEALTH AND HUMAN SERVICES IN PARTNERSHIP WITH THE MARINE BUREAU PUBLIC WORKS AND FIRE DEPARTMENT, LIFEGUARD VISION DIVISION, AND ANY OTHER RELEVANCY DEPARTMENT TO INVESTIGATE AND EVALUATE A SYSTEM AND BUDGET TO INSTITUTE PHYSICAL SIGNAGE THAT CAN BE DEPLOYED.SO WHAT I'M HEARING IS MORE OF, UH, INSTIGATING A INVESTIGATING AND EVALUATING A A COMMUNICATIONS PLAN, UM, THAT WOULD ACKNOWLEDGE WHEN, UH, THAT WOULD, THAT COULD BE DEPLOYED DURING HAZARDOUS WATER CONDITIONS ALONG ALL ALONG WAY BEACH WATER ACCESS LOCATIONS.
DO WE WANT TO, WOULD IT BE IMPORTANT TO, TO ADD SOMETHING AROUND LIKE LANGUAGE ACCESS? LIKE, BECAUSE I'M THINKING ABOUT COMMUNITIES THAT ARE LESS LIKELY TO ACTUALLY RECEIVE A SOCIAL MEDIA ALERT.
WELL, COMMUNICATIONS PLAN IS A PRETTY GENERIC BECAUSE THAT COMMUNICATIONS PLAN THAT IS, UH, INCLUSIVE OF ALL COMMUNITIES.
I MEAN, I THINK ABOUT, YOU KNOW, I GO FISHING BY HOTEL MAYA, LIKE ALL THESE FOLKS YOU ARE FISHING, EATING WITH HER, CATCHING YOU GUYS FISH A LITTLE.
WHEN I WAS A KID TO LOVE, I PERSONALLY DON'T LIKE GOING INTO, I GOT MARRIED THERE, WE WERE FISHING THE DAY BEFORE.
ALRIGHT, SO WHAT WAS THE WORDS THAT WE USED? UH, COMMUNICATIONS THAT INCLUDED.
NO, BUT I KNOW IT WAS REALLY SMART
INCLUSIVE ENTIRE COMMUNITY THAT CAN BE DEPLOYED DURING HAZARDOUS WATER CONDITIONS.
SO I THINK WE HAVE A CHANGE TO THE LETTER.
EVERYTHING ELSE IS, UM, REALLY JUST KIND OF A REVIEW OF WHAT HAPPENED, UH, A SITUATION BACK IN FEBRUARY.
I CAN'T BELIEVE THAT WAS ALREADY FEBRUARY.
RIGHT? I KNOW IT FEELS LIKE IT WAS A MONTH AGO.
AND, AND THEN WE HAVE ANOTHER WATER ISSUE.
SO, UM, AND THERE'S GONNA BE MORE.
WATER IS A HOT BODY WHERE MY HOMETOWN AREA IS GONNA ONE DAY.
ALL THESE LITTLE PRACTICES ARE GOOD FOR, UM, ALRIGHT.
I WOULD LIKE TO, UM, RECEIVE THIS LETTER WITH THE EDITS OF THAT SENTENCE.
UH, UH, MORE INVESTIGATING, EVALUATING A COMMUNICATIONS PLAN THAT'S INCLUSIVE OF THE ENTIRE COMMUNITY, UM, THAT CAN BE DEPLOYED.
SO WE'RE NOT SAYING WHAT THAT LOOKS LIKE OR HOW THAT LOOKS LIKE.
WE'RE GIVING IT TO THE EXPERTS TO DETERMINE, BUT WE ARE KIND IDENTIFYING AS HEALTH HUMAN SERVICES AS THE LEAD ALONGSIDE.
SO LOOK, GET THIS LETTER, ELIZABETH, I'LL GET THIS BACK TO YOU AND THEN WE'LL GET THAT SIGNED BY MYSELF AND DR.
UM, AND THEN WE'LL GET IT SUBMITTED.
UH, AND YOU CAN, LEMME KNOW IF THIS, THIS IS SOMETHING YOU SEND OVER.
WE'LL DO IT AS A, WE'LL CREATE A SMALL COVER MEMO I PUT KNOWN AS A TWO FRONT FOUR MEMO.
BASICALLY BECAUSE ALL OF OUR COMMUNICATIONS PASSED THROUGH THE CITY MANAGER'S EYE BEFORE GETTING THE MAYOR OF COUNCIL.
SO, UH, IT'LL JUST BE A VERY SIMPLE ATTACHED TO SAY, YOU KNOW, LETTER FROM THE COURT OF HEALTH HUMAN SERVICES, UH, RECOMMENDING IT'LL BE A RESTATEMENT OF THE RECOMMENDATION.
AND WE'LL PUT THAT ON TOP OF THAT, UH, SIGNED LETTER AND GET SENT OUT TO CITY MANAGER'S OFFICE FOR REVIEW OF RELEASE.
S BERNARD PREPARED THIS AND RECOMMENDED THIS AND HE'S NOT KNOW OF OUR BOARD, SO WE'LL MAKE SURE WE KEEP HER IN THE LOOP.
UM, AND ACKNOWLEDGED HER LEADERSHIP IN THIS CONVERSATION SOMEWHERE WITH ANOTHER AS WELL.
THIS IS THE FIRST TIME WE'VE REALLY GOTTEN SOMETHING OF THIS NATURE ACCOMPLISHED SINCE I'VE BEEN ON THIS BOARD.
AGING LETTER SUPPORTING THE OFFICE OF
[00:40:01]
AGING, THAT LETTER LAST YEAR AND WE SHOWED UP TO SOME COUNCIL MEETINGS TO TALK ABOUT THAT.UM, YEAH, WE HAVEN'T HAD IT FOR A WHILE.
THIS IS A TANGIBLE DELIVERABLE, BUT IT IS, WE'LL EMAIL YOU THE, BECAUSE I HAVE A LETTERHEAD THAT I CREATED, WHICH IS BOARD BASIC WITH YOUR, THE TOP.
SO, UM, I'LL SEND YOU BACK VERSION BECAUSE YOU DON'T HAVE A VERSION CURRENTLY.
SO THE NEXT UH, AGENDA ITEM IS THE RECOMMENDATION TO DISCUSS BOARD GOALS INFRASTRUCTURE.
AND THAT'S A CONTINUATION OF OUR DISCUSSION.
AND, AND THROUGHOUT THIS MEETING, 'CAUSE WE HAVE IN PERSON, I'VE KIND OF BEEN MENTIONING SOME THINGS THAT KIND OF CONNECT BACK TO THIS AND SOME OF THE THINGS THAT WE'VE BEEN TALKING ABOUT.
WE HAD OUR FIRST MEETING, UM, PAULA MILES AND WHO ELSE? WALTON, DR. WALTON AND, UM, BARBARA.
UM, AND SO WE REVIEWED, UM, THE DISCUSSIONS THAT WE'VE BEEN HAVING FOR THE LAST FEW MONTHS.
WE REVIEWED THE, THE, UH, THE GOALS AND INFRASTRUCTURE NOTES.
AND WHAT WE'RE DOING IS, UM, KIND OF DOING SUBCATEGORIES AROUND SOME OF THESE RECOMMENDED STEPS, UM, AROUND SOME OF THE LARGER GOALS.
AND WE'LL BE DRAFTING UP KIND OF A, A ROUGH STRATEGIC PLAN.
UM, AND SOME OF THE THINGS THAT WE'RE TALKING ABOUT ARE SPECIFICALLY ALIGNED WITH SOME OF THESE BOARD GOALS.
HOW DO WE TAKE A, A GREATER LEADERSHIP ROLE IN ADVOCACY, UM, REGARDING, UM, SOME OF THE INITIATIVES THAT ARE HAPPENING RELATED TO BUDGET OR THINGS THAT WE FEEL STRONG ABOUT.
HOW ARE WE ACKNOWLEDGING WHAT IS, UM, UH, HAPPENING TRENDING AND BEING TRANSPARENT AND BEING AS SUPPORTIVE AND GIVING OUR FEEDBACK, UM, FROM OUR DIFFERENT VOICES OF THE ORGANIZATIONS THAT WE ARE REPRESENT, UM, THE DIFFERENT NEIGHBORHOODS THAT WE LIVE IN.
UM, AND WHAT WE'RE HEARING FROM THE COMMUNITY, UM, HOW DO WE ENGAGE THE COMMUNITY MORE, UM, IN PARTICIPATING AND BEING KNOWLEDGEABLE ABOUT, ABOUT BRINGING FORWARD, UM, DISCUSSIONS THAT, UM, ARE TRAINING AND IN DIFFERENT COMMUNITIES.
UM, NEXT MONTH WE HOPEFULLY WILL BE HAVING THE PACIFIC ISLANDER, UM, UH, DECEMBER.
YEAH, THAT GROUP, UH, THE SPEAKERS ARE ON VACATION NEXT MONTH AT THAT TIME.
AND THAT'S, UM, THAT'S THE, THE SAME TIME THAT WE'LL BE DOING, UH, ELECTIONS AS WELL.
AND I HOPE EVERYBODY'S GETTING EXCITED AND READY, UM, TO RUN FOR SHARE.
UM, AND YOU KNOW, HOW WE MAKE SURE WHAT WE'RE COGNIZANT OF SOME OF THESE NEW STRATEGIC PLANS THAT ARE GOALS AND INITIATIVES THAT ARE HAPPENING WITHIN THE HEALTH CENTER, UM, BY THE DIFFERENT, UM, UH, COMMUNITIES AND, AND DEPARTMENTS.
NOT ONLY TO EDUCATE OURSELF FROM A PROFESSIONAL DEVELOPMENT PERSPECTIVE, BUT ALSO TO LIFT UP, UM, THAT CONVERSATION, THOSE CONVERSATIONS AND, AND THOSE TRENDS.
UM, AND, AND, UH, ACKNOWLEDGE THOSE LEADERS IN THE VARIOUS AREAS OF THE DEPARTMENT.
UM, CAN I ASK A QUESTION? MAY I, OF COURSE.
UM, SO EVERY, SO WE COME HERE AND WE GET A GET REPORT, WE RECEIVE REPORTS THAT ARE VERY INFORMATION HACKED AND HELPFUL AND USEFUL.
WOULD IT BE OKAY IF WE SPECI, IS THERE A MECHANISM WHERE WE CAN ACTUALLY ASK FOR INFORMATION TO BE INCLUDED IN THE REPORTS? BECAUSE FOR EXAMPLE, ONE OF THE THINGS THAT I WOULD BE CURIOUS ABOUT IS KIND OF THE STATE OF HEALTHCARE IN LONG BEACH.
UM, THERE IS A PERCEIVED, THERE'S A PERCEIVED SHORTAGE OF HEALTHCARE PROVIDERS.
DATA WISE, I'M NOT, I'M NOT CLEAR, BUT I'VE BEEN HEARING IN THE COMMUNITY THAT A NUMBER OF PEOPLE ARE HAVING A REALLY HARD TIME ACCESSING HEALTHCARE BECAUSE, NOT BECAUSE FOR A VARIETY OF REASONS, BUT ONE OF THE REASONS IS BECAUSE THE APPOINTMENTS JUST AREN'T AS AVAILABLE AS THEY USED TO BE PRE PANDEMIC.
UM, THAT THERE ARE FOLKS WHO ARE ON MEDI-CAL, WHO ARE JUST HAVING THE WORST POSSIBLE TIME WITH MEDI-CAL.
THEY'RE BEING DROPPED FROM ONE PROVIDER AND PUT ONTO ANOTHER ONE AND HAVING TO CHANGE PROVIDERS WITHOUT NOTICE.
AND IT'S REALLY DISRUPTING THEIR HEALTHCARE.
UM, AND THAT, AND THAT'S NOT EVEN TOUCHING THE RIDICULOUS MENTAL HEALTH ISSUE WHERE THEY'RE LIKE, THERE'S LIKE NO MENTAL HEALTH AVAILABILITY
UM, AND I DON'T KNOW HOW MUCH OF THIS IS A POPULAR PERCEPTION
[00:45:01]
AND HOW MUCH OF IT IS REALLY ROOTED IN DATA AND IF IT'S PROBLEMATIC IN SOME ASPECT IN SOME AREAS, BUT NOT NEARLY AS MUCH IN OTHERS.I JUST HAVE NO SENSE OF THE ACTUAL REALITY OF THAT PERCEPTION.
BUT I DO KNOW THAT I'VE BEEN HEARING FROM STUDENTS AND I'VE BEEN HEARING FROM, UM, NOT SO MUCH PEOPLE IN MY NEIGHBORHOOD BECAUSE MY NEIGHBORHOOD IS A VERY, IS A PRETTY HIGHLY EDUCATED AND ENGAGED NEIGHBORHOOD.
BUT IN ADJACENT NEIGHBORHOODS, I'VE BEEN HEARING FROM LIKE THE PEOPLE WHO RUN THE STORE THAT WE WE GO INTO OR THE, YOU KNOW, THE FOLKS IN THE SURROUNDING AREA.
PEOPLE HAVE BEEN COMPLAINING IN DIFFERENT WAYS.
AND I CAN GIVE YOU JUST ONE VERY ANECDOTAL EXAMPLE OF HOW I'VE HEARD ABOUT IT.
LIKE I SAID, FROM OTHER, ESPECIALLY AMONGST STUDENTS AND STAFF, NOT SO MUCH FACULTY.
'CAUSE AGAIN, HIGHLY EDUCATED, HIGHLY ENGAGED, BUT STAFF AT THE UNIVERSITY TALK ABOUT IT A LOT.
UM, NOT TO SAY THAT THEY'RE NOT HIGHLY EDUCATED AND HIGHLY ENGAGED, BUT I, I GET IT MORE FROM THEM AND I HAVE MORE CONTACT WITH THEM.
BUT EVEN IN MY OWN HOME, I HAVE A DISABLED DEPENDENT SISTER WHO'S ON MEDI-CAL, AND SHE AND LIVES IN LONG BEACH.
AND SHE HAS BEEN DROPPED AND PICKED UP OVER AND OVER AGAIN THROUGH MEDI-CAL IN THE PAST TWO YEARS, FOUR TIMES.
AND SO SHE'S NOT BEEN ABLE TO HAVE ANY CONTINUITY OF CARE.
SHE'S HAD GONE AND SHE'S GOT LIKE MULTIPLE DISABILITIES AND SHE'S GONE MONTHS, LIKE A YEAR WITHOUT BEING ABLE TO SEE A DOCTOR.
UM, AND SO IF THAT'S HAPPENING TO HER AND SHE LIVES IN A HOME WITH TWO PHDS AND STILL CAN'T QUITE FIGURE OUT HOW TO MAKE IT WORK, I AM WORRIED ABOUT WHAT HAPPENS TO FOLKS WHO ARE, HAVE FAR FEWER RESOURCES AVAILABLE TO THEM AND HOW THAT'S IMPACTING PEOPLE'S ABILITY TO CARE, TO ACCESS CARE.
UM, AND I DON'T KNOW HOW MUCH OF THAT, LIKE I SAID, IS JUST ANECDOTAL AND I'M CATCHING PEOPLE AND HOW MUCH OF IT IS REALLY ROOTED IN, IN DATA AND PEOPLE ARE REALLY HAVING A HARD TIME ACCESSING CARE.
I MEAN, LIKE I SAID, SHE, SHE HAS A LOT OF RESOURCES AVAILABLE AND HAS NOT BEEN ABLE TO ACCESS CARE.
AND I'VE BEEN LIKE, COME ON, HOW IS THIS POSSIBLE? AND SHE'S LIKE, I'M ALMOST MAD AT HER BECAUSE I'M, I'M KIND OF BLAMING THE VICTIM.
AND THEN I'VE, BUT THEN I HEAR THE SAME THING FROM PEOPLE AT WORK.
UM, AND I'M, I'M WORRIED AND, YOU KNOW, WE HEAR ABOUT THE NURSING SHORTAGE AND THAT WE HEAR ABOUT THESE THINGS IN, AT THE UNIVERSITY BECAUSE WE PRODUCE THESE FOLKS.
SO, YOU KNOW, WE GET TO HEAR ABOUT IT FROM A DIFFERENT ANGLE AS WELL.
BUT IT'S ALWAYS IN THE FRAME OF LIKE A STORY OR A NARRATIVE.
AND IT'S NEVER IN THE, IT'S NEVER PRESENTED WITH DATA.
I, I DON'T HAVE ANY SENSE OF IT'S AMORPHOUS.
AND I'D REALLY LOVE TO GET MY ARMS AROUND, IS IT WHAT IT, WHAT ACTUALLY IS IT? DOES THAT MAKE SENSE? YEAH, YEAH.
I'M JUST SAYING, I'M JUST LIKE TRYING TO THINK OF WHAT WE HAVE AS FAR AS THAT GO.
BUT THERE'S ADVOCACY GROUPS AND MEDICAID.
THERE'S UM, LIKE I THINK ABOUT THE SCAN NETWORK MM-HMM.
WHICH THEIR HEADQUARTERS IS RIGHT HERE.
WHICH IS LIKE A C LEVEL MEDICAL.
AND, YOU KNOW, THERE'S FOLKS THAT ARE PARTIALLY GOVERNMENTAL RELATIONS AND THEN PARTIALLY RESEARCH AND ADVOCACY THAT, I MEAN, THIS WHAT YOU'RE TALKING ABOUT IS A CIVIL RIGHTS ISSUE THAT'S IN A CAPITALIST SOCIETY.
THAT'S, BUT I THINK IT'S A PROBLEM OF INSURANCE AS WELL AS DOCTORS BECAUSE THE HEALTHCARE INSURANCE, THEY WILL KEEP ON SWITCHING HERE AND THERE TO THE DOCTORS.
YOU KNOW, THEY GO TO THE CERTAIN GROUP, THEY FIND A GOOD PRICE OVER THERE.
SO THEY WILL DROP OTHER DOCTORS, THEN THEY WILL GO TO THE THIRD GROUP.
SO IT IS THE BIGGEST PROBLEM IS THE INSURANCE, THEN THE SHORTAGE OF DOCTORS.
AND THAT'S WHY THEY KEEP ON SWITCHING PATIENTS HERE AND THERE.
BUT I ALSO AM JUST CURIOUS ABOUT THE RELATIONSHIP BETWEEN LONG BEACH CITY HEALTH AND HUMAN SERVICES AND LIKE MEDI-CAL, THE STATE SYSTEM.
I DON'T KNOW WHERE THE TWO OF YOU INTERACT OR INTERSECT.
WE HAVE A MEDI-CAL OUT RANGE WHO MAY HAVE SOME OF THIS.
UM, AND WE ALSO HAVE, UH, WE'RE DOING CAL AIM, I DUNNO IF YOU'VE TALKED ABOUT THAT IN THIS FORUM.
I DON'T WHERE DO YOU REMEMBER WHAT IT STANDS FOR? AND ALSO JUST LIKE HOW MANY, HOW MANY PHYSICIANS AND MENTAL HEALTH.
[00:50:01]
SEE THAT'S WHERE I'M NOT, HOW MANY MENTAL HEALTH PROVIDERS DO WE HAVE IN THE CITY WHO ARE TAKING NEW CLIENTS? I'M NOT SURE TO HOLD THAT DATA.I DON'T THINK IT'S THE HEALTH DEPARTMENT.
WELL, YEAH, I WANNA SAY THAT THE OVERALL PICTURE SHOULD SOMEHOW CAPTURE, UM, BUT I, I, I DON'T RECALL.
UM, AND, AND THAT'S OUR COMMUNITY HEALTH ASSESSMENT AND OUR COMMUNITY HEALTH IMPROVEMENT PROGRAM.
SO, UM, WE ARE ACTUALLY GETTING READY TO EMBARK UPON THAT, BUT, YOU KNOW, UH, COMPREHENSIVELY WITH OTHER MEDICAL PROVIDERS IN THE CITY.
SO IT'S REALLY NOT JUST ABOUT WHAT WE DO, BUT ABOUT, YOU KNOW, COMMUNITY WIDE.
SO I WOULD THINK THAT THIS IS SOMETHING THAT SHOULD BE CAPTURED THERE.
UM, SO PERHAPS IF WE COULD GET A NOTE, ALEJANDRO, UM, I KNOW, BUT, UM, BECAUSE SHE'S WORKING AT THE STATE LEVEL AND THERE MAY ALSO BE INTEREST INFORMATION AT, UH, HEALTH DEPARTMENT OF PUBLIC HEALTH AROUND THAT KIND OF INFORMATION.
IT, I, IT CAME TO ME THERE, THERE ARE LAYERS TO WHAT I BROUGHT UP.
RIGHT? SO THERE'S THE QUESTION ABOUT MEDI-CAL AND THE CONNECTION TO MEDI-CAL AND HOW IT WORKS OR DOESN'T, UM, AND WHAT THIS ORGANIZATION'S ROLE, IF ANY, COULD BE IN ADVOCATING AROUND THAT OR CONNECTING WITH PEOPLE WHO ADVOCATE AROUND THAT FOR THE FOLKS IN OUR COMMUNITY.
BUT, AND THEN THERE'S THE QUESTION ABOUT, UM, AVAILABILITY OF HEALTHCARE PROVIDERS.
HOW MANY DO WE HAVE? HOW MANY PHYSICIANS OR, AND, AND, AND OR PAS, MPS DO WE ACTUALLY HAVE IN THE CITY OF LONG BEACH WHO HAVE ANY KIND OF CAPACITY, UM, PLUS THE MENTAL HEALTH CARE PROVISION.
SO I REALIZE I SPIT OUT MULTIPLE, LIKE I SAID, A MOUTHFUL.
UM, AND I DON'T KNOW IF THIS IS THE RIGHT PLACE FOR ANY OF THOSE THINGS OR WHICH OF THOSE THINGS THIS IS THE RIGHT PLACE FOR, I'M TRYING TO FIGURE OUT IS THERE AN INTERSECTION WHO HOLDS THAT INFORMATION? UM, IS THERE AN OPPORTUNITY TO ADVOCATE IN SOME WAY THAT'S EFFECTIVE? IF THIS IS A REAL THING, I, I DON'T WANNA GO OFF HALF CO AND SAY ANECDOTE IS DATA.
I'D LIKE TO FIRST FIND OUT IF IT'S REAL OR IF FOLKS ARE JUST, IT'S REAL.
SO, BUT I'M NOT THE ONLY ONE WHO'S GETTING THIS.
LIKE, I HAVE ACCESS TO, LIKE, I HAVE ACCESS TO HEALTHCARE, I HAVE KAISER, BUT EVEN MY EXPERIENCE WITH KAISER AS A HIGHLY EDUCATED, HIGHLY ENGAGED COMMUNITY MEMBER POST COVID IS A WORLD DIFFERENT FROM WHAT IT WAS PRE COVID.
I COULD GO ONLINE, I COULD GET AN APPOINTMENT WITH MY PRIMARY PHYSICIAN.
YOU KNOW, IT MIGHT BE, IT'LL BE A FEW MONTHS OUT, BUT I COULD DO ALL OF IT ONLINE.
I HAVE TO, I HAVE TO CALL, I'M NOT GONNA GET AN APPOINTMENT FOR AT LEAST SIX OR SEVEN MONTHS UNLESS I WANNA SEE A DIFFERENT PHYSICIAN.
UM, THAT MY EXPERIENCE WITH KAISER HAS SHIFTED AND THAT'S A BIG PROVIDER.
SO, AND I CAN'T BE THE ONLY ONE.
SO I, I'M JUST, I DON'T THINK THAT, I THINK THAT WE'VE TAKEN, IT LEADS ME TO BELIEVE THAT WE'VE SUSTAINED SOME REAL LONG-TERM DAMAGE TO OUR CARE SYSTEM.
IT'S 2024 AND I DON'T FEEL LIKE WE'VE BOUNCED BACK YET.
SO I THINK ONE THING IS SPRAYING OUT WHAT YOU, YOU THINK HOW THIS RELATES TO THE, UM, BOARD AND IT, I'M NOT SURE HOW IT DOES AND IT'S A SIGNIFICANT, UM, TO ME IT'S A CIVIL RIGHTS ISSUE.
AND I REMEMBER SEEING DR. NORMAN WHEN THEY HAD A, THE LONG BEACH, THE ATLANTIC CORRIDOR PROJECT MIGHT BE 20 YEARS AGO WHEN THEY DID THE, THE HEALTH, THE EQUITY DISPARITIES IN LONG BEACH.
ONE OF IT WAS CRIMINAL JU UH, POLICE.
ONE WAS HEALTH AND ONE WAS EDUCATION.
AND THEY TALKED ABOUT DISPARITIES ON EACH SIDE OF ATLANTIC AVENUE.
AND THEN THEY DID SOME OTHER STREETS.
AND THESE WERE THREE OLD RETIRED GUYS THAT WERE, ONE WAS A RESEARCHER, ONE WAS A HEALTH AND ONE WAS IN CRIMINAL JUSTICE.
AND THAT WAS MY FIRST TIME SEEING, YOU KNOW, OH, YOU DIE 10 YEARS YOUNGER IF YOU LIVE IN THIS SAME NEIGHBORHOOD VERSUS THAT NEIGHBORHOOD.
AND A LOT OF IT WENT BACK TO OLD SCHOOL POVERTY AND, UM, IMMIGRATE IMMIGRATION IMMIGRANTS, FIRST GENERATION IMMIGRANTS AND POVERTY.
AND THAT'S THE BIGGEST LONG BEACH HAS BEEN WELL KNOWN FOR ITS DIVERSITY.
[00:55:01]
MM-HMM.AND SO AS A RESULT, YOU HAVE THESE HUGE DISPARITIES.
UM, AND THAT'S WHAT WE, THAT'S WHAT WE HAVE IN LONG BEACH.
SO I COULD, I COULD SEE, I SEE WHERE YOU'RE COMING FROM AND IT, IT'S SICKENING.
UM, IT FOR SURE IS THERE'S FOR SURE AN ECONOMIC PIECE TO IT.
AND I'M SAYING THAT EVEN PEOPLE WHO ARE, WHO DO HAVE RESOURCES AND AREN'T LIVING IN POVERTY ARE NOT ACCESS ABLE TO ACCESS HEALTHCARE.
IT'S FUNNY YOU TALKED ABOUT THAT BECAUSE I JUST POSTED ON MY FACEBOOK, TODAY'S THE DAY OF THE CHANGE INSURANCE.
I CAN'T GET AN APPOINTMENT FOR TWO MONTHS WITH MY INSURANCE COSTS A THOUSAND MILES A MONTH IN THE STATE OF CALIFORNIA.
SO I'M TRYING TO LIKE REALLY GO.
IT'S FUNNY YOU BROUGHT THIS UP, BUT I COULD SEE WHERE YOU'RE BRINGING THIS ISSUE UP AND I CAN SEE THE HEALTH DEPARTMENT, I DUNNO IF THEY WANNA JUMP INTO THE ADVOCACY OF THIS OR THIS, BRING IT UP.
BUT I IT'S FRAME OUT WHAT YOU SEE, THE CROSSOVER CAN GATHER SOME INFORMATION ON WHO MAY HAVE THIS INFORMATION.
UM, I KNOW FOLKS WITH THE HEALTH AND HUMAN SERVICES IN DC AND COULD REACH OUT.
'CAUSE THIS IS A BIGGER, LARGER ISSUE.
I MEAN, EVEN IF WE JUST STARTED WITH WHAT DATA CAN WE HAVE ACCESS TO AND WHO, WHO HOLDS IT, THAT WOULD BE A PLACE TO START.
I CAN FRAME IT OUT MORE BECAUSE IT'S, IT'S THIS, IT'S A DISSERTATION.
HE SUCH, I LISTED MULTIPLE ISSUES AND EACH ONE IS PROBABLY A COMPLICATED AND LARGE.
PEOPLE THAT WORK WITH NONPROFITS, ADVOCACY, LIKE THIS IS THEIR JOB.
THE NAVIGATOR FOR THE FOLKS THAT YOU'RE TALKING ABOUT THAT ARE, AREN'T ACCESSING AND DON'T HAVE THE TECHNOLOGY TO RECEIVE THAT APP POSTING OR THE PHONES RIGHT.
SO THAT'S EXACTLY AS, AS COMMUNITY MEMBERS AND LEADERS AND ADVOCATES THAT YOU SEE AS SOMETHING THAT IS RELATED TO HELP WITH HUMAN SERVICES.
ALTHOUGH THERE'S NOT AN INSURANCE FOCUS OR A BUT IT COULD BE.
SO I THINK I, I'LL WRITE SOMETHING UP WOULD BE I'LL I'LL WRITE IT OUT.
AND I'LL ENATE WHAT THE DIFFERENT ISSUES ARE AND WE CAN DECIDE WHICH, IF ANY OF THEM MAKES SENSE TO ADDRESS HERE.
AND I THINK THE ANSWER IS YES, WE CAN BRING THINGS TO THE AGENDA, CAN ALWAYS BRING THINGS TO THE AGENDA, BUT MAKING SURE THAT THERE'S LIKE A LITTLE BIT OF A WHAT'S THE A FOCUS.
AND I THINK FROM AN, FROM AN ACTIVIST PERSPECTIVE, I'M OPEN TO GOING THERE, BUT LET'S IRON OUT WHAT THAT MIGHT BE.
UM, YEAH, I CAN, I'LL WRITE SOMETHING UP.
WE'LL FIND OUT WHAT I THINK ONE OF THE ISSUES, UH, SHE TALKING ABOUT, FIRST OF ALL, IT'D BE GREAT IF WE CAN DO SOMETHING LIKE THAT.
KEEP IN MIND WE ARE PART OF ECONOMY FOR SURE.
WE DO NOT HAVE A CENTRALIZED SERVICES.
AND THE WAY WE GET DATA IS CENTRALIZED.
SO SAY EXAMPLE, MEDICAL ISSUES.
UH, THE ISSUE RIGHT THERE IS ECONOMICS.
UH, HAVING CE PATIENT PICKED UP BY ONE GROUP THAT ANOTHER GROUP HUNDRED PERCENT IDENTIFY WHO THE SALES PERSON IS BECAUSE THERE ARE SALES PEOPLE ON THIS SALARY.
I THINK WE HAVE A PROBLEM RIGHT THERE.
I DON'T THINK WE CAN GET THE DATA BECAUSE NOBODY'S MONITORING HOW MANY PATIENTS ACROSS FROM MEXICO AND WHERE DID THEY GO AND SO ON.
THERE'S NO CENTRALIZED SERVICE.
AND I THINK THAT'S WHERE WE HAVE A PROBLEM IN TERMS OF GETTING SOME TO WHAT YOU'RE JUST TALKING ABOUT IN PRACTICE FOR A LONG TIME I'VE SEEN ALL THE CHANGES ALL THE WAY FROM, UH, PPOS TO HMOS AND BLAH, BLAH, BLAH.
AND THAT'S IN FACT, AND AS LONG AS THE GOVERNMENT IS ALLOWING THOSE GROUPS TO CONTINUE ALL THEY'RE BOTTOM LINE.
SO FOR EXAMPLE, KAISER FOR EXAMPLE, YOU KNOW, YOU COULD GET AN APPOINTMENT, LET'S SAY TWO TO THREE WEEKS ONE DAY.
NOW YOU YOUR SIX, THEY HAVE THE SAME ISSUES BECAUSE THEY ALSO, SO THEY'RE LOOKING AT IT AND THEN THEY WANT TAKE ON MORE PATIENTS.
SO BOTH ENROLLMENT THE MORE MONEY IN THEIR TREASURY.
AND THEN THE AVAILABILITY SET UP WE HAVE IN THE HEALTHCARE SYSTEM, AND I'M NOT SURE STILL SOME OF, UH, GOOD POLITICIANS WILL TALK ABOUT, UH, MEDICARE FOR EVERYBODY AND MEDICARE FOR EVERYBODY.
TILL THEN WE DO NOT HAVE A, WE DON'T HAVE A CENTRAL A SYSTEM.
AND WE GUESS IN LONG BEACH, BUT WE ARE PART LA COUNTY.
THE PATIENTS COMING AT THE COMPANY FOR ONE OF THE COUNTY.
[01:00:01]
DO HAVE A SYSTEM PROBLEM, BUT DR.TEI IS NOT ONLY FOR MEDICAL, YOU KNOW, I HAVE A PPO AND I HAVE A PREMIUM INSURANCE.
YOU KNOW, I PAY TOP DOLLAR FOR THAT THIS YEAR.
MY PAYMENT WILL INCREASE 35% RIGHT AWAY.
AND I HAVE A SAME, YOU KNOW, WHEN I WAS PRACTICING IT WAS TOTALLY DIFFERENT.
WE CARED FOR THE PATIENT BECAUSE WE WERE PRIVATE PRACTITIONER.
WE WANTED TO KEEP OUR PATIENTS HAPPY.
WE WERE AVAILABLE 24 HOURS A DAY.
SHE WILL CALL ME THREE O'CLOCK IN THE MORNING AND I WILL ANSWER, ANSWER HER.
WHERE WERE YOU WHEN I NEEDED IT, DOCTOR? THREE O'CLOCK IN THE MORNING.
THE REASON IS WHY I WAS OB GYN.
THAT'S SO I HAVE TO ANSWER THE ANSWER.
MY PATIENT NOW WITH THE STOP INSURANCE, WHEN I CALL TO THE DOCTORS, YOU CANNOT GET APPOINTMENT FOR THREE TO SIX MONTHS.
AND WHEN YOU GO, THEY RUSH YOU SO MUCH WITHIN 10 MINUTES, THEY WON'T WANT TO LISTEN AND DO ANYTHING.
I SAY, YOU KNOW WHAT, I'M PAYING, PAYING THIS TOP DOLLAR FOR WHAT? BUT YOU'RE TALKING ABOUT YEARS AND YEARS AGO.
I'M TALKING ABOUT PRE AND POST PANDEMIC.
EVEN JUST BEFORE THE PANDEMIC AFTER.
THAT IT, IT'S, IT, I I I JUST THINK THAT IN A FEW SHORT YEARS THAT ONE ENORMOUS STRESSOR HAS BROKEN SOME THINGS.
BUT IT IS, I'M COMING TO THAT CONCLUSION PURELY FROM ANECDOTAL EXPERIENCES.
AND I'M CURIOUS TO KNOW IF I'M, IF THAT'S ACCURATE.
FOLKS CAN DECIDE, DECIDE WHAT, WHAT MAKES SENSE FOR HERE AND WHAT DOESN'T.
I THREW IT OUT THERE FOR FOLKS TO, TO CONSIDER.
IF YOU ARE, IF YOU HAVE ACCESS TO SOME OF SOME DATA THAT SPEAKS TO THAT, I WOULD LOVE TO HEAR IT.
UM, AND THANK YOU FOR LETTING ME HIT A HORNET'S NEST THIS MORNING.
IF FOLKS DON'T HAVE ACCESS TO HEALTHCARE, THE REST OF IT KIND OF GOES OUT THE WINDOW.
ANYBODY ELSE ON THIS TOPIC? SO I, I JUST, I I I AGREE.
IT'S BIG THAT IS AFFECTING A LOT PEOPLE.
AND I FEEL LIKE THE, THE PANDEMIC, UH, JUST KIND OF BROKE OPEN WHAT WAS ALREADY THERE.
I THINK THINGS WERE BROKEN BEFORE THE PANDEMIC AND I THINK IT MIGHT HAVE JUST TIPPED IT OVER.
OR, OR THE SECONDHAND TRAUMAS IS COMING THROUGH WITH, I THINK ABOUT FOLKS IN THE MEDICAL FIELD VERSUS NUMBER OF SUICIDES.
AND HOW MANY PEOPLE HAVE RETIRED EARLY AND HOW MANY PEOPLE HAVE CHOSEN TO SWITCH CAREERS.
THERE HAS TO BE A SHORTAGE IN PROVIDERS JUST FROM THE, JUST FROM THIS NUMBER OF PEOPLE I KNOW JUST MYSELF WHO HAVE RETIRED EARLY SWITCHED CAREERS, YOU KNOW, LEFT THE PROFESSION THERE.
I, THERE JUST, THERE'S NO WAY THAT I'M THE ONLY PERSON WHO HAS HAD THAT CONTACT.
SO THERE HAS TO BE AN ACTUAL SHORTAGE ALSO.
IT, IT SEEMS THAT THE PANDEMIC REALLY JUST, UM, THERE, THERE'S A WHOLE CROP OF PEOPLE WHO ARE ATTRACTED TO THE HEALTH PROFESSIONS BECAUSE OF THE PANDEMIC WHO BE BECAUSE THEY WERE KIDS AND THEY WANT TO GO HELP NOW, BUT THEY'RE NOT READY YET.
AND THE PEOPLE WHO WERE ACTUALLY DOING THE CARE DURING THE PANDEMIC, UH, MANY OF THEM, FOR MANY OF THEM, IT WAS THE LAST STRAW THEY TOOK OFF.
AND SO I JUST THINK THAT THERE HAS TO BE A SHORTAGE COUPLE THAT WITHOUT WHAT I'M HEARING FROM PEOPLE IN TERMS OF CHALLENGES TO ACCESS, THERE HAS TO BE A SHORTAGE.
WHICH IS WHY I WAS SAYING LIKE HOW, HOW DO WE KNOW HOW MANY HEALTHCARE PROVIDERS WE HAVE IN A CITY FROM ONE YEAR TO THE NEXT TO HOW MANY MENTAL HEALTH PROVIDERS WE HAVE IN A CITY FROM ONE YEAR TO THE NEXT.
I DON'T KNOW IF THAT'S DATA THAT LIVES SOMEWHERE, LIKE RIGHT NOW IN THE CITY OF LONG BEACH, THIS MANY OBGYNS PRACTICE.
I DON'T KNOW IF THAT'S DATA THAT LIVES SOMEWHERE.
AND YOU HAVE A PUBLIC HEALTH DEPARTMENT AT CAL STATE PALM BEACH.
SO THERE MIGHT BE FOLKS THERE THAT MIGHT HAVE AN INTEREST.
ALRIGHT, WELL EVERYBODY, I THINK, UH, THAT WAS A GREAT DISCUSSION AND WE CONTINUE THAT AND GATHER SOME INFORMATION AND NARROW IN ON, ON THE, THE GOAL WHEN WE ASK.
AND IT'S, IT'S A TIMELY DISCUSSION BECAUSE FOLLOWING THAT WILL BE A WHOLE BUNCH OF REPERCUSSIONS THAT COULD LEAD TO FORECASTING.
[01:05:01]
YOU SHOULD BE PUTTING IN PLACE.I JUST REMEMBER WHEN I JOINED THE SPORT, I WAS TALKING WITH LENA GONZALEZ'S HUSBAND AND I SAID, DO YOU HAVE ANY ADVICE FOR ME? AND HE SAID, DON'T JUST SIT THERE QUIET AND DON'T WORRY IF WHAT YOU'RE WORRIED ABOUT DOESN'T RELATE TO WHAT'S BEING DISCUSSED, BRING IT UP ANYWAY.
AND I JUST HAD HIS VOICE IN MY HEAD TODAY AND IT'S NOT RELATED TO ANYTHING THAT WE'VE BEEN DISCUSSING, BUT I'M BRINGING IT UP ANYWAY.
ANYBODY ELSE? ALRIGHT, WELL THANK YOU.
I, UM, I'D LIKE TO SECURE A MOTION TO ADJOURN THE MEETING.
I'D LIKE TO SECURE A MOTION TO CONGRATULATE DENNIS ON HIS RETIREMENT.
I'D LIKE TO SAY I'M INCREDIBLY JEALOUS AND WOULD LIKE, WOULD LIKE TO LIVE VICARIOUSLY THROUGH YOU.
HOW MANY LICENSES ARE CURRENTLY ACTIVE OF THOSE CATEGORIES, I MEAN LICENSED THROUGH THEIR OFFICE, IT'S ADMINISTERED AND INSPECTED THROUGH THEIR OFFICE.
SO KIND OF WONDERING IF THEY WOULD, SOME KIND OF DATA THAT WOULD EMAIL OF SOMETIMES IT'S LIKE YOU GO TO LIKE LIST, CORRECT? YEAH.
I JUST DID A SEARCH AND IT SAID LIKE.