* This transcript was created by voice-to-text technology. The transcript has not been edited for errors or omissions, it is for reference only and is not the official minutes of the meeting.
          HEY, WE'RE GONNA 
          [00:00:01]
BRING THE MEETING ORDER. 
          [Senior Affairs Commission on May 19, 2025.]
HELLO, TODAY, EVERYONE IS PRESIDENT. 
          THANK YOU. 
          NAME IS, EXCEPT FOR RENEE. 
          THE ONLY ONE MISSING. 
          OH, I'M CURIOUS ALSO WITH PARKLAND HOUSE. 
          OH, OH, PHILLIP GOT ON. 
          I I GOT THREE. 
          I NEED A GAVEL. 
          . 
          THE, LET'S BE NICE. 
          I GUESS IT'S AFTERNOON NOW, SO IT'S GOOD AFTERNOON EVERYONE. 
          UH, AFTERNOON. 
          THE, UH, FIRST ORDER BUSINESS IS PUBLIC SPEAKERS AND THERE'S NO ONE HERE. 
          IS THERE ANYONE ONLINE THAT HAS SIGNED UP TO, UH, SPEAK? YES, IT'S IN NO PUBLIC SPEAKER. 
          MOTION TO APPROVE THE MINUTES FOR OUR APRIL MEETING THAT WERE DISTRIBUTED. 
          MOVE. 
          I DIDN'T READ IT. 
          COMMENTS MOVED IT. 
          SECOND. 
          I SECONDED. 
          SECOND VERNA. 
          SECONDED. 
          UM, ANY COMMENTS OR DIRECTIONS TO BE MADE TO THE MINUTES? JUST A COMMENT TO ADD FOR NEW BUSINESS. 
          UM, CAN WE GET AN UPDATE OF WHERE THEY ARE IN OUR, I KNOW IT'S BEEN A WEEK, BUT WHERE THE, UH, SURVEY, I DIDN'T REALIZE WHERE THEY ARE IN THE PROCESS. 
          THAT'S ALL. 
          NOTHING TO DO WITH MINUTES. 
          SORRY. 
          DID THAT HAVE ANYTHING TO DO WITH MINUTES? NO. 
          LET'S WAIT AND TALK ABOUT TIME COMES. 
          UM, IF THERE ARE NO CHANGES, UH, ON PAPER APPROVING THE MINUTES, AI OR WAVE WHATEVER, AYE. 
          ANY POST, ANY MINUTES ARE APPROVED. 
          EVERYBODY GOT THE NOTICE OF THE, UH, OPEN MEETINGS REQUIREMENTS AND EVERYBODY KNOWS WHAT THAT IS BY NOW. 
          UH, ONE OTHER ITEM THAT I WANTED TO BRING UP, THE, OUR NEXT MEETING, THE JUNE MEETING, UH, COINCIDES WITH THE SAME DAY OF THE INAUGURATION OF, UH, MEMBERS OF COUNCIL, WHICH WE'VE BEEN TOLD, UH, THAT THE, THE SESSION SHOULD BE COMPLETED. 
          THE INAUGURATION CEREMONIES AND EVERYTHING SHOULD BE COMPLETED BY NOON. 
          WE'RE GOING TO PUSH BACK OUR STARTING TIME FOR A MEETING FROM NOON TO ONE O'CLOCK FOR THE JUNE MEETING. 
          AND, UH, WE WILL, WE WILL HAVE LUNCH AVAILABLE STARTING AT NOON. 
          AND, UH, THAT SHOULD, WHO WANTS? WE ATTEND THE INAUGURATION EVENTS TO DO THAT AS WELL AS, UH, BE HERE FOR THE MEETING. 
          THANK YOU. 
          ANY QUESTIONS ON THAT? OKAY. 
          I'M PLEASED TO, UH, INTRODUCE YOU TO RACITA OAKS, WHO IS WITH PARKLAND HEALTH. 
          UH, I MET HER THE FIRST TIME, I THINK ABOUT THREE YEARS AGO WHEN WE FIRST STARTED TRYING TO DEVELOP DATA ON SENIORS. 
          UH, I, UH, HAD ASKED FOR AN INTRODUCTION TO SOMEONE THAT, UH, BRETT CICE, THE CEO OF PARKLAND, UH, REFERRED ME TO TERRA AND WE HAD NUMEROUS CONVERSATIONS, DISCUSSIONS BACK THEN. 
          SHE WAS VERY, VERY HELPFUL. 
          BUT, UH, WE'VE INVITED HER HERE TODAY TO TELL US ABOUT THEIR, UH, HEALTH NEEDS ASSESSMENT THAT THEY DO. 
          I GUESS UNDER BY LAW, YOU HAVE TO DO IT EVERY TWO YEARS, EVERY THREE YEARS. 
          UH, AND SO THEY'RE IN THE PROCESS OF DOING THE NEW VERSION. 
          SHE'S GONNA USE THE LAST ITERATION, UH, TO, UH, GIVE YOU THE LANDSCAPE. 
          THEY'RE IN PROCESS OF DOING THEIR ANALYSIS OF THE DATA THAT'S BEEN COLLECTED. 
          AND THE NEW REPORT, AS I UNDERSTAND IT, WILL BE ISSUED IN THE EARLY FALL. 
          YES, IN THE LATE LATE, UM, DECEMBER. 
          'CAUSE WE HAVE TO, UH, PRESENT IT TO OUR BOARD FOR THEIR APPROVAL. 
          AND AFTER THAT IT HAS TO GO WHAT WE CALL PRODUCTION, WHICH MAKES IT LOOK IN THE NICE FORMAT. 
          SO IT'S NOT A WORD DOCUMENT. 
          . 
          OKAY. 
          WITH THAT, I'M GONNA TURN TOWARDS CHAIR AND LET HER, UH, MAKE HER PRESENTATION. 
          EVERYONE RECEIVED A COPY OF IT IN YOUR ADVANCE MATERIALS? ANYBODY AROUND THE TABLE DOESN'T, DIDN'T PRINT IT OUT. 
          THERE ARE COPIES OF ON THE BACK, UM, COUNTER, UH, IF YOU NEED IT. 
          WITH THAT, IT'S ALL YOURS. 
          TAKE IT. 
          THANK YOU SO MUCH FOR YOUR KIND INTRODUCTION AND, UM, IT'S AN HONOR TO BE HERE TO SHARE THIS INFORMATION. 
          AND JUST BEFORE I GET STARTED, UM, I WANNA BE SURE THAT WE ALL UNDERSTAND THAT TODAY'S PRESENTATION WE'LL HAVE INTRODUCED WHAT IS 
          [00:05:01]
THE PROCESS THAT WE FOLLOW, WHAT IS THAT WE INTEND TO GET OUT OF THIS, UM, COMPLETE, UH, NEEDS ASSESSMENT. 
          AND I WILL DO SOME OF THE DATA POINTS THAT WE ALREADY HAVE FOR SENIORS, BUT WITH THE UNDERSTANDING THAT WE'RE STILL COMPLETING A LOT OF DATA ANALYSIS, IT REQUIRES A LOT OF ASSESSMENT AND WE MOVE IN MANY, MANY DIRECTIONS. 
          I WOULD LIKE FOR THIS PRESENTATION TO BE THE MOST USEFUL TO ALL OF YOU. 
          SO FEEL FREE TO ASK QUESTIONS AND LET YOU FEEL THAT WE HAVE TO WAIT FOR QUESTIONS AT THE END. 
          I WOULD PREFER THAT PEOPLE ASK ME AS WE GO, BECAUSE I KNOW THAT'S FROM THE QUESTIONS UP TOP OF MIND. 
          LET ME SEE IF I CAN GET THIS TO, OKAY. 
          SO WE'LL START EXPLAINING WHAT IS, UH, THE COMMUNITY HEALTH NEEDS ASSESSMENT AND, AND WHY WE DO IT. 
          OUR COMMUNITY HEALTH NEEDS ASSESSMENT IS REALLY OUR REQUIREMENTS SET FORTH BY THE AFFORDABLE CARE ACT. 
          AND IT REQUIRES THAT ALL HOSPITALS NONPROFIT AND NOT, AND GOVERNMENTAL HOSPITALS COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY THREE YEARS. 
          SO OUR LAST REPORT IS IN 2022, AND WE'RE IN THE MIDST OF DEVELOPING OUR 2025 REPORT. 
          UM, SOMETHING THAT'S IMPORTANT IS THAT WE ARE REQUIRED TO USE MULTIPLE DATA FORCES, PUBLIC HEALTH DATA SUCH AS MORBIDITY, MORTALITY, HEALTH STATUS, AND OF COURSE OUR OWN INTERNAL DATA AND DATA THAT IS SHARED ACROSS MULTIPLE ORGANIZATIONS THROUGH AGENCIES LIKE THE DALLAS FORT WORTH HOSPITAL COUNCIL. 
          OUR COMMUNITY HEALTH NEEDS ASSESSMENT IS BASED ON THE CORE FUNCTIONS OF PUBLIC HEALTH, WHICH REQUIRES ASSESSMENT. 
          UM, LOOKING WHAT'S THE CURRENT HEALTH STATUS OF THE COMMUNITY THAT WE ARE WORKING ON. 
          WE LOOK AT POLICY DEVELOPMENT. 
          AND WHAT I MEAN BY THAT IS HOW CAN OUR INFORMATION HELP EDUCATE OTHER OFFICIALS TO MAKE INFORMED DECISIONS BASED ON THE INFORMATION THAT, UH, WE LEARN AND ASSURANCE BY NOT ONLY FOLLOWING THE LAW, BUT ALSO CONNECTING PEOPLE TO CARE. 
          AND I WANT YOU TO KEEP THESE THREE MAIN FUNCTIONS IN MIND BECAUSE AS I GO THROUGH THE PRESENTATION, IT GONNA SHOWS HOW THE CYCLE PROCESS, UM, GOES. 
          SO, AS I MENTIONED, WE DO THIS EVERY THREE YEARS. 
          UM, WE ARE IN THE MIDST OF DOING A 2025 REPORT, AND WE WILL GET A LITTLE SNEAK PREVIEW OF WHAT WE HAVE FOUND THIS FAR. 
          BEFORE I JUMP INTO THE PROCESS ITSELF, I JUST WANNA BE SURE THAT WE ALL UNDERSTAND WHAT IS THE ASK US TO DO. 
          SO WE ARE REQUIRED TO DEFINE THE COMMUNITY WE SERVE IN, IN PARKLAND'S CASE, IT'S VERY SIMPLE 'CAUSE WE ONLY SERVE DALLAS COUNTY. 
          SOME OF OUR OTHER HOSPITALS IN THE, IN THE AREA SERVE MULTIPLE COUNTIES. 
          SO THERE'S A DIFFERENCE IN HOW THEY GO ABOUT IT. 
          AND I WANNA BE SURE THAT'S A CLEAR UNDERSTANDING, UH, ABOUT THAT WE ARE REQUIRED TO IDENTIFY THE DISPARITIES PRESENCE IN THE COMMUNITY, THAT WE BUILD OUR KNOWLEDGE FROM OUR PREVIOUS REPORTS. 
          SO IF I FOUND SOMETHING THREE YEARS AGO, I'M NOT GONNA ASK THE SAME QUESTION. 
          I WANNA DIG DEEPER INTO THAT FINDING AND FURTHER EXPLAIN HOW CAN I CHANGE, UH, THE COURSE OF THAT, UM, FINDING WE MUST WORK DIRECTLY WITH THE COMMUNITY. 
          SO RIGHT NOW WE'RE IN THE MIDST OF CONDUCTING FOCUS GROUPS. 
          WE HAVE CONDUCTED THIS FAR, I WOULD SAY CLOSE TO 30 FOCUS GROUPS. 
          AND WE'LL STILL BE CONDUCTING MORE THROUGHOUT THE COMMUNITY UNTIL THE END OF MAY. 
          AND WE ALSO HAVE AN ONLINE SURVEY THAT THIS FAR HAS, UM, GENERATED MORE THAN 2000 RESPONSES FROM THE COMMUNITY. 
          AND WE'RE STILL IN THE MIDST OF COLLECTING INFORMATION FOR TWO MORE WEEKS. 
          WE ALSO WORK VERY CLOSELY WITH THE DALLAS COUNTY HEALTH AND HUMAN SERVICES. 
          THEY USE, UM, THIS REPORT TO SERVE AS A REQUIREMENT TO BE AN ACCREDITED PUBLIC HEALTH AGENCY, WE MUST IDENTIFY THE NEEDS THAT, UM, WE IDENTIFY THROUGHOUT ALL THE DATA ANALYSIS. 
          WE MUST CREATE A WRITTEN REPORT AND MAKE IT WIDELY AVAILABLE TO THE COMMUNITY. 
          SO WE PRINT THE COPIES AND WE ALSO, IF YOU WANT A COPY, WE HAVE 'EM ALREADY AVAILABLE IN OUR, UM, ONLINE, UM, WEBPAGE FOR, FOR PARKLAND. 
          AND VERY IMPORTANTLY, WE HAVE TO HAVE AN IMPLEMENTATION PLAN THAT CLEARLY OUTLINES THE ACTIVITIES THAT WE'RE GOING TO DO TO ADDRESS THE FINDINGS AND WHAT ARE THE METRICS THAT WE USE TO, UM, MEASURE OUR OUTCOMES. 
          SO TO REALLY MOVE IN ADVANCE OUR, OUR CHNA, WHAT WE HAVE DONE IN PARKLAND IS WE HAVE ALIGNED THIS EFFORT UNDER OUR STRATEGIC PLAN, AND IT IS LOCATED UNDER THE HEALTH EQUITY STRATEGY. 
          SO WE REALLY USE THIS REPORT AS THE NORTH STAR TO REALLY HELP US INFORM MAKING DECISIONS, 
          [00:10:01]
GUIDING OUR DISCUSSIONS, SO THAT WE'RE ALWAYS LOOKING AT CLOSING THE DISPARITY GAPS IN THE . 
          FOR THE PURPOSE OF THE METHODOLOGY, I WANNA HIGHLIGHT THAT WE TAKE TWO APPROACHES. 
          ONE IS THE QUANTITATIVE DATA I MENTIONED EARLIER WHERE WE PULL DATA FROM EXTERNAL DATA SOURCES SUCH AS THE CDC, THE US CENSUS BUREAU, TEXAS HEALTH AND HUMAN SERVICES, THE COUNTY HEALTH DEPARTMENT. 
          BUT WE ALSO LOOK AT A LOT OF OUR OWN DATA, SUCH AS OUR CHRONIC DISEASE REGISTRIES, OUR EPIC, OUR OWN DASHBOARDS THAT WE HAVE CREATED TO MEASURE OUR OUTCOMES. 
          AND WE ALSO LOOK AT, AS I MENTIONED EARLIER, THE COMMUNITY, UH, INPUT MULTIPLE ENGAGEMENT OPPORTUNITIES. 
          AND WE TAKE THAT DATA IN THROUGH A TEXT ANALYTICS SOFTWARE. 
          WE DO AN IN-DEPTH ANALYSIS TO UNDERSTAND WHAT ARE THOSE KEY FINDINGS. 
          AND WHAT WE DO LATER IS DO A TRIANGULATION. 
          WE IDENTIFY FROM ALL THESE DIFFERENT SOURCES, WHAT ARE THE THINGS THAT ARE SURFACING AT THE TOP IN WHAT NEEDS ATTENTION. 
          SO I'M NOT GONNA DEEP DIVE VERY, UH, MUCH IN WHAT ARE THE RESULTS OF OUR DALLAS COUNTY DEMOGRAPHICS IS THAT WE NEED TO REALLY UNDERSTAND THAT 20% OF OUR POPULATION DOES NOT HAVE INSURANCE. 
          AND THAT IS, UH, OF IMPORTANCE FOR PARKLAND BECAUSE OUR, OUR, UH, MISSION IS TO SERVE THE, UM, UNDERSERVED AND ALSO LOOK AT THE DEMOGRAPHIC FROM RACE AND ETHNICITY SO THAT WE'RE ABLE TO PREPARE, UM, PROGRAMS THAT ARE CULTURALLY RELEVANT TO THE COMMUNITIES. 
          SO AS YOU CAN SEE HERE, UM, WE HAVE A SIGNIFICANT HIGHER AFRICAN AMERICAN POPULATION, CLEAR TO UNITED STATES AND THE STATE. 
          WE HAVE A HIGHER PROPORTION OF HISPANICS IN THE COMMUNITY. 
          AND OF THAT IS IMPORTANT TO RECOGNIZE THAT 34% OF OUR POPULATION SPEAKS SPANISH AT HOME. 
          THIS IS IMPORTANT 'CAUSE WHEN YOU TALK IN HEALTH TERMS, WE MUST BE, UM, AWARE OF WHO IS OUR, OUR PATIENTS AND HOW DO WE COMMUNICATE IN A WAY THAT THEY UNDERSTAND THAT HEALTHCARE LANGUAGE, WHICH IN ITSELF IS, IS VERY COMPLEX. 
          PART OF OUR, UM, OUR ASSESSMENT REALLY LOOKS AT SOME OF THE RISK FACTORS IN THE COMMUNITY THAT COULD LEAD TO DISPARITIES. 
          SO WHAT YOU HAVE HERE IN THIS GRAPH IS SHOWS THAT WE HAVE 14% OF HISPANICS, UM, LIVE IN POVERTY AND 19% OF AFRICAN AMERICAN. 
          IT ALSO LOOKS AT HOW THE DISTRIBUTION OF LOW INCOME, LOW ACCESS TO FOOD IS, UM, TRANSLATED GEOGRAPHICALLY. 
          THE AREAS IN THE MAP IN ORANGE SHOW THOSE AREAS THAT ARE CHARACTERIZED BY HIGHER COMMUNITIES WITH LOW INCOME AND LOW ACCESS FOOD. 
          AND WHEN WE PULL THIS PARTICULAR, UM, SQUARE BLACK SQUARE HERE, IT SHOWS THAT THAT'S THIS, UM, PROPER HILL, A FULL SETTING WHERE ALMOST 90% OF THE INDIVIDUALS IN THAT COMMUNITY ARE UNINSURED. 
          THE OTHER THING WE LOOK AT IS WHAT IS THE DISTRIBUTION OF PRIMARY CARE PHYSICIANS ACROSS THE COUNTY? THE MAP IN THE LOWER LEFT WITH ALL THOSE DOTS IS A REPRESENTATION OF ALL THE PRIMARY CARE PHYSICIANS. 
          AND IT SHOWS THAT IN THE SOUTHEAST CORNER YOU'LL SEE THAT THERE IS A DESERT TO ACCESS NOT ONLY TO PRIMARY CARE PHYSICIANS, BUT ALSO TO, UM, HEALTHCARE FACILITIES AT LARGE. 
          ADDITIONALLY, WE TOOK A LOOK AT WHAT IS THE, UH, MORTGAGE FORBEARANCE IN THE COUNTY, AND WE FOUND THAT WE HAVE, UM, 10 ZIP CODES THAT HAVE THE HIGHEST NUMBER OR RATE OF FORBEARANCE IN THE COUNTY. 
          AND SOME OF THESE ARE ON THE TOP 10 OF THE STATE. 
          SO JUST SOMETHING TO LOOK AT US TO UNDERSTAND, WHERE ARE WE FINDING THOSE DISPARITIES? WHAT ARE THOSE RISK FACTORS THAT CONTRIBUTE TO MORE HEALTH COMES ACROSS THE COUNTY, AND HOW CAN WE, YOU KNOW, REACH OUT TO COMMUNITIES AND PARTNERS TO, TO ADDRESS SOME OF THESE ISSUES? YES. 
          UH, WHAT IS THE DEFINITION OF MORTGAGE FOR PREPARANCE? THESE ARE THE INDIVIDUALS WHO ARE UNABLE TO CONTINUE TO PAY THEIR, THEIR, THEIR MORTGAGE. 
          SO MOST LIKELY THEY WOULD GO INTO FORECLOSURE. 
          SO TO UNDERSTAND, UM, OUR COMMUNITIES, WE TOOK, UM, AN ASSESSMENT OF THE DISTRIBUTION OF OUR POPULATION IN GEOGRAPHICALLY AND WHAT WE FOUND IN THE UPPER LEFT CORNER, UM, GRAPH AND BREAD, THAT THERE IS A SIGNIFICANT VOLUME OF COMMUNITIES, AFRICAN AMERICANS WHO RESIDE ON THE NORTH SIDE, ON THE SOUTH SIDE OF I 30. 
          AND LIKEWISE, WHEN YOU LOOK AT HISPANIC POPULATION, THEY SHOULD BE CONCENTRATED IN THE MIDDLE OR IN 
          [00:15:01]
THE SIZE OF THE COUNTY AND ON THE SOUTHEAST AREA. 
          AND WHEN YOU LOOK AT THE WHITE POPULATION, WE SEE THAT THERE'S A HIGHER CONCENTRATION OF THEM IN THE NORTH SECTOR OF I 30. 
          NOW, WHY IS THIS IMPORTANT? BECAUSE WHEN WE LOOK AT THE AREA DEPRIVATION INDEX, WHICH IS A INDICATOR OF STRESS FACTORS THAT ARE MORE LIKELY TO CONTRIBUTE TO POOR HEALTH OUTCOMES, WHAT WE FOUND IS THAT THE AREAS THAT ARE LOCATED IN THE SOUTHEAST OF THE COUNTY HAVE A HIGHEST AREA OF DEPRIVATION. 
          AND THESE ARE ASSOCIATED WITH, UM, WORSE, UM, HEALTH OUTCOMES. 
          AND IF YOU LOOK AT THE PATTERNS, YOU WILL SEE THAT IN THE AREA, AREAS WHERE YOU HAVE THE DARKER RED IN THAT MAP COINCIDE WITH THOSE MAPS UP IN THE UPPER PART OF RED, REPRESENTING AFRICAN AMERICAN AND HISPANIC POPULATION. 
          SO WHAT THESE MAPS DOES IS GIVE US SOME INTENTIONALITY AND SOME DIRECTION AS TO WHERE WE MORE LIKELY TO FIND SOME OF THE, UM, LARGEST DISPARITIES IN HEALTH AND WHO LIVES THERE AND WHAT ARE SOME OF THEIR CHARACTERISTICS. 
          SO MOVING FORWARD, WE ALSO TAKE A LOOK AT LIFE EXPECTANCY. 
          AND WHAT WE FOUND THAT BETWEEN THE SIP CODE THAT HAS THE LARGEST LIFE EXPECTANCY, 90 YEARS OLD IN THE SIP CODE WITH THE LOWEST LIFE EXPECTANCY, 68 YEARS, THERE IS A GAP OF 22 YEARS. 
          HOWEVER, THE DISTANCE BETWEEN THESE TC CODES IS FIVE MILES. 
          AND MORE IMPORTANTLY, IF WE STRATIFY BY RACE AND ETHNICITY, THIS AND GENDER, WHAT WE FIND IS THAT THIS VARIANCE EXTENDS UP TO 30 YEARS. 
          SO SOMETHING IMPORTANT TO LOOK NOW THIS YEAR, I'M NOT SURE WE'RE GONNA BE ABLE TO PRODUCE LIFE EXPECTANCY. 
          UM, PART OF THE CHALLENGE THAT WE HAVE IS THAT  A WRENCH IN PATTERNS AND EVERYBODY IS STRUGGLING TRYING TO FIND A WAY TO MAKE UP FOR THAT ACCESS TO THE DATA. 
          SO WE'RE WORKING VERY CLOSELY WITH DR. 
          JUAN AND HIS TEAM. 
          UM, WE, WE ARE STRIVING TO DO IT, BUT THERE ARE SOME LIMITATIONS IN WHAT CAN WE CAN DO GIVEN THE, UM, DATA LAG THAT WE HAVE TO GET SOME DATA. 
          NOW, WE ALWAYS TAKE A LOOK AT WHAT ARE THE LEADING COSTS OF MORTALITY IN THE COUNTY. 
          SO THIS DATA THAT YOU SEE HERE IS FROM 26, 20 20, WE HAVE ALREADY ASSESSED OR DONE SOME DATA ANALYSIS AND THE TWO LEADING CAUSES OF DEATH, HEART DISEASE, AND CANCER HAS NOT CHANGED. 
          THEY STILL REMAIN AT THE TOP. 
          WHAT WE ARE SEEING SOME CHANGES IS BETWEEN CEREBRAL VASCULAR DISEASE, ALZHEIMER'S, AND ACCIDENTS. 
          THEY'RE KIND OF MOVING A LITTLE BIT UP AND DOWN. 
          BUT IN REALITY, THE MOST IMPORTANT THING IS THAT CHRONIC DISEASES REMAIN THE LEADING CAUSE OF MORTALITY IN, IN THE COUNTY. 
          IN ADDITION TO LOOKING AT THE MORTALITY AS THE COUNTY, THEN WE GO BACK AND DO AN ANALYSIS TO UNDERSTAND HOW DECEASED IMPACTS THE DIFFERENT POPULATIONS. 
          AND ON THIS GRAPH, WHAT YOU SEE IS THAT FOR EACH ONE OF THE GROUPS, YOU'LL SEE THAT THEY DON'T NECESSARILY HAVE THE SAME LEADING CAUSE OF MORTALITY. 
          SO IN THE GREEN GRAPH, SEE, IN THE MIDST OF THE PANDEMIC, HISPANICS HAD THE HIGHEST BURDEN OF MORTALITY ASSOCIATED TO COVID. 
          WHEREAS FOR AFRICAN AMERICANS HEART DISEASE REMAIN ON TOP OF IT. 
          FOR THE ASIAN COMMUNITY, IT WAS CANCER, AND FOR, UM, WHITE, IT WAS HEART DISEASE. 
          SO THESE THINGS ARE IMPORTANT TO UNDERSTAND BECAUSE DISEASE DOES NOT ALWAYS AFFECT ALL ALL COMMUNITIES IN THE SAME WAY. 
          NOW, BESIDES LOOKING AT IT FROM A PERSPECTIVE OF POPULATION, WE ALSO LOOK AT GENDER, UM, BECAUSE SIMILAR, IT DOES NOT ALWAYS AFFECT THE SAME. 
          AND WHEN WE LOOK AT BY, UH, ADJUSTED BY, BY MALES AND BY RACE AND ETHNICITY, WHAT WE SEE IS THAT AFRICAN AMERICAN MALE BEAR THE HIGHEST, UH, RATE OF MORTALITY ACROSS ALL THE DIFFERENT DISEASES, WHICH IS JUST SOMETHING TO PAY ATTENTION AND GIVES US GUIDANCE. 
          HOW CAN WE FOCUS IN ENGAGING WITH THESE COMMUNITIES? WHAT CAN WE DO DIFFERENTLY TO ADDRESS THE RISK FACTORS ASSOCIATED TO THEIR HIGHER MORTALITY? ONCE WE GATHER ALL THIS DATA, WHAT WE DO IS WE MAKE AN ASSESSMENT TO BETTER UNDERSTAND WHAT ARE SOME OF THE CHALLENGES THAT WE HAVE. 
          SO AMONG THE DATA THAT WE LOOK IS THE BEHAVIORAL HEALTH RISK FACTOR. 
          THIS IS A SURVEY THAT'S CONDUCTED BY THE STATE IN COLLABORATION FROM 
          [00:20:01]
THE CDT, AND THEY DO IT EVERY OTHER YEAR. 
          AND IT GIVES US A GOOD INDICATOR OF WHAT ARE SOME OF THE, UH, MORBIDITY IN OUR POPULATION. 
          UH, WE'RE IN THE MIDST OF DOING THE ANALYSIS OF THE DATA SETS FROM THREE YEARS AGO AGAINST THE CURRENT ONE. 
          AND THE FIRST THING THAT STANDS OUT AMONG THE POPULATION 65 YEARS AND OLDER IS MENTAL HEALTH. 
          WE HAVE SEEN A SIGNIFICANT INCREASE ON INDIVIDUALS 65 YEARS AND OLDER WHO ARE REPORTING, UM, HAVING POOR MENTAL HEALTH IN THE PAST 14 DAYS. 
          IN ADDITION TO LOOKING AT THAT TYPE OF DATA, WE LOOK AT OUR OWN ELECTRONIC MEDICAL DATA, OUR REGISTRIES, AND WE ASSESS HOW MANY PEOPLE DO WE HAVE WITH SUCH DISEASE BECAUSE IT GIVES US AN INDICATOR OF WHAT WE NEED TO PLAN. 
          AND WE LOOK AT THE AREAS WHERE THESE PATIENTS COME FROM. 
          SO IF YOU LOOK AT THAT, UM, RED MAP, YOU WILL SEE THAT THE MAJORITY OF OUR PATIENTS WITH CHRONIC DISEASES COME FROM THOSE AREAS THAT WE HIGHLIGHTED PREVIOUSLY THAT HAD A HIGHER, UH, UM, SOCIAL NEED INDEX. 
          AND IT WAS ALWAYS CHARACTERIZED BY, UM, LARGER COMMUNITIES OF AFRICAN AMERICAN AND HISPANICS. 
          SO BESIDES LOOKING AT THIS DATA, THEN WE ALSO ASSESS WHAT'S THE FUTURE STATE, ASSUMING THAT WE CONTINUE IN THE SAME PATTERN. 
          SO WE LOOK AT MODELS WHERE WE CAN FORECAST WHAT'S GOING TO BE THE DEMAND OF SERVICES FOR A DISEASE BASED ON THE CURRENT STATE. 
          AND THAT'S WHERE YOU SEE THAT FORECAST. 
          AND IT'S IMPORTANT TO HIGHLIGHT HERE THAT FOR DIABETES BETWEEN 2019 AND 2029, THERE WAS AN EXPECTATION THAT THE DEMAND FOR DIABETES OUTPATIENT SERVICES WOULD INCREASE 44%. 
          SO WHEN WE LOOK AT THIS DATA, WE HAVE TO ALSO UNDERSTAND IT WITHIN THE CONTEXT OF THE LITERATURE. 
          SO WE GO IN AND ASSESS, OKAY, WHAT'S THE LITERATURE TELLING US? AND WHAT WE FOUND THAT ACCORDING TO THE NATIONAL CLINICAL CARE COMMISSION REPORT TO CONGRESS, WE ARE DEALING WITH A DIABETES, UM, CRISIS. 
          AND IF WE STAY IN THE CURRENT TREND, ONE IN THREE AMERICANS WILL DEVELOP DIABETES IN THEIR LIFETIME. 
          NOW, SIMILAR TO THIS, AS WE ARE DOING THE CURRENT ASSESSMENT, WHAT WE'RE ALSO FINDING IS THAT THE CDC IS ALSO, UM, INDICATING A MENTAL HEALTH CRISIS. 
          SO THIS JUST ALLOWS US THAT THAT'S NOT JUST UNIQUE TO, TO THE, TO COUNTY, BUT THE UNDERSTAND HOW DO WE FIT WITHIN THE LARGER CONTEXT OF THE, OF THE COMMUNITIES AND, UM, THE STATE. 
          AND MORE IMPORTANTLY, TO THE NATIONAL, ARE WE TRENDING IN THE SAME WAY? ARE WE DOING BETTER? OR WHAT ARE WE DOING? MM-HMM . 
          SO RIGHT NOW WE'RE STILL COLLECTING DATA FROM OUR, FROM OUR, UM, COMMUNITY SESSIONS AND ONLINE. 
          BUT THE DATA, THE WAY WE LOOK AT IT, WE USE A TEXT ANALYTIC SOFTWARE THAT ALLOWS US TO CREATE TRENDS. 
          WHAT ARE THE PEOPLE TELLING US? SO WHAT WE HEAR IN THE TOP HEALTH CONCERNS, LAST CHNA REPORT, WE HAD CHRONIC DISEASES, MENTAL HEALTH AND PREVENTIVE CARE. 
          THOSE WERE THE THREE THINGS WE HEARD THE MOST DIRECTLY FROM THE COMMUNITY. 
          AND WHEN WE GOT 'EM TO EXPLAIN A LITTLE BIT MORE, WHAT WAS THAT MENTAL HEALTH WAS, UM, THAT THE, THE, THE CONCERNS THEY HAD, THE TWO TOPICS THAT CAME ABOVE WERE ANXIETY AND SUBSTANCE ABUSE. 
          NOW, WHEN AS WE'VE BEEN DOING THE DATA, AND I WANNA BE VERY, UM, HOW TO SAY TRANSPARENT, THAT WE'RE STILL DOING DATA ANALYSIS, MENTAL HEALTH, I WOULDN'T BE SURPRISED IF THIS CYCLE GOES OVER, UM, SUBSTANCE, I MEAN OVER MENTAL HEALTH. 
          THE OTHER THING THAT I HAVE HEARD AND I'VE SEEN AS THE DATA EMERGES IS THAT CONCERNS THAT PEOPLE HAVE WITH CRISIS, RIGHT? THERE'S A LOT OF SITUATIONS, I THINK THE AFTERMATH OF THE PANDEMIC. 
          THERE'S BEEN A LOT OF GUN VIOLENCE THAT'S ALSO BEEN COMING OUT. 
          THERE'S A LOT OF ANXIETY IN THE COMMUNITY THAT HAS CREATED, UH, A CERTAIN LEVEL OF, I WOULD SAY CRISIS. 
          MORE PEOPLE ARE LOOKING FOR IMMEDIATE INTERVENTIONS. 
          SO WE'LL SEE WHAT THE DATA SAYS, BUT THAT IS JUST SOME OF THAT, THAT INSIGHT AND REGARD TO CHRONIC DISEASES, LIKE I MENTIONED AT THE BEGINNING, WE ALREADY KNOW THAT, UM, HEART DISEASE AND DIABETES ARE, ARE SOME CONCERNING ISSUES. 
          SO RATHER THAN ASKING WHAT IS YOUR ISSUE, WHAT WE ASK THIS TIME IS, WHAT CAN WE DO TO HELP YOU TO ADDRESS THIS? SO AMONG THE THINGS THAT WE ARE HEARING IS THEY WANT MORE BLOOD PRESSURE MONITORING THE COMMUNITY, MORE, UM, GLUCOSE MONITORING IN THE COMMUNITY. 
          SO A TREND THAT WE ARE SEEING IS THAT THERE IS, UH, A DESIRE 
          [00:25:01]
FROM COMMUNITY MEMBERS THAT THE HEALTH SYSTEMS AT LARGE HAVE A MORE SIGNIFICANT PRESENCE IN THE COMMUNITY THROUGH PUBLIC HEALTH STRATEGIES. 
          SO THESE ARE JUST SOME OF THE THINGS THAT, THAT WE ARE HEARING. 
          IN ADDITION TO THAT, WE HAVE, UM, A SERIES OF QUESTIONS TO OUR ONLINE SURVEY. 
          AND THIS YEAR WE'RE, WE'RE ASKING A LITTLE BIT MORE HOW WE CAN HELP, UM, MAKE AVAILABLE ALTERNATIVE MODELS OF CARE, SUCH AS VIRTUAL CARE OR WHAT WE CALL SHARED MEDICAL APPOINTMENTS. 
          WHAT CAN WE DO TO ENTICE THE COMMUNITY TO USE THESE OPTIONS AND LEARN WHAT'S THE BEST WAY TO, TO EDUCATE 'EM? AND THAT IS WHAT WE'RE STILL LEARNING, RIGHT? SO A LOT OF PEOPLE NOW AFTER THE PANDEMIC LEARN THAT VIRTUAL CARE IS A GOOD OPTION. 
          UM, WE KNOW THAT WE NEED TO WORK WITH COMMUNITY-BASED ORGANIZATIONS TO MAKE, UM, THESE, UH, UM, INFRASTRUCTURE AVAILABLE TO THEM. 
          SO AS WE LEARN, WE WILL SEE WHAT STRATEGIES CAN WE, UM, USE TO, TO ENCOURAGE THEM TO USE THESE OTHER WAYS OF CARE. 
          SO IN ADDITION TO LOOKING AT THE COMMUNITY AS UH, UH, UH, AT THE COUNTY AT LARGE, WE DO FOCUS IN SPECIAL POPULATIONS, INCLUDING THE OLDER ADULTS. 
          SO I'LL GIVE YOU A LITTLE BIT OF THE INPUT. 
          SO AS WE MOVE INTO THE CHNA REPORT, WHAT ARE WE SEEING? UM, THE FIRST THING I THINK IS NO SURPRISE THAT THE INCREASE OF THE ELDER POPULATION IN INDUSTRY RISES AS BABY, UM, UM, GROW INTO 60 INTO THAT AGE GROUP. 
          WE ALSO, UM, WANNA SHOW THAT THE AGE DISTRIBUTION OF THE PATIENTS IN THE, IN THE, UM, SYSTEM, YOU'LL SEE THAT THE 65 TO 69 YEAR OLDS IS REALLY THE LARGEST GROUP. 
          SO REALLY HELP US UNDERSTAND, THERE'S A LARGE GROUP OF OLDER ADULTS THAT FALL IN THAT RANGE, FOLLOWED BY THE SEVEN AND 74 SHOW. 
          HOW DO WE PREPARE TO, UM, MANAGE THEIR CARE AND UNDERSTAND THEIR NEEDS? NOW, WHEN WE LOOK AT THE DISTRIBUTION OF OLDER ADULTS, ACCORDING TO, TO THEIR PAYER SOURCE ON THE LEFT, WHAT YOU WOULD SEE IS THAT OVERALL IN THE COUNTY, 70% OF THE PATIENTS 65, UM, AND 65 AND OLDER HAVE MEDICARE. 
          WHEREAS IN OUR CASE IN PARKLAND, IT'S ONLY 52 BY LARGE ARE ARE LARGEST, UM, RATE OF PATIENTS ARE UNINSURED. 
          SO THIS JUST GIVES YOU AN IDEA HOW WE HAVE TO ADAPT TO THE MARKET, ADAPT TO THE POPULATION'S NEEDS, BECAUSE, UH, THAT'S WHAT WE HAVE TO, UM, SERVE. 
          THE OTHER THING WE LOOKED AT IS THE DISTRIBUTION OF, UM, THE ELDERLY POPULATION OR SENIORS, UM, ACROSS THE, THE MAP ON THE BROWN MAP, WHAT YOU WOULD SEE THAT BY FAR THERE IS A LOT OF COMMUNITIES, UM, THAT HAVE, UM, STRONGER CONCENTRATION OF AFRICAN, I MEAN OF, UH, OLDER ADULTS ACROSS THE COUNTY. 
          BUT WHEN YOU LOOK AT THE PURPLE MAP, YOU WOULD SEE THAT THE MAJORITY OF OUR PATIENTS COME FROM THREE OF THE SIT CODES. 
          AND AGAIN, I WANNA BRING BACK TO YOUR ATTENTION THAT THOSE ARE THE SIT CODES THAT WERE LOCATED IN THE SOUTHEAST CORNER OF THE COUNTY AND ON THE SOUTH SIDE OF I 30. 
          SO THERE, THERE'S A PATTERN THAT EMERGES. 
          NOW, THIS IS A PIECE THAT WE STILL HAVE NOT FIND THE, HAVE NOT COMPLETED THE ANALYSIS, BUT WHAT WE DO IS WE TAKE ALL THE PATIENTS THAT WE HAVE, REGISTER IN OUR DIFFERENT CHRONIC DISEASES REGISTRIES TO UNDERSTAND WHICH OF THESE DISEASES ARE INCREASING ACROSS THE POPULATION. 
          SO WHAT YOU SEE HERE, THAT MULTIPLE CHRONIC CONDITIONS IS ONE OF THE MOST COMMON THEMES THAT WE SEE IN OUR ELDERLY POPULATION. 
          THAT THE PATIENTS TEND TO HAVE MORE THAN ONE CONDITION. 
          NORMALLY THAT WOULD BE DIABETES, HYPERTENSION, OBESITY. 
          AND, UM, WE LOOK AT THIS BECAUSE IT ALSO TELLS US THE CHRONICITY OF OUR PATIENTS AND THE COMPLEXITY OF THE CASES THAT WE NEED TO, TO ADDRESS. 
          AND I WOULDN'T BE SURPRISED IF I COULD DO THIS, UM, UM, COUNTYWIDE, I WOULDN'T BE SURPRISED. 
          IT LOOKS VERY, VERY SIMILAR. 
          SO ONCE WE LOOK AT ALL THIS DATA, AND THIS IS WHERE WE ARE RIGHT NOW, WE DO A LOT OF ANALYSIS BETWEEN WHAT HAPPENED IN THE PREVIOUS REPORT, WHAT'S HAPPENING IN THE CURRENT REPORT. 
          AND THAT WILL HELP US INFORM AND HELP US, UM, EDUCATE THE PROGRAMS THAT WE NEED TO DEVELOP IN A WAY THAT IS CONDUCIVE TO THE FINDINGS AND THE NEEDS OF, OF THE COMMUNITY. 
          AND THIS IS THE PIECE THAT WE ARE CURRENTLY WORKING. 
          SO I HOPE THE NEXT TIME IF I GET INVITED, I'LL GIVE YOU ALL THE, THE DETAILS. 
          [00:30:01]
SO AT THE END WE BRING IT ALL TOGETHER. 
          AND WHAT WE HAVE FOUND THAT OVERALL IN DALLAS COUNTY, AND IT'S TRUE FOR OUR SENIOR POPULATION, IS THAT BEHAVIORAL HEALTH, HYPERTENSION, ACCESS TO CARE AND COVERAGE, HEALTH LITERACY, UM, ARE THE KEY, UM, FINDINGS OR SHARE FINDINGS. 
          AND THAT WE HAVE A SERIES OF ZIP CODES THAT NEED MORE ATTENTION THAN THE OTHER PARTS OF, OF THE COUNTY. 
          SO AS THAT, YOU KNOW, WE HAVE OUR GERIATRICS OUTPATIENT DEPARTMENT, AND IT COORDINATES HEALTHCARE AND SOCIAL SERVICES IN ORDER, IN ORDER TO ADULT, UM, HEALTH, UH, ADULTS AND THEIR ABILITY TO REMAIN INDEPENDENT. 
          SO KEEP IN MIND SOME OF THESE, UM, RISK FACTORS THAT WE MENTIONED EARLIER, ACCESS TO CARE, ACCESS TO FOOD, UM, LOW INCOME, THESE ARE PART OF THE STRATEGIES THAT PARKLAND HAS TO TAKE INTO CONSIDERATION WHEN MANAGING THE, THE, THE SENIOR POPULATION. 
          SO WE HAVE A MAIN LOCATION FOR GERIATRIC CARE. 
          UH, WE RECENTLY OPENED THIS, I DON'T KNOW IF YOU'VE ALL BEEN AT THE NEW, UH, NEW NEWPORT BUILDING, PORT NEW BUILDING. 
          WHERE IS IT? IT'S CLOSER. 
          IT'S CLO. 
          WE, WE RELOCATED. 
          IT'S, IT'S IN THE MAIN CAMPUS. 
          UM, IT USED TO BE WHERE THE NEW PSYCHIATRIC HOSPITAL IS BEING BUILT. 
          SO WE RELOCATED TO THIS NEW LOCATION. 
          SO IN ADDITION TO THAT, GOING BACK TO ASSURANCE AND LINK TO CARE, WE HAVE SIX OTHER FACILITIES WHERE WE PROVIDE, UM, WHERE WE PROVIDE, UM, GERIATRIC SERVICES. 
          AND WHAT WE PROVIDE IS A, UH, A COMPREHENSIVE TEAM THAT INCLUDES, BESIDES THE PRIMARY CARE, YOU HAVE A SOCIAL WORKER, A DIETICIAN, A UM, PHARMACIST, A BEHAVIORAL HEALTH STAFF, AND LANGUAGE ASSISTANCE. 
          SO VERY COMPREHENSIVE BASED ON THE NEEDS OF THAT PARTICULAR GROUP. 
          GROUP. 
          AND WE ALSO HAVE WHAT WE CALL THE SENIOR HOUSE CALL PROGRAMS. SO THIS IS A PROGRAM THAT'S AVAILABLE FOR INDIVIDUALS WHO MIGHT BE HOME BOUND. 
          I AM PROUD TO SAY THAT MY FATHER-IN-LAW, UM, HE HAS BENEFIT FROM THIS PROGRAM. 
          HE IS IN THE DUNCANVILLE AREA. 
          AND WHAT WAS INTERESTING WAS TO SEE IT WAS OFFERED TO HIM WHEN IT CAME TO A POINT WHERE EVERY VISIT HE HAD TO COME UP IN AN AMBULANCE. 
          SO THEY OFFERED THIS PROGRAM AND THEN THEY VISIT HIM AT HOME AND IT'S MADE IT A LOT EASIER. 
          SO THEY, THEY DO MEDICAL EVALUATE EVALUATIONS, ONGOING MEDICAL CARE, THEY DO SOCIAL WORK ASSESSMENT, NUTRITIONAL AND MEDICATION EVALUATIONS. 
          SO IT'S A LOT MORE EASIER FOR NOT ONLY THE PATIENT BUT BORDER. 
          WE ALSO HAVE THE SENIOR OUTREACH SERVICES. 
          THIS PROGRAM IS FUNDED BY A GRANT FROM THE TEXAS DEPARTMENT OF STATE HEALTH SERVICES. 
          AND AS YOU RECALL, I MENTIONED THAT WE HAD A, A PADRE OF ZIP CODES THAT NEEDED SPECIAL ATTENTION. 
          AND THOSE ZIP CODES, 7, 2, 7, 5, 2, 1, 5, 7, 5, 2, 1, 6, 2, 1, 7, 2, 4, 1 ARE PART OF THOSE, UM, TARGET ZIP CODES. 
          SO WE, AS PART OF THIS PROGRAM, THIS OFFERS, UM, TRANSPORTATION FOR THOSE INDIVIDUALS WHO RESIDE IN THAT COMMUNITY. 
          AND YOU WOULD SAY, WELL, HOW YOU DECIDED IT HAS TO BE THERE? WELL, WE HAVE WHAT WE CALL THE COMMUNITY VULNERABILITY INDEX, UM, COMMUNITY VULNERABILITY COMPASS, UM, DASHBOARD, WHICH INTEGRATES ALL THIS DATA AND ALLOWS US TO IDENTIFY WHERE DO WE HAVE, UH, MORE CHALLENGES WITH SOME OF THE RISK FACTORS. 
          SO IN THIS CASE, WHAT YOU SEE HERE, WE IDENTIFY WHAT ARE THE HOUSEHOLDS THAT HAVE THE HIGHEST CHALLENGES WITH ACCESS TO VEHICLES. 
          AND WHEN YOU SEE HERE, SEVEN, FIVE TO ONE SIX GRADE OUT HAS THE HIGHEST LEVEL OR RATE OF FAMILY, OF SENIORS WITHOUT, UM, WITHOUT VEHICLES. 
          SO THIS HELPS US MAKE SOME DECISIONS. 
          WHERE DO WE NEED TO PROVIDE THE, THE, THE, THE GUIDANCE. 
          SO IF YOU SEE HERE, 13% OF THAT POPULATION THERE HAS, UH, NO VEHICLE. 
          UM, I MEAN 13% OF THE POPULATION IN THAT COMMUNITY IS ELDERLY. 
          AND, BUT WE ALSO KNOW THAT THEY HAVE THE HIGHEST NUMBER OF FAMILIES WITHOUT A A CAR. 
          WE ALSO SEE THAT WE HAVE MORE WOMEN IN THERE AND THAT WE HAVE A LARGEST PERCENTAGE OF AFRICAN AMERICAN AND HISPANIC. 
          SO IT REALLY GIVES US A, A WELL-DIRECTED WAY TO 
          [00:35:01]
MAKE POSITION WHERE TO PLACE OUR SERVICES. 
          LET ME ASK A QUESTION. 
          SURE. 
          UH, BACK ON THE PAGE WHERE ALL THE LOCATIONS ARE FOR THE GERIATRIC OR HEALTH CENTERS, I SEE THAT EAST DALLAS IS WELL COVERED, BUT I DON'T SEE THAT THESE, UM, THREE ZIP CODES ARE COVERED EXCEPT FOR THE SOUTH OAK, UH, 3 0 3 OAKLAND. 
          SO WE DO HAVE, UM, THAT'S A GOOD, A GOOD CALL. 
          SO RIGHT NOW WE HAVE THE SOUTHEAST, THE SOUTHEAST CLINIC IN THERE. 
          YEAH. 
          BUT THAT'S OVER AT, UH, ELAM EAST DALLAS. 
          THAT'S, YES. 
          YES. 
          BUT THAT IS A LITTLE FURTHER DOWN. 
          IF YOU LOOK WHERE WELL SPRINGS IS IN THE MAP, IT STRATIFIES OVER THAT, THE, THAT AREA. 
          MM. 
          YOU'RE JUMPING 45 THOUGH, AND IT'S YEAH, BUT YOU ALSO HAVE RED BIRD. 
          WHERE IS RED BIRD? IF YOU LOOK AT, IT'S RIGHT THERE UNDER, I DON'T SEE IT ON THIS LIST, BUT IT, DOES IT HAVE A GERIATRIC? NO, IT DOES NOT. 
          IT DOES NOT. 
          NO, YOU'RE RIGHT, YOU'RE RIGHT. 
          THERE'S ONE GERIATRIC UNIT IN THE THREE ZIP CODES YOU'RE TALKING ABOUT. 
          CORRECT. 
          AND THE OTHERS ARE NOT DARK PINK, BUT THEY'RE PINK. 
          BUT, BUT, AND THEN YOU LOOK AT THE BALANCE EAST OF 45, SOUTHEAST OF 30 OR SOUTH OF 30, YOU'VE GOT BUNCH, RIGHT? YES. 
          BUT REMEMBER YOU, THAT'S A VERY IMPORTANT POINT THAT YOU'RE BRINGING UP. 
          BUT THERE'S A COUPLE OF THINGS WE NEED TO LOOK AT IT. 
          FIRST, WE ARE IN THE MIDST OF, OF ASSESSING OUR NEEDS AGAIN, RIGHT? BUT AN IMPORTANT PIECE IS LOOKING AT THE DISTRIBUTION ACROSS WHERE WE HAVE THE CURRENT EXISTING SERVICES AND WHERE CAN WE DO DRILL DOWN. 
          SO IN ADDITION TO HAVING THESE SERVICES, WE HAVE THE, THE HOUSE CALLS THAT GOES TO THESE ZIP CODES THAT YOU'RE MENTIONING, RIGHT? SO WE MIGHT NOT HAVE A STRUCTURAL, UM, UM, HOW TO SAY, IF YOU GO TO THE, YOU MEAN BRICK AND MORTAR? YOU'VE GOT SOME OF THESE SENIOR HOUSE CALLS? YEAH, SO WE HAVE THE, THE, UM, SENIOR HOUSE CALL PROGRAMS. SO THEY, THEY WILL BENEFIT. 
          AND IF YOU LOOK AT THE FOLLOWING, THE TRANSPORTATION, WE ALSO HAVE TRANSPORTATION AVAILABLE FOR THESE COMMUNITIES. 
          OKAY. 
          YEAH. 
          SO POSSIBLY WITH THE SURVEYS THAT YOU'RE DOING NOW, THERE MAY BE A GREATER NEED IN THE RED DIRT AREA BECAUSE I CAN SEE PERSONS THAT ARE HAVING TO GO, UH, TO NOT EAT THE, THE OVERTON ROAD. 
          AND THEN THOSE THAT ARE AT HOME SERVICES, YOU PROBABLY HAVE MORE THAN ENOUGH TO HAVE A GERIATRIC OPPONENT AT THE REVERSE. 
          SO LOOKING AT THIS, UM, THIS IS ALL WELL TAKEN. 
          WE'LL TAKE THIS, UM, QUESTION, BUT WE ARE IN THE MIDST OF OUR BEFORE DEVELOPMENT, SO I CAN'T SAY YET WHAT'S GONNA BE THE FINAL OUTCOME AND THE IMPLEMENTATION PLAN, BUT I DO ANTICIPATE THAT THESE  ARE GONNA, ARE GONNA COME OUT. 
          THIS IS DEBBIE AUSTIN, SENIOR AFFAIRS COMMISSIONER, DISTRICT EIGHT. 
          UM, I NOTICED THAT YOU ALL HAD A EVENT IN, UH, CLEAVER RILEY ON MAY 10TH. 
          RIGHT. 
          BUT YOU ARE ONLY SHOWING IN THAT AREA THE ZIP CODES IS 7 5 2 1 7 AND 7 5 2 5 3. 
          AND THAT'S A VERY, THAT AREA DOESN'T HAVE, DOES HAVE TRANSPORTATION ISSUES. 
          SO I WONDER WHY 7 5 2 5 3 WASN'T INCLUDED. 
          7 5, 2, 3 2 AND 7, 5, 2, 3 7 ARE THE AREAS AROUND THE CLINIC AT RIVER MALL. 
          AND, UM, THEY'RE NOT ON THERE. 
          SO, OR AN UNDERSTANDING HOW THE ZIP CODES ARE RELATED TO WHAT YOU'RE TALKING ABOUT. 
          IT, IT'S CONFUSING. 
          IT, IT'S, IT'S, SO LET ME, 'CAUSE I DON'T HAVE THE FULL TOOL HERE. 
          LEMME SEE, I CAN DO THIS. 
          WE HAVE A TOOL THAT ALLOWS US TO STRATIFY, BUILDABILITY BY THE AREAS IN A SPECIFIC RISK FACTORS. 
          AND THAT'S HOW, THIS IS NOT THE, THE PERFECT TOOL BECAUSE I WAS GONNA MENTION SOMETHING ELSE, BUT, BUT WHAT THIS TOOL DOES, AND I USE THIS AS AN EXAMPLE, IS THAT IT ALLOWS US TO UNDERSTAND IN EACH COMMUNITY HOW, WHICH ARE THE CONTRIBUTING RISK FACTORS FOR EACH ONE OF THE DIFFERENT DISEASES. 
          RIGHT NOW WE'RE IN THE PROCESS OF BUILDING THIS FOR HYPERTENSION AND DIABETES, AND WE ANTICIPATE WE WILL DO MORE. 
          SO I DON'T HAVE THE RIGHT TOOL TO SHOW HOW WE DO THIS. 
          BUT WHAT WE DO IS WE DO A STRATIFICATION MODEL THAT IDENTIFIES WHAT ARE THE RISK FACTORS THAT CONTRIBUTE TO POOR HEALTH OUTCOMES. 
          WE ALSO LOOK AT THE DATA THAT WHERE YOU FIND THE MOST CHRONICITY, WHERE YOU HAVE, UH, THE MOST COMPLEX PATIENTS AND COLLECTIVELY 
          [00:40:01]
ALL THAT HELPS US MAKE THOSE INFORMED DECISIONS. 
          SO WHAT I WILL BE HAPPY TO DO AS WE MOVE INTO OUR NEXT CHNA IS BRING, 'CAUSE I'M TRYING TO COMBINE THE PAST WITH THE, WHAT I'M DOING RIGHT NOW, AND I DON'T HAVE THE FUTURE STATE, BUT WE'LL BE HAPPY TO BRING BACK THE INFORMATION AND SHOW HOW WE BRING ALL THIS TOGETHER, IF THAT MAKES, MAKES SENSE. 
          YES. 
          SO THIS IS, YOU KNOW, ALL THESE DIFFERENT TOOLS THAT WE USE TO HELP AND MAKE, UM, INFORMED DECISIONS. 
          WE LOOK AT WHERE IS THE MAJORITY OF THE PATIENTS COMING FROM, WHAT ARE THE CHARACTERISTICS OF THE COMMUNITY, WHAT ARE THE CHARACTERISTICS OF THEIR, UM, HEALTH PROFILE? AND THESE, EVEN IF I SHOW YOU RIGHT NOW HERE, ZIP COAST, 'CAUSE IT'S EASIER TO VISUALIZE, THIS TOOL ALLOWS US TO GO ALL THE WAY TO THE CENSUS BLOCK LEVEL. 
          SO WE CAN REALLY, REALLY GO DOWN TO MUCH MORE SMALLER AREAS WHERE WE CAN REALLY IDENTIFY THE RISK COMMUNITIES AND WHAT WE NEED. 
          SO WE STARTED WITH ZIP POST BECAUSE THAT'S WAS THE BIGGEST AND FASTEST WAY TO, TO WORK THE, THE, THE STRATIFICATION OF THE DATA. 
          BUT IN THE PAST THREE YEARS, WE HAVE DEVELOPED ADDITIONAL INFORMATION THAT WOULD HELP US GO ALL THE WAY TO CENSUS BLOCKS. 
          SO IT GIVES US EVEN MORE INTENTIONALITY AND MORE DIRECTION AND HELP ADDRESS SOME OF THESE NUANCES. 
          LIKE, WELL THIS IS THIS ZIP CODE, BUT SOMETIMES THERE IS A BLOCK BRAND THAT MAY BE STRADDLE, STRADDLED OVER THE, THE, THE, THE BLOCK. 
          IT, IT IS JUST A LOT OF INFORMATION AND IT REQUIRES A LOT OF ATTENTION TO, TO MAKE THE THOSE DECISIONS. 
          ANY QUESTIONS? YES MA'AM. 
          I HAVE A BUNCH. 
          WHY DON'T YOU PUT THAT OFF? 'CAUSE I HAVE SEVERAL. 
          OKAY. 
          MY FIRST PHOTO I'LL, MY QUESTION IS, AS YOU DISCUSSED THE FOCUS GROUPS AND THE SURVEYS, UM, ONE OF OUR CHALLENGES HAS BEEN TO ACTUALLY REACH THE PEOPLE WHO ARE MOST IN NEED. 
          AND SO HOW DOES PARKLAND DO THAT? OKAY, SO THE WAY WE DO THIS, WE HAVE AN EXCELLENT COMMUNITY RELATIONS TEAM. 
          SO OUR COMMUNITY RELATIONS TEAM IS ASSIGNED TO DIFFERENT GEOGRAPHIC AREAS ACROSS THE COUNTY. 
          AND THEY HAVE ALREADY EMBEDDED THEMSELVES IN THE COMMUNITY. 
          THEY HAVE AN EXTENSIVE LIST OF PARTNERSHIPS. 
          SO, AND THESE PARTNERS HAVE PARTNERS. 
          SO WE WORK WITH THEM TO MOBILIZE THE COMMUNITY TO ATTEND THE FOCUS GROUPS. 
          IN ADDITION TO USING THEM, WE HAVE ALSO WORKING DIRECTLY WITH THE COUNTY, THEY'RE DOING A SERIES OF FOCUS GROUPS THEMSELVES AND I MEAN THE COUNTY HEALTH DEPARTMENT. 
          AND WE HAVE ALSO WORKING DIRECTLY WITH OUR OWN EMPLOYEE RESOURCE GROUPS TO ADMINISTER WITH COMMUNITY HEALTH WORKERS, THE ONLINE SERVING IN THE COMMUNITY. 
          SO WE GAVE EVERYBODY A PATH. 
          THEY GOT TRAINED. 
          SO ANYTIME THAT THERE'S AN EVENT, THEY'RE INVITED TO GO OUT IN THE COMMUNITY, UM, TO, YOU KNOW, JUST ASK PEOPLE IF THEY'RE INTERESTED. 
          AND WE ALSO HAVE DEPLOYED ALL THESE DIFFERENT, UM, UM, MARKETING STRATEGIES WITH A QR CODE TO THE SURVEY SO THAT PEOPLE CAN ACCESS THEIR, THEIR SURVEY FROM HOME. 
          WE ENCOURAGE THEM, SOMETIMES THEY DIDN'T WANNA DO IT. 
          WE HOLD THE, THE, THE IPAD OR THE PHONE FOR THEM. 
          BUT I WOULD SAY FROM LAST, UM, REPORT WHERE WE OUTREACH 425 INDIVIDUALS IN THE COMMUNITY TO DO THE SURVEYS, WE ARE NOW ABOVE 2000. 
          SO IT SOUNDS LIKE A VERY SIGNIFICANT OUTREACH. 
          ABSOLUTELY. 
          EFFORT. 
          YOU HAVE TO GO OUT IN THE COMMUNITY AND, AND WE SHARE IT WITH, WITH OUR PARTNERS. 
          LIKE, HERE'S THE QR CODE, LET YOUR, SO YOU, YOU REALLY HAVE TO WORK WITH THE COMMUNITY TO ACHIEVE THESE AND THAT COORDINATION ASPECT ASPECT. 
          AND, AND FOR EXAMPLE, WE INVITE, UM, INDIVIDUALS TO COME OUR FOCUS GROUPS AND THEY SAY, I CAN'T COME. 
          HERE'S THE, HERE'S THE SURVEY. 
          OH, AND BY THE WAY, PLEASE SHARE IT WITH YOUR STAKEHOLDERS PLEASE. 
          BECAUSE THAT'S REALLY, THEY'RE GONNA TRUST MORE INDIVIDUALS IN THE COMMUNITY THAN MYSELF. 
          SO WHEN THEY SEE IT, IT'S COMING. 
          UM, IF YOU GO TO, IT IS NICE TO SEE THE QR CODE AVAILABLE WHERE PEOPLE JUST GO AND IT'S, YOU KNOW, WHEN I SEE THE GROWTH FROM 400 TO OVER 2000, WE STILL HAVE TO CLEAN THE DATA. 
          DOESN'T MEAN ALL TWO THOUSANDS ARE FULL COMPLETED SURVEYS, BUT WE NEED TO, WE NEED TO, UH, UM, SAY ADMIRE THE NUMBER OF PEOPLE WHO WENT IN TO, TO, TO, TO, TO FILL THAT, THAT SURVEY. 
          THANK YOU. 
          THAT'S IMPRESSIVE. 
          IT REALLY IS. 
          UM, WELL I WAS GONNA ASK WHAT'S INCREASED? WHAT DO YOU THINK IS THE BEHIND THE INCREASE IN MENTAL HEALTH AND UH, AND THEN ALSO DIABETES, WHICH IS DIFFERENT. 
          I MEAN, I DON'T KNOW IF THERE'S A SIMPLE ANSWER OR YOU KIND OF ALLUDED TO SOME OF IT. 
          OKAY, SO I'M GONNA START WITH DIABETES. 
          OKAY. 
          NOW I'M GONNA GIVE YOU THAT INSIGHT, BUT I DON'T HAVE ALL THE FINAL ANSWERS. 
          SURE. 
          THEM IS. 
          SO IN PREPARATION FOR THIS 
          [00:45:01]
CH AND A, WE COMPLETED A IN-DEPTH STATISTICAL ANALYSIS TO UNDERSTAND WHAT HAS CHANGED. 
          UM, LUCKILY DIABETES, WE'VE SEEN IT'S TRENDING IN THE RIGHT DIRECTION, MEANING THAT THE MORBIDITY OR THE PREVALENCE IS GOING DOWN. 
          WE DON'T HAVE ALL THE ANSWERS OF WHY THAT IS. 
          WE THINK IT'S A COMBINATION OF THINGS, INCLUDING THERE'S MORE EDUCATION. 
          WE FOUND THAT TO BE TRUE IN SIX ZIP CODES. 
          FOUR OF THOSE HAVE BEEN ZIP CODES THAT WE'VE BEEN TARGETING. 
          SO, SO WE ARE ENCOURAGED, WE CAN'T TAKE THE CREDIT, BUT WE ARE ENCOURAGED TO SEE THAT BY WORKING WITH COMMUNITIES EVEN MORE TARGETED WITH THESE EFFORTS, YOU CAN DELIVER MORE SPECIFIC WHERE THEY NEEDS TO BE. 
          I THINK THAT IS, YOU KNOW, UM, THERE'S SOME ANALYSIS THAT WE NEED TO STILL COMPLETE TO SAY, YES, THIS IS WORKING, BUT I ALSO THINK THERE'S MORE AWARENESS IN REGARDS TO MENTAL HEALTH. 
          WHAT I THINK IS HAPPENING IS A COUPLE OF THINGS. 
          DURING THE PANDEMIC THERE WAS A LOT OF TRANSITION FOR A LOT OF INDIVIDUALS. 
          A LOT OF INDIVIDUALS WERE ISOLATED. 
          SO THAT WAS REALLY NEVER HEALED. 
          IT ACTUALLY PERPETRATED. 
          UM, IN THE MEANTIME, I THINK, UM, WE HAVE HEARD OF RECENT, UM, GUN INCIDENTS SITUATIONS THAT HAVE ALSO CREATED SOME ADDITIONAL CONCERNS. 
          UH, I REALLY THINK THAT THE EMPLOYMENT MARKET IS CHANGING A LOT. 
          SO THERE'S A LOT OF UNCERTAINTY, INDIVIDUALS, WHAT'S MY JOB GONNA HA WHAT'S HAPPEN? WHAT'S GONNA HAPPEN TO MY JOB? HOW'S TECHNOLOGY GONNA IMPACT MY JOB? RIGHT? SO I THINK IT'S JUST A COMBINATION OF THINGS. 
          BUT AT THE SAME TOKEN, I ALSO THINK THAT THE EFFORTS TO EDUCATE ON MENTAL HEALTH HAS MADE 'EM MORE OPEN TO LEARN FOR HEALTH. 
          SO YOU CAN'T SAY IT'S ONE THING, I JUST THINK IT'S THE SUM OF THINGS. 
          YOU KNOW, SCHOOLS HAVE, UH, UH, AND THE COUNTY HAVE SPENT A LOT OF MONEY IN EDUCATION. 
          THERE'S A BIG EFFORT FOR THE MENTAL HEALTH FIRST AID. 
          SO THERE'S MORE AWARENESS AND PEOPLE ARE FEELING A LITTLE BIT MORE COMFORTABLE TALKING ABOUT IT. 
          WHEREAS, UM, YOU ALSO HAVE SOME OTHER CONDITIONS IN, YOU KNOW, THAT ARE HAPPENING IN, IN OUR ENVIRONMENT THAT ALSO ARE CONDUCIVE TO HOW TO SAY THAT THE SYMPTOMS ARE ARE PRESENT IN THE COMMUNITY. 
          IF THAT MAKES SENSE. 
          SURE. 
          ABSOLUTELY. 
          UM, OH, I HAVE MORE. 
          YOU WANNA GO ? I DON'T NEED TO DOMINATE THAT. 
          WELL JUST, JUST CLARIFICATION WITH THE DATA THAT WE'VE BEEN DOING, THAT DATA I'M ASSUMING, UH, COMES FROM PATIENTS. 
          NOT ALL OF IT. 
          OKAY. 
          NOT ALL OF IT. 
          SO SOME, SOME DATA DOES SOME, LIKE THE BEHAVIORAL HEALTH RISK FACTOR IS ACROSS ALL THE COUNTY. 
          IT'S DONE, IT'S LED BY THE STATE. 
          I WON'T BE, THEY DO PHONE CALLS AND THAT'S HOW THEY GET THAT INFORMATION. 
          THAT'S WHEN THE DFW HOSPITAL COUNCIL DATA IS DATA THAT SHARE ACROSS ALL THE HOSPITALS AND WE CAN USE IT WITH SOME LIMITATIONS. 
          AND THEN WE USE THE MORTALITY DATA. 
          THAT IS WHAT IS REPORTED IN A PERSON'S CERTIFICATE. 
          THAT COST OF DEATH THAT COMES FROM THE STATE. 
          IT IS NOT PARKLAND DATA. 
          SO THE COUNTY HEALTH DEPARTMENT, DR. 
          JUAN AND HIS TEAM, THEY, THEY ACTUALLY ANALYZE THE DATA AND THEY CREATE AND GENERATE THIS INFORMATION. 
          THAT'S THEIR FUNCTION. 
          SO THAT'S WHY YOU SAY WE, AND THEN WE LOOK AT OUR DATA, HOW MANY PATIENTS DO WE HAVE WITH  X, Y HAS THE NUMBER INCREASED? WHICH DIRECTION HAS IT GONE? SO IT'S A COMBINATION OF MANY, MANY, MANY THINGS. 
          THERE'S NOT ONE. 
          AND THE SURVEY, YOU SAID YOU NEED TO HAVE PARTNERS THROUGHOUT THAT ASSIST ASSIST YOU IN GETTING THE SURVEYS OUT AND GETTING INTEREST IN THE FOCUS GROUPS. 
          DO YOU FIND THAT YOU HAVE, UH, UM, IS THERE BALANCE IN THAT FOCUS GROUP? ARE THOSE FOCUS GROUPS OR DO YOU HAVE THEM COMING FROM MAINLY ONE AREA? UH, ONE RESOURCE? NO, WE HAVE A VERY COMPREHENSIVE LIST. 
          WE HAVE THOUSANDS. 
          AND WHAT WE LOOK AT IS WE, WE REALLY WORK HARD TO GO TO THE AREAS WHERE WE KNOW IT'S THE MOST DIFFICULT TO MOBILIZE, BECAUSE THAT'S WHERE YOU WANT, WANNA GO. 
          THE SOUTHEAST CORNER, WE KNOWS WHERE WE NEED TO BETTER UNDERSTAND, BUT THAT DOESN'T MEAN WE DON'T OUTREACH IN OTHER AREAS. 
          UM, AND WE ALSO TRIED, LIKE THROUGH THE FOCUS, THROUGH THE ONLINE, WE ASKED THEIR ZIP CODE, RACE, ETHNICITY, WE ASKED FOR THE DEMOGRAPHICS SO WE UNDERSTAND, UM, DID WE HIT ALL, WE MONITOR? ARE WE HITTING ALL THE DEMOGRAPHICS? 
          [00:50:01]
RIGHT? SO ONE, I CAN'T SAY I HAVEN'T LOOKED AT IT BY DEMOGRAPHICS LATELY, BUT NOT TOO LONG AGO, I WAS SURPRISED TO SEE THAT WE HAD SIGNIFICANT AMOUNT OF SENIORS THAT WERE PARTICIPATING. 
          'CAUSE THAT IS HOW YOU LOOK AT, AND WE HAD WOMEN AND, AND YOU, YOU LOOK AT ACTUALLY, UM, WE WE'RE ALWAYS LOOKING, WHO ARE WE MISSING? WHERE CAN WE GO TO FIND THE, THE, THE INDIVIDUALS THAT ARE NOT REPRESENTED? YOU CAN'T MAKE PEOPLE ANSWER, BUT AT LEAST WE CAN ENCOURAGE THEM AND MAKE THE THE SERBIA AVAILABLE TO THAT. 
          AND SO WOULD YOU HAVE THAT DATA SOMEPLACE? YOU SAY THAT YOU DON'T HAVE IT RIGHT NOW, YOU'RE NEVER SEEING IT AT SOME POINT. 
          I THINK THAT'S SOMETHING THAT WOULD BE QUITE INTERESTING FOR ME ANYWAY. 
          OH, ABSOLUTELY. 
          IT WILL BE PART OF THE REPORT WHEN I SAY THAT IS WE'RE COLLECTING IT, RIGHT? SO IT GENERATES PRELIMINARY FINDINGS, BUT IT CHANGES EVERY DAY. 
          SO YOU, YOU JUST LOOK AS, UH, AM I TRENDING CORRECTLY IN ALL THE DEMOGRAPHICS? RIGHT? BUT YOU, YOU ALMOST HAVE TO LOOK AT EVERY DAY OR TODAY IS MONDAY. 
          SO NORMALLY ON MONDAYS IN THE AFTERNOON, THAT'S WHAT I, I WOULD GO AND LOOK AND SEE WHAT HAS CHANGED. 
          BECAUSE IN THE WEEKENDS WE HAVE EVENTS AND THAT'S WHEN OUR, OUR, OUR TEAMS ARE OUT THERE COLLECTING THE, THE COLLECTING THE DATA. 
          SO, BUT IT CHANGES, YOU KNOW, THERE'S DAYS THAT I WAKE UP AND LOOK AT IT, IT'S LIKE, OH, THREE MORE HUNDRED PEOPLE, RIGHT? AND THEN ANOTHER DAY, MAYBE A WEEK WENT BY AND WE ONLY HAD TO BUY MORE. 
          SO IT JUST DEPENDS. 
          BUT THE DATA WILL BE AVAILABLE. 
          IT'S PART OF OUR REPORT AND WE PUT IT IN THE FOREFRONT OF, AND OF, OF WHAT THE FINDINGS ARE. 
          YEAH. 
          WE DID DISTRIBUTE THIS LAST REPORT COUPLE YEARS AGO. 
          I, I REMEMBER THAT. 
          BUT I THOUGHT THERE WAS SOMETHING ABOUT, WELL THERE'S GONNA BE A NEW ONE RIGHT, THAT I'M JUST ASKING AND WE'LL MAKE SURE EVERYBODY GETS, UH, WE HAVE ALSO ONLINE QUESTIONS FROM TERRA, UH, COMMISSIONER DELGADO AND COMMISSIONER CONTROL. 
          TARINA. 
          GOOD AFTERNOON. 
          GOOD AFTERNOON. 
          THANK YOU VERY MUCH FOR THE PRESENTATION. 
          MY QUESTION IS, YOU KNOW, IN THESE LOCATIONS WHERE YOU'RE SAYING THAT THE AREAS, UM, THE LOW AREAS, UM, OR THE MOST NEEDED AREAS, EXCUSE ME, THAT THOSE ARE FOOD DESERTS. 
          AND IT'S NOT ONLY FOOD DESERTS, IT'S THE ENVIRONMENT THAT'S CAUSING ALL THESE PROBLEMS WITH HEALTH. 
          IT IS NOT JUST, YOU KNOW, PEOPLE NOT GETTING TO THEIR PHYSICIANS OR THEIR APPOINTMENTS. 
          YES, TRANSPORTATION IS A BIG PROBLEM, BUT DOESN'T PARKLAND, OR AS YOU SAID, YOU OFFER TRANSPORTATION AND AT YOUR EVENTS, DO YOU OFFER TRANSPORTATION TO YOUR EVENTS? SO THOSE ARE MY TWO QUESTIONS. 
          NOT REALLY QUESTIONS, I'M JUST SAYING ON THE, ON THERE'S A FOOD DESERT OUT THERE AND IT'S IN OUR MOST NEEDED AREAS THAT EVERYONE TENDS TO FORGET. 
          AND THEN, UM, THE QUESTION WOULD BE, AT YOUR EVENTS, DO YOU HAVE TRANSPORTATION OR ARE THEY AT REC CENTERS? SO WE CAN GET SENIORS TO THESE EVENTS. 
          THANK YOU VERY MUCH. 
          THANK YOU. 
          YOU ARE CORRECT. 
          THANK YOU FOR THAT COMMENT. 
          THIS SOUTHEAST CENTER OF THE COUNTY DOES HAVE A LOT OF CHALLENGES WITH DESERTS. 
          PRETTY MUCH EVERY DESERT THAT EXISTS, IT'S PRESENT THERE. 
          SO WE WORK, UM, COMPREHENSIVELY WITH, UM, OUR PARTNERS IN THE COMMUNITY TO MOBILIZE THE COMMUNITY. 
          THEY'RE NOT ALWAYS A BIG EVENTS. 
          SOMETIMES IT IS SMALLER EVENTS AND LOCAL CHURCHES AND SMALL COMMUNITY BASED ORGANIZATIONS THAT HAVE ACCESS TO THE POPULATION. 
          SO THAT, AND WHAT WE'RE TRYING TO DO IS MAYBE WE DON'T HAVE TO DO AN EVENT EVERY DAY, BUT RATHER ONCE SO OFTEN AND WE CAN MOBILIZE THAT SPECIFIC GROUP OF INDIVIDUALS FROM THAT COMMUNITY. 
          THE OTHER THING THAT WE HAVE DONE AS PART OF A RESULT OF OUR CHNA IS THE DEVELOPMENT OF WHAT WE CALL, UM, HUBS. 
          THESE ARE HUBS WHERE WE'RE PARTNERING WITH FOOD BANKS, WITH CHURCHES, UM, WITH SOMEBODY IN THE COMMUNITY THAT ALLOWS US TO BE PRESENT THERE. 
          AND NOT ONLY AN ASSESSMENT OF HOW IS YOUR DIABETES, HOW IS YOUR BLOOD PRESSURE TO SCREEN, IF YOU MIGHT HAVE IT AND YOU DON'T KNOW IT. 
          WE, WE DO OTHER HEALTH SCREENINGS, BUT WE ALSO SCREEN TO ENSURE THAT THAT INDIVIDUAL HAS ACCESS TO HEALTHCARE COVERAGE. 
          IF YOU DON'T HAVE, WHAT ARE YOU ELIGIBLE? AND WE START THAT PROCESS, UM, RIGHT AWAY. 
          WE ALSO SEE IF THE PATIENT HAS A HIGH, UM, BLOOD PRESSURE READING OR A HIGH GLUCOSE READING TO GET 'EM ENGAGING WITH THE PHYSICIAN BASED ON WHERE THEY LIVE. 
          SO WE HAVE MULTIPLE SERIES OF, OF PROGRAMS THAT WE DO TO INCREASE ACCESS AND ALSO FROM FOCUS POINTS WHERE WE'RE ALSO MAKING AVAILABLE 
          [00:55:01]
VIRTUAL CARE BOOTH SO THAT THAT INDIVIDUAL DOESN'T HAVE TO GO ALL THE WAY TO DEPARTMENT. 
          THERE'S A BOOTH IN THAT PLACE WHERE THEY CAN SEE A DOCTOR FROM THAT SAME LOCATION, IF THAT MAKES SENSE. 
          SO IT'S LOT. 
          I KNOW IT'S A LOT. 
          . 
          PORTIA, DID YOU HAVE A QUESTION? YEAH, I DO. 
          UM, WHEN DISPARITIES IN HEALTH ARE FOUND, WHAT ACTIONS ARE TAKEN TO REDUCE OR ADDRESS THE DISPARITIES? AND ALSO HOW DOES, HOW WOULD A PERSON APPLY FOR THIS SENIOR HOUSE CALLS PROGRAM? OKAY, SO I'LL START WITH THE DISPARITY QUESTION. 
          SO FOR THE DISPARITY QUESTION, THIS IS A VERY COMPLEX, UM, ANSWER. 
          SO WE ARE REQUIRED BY THE LAW TO HAVE AN IMPLEMENTATION PLAN. 
          SO I'LL BE HAPPY TO SHARE, UM, UH, WITH MR. KLEIN THE LINK TO THAT IMPLEMENTATION PLAN THAT BREAKS DOWN FOR EACH CONDITION, WHAT WE ARE DOING, HOW ARE WE DOING, WHAT ARE OUR, OUR, OUR, OUR MEASURES. 
          BUT WE ALSO WORK WITH OUR, OUR FELLOW, UM, PARTNERS IN THE COMMUNITY TO ENSURE THAT WE'RE NOT WORKING ALONE. 
          'CAUSE THERE ARE CERTAIN THINGS THAT WE CAN'T DO. 
          LIKE IT'S NOT IN PARKLAND'S BUSINESS TO PUT GROCERY STORES, BUT WE CAN WORK WITH FOOD BANKS, WE CAN WORK WITH OTHER ORGANIZATIONS THAT MAY BE ADDRESSING THAT ISSUE. 
          SO WE DO THAT IN COLLABORATION AND ALSO LOOK AT IT, HEY, WE HAVE MORE PATIENTS WITH DIABETES AND PARTLAND EVEN HAS A COMMUNITY GARDEN IN ITS SOUTHEAST, UM, IN ITS SOUTHEAST CLINIC WHERE WE DISTRIBUTE FRESH FOODS AND VEGETABLES TO THE PATIENTS THAT QUALIFY 'CAUSE THEY HAVE DIABETES IN REGARDS TO THE QUALIFICATION FOR THE HOUSEHOLD PROGRAMS. I WILL SEND THAT INFORMATION SO IT CAN BE SHARED. 
          UM, I DON'T THINK I KNOW IT BY CARD, BUT UM, I KNOW YOU HAVE TO, UM, VIA PATIENT PARKLAND AND THEN, UM, FILL THE FORM. 
          LIKE THERE'S CERTAIN CO QUALIFICATIONS AND I CAN SHARE THAT. 
          SO YOU CAN ALL HAVE THAT. 
          I'LL MAKE A NOTE TO SHARE THAT INFORMATION. 
          THANK YOU. 
          DEBBIE, DID YOU HAVE ANOTHER QUESTION? NO, I FORGOT TO TAKE MY HAND DOWN. 
          I'M SORRY. 
          . 
          I WAS GONNA SAY, UM, WE'VE BEEN WORKING WITH PARK FOR THE LAST THREE YEARS. 
          UH, WE HAVE A GROUP IN, UH, WITH SOUTHERN DALLAS AND UM, THE SET OF HEALTH FAIRS. 
          UM, WE WORK WITH JOE BLACK. 
          UH OH, YES. 
          DO YES. 
          AND UH, YOU HAD, EVERYBODY HAS A PROCESS THAT'S ASSIGNED TO THE AREA. 
          EXACTLY. 
          SO WE COME FAMILIAR WITH THAT PERSON. 
          AND SO, I MEAN, THE HEALTH FAIR WAS LIKE JUST HOW THIS REFERRAL WAS FROM THE MAMMOGRAM TO PROSTATE TO EVERYTHING THAT YOU POSSIBLY WOULD NEED TO THE HEALTH FAIR. 
          AND THEN THERE'S A NEWSLETTER THAT COMES OUT, UH, APART FROM HEALTH, CORRECT. 
          THAT HAS A LOT OF INFORMATION ON IT. 
          SO YOU GET ON AND SIGN UP FOR THAT. 
          AND THEY HAVE REALLY WORKED WITH US. 
          AND THEN NOT ONLY WHEN THEY COME OUT AND HAVE A HEALTH FAIR, WHATEVER'S FOUND, THEY SEND RESOURCES TO THAT PERSON OR THEY HELP THEM TO GET ASSISTANCE. 
          SO IT DOESN'T JUST NOT HAVE THE HELP THERE, BUT THEY ALSO ADDRESS WHATEVER IS GOING ON IN THEIR COMMUNITY. 
          SO TO BECOME FAMILIAR WITH WHOEVER THAT PERSON IS ASSIGNED TO YOUR DISTRICT, BECAUSE THEY HAVE A PASSION FOR, THEY HAVE COMMUNITY HEALTH, UH, WORKERS. 
          SO THEY'RE REALLY, UH, ZERO ENDS ON THE COMMUNITY. 
          AND THANK YOU FOR BRINGING THAT UP BECAUSE THE COMMUNITY HEALTH WORKERS, TO YOUR POINT, WHAT WE FOUND IN OUR 2019 CHNA IS THE NEED OF PRESENCE IN THE COMMUNITY. 
          BUT WHAT WE HAVE DONE IS WE HIRE THEM FROM THOSE AREAS. 
          IT'S, IT'S A, A REQUISITE BECAUSE IT'S EASIER IF YOU SEE SOMEBODY THAT YOU KNOW THAT UNDERSTANDS WHAT ARE THE CHALLENGES IN THE COMMUNITY THAT USE CRASSY IN THE COMMUNITY, YOU'RE MORE LIKELY TO TO RESPOND. 
          SO THE COMMUNITY HEALTH WORKERS NOT ONLY ENGAGE 'EM, HEY, LET ME SEE YOUR BLOOD PRESSURE, LET ME LOOK AT YOUR, UM, GLUCOSE AND YOU GET YOUR MAMMOGRAM. 
          RIGHT. 
          UM, BUT ALSO WHEN WAS THE LAST TIME YOU, YOU APPLIED FOR, FOR INSURANCE OR, UM, , UH, A FINANCIAL ASSISTANCE PROGRAM. 
          SO IT'S, IT'S A VERY COMPREHENSIVE AND THEY DEAL RELATIONSHIPS AND THAT IS THE RELATIONSHIP THAT REALLY HELPS INDIVIDUALS TO IMPROVE THEIR HEALTH BECAUSE THEY HAVE SOMEBODY FROM THEIR COMMUNITY WHO, WHO THEY KNOW AND THEY KNOW, OH, I HAVE A FRIEND WHO HAS A LITTLE, UM, LET'S SAY EVENT THAT THEY DO EVERY DAY HERE AT THEIR CHURCH. 
          AND THEN THEY GO IN AND LET'S WORK TOGETHER THIS EVENT. 
          AND THEY RECRUIT PEOPLE, BUT IT MEANS MORE WHEN THEY SEE PEOPLE FROM THAT ORGANIZATION VERSUS US THAT MAYBE THEY 
          [01:00:01]
DON'T KNOW. 
          I SEE SOMEBODY IN IN THE, IN THE, IN THE SCREEN THAT HAS, I THINK IT WAS AUSTIN, OF COURSE SHE TOOK IT IN. 
          SHE TOOK IT FOR SCHEDULE. 
          NO, I, I PUT IT BACK UP AGAIN BECAUSE I WANTED TO ASK YOU, IS THERE A SCHEDULE AVAILABLE BUT THIS YEAR OF THE, UH, HEALTH EVENTS THAT YOU ARE GOING TO PARTICIPATE IN? I KNOW YOU WILL BE AT THE DART FAIR 'CAUSE YOU'RE ALWAYS THERE AND I APPRECIATE ALL THE THINGS YOU ALL DO THERE. 
          'CAUSE THAT'S, THAT'S MASSIVE WHAT YOU DO. 
          BUT IS THERE A YEARLY SCHEDULE FOR YOUR EVENTS THIS YEAR? I WOULD SAY IT'S MORE A MONTH BECAUSE THEY, BUT I CAN MAKE ALL THESE THINGS. 
          NO, I'M ASKING HER. 
          OH, SHE'S TRYING TO ANSWER YOU. 
          YEAH, SHE'S TALKING ABOUT, OKAY. 
          I THOUGHT THAT WAS SOMEONE ELSE BECAUSE I, I CAN'T SEE YOU ALL. 
          ARE YOU ASKING TARACITA OR SOMEBODY ELSE? I'M ASKING TARACITA. 
          OKAY. 
          SO YES, WE KEEP, UM, UM, IN OUR WEBPAGE WE HAVE WHAT'S CALLED PARKLAND IN THE COMMUNITY. 
          AND WE, THAT'S A VERY, UH, HOW TO SAY, UM, UM, FLUID. 
          FLUID, YEAH. 
          THE DYNAMIC COMPREHENSIVE, BECAUSE WE GET EVENTS REQUESTS SO MANY, SO WE'RE CONSTANTLY UPDATING IT. 
          BUT WHAT I CAN DO AS PART OF THAT, I WILL ADD, I'LL SEND A LINK TO THAT, UH, IT'S CALLED PARKLAND IN THE COMMUNITY AND IT SHOWS WHERE WE'RE GONNA BE. 
          AND, UH, WE ALSO DO A LOT OF OUTREACH IN THE AREAS SO THAT PEOPLE KNOW WE'RE GONNA BE IN YOUR, IN YOUR LITTLE AREA. 
          SO THEY, THEY, THEY KNOW WHERE TO COME. 
          THAT'S GREAT. 
          THANK YOU TERRA. 
          YES. 
          UM, DO YOU FIND HAVING SOMEONE FROM THE COMMUNITY WORKING WITH THAT PARTICULAR COMMUNITY MORE IMPACT WHEN YOU'RE DOING OUTREACH? OH, ABSOLUTELY. 
          'CAUSE THEY KNOW BY NAME. 
          I CAN TELL YOU SOME STORIES OF PEOPLE WHO, WHO WOULD SAY, I CAME HERE BECAUSE SO AND SO TOLD ME. 
          RIGHT? AND IT IS, IT'S IS THE RELATIONSHIP IS THE, IS THE UNDERSTANDING, YOU KNOW, THE, THE SHARED EXPERIENCES MAKES A BIG DIFFERENCE. 
          IT IT, IT DE IT MAKES A BIG DIFFERENCE. 
          LIKE IN THE COMMUNITY, HEALTH WORKERS TELL US THAT, THAT FOR THEM HOW MEANINGFUL IT IS THAT THEY'RE SITTING THERE AND THESE PEOPLE WHO THEY KNOW OR THEY KNOW SOMEBODY WHO KNOWS SOMEBODY WHO TELL 'EM, GO TALK TO, YOU KNOW, MARY OR WHOEVER. 
          AND THEN, AND THAT, THAT CREATES THAT. 
          EVEN MYSELF, I'M NOT, UM, AS ACTIVE AS THE COMMUNITY HEALTH WORKER IN THE COMMUNITY. 
          I LIVE IN THE SOUTH PART OF DALLAS AND PEOPLE KNOW WHERE I WORK. 
          SO , THEY ALWAYS COME AND I SAY, WELL DO THIS. 
          BUT JUST THE FACT THAT I AM TELLING THEM THEN IT, LIKE WITH THE COVID VACCINES, THEY, THERE WAS A LOT OF QUESTIONS. 
          SO I, I WAS LIKE, YOU KNOW, IN MY COMMUNITY EVEN A LOT OF INFORMATION, NOT BECAUSE THAT WAS MY JOB, BUT BECAUSE PEOPLE TRUSTED THAT I WOULD TELL 'EM THE TRUTH. 
          SO IT, IT JUST CREATES A WHOLE DIFFERENT DYNAMIC. 
          I I APPRECIATE YOU SAYING THAT. 
          AND I DO KNOW I HAVE SEVERAL FRIENDS THAT, UM, THEY HAVE, THEY HAVE LINKS TO THE LGBT PROGRAMS THAT PARKLAND OFFERS, AND I REALLY FEEL THAT MAKES A DIFFERENCE WHEN THEY'RE GETTING INFORMATION OUT. 
          BUT I JUST WANTED TO HEAR WHAT YOU HAD TO SAY DURING THIS PARTICULAR CONVERSATION WITH THE SENIOR AFFAIRS COMMISSION. 
          I, I REALLY THINK IT MAKES A, A BIG DIFFERENCE. 
          THE, THE HAVING SOMEBODY THAT, YOU KNOW, IN THE COMMUNITY TELLING YOU THAT SERVES AS A LINK AND THAT'S REALLY THE ROLE. 
          UM, THE OTHER IMPORTANT TALKING ABOUT MENTAL HEALTH, I WOULD SAY ROLE THAT'S VERY IMPORTANT IS PEER SUPPORT, WHICH ARE INDIVIDUALS WHO HAVE THE LIVED EXPERIENCE WITH LIVING WITH MENTAL HEALTH RELATED CONDITIONS OR ISSUES BECAUSE THEY HAVE THE ABILITY TO REALLY EXPRESS HOW DIFFICULT IT IS TO LIVE WITH THOSE CONDITIONS AND HOW TO REINTEGRATE AND LOOK FOR SERVICES. 
          AND I THINK THAT THIS IS THE TYPE OF SERVICES THAT I THINK STRENGTHENS THE COMMUNITY BECAUSE THEY HAVE, AS THEY SAID IN OUR LAST CHNA, SOMEBODY THAT THEY TRUST THAT THEY CAN GO AND ASK QUESTIONS. 
          AND SOMEBODY THAT, YOU KNOW, I KNOW YOU AND I'M BUILDING A RELATIONSHIP VERSUS I'M CALLING JUST TO FIND OUT. 
          AND EVERY TIME YOU CALL SOMEBODY ELSE ANSWERS THE PHONE. 
          YOU DON'T HAVE THAT, THAT ABILITY. 
          RIGHT. 
          ONE FINAL QUESTION, JUST JUST ONE LAST QUESTION. 
          DO YOU ADDRESS ADDICTION ISSUES? YES, WE DO. 
          WE HAVE A SUBSTANCE USE DISORDER. 
          AND I'LL, I'LL BE HAPPY TO ALSO PROVIDE YOU THAT, THAT INFORMATION. 
          THAT WOULD BE AWESOME. 
          THANK 
          [01:05:01]
YOU SO MUCH. 
          YOU'RE SO WELCOME. 
          DAVID, YOU'RE, THANK YOU. 
          . 
          I WANNA APPROACH THIS SLIGHTLY DIFFERENTLY. 
          UM, I ACTUALLY SPENT ABOUT 25 YEARS IN MY PROFESSIONAL CAREER IN MEDICAL, UH, LIFE SALES AND, UH, PARK AVENUE LEVEL ONE TRAUMA CENTER WAS CLEARLY A PLACE WHERE I SPENT A LOT OF TIME AS WELL AS A NEONATAL LEVEL, LEVEL FOUR NEONATAL INTENSIVE CARE WHERE WHEN I WAS THERE I SAW A LOT OF LIVES GET SAVED. 
          WHERE IS THAT IN THIS REPORT? CAN YOU, CAN YOU FIVE BEING SAVED? YOU KNOW, THAT IS A REALLY GOOD QUESTION, , BECAUSE IT IS VERY HARD WHEN YOU THINK OF, UM, PEOPLE ASK ME THAT ALL THE TIME WHEN PEOPLE SAY, WELL, YOU'RE DOING ALL THIS WORK, WHAT HAS CHANGED? RIGHT. 
          SO I ALWAYS LIKE TO USE HOW MANY PEOPLE DID WE TESTED FOR HIV AND NOW KNOW THEIR STATUS? JUST THE FACT THAT WE, NOW, MY MEMORY DOESN'T FAIL ME. 
          IN THE LAST THREE YEARS, WE HAVE TESTED 75,000 INDIVIDUALS THAT KNOW THAT EITHER AREN'T POSITIVE OR NEGATIVE. 
          WE KNOW THE DISEASE WILL NOT SPREAD BECAUSE THOSE INDIVIDUALS WHO ARE POSITIVE, NOT ONLY NOW KNOW, BUT THEY WERE LINKED TO CARE AND WE MONITOR THAT THEIR DISEASE IS CONTROLLED HOW MANY LIVES. 
          SO MY UNDERSTANDING IS, AND DON'T QUOTE ME ON THIS, THAT FOR EVERY PERSON WHO HAS HIV, THERE'S 10 PEOPLE WHO DON'T KNOW THEY HAVE IT. 
          SO WHEN YOU THINK OF THE IMPACT NOW, WHEN WE LOOK AT THE NUMBER OF WOMEN THAT WE ARE NOW, UM, HAVING THEM DO THEIR MAMMOGRAMS, ALL THOSE WOMEN THAT IF, IF TO SAVE LIVES IN FOR BREAST CANCER, THE ONLY WAY YOU CAN DO IT IS EARLY DETECTION. 
          BUT, UM, BREAST CANCER IS NOT PREVENTABLE. 
          YOU HAVE TO HAVE YOUR MAMMOGRAM. 
          SO FOR ALL THESE WOMEN WHO NOW GET THEIR ANNUAL MAMMOGRAM AND INSTEAD OF HAVING A LATE DISEASE DIAGNOSIS, THEY HAVING AN EARLY DISEASE DIAGNOSIS, THOSE ARE LIVES THAT ARE BEING SAVED. 
          ALL THESE INDIVIDUALS THAT DID NOT KNOW THEY HAVE HIGH BLOOD PRESSURE. 
          SO IT IS A HARD QUESTION TO ANSWER BECAUSE YOU HAVE SO MANY PEOPLE THAT WE TOUCH AND SO MANY PEOPLE THAT WERE ABLE TO CONNECT HERE OR TO CHANGE SOMETHING IN THEIR LIFE IS SIGNIFICANT. 
          BUT HOW DO YOU MEASURE THAT? SO, UM, ONE OF THE THINGS WE'RE DOING IS WORKING WITH OUR, UM, HEARTLAND CENTER FOR CLINICAL INNOVATIONS IS TO MAKE THESE ASSESSMENTS WHERE WE CAN DO A BASELINE. 
          WHERE WAS THIS, THE DISEASE IN THIS YEAR, AND WHERE IS IT NOW? SO JUST SEEING THAT FOR DIABETES, THE THREE OUT OF THE, UM, SIX ZIP CODES THAT HAVE SEEN IMPROVEMENT ARE ZIP CODES THAT WE HAVE FOCUSED OUR EFFORT, THAT THERE'S SOMETHING HAPPENING THERE THAT WE NEED TO GO AND FIND OUT WHAT HAPPENED. 
          AND THAT IS REALLY WHAT THE INTENT OF THE LAW IS, IS CREATE MECHANISMS TO BE ABLE TO MEASURE THAT. 
          AND UNFORTUNATELY WITH THESE DISEASES, IT REQUIRES A LOT OF TIME, A LOT OF CHANGE, BUT WE'LL GET THERE AS WE CONTINUE TO SEE THE MORTALITY DATA GOING DOWN TOWARD THESE DISEASES. 
          YEAH. 
          BUT YOU'RE FOCUSING ON DISEASE TRENDS. 
          AND, AND ONCE AGAIN, THE TIME THAT I SPENT THERE, WE DID DO DATA FROM A MANUFACTURING MANUFACTURER'S PERSPECTIVE. 
          SO WE KNEW HOW MANY LIVES WOULD BE SAVED IN TRAUMA. 
          OH, YOU MEAN IN TRAUMA ALMOST? WELL, WELL NOT JUST TRAUMA, UH, BUT YOU KNOW, THE PARKLEY IS A LEVEL ONE TRAUMA CENTER. 
          CORRECT. 
          SO BECAUSE OF THAT, YOU, YOU HAVE TO REPORT THAT DATA. 
          MM-HMM . 
          I THOUGHT THAT WOULD BE INCLUSIVE OF THIS REPORT. 
          I SEE THAT YOU HAVE ACCIDENTS, UH, UNINTENTIONAL INJURIES. 
          SO, YOU KNOW, YOU ATTEMPT, YOU REPORT THE DEPTH. 
          YOU SHOULD, YOU SHOULD BE ABLE TO REPORT THE LIVES THAT PER SAY, PARKLAND, YOU KNOW, ALSO FOR MANY, MANY YEARS WAS KNOWN AS ONE OF THE HOSPITALS THROUGHOUT THE COUNTRY WHERE THERE WERE NE AIDS THAT WERE MADE BY BIRTHS AS LIVE SAVED, YOU KNOW, FROM MOMS WHO HAD HERPES OR HHIV. 
          SO THAT'S WHY I'M SAYING THAT THAT SORT OF DATA, I'VE SEEN THAT DATA THROUGH MANUFACTURERS, IT JUST SEEMED TO BE LIKE THAT WOULD BE SOMETHING THAT WOULD BE INCLUSIVE OF IT. 
          YEAH. 
          THERE'S SOME COMPLEXITY TO THAT. 
          BUT, BUT WE'LL TRY  BECAUSE THE, THERE'S CERTAIN THINGS THAT WE CANNOT REPORT BECAUSE OF NUMBERS. 
          UM, THE, THE SMALLER THE NUMBERS, IT'S HARDER 'CAUSE IT'S CANNOT IDENTIFY THE PATIENT. 
          SO YOU WOULD NEED TO HAVE ACCESS TO ALL THE DATA TO NOT SHOW. 
          SO IF WE CAN ASSESS, IT'S, IT'S A COMPLEX DISCUSSION. 
          YOU CAN HAVE 
          [01:10:01]
AGGREGATED DATA, BUT NOT INDIVIDUALIZED DATA. 
          I HATE TO, UH, CUT OFF CONVERSATION HERE. 
          BUT YOU, YOU SAID, AND CORRECT ME IF I MISUNDERSTOOD YOU, DID YOU SAY THAT 70% OF THE SENIORS DON'T HAVE MEDICARE AND 50? NO, NO, NO. 
          WHAT I SAID IS THAT OF THE SENIORS IN, IN DALLAS COUNTY THAT HAVE ACCESS TO SERVICES, 74% OF THEM HAVE, IF YOU LOOK HERE ON THE LEFT SIDE, 70% OF THEM HAVE MEDICARE AND 16 ARE INSURED. 
          16%, 9% UNINSURED. 
          AND AND THIS IS PARKLAND PATIENTS. 
          IT'S NOT THE COMMUNITY AT LARGE. 
          SO, SO LET ME EXPLAIN THAT. 
          THE ONE HERE ON THE LEFT SIDE, THE ONE ON THE LEFT SIDE IS ALL COUNTY PATIENTS, ALL ON THE RIGHT SIDE. 
          ON THE RIGHT SIDE, ON THE LEFT SIDE, YOU ONLY SEE PARKLET, I MEAN, ON THE RIGHT SIDE. 
          SO THE ONE WITH THE BIG YELLOW PIPE, THAT'S WHAT I UNDERSTAND. 
          THAT'S, THAT IS PARKLET, 74% OF SENIORS IN DALLAS COUNTY HAVE MEDICARE, 16% ARE INSURED. 
          I DON'T KNOW. 
          I WOULDN'T BE ABLE TO TELL YOU WHAT. 
          OH, OKAY. 
          MAYBE. 
          SO THAT, THAT'S YOUR NUMBER IS, IS, IS ALREADY 80% AND THEN YOU HAVE 9%, UM, 90%, THEN YOU HAVE 9% THAT ARE, UM, UM, UNINSURED AND WE HAVE 43% OF OUR PATIENTS ARE UNINSURED. 
          SURE, SURE. 
          OKAY. 
          SO IT IS JUST HOW THE, THIS IS JUST TO EXPLAIN THE DIFFERENCES BETWEEN THE WHOLE COUNTY AND WHAT PARKLAND SERVES. 
          OH, THANK YOU. 
          DAR THIS HAS BEEN FANTASTIC. 
          YES, WE'VE USED UP OUR TIME. 
          AND, UH, WHEN YOU SEND SOME OF THOSE LINKS AND EVERYTHING, WOULD YOU PLEASE SEND THEM TO AMERICA? YES. 
          UH, IF YOU CAN COPY ME, BUT, UH, SHE'LL, SHE'LL MAKE SURE THAT THE INFORMATION GETS DISTRIBUTED IN CAN. 
          ABSOLUTELY. 
          THANK YOU, TY, THANK YOU FOR VERY WELL, THIS HAS BEEN DELIGHTFUL. 
          AND WHAT I WANNA ENCOURAGE YOU, IF YOU HAVE MORE QUESTIONS TO SEND THEM, AND THEN IF ONCE WE FINISH OUR REPORT BY THE END OF THE YEAR, I WILL BE HAPPY TO COME BACK, COME BACK AND IF YOU HAVE QUESTIONS YOU WANT, SEND THEM IN ADVANCE AND THEN I CAN MAYBE TAILOR IT TO THE SPECIFIC QUESTIONS THAT YOU ALL HAVE. 
          SIR, THANK YOU VERY MUCH. 
          YOU ARE DOING A GREAT JOB HEARING. 
          THANK YOU. 
          THANK YOU FOR YOUR FEEDBACK AND I'LL, I TOOK NOTES OF ALL THE FEEDBACK. 
          EVERYBODY GAVE YOU A LOT OF NOTES. 
          . 
          THANK YOU. 
          THANK YOU SO MUCH. 
          NEXT ON THE AGENDA IS THE, UH, DISCUSSION AND APPROVAL OF THE, UM, ANNUAL FUNDING PRIORITIES MEMO. 
          AND I'M GONNA TURN THIS OVER TO THE POLITIC OKAY. 
           TO, UH, TO GO GO THROUGH THIS AND, UH, ANSWER ANYBODY'S QUESTIONS THAT MAY BE ANSWERED. 
          WELL, THANK YOU, PETE. 
          UM, FIRST OF ALL, I WANT TO THANK ALL THE MEMBERS OF THE COMMISSION FOR PROVIDING YOUR FEEDBACK AND INPUT AND TO THE MEMBERS OF THE CITY STAFF. 
          WE'VE ALSO PROVIDED FEEDBACK AND INPUT FROM YOUR DEVELOPMENT MEMO. 
          UM, SPECIFICALLY I'D LIKE TO THANK COMMERS, TYSON WILLIAMS AND JARVIS FOR ACTING ON THE SUBCOMMITTEE WITH ME. 
          UM, AND TOGETHER WITH CHAIR KLEIN FOR YOUR GUIDANCE ON THE DEVELOPMENT OF THE MEMO, AND SPECIFICALLY FOR DEVELOPING ALL OF THE STATISTICS WORKING WITH THE CITY DATA ANALYTICS DEPARTMENT. 
          UM, AND ALSO THANKS TO TABITHA AND IKA FOR YOUR INPUT AND SUPPORT. 
          UM, AS A REMINDER, THIS EFFORT'S BEEN GOING ON FOR ABOUT THREE AND A HALF MONTHS NOW, ON FEBRUARY 3RD, I HAD SENT OUT THE REQUEST TO ALL COMMISSIONERS ASKING EVERYONE FOR YOUR FEEDBACK AND FOR YOUR IDEAS, AND I RECEIVED SEVERAL SUPPLIES. 
          SO THANKS AGAIN FOR THAT. 
          I ALSO HAD SOME PHONE CALLS WITH A FEW COMMISSIONERS, AND THAT PROVIDED AGAIN, SOME GREAT FEEDBACK AND INPUT. 
          SO THANK YOU FOR THAT. 
          LAST MONTH WE HEARD FROM GUIDEHOUSE CONSULTANT THAT'S HELPING TO DEVELOP THE STRATEGIC PLAN, UM, AND THAT ALSO HELPED INFORM SOME OF THE RECOMMENDATIONS IN THE, IN THE MEMO. 
          UM, NATURALLY WE CAN'T EXPECT ALL OF OUR IDEAS, ALL OF OUR REQUESTS TO BE FUNDED, ESPECIALLY GIVEN SOME OF THE BIG CHALLENGES THAT WE KNOW THE CITY'S FACING, PARTICULARLY THE CITY CHARTER AMENDMENTS THAT WE'RE PASSED IN NOVEMBER THAT WE KNOW, UM, WILL CREATE PRESSURE FOR FUNDING ANYTHING. 
          YOU KNOW, IN ADDITION TO THE, OR ANY NON-POLICE ACTIVITIES, THERE WAS PRETTY SIGNIFICANT, UM, INVESTMENT THAT'S 
          [01:15:01]
GONNA BE NECESSARY TO MEET THOSE CITY CHARTER AMENDMENTS. 
          UM, WHEN I PROVIDED THE UPDATE IN OUR LAST MEETING ON THE FUNDING MEMO, I MENTIONED THAT ALL COMMISSIONERS WOULD BE RECEIVING A DRAFT, WHICH YOU DID ABOUT 10 DAYS AGO. 
          AMERICA HAD SENT OUT THE DRAFT, UM, AND THEN SHE SENT OUT A, A REVISED EDITION WITH SOME OF THE UPDATED DATA, UM, JUST THIS PAST FRIDAY. 
          AND SO I HAVE HEARD BACK FROM A COUPLE OF COMMISSIONERS RELATED TO ANY FEEDBACK ON THAT FINAL DRAFT. 
          THOSE HAVE JUST BEEN, UH, GRAMMATICAL IN NATURE. 
          AND SO WE'LL MAKE A COUPLE OF THOSE GRAMMATICAL CORRECTIONS. 
          SO THANKS FOR THOSE. 
          UM, AND SO AT THIS TIME, I'D LIKE TO OPEN IT UP TO ANYONE WHO HASN'T HAD A CHANCE TO PROVIDE ANY FEEDBACK OR FINAL COMMENTS, AND THEN WE'LL MOVE TO A VOTE. 
          KAREN, I, SINCE NO ONE ELSE, I JUST WANNA SAY, YOU KNOW, I DO KNOW THE CITY BUDGET. 
          I MEAN, I SAW A THING ON TV LAST NIGHT WHERE THE CITY MANAGERS WANTED THE COUNCIL THAT THERE'S GONNA BE A LOT OF CUTBACKS AND, UH, YOU KNOW, I KNOW WE PROPOSED SOME NEW POSITIONS. 
          ONE OF THE THINGS THAT WE PROPOSED, AND I THINK IT'S AMAZING, AND I SUPPORT THIS, A C IS TO, I I LOVE THE, THE CONCEPT OF, UH, THE EXEMPTION FOR FEES INCREASE. 
          UH, THAT WILL NOT REQUIRE THE COUNCIL TO FUND IT. 
          I, I RECOGNIZE IT IMPACT THE BUDGET, BUT IF WE CAN EVEN PUSH JUST THAT, AND THAT'S GONNA TAKE A LOT OF CREATIVITY, AND I'M WANT, I NEED TO TALK TO MY COUNCILMAN ABOUT IT. 
          I'VE WORKED WITH SENIORS THAT ARE ON SSI, WHICH IS, I MEAN, LESS THAN A THOUSAND DOLLARS A MONTH. 
          EVERY DOLLAR THESE DAYS, AS WE KNOW FOR SOME PEOPLE IS HUGE. 
          SO I I, I COMMEND EVERYTHING YOU'VE DONE IN HERE, AND I SEE THAT AS ONE . 
          SO ANY OTHER, YEAH, I, I DO MAY HAVE A COMMENT MORE, MORE THAN ANYTHING OR SUGGESTION, NOT, NOT ABOUT THE CONTENT. 
          UH, PROBABLY I HAD A LOT OF OPPORTUNITY TO DISCUSS THIS, BUT, BUT I THINK IT, IT WAS IN THE SIGNATURE LINE, INSTEAD OF JUST HAVING CHAIR'S NAME LISTED. 
          UH, THIS IS A, A COMMISSION REPRESENTED BY DISTRICTS THROUGHOUT THE CITY OF DALLAS. 
          I THINK EVERY, EVERY COMMISSIONER'S NAME SHOULD BE LISTED ALONG WITH, UH, THE DISTRICT THAT, THAT THEY SERVE. 
          SO, YOU KNOW, WHERE IT SAYS JP, THE CLIENT CHAIR, YOUR DISTRICT, AND THEN EVERYONE ELSE'S NAME AND DISTRICT, UH, THAT IS REPRESENTED AS PART OF THIS COMMISSION AS OPPOSED TO JUST SENIOR AFFAIRS COMMISSION. 
          YOU KNOW, THIS IS A PEPPERMAN UP. 
          AND, AND, AND JUST AS WE DIDN'T LIST IN ANYWHERE IN HERE, EVERY COUNCIL MEMBER, WE DIDN'T LIST EVERY COMMISSIONER. 
          AND SO I DON'T DISAGREE. 
          THAT'S, THAT INFORMATION IS READILY AVAILABLE FROM YOU. 
          ALL OF THE COUNCIL MEMBERS KNOW WHO THE, WHO AIR COMMISSION IS AT LEAST. 
          UH, SO I JUST A SUGGESTION. 
          WE WERE, I'M TRYING TO KEEP IT UNDER 20 PAGES. 
          . 
          YES. 
          I JUST WANNA MENTION, UH, ROBERT, DONE JOB, IT'S CONCISE. 
          UM, I AGREE WITH, WITH PETER IN THAT HE DOESN'T NEED TO BE, YOU KNOW, A, A, UH, A DOCTORAL PAPER. 
          YES. 
          UM, BUT YEAH, HE'S DONE A GOOD JOB. 
          AND YOU INCLUDED THE THINGS THAT WE, UH, SUGGESTED THANK YEAH, I THINK IT, IT, IT CERTAINLY REFLECTS THE MAJORITY OF THE INPUT THAT I RECEIVED. 
          UM, I THOUGHT IT WAS REALLY INTERESTING HEARING HARRIS TODAY SPEAK TO A LOT OF THE SAME CHALLENGES THAT PARKLAND FACES, THAT WE KNOW EVERY NONPROFIT, UM, THAT WE WORK WITH FACES THAT OTHER GOVERNMENT CAN FACE. 
          AND SO I'M HOPEFUL THAT THE COMBINATION OF HEARING THE SAME TYPES OF ISSUES FROM MULTIPLE DIFFERENT ENTITIES WILL BE TELEPHONE. 
          ROBERT, THIS IS DEBBIE AUSTIN. 
          WE TALKED EARLIER, YOU KNOW, WE HAD A TELEPHONE CONVERSATION, AND I THINK I EXPRESSED TO YOU THAT MY PRIMARY CONCERN WAS THAT THESE COMMITTEES ARE NOT, UM, DIVERSIFIED ENOUGH. 
          I, I FIND IT HARD TO ACCEPT, UH, SOME OF THE FINDINGS THAT COME FROM COMMISSIONERS WHO LIVE IN, UM, MORE PROSPEROUS 
          [01:20:01]
COMMUNITIES AND THE ONE THAT I LIVE IN OUT HERE. 
          AND I THINK I EXPRESSED THAT TO YOU BECAUSE IF YOU LIVE IN A, A COUNTRY CLUB COMMUNITY OR IN HIGHLAND PARK OR, OR CASA VIEW, THEN YOU DON'T KNOW WHAT THE SENIORS EXPERIENCE IN, IN, UH, COMMUNITIES THAT ARE NEARLY DESTITUTE. 
          SO I DIDN'T TAKE A LOT OF INTEREST. 
          I READ THE DOCUMENT, I DID NOT GIVE YOU FEEDBACK BECAUSE I DID NOT AGREE WITH A LOT OF THINGS ON IT. 
          AND I'VE TOLD MY COUNCILMAN THAT, AND I WILL AGAIN WHEN I, WHEN THEY GET THE FINAL DOCUMENT, BUT I'M GONNA VOTE TO APPROVE IT. 
          BUT WE'VE ALREADY TALKED ABOUT HOW I FELT ABOUT IT WHEN I TALKED TO YOU EARLIER THIS YEAR. 
          REMEMBER? YES, DEBBIE IS WHAT I WAS HOPEFUL WAS THAT THE COMPONENTS THAT TALK ABOUT THE OUTREACH EFFORTS AND WITH SPECIFIC FOCUS ON THE IMPOVERISHED PORTIONS OF OUR COMMUNITY, THAT'S REALLY THE KEY. 
          AND SO I THINK, WHILE I DIDN'T SAY, YOU KNOW, NECESSARILY IN, DON'T LISTEN TO THOSE WHO LIVE IN MORE PROSPEROUS AREAS, I THINK THE FOCUS IS MORE ABOUT HOW CAN WE GET INTO THE COMMUNITY THROUGH THESE OUTREACH EFFORTS AND REACH THE PEOPLE WHO ARE MOST AT NEED. 
          AND I THINK THAT HOPEFULLY THAT, THAT THOSE PORTIONS OF THE FUNDING MEMO REALLY HIGHLIGHT THOSE NEEDS AND, AND, AND THAT DESIRE. 
          UM, CAN I SHARE SOMETHING WITH YOU? SURE. 
          AND IT'S, IT'S KIND OF PERSONAL. 
          I ATTENDED AN EVENT, I WAS INVITED TO A AWARDS, UH, EVENT AT THE FAIR PARK, UM, FOR JUANITA CRAFT. 
          AND, UH, THE, THE GUEST OF HONOR WASN'T ALLOWED INTO THE PARKING LOT THAT RESERVED FOR US GUESTS. 
          AND I HAD HAD PROBLEMS GETTING INTO, WE ENDED UP HAVING TO MAKE A COMPLAINT TO ONE OF THE VICE PRESIDENTS OVER THERE. 
          AND THE PERSON THAT WOULDN'T ALLOW US IN THAT PARKING LOT WAS A LITTLE BLACK LADY WITH ONE TOOTH. 
          AND WHEN I, HE ASKED ME TO, UH, DESCRIBE THE PERSON WHO, WHO WAS GIVING US PROBLEMS, AND I SAID, SHE ONLY HAS ONE TOOTH. 
          AND HE KIND OF TOOK THAT WITH HUMOR AND I SAID, NO, I'M NOT, I'M NOT CRITICIZING HER AND I'M NOT MAKING FUN OF HER. 
          FOR WHATEVER REASON, THAT LADY ONLY HAS ONE TOOTH. 
          SO TO ME, DENTAL HEALTH IS VERY IMPORTANT IN IMPOVERISHED AREAS WHERE YOU MIGHT BE ABLE TO GO TO SOME OF THESE PEOPLE THAT ARE ADVERTISED ON TV OR EVEN THE THING THAT'S NOW OVER AT BAYLOR. 
          THE THE DENTAL CLINIC THAT, THAT THE CITY HAD THAT WAS GIVING FREE SERVICE NOW IS NOT GONNA GET FUNDING FROM THE CITY OF DALLAS. 
          AND SO THAT LADY THAT HAS ONE TOOTH IS NOT THE ONLY PERSON IN DALLAS THAT HAS ONE TOOTH. 
          AND, AND, AND WE WERE TALKING, SOME OF US WERE TALKING ABOUT, WELL, IMAGINE IF, IF THAT'S YOUR PROBLEM, I THINK YOU MIGHT HAVE AN ATTITUDE. 
          AND I, THAT'S WHAT I TOLD THE MAN. 
          I SAID, MAYBE SHE'S UPSET BECAUSE NOBODY LOOKS LIKE HER AROUND HER. 
          MAYBE SHE'S UPSET BECAUSE SHE DOESN'T KNOW HOW SHE, WHEN WAS THE LAST TIME SHE ATE A SANDWICH, ATE A STEAK, OR THINGS LIKE THAT. 
          BECAUSE OF THAT, THE LIMITATIONS PUT ON HER BECAUSE HER, HER HEALTH, UH, UH, UH, UH, CHALLENGES AREN'T BEING MET AND SHE WORKS PART-TIME FOR THE FAIR. 
          SO SHE'S ONLY MAKING MONEY THEN. 
          I DON'T KNOW ANYTHING ABOUT HER LIFE. 
          I DON'T KNOW ANYTHING ABOUT HER, HER BACKGROUND, BUT I KNEW THAT SHE ONLY HAD ONE TOOTH IN THE FRONT OF HER MOUTH. 
          AND TO ME, IF SHE HAD ACCESS TO FREE DENTAL HEALTH, IF SHE KNEW ABOUT THAT ACCESS, THEN MAYBE SHE WOULD HAVE A PARTIAL TOO. 
          LIKE, I HAVE A PARTIAL, BUT I CAN AFFORD IT. 
          I HAVE DENTAL INSURANCE. 
          BUT YOU KNOW WHAT I'M SAYING? SO THERE ARE AREAS IF YOU, AND LIKE, LIKE THE LADY FROM PARKLAND WAS SAYING, IF YOU DON'T LIVE IN THE COMMUNITY THAT YOU'RE REPRESENTING, YOU DON'T KNOW WHAT THE CHALLENGES ARE FOR THAT COMMUNITY. 
          SO YOU CAN'T SPEAK FOR THOSE PEOPLE. 
          IF YOU DON'T, IF YOU DON'T LIVE IN MY AREA, YOU CAN'T SPEAK FOR MY AREA. 
          IF YOU DON'T LIVE IN PLEASANT GROVE, YOU CAN'T SPEAK. 
          AND THAT'S ONE OF THE, ANOTHER ONE OF THE POOREST DISTRICTS. 
          YOU CAN'T SPEAK FOR THOSE PEOPLE IF YOU DON'T LIVE IN WEST AFRICA. 
          THOSE PEOPLE, SO IF WE'RE NOT INCLUDED IN YOU ALL'S COMMITTEES, THEN YOU DON'T HAVE THE FULL GIST OF WHAT IS NEEDED IN THE COMMUNITY. 
          AND THAT'S NOT A COMPLAINT. 
          BUT THAT'S EXACTLY WHAT I TOLD MY COUNSELOR WHEN I SENT THE LAST DOCUMENT OVER, AND THAT WAS MY LETTER ATTACHED TO THAT THING. 
          AND SO I'M SAYING THAT TO YOU BECAUSE EVERYBODY SHOULD HAVE BEEN INCLUDED IN THEIR DOCUMENT BECAUSE IT DOES SAY, I READ IT, IT DOES SAY, UM, I READ PART OF IT. 
          IT SAYS THE COMMISSION DECIDED. 
          THE COMMISSION SAYS THE COMMISSION. 
          THAT, AND ALL OF THE COMMISSIONERS WEREN'T INCLUDED. 
          SO THAT'S JUST MY POINT. 
          AND YOU KNOW, I, YOU KNOW, I APPRECIATE YOU AND YOU KNOW, I RESPECT YOU. 
          SO IT IS NOT, THIS IS NOT TAKEN, THIS IS NOT DONE IN HOSTILITY. 
          AND I JUST WANTED TO TELL YOU AND EXPLAIN TO THE COMMISSION. 
          THANK YOU, ROB, FOR ALL YOU'RE DOING, BECAUSE I KNEW IT WAS A BIG JOB. 
          THANK YOU. 
          DEBBIE PORSCHE. 
          UM, ROBERT, I JUST WANTED TO, UH, COMMENT ALSO, I APPRECIATE YOU ADDRESSING THE LGBT COMMUNITY. 
          UM, THAT'S HUGE AND A LOT OF PEOPLE ARE AWARE THAT YOU, THEY'RE LOOKING FORWARD TO SEEING THIS, UM, ON THE COUNCIL, ON THE CITY COUNCIL BECAUSE THAT'S 
          [01:25:01]
SOMETHING THAT ISN'T ALWAYS DONE. 
          BUT, UM, JUST TO PIGGYBACK ON SOMETHING THAT TARA CITA SAID EARLIER, THAT IS NOT INCLUDED IN THIS FUNDING PRIORITY, EVEN THOUGH IT MAY NOT SEEM LIKE A BIG DEAL TO ALL OF YOU, ALL OF THE MEMBERS OF THE COMMISSION, THAT WE HAVE SOMEONE THAT ADDRESSES THE LGBT SENIORS. 
          IT REALLY IS A BIG DEAL AND IT REALLY DOES MAKE A DIFFERENCE WHEN WE HEAR SOMETHING OR WE LEARN SOMETHING FROM ONE OF OUR OWN. 
          AND MAYBE IF THEY CAN'T HIRE SOMEONE TO WORK WITH THE OFFICE OF COMMUNITY AFFAIRS, PERHAPS YOU COULD SUGGEST THAT THEY HAVE, UH, A COMMISSIONER THAT IS SPECIFICALLY ADDRESSING THE NEEDS OF LGBT SENIORS. 
          BECAUSE I FEEL LIKE I'M, I'M DOING TWO ROLES HERE. 
          YOU KNOW, I'M REPRESENTING DISTRICT TWO, BUT I'M ALSO REPRESENTING MY LGBT COMMUNITY AND I, I JUST FEEL LIKE SOMETHING'S GOING TO FALL BY THE WAYSIDE. 
          BUT AGAIN, THAT'S JUST A SUGGESTION AND I REALLY WANT TO EXPRESS MY APPRECIATION FOR WHAT STRONG WORK YOU DID WITH THIS, THIS, UH, DOCUMENT. 
          I REALLY APPRECIATE IT. 
          THANK YOU, PORSCHE. 
          AND, AND AGAIN, HOPEFULLY THROUGH INCORPORATION AND POINTING OUT, BASED ON OUR CONVERSATION, SOME OF THOSE FACTS OF WE NEED TO MAKE SURE THAT WE'RE REPRESENTING ALL, ALL PORTIONS OF OUR COMMUNITY. 
          AND SO THAT MEANS MM-HMM . 
          ESPECIALLY FOR THIS OUTREACH POSITION THAT WE'RE RECOMMENDING, THAT INDIVIDUAL HAS TO BE AWARE OF THE VARIOUS NEEDS AND THE, THE VARIOUS CHALLENGES THAT YOU AND I TALKED ABOUT THAT ARE UNIQUE AND INCORPORATING THAT INTO THE OUTREACH PLANNING SO THAT WE CAN MAKE SURE THAT EVERY PORTION OF THE COMMUNITY IS WELL REPRESENTED. 
          SO I, AGAIN, I CAN YOUR INPUT, ROBERT, THIS IS DEBBIE AGAIN. 
          I, I NOTICED THAT WHEN YOU PUT THE TOP PRIORITIES FOR CONCERNS, CHALLENGES OF WHAT, I CAN'T REMEMBER THE EXACT, UM, NOUN THAT YOU USE, BUT YOU DID NOT LIST, LIKE, LIKE I SAID, DENTAL HEALTH WAS NOT PART OF IT. 
          UH, I SAW TRANSPORTATION, SIDEWALKS, UM, HOUSING AND THOSE KINDS OF THINGS. 
          AND THAT'S NOT A PUT DOWN, THIS IS JUST MY OBSERVATION, BUT I DID NOTICE, AND I DIDN'T SEE FOOD DESERTS, BUT I DID NOTICE IN ONE OF THE APPENDIX THAT FOOD DISPARITY OR FOOD, UH, UH, DESERTS WERE, WAS NOTED, BUT IT WASN'T IN THE TOP THINGS THAT YOU SAID, LIKE IN, I THINK IT WAS LIKE IN THE FIRST PAGE OR SECOND PAGE WHEN YOU LISTED THE, THE THINGS THAT WERE CHALLENGES, REMEMBER FOR SENIORS, PAGE 10. 
          YEAH. 
          AND WE, WE WOULD NO, NO, NO, NO. 
          I'M TALKING ABOUT AT THE BEGINNING. 
          AT AT THE BEGINNING. 
          IT'S BASICALLY A SUMMARY AND HE, UH, I WROTE IT DOWN. 
          UM, BUT YOU TALKED ABOUT THE TOP THINGS THAT, THAT WERE IMPORTANT TO SENIORS AND, UH, THERE WAS LIKE TRANSPORTATION, SIDEWALKS, UH, HOUSING, UH, THAT KIND OF THING. 
          AND, AND I'M NOT, I'M NOT SINGLING THAT OUT, I'M JUST SAYING THAT IN THOSE TOP PRIORITIES, DENTAL HEALTH WASN'T IN THERE. 
          AND I STILL SAY THAT'S VERY IMPORTANT. 
          EVEN HEALTH WASN'T IN THERE AND THE LADY FROM PARKLAND JUST DEMONSTRATED THAT IS VERY IMPORTANT. 
          AND, BUT IT, YOU DID MENTION FOOD DISPARITIES DOWN IN ONE OF THE APPENDICES, SO THAT'S JUST AN OBSERVATION TOO. 
          OKAY, THANK YOU. 
          SO, LIKE I SAID, I, I, I, I TRIED TO READ THE DOCUMENT, IT WAS EXTREMELY LONG. 
          I READ SOME OF IT, THEN I SKIPPED TO THE APPENDICES AND UM, THAT'S MY INPUT. 
          I'M BEING HONEST. 
          ALRIGHT, THANK YOU DEPUTY. 
          UM, ONE, ONE THING THAT I THINK EVERYBODY NEEDS TO KEEP IN MIND IS THE, THE NEW STRATEGIC PLAN WILL BE ISSUED SOMETIME IN THE NEXT 60 DAYS OR SO. 
          AND WE'RE, WE'RE ASSUMING NONE OF US HAVE SEEN IT, UH, THAT IT WILL ADDRESS A LOT OF THESE ISSUES MORE SPECIFICALLY THAN THIS FUNDING PRIORITIES MET ALONE HAS, HAS DONE. 
          SO I, I THINK WE NEED TO WAIT AND SEE WHAT THAT LOOKS LIKE AND WHAT, WHAT THE, WHAT THE PLAN IS BEFORE WE, UH, THIS IS REALLY INTENDED TO HIGHLIGHT SOME PRIORITIES THAT YOU WOULD HOPE THAT THE COUNCIL WILL LOOK AT AND KEEP THE SENIOR ISSUES. 
          EXCUSE ME. 
          UH, UM, ALL MY DEVICES ARE HOLLERING AT ME HERE. 
          SO, UH, THE, AND, AND HOPEFULLY WE'RE GONNA HAVE A MORE COMPREHENSIVE THING OUT THERE THAT WILL BE A PATH FORWARD THAT, THAT FOCUS ON A LOT OF THESE ISSUES. 
          ONE OF THE THINGS THAT I FOUND 
          [01:30:01]
IN THE PARKLAND PRESENTATION IS, YOU KNOW, YOU GO BACK FIVE OR 10 YEARS, PARKLAND DIDN'T HAVE DATA AND THEY DIDN'T HAVE A STR A STRATEGY FOR HOW TO TARGET WHERE THE AREAS OF GREATEST NEED WERE. 
          AND IF YOU LOOK AT THE PROGRESS THAT THEY'VE MADE OVER THE LAST, UH, SEVERAL CYCLES WITH THIS, IT'S, IT'S PRETTY, PRETTY DARN IMPRESSIVE. 
          AND THEY'VE GOT A LOT OF DATA. 
          UH, WE RECENTLY, UH, P-P-P-P-C-I WAS PART OF PARKLAND ORIGINALLY AND HAS BEEN SPUN OFF AS ITS OWN NONPROFIT THAT DOES THESE NEEDS ANALYSIS KINDS OF, UH, THINGS. 
          AND WE RECENTLY PUT THEM IN TOUCH WITH, UH, GREATER INSEC AT THE DATA ANALYTICS GROUP. 
          SO THEY HAD A MEETING SO THAT EVERYBODY'S AWARE OF WHAT EVERYBODY ELSE HAS AVAILABLE OR AT BE SOMEWHAT AVAILABLE. 
          UH, AND YOU KNOW, HOPEFULLY THOSE THINGS WILL CONTINUE AND WE NEED DATA THAT COMES UP. 
          THE UPDATED DATA IN HERE TO THE, THAT'S TIED TO THE 23 CENSUS DATA IN THE 24 REPORT, UM, HAS SOME PRETTY STARTLING NUMBERS IN HERE THAT, YOU KNOW, WE, WE'VE GONE FROM 140,000, UM, I  TURN THAT OFF. 
          . 
          UM, I, I THINK THAT WE'VE, WE'VE MADE A LOT OF PROGRESS. 
          I THINK THAT INSTITUTIONALIZING THE CONTINUOUS UPDATING THE DATA IS GONNA BE IMPORTANT. 
          AND I, I THINK AS ROB SAID, UH, I THINK THE OUTREACH PIECE IS CRITICALLY IMPORTANT BECAUSE NOT EVERY CORNER OF THE CITY NEEDS THE SAME THINGS. 
          FOR SURE. 
          AND I THINK ONE OF THE THINGS THAT WE'VE CONCLUDED OVER THE LAST YEAR OR SO WITH OUR, UH, OUTREACH SESSIONS WE HAD IN EVERY DISTRICT IS THAT WE'RE NOT REACHING THE PEOPLE WITH GREATEST NEED. 
          AND I, I THINK WE NEED TO BE CONTINUOUSLY AS A COMMISSION NEEDS TO BE CONTINUOUSLY FOCUSED ON HOW DO WE REACH THE PEOPLE THAT ARE NOT BEING REACHED YET? 'CAUSE THEY'RE PROBABLY THE ONES WHO HAVE GREATEST NEEDS. 
          AND ONE OF THE MORE INTERESTING STATS WAS WHEN 20% OF THE SENIOR POPULATION DOES NOT HAVE ACCESS TO HIGH SPEED INTERNET, THEY COMPUTERIZED VERSION COMMUNICATIONS IS GONNA WORK FOR EVERYBODY. 
          UH, IS TO JUST ISN'T GONNA WORK. 
          YES, SURE. 
          I CALLED FOR THE PREVIOUS QUESTION. 
          I MAKE A MOTION. 
          WE NEED A MOTION. 
          I DIDN'T HAVE A MOTION. 
          YOU NEED A MOTION. 
          MADE THE MOTION. 
          AND I SAID NO. 
          THAT WAS FOR THE, THAT WAS THE MINUTES. 
          THAT WAS, BUT I MAKE A MOTION. 
          OH, YOU'RE MAKING A MOTION IN MY HAND IS UP AND YOU'RE IGNORING ME. 
          OH, I'M SORRY. 
          MY HAND WAS UP BEFORE VERNA WENT UP THE FIRST TIME. 
          I HAVE ONE MORE COMMENT TO MAKE. 
          PLEASE, DEBBIE. 
          MY COMMENT WAS AT THE LAST COMMISSIONER'S MEETING THAT AMERICA OR JESSICA, ONE OF THEM I'M NOT SURE, MENTIONED THAT FUNDING TO, UH, UH, MC COOPER WAS GOING TO, THE CITY OF DALLAS WAS NOT GONNA FUND MC COOPER ANYMORE. 
          AND SO WHEN WE'RE RECOMMENDING FUNDING CUTS OR FUNDING ADJUSTMENTS OR WHATEVER WE'RE DOING, UM, AND THAT MC COOPER WAS THE DENTAL CLINIC THAT WAS ASSOCIATED WITH TEXAS A AND M, THE BAYLOR HOSPITAL. 
          SO WE ARE NOT INCLUDING DENTAL HEALTH AND WE ALREADY KNOW THE CITY INTENDS TO CUT THAT BUDGET. 
          SO WE'RE NOT GONNA RECOMMEND THAT THEY NOT CUT THAT FROM THE BUDGET. 
          WE, WE, WE, ON ON PAGE, ON PAGE 11 OF THE MEMO, EXCUSE CARE FOR THE SENIOR DENTAL CARE PROGRAM, WHERE WE'RE JUST ASKING THE CITY TO EXERT ITS INFLUENCE TO MAKE SURE THAT THE FUNDING IS OKAY. 
          YES. 
          THANK YOU. 
          WELCOME. 
          OKAY, WE HAVE, YOU WANNA MAKE A MOTION SINCE IT'S YOUR, I WOULD LIKE TO MAKE A MOTION IF WE APPROVE SECOND WILL IT COMMITTEE ANY FURTHER DISCUSSION BEFORE WE HAVE A VOTE. 
          ALL IN FAVOR OF APPROVING THE MEMORANDUM, UH, WAIVE OR SAY AYE OR WHATEVER. 
          AYE. 
          A ANYBODY OPPOSED? AYE. 
          PHYLLIS. 
          PHYLLIS. 
          SHE SAID AYE. 
          SHE SAID THAT. 
          OKAY. 
          OH YEAH, THAT'S, I JUST UNMUTED MYSELF. 
          . 
          THANK YOU. 
          DRIVE SAFELY, PHYLLIS, THANK YOU. 
          THANK YOU ROBIN, THE MEMBERS OF YOUR COMMITTEE FOR DOING THIS. 
          AND, UH, I, I THINK THE, UH, THE NEW STATS THAT ARE IN HERE ARE WORTH, UH, LOOKING AT CAREFULLY AND WE'LL BE SHARING THEM. 
          THIS WILL OBVIOUSLY GO TO ALL COUNCIL MEMBERS, BUT UH, FEEL FREE TO SHARE 
          [01:35:01]
THOSE STATISTICS WITH ANYBODY IN YOUR COMMITTEE. 
          'CAUSE IT DOES BREAK IT DOWN BY COUNCIL DISTRICT. 
          OKAY. 
          AMERICA, YOU'RE UP, I THINK. 
          THANK YOU CHAIR. 
          GOOD AFTERNOON COMMISSIONERS. 
          MAYOR MORMAN, SUPERVISOR WITH THE SENIOR SERVICES, AND I'M GONNA KEEP THIS VERY BRIEF. 
          SO LAST THURSDAY WE HAD THE, UH, FUN OLDER AMERICANS MONTH EVENT AT THE TYLER STREET CHURCH AND WE HAD A GOOD TURNOUT AND LOTS OF FUN. 
          SO THANK YOU, UH, FOR THOSE CHAIR AND COMMISSIONERS. 
          UH, COMMISSIONER AUSTIN LEE AND DELGADO WHO ALSO JOINED US THERE. 
          UM, WE HAVE THE DART OLDER AMERICANS MONTH EVENT COMING UP ON THE 29TH. 
          UM, I'VE RESENT THE FLYER TO EVERYBODY WHO ARE INTERESTED IN ATTENDING. 
          UH, AND OF COURSE WE ALSO HAVE A DISTRICT FOUR SENIOR LUNCH AND LEARN COMING UP THIS WEEK, THURSDAY, AND I JUST SHARED THE FALL AS WELL WITH EVERYBODY. 
          UH, NEXT MONTH WE ARE GONNA GET BACK TO THE ESTATE PLANNING, SO WE'LL BE AT THE SINGING HILLS. 
          WE'VE HAD A LOT OF INTEREST ON THAT, SO WE'RE WAITING ON A GOOD CROWD. 
          AND ALSO, UH, A PS IS HOSTING FAKE PLACES SAFE SPACES EVENT ON JUNE 23RD. 
          AND THIS IS TO LEARN MORE ABOUT ABUSE, NEGLECT, EXPLOITATION, AND HOW FAKE COMMUNITIES CAN HELP. 
          UH, REGARDING CALLS, WE ARE STAYING ON TRACK WITH OUR, UM, ANNUAL TARGETS. 
          UH, I DID NOTICE THAT FOR THIS PAST MONTH APRIL, WE HAD A VERY HIGH NUMBER OF FINANCIAL ASSISTANCE CALLS. 
          THIS IS MAINLY UTILITIES, BUT ALSO RENTAL ASSISTANCE AND MORTGAGE ASSISTANCE. 
          UM, OVERALL, YOU KNOW, AS MENTIONED LAST TIME EVENTS, WE'VE ALREADY EXCEEDED 20 EVENTS OVER WHERE WE WERE LAST YEAR. 
          SO WE'RE HOPING A GOOD NUMBER AT THE END OF THE YEAR, UM, ON ALL OUR EVENTS. 
          AND IF THERE ARE ANY QUESTIONS ON ANY OF THE OTHER NUMBERS, UH, HAPPY TO ADDRESS THEM. 
          COMMISSIONER MITCHELL, JUST A QUESTION. 
          YOU SAID THAT YOU DID SEND NOTICES FOR EACH OF THOSE MINUTES, SORRY, THE, THE DART OLDER AMERICANS MONTH AND THEN THE SENIOR LUNCH AND LEARN AT DISTRICT FOUR. 
          THOSE WERE SENT THE OTHER THINGS AS WELL. 
          UH, I WILL SEND THE ONE FOR THE FAKE PLACES AND SAFE SPACES AND IF THERE ARE ANY EVENTS THAT YOU'RE AWARE OF THAT WE HAVEN'T SHARED WITH ALL THE COMMISSIONERS, I'M HAPPY TO SHARE THOSE AS WELL. 
          THANK YOU. 
          THANK YOU. 
          THANK YOU ALL FOR MENTIONING DISTRICT FOUR , WHERE WE DO MORE. 
          OH, I DID IT ALL. 
          A CHEER. 
          . 
          I'LL MOVE TO ADJOURN. 
          MEETING ALL THE PAPER. 
          LEAVING. 
          WE'RE DONE. 
          THANK YOU ALL.
* This transcript was created by voice-to-text technology. The transcript has not been edited for errors or omissions, it is for reference only and is not the official minutes of the meeting.