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[00:00:01]

FIRST ITEM.

THAT FIRST ITEM THAT IS PUBLIC SPEAKERS.

I DON'T BELIEVE THERE'S ANYONE HERE.

I DON'T, ANYONE ONLINE, UH, IS A PUBLIC SPEAKER.

MOVE ON.

I, I GET A MOTION TO APPROVE THE MINUTES.

WOULD YOU SERVE IN ADVANCE OF THE MEETING OVER APRIL MEETING? I NEED SECOND.

OKAY.

JAMES WILL GET THAT.

UM, ANY COMMENTS OR QUESTIONS? PHOENIX? I HAVE A COMMENT.

I WANNA THANK, UH, JAMES FOR THE COMPREHENSIVENESS OF THESE MINUTES, AND THEY, UH, GREATLY IMPROVED.

THANK YOU.

AND, AND I WANNA SECOND THAT.

I WAS SO THANK YOU.

WE'LL BE ABLE TO USE THIS.

YES.

YES.

OKAY.

ALL IN FAVOR OF APPRO THE MINUTES.

AYE.

OR SOMETHING? AYE.

EVERYBODY HAVE THE CAMERA? OKAY.

I SEE CARMEN, UH, YOU GOT A NOTE THAT WE HAVE TWO MEMBERS WHO ARE NOT HERE YET, BOTH OF WHOM ARE SUPPOSED TO BE, ARE SUPPOSEDLY GOING TO JOIN US, BUT THEY'LL BE LATE.

UH, PHYLLIS LEE AND DANIEL AUSTIN.

PETER, I, CAN YOU GUYS SEE ME? YES.

YES.

YEAH, WE CAN SEE YOU, RIGHT? THANK YOU.

UH, EVERYBODY WHO'S ONLINE IS AWARE OF THE, UH, TOMA REQUIREMENTS FOR, UH, BEING VISIBLE AND, UH, AUDIBLE AT ALL TIMES IN THE MEETING.

UH, QUICK UPDATE ON THE SENIOR LISTENING SESSIONS.

WE'VE COMPLETED TWO SO FAR, UH, ONE IN DISTRICT FIVE AND ONE IN DISTRICT, UH, 13.

AND WE HAVE BEEN EXPERIMENTING WITH FORMAT.

THE, THE FIRST ONE WAS IN DISTRICT FIVE.

YOU WANT TO, UH, WE TALKED ABOUT, WELL, MAYBE WE DIDN'T TALK ABOUT IT LAST TIME.

UM, BUT IN DISTRICT FIVE, WE DID THE FORMAT WHERE, UM, PRESENTED THE, THE CITY COUNCILMAN, TALKED ABOUT SOME OF THE ISSUES FACING SENIORS, AND THEN TURNED IT OVER TO CITY SERVICES TO PRESENT, UH, THE SENIOR SERVICES THAT WE PROVIDE.

AND IT WAS GREAT PRESENTATION.

THERE WERE A LOT OF QUESTIONS ASKED AND ANSWERED.

HOWEVER, IT DEFINITELY, UH, MEANT THAT WE DIDN'T HAVE ENOUGH TIME TO TALK ABOUT THE MOST PRESSING ISSUES.

SO IT WAS GOOD.

UH, IT WAS GOOD MEETING.

WE LEARNED A WHOLE BUNCH.

WE LEARNED HOW MUCH, UH, SENIORS OUT THERE DON'T KNOW ABOUT SENIOR SERVICES, DON'T KNOW HOW TO GET THAT INFORMATION.

BUT IN TERMS OF THE PRESSING ISSUES, WE KIND OF MISSED THAT POINT.

UM, AND SO THEN WE DECIDED LET'S CHANGE THE FORMAT.

.

YEAH.

GLAD, GLAD YOU'RE HERE.

I'M TOO .

SO YOU HAD ONE AND SOMEONE ELSE HAD, HE HAD THE OTHER ONE LAST WEEK.

WELL GO BACK.

SIMILAR IN, IN DISTRICT 13, THE, THE, UH, OUR COUNCIL PERSON, UH, OBJECTED CORRECTLY THAT IF WE USED THE SAME FORMAT THAT WE'VE USED, WE WERE GONNA LEARN ANYTHING.

WE WERE ONLY GONNA BE TELLING PEOPLE.

AND IT WOULD EVOLVE INTO INDIVIDUAL PROBLEM SOLVING IS A BIG PROBLEM WITH HAVING THE OTHER PRESENTATIONS.

SO INSTEAD, WE STARTED OUT WITH JUST, UH, I, I DID AN OVERVIEW OF SOME OF THE DATA THAT WE'VE COLLECTED FROM THE CITY AND INDIVIDUAL DISTRICTS, UH, OVER THE LAST COUPLE OF YEARS.

AND, UH, TALKED ABOUT THE CITYWIDE NUMBERS VERY BRIEFLY, AND THEN TALKED ABOUT HOW DISTRICT 13 WAS DIFFERENT THAN THE CITY AS A WHOLE, AND POINTED THAT STUFF OUT.

TALKED A LITTLE BIT ABOUT THE, KIND OF THE, THE RANGE OF PROBLEMS THAT ALL SENIORS WIND UP HAVING TO SOME DEGREE OR ANOTHER.

AND THEN WE KIND OF CUT IT OFF AND WENT DIRECTLY INTO BREAKOUT SESSIONS.

AND WE HAD ABOUT 40 PEOPLE, UH, PRESENT.

AND SO WE HAD FIVE TABLES.

EACH TABLE HAD A DISCUSSION LEADER AND A SCRIBE.

SO WE HOPEFULLY GOT A PRETTY GOOD RECORD OF, OF WHAT WE LEARNED ALONG THE WAY.

AND IT, IT WAS A MUCH IMPROVED SESSION BECAUSE THE FOCUS OF IT WAS TO ASK PEOPLE WHO ATTENDED TO TELL US THINGS RATHER THAN OUR TRYING TO TELL THEM WHAT THE CITY DOES.

I, I THINK THERE'S A NEED, THERE'S A GREAT NEED BASED ON WHAT WE LEARNED FOR THE CITY TO DO A BETTER JOB OF TELLING THEM WHAT'S AVAILABLE.

UH, THAT, THAT WAS VERY CLEAR IN BOTH SESSIONS, REALLY.

UM, BUT I, I THINK THAT WE, WE LEARNED A LOT MORE THAN WE WOULD HAVE OTHERWISE.

[00:05:02]

AND THE SENIOR SERVICES GROUP WERE ALL THERE AND HAD A TABLE SO THAT PEOPLE COULD GET HANDOUTS THAT TALKED ABOUT WHAT WAS AVAILABLE FOR SENIOR SERVICES EITHER BEFORE THE SESSION OR AFTER THE SESSION.

AND THEY, MANY OF THEM DID THAT.

BUT IT WAS, UM, IT WAS INTERESTING AND FASCINATING.

AND, YOU KNOW, YOU KNOW, IT IS ONE OF THE THINGS THAT CAME UP THAT'S VERY CLEAR TO ME IS WE NEED TO TRY TO COME UP WITH SOME BETTER IDEAS OF HOW TO PUBLICIZE THESE SESSIONS TO PEOPLE WHO AREN'T NORMALLY ATTACHED TO THE CITY.

RIGHT.

UH, I'D SAY PROBABLY, UH, ALMOST A THIRD OF OUR GROUP CAME FROM THE MARCUS ANNEX, UH, SENIOR CENTER, UH, PEOPLE WHO FREQUENT THAT.

AND WE DIDN'T GET, YOU KNOW, WE DID NOT HAVE A GOOD RACIAL MIX.

WE, YOU KNOW, I THINK WE MAY HAVE HAD ONE OR TWO HISPANICS, ONE HISPANIC, UH, TWO IF WE CANNOT BELIEVE.

YEAH.

ONE, UH, .

AND, AND, UH, WE, UH, HAD VERY, VERY LOW PARTICIPATION OF AFRICAN AMERICANS AT THE SECTION ONE.

UM, IT, DISTRICT 13 IS, IS THE MOST AFFLUENT DISTRICT IN THE CITY, BUT THERE ARE SOME SIGNIFICANT POCKETS OF POVERTY WITHIN THE DISTRICT THAT WERE NOT REPRESENTED IN THE MEETING.

AND WE'RE GONNA HAVE TO FIGURE OUT HOW DO WE GET TO THOSE PEOPLE ON AN INFORMAL BASIS, UH, RATHER THAN TRYING TO FIGURE OUT, YOU KNOW, I THINK, I THINK IT'S POSSIBLE TO DO IT, BUT WE HAVEN'T FIGURED OUT HOW.

SO I THINK THE FORMAT GOING FORWARD, WE'LL PUT TOGETHER, UH, MODIFIED, UH, POWERPOINTS AS, AS KIND OF THE GUIDE FOR WHAT THE NEXT MEETINGS OUGHT TO BE.

AND I THINK AS WE LEARN THINGS ALONG THE WAY, I THINK DAVID'S, UH, HAVE JUNE 25TH, YOU'RE GONNA HAVE THE NEXT, THE NEXT, UH, MEETING.

UM, I, I THINK THAT WE'RE, WE'RE GONNA LEARN THINGS ALONG THE WAY.

WE'LL KEEP TWEAKING IT AS WE GO TILL WE GET EVERYBODY'S DISTRICT COVERED.

BUT, UH, I THINK WE'VE GOT A PRETTY GOOD FORMAT NOW, AND WE'LL, WE'LL PUT TOGETHER A KIND OF A GENERIC SLIDESHOW WITH CUSTOMIZED DATA REGARDING YOUR DISTRICTS.

SO IF YOU'RE TALKING ABOUT YOUR DISTRICT, YOU'LL, YOU'LL BE ABLE TO TALK ABOUT SOME OF THE SIMPLE STATS OF HOW YOUR DISTRICT IS DIFFERENT FROM THE CITY AS A WHOLE.

ONE OF THE THINGS I, I'VE, I'VE NOTICED, UM, YOU KNOW, MY DISTRICT 10 IS MEETING WITH, WITH COMMISSIONER STEWART IS IT'S A GREAT LOCATION TO BE HOLDING AT THE, UH, FARM GREENVILLE, UH, LIBRARY.

UH, HOWEVER, JUST WHAT YOU JUST SAID IN TERMS OF PEOPLE THAT COME OUT, TYPICALLY THE FOLKS COME OUT FROM THE LAKE HIGHLANDS TRUE COMMUNITY, AND WE GET VERY FEW PARTICIPATION FROM THE HAMILTON PARK.

AND SO, UH, I GUESS THE CITY FOLKS HAVE, I'VE MADE TWO SUGGESTIONS ON, ACTUALLY, MY, MY SUGGESTION IS PARK GREEN LIBRARY, BUT THEY ALSO TALKED ABOUT THE HAMILTON PARK, UH, UH, COMMUNITY CENTER BECAUSE IT DOES HAVE A SENIOR, SENIOR CENTER.

I'M CONCERNED THAT IF WE HAVE IT THERE, THE FOLKS FROM LAKE COLLEGES WON'T COME.

THAT'S JUST MY CON THAT'S, THAT'S MY PERSONAL CONCERN.

AND, AND ALSO, UH, IN TERMS OF GETTING IT OUT, I THINK THE BEST WAY TO, TO GET ADDITIONAL INFORMATION OUT TO THOSE FOLKS THAT ARE NOT PART TO PARTICULARLY INVOLVED IN THE COMMUNITIES.

YOU KNOW, IT'S, IT, IT'S CHURCHES MAKE SURE PORTION CHURCHES, SYNAGOGUES THAT THEY ARE, THEY'RE ANNOUNCED THERE, UM, COUPLE SUNDAYS IN ADVANCE OR IN THEIR NEWSLETTER.

LIKE OUR CHURCH HAS A NEWSLETTER.

GET THAT OUT.

I DON'T KNOW HOW YARD DEPARTMENTS WORK FOR THAT IN THAT AREA, BUT, UM, I THINK THAT'S, THAT'S AN EFFECTIVE WAY TO REACH THOSE PEOPLE THAT DON'T TRADITIONALLY COME.

I AGREE.

THE, UH, SOME OF THE PEOPLE THAT WE HAD WERE, UH, THE MARKET CENTER PRODUCED A BIG SHARE OF THE THING, AND THEN OTHERS HEARD ABOUT IT IN A VARIETY OF WAYS.

UH, BUT OUR OUTREACH AHEAD OF THE MEETING, WE WERE, YOU KNOW, TRYING TO GET TO ALL THE NEIGHBORHOOD ASSOCIATIONS AND ALL OF THAT.

AND OUR NEIGHBORHOOD, MY NEIGHBORHOOD ASSOCIATION NEVER PUBLISHED ANYTHING ABOUT IT.

AND SO IT IS, IT, IT REQUIRES NOT JUST SENDING OUT THE FLYER, BUT IT ALSO REQUIRES FOLLOW UP TO MAKE SURE THAT SOMEBODY DOES SOMETHING WITH THE FLYER, UH, WHEN YOU'RE TRYING TO BUILD.

AND, AND THE GOAL IS TO TRY TO GET PEOPLE WHO AREN'T ENGAGED AND ARE NOT USING THE CITY SO THAT WE CAN, WE CAN GET TO THAT GROUP TO THE DEGREE POSSIBLE.

YESPER, I THINK PHYLLIS WAS BEFORE ME.

UH, YEAH.

UH, TO PIGGYBACK ON WHAT HE SAID, AM I HEARING THAT IN SOME NEIGHBORHOODS CAN THINK SOME PEOPLE WON'T COME BECAUSE OF THE LOCATION? YEAH.

[00:10:01]

AND THAT'S GONNA BE A PROBLEM BECAUSE LOCATION AND PARTICULARLY, AND POTENTIALLY TRANSPORTATION AS WHAT? WELL, TRANSPORTATION TOO.

BUT I I, I'M, I'M UNDER THE OPINION THAT I DON'T CARE WHERE WE GO.

WE GOT THE SAME PEOPLE, STICK WITH THE SAME PEOPLE.

SO THAT IS A PROBLEM ACROSS THE BOARD TO GET PEOPLE TO MIX WITH EACH OTHER.

SO WHEN YOU SAID YOU, YOU THINK IF IT'S GONNA BE THIS LOCATION, THESE PEOPLE WON'T COME.

AND IF I SAID WE GONNA HAVE SOMETHING IN THE BOTTOM, OH, AIN'T COMMITTING LOCATION, SO THAT YOU'RE STILL GONNA HAVE A PROBLEM.

YEAH.

SO, BUT I'M JUST GONNA SUGGEST WHOSOEVER WILL LET 'EM COME.

AND THEN YOU TELL YOUR PEOPLE, YOU TELL YOUR PEOPLE.

BECAUSE IF WE TRY TO SIT HERE AND FIGURE OUT HOW CAN I GET YOU TO COME TO THE BOTTOM AND YOU TRY TO GET ME TO COME TO THEY TOWN, AND WHEN I, I AIN'T GOOD.

I'M JUST, I WONDERING BECAUSE THAT HEARING, BUT WE NEED TO HAVE THAT COMMUNICATION TO STILL LET PEOPLE KNOW WHAT'S GOING ON.

YEAH.

AND ONCE YOU HAVE THE SESSION AND THE PEOPLE SHOW, WHOEVER'S GONNA SHOW UP, SHOWS UP, IT BECOMES PRETTY CLEAR WHO YOU'RE TALKING TO PRETTY FAST.

PRETTY FAST.

AND I THINK ONE OF THE THINGS THAT WE'RE GONNA LEARN FROM THIS IS THAT, YOU KNOW, IT'S EASY TO BREACH AND REQUIRE TO TRY TO GET THE, THE PERIPHERY THIS QUESTION FOR OUR PARTICULAR DISTRICTS.

WILL WE WE BE RESPONSIBLE FOR THE GATHERING? OR ARE, IS THAT BEING HANDLED BY THE OFFICE? WHAT'S THE PROCESS? NO.

TO, TO, TO GET, TO GET PEOPLE THERE, PEOPLE THERE? NO, IT, IT IS REALLY UP TO THE COUNCIL PERSON'S OFFICE LARGELY.

AND THAT MOST OF THE PEOPLE WHO SHOWED UP AT POLICE'S MEETING CAME AS A DIRECT RESULT OF INFORMATION WENT UP IN THE COUNCIL PERSON'S OFFICE.

THAT'S WHAT I WAS IN OUR DISTRICT.

IT WAS KIND OF A MIX.

THERE WERE, THERE WERE SEVERAL FROM THE, THE SENIOR CENTER, BUT THERE WERE ALSO A VARIETY OF PEOPLE WHO PAY ATTENTION TO THE EMAILS THAT, UH, COUNCILPERSON SENT OUT.

SO I JUST ADMIT, ONE THING THAT'S IMPORTANT, I THINK IS TO GET, WE WERE DELAYED IN GETTING OUR INFORMATION OUT, SHOULD HAVE GONE OUT SOONER THAN IT DID.

AND WE WOULD'VE HAD, I THINK, BETTER DISTRIBUTION OF THE INFORMATION.

THE OTHER THING I WOULD SAY ABOUT THE FLYERS IS WHEN YOU, WHEN WHEN THEY SEND OUT AN EMAIL TO THE LIBRARIES AND THE REC CENTERS WITH A FLYER, IT'S A COLOR NICE, PRETTY COLORED, UH, POSTER.

AND THEY PRINT IT IN BLACK AND WHITE AND THEN XEROX IT IN BLACK AND WHITE, AND YOU WIND UP WITH, WITH TOTALLY UNNOTICEABLE FLYERS LAYING ON A TABLE SOMEWHERE.

AND IT'S GONNA REQUIRE SOMEBODY TO GO OUT AND ACTUALLY DELIVER A STACK OF GOOD FLYERS.

WHEN YOU SAY THEY, WHO'S THEY, WHEN THEY SEND OUT THE FLYER, WHO'S, THEY LIKE, LIKE THE CITY COUNCIL OFFICE SENT OUT A BUNCH OF FLYERS AND WE SENT SOME OUT, BUT THEY DON'T GET, THEY DON'T GET REPRODUCED IN THE MANNER THAT YOU THINK THEY'RE GOING TO.

AND, AND WHEN YOU GO TO THE LOCATION, YOU SEE, YOU KNOW, A BLACK AND WHITE POSTER ON THE BOARD IN THE MIDDLE OF 30 OTHER BLACK AND WHITE POSTERS, AND IT DOESN'T STAND OUT.

THE REASON I'M ASKING IS THAT I, I REALLY THINK THAT THE COMMISSIONERS AND THEIR DISTRICT PERSONS SHOULD BE THE ONES SET A MAJORLY RESPONSIBLE FOR THE GATHERING BECAUSE THEY KNOW THE PEOPLE, YOU KNOW, IN THEIR DISTRICT.

RIGHT.

REGARDLESS TO WHAT COMMUNITY THEY ARE IN.

THEY KNOW THE PEOPLE IN THEIR DISTRICT.

AND SO LISTENING TO US TO GET THE BEST RESULTS OUT OF WHAT IT IS THAT WE'RE TEMPING TO DO, I THINK IS A BETTER WAY TO GO.

OKAY.

EVEN WITH THE FLYER, BECAUSE A FLYER THAT MAY BE USED FOR YOU MAY NOT BE A FLYER THAT I WOULD USE FOR MY COMMUNITY.

AND I HAVE NOT SEEN THE FLYER, SO I DON'T KNOW.

WELL, YEAH, YOU WILL SEE THE FLYER FOR YOUR SESSION BECAUSE WE, WE HAD BUY OFF ON, WELL EVENTUALLY WE HAD BUY OFF ON THE FLYER FOR, WE HAD A FLYER DESIGNED THAT OUR COUNCIL PERSON DIDN'T LIKE AT ALL.

MM-HMM.

.

AND SO HER STAFF DEVELOPED ANOTHER FLYER AND WE WOUND UP MERGING THE INFORMATION FROM BOTH WHAT I DIDN'T SAY, BUT ULTIMATELY EVERYBODY INVOLVED.

YEAH.

COUNCIL PERSON, SENIOR SERVICES, AND MYSELF IN THE CASE OF DISTRICT 18, HAD AN OPPORTUNITY TO DECIDE WHAT THAT FLYER WAS GONNA SAY.

OKAY.

SO, SINCE I'M IN SEPTEMBER, AND I, I HAVE NO WAY OF KNOWING WHETHER, WHETHER, UH, COUNCILMAN GRACIE HAS APPROVED OR NOT, BECAUSE I HAVE NOT BEEN A PART OF THAT COMMUNICATION.

BUT DO I HEAR YOU SAYING THAT I NEED TO BE GETTING WITH HIS OFFICE TO DESIGN A FLYER FOR OUR DISTRICT? AND AT WHAT POINT WILL I BE INCLUDED IN THE CONVERSATION? I THINK YOU INCLUDED, AS SOON AS YOU WANT TO BE INCLUDED, I'M INCLUDED MIND.

RIGHT NOW THERE'S, JUST SO YOU KNOW, WELL, I, SO AMERICA IS TAKING A LEAD ROLE IN TERMS OF

[00:15:01]

THE SUPPORT.

YOU KNOW, ONE OF THE THINGS THAT CAME UP, WHO'S GONNA SUPPLY THE COFFEE AND THE DONUTS OR THE COFFEE AND THE PASTRIES AND THAT KIND OF STUFF.

IS IT GONNA BE SENIOR SERVICES OR IS IT GONNA BE THE COUNCIL? YOU KNOW, IT WINDS UP BEING A JOINT EFFORT.

AND ONE OF THE PROBLEMS WE HAD IS SOMETHING WOULD COME OUT OF THE COUNCIL PERSON'S OFFICE TO ME, BUT WOULDN'T COPY MECA.

AND, AND WE, YOU KNOW, IT, IT IS IMPORTANT TO GET TOGETHER AS SOON AS YOU CAN AND RESOLVE THIS IS WHO'S GOING TO BE INVOLVED IN, IN THE PLANNING AND EVERYTHING.

AND EVERYBODY NEEDS TO BE COPIED ON ALL THE COMMUNICATIONS SO EVERYBODY KNOWS WHAT'S HAPPENING.

SO WHEN WILL I KNOW THAT THE LETTER OR WHATEVER THAT WAS SENT TO MY COUNCIL PERSON HAS ACTUALLY RECEIVED THE RESPONSE? BECAUSE I DID NOT SEND IT AND I LEFT.

I RECEIVED I THINK, A COPY OF IT.

, DO YOU KNOW WHAT THE STATUS IS OF THAT? SO REGARDING, UM, COMMISSIONER MITCHELL, I HAVE YOU LISTED UNDER SEPTEMBER MM-HMM.

.

SO WE WILL BE APPROACHING THE COUNCIL OFFICE TO, UM, IT WAS MY UNDERSTANDING THAT YOU HAD ALREADY, YOU HAVEN'T RECEIVED A RESPONSE.

I'M SORRY? DIDN'T YOU SEND A LETTER OR SUB COMMUNICATION EARLIER AT THIS? I HAVE TO SAY I'M NOT, I'M NOT SURE.

I'VE BEEN WORKING ON THE, THE JUNE, THE MOST RECENT ONES.

SO WE WILL START WORKING THAT INTRO.

NO, NO.

I, I THINK I WOULD ENCOURAGE YOU TO TALK TO YOUR CITY COUNCIL PERSON AS SOON AS POSSIBLE.

AND THEN BETWEEN EVERYBODY, YOU'RE GONNA NAIL DOWN A DATE IF YOU HAVEN'T ALREADY.

DO WE HAVE A SPECIFIC DATE FOR SEPTEMBER? NOT AWARE OFF.

SO THE FIRST THING YOU NEED TO DO IS NAIL DOWN A DATE THAT EVERYBODY'S GONNA BE AVAILABLE AND, AND GET THAT ON THE CALENDAR.

AND THEN YOU START CALL THAT.

I JUST DID NOT KNOW MY ROLE SINCE I RECEIVED A LETTER THAT HAD GONE OUT AND NOT, WAS NOT AWARE OF A LETTER GOING OUT OR ANYTHING LIKE THAT.

AND SO THAT'S WHY I'M INQUIRING AS TO WHAT IS MY ROLE IN THIS.

'CAUSE I HAVE NO PROBLEM IN MAKING THE CONTACT, SETTING THE DATA AND DOING EVERYTHING NECESSARY.

YOU'RE THE STAR PERFORMER OF THE EVENT.

SO YOUR ROLE NEEDS TO BE AS LONG AS I KNOW.

YEAH.

NO, I DON'T KNOW.

I DON'T KNOW.

SO, YOU KNOW, SOMETIMES WE HAVE TO TAKE IT ON OURSELVES.

YOU JUST NAILED IT.

WE ALL THE STAR PERFORMER.

I DON'T DO, NO, LET ME FINISH.

WE'VE SEEN, I'VE SEEN, I'VE SEEN MY NAME ON , THE, THE D 10 N PIECE THAT I'M PART OF THE PROGRAM.

SO, SO I KNOW THAT I'M A, I'M A PART OF THE PROGRAM.

FORTUNATELY MY MY CITY COUNCIL PEOPLE HAVE BEEN IN CONTACT WITH ME.

MAYBE IT'S BECAUSE OF THE, THE TIMING.

THAT'S WHY WE MADE THE COMMENT ABOUT THE LOCATIONS.

AND SO THAT, THAT, THAT, THAT'S, THAT'S, THAT'S ALL I'M SAYING.

SO I, I, I, FOR ME, I AGREE.

NO, I AGREE WITH YOU.

FOR ME, I'M JUST THAT KIND OF PERSON.

YEAH.

BUT THIS IS, WHAT MONTH IS THIS? WELL, THIS, THIS IS MAY, THIS IS THE END OF YOU GUYS WANNA SAY JUNE? WE'RE TALKING ABOUT DOING THIS IN SEPTEMBER.

YEAH.

I DON'T WANNA WAIT UNTIL AUGUST TO DO SEPTEMBER.

LIKE YOU'RE WAITING IN MAY TO DO JUNE.

WELL, NO, I KNEW ABOUT THIS, THAT I KNEW ABOUT THIS A COUPLE MONTHS AGO.

JUST LIT IT BACK.

I THINK THAT THE, THERE'S TWO CRITICAL THINGS.

ONE IS YOU NEED TO ESTABLISH A DATE AND THEN YOU NEED TO FIND A LOCATION FOR, OR WHERE IT'S GOING TO BE HELD, AND GET THAT CAST IN STONE SO THAT YOU'VE GOT, YOU KNOW, EVERYBODY INVOLVED CAN BE THERE AND YOU, AND YOU KNOW WHERE IT'S GOING TO BE.

AND THEN, THEN YOU NEED TO PUT TOGETHER THE AGENDA FOR THE MEETING, WHICH WE WILL BE PROVIDING YOU WITH THE OUTPUT OF WHAT'S HAPPENING AT THE MEETINGS COMING UP TO YOURS SO THAT YOU CAN, YOU CAN MODIFY IT ANY WAY YOU WANT TO, BUT, WE'LL, WE'LL GIVE YOU A PROTOTYPE AND IT CAN BE AMENDED, YOU KNOW, LITERALLY UP UNTIL WEEK BEFORE.

THANK YOU.

I, I JUST NEEDED TO, I JUST NEEDED TO KNOW WHAT MY ROLE IS.

YOUR ROLE, YOUR ROLE IS TO BE A LEADER IN GETTING THIS THING.

I'M READY.

OKAY.

SO AT THIS TIME WE ARE TRYING TO ESTABLISH THE MONTH AND THEN THE MORE SPECIFIC DATE FOR EACH COMMISSIONER.

AND THEN WE'LL START WORKING ON WITH THE COUNCIL DISTRICT TO MAKE SURE THAT THE COUNCIL PERSON IS AVAILABLE ON THOSE DATES.

OKAY.

I'LL CONTACT COUNCILMAN GRACIE AND I'LL GET THAT DATE TOO.

OKAY.

CERTAINLY.

THANK YOU.

MM-HMM.

AND MECA HAS DONE A GREAT JOB.

UH, WE'RE THE JUNE ONE AND SHE'S BEEN DOING A GREAT JOB IN COMMUNICATING AND TRYING TO MAKE IT WORK.

COMPLIMENTS TO YOU.

MECA.

THANK YOU, COMMISSIONER.

OKAY.

WHAT I DON'T KNOW IS, DO WE FINALIZE THE LOCATION FOR, FOR DISTRICT 10? I AM WAITING FOR A RESPONSE FROM THE LIBRARY AS WELL AS REC CENTER.

I HAVE ASKED THEM TO PROVIDE ME THAT AS SOON AS POSSIBLE.

THEY'RE LOOKING INTO IT RIGHT NOW.

SO I WILL GET BACK TO YOU BEFORE END OF THE WEEK.

SO, MEREDITH, DO YOU HAVE A PROBLEM WITH ME GOING AHEAD AND SECURING THE DATE, THE SITE AND ALL OF THAT? NO.

SO WE

[00:20:01]

WOULD PREFER TO COORDINATE IT ALL TOGETHER, MAKE SURE EVERYBODY IS AVAILABLE ON THOSE DATES.

SO IF YOU CAN, THE, THE, THE AVAILABILITY OF THE DATE NEEDS TO BE CLEARED BY SENIOR SERVICES, THE COUNCIL OFFICE AND NOT, AND THAT THOSE ARE THE ONLY PEOPLE.

BUT ALL THREE NEED TO BE INVOLVED BECAUSE YOU CAN'T BOOK IT WHEN SENIOR SERVICES, THIS WASN'T MY STATEMENT I WAS ASKING ME.

I THINK IT'S OKAY WITH HER IF I GO ON AND GET WITH COUNCILMAN, UH, GRACIE, GET A DATE SET TO GET BACK TO YOU.

THAT WAS WHAT WE CERTAINLY, AND AND YOU ARE MORE THAN WELCOME AS WELL AS, AS WELL AS A SIGN.

IS THAT OKAY? YES.

IF YOU, IF YOU WANNA INCLUDE ME IN THE EMAIL FIRST.

WELL, I MEAN, I WOULD, YES.

YOU'RE MORE THAN WELCOME TO REACH OUT TO THE COUNCIL DIRECTLY.

YES, THANK YOU.

OKAY.

TURN US OFF.

NO, SOME SAY THEY CAN'T HEAR.

I'M TRYING TO WORK THE TECHNICAL DIFFICULTY IN THE BACK, SIR.

I'M TRYING.

I DIDN'T TURN FINE.

HANG OVER.

I DON'T KNOW.

JUST MAKING IT A LITTLE EASIER TO REACH YOUR MICROPHONE.

I DON'T KNOW.

I DON'T EVEN KNOW IF KNOW I KNOW ABOUT TECHNOLOGY.

THERE YOU GO.

THAT'S OKAY.

UH, SO THAT'S WHERE WE ARE WITH THE SENIOR LISTENING SESSIONS.

I THINK THEY'RE GONNA BE VERY PRODUCTIVE AND I SUSPECT THEY'LL BECOME MORE PRODUCTIVE AS WE GO DOWN THE ROAD.

'CAUSE WE'RE GONNA LEARN A LOT, UH, AS TO WHAT WORKS AND WHAT DOESN'T WORK.

AND, YOU KNOW, IN, IN THIS, IN THE SOUTHERN DALLAS DIS DISTRICTS, I THINK THE POPULATION HAS GREATER NEEDS, GENERALLY SPEAKING AS, AS A PERCENTAGE OF THE TOTAL POPULATION OF THE VARIOUS DISTRICTS AND MORE PEOPLE WILL BE REPRESENTED.

AND I THINK IT'LL BE A MUCH MORE ROBUST CONVERSATION ABOUT WHAT THE NEEDS ARE.

AND IT, THAT'S WHAT WE'RE HOPING FOR ON THE SECTION OF THE SOUTHERN SECTOR THAT YOU'RE IN.

MM-HMM.

.

YEAH.

IT'S GONNA, YEAH.

IT'LL BE DIFFERENT IN DIFFERENT PLACES.

RIGHT.

AND EVEN WITHIN DISTRICT 13, YEAH.

WE HAVE 1600 PEOPLE LIVING BELOW THE POVERTY LEVEL.

SENIORS LIVING BELOW THE POVERTY LEVEL IN DISTRICT 13, WHICH IS THE MOST AFFLUENT DISTRICT IN THE CITY.

THEY'LL, THOSE PEOPLE HAVE THE SAME PROBLEMS THAT THE PEOPLE DO IN SOUTH DALLAS.

RIGHT.

AND WE NEED TO, WE, WE NEED TO GATHER AS MUCH INFORMATION AS WE CAN SO WE CAN BE BETTER INFORMED WHEN WE RECOMMEND WHAT WE OUGHT TO BE DOING.

ALRIGHT.

UH, NEXT, UH, ON THE AGENDA IS, UH, VISITING NURSE ASSOCIATION IS GONNA BE PRESENTING, CHRIS IS THE VICE PRESIDENT OF DEVELOPMENT AND STR CHIEF OF STRATEGY FOR, UH, BNA.

AND YOU ALL RECEIVE COPIES OF HIS PRESENTATION MATERIAL.

YOU DON'T HAVE TO RELY ON SEEING ON SCREEN YOUR, UH, IF YOU, YOUR ADVANCE ATTORNEY.

BUT TRISH, WELCOME.

THANK YOU VERY MUCH FOR BEING HERE, FOR HAVING, AND I LOOK FORWARD TO HEARING MORE ABOUT MY DNAS UP HERE.

YES, SIR.

UM, OKAY.

SO, UM, I WORK FOR THE VISITING NURSE ASSOCIATION OF TEXAS.

UH, NEXT SLIDE.

DELAY.

ALL RIGHT.

I'M HAVE, I HAVE MY READING GLASSES ON AS WELL.

SO, CHECK FORWARD.

UM, SO, UH, THIS IS THE MISSION OF OUR ORGANIZATION.

UM, VISITING NURSE NURSE ASSOCIATION OF TEXAS PROVIDES CARE TO OUR COMMUNITY, ENHANCING HEALTH AND WELLBEING WITH COMPASSION, DIGNITY, AND INTEGRITY.

UM, ACTUALLY THIS IS A NEW MISSION STATEMENT FOR US.

WE HAVE BEEN AROUND FOR 90 YEARS.

OUR, OUR, UH, THIS IS OUR 90TH, UH, ANNIVERSARY.

WE STARTED IN 1934, AND SO WE HAVE CHANGED OVER THOSE NUMBER OF YEARS, BUT THIS IS OUR, IS OUR CURRENT STATEMENT.

NEXT SLIDE.

SO, AS I, I SAID, UH, WE'VE BEEN, UH, BEEN HERE FOR, IN NORTH TEXAS, UH, REALLY HERE IN DALLAS FOR 90 YEARS.

UM, WE STARTED OUT, UM, IN THE THIRTIES AS, UH, VISITING NURSE SERVICE THAT WOULD, NURSES WOULD GO INTO SORT OF PARTS OF THE CITY, MOSTLY WEST DALLAS, IF YOU'RE FAMILIAR WITH, WITH THAT PART OF THE CITY.

AT THAT TIME, WEST DALLAS WAS UNINCORPORATED.

IT WAS NOT PART OF THE CITY OF DALLAS.

UM, AND, UH, THERE WERE COMMUNITY LEADERS BACK IN THE THIRTIES THAT FELT LIKE THERE WERE, UH, NEW MOTHERS AND CHILDREN THAT WERE NOT BEING CARED FOR ONCE THEY LEFT THE HOSPITAL OR ONCE THEY HAD THEIR CHILDREN.

AND SO, UH, THE VISITING NURSE ASSOCIATION OF TEXAS WAS FORMED, AND THAT WAS THE BEGINNING OF WHAT WE, UM, STARTED DOING 90 YEARS AGO.

UH, WE HAVE CHANGED OVER THE NUMBER, OBVIOUSLY CHANGED OVER THOSE 90 YEARS.

TODAY WE'RE REALLY TWO THINGS.

MM-HMM.

[00:25:01]

, UH, MOST PEOPLE KNOW US AS THE, THE MILL AND WILLS PROGRAM FOR DALLAS COUNTY.

UH, WE COVER ALL OF DALLAS COUNTY, THE MILLS ARE WHEELS.

AND THEN AS WELL AS WE ARE ONE OF THE LARGEST REGIONAL END OF LIFE CARE PROVIDERS.

SO HOSPICE, UH, AND PALLIATIVE CARE IN ALL OF NORTH TEXAS.

SO DALLAS COUNTY'S THE MILLS PROGRAM, BUT ALL THROUGHOUT THE REGION IS, UH, END OF LIFE CARE, HOSPICE, AND PALLIATIVE CARE.

NEXT SLIDE.

UM, THESE, THESE ARE THINGS YOU GUYS CERTAINLY KNOW AS, AS SENIOR AFFAIRS COMMISSIONERS, UM, IN THE UNITED STATES, EVERY DAY ABOUT 12,000 PEOPLE ARE TURNING 60 EVERY DAY.

UM, HERE IN, UH, DALLAS, ABOUT ALMOST 50,000 SENIORS LIVE AT OR BELOW THE POVERTY LINE.

THIS IS FOR DALLAS COUNTY.

UM, THERE ARE SOME NUMBERS THAT ARE BOTH, UH, RELATED TO THE CITY OF DALLAS, BUT IF YOU'RE LOOKING AT THE COUNTY AS A WHOLE, WHICH IS WHERE OUR MEALS PROGRAM FOCUSES ON, IT'S ABOUT 50,000 PEOPLE, UH, THAT LIVE AT OR BELOW THE POVERTY LINE, MEANING THAT THEY PROBABLY COULD QUALIFY FOR MEALS, ALL THOSE.

UM, AND THAT'S A, CERTAINLY IS A, A LARGE NUMBER.

UM, ONE OF THE THINGS THAT WE CONSTANTLY SEE IS, OBVIOUSLY, I THINK YOU GUYS ALL KNOW THIS, CERTAINLY FOR SENIORS, IS INCREASED FOOD INSECURITY.

UH, THE ABILITY TO HAVE ACCESS TO, TO QUALITY MEALS, THE ABILITY TO HAVE ACCESS AND THE RESOURCES TO BE ABLE TO GET THAT.

UM, AND THEN WE'RE ALSO SEEING, OBVIOUSLY WITH THE SENIOR POPULATION, REALLY NON-FOOD RELATED ISSUES, WHICH EVERYONE KNOWS IS CERTAINLY, UM, THE COST OF LIVING IN DALLAS HAS GONE UP, OBVIOUSLY, RENT.

AND A BIGGER PART OF WHAT A LOT OF OUR CLIENTS SEE IS TRANSPORTATION.

SO ACTUAL MORTGAGES, COST OF RENT AND TRANSPORTATION ARE, ARE REALLY GROWING NEEDS FOR, FOR THAT POPULATION.

NEXT SLIDE.

THIS IS A SNAPSHOT AGAIN OF THE, OF THE SENIORS IN, UH, DALLAS COUNTY.

AGAIN, WE'VE COMMISSIONER HELPED US WITH THIS.

UM, WE WERE ABLE TO KIND OF BREAK THIS OUT.

IT'S A GREAT, IT'S A GREAT KEY THAT SHOWS US, UM, THE POPULATION WITHIN THE COUNTY.

AND IT SHOWS US THOSE NUMBERS.

THIS IS JUST A SNAPSHOT OF THAT REALLY GREAT DATA THAT WE USE REALLY TO HELP US.

HOW DO WE SORT OF RELEASE OR HOW DO WE EXTEND RESOURCES INTO THE COMMUNITY? WE USE DATA LIKE THIS TO HELP US WITH THAT.

SO NEXT I LOOKED THIS MORNING, I HAD A LOT OF SLIDES, SO I'M GONNA TRY TO GO THROUGH THEM A LITTLE FASTER SO THAT YOU GUYS CAN ASK QUESTIONS AND CERTAINLY STOP ME ASKING ANY QUESTIONS IF YOU LIKE.

SO THIS SHOWS, UH, OUR MEALS COVERAGE AREA.

YOU'LL SEE THE LITTLE DIFFERENT COLORS.

UH, WE BREAK THE COUNTY UP INTO ABOUT 21 DIFFERENT REGIONS.

UM, WE NOT ONLY DELIVER MEALS IN EACH OF THOSE AREAS, BUT WE ALSO MAKE THE MEALS FOR ALL OF THE SENIOR, UH, CENTER PROGRAMS AND CONGREGATE FEEDING PROGRAMS IN DALLAS COUNTY.

SO NOT ONLY DO WE MAKE AND ALMOST DELIVER 5,000 HOME DELIVERED MEALS EVERY DAY.

SO MONDAY THROUGH FRIDAY, UH, THROUGH PAY DRIVERS AND VOLUNTEERS IN OUR KITCHEN ON MOCKINGBIRD, WE'RE MAKING 5,000 HOME DELIVERED MEALS THAT GETS DELIVERED RIGHT NOW, EVERY DAY ACROSS THE COUNTY.

AS WELL AS WE MAKE MEALS FOR ALL OF THE SENIOR CENTERS.

SO ALL OF THE PROGRAMS THAT WAS RUN BY THE COUNTY OF DALLAS.

AND THERE'S ABOUT ANOTHER 11 INDEPENDENT PROGRAMS. WE MAKE THE MEALS FOR THOSE PROGRAMS AS WELL.

WE DISTRIBUTE THOSE AND DELIVER THOSE TO THEM, UH, EACH DAY, MONDAY THROUGH FRIDAY.

SO THAT KIND OF GIVES YOU AN IDEA OF HOW LARGE OF A PROGRAM WE ARE.

WE'RE ONE OF THE LARGEST MEALS PROGRAMS IN THE COUNTRY, AND EVERYBODY'S ALWAYS LIKE, YAY, THAT'S, THAT'S GREAT.

BUT ON THE H SIDE, THE FLIP SIDE OF THAT IS THERE'S HUGE NEED IN DALLAS.

MM-HMM.

.

AND SO WE'VE BEEN ABLE TO, UH, GROW OUR RESOURCES TO MAKE SURE WE'RE ABLE TO COVER AS MANY OF THOSE CLIENTS AND MANY OF THOSE PEOPLE THAT NEED THOSE FIELDS.

NEXT SLIDE, PLEASE.

UM, THIS IS JUST KIND OF A, A REALLY GRAPHIC SORT OF TALKS ABOUT FOR US AS AN ORGANIZATION, PROVIDING MEALS AND PROVIDING HEALTHCARE, PROVIDING THAT KNOCK ON THE DOOR DAY.

IT'S NOT ONLY THE PROVIDING OF ACTUAL NUTRITION, BUT IT'S ALSO A LOT OF OUR CLIENTS LIVE ALONE.

AND SO A BIG PART OF WHAT A LOT OF HEALTHCARE IS MOVING TOWARDS, WHAT A LOT OF SOCIAL SERVICE PROGRAMS ARE LOOKING AT IS REALLY THE SOCIAL DETERMINANTS OF HEALTH.

SO SOMEONE HAVING ACCESS TO GOOD HEALTHCARE, SOMEONE HAVING TRANSPORTATION, SOMEONE HAVING ACCESS TO FOOD, SOMEONE HAVING ACCESS, UH, TO, UM, OUTDOOR SPACE OR A LIBRARY.

ALL OF THOSE THINGS REALLY HELP, HELP DETERMINE SOMEONE'S HEALTH.

AND SO WE, WE WANT TO BE PART OF THAT MIX FOR US.

WE SIT IN THE FOOD PIECE, THE HEALTHCARE PIECE, AND THEN THE SOCIAL ISOLATION.

NEXT SLIDE, PLEASE.

UM, AGAIN,

[00:30:01]

HOW OR WHAT OUR IMPACT IS AS AN ORGANIZATION THROUGH OUR MEALS PROGRAM.

TALK ABOUT IS THAT, UM, THE SOCIAL ISOLATION PIECE.

A LOT OF OUR CLIENTS LIVE ALONE.

UM, UNFORTUNATELY A LOT OF THEM, WHEN THE VOLUNTEER OR PAID DRIVER KNOCKS ON THE DOOR EACH DAY, THEY HAND THEM A MEAL.

THAT'S PROBABLY THE ONLY PERSON THEY'RE GONNA SEE THAT DAY.

THEY MIGHT SEE A NEIGHBOR, UH, THEY MAY SEE SOMEONE ELSE, UH, IN THEIR NEIGHBORHOOD, BUT WE ARE GONNA INTERACT WITH THEM.

WE'RE GONNA HAVE A FEW MINUTES VISIT.

I DELIVER A ROUTE EVERY WEEK, AND I PROBABLY SPEND SOME CLIENTS, YOU GIVE THEM A MEAL AND YOU SAY HELLO AND THEY WAVE AND THEY WANNA GO BACK INSIDE.

SOME OF 'EM WILL WANT TO VISIT FOR A GOOD 10 MINUTES.

AND I FEEL LIKE EACH DAY WHEN WE'RE DOING THAT, I'M PROBABLY THE ONLY PERSON THAT SOME OF THESE PEOPLE ARE GONNA TALK TO THAT DAY.

SO IT'S A BIG PIECE, IS THAT KIND OF SOCIAL, UM, SOCIAL ISOLATION PIECE.

THE MALNUTRITION PIECE.

THERE ARE TONS OF STUDIES THAT SAY MEALS PROGRAMS REDUCE, UH, EMERGENCY ROOM VISITS.

ONE OF THE TOP REASONS WHY, UM, SENIORS ENTER EMERGENCY ROOM OUTSIDE OF SAY, FALLS, IS MALNUTRITION, UH, AND DEHYDRATION.

AND SO A BIG PART OF MEALS IS DOING IS DELIVERING THEM EACH DAY.

UM, AND THEN AGAIN, THAT THE FEELING, UH, OF ISOLATION AND LONELINESS.

WE DID A STUDY A FEW YEARS BACK, UH, WHERE WE LOOKED AT ALL OF OUR MEALS CLIENTS.

UH, WE LOOKED AT, UH, PEOPLE THAT RECEIVE MEALS AND FOLKS THAT LIVE IN DALLAS COUNTY THAT DON'T, THAT ARE KINDA LIKE THEM.

UH, WE WORK WITH THE PRICEWATERHOUSE AND THEY DID A STUDY FOR US AND THEY CAME OUT, PEOPLE THAT ARE ON MEALS PROGRAM, AND THIS IS JUST FOR DALLAS COUNTY.

UM, SAVE THE HEALTH SYSTEM ABOUT $10.4 MILLION A YEAR, MEANING LESS EMERGENCY ROOM VISITS, LESS CHA UH, CHALLENGES, MALNUTRITION, RUNNING ALL THAT DATA TOGETHER, SPIT OUT THAT THAT GROUP OF PEOPLE THAT ARE ON THAT PROGRAM ACTUALLY SPEND LESS IN HEALTHCARE COSTS.

SO THAT GOES BACK TO THAT SOCIAL ISOLATION, SOCIAL DETERMINANTS OF HEALTH PIECE THAT IF YOU'RE, IF YOU'RE ON MEALS AND SOMEONE'S CHECKING ON YOU EVERY DAY AND FEEDING YOU, THE CHANCES OF YOU USING HEALTHCARE GOES DOWN, WHICH IS A PRETTY INTERESTING STUDY.

SO NEXT SLIDE PLEASE.

UM, COUPLE OF THINGS THAT WE DO, UH, OUTSIDE OF MEALS IS, UH, A FEW YEARS AGO WE STARTED THIS KIND OF BEFORE COVID.

UH, WE HAD THOUGHT THAT A LOT OF OUR CLIENTS AND THEN A LOT OF PARTNERS THAT WE WORK WITH IN, UH, THE COMMUNITY, HAVING ACCESS TO FLU SHOTS THAT ARE BEING SORT OF BROUGHT TO THE SENIORS.

YOU GUYS WERE TALKING ABOUT THAT A LITTLE BIT EARLIER, ABOUT HOW DO YOU GET PEOPLE TO COME TO YOUR, YOUR EVENTS OR COME TO YOUR, YOUR LISTENING SESSIONS.

A LOT OF TIMES TRANSPORTATION OR JUST MOBILITY ISSUES, IT'S HARD FOR THEM TO EVEN GO TO GO TO THOSE THINGS.

IT'S HARD FOR THEM TO GO TO THE DOCTOR, HARD FOR THEM TO GO TO THE GROCERY STORE AND SO FORTH.

SO IT'S EQUALLY AS HARD.

EVERYONE HERE WE GO TO TOM THUMB OR PHARMACY OR WHATNOT, AND THERE'S A FLU SHOP FOR US.

SO IT'S EQUALLY AS HARD AS FOR A LOT OF OUR HOME BOUND SENIORS TO BE ABLE TO HAVE ACCESS TO THAT.

SO A FEW YEARS AGO, RIGHT BEFORE COVID, WE DECIDED WE WOULD DO A FLU SHOT PROGRAM.

WE'VE BEEN DOING THAT EVERY YEAR.

UM, NOT ONLY DURING COVID, WE DID, WE DO FLU SHOTS IN THE FALL OF 2020, BUT IN THE WINTER OF 21, WE STARTED DELIVERING COVID VACCINES AS WELL IN HOME COVID VACCINES.

THIS PROGRAM HAS NOW BEEN GOING ON FOR A COUPLE YEARS.

IN THIS LAST, UH, FALL, WE GAVE OUT A LITTLE OVER 730 VACCINATIONS, BOTH TO PEOPLE THAT ARE CLIENTS OF OURS IN THEIR HOME, PLUS A NUMBER OF COMMUNITY PROGRAMS. UM, WE SEND OUT, UH, INFORMATION TO ALL OF OUR CLIENTS THROUGH EVERY MONTH.

THEY GET KIND OF A FLYER ABOUT, UH, NUTRITION EDUCATION OR SOME OTHER TYPE OF OF THING.

WE INVITE THEM TO CALL US AND SAY THEY WANT A FLU SHOT.

AND SO OUTSIDE OF THEIR MEAL DELIVERY ROUTE, WE SEND SOME OF OUR HOSPICE NURSES AND AIDS OUT TO GET FLU SHOTS OUTSIDE OF THAT, JUST KNOCK ON THE DOOR AND GIVE 'EM FLU SHOT IN THEIR HOME.

AND THEY DON'T HAVE TO ACTUALLY GO OUT AND GET THAT.

SO THAT'S A PRETTY IMPORTANT PROGRAM WE STARTED A FEW YEARS AGO.

UH, ANOTHER ONE THAT WE DO, WHICH A LOT OF PEOPLE, UH, REALLY LOVE IS WE HAVE A PET CARE PROGRAM.

UM, SO A LOT OF OUR CLIENTS HAVE DOGS AND CATS.

UM, YEARS AND YEARS AGO, PROBABLY 10 OR 15 YEARS AGO, THERE WERE A BUNCH OF STUDIES THAT SAID THAT IF YOU WERE ON MEALS ON WHEELS, YOU WERE SHARING YOUR MEAL WITHDRAWAL.

OH, YOUR PET.

SO WELL, WE DON'T WANT PEOPLE TO DO THAT.

WE WANT THEM TO BE ABLE TO FEED THEIR ANIMALS AS WELL.

A LOT OF TIMES THIS IS THEIR COMPANION.

AND SO ONCE A MONTH, UH, WE DO A PET DELIVERY.

THERE'S ABOUT, I THINK IT'S AROUND, SAY THERE'S ABOUT 240 OR SO CLIENTS, PROBABLY 400 DOGS AND CATS ON THAT SERVICE ANYWAY.

SO ONCE A MONTH WE DELIVER A ON A SATURDAY, WE HAVE A TOTALLY DIFFERENT GROUP OF PEOPLE THAT COME AND VOLUNTEER TO DO THAT, AND WE DELIVER A CLIENT BAG OFF THROUGH THE LAST MONTH.

AND SO IT HELPS THEM OFFSET THE COST OF FEEDING THEIR FURRY COMPANIONS.

UM, WE WORK WITH PHOENIX MOBILITY FOR TRANSPORTATION STUFF, AND THEN WE USE SOME TECHNOLOGY THAT WE, UM, A LOT OF US, UM, WHEN YOU

[00:35:01]

GO TO THE DOCTOR RIGHT BEFORE YOU GO TO THE DOCTOR, YOU GET THE LITTLE MESSAGE OF TEXT MESSAGE DURING THE PHONE SAYING, TOMORROW YOU HAVE AN APPOINTMENT.

DON'T MISS THAT.

WE USE A SIMILAR SYSTEM TO REMIND OUR CLIENTS OF THINGS.

SO WE'RE ABLE TO USE, IT'S CALLED CARE MESSAGE AND WE'RE ABLE TO USE THAT SYSTEM AS WELL.

SO, NEXT SLIDE WHILE WE WAIT.

YES, MA'AM.

THAT'S, I SAY WHILE WAITING FOR THE NEXT SLIDE, HOW DOES THAT COMMUNICATION PROCESS WORK THAT MAY NOT HAVE TECHNOLOGY? SO IT'S TWO, IT'S, IT'S PART, IT'S NOT THE ONLY WAY WE COMMUNICATE.

OKAY.

SO FLU SHOT'S A GOOD EXAMPLE.

WE SEND EVERYONE THAT'S IN OUR SYSTEM THAT HAS A CELL PHONE, THAT MESSAGE, AND YOU'D BE SURPRISED, IT'S PROBABLY ABOUT 85% OR CLIENTS HAVE ONE.

MOST PEOPLE NOW THAT'S WHAT THEY USE VERSUS A PHONE THAT'S IN THE HOME, RIGHT? SO THE OTHERS GET THE SAME COMMUNICATION, THEY JUST GET THROUGH A FLYER WHEN THEIR MEAL IS DELIVERED, THEY'RE GIVEN THAT.

SO WE DON'T MISS ANYONE.

UM, EVERYONE GETS A FLYER.

EVERYONE ALSO THAT HAS THE ABILITY TO RECEIVE A TEXT MESSAGE THAT SEND A TEXT MESSAGE THROUGH THE PHONE.

YOU DON'T EVER SEND THAT.

ONLY PEOPLE ON THE CELL PHONES THAT DON'T HAVE ONE YET.

SO IT'S, IT'S A, IT'S ANOTHER WAY TO COMMUNICATE TO THEM AND IT'S AN EASY WAY FOR US TO COLLECT INFORMATION BACK.

THEY CAN, I CAN ASK A QUESTION.

UH, IT'S INTERESTING.

SO THANK YOU.

YES, MA'AM.

UM, THIS IS COMMISSIONER AUSTIN.

I HAVE A QUESTION, PLEASE.

YES.

AS FAR AS THE FREE RIDES TO DOCTOR'S APPOINTMENTS AND PRESCRIPTION PICKUPS, HOW DO, UH, SENIORS GO ABOUT GETTING THOSE? DO THEY HAVE TO MAKE APPOINTMENTS? UM, IS IT DONE ON AN APP? DO THEY CALL A TELEPHONE NUMBER? HOW'S THAT DONE? SO OUR PROGRAM IS, WE WORK WITH PHOENIX MOBILITY, WHICH IS A NONPROFIT HERE IN NORTH TEXAS THAT YEAH.

PROVIDES, UM, FOR THEM.

SO WE MAKE REFERRAL, WE, WE MAKE REFERRALS FOR OUR CLIENTS TO THAT ORGANIZATION.

SO A LOT OF TIMES WE AREN'T COORDINATING IT.

WE GIVE THEM THE INFORMATION, THEY REACH OUT THEMSELVES AND THEY COORDINATE WITH PHOENIX MOBILITY.

THAT'S HOW OUR PROGRAM WORKS.

SO THE TIMELINE, IT COULDN'T BE SOMETHING THAT COULD BE DONE WITHIN A DAY OR SO.

IT, IT TAKES A WHILE.

PAPERWORK, I, I DON'T KNOW THAT IT WOULD TAKE A DAY OR SO.

IT, IT, IT DEPENDS ON, UM, THE AVAILABILITY OF THOSE OF THOSE DRIVERS FOR THAT PROGRAM.

AGAIN, WE GIVE, IF A CLIENT OF OURS SAYS, I REALLY NEED TRANSPORTATION SERVICES TO SEE WHAT WE SAY, GREAT, HERE'S INFORMATION ABOUT PHOENIX MOBILITY.

THEY REACH OUT TO THEM AND WORK OUT THE DETAILS THERE.

THANK YOU, UHHUH.

OF COURSE.

UM, ONE OF THE THINGS THAT WE HAVE DONE OVER THE LAST COUPLE YEARS IS WE CERTAINLY HAVE OUR, OUR VOLUNTEERS AND DRIVERS WHO DELIVERED A MEAL EVERY DAY.

AND THERE'S A, AN ABILITY AND A WAY FOR US TO SORT OF CAPTURE INFORMATION THROUGH KIND OF A MOBILE APPLICATION THAT CAN KICK BACK TO OUR OFFICE AND SAY, YOU KNOW, TODAY I DELIVERED MEALS TO CHRIS AND HE DIDN'T LOOK SO WELL OR HE NEEDED THIS OR THAT.

YOU CAN SEND A LITTLE MESSAGE BACK AND IT GOES BACK TO OUR OFFICE.

AND THEN WE COORDINATE THAT.

BUT ONE OF THE OTHER THINGS WE REALIZED IS, THAT'S GREAT, BUT GOSH, IF WE HAD A DEDICATED TEAM OF PEOPLE, COMMUNITY HEALTH WORKERS, AND TO VISIT THE, THE HIGHEST NEED CLIENTS OR PEOPLE THAT WERE DEEMED THAT NEEDED, THAT WOULD BE A, A GREAT WAY FOR US TO BE ABLE TO EVEN ADD MORE SERVICES.

SO DURING COVID WE STARTED THIS, WE HAVE FOUR COMMUNITY HEALTH WORKERS AND A SOCIAL WORKER NOW ON STAFF WHOSE JOB IS EVERY DAY THEY GET A REPORT FROM THAT, UH, FROM THAT SYSTEM THAT SAYS, HERE ARE THE 25 CLIENTS THAT NEED A HOME VISIT, AND THEY GO OUT AND VISIT THOSE CLIENTS.

SO, UH, OUR, THESE GUYS ARE ALSO OUT IN THE COMMUNITY AT DIFFERENT COMMUNITY EVENTS TO HELP REALLY, UM, RECRUIT PEOPLE TO BE ON MEAL SERVICE.

UH, THAT'S A BIG PART OF WHAT WE DO TOO.

WE GET A LOT OF REFERRALS TO ON SERVICE.

BUT ONE OF THE THINGS IS WE REALIZED YEARS AGO, WE NEED TO BE OUT IN COMMUNITY ASKING, UH, FOLKS IF THEY NEED THE SERVICE.

AND SO THAT IS COMMUNITY HEALTH WORKERS DO BOTH RECRUITMENT OF NEW CLIENTS, BUT ALSO SORT OF DO HOME VISITS TO CLIENTS.

WELL, SO, EXCUSE ME, YOUR COMMUNITY HEALTH WORKERS.

THEIR BACKGROUND IS, THEY ALL HAVE THEIR, ALL OF THE FOUR OF THEM, TWO OF THEM HAVE MASTER'S MASTER IN SOCIAL WORK AND THE OTHER TWO TO HAVE, UM, A COMMUNITY HEALTH WORKER DEGREE.

AND THERE'S AN ACTUAL LICENSE, UH, FROM THE STATE OF TEXAS.

THEY CAN CERTAIN NUMBER OF HOURS, THEY GET A CER CERTIFICATION.

SO THEY'RE ALL CERTIFIED IN THAT, IN THAT WORK.

GREAT.

NEXT SLIDE.

[00:40:12]

THERE WE GO.

UM, THIS TALKS ABOUT THAT COMMUNITY HEALTH WORKER PROGRAM WE TALKED ABOUT.

SO WE CAN MOVE, WE CAN MOVE TO THE NEXT ONE.

SORRY, GETTING A LITTLE AHEAD OF EASE.

THANKS.

ONE MORE AREA.

HERE WE GO MORE.

UM, ANOTHER, ANOTHER THING THAT WE REALIZE TOO IS AGAIN, WE'RE GOOD AT DELIVERING MEALS.

WE'RE GOOD AT PROVIDING HOSPICE PALLIATIVE CARE, BUT A LOT OF THE OTHER SERVICES OUT THERE, WE WANNA MAKE SURE WE PARTNER WITH HEALTH HEALTH ORGANIZATIONS AND GROUPS.

AND SO WE HAVE A NUMBER OF HEALTHCARE PARTNERSHIPS WITH SOME OF THE MAJOR HEALTH SYSTEMS, UH, IN NORTH TEXAS.

WE HAVE A NUMBER OF, UM, OPPORTUNITIES FOR US TO ACTUALLY REFER CLIENTS TO PHYSICIAN HOUSE CALL GROUPS NOW.

SO OBVIOUSLY GETTING TO THE DOCTOR IS A BIG CHALLENGE FOR, FOR FOLKS THAT HAVE MOBILITY ISSUES AND TRANSPORTATION ISSUES.

SO ONE OF THE THINGS WE'RE DOING NOW IS REFERRING, UH, OUR CLIENTS TO A NUMBER OF THE HOUSE CALL GROUPS WHERE DOCTORS WILL ACTUALLY COME AND VISIT THEM IN THEIR HOME, WHICH IS A GREAT SERVICE.

UM, THERE'S A NUMBER OF THOSE PRACTICES, UH, HERE IN NORTH TEXAS.

AND SO THE ABILITY TO BE ABLE TO REFER CLIENTS TO THAT SO THAT THEY CAN HAVE SOMEONE COME AND VISIT THEM IN THEIR HOME IS, IS A BIG DEAL.

SO NEXT SLIDE.

NO, NOT YET.

YOU CAN JUMP IT, YOU CAN JUMP PAST THIS ONE TOO.

THERE'S A LOT IN THERE.

SO YOU GUYS CAN, UM, THIS WE DO A NUMBER OF, UM, UH, SORT OF, WE ALWAYS WANT TO KNOW ARE WE PROVIDING THE BEST SERVICE WE CAN.

WE COULD KNOW THAT IN THE SENSE OF THAT WE'RE DELIVERING THESE MEALS, BUT ARE WE DOING IN THE CORRECT WAY? ARE WE DOING TIMING WAY? ARE WE MAKING SURE THAT WE'RE PROVIDING THE RIGHT TYPE OF MEAL, THE RIGHT TYPE OF SERVICE? AND SO ONE OF THE THINGS THAT WE, UH, AT VNA HAS ALWAYS DONE IS WE'VE ALWAYS TRIED TO PARTICIPATE IN A LOT OF RESEARCH STUDIES THAT ARE DONE ON THE DELIVERY OF MEALS, ON THE TYPE OF MEAL.

UM, AND SO WE'VE BEEN A PART OF A NUMBER OF STUDIES OVER THE LAST COUPLE OF YEARS THAT HAVE REALLY SORT OF COME OUT AND GIVEN US AND REALLY MEALS PROGRAMS AROUND THE COUNTRY DIRECTION ON HOW, WHAT THEY NEED TO SERVE, WHEN THEY NEED TO SERVE IT.

UM, AND THE ABILITY FOR US TO KNOW THOSE THINGS IS IMPORTANT THAT WE AT DNA WANT TO BE ABLE TO PARTICIPATION, PARTICIPATE IN THAT SO THAT WE CAN HAVE KIND OF THE INSIDE TRACK.

SO WE'VE BEEN PART OF A NUMBER OF RESEARCH PROGRAM, UH, THROUGHOUT THE COUNTRY ON PEOPLE THAT LIVE HERE.

RIGHT.

WE'RE PART OF THE PROCESS.

ONE OF THE ONES IS HAS BEEN DOING, UM, RESEARCH ON THE DIFFERENCE BETWEEN A COMING TO THEIR HOME AND KNOCKING ON THE DOOR VERSUS, WHICH WE ALL HAVE SEEN IN OUR COMMUNITIES NOW, DROP SHIP BOX ONE, FROZEN MEALS ON THE FRONT DOORSTEP AND SUPPOSED TO BRING THAT IN AND PUT IT IN THE FREEZER.

SO THE, THE BIG DIFFERENCE WE'RE LOOKING AT IS DOES THE DAILY KNOCK ON THE DOOR, THE HANDING OF THE HOT MEAL, DOES THAT COHORT OF PEOPLE HAVE DIFFERENT HEALTH OUTCOMES, UTILIZE HEALTH SYSTEM AND PEOPLE THAT ARE GETTING THE FROZEN MEALS.

SO IT'S, IT'S AN INTERESTING STUDY.

WE'RE IN THE MIDDLE OF THAT ONE.

WE DON'T HAVE RESEARCH LIKE YET.

UM, IT'S INTERESTING TO SEE.

BUT THAT CHANGE HOW MEALS PROGRAMS SORT OF APPROACH THEIR DELIVERY MODEL, MAYBE.

COULD IT, COULD IT ALSO REINFORCE THE MEALS? NO, I HAVE A QUESTION.

THIS IS DEBBIE AUSTIN AGAIN.

COMMISSIONER AUSTIN.

YES MA'AM.

I'M SEEING THAT, UH, THE VNA SUNSHINE CALL PROGRAM AND I SEE THAT YOU ARE IN PARTNERSHIP WITH UT DELL MEDICAL AND DELL MEDICAL IS A UT BRANCH IN AUSTIN.

I UNDERSTAND THAT UT UM, UT HOUSTON ALSO HAS A CALL PROGRAM THAT THEY WERE TRYING TO INSTITUTE.

UM, DID, DID YOU ALL WORK WITH THEM TOO OR IS IT JUST THE ONE IN AUSTIN? SO THE ONE RIGHT NOW IT'S THE ONE IN AUSTIN BECAUSE THEY ARE DOING A STUDY NATIONWIDE AND THEY REACHED OUT TO US AND ASKED IF WE WANTED TO PARTICIPATE.

SO IN THAT PROGRAM, IT'S JUST THIS ONE AT, UH, DELL MEDICAL IN AUSTIN.

JUST THE ONE IN AUSTIN.

OKAY.

THANK YOU.

NEXT SLIDE.

[00:45:06]

UM, THIS GOES BACK A LITTLE BIT TO SOME OF THE TECHNOLOGY THAT WE USE.

AGAIN, THE ABILITY TO CAPTURE REAL-TIME DATA EVERY DAY ON OUR CLIENTS, UH, TO UNDERSTAND, YOU KNOW, THEIR NEEDS, UH, IS GREAT.

AND SO WE HAVE A, A SYSTEM THAT ALLOWS US WHEN YOU DELIVER, IF YOU'VE DELIVERED MEALS IN THE PAST FOR US, YOU WOULD'VE GOTTEN A PAPER MANIFEST AND HERE'S THE LIST AND ALL THE NAMES.

NOW THAT'S ALL DONE ON THE PHONE.

SO IT'S ALL AN APP, IT'S DONE.

SO WHEN YOU ARE DELIVERING, YOU CLICK DELIVERED OR UNDELIVERED HOME, NOT HOME.

AND IT GIVES US THAT REAL TIME FEEDBACK.

SO AT THE END OF THE DAY, WE HAVE, UM, INTAKE SPECIALISTS, UM, THAT WILL ACTUALLY FOLLOW UP WITH ALL THE CLIENTS THAT WERE AT HOME BECAUSE WHY WEREN'T THEY THERE? IS THERE A CHALLENGE? DO THEY NEED A COMMUNITY HEALTH WORKER TO COME VISIT THEM? DO THEY NEED EXTRA RESOURCES AND SO FORTH BEFORE THE SYSTEM, WHICH WAS IMPLEMENTED OF THE YEAR, RIGHT? IN 2019 BEFORE THAT YOU, WE WOULD, YOU WOULD PICK UP YOUR MEALS AND YOU GET YOUR PAPER MANIFEST.

THE ASSUMPTION WAS ALL THOSE MEALS ARE DELIVERED.

DIDN'T, YOU COULD CALL BACK AND SAY CHRIS WASN'T HOME THAT DAY, BUT NOT A LOT OF OUR, OUR VOLUNTEERS, THEY WOULD DO, SOME WOULD DO AND SOME WOULD.

THIS IS, THIS IS, YOU HAVE TO CLICK THROUGH IN ORDER TO FINISH YOUR ROUTE.

SO IT GIVES US REAL, REAL TIME DATA, WHICH IS REALLY INTERESTING.

SO IT'S ALLOWED US TO REALLY KIND OF SHIFT, UH, AND GROW ROUTES.

UM, PRIOR TO 2019, WE WERE SERVING ABOUT 3,900 CLIENTS NOW, WHEREAS HIGH AS 5,000, A BIG PART OF THAT IS NOT JUST THE NEED, WHICH IS ALWAYS THERE, BUT IT'S HOW DO YOU SCALE UP TO THAT? AND THIS TECHNOLOGY HAS REALLY HELPED US GET TO THAT POINT.

SO, UM, AND REALLY IMPORTANT PART.

SO NEXT SLIDE WE CAN, LET'S GET THIS ONE.

GO INTO THE HOSPICE PIECE.

SO I KNOW YOU GUYS HAVE SOME QUESTIONS.

SO THE SECOND PIECE OF WHO WE ARE, AGAIN, THE MEALS PROGRAM IS OUR END OF LIFE CARE, UH, PROGRAM.

UM, WE ARE ONE OF THE LARGEST, UH, NON-PROFIT HOSPICE PROVIDERS IN NORTH TEXAS.

THEY'RE PROBABLY LAST COUNT TWO TO 300 HOSPICE PROGRAMS IN NORTH TEXAS ALONE.

SO ANYONE NEEDS IN LIFE CARE, THEIR PHYSICIAN IS THE ONE THAT SORT OF SAYS IT'S TIME FOR YOU TO HAVE THAT TYPE OF SERVICE.

THERE'S HUNDREDS YOU CAN CHOOSE FROM.

UM, THERE ARE THE LARGE NATIONAL GROUPS THAT PROBABLY HAVE FIVE OR 600 CLIENTS ON SERVICE, UH, AT A TIME HERE IN NORTH TEXAS.

AND THEN IT DROPS DOWN TO THE REGIONAL GUYS.

US, WE HAVE ABOUT 325 THIS MORNING WHEN I LOOKED.

UH, WE HAVE ANOTHER A HUNDRED PEOPLE THAT ARE ON PALLIATIVE CARE, WHICH IS PRECURSOR TO HOSPICE.

HOSPICE CARE IS YOUR END OF LIFE CARE IS YOU HAVE SIX MONTHS LEFT TO YOU COME ONTO HOSPICE CARE.

WE TAKE OVER AS A, AS A ORGANIZATION, WE TAKE OVER YOUR TAKING CARE OF YOU UNTIL YOU PASS AWAY.

UH, IT IS A PAIN MANAGEMENT.

IT'S 90% OF OUR CLIENTS LIVE IN THEIR OWN HOME.

THE OTHERS LIVE IN A NURSING HOME OR HOSPITAL SETTING OR ASSISTED LIVING.

UH, PALLIATIVE IS THE PRECURSOR TO THAT.

PEOPLE CAN COME ONTO PALLIATIVE CARE.

IT'S MORE SERIOUS ILLNESS CARE.

UM, YOU DO NOT HAVE TO HAVE A DIAGNOSIS, UH, THAT YOU'RE GONNA HAVE SIX MONTHS LESSER LIVE.

IT'S THE SAME SERVICES.

IT'S JUST NOT AS INTENSE TO SAY IN HOSPICE.

SO WE HAVE ABOUT 110 PEOPLE HERE IN HERE IN OUR AREA ON THAT SERVICE.

ABOUT 320 ON HOSPICE CARE.

NEXT SLIDE.

THIS IS THAT SERVICE AREA.

AGAIN, WE COVER DALLAS, UH, FOR MEALS, THE CITY OF DALLAS FOR MEALS, BUT THEN WE COVER IT THIS ENTIRE AREA FOR HOSPICE CARE.

NEXT SLIDE.

THIS IS RELATED TO OUR, OUR PALLIATIVE CARE PROGRAM.

SO IN THE, UH, LATE SEVENTIES, MEDICARE CAME OUT WITH THIS NEW THING CALLED HOSPICE.

UM, THE VISITING NURSE ASSOCIATION.

WE WERE THE FIRST HOSPICE IN THE STATE OF TEXAS.

WE WERE THE FIRST ONE TO RAISE OUR HAND AND SAY, WE'LL DO IT.

IT WAS A MODEL, IT WAS KIND OF A, IT WAS A, A TEST TO SEE IF THEY WOULD ACTUALLY DO IT.

SO WE RAISED OUR HAND AND SAID WE WOULD DO THAT A FEW YEARS AGO.

WE RAISED OUR HAND AND SAID WE WOULD DO THE PALLIATIVE CARE PORTION OF THAT.

AND THAT'S HOW THAT PALLIATIVE CARE PROGRAM WAS CREATED.

THERE'S A HUGE GAP IN HEALTHCARE.

EVERYBODY KNOWS BETWEEN SAY, SERIOUS ILLNESS CARE, END OF LIFE CARE.

SO PALLIATIVE IS THAT BRIDGE BETWEEN THOSE TWO.

AND SO WE WERE ABLE TO HAVE THAT PROGRAM FOR A COUPLE OF YEARS.

THAT PILOT HAS ENDED,

[00:50:01]

BUT WHEN IT ENDED, WE KNEW THAT.

WE REALIZED BY BEING IN THAT PILOT, THE, THE NEED THAT WE HAVE HERE IN NORTH TEXAS, THE NEED PEOPLE HAD.

SO WE DECIDED TO KEEP IT.

UM, IT IS A YOU WE DO NOT GET PAID ANYTHING FOR PALLIATIVE CARE.

HOSPICE IS A MEDICARE BENEFIT.

UH, WHEN YOU ARE 65 AND OLDER AND YOU HAVE MEDICARE AND YOU NEED TO GO ONTO HOSPICE SERVICES, MEDICARE PAYS THE HOSPICE PROVIDER DNA, UH, SO MUCH A DAY THAT PROVIDES YOU WITH HOSPICE CARE AND YOU ARE ON THAT SERVICE UNTIL, UNTIL YOU PASS AWAY.

HOW, IT'S NOT THAT THERE'S NO PAYER FOR THAT, BUT THE ABILITY AND THE RESOURCE THAT ALLOWS PEOPLE TO BRING SERIOUS ILLNESS CARE, WE REALIZED THERE WERE TOO MANY PEOPLE IN NORTH TEXAS THAT NEEDED THAT.

AND SO WE DECIDED TO STICK WITH IT AND SAY TO KEEP IT.

SO IT'S A, IT'S A MISSION BASED SERVICE.

WE'RE A NONPROFIT ORGANIZATION IN THAT, THAT PALLET OF PIECE AS WE WE'RE DOING IT MORE OR LESS FOR FREE.

UM, WE DO HAVE A FEW MANAGED MEDICARE PARTNERS THAT PAY A LITTLE BIT ON IT, BUT FOR THE MOST PART IT IS NOT A ADDED BENEFITS.

BUT WE WANTED TO MAKE SURE WE KEPT THAT.

'CAUSE WE KNOW THAT IT ALLOWED PEOPLE TO HAVE THAT SERVICE PRIOR TO HOSPICE CARE AND IT'S REALLY HELPED HELP PEOPLE UNDERSTAND AND UTILIZE THAT SERVICE.

SO, EXCUSE ME.

YES MA'AM.

ABOUT HOW LONG ARE YOUR PATIENTS ON PALLIATIVE TAKE CARE? THAT'S A GOOD QUESTION.

SO PALLIATIVE, WE, YOU CAN, WE'VE HAD PEOPLE THAT HAVE BEEN ON FOR MORE THAN A YEAR ON PALLIATIVE HOSPICE CARE.

THE AVERAGE LENGTH OF STAY FOR US IS PROBABLY AROUND 20 TO 25 DAYS.

AND YOUR PALLIATIVE CARE AVERAGE IS ABOUT, OOH, I WOULD'VE TO LOOK.

UH, I WOULD PROBABLY SAY IT'S ABOUT TWO MONTHS.

OKAY.

YEAH.

I'M JUST CURIOUS.

YEAH, IT'S A GOOD QUESTION.

UM, AND WHAT'S INTERESTING ABOUT PALLIATIVE IS BECAUSE YOU'RE NOT TERMINALLY ILL PEOPLE COME ON.

YEAH.

AND THEY STAY ON THE SERVICE AND THEN THEY DECIDE I DON'T NEED IT ANYMORE.

YEAH.

A LOT OF OUR PALLIATIVE CARE PATIENTS ARE CANCER PATIENTS.

MM-HMM.

.

SO THEY GO INTO REMISSION AND THEY DON'T NEED US TO COME AND PROVIDE THE SERVICES ANYMORE.

SO THEY COME ON.

THAT'S GREAT.

SO, UM, THIS IS NOT SENIOR RELATED, BUT ONE OF THE THINGS THAT WE, UH, WE DO ALSO WITHIN OUR, OUR HOSPICE PROGRAMS IS WE, WE HAVE A PEDIATRIC HOSPICE PROGRAM.

UH, CHILDREN'S CAME TO US KIND OF IN THE MIDDLE OF COVID AND SAID, THERE ARE NO PROVIDERS ANY LONGER FOR, UM, PEDIATRIC HOSPICE CARE.

WE DID IT A WHILE BACK.

WE'VE GOTTEN OUT OF THAT BUSINESS.

THEY CAME TO US AND WE SAID, ABSOLUTELY.

SO OF THE 325 OR SO CLIENTS IN HOSPICE CARE, WE HAVE EACH DAY, ABOUT 30 OF THEM ARE ARE PEOPLE UNDER THE AGE OF 20.

UH, AND IT IS INFANTS ALL THE WAY TO TEENAGERS.

AND SO WE, UM, UH, STARTED THAT PROGRAM IN A REALLY, UH, IT'S BEEN A, IT'S BEEN A TRUE BLESSING TO BE ABLE TO PROVIDE THAT SERVICE.

AND IT'S, AND THAT'S A GROWING NEED HERE IN NORTH TEXAS.

SO WANTED TO HIGHLIGHT THAT, JUST 'CAUSE IT'S A UNIQUE THING OF WHAT WE DO.

SO, THANKS.

THAT'S IT.

ONE QUICK QUESTION.

YES SIR.

HOW DO YOU, HOW IS DNA, BUT WHERE DOES YOUR MONEY COME FROM TO THESE THINGS? GREAT QUESTION.

SO WE ARE ABOUT A $35 MILLION AGENCY.

MEDICARE, UH, MEDICAID MAKE UP ABOUT 60% OF THAT BECAUSE IT'S A MEDICARE, UH, FEE FOR SERVICE FOR, FOR HOSPICE CARE.

THE MEALS PROGRAM, UH, ABOUT HALF OF THE MONEY THAT WE NEED TO RUN THAT COMES FROM TWO IDOLS THAT COME FROM THE FEDS THAT COME TO THE STATE AND COMES TO THE LOCAL, LOCAL AGENCIES.

ONE IS CALLED TITLE THREE, IT'S OLDER FUNDING.

SO THOSE DOLLARS COME AGAINST FEDS STATES AND THEN THEY COME LOCALLY.

THE OTHER IS CALLED TITLE 20, WHICH IS COMMUNITY DEVELOPMENT BLOCK GRANT.

MONEY STATES RECEIVE, THEY CAN USE IT FOR A NUMBER OF THINGS.

THE THINGS TEXAS USES, THEREFORE IS TO PROVIDE MEALS FOR SENIORS.

IT'S ABOUT HALF OUR BUDGET, UH, FOR OUR MEALS PROGRAM AND THE REST OF IT.

UM, COMMISSIONER IS, IS COMMUNITY FUNDED, RAISED.

WE RAISE ABOUT $8 MILLION A YEAR THAT NOT ONLY COVERS, UM, THE, THAT KIND OF GAP BETWEEN WHAT WE'RE GETTING FROM STATE TO PAY FOR MEALS, BUT ALSO A PART OF WHAT WE DO FOR HOSPICE IS IF YOU'RE 65 AND OLDER, IT'S CAPABLE.

IF YOU'RE UNDER 65, GENERALLY NOT EVEN PRIVATE INSURANCE DOESN'T.

I MEAN, WE MEDICARE, SO WE, WE TAKE ON, OR WE HAVE CLIENTS THAT COME ONTO OUR SERVICE FREE OF CHARGE THAT NEED IT BECAUSE THEY HAVE, SAY THEY'RE 50 YEARS OLD AND HAVE CANCER.

THEY DON'T HAVE THE, THEIR PROGRAM, THEIR INSURANCE DOESN'T PAY FOR IT.

WE'LL TAKE THOSE ON.

AND WE USE FUNDRAISING DOLLARS TO COVER THE COST OF PROVIDING THAT CARE.

IT'S ABOUT 10 TO 15 TO 20 PEOPLE, DEPENDING ON THE TIME OF YEAR THAT ARE ON THAT TOTAL SERVICE OR CHARITABLE HOSPICE CARE.

SO WE RAISE DOLLARS TO PAY FOR THE MEALS PART HALF OF IT, AND THEN RAISE DOLLARS TO HELP PAY FOR CHARITABLE,

[00:55:01]

UM, .

CHRIS? UM, GO AHEAD, BROOKE.

I DELIVERED MEALS FOR PROBABLY FIVE YEARS AND I WAS ALWAYS AMAZED AT THE DIFFERENT SEGMENTS OF, OF THE CLIENTS.

SURE.

SOME WOULD BE THERE FOR TWO OR THREE WEEKS.

YEP.

OTHERS WOULD BE THERE FOR TWO OR THREE YEARS.

SO CAN YOU TALK A LITTLE BIT ABOUT THE VARIOUS SEGMENTS THAT YOU STARTED? YES.

SO, UM, YES.

SO WE HAVE, AGAIN, WE HAVE ABOUT 5,000 CLIENTS ON SERVICE EACH DAY.

WE END UP DISCHARGING FOR A VARIETY OF REASONS.

SO PERSON PASSES AWAY, THE PERSON MOVES, UH, THE PERSON JUST DOESN'T WANT MEALS ANYMORE.

UM, IT'S ABOUT A HUNDRED TO 120 A MONTH.

SO WHEN, WHEN PEOPLE ARE DELIVERING ROUTES, THEY HAVE THE SAME EXPERIENCE, THEY'LL DELIVER A ROUTE FOR A YEAR AND THEY'LL SAY, THE PEOPLE I STARTED WITH, ONLY HALF OF THEM ARE LEFT.

IT'S BECAUSE THEY COME OFF AND ON SERVICE.

ONE OF THE THINGS THAT WE REALLY ARE LOOKING AT AND ARE, ARE REALLY WANTING TO FIGURE OUT IS, AGAIN, THAT NUMBER OF PEOPLE THAT LIVE IN DALLAS COUNTY OR THAT LIVE IN THE CITY OF DALLAS THAT LIVE OUT OR BELOW THE POVERTY LINE, THERE ARE 60 OR 40.

THOSE PEOPLE WOULD QUALIFY FOR MEALS.

MOST LIKELY THAT, BUT YOU PROBABLY HAVE TO THINK THAT HALF OF THEM WILL NEVER WANT SOMEONE TO DELIVER A MEAL TO THEIR HOUSE.

JUST DON'T WANT THE SERVICE.

AND I THINK THAT'S A CHALLENGE THAT A LOT OF SOCIAL SERVICE GROUPS, AND WHETHER IT'S, WHETHER IT'S IN EARLY CHILDHOOD EDUCATION ALL THE WAY THROUGH TO SENIORS, IS THERE'S PLENTY OF FOLKS THAT COULD USE RESOURCES, BUT THEY JUST AREN'T GONNA EITHER, UM, ALLOW THE ORGANIZATION TO PROVIDE THAT CARE OR JUST DON'T WANT IT.

SO WE HAVE TO LOOK AT THAT NUMBER AND SAY, OKAY, WHAT'S THAT REAL NUMBER OF PEOPLE THAT WOULD WANT MEALS? HOW DO WE GET TO THAT NUMBER? UM, BUT, BUT FROM A, EVERY MONTH IT EBB AND FLOWS.

WE AGAIN DISCHARGE A HUNDRED TO 120 AND WE ADD A HUNDRED TO 131 MONTH, AND THEN ONE MONTH IT'S 140, AND THE NEXT MONTH IT'S 110.

SO IT JUST DEPENDS ON ADDING THOSE FOLKS.

BUT A BIG PART OF THAT IS A LOT OF THE FOLKS THAT COME OFF SERVICE THAT SAY THEY DON'T NEED THE MEALS ANYMORE, WE CONSTANTLY STAY IN TOUCH WITH THEM BECAUSE WE KNOW TRADITIONALLY THAT THEY'LL PROBABLY COME BACK.

UM, PEOPLE THAT MOVE OUT OF OUR COVERAGE AREA, WE REFER THEM TO OTHER MEALS PROGRAMS, PROVIDE 'EM CARE.

SOME PEOPLE, UH, END