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GOOD AFTERNOON EVERYONE.[Senior Affairs Commission on February 23, 2026.]
NAME IS TABITHA TAYLOR.I'M THE AGE FRIENDLY OFFICER FOR AGE FRIENDLY SENIOR SERVICES, AND IT IS NOW 1202.
I AM CALLING THE SENIOR AFFAIRS COMMISSION MEETING TO ORDER.
I'M AN ASSISTANT CITY ATTORNEY WITH THE CITY OF DALLAS.
UM, I'M HERE TO JUST PROVIDE SOME INFORMATION ON THE REQUIREMENTS FOR RE CHAIR.
SO FIRST, A MEETING OF THE STATE GOVERNMENTAL BODY FOR A GOVERNMENTAL BODY THAT EXTENDS IN THREE, FOUR COUNTIES MAY BE HELD BY VIDEO CONFERENCE AT ALL.
ONLY IF THE MEMBER OF THE GOVERNMENTAL BODY PRESIDING OVER THE MEETING IS PHYSICALLY PRESENT AT ONE LOCATION WITH THE MEETING THAT'S OPEN TO THE PUBLIC DURING OPEN PORTIONS OF THE WE'RE HAVING TROUBLE HEARING YOU.
SECOND, I WAS HAVING TROUBLE, BUT THEN WHEN I SAW HER DOING THIS, YOU KNOW,
SO I WAS JUST GOING OVER THE REQUIREMENTS FOR ELECTING A TEMPORARY CHAIR.
SO THE SECOND REQUIREMENT IS THE CHAIR
IN THE ABSENCE OF THE CHAIR, THE VICE CHAIR WILL EXERCISE THE POWERS OF THE CHAIR.
IF THERE'S NO CHAIR OR VICE CHAIR AVAILABLE, THE BOARD MAY APPOINT A TEMPORARY CHAIR, AND THEN THE FIRST ADJOURNMENT IS GOING TO PUT AN END TO THIS APPOINTMENT.
UM, SO IS THERE A MOTION FOR A TEMPORARY CHAIR? I MAKE MOTION.
I NOMINATE ROBERT IF HE WANTS TO DO IT.
OH, THE MOTION FIRST? WHAT DO YOU DO? SHE HAVE A NOMINATION.
SO YOU CAN JUST STATE THEM WITH THE NAME.
ALL IN FAVOR OF THE DISCUSSION, SAY AYE.
ANY OPPOSED? ANY OF OPPOSED? GO.
SO I'M GONNA HAND THE, ALRIGHT, THANK YOU.
I'LL CALL THE MEETING TO ORDER.
UM, FIRST ITEM IS PUBLIC SPEAKERS.
DO WE HAVE ANY PUBLIC SPEAKERS TODAY? YES, I DO.
SO IF YOU WOULD LIKE TO PLEASE APPROACH THE, UH, PODIUM.
GOOD MORNING AND THANK YOU SO MUCH FOR ALLOWING ME TO BE HERE TODAY.
I'M A RESPIRATORY THERAPIST AND THE NEW BUSINESS DEVELOPMENT REPRESENTATIVE WITH ALTRUIST HOME HEALTH AND HOSPICE.
OUR FOCUS AND PASSION IS SERVING AGING ADULTS AND SUPPORTING THEIR, THE FAMILIES WHO CARE ABOUT THEM.
BEFORE JOINING ALTRUIST, I HAD THE PRIVILEGE OF SERVING AS A CITY OFFICIAL IN MY HOMETOWN, WHICH GAVE ME A DEEP RESPECT FOR COLLABORATION, INFRASTRUCTURE AND THE IMPORTANCE OF ORGANIZATION, ORGANIZATIONS WORKING TOGETHER TO STRENGTHEN THE COMMUNITY.
IT IS INSPIRING TO SEE THE WAY YOU ALL CAN COME TOGETHER TO SUPPORT OLDER ADULTS, AND IT MOTIVATES US TO BECOME PART OF THE GREAT WORK YOU ARE ALREADY DOING AT ALL.
TRUST HOME HEALTH AND HOSPICE.
WE PROVIDE TRUSTED CARE, EDUCATION, AND SUPPORT SO THAT NO FAMILY FEELS ALONE DURING TIMES OF ILLNESSES OR TRANSITION.
ONE OF THE BIGGEST CHALLENGES WE SEE IS THAT MANY PEOPLE STILL DO NOT FULLY UNDERSTAND WHAT HOME HEALTH AND HOSPICE ARE WHEN THEY SHOULD ASK FOR THESE SERVICES OR HOW MUCH THEY CAN TRULY HELP.
BECAUSE OF THIS, FAMILIES OFTEN WAIT TOO LONG OR MISS OUT ON SUPPORT THAT CAN IMPROVE QUALITY OF LIFE.
THAT IS WHY OUR GOAL IS TO PARTNER WITH SENIORS, SENIOR CENTERS AND COMMUNITY ORGANIZATIONS LIKE YOURS.
WE WANT TO BRING EDUCATION, RESOURCES AND SUPPORT DIRECTLY TO AGING ADULTS AND THEIR FAMILIES SO THEY KNOW THEIR OPTIONS BEFORE A CRISIS HAPPENS.
OUR TEAM PROVIDES A WIDE RANGE OF SERVICES IN THE COMFORT OF HOME.
THIS INCLUDES SKILLED NURSING WOUND CARE, PICC LINE, AND IB CARE, MEDICATION MANAGEMENT, VENTILATOR AND TRACHEOSTOMY CARE, PALLIATIVE CARE AND HOSPICE CARE, WHICH FOCUS ON COMFORT, DIGNITY, AND EMOTIONAL SUPPORT.
HOSPICE IS NOT ABOUT GIVING UP, IT IS ABOUT IMPROVING QUALITY OF LIFE, MANAGING SYMPTOMS AND SUPPORTING BOTH PATIENTS AND THEIR LOVED ONES IN ADDITIONAL.
IN ADDITION TO CLINICAL CARE, WE ALSO OFFER HOMEMAKER
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SERVICES SUCH AS ASSISTANCE WITH LIFE, HOUSEKEEPING, MEAL PREPARATION, AND DAILY ACTIVITIES THAT HELP INDIVIDUALS REMAIN SAFE, INDEPENDENT, AND COMFORTABLE IN THEIR OWN HOMES.WE ALSO PROVIDE COMPANIONSHIP, GUIDANCE AND EMOTIONAL SUPPORT FOR BOTH PATIENTS AND THEIR FAMILIES.
OUR VISION IS TO BECOME INVOLVED WITH ALL THE SENIOR ADULT CENTERS IN THIS AREA.
WE WOULD LOVE TO VISIT YOUR LOCATIONS, MEET YOUR MEMBERS, AND PROVIDE SHORT, INFORMATIVE SESSIONS ABOUT HOME HEALTH, HOSPICE, CAREGIVING, AND AVAILABLE RESOURCES.
WE WANT TO ANSWER QUESTIONS, REDUCE FEAR, AND BECOME A TRUSTED RESOURCE IN YOUR COMMUNITY.
THANK YOU AGAIN FOR YOUR TIME TODAY.
WE LOOK FORWARD TO PARTNERING WITH YOU AND WORKING TOGETHER TO IMPROVE THE LIVES OF AGING ADULTS YOU SERVE.
I'D LIKE TO SAY THANK YOU VERY MUCH FOR LETTING ME, UH, COME UP HERE.
UH, TABBA HAS BEEN ABSOLUTELY WONDERFUL AND WE DO LOOK FORWARD TO TALKING TO CASE MANAGEMENT AND GETTING MORE INVOLVED WITH YOU ON AN INDIVIDUAL LEVEL AS WELL AS JUST COMING AND SPEAKING.
I'D LIKE TO TALK TO YOU ALL INDIVIDUALLY TOO.
IT'S ALTRUIST HOME HEALTH AND HOSPICE.
MY NAME IS SARAH WITH AN H SISEN, S AS IN SAM, ISS AS IN SAM, SAM ON AS IN NANCY.
YOU CAN REMEMBER ME BECAUSE IT'S SISEN RHYMES WITH LISTEN.
WOULD OUR NEXT SPEAKER LIKE TO APPROACH THE PODIUM? THANK YOU.
GOOD AFTERNOON, CHAIR AND COMMISSIONERS.
MY NAME IS KOAN AND I'M A DALLAS AREA COMMUNITY MEMBER WORKING IN THE SENIOR SERVICES, UM, SPACE.
I'M HERE TO SUPPORT THE COMMISSION'S GOAL OF IMPROVING QUALITY OF LIFE FOR OLDER ADULTS ACROSS DALLAS.
ONE CHALLENGE I KEEP SEEING, EVEN FOR FAMILIES WHO ARE ACTIVELY SEARCHING IS THAT IT, IT CAN BE HARD TO FIGURE OUT WHAT RESOURCES EXIST LOCALLY WHERE, AND WHAT QUALIFIES SOMEONE FOR THOSE RESOURCES AND WHERE THEY SHOULD NEED.
WE RECENTLY MET WITH, UM, TABITHA TAYLOR AND, UM, DISCUSSED THE, UM, THE COMMISSION AND THE, THE COMMISSION'S GOAL OF HELPING CONNECT OLDER ADULTS WITH THE LOCAL RESOURCES AND SUPPORT SERVICES EASILY AND FASTER.
MY TEAM AND I HAVE BUILT A FREE ONLINE PLATFORM CALLED DFW CARE HUB TO HELP OLDER ADULTS AND FAMILIES FIND LOCAL SERVICES AND RESOURCES.
THE GOAL IS TO MAKE IT EASIER FOR PEOPLE TO FIND AND USE RESOURCES THAT ALREADY EXIST ACROSS THE ECOSYSTEM, INCLUDING CITY AND COM COMMUNITY PARTNERS.
WE ARE HERE TO, UM, CONNECT WITH THE, WITH THE COMMISSION AND UM, ANYONE THAT'S INTERESTED TO PARTNER OUT, TO BOTH SUPPORT THE, THAT GOAL OF CONNECTING OLDER ADULTS AND THEIR FAMILIES TO LOCAL RESOURCES AND SERVICES THAT THEY COULD, SO THAT THEY COULD GET THE HELP THAT THEY NEED.
AND OUR PLATFORM IS OPEN TO COLLABORATION AT THE, UM, AT ANY LOCAL LEVEL.
AND IT'S CALLED PFW CARE HELP.
AND WE ARE ACTUALLY, UM, BUILDING OUT SOME TOOLS THAT THE, UH, OLDER ADULTS COULD USE AND THEN ALSO SOME RESOURCES.
SO WE ARE LOOKING FORWARD TO COLLABORATING WITH ANY COMMISSIONERS, UM, FOR THEIR LOCAL INITIATIVES AND THE COMMISSION AS A WHOLE.
SO IT'S CALLED DFW CARE HUB AND MY NAME IS G CO ADAMS. AND, UH, THANKS FOR HAVING ME.
USMAN, COULD YOU SPELL YOUR NAME AND GIVE US A PHONE NUMBER OR EMAIL ADDRESS? SURE.
BECAUSE YOU SAY I WOULD RATHER PREFER A CARD IF YOU HAVE A CARD.
YEAH, I DO HAVE CARDS THAT I DO AND ALSO FROM THE PRIOR SPEAKER.
IF YOU HAVE A CARD, I WOULD LIKE ONE.
SO MY FIRST NAME IS KOFI, KOFI.
AND MY LAST NAME IS A-N-N-A-N LIKE KOFI.
BUT JUST IN CASE THOSE THAT ON THE SCREEN DON'T HAVE THE CARD.
GO AHEAD AND GIVE US YOUR PHONE NUMBER PLEASE.
SO MY TELEPHONE NUMBER IS (917) 284-8185.
AND YOU CAN EMAIL US AT HELLO@DFWCAREHUFF.COM AND THAT'S THE WEBSITE AS WELL.
ANOTHER QUESTION, I'LL, I'LL STAY.
OH YES, IF YOU LEAVE YOUR CARDS WITH, WITH AMERICA OR, OR JUST PASS IT OFF.
ARE THERE ANY OTHER PUBLIC SPEAKERS? OKAY, THEN WE WILL MOVE ALONG TO THE, UH, APPROVAL OF THE MINUTES.
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MOTION TO APPROVE? DO EVERYONE HAVE A CHANCE TO REVIEW? I JUST MOTION FOR APPROVAL.THE NEXT UH, ITEM ON THE AGENDA IS BRIEFING ITEM PLANNING DISCUSSION FOR ANNUAL FUNDING PRIORITIES AND PREPARATION OF THE COMMISSION'S BUDGET REPRESENT, UH, RECOMMENDATION MEMO.
I DON'T KNOW IF ANYBODY ELSE, I, I'VE STUDIED THE AGENDA AND I KNOW WE'VE GOT A FULL AGENDA.
MY SUGGESTION IS WE SELECT THE CHAIR FOR THAT COMMITTEE AND THEN NEXT MONTH IT'D BE ON THE AGENDA WHERE WE COULD SPEND MORE TIME ON IT.
I WOULD LIKE TO, I WOULD LIKE TO SECOND THAT SO WE CAN REALLY KNOW WHAT WE'RE TALKING ABOUT.
IF WE COULD MOVE IT TO A TIME WHEN WE HAVE TIME TO TALK ABOUT THIS.
IS THERE, ARE THERE ANY OTHER COMMENTS RELATED TO THAT PROPOSAL? OKAY.
IS THERE ANYBODY WILLING TO CHAIR THAT COMMITTEE AND, AND ANYBODY ON SCREEN OR, I MEAN, THAT'S A VERY IMPORTANT COMMITTEE AND I KNOW ROB'S VERY SUCCESSFULLY CHAIRED IT LAST YEAR.
IS EVERYBODY QUIET? I'M RAISING MY HEAD.
IF YOU WEREN'T ABLE TO GET QUIET, JUST ASK THEM TO CHAIR SOMETHING
WELL, IT'S, IT'S UH, I THINK, OH, SURE.
WAS THERE A MOTION ON THE FLOOR? YES.
AND THAT WAS FOR THE APPROVAL OF MINUTES? YES, YES, YES.
AND THEN AS FAR AS THE NEXT TOPIC THEN, WAS THAT JUST FOR THE, UH, DISCUSSION? WELL, BASICALLY IT'S A DISCUSSION.
IT'S, AND I GUESS WE'D ASK FOR A VOLUNTEER TO CHAIR THE COMMITTEE.
I DON'T KNOW WHAT THE RULES ARE, BUT I DON'T WANNA SPEND A LOT OF TIME ON THIS, THIS TOPIC TODAY.
'CAUSE WE'VE GOT LOTS TO DO AND I WOULD ASK A NEW BUSINESS, SOMETHING HAS REALLY COME UP THAT I NEED ADVICE ON THAT DIRECTLY AFFECTS, RIGHT.
ALRIGHT, THAT AGAIN, TOP OF THE TAYLOR AGE BILLING OFFICER.
SO, UM, I BELIEVE WHAT WE'RE DISCUSSING RIGHT NOW IS LOOKING AT THE BUDGET, UH, UPCOMING BUDGET IN THE MEMO THAT WILL PREPARED TO GO TO COUNCIL.
AND, UM, I GUESS AT THIS POINT THE COMMISSION NEEDS TO DECIDE IF YOU ALL WANT, UM, TO HAVE, UM, A COMMITTEE OR IF YOU ALL JUST WANT TO EXTEND THE ITEM TO THE NEXT MEETING AND YOU ALL CAN WORK ON IT AT LARGE THROUGHOUT THE ENTIRE COMMISSION.
SO EVERYONE, I I, I BELIEVE THE RECOMMENDATION IS TO EXTEND UNTIL THE NEXT MEETING.
SO YOU WANT TO LOOK AHEAD AND MAKE THAT MOTION IS A MOTION.
IS THAT THE NEXT MEETING THAT WE GONNA BE THE THE NEXT MEETING? YES.
WITH AN EXTENSION OF THE MEETING.
WITH AN EXTENSION OF WHO YOU CLARIFY THAT.
SO WHAT I'M STATING IS THAT YOU ALL CAN EXTEND THE MEETING IF NEED BE BY PERHAPS 30 MINUTES SO THAT YOU ALL HAVE THE EXTRA TIME IF NEEDED.
BUT THAT, I THINK THAT'S THE POINT TODAY IS THAT WE WOULD NEED TO EXTEND THIS MEETING BECAUSE OF THE FULL AGENDA.
THAT'S NOT WHAT SHE RECOMMENDED.
SO SHE, SHE ACTUALLY ACTUALLY MADE A RECOMMENDATION FOR IT, FOR CHAIRPERSON AND THEN SHE SECONDED IT.
SO WE TECHNICALLY, I THINK SHE WAS SAYING SOMETHING.
WE ACTUALLY HAVE A MOTION ON THE FLOOR, SO, WELL I WITHDRAW MY MOTION.
SO THE UNDERSTANDING IS TO HAVE AN EXTENDED TIME NEXT MEET IF NEED BE TO DISCUSS THE BUDGET HERE.
YES, THAT'S WHAT YOU WERE SAYING.
ALRIGHT, WE'LL GO TO THE NEXT ACTION ITEM, WHICH IS THE REVIEW OF THE SENIOR SERVICES PLANS DISCUSSION.
WOULD THAT ACTUALLY GET A FIRST AND A SECOND FOR THAT MOTION? SHE DID NOT.
CAN WE GET A FIRST AND SECOND FOR THAT MOTION? SO WAS ROB AND KAREN? YEAH, WE DO MOTION.
YOU'LL WANT SOMEONE ELSE TO MAKE THE MOTION.
I SECOND FOR THE EXTENSION OF THE NEXT MEETING TO GO AHEAD AND DISCUSS THAT.
EVERYONE IN FAVOR? A THANK YOU.
NEXT THE REVIEW OF THE SENIOR SERVICES STRATEGIC PLAN AND DISCUSSION.
AND VOTE FOR THE SAC SUPPORT FOR THE STRATEGIC PLAN AND TAB TAYLOR WILL BE PRESENTED.
UM, FRIEDMAN MISSION, THANK YOU FOR HAVING US ONCE AGAIN.
AS YOU ALL KNOW, THIS IS SENIOR SERVICES STRATEGIC PLAN.
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A FEW TIMES TO DISCUSS.UM, AND SO WITH THIS PRESENTATION, I AM HAPPY TO GO THROUGH, I DID LEAVE IN THE PREVIOUS SLIDES, BUT WHERE WE'RE GOING TO SEE THE CHANGE IS GOING TO BE ON SLIDE 25.
IF YOU WOULD, UM, CHANGE DEVICE ON SLIDE.
ARE THERE NUMBERS ON THE SLIDES? YES.
THIS ONE? NO, THIS IS, NO, THAT'S A DIFFERENT, THIS IS A DIFFERENT ONE.
WHICH ONE DO ARE WE ON? SO IT'S SLIDE 25.
AND WE'RE GONNA THROUGH THE, UM, PLAN AS WELL.
THE BIG D LET ME KNOW, I'LL GIVE YOU ALL A MOMENT.
THAT PAGE LOOK LIKE THE PAGE NUMBER START.
IT'S ACTUALLY IN OUR, IN THE PACKAGE THAT WE PICKED UP COPIES OF.
SO WHEN WE HANG AND LET ME KNOW WHEN YOU GUYS ARE READY IF EVERYONE HAS IT.
SO I WANTED TO BRING, UM, THIS JUST A COUPLE SLIDES FOR YOUR AWARENESS.
UM, WE DID COME ALONG WITH GUIDED HOW TO THE COMMISSION ON DECEMBER THE 15TH OF 2025 TO DISCUSS, UM, SOME OF THE AREAS WITHIN THE STRATEGIC PLAN.
IT IS THAT, UM, THERE WAS ALSO, UM, RECOMMENDATIONS ON BEHALF OF THE COMMISSION, UM, THAT DID SUPPORT FOR US TO IMPROVE THE READABILITY AND STREAMLINE SOME OF THE LANGUAGE.
UM, THERE WAS ALSO, UM, SOME QUESTIONS AND WE NEEDED TO TALK ABOUT THE COST AND INACTION IF THE CITY DOES NOT, UM, SUPPORT THE STRATEGIC PLAN.
WE'RE GONNA TALK THROUGH THAT A LITTLE BIT TODAY.
UM, AND WHAT THAT MEANS, AND I APPRECIATE YOU ALL SHARING YOUR CONCERNS AND YOUR THOUGHTS REGARDING THAT.
ONE AREA I DID WANNA BRING UP TO YOU ALL IS THAT AS WE'RE LOOKING AT, I'M GONNA TURN THIS WAY SO I CAN SEE YOU ALL AND TALKING, BUT AS WE'RE LOOKING AT THE STRATEGIC PLAN, I WANNA LET YOU ALL KNOW THAT THE CITY HAS ALREADY, UM, LOOKED AT WHAT WE NEED TO DO IN TERMS OF OUR ORDER GOALS AT LARGE, EVEN BEYOND THAT.
AND I SAY THAT BECAUSE WE HAVE BEEN WORKING THROUGH THE DRIVE GROUPS OF OPPORTUNITY.
IF YOU ALL LOOK AT THE NEXT TWO SLIDES, YOU WILL SEE THAT WE ARE ALIGNED WITHIN THE DRIVERS OF OPPORTUNITY.
AND I PUT A STAR THERE SO THAT YOU ALL CAN SEE IN THAT ALIGNMENT.
AND ALONG WITH THAT, THERE'S A LISTING THERE THAT REALLY DISCUSSED A ABOUT RICH NEIGHBORHOODS.
THERE IS A STAR THERE BECAUSE ONCE AGAIN, THE DRIVERS OF OPPORTUNITY DOES SUPPORT OUR AGE FRIENDLY WORK.
THE DRIVERS OF OPPORTUNITY PLAN HAS ALREADY BEEN ADOPTED BY THE CITY OF DALLAS.
SO I JUST WANTED TO ADD THAT INFORMATION ON TO THAT.
UM, IN THE COMING MONTHS, WE'LL ACTUALLY HAVE OUR ASSISTANT DIRECTOR WHO WILL COME FROM THE HOUSING COMMUNITY, UM, COMMUNITY DEPARTMENT DEPARTMENTS TO SPEAK MORE ABOUT THE DRIVER'S OF OPPORTUNITY.
AND WE'VE HAD SOME OF OUR COMMISSIONERS TO SHOW UP IN SOME OF THOSE COMMUNITY ENGAGEMENT EVENTS.
SO YOU GUYS ARE ALREADY AWARE, BUT I WANTED TO PUT THAT IN THERE FOR ONCE AGAIN, YOU ALL UNDERSTAND THAT THE COMMITMENT TO SERVING OLDER ADULT, UM, IS ALREADY LISTED WITHIN THE DRIVERS OF OPPORTUNITY BY LISTING THAT AS ONE OF THE AREAS WITHIN THE DOMAIN.
YOU'RE SAYING FROM A BROADER PERSPECTIVE, PERSPECTIVE FOR ALL RESIDENTS OF DALLAS? YES, THAT IS CORRECT.
UM, BUT AGE FRIENDLY COMMUNITIES IS LISTED THERE.
SO I WANT YOU ALL TO BE AWARE OF THAT BECAUSE I THINK THERE WAS SOME CONCERNS OF WHAT HAPPENS IF WE'RE NOT ADOPTED OR, YOU KNOW, WHAT IS THE COST OF US, NOT THE COST I BELIEVE IS CALCULATED BECAUSE WE HAVE ALREADY COMMITTED TO INCLUDING AGE FRIENDLY COMMUNITIES WITHIN THE DRIVERS OF OPPORTUNITY.
WILL, WILL YOU POINT THAT SPECIFIC LINE OUT? I DIDN'T SEE THAT.
WHERE IS THIS? I'VE GOT, SO I CAN SEND YOU ALL AN ADDITIONAL DOCUMENT.
IF YOU GO OVER INTO THE NEXT, UH, SLIDE AND YOU SEE THE DRIVERS OF OPPORTUNITY THERE IS HIGHLIGHTED AT THE BOTTOM UNDER OPPORTUNITY RICH NEIGHBORHOODS AGE FRIENDLY COMMUNITY.
AND IT, I HAVE ALREADY CIRCLED IT OUT FOR YOU GUYS OR SQUARE I SEE ON THE NEXT PAGE THAT INCORRECT.
SO I WANT YOU ALL TO KNOW THAT BECAUSE IT'S IMPORTANT THAT YOU
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UNDERSTAND THAT THE CITY HAS ALREADY UNDERSTOOD THE IMPORTANCE OF SERVING OF OUR OLDER ADULTS.AND THAT IS INCLUDED IN OUR CITYWIDE PLAN THAT WE'RE ALL ING FOR THE CITY OF DOEY.
AND AND THAT HAS ALREADY BEEN TASKED.
THIS WHAT WE'RE LOOKING AT HAS, THAT IS CORRECT.
WHY HAVEN'T SEEN THAT BEFORE? SO THE DRIVERS OF OPPORTUNITY, WE HAVE SPOKEN ABOUT IT.
I BELIEVE JESSICA CAME THROUGH IN I BELIEVE SEPTEMBER AND SPOKE ON IT.
UM, SOME, I'M JUST GIVING A PRE A BRIEF OVERVIEW.
THE DRIVERS OF OPPORTUNITY DID REPLACE, UM, THE FRAMEWORK THAT WE HAD RELATED TO E OKAY.
AND THE REASON BEING GOES BACK TO THOSE DIRECTIVES THAT WE RECEIVED FROM THE FEDERAL GOVERNMENT.
THE CITY DID HAVE TO SHIFT VERY QUICKLY IN ORDER TO MAINTAIN AND ADHERE TO THOSE DIRECTIVES.
SO THAT'S WHEN THE DRIVERS OF OPPORTUNITY WAS INTRODUCED.
AND SINCE THEY HAVE BEEN WORKING AND DOING QUITE A BIT OF COMMUNITY ENGAGEMENT ALONG WITH THAT HAVE BEEN TO INCLUDE AGE FRIENDLY COMMUNITIES.
AND THERE HAS BEEN A NUMEROUS, UM, EVENTS AROUND THE CITY.
UM, EVEN SOME OF OUR COMMISSIONERS HAVE SHOWN THAT TO THOSE, TO THOSE MEETINGS.
AND THOSE MEETINGS WERE ALSO SHARED BEING EMAILED TO YOU ALL.
SO WITH THAT SAID, UM, NOW THAT WE ARE AT THE POINT WHERE THE DRIVER OF OPPORTUNITY, THE FRAMEWORK ITSELF WAS ADOPTED BY CITY COUNCIL, WE WILL HAVE, UM, A REPRESENTATIVE FROM OUR DEPARTMENT WHO COMES TO SPEAK WITH YOU GUYS ABOUT THE ENTIRE FRAMEWORK AND WHERE WE'RE HEADED.
UM, AND WHAT, WHAT'S COMING NEXT WITH THAT? SO WHEN DID WE GET THIS DOCUMENT? I CAN'T FIND IT.
SO THE DRIVERS, UM, ARE YOU SPEAKING OF THE DRIVERS OF OPPORTUNITY EMAIL OR JUST THE PRESENT? NO, THE WHOLE DOCUMENT YOU'VE BEEN TO.
I'M LOOKING AT THE SENIOR SERVICES OUT ON THURSDAY.
I'M SORRY, I'VE LOOKED ON 18 AND 25 ON EACH ONE.
AND COMMISSIONER, IF YOU'RE GONNA SPEAK, I DO NEED YOUR, UM, VIDEO ON.
WELL, I'VE ASKED FOR HELP AND I CAN'T GET IT ON NOW.
UM, SO WHEN WE'RE LOOKING AT THE STRATEGIC PLAN, UM, WE'RE GONNA WALK THROUGH HERE JUST A MOMENT DURING THE DISCUSSION PIECE, BUT I WANTED TO LET YOU ALL KNOW KIND OF WHAT'S COMING NEXT.
SO AS OF RIGHT NOW, WE'RE, WE ARE SCHEDULED TO GO TO THE QUALITY OF LIFE ARTS AND CULTURE COMMITTEE, UM, WHICH IS A SUBSECTION OF THE, UM, COUNCIL AT LARGE.
AND THAT WILL TAKE PLACE IN MARCH, AS YOU ALL CAN SEE, MARCH THE 23RD.
UM, THAT IS PROJECTED AS OF RIGHT NOW.
AND THEN WE WILL WANT TO, IF THEY AGREE THAT WE'RE READY TO MOVE ON TO COUNCIL, WE THEN WANT TO GO TO COUNCIL FOR THE FULL, FULL ADOPTION OF THE PLAN.
WHAT COMES AFTER THAT IS GOING TO BE THE IMPLEMENTATION OF IT ALL.
OKAY? SO WE'RE GONNA DISCUSS THE PLAN ITSELF IN JUST A MOMENT, BUT I WANNA TALK THROUGH, UM, THE IMPLEMENTATION PROCESS A LITTLE BIT OF WHAT WE'RE PROJECTING, UM, AND WHERE WE'RE GONNA NEED THE SUPPORTS FROM THE COMMISSION.
SO INSIDE OF THE PLAN, YOU ALL KNOW THAT WE DO HAVE SIX RECOMMENDATIONS.
WITHIN THAT WE HAVE STRATEGIES AND ACTION ITEMS. SO WHEN WE LOOK AT THAT, I AM GOING TO REQUEST THAT WE HAVE OUR COMMISSION TO SUPPORT ME WITH THE IMPLEMENTATION PLAN AND LOOKING AT, UM, THESE STRATEGIES, THESE ACTION ITEMS, AND SAY, YES, AS IT STATES IN THIS PLAN, WE DO WANNA MOVE FORWARD WITH YEAR ONE OR WE THINK WE SHOULD JUST FOCUS ON THIS AREA.
WHEN WE GET TO THAT POINT, I WILL COME TO THE COMMISSION AND WE'LL WALK THROUGH THAT.
AND THE NEXT STEP WILL BE BRINGING IN OUR COMMUNITY PARTNERS TO TALK ABOUT WHO'S GONNA TAKE OWNERSHIP, WHERE WE SHOULD COLLABORATE, WHERE WE SHOULD PARTNER, UH, WHERE WE WILL LEAD.
SO THAT'S GOING TO BE THE SETUP COMING NEXT.
HOWEVER, I JUST WANTED TO SHARE THAT WITH YOU ALL SO THAT YOU ALL KNOW IS THAT WE'RE GOING TO NEED ALL OF OUR COMMISSIONERS AND, AND HAVE THE SUPPORT OF THE FULL COMMISSION IN ORDER TO WRITE THE IMPLEMENTATION PLAN AND MOVE IT FORWARD.
I THERE, SO NOW YOU SHOULD BE JOINING AT THIS TIME.
I WANT TO KIND OF WALK THROUGH THE PLAN ITSELF, UM, WITH THE UNDERSTANDING THAT, UM, GUIDEHOUSE HAS, UM, FULFILLED THE PLAN IN WRITING IT.
UM, ANY OTHER MODIFICATIONS THAT WE WANT TO MAKE, WE WILL NEED TO MAKE THEM ON OUR OWN.
UM, BUT THEY HAVE FULFILLED THEIR CONTRACTS WITHIN THE ONE YEAR.
I ALSO WANNA MAKE MENTION THAT, UM, AS IT RELATES TO DATA,
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BECAUSE WE SERVE AGE 60 YEARS AND OLDER, AND THAT'S WHAT WAS WRITTEN IN THE RFP, THEY DID, UH, PROVIDE DATA BASED ON AGE 60 YEARS AND OLDER THAT WAS AVAILABLE AT THE TIME THAT THE PLAN WAS WRITTEN.OKAY? THIS WILL SERVE IF ADOPTED OR WHEN ADOPTED AS A LIVING DOCUMENT.
HOWEVER, BECAUSE IT IS A LIVING DOCUMENT, THAT ALSO MEANS THAT WE'RE ABLE TO MODIFY WITHIN THE IMPLEMENTATION PLAN.
SO WE'RE GOING TO USE THIS AS OUR GUIDE AND THEN THE IMPLEMENTATION PLAN, THAT WILL BE WHAT, WHAT OUR ACTIONS ARE GOING TO BE THE CARRY OUT THE PORTION OF THEM, IF THAT MAKES SENSE FOR EVERYONE.
SO IF YOU HAVE ANY QUESTIONS, I AM OPEN, UM, TO THOSE AS OF RIGHT NOW.
BUT I ALSO JUST WANNA MAKE, SAVE THIS ONE MORE TIME.
THIS IS THE, WE'LL BE AN ADOPTED PLAN AS OUR ADOPT THE IMPLEMENTATION PLANS WHERE WE ARE AT.
OKAY? SO, SO TABITHA, SO YES, SOME OF US HAVE HAD THE TIME TO GO THROUGH IT, SOME OF US HAVE NOT.
WILL WE, CAN WE HAVE A CONTINUED DIALOGUE WITH YOU OVER THE NEXT WEEK OR SO? IF THERE'S ANYTHING? OR IS THIS GONNA REQUIRE ACTION TODAY? SO YES, IT WILL REQUIRE ACTION TODAY AS IT RELATES TO, UM, THE PLAN ITSELF.
HOWEVER, JUST AS WE HAVE DONE WITH THE ANNUAL REPORT, SHOULD THERE BE SOMETHING IN THE COMMISSION AT LARGE SHOULD GIVE ME THE AUTHORITY TO MAKE THE CHANGE, WE CAN VOTE IN THAT WAY AND IN THAT FAVOR TO GIVE ME THE AUTONOMY TO MAKE, UH, MODIFIED SIMPLE CHANGES.
RIGHT? IF THERE'S SOMETHING THAT WE HAVE TO MAJOR UPLIFT, I DO HAVE TO COME BACK TO THE COMMISSION IF YOU ALL WANNA VOTE.
HOWEVER, I ALSO WANNA STATE THAT THIS PLAN DOES NOT REQUIRE, UH, THE VOTE FROM THE COMMISSION.
HOWEVER, WE DO WANT THE SUPPORT.
WILL YOU CLARIFY, WE HAVE THIS PRESENTATION, SENIOR SERVICES STRATEGIC PLAN.
WHICH IS MORE LIKE A PRESENTATION.
AND THEN WE HAVE A MUCH LARGER DOCUMENT MM-HMM
FOR THE SENIOR SERVICE AND STRATEGIC PLAN THAT WAS DEVELOPED BY OUR CONSULTANTS.
WHAT ARE YOU GOING TO SHARE AT THE MARCH 23RD MEETING AND WHAT ARE YOU GOING TO SHARE WITH THE BROADER CITY COUNTY? YES.
SO MAJORITY OF THIS PRESENTATION, THE PRESENTATION, LIKE THE SLIDE DECK ITSELF, WE'VE SHARED WITH, UM, THE QUALITY OF LIFE ARTS AND CULTURE COMMITTEE ALREADY.
WHAT THEY HAVE NOT SEEN IS TOTALITY IS THE PLAN.
AND SO OUR PLAN IS TO GO TO THEM BECAUSE THE FIRST QUESTION THEY'RE GONNA ASK IS ASK, OF COURSE, ASKING IF THE COMMISSION HAS SEEN THE PLAN.
UM, DO THEY HAVE, DO WE HAVE THE SUPPORTS OF THE COMMISSION AT A LARGE FORWARD, UM, WITH ADOPTION, THAT'S GONNA BE LIKELY THE FIRST QUESTION THEY WOULD ASK.
SO WHAT WE WILL GO THROUGH WITH THEM IS JUST TO REINTRODUCE WHAT WAS DONE, UM, ALONG WITH THE SIX RECOMMENDATIONS, AND THEN GIVE THEM THE UPDATE THAT WE HAVE SPOKEN WITH YOU ALL.
AND IF YOU ALL CHOOSE TO SUPPORT THE PLAN, WE WILL ALSO SHARE THAT WITH THEM.
THEY WILL HAVE THE FULL DOCUMENT AND THEY WILL BE HAVE THE ES THAT ASK ANY QUESTIONS THAT THEY MAY WANNA ASK REGARD TO.
THAT'S THE WAY IT TYPICALLY GOES.
UM, ON PAGE 25 OF THE YES PRESENTATION THAT MM-HMM
OR PAGE 26, UM, IT, IT, IT HIGHLIGHTS THE FEEDBACK YOU RECEIVED ON DECEMBER 15TH FROM THE COMMISSION, THE PROVE READABILITY STREAMLINED LANGUAGE REVIEW AND IDENTIFY THE COST OF INACTION TO THE CITY.
IS THAT REFLECTED ANYWHERE IN EITHER DOCUMENT THAT WE RECEIVED? SO WHAT WE DID WAS I WENT THROUGH AND MADE THOSE MODIFICATIONS.
I'M HAPPY TO, I DIDN'T HIGHLIGHT THEM, BUT I'M HAPPY TO TELL YOU WHAT THOSE WERE.
UM, AS IT RELATES TO THE DECEMBER 15TH MEETING, IF YOU LIKE.
UM, BUT I DID NOT HIGHLIGHT THOSE.
WE DID MAKE THE CHANGES WITHIN THE DOCUMENT.
THE ONLY, UM, REPORT THAT WE DID NOT, UM, PROVIDE WITHIN HERE IS ACTUALLY PROVIDING LIKE, SOME LEVEL OF FINANCIAL, UM, REPORT THAT WOULD SUPPORT IF THE CITY DOES NOT MOVE FORWARD WITH THIS, WHAT THAT INACTION OR FINANCIAL COST LOOKS LIKE.
UM, I DID SPEAK WITH THE LEADERSHIP AND HONESTLY, AND I ALSO SPOKE WITH OUR CONSULTANT.
UM, THE CONSULTANT DID SAY IN ORDER FOR US TO DO THAT, THAT WOULD ALSO CALL FOR A DIFFERENT TYPE OF, UM, REPORT.
SINCE THAT WAS NOT INCLUDING THE ORIGINAL RFP AS IT RELATES TO LEADERSHIP, WHEN I SPOKE TO THEM, WE WERE VERY CONFIDENT THAT THE CITY WOULD MOVE FORWARD ON THIS.
AND WE UNDERSTAND WHAT THE ACTIONS WILL BE IF WE DO NOT SERVICE OUR POPULATION, UM, WITH A PLAN.
AND I WILL TELL YOU, WHEN I WENT TO THE QUALITY OF LIFE COMMITTEE THE LAST TIME WE WENT, UM, THERE WAS GREAT SUPPORT FOR THIS PLAN.
UM, AS IT RELATES TO UNDERSTANDING,
[00:30:01]
I'M SORRY, A, AS IT RELATES TO UNDERSTANDING THAT WE, THE CITY NEEDS TO BE RESPONSIVE TO SUPPORTING OLDER ADULTS.WE SPOKE AND WE SHARED THE CENSUS DATA THAT STATED THAT BY 2035, I BELIEVE 20% OF OUR POPULATION WILL BE AGED 65 YEARS AND OLDER.
AND THAT REALLY STIR UP COUNCILS TO UNDERSTAND THAT IF WE DO NOT ASK NOW OR WE DO NOT SUPPORT OVERDOSE AS THEY'RE AGING, UM, LONGER, THEN WE WILL BE IN TROUBLE IN THE FUTURE.
OTHER COMMENTS OR QUESTIONS? THOSE ON THE, ON THE, UH, VIDEO? MIKE, YOU'RE ON NOW.
I THINK YOU'RE ON MUTE THOUGH.
YOU CAN SEE IT, BUT WE CAN'T HEAR.
THAT'S WHY I LIKE TO BE IN PERSON.
I THINK I DON'T HAVE A DOCUMENT.
I HAVE THE PRESENTATION DECEMBER 15TH TO OUR COMMISSION AND I HAVE THE, UH, ONE WE PICKED UP, PRINTED OUT NICE COLOR COPY.
MY PAGE 25 IS PART OF THE BODY OF THE PLAN.
SO, AND IT HAS, UH, QUESTIONS.
SO, SO COMMISSIONER, I JUST WANNA MAKE SURE WE UNDERSTAND, UM, WHAT THE QUESTION IS.
UM, MS ARE YOU, IT SEEMS SPECIFIC YOU DO HAVE THE DOCUMENTS THAT WE'RE REFERENCING RIGHT NOW? UM, THAT IS CORRECT.
THOSE ARE THE DOCUMENTS THAT WE ARE DISCUSSING AT THIS TIME.
SO ARE YOU SPEAKING OF THE PLAN ITSELF? BECAUSE WE CAN EMAIL THAT OVER TO YOU.
YES, I'M SPEAKING OF THE PLAN WITH THE GRAPHS AND WE SPENT 250,000.
SO I'LL HAVE ASK STAFF THAT THEY WILL EMAIL IT OVER, UM, OVER TO COMMISSIONER RY ONCE AGAIN.
BUT COMMISSIONER NURI, THIS WOULD'VE BEEN IN THE FULL, UM, STUDENT SIDE OF THE EMAIL THAT WAS SHARED ON THURSDAY FROM MR. HARTS.
WHAT ABOUT COMMENTS AND CHANGES WE HAVE IN THIS REPORT? I THOUGHT THIS IS WHAT WENT TO THE CITY COUNCIL'S QUALITY OF LIFE COMMISSION.
SO THE QUALITY OF LIFE COMMISSION HAS NOT RECEIVED YET THE FLOOR REPORT.
UM, WE HAVE NOT MOVED THAT FORWARD.
WE DID PRESENT ON WHERE WE WERE, UM, DURING THE LAST MEETING.
WE HAD SHARED WITH THEM THAT WE DID HAVE SIX RECOMMENDATIONS AND WE WENT THROUGH THE FIRST YEAR OF RECOMMENDATION STRATEGIES WITH THEM, BUT THEY HAD NOT HAD AN OPPORTUNITY TO READ THE FULL REPORTS, UM, AS AT, AT THAT TIME 'CAUSE WE HAD NOT BEEN TO THE COMMISSION.
SO IN ORDER FOR US TO HAVE SHARED THAT, WE WOULD'VE NEED TO COME TO YOU ALL FIRST WITH THE FULL REPORT AND THEN GO BACK TO QUALITY OF LIFE, WHICH IS WHAT WE'RE GONNA DO NEXT MONTH.
SO I I I JUST WANNA BE CLEAR THAT I'M UNDERSTANDING YES, MA'AM.
THIS ON THE GOAL OF THE, THIS STRATEGIC PLAN.
SO THE OVERVIEW, SO I'M ON PAGE FIVE OF THE LARGEST DOCUMENT.
SO PAGE FIVE SAYS OVERVIEW OF SENIOR SERVICES STRATEGIC PLAN.
AND I JUST WANNA MAKE SURE THAT I'M READING THIS CORRECTLY.
THIS PLAN IS ABOUT EDUCATING THE CITY ALL AM I, IN OTHER WORDS, CITYWIDE DEPARTMENT OUTREACH AND EDUCATION PLAN TO ALL OF THE OTHER PEOPLE THAT WORK IN THE CITY, TO WHOEVER OUR PARTNERS ARE.
SO THIS EDUCATION PLAN IS, UM, UH, IS MOSTLY AN INSIGHT PLAN ACT.
AM I RIGHT IN READING IT THAT WAY? THAT IS, THAT IS SOMEWHAT RIGHT.
SO YOU WILL HAVE TO GO BACK AND LOOK AT THE STRATEGIES, WHICH IS GONNA BE LATER ON THE DOCUMENT.
BUT THE OVERARCHING GOAL WITH THIS PLAN IS REALLY INTERNAL, BECAUSE INTERNAL WE FOUND IS THAT WHEN DO WE SPOKE TO APPROXIMATELY I THINK 26 INDIVIDUALS WITHIN THE CITY, IS THAT A LOT OF THEM DID NOT KNOW WHAT THE OTHER DEPARTMENT WAS DOING.
AND SO WE WANNA DO THINGS LIKE CREATE OFFICE HOURS OR, UM, HAVE OPPORTUNITIES FOR STAFF TO, UM, REALLY UNDERSTAND WHAT IT MEANS TO SUPPORT OLDER ADULTS.
AND SO IT REALLY IS ABOUT INFORMING WITHIN THE CITY FIRST, WHETHER THAT'S COUNCIL MEMBERS, WHETHER IT'S THEIR STAFF, WHETHER IT'S OTHER DEPARTMENTS.
IT'S REALLY STARTING IN OUR OWN BACKYARD.
AND THEN TWO, IT'S MORE OF OUR PART WHERE YOU'LL SEE THE PARTNERSHIPS PARTNER.
AND IF YOU GO TO THE STRATEGIES AND ACTION ITEMS THAT SUPPORT GOAL ONE, YOU THEN WILL SEE SOME OF THE AREAS THAT WE CAN REALLY UPLIFT INSIDE OF THE IMPLEMENTATION PLAN.
[00:35:01]
IS HERE TO SAY, NUMBER ONE, THIS IS WHAT WE HEARD.THIS IS THE NEED BASED ON THE RESEARCH, BASED ON, UM, OUR QUALITATIVE AND QUANTITATIVE INFORMATION.
AND THEN HOW WE WANT TO CARRY IT OUT IS WHAT WE WILL LOOK AT.
WE'LL LOOK AT THE STRATEGIES AND GO SUPPORT IN THOSE AREAS.
IT DIDN'T COME UP WITH OUR UNIQUE APPROACH TO TAKE IT ON.
YOU'RE ALRIGHT WITH THAT PHIL.
SO NOW WE DISCOVER THAT THERE IS A HOUSING PROBLEM JUST IN GENERAL, RIGHT? UM, AND WE, UM, WE'VE NOW EDUCATED THAT THAT PARTICULAR DEPARTMENT OF WHAT THEY'RE ONE OF THE PEOPLE THAT ARE GONNA GET THE EDUCATING WHAT THE NEEDS OF THE OLDER ADULTS IN OUR COMMUNITY ARE.
WILL WE AS A COMMISSION HAVE THE OPPORTUNITY? I MEAN, WE'VE HAD A LOT OF PRESENTATIONS MM-HMM
I'M NOT NECESSARILY TALKING ABOUT PRESENTATIONS VERSUS CONVERSATIONS WITH THEM.
THIS IS WHAT WE'RE HEARING ON THE GROUND.
WHAT CAN YOU TELL US? SO WE DRIVE THE CONVERSATION RATHER THAN THE PRESENTERS COMING IN WITH THE CAN SPEECH FOR US.
ARE WE GONNA HAVE THE OPPORTUNITY TO DO THAT? WE ABSOLUTELY CAN.
SO THAT'S THE BEAUTY OF THE IMPLEMENTATION PLAN.
THAT'S WHY I TOLD YOU ALL, AND I THINK THERE WAS SOME CONCERN AS WHY I SAID THIS IS OUR GUIDE.
SO WHEN WE GET INTO THE IMPLEMENTATION, AND THAT'S WHY I SAID, UM, I THINK MAYBE THREE OR FOUR TIMES THAT I'M GOING TO RELY ON THE COMMISSION FOR SOME OF THESE ELEMENTS BECAUSE THESE ARE THE UNIQUENESS AND THE STRATEGIES THAT WE WANNA COME TOGETHER WITH.
NOT JUST THE STAFF, BUT THEN ALSO AS YOU ALL ADVOCATING WITHIN YOUR DISTRICTS, WHAT DO YOU ALL SEE HERE? AND THIS IS ALSO, ONCE AGAIN, THIS WILL BE A LIVING DOCUMENT.
SO THINGS WILL CHANGE OVER THESE NEXT FIVE YEARS LIKELY.
AND THAT'S WHAT THE IMPORTANT PART, THIS IS THE FIVE YEAR PLAN.
YOU MEAN WE'RE NOT GONNA GET THIS DONE IN 90 DAYS.
UH, PHYLLIS LEE, DISTRICT FOUR.
SO TO UNDERSTAND AND GET A CLARITY OF WHAT COMMISSIONER, UH, KAREN WAS SAYING.
RENEE WAS SAYING I WOULD ACCEPT AND I'M HEARING PERSON.
OH, WHAT I WAS HEARING, UH, SOMETIMES I'M JUST GONNA MAKE A PARAPHRASE.
CHARITY, UH, BEGAN AT HOME AND THEN SPREAD ABROAD BECAUSE YOU WERE SAYING GET THE PEOPLE HERE TO UNDERSTAND WHAT WE DO BEFORE WE START GOING OUT.
AND THEN WHEN I'M HEARING YOU SAYING, ONCE WE GET THEM TO UNDERSTAND WHATEVER DEPARTMENT WE WORKING WITH, THEN WE'LL GET A CHANCE TO COLLABORATE WITH THEM AND THEY'LL KNOW WHAT THEY'RE DOING, HOW KNOW WHAT, UM, THE, I'M JUST GONNA SAY THE STREET PEOPLE CODE COMPLIANCE.
THEN WE WILL KNOW HOW TO HANDLE THEM.
THEN WE NEED SOMETHING WITH, UM, THE PEOPLE THAT WORK WITH, UM, TRANSPORTATION.
THEN THEY'LL KNOW WHAT WE DOING.
THEN WE GET A CHANCE TO JOIN AND WORK WITH THEM.
IS THAT KIND OF WHERE WE, WHERE WE GOING? YEAH.
SO THERE'S CONVERSATIONS ABOUT WHAT WE HAD, BUT IF YOU GUYS LOOK AT THE ACTUAL STRATEGY.
SO FOR EXAMPLE, WE KIND OF TALK ABOUT AND AND, AND LET ME KNOW CHAIR IF YOU WANT TO, BUT CAN I TRY TO PARAPHRASE AND SEE IF YEAH, THAT'S FINE.
PARAPHRASING CLARITY AS I UNDERSTAND.
AS I UNDERSTAND IS AS YOU READ THROUGH, IF EVERYONE'S ON PAGE FIVE OF THE BIG DOCUMENT, CORRECT.
THE WAY THAT I'VE UNDERSTOOD THIS TO BE STRUCTURED IS THE, THE SIX MAIN DIRECTIVES DIRECTIVE ONE, CREATE A CITYWIDE DEPARTMENTAL OUTREACH.
INTERNAL TRUE TWO, CREATE A PARTNERSHIP FOCUSED OUTREACH AND EDUCATION PLAN THAT IS ALSO SOMEWHAT INTERNAL FOCUSED IF YOU INCORPORATE THE OTHER PARTIES THAT CAN PARTICIPATE.
SO VERY INTERNAL FOCUSED, BUT THEN 3, 4, 5 AND SIX ARE HOW WE THEN BEGIN WITH THAT INTERNAL FOCUS TO EXECUTE OUT.
AND SO CREATE AN ENGAGEMENT PLAN OR CREATE A VOLUNTEER ENGAGEMENT PLAN THAT'S ESSENTIALLY HOW WE GO START GOING OUT OUTWARDS, RIGHT? CREATE STAKEHOLDER ENGAGEMENT PLAN.
THOSE ARE ALL OF THE VARIOUS STAKEHOLDERS.
BUT HAVING A VERY CLEAR PLAN THAT THAT IS CORRECT CHAIR.
AND I JUST WANNA MAKE MENTION OF ONE THING.
SO IF YOU GUYS, IF YOU ALL LOOK ON PAGE 25, YES.
BUT WE ALSO HAVE BROKEN DOWN SOME STRATEGIES SECOND, AND THESE ARE TOOLS THAT CAN HELP US WITH THESE AREAS.
SO FOR EXAMPLE, GOAL ONE, CREATE A CITYWIDE DEPARTMENTS OF
BUT THEN ONE OF THE STRATEGIES IS, IS ENHANCE CENTRALIZED CITY EFFORTS TO INCREASE AWARENESS AND ACCESS TO INFORMATION ABOUT CITY PROGRAMS TO SUPPORT OLDER ADULTS.
AND THEN THERE'S ACTION ON HOW WE CAN DO THAT.
SO YES, I, AND THEN SAME THING FOR NUMBER FIVE, ESTABLISH AND SUPPORT ADVOCACY AND CIVIC ENGAGEMENT EFFORTS.
AND THEN FINALLY, WHAT, WHAT I THINK THAT'S, UH, A CRITICAL COMPONENT FOR THIS COMMISSION BECAUSE YOU HEAR LOUDLY AND CLEARLY IN EVERY MEETING THAT WE HAVE TO BE BETTER AT COMMUNICATING.
AND THAT'S WHY I WAS THRILLED FOR YOUR ADVOCACY.
[00:40:01]
YOU KNOW, THAT'S WHAT HE, I'M GONNA SAY NOW THAT BRANDON, PEOPLE NEED TO KNOW THAT'S EXPERT OUTWARDS.SO I THINK WE KIND OF LIKE SAYING THE SAME THING.
AND I, AND I, AND I'M GONNA SAY THIS TOO BECAUSE AS WE'RE TALKING ABOUT THIS, WE KNOW WE HAVE OUR COMMUNICATIONS TEAM FOR THE VIDEO DOLLARS AND WE WORK WITH THEM.
WE'RE, WE'RE ON, UH, THAT SUBCOMMITTEE THAT THAT MEETS EVERY OTHER WEEK AS WELL.
AND WE WORK VERY CLOSELY AU AND, AND CHRISTINA AND, AND JAMES AS WELL.
BUT SO WE WE'RE KIND OF ALREADY MOVING, RIGHT? RIGHT.
BUT A LOT OF THESE THINGS WE'VE ALREADY STARTED IN AN EFFORT TO NOT ONLY SUPPORT WHAT'S IN THE PLAN, BUT WE KNOW WHAT'S NEEDED WITHIN THE COMMUNITY AS WELL.
UM, AND I WAS ALSO WAS TO SAY THANK YOU TO MR. KOPI FOR COMING TODAY.
I DID HAVE THAT CONVERSATION WITH HIM ON LAST WEEK AND WE WERE ABLE TO KIND OF TALK ABOUT WHAT THEY'RE DOING IN THE COMMUNITY.
SO I DO APPRECIATE YOU REACHING OUT AND FOR US TO KIND START TALKING ABOUT HOW ALIGNS WITH WHAT WE'RE DISCUSSING TODAY.
CAN I JUST ADD ONE MORE THING, SHERIFF AND, UM, MR. I'M GONNA MISPRONOUNCE YOUR NAME.
I WOULD LIKE, I LIKED WHAT HE'S SAYING THAT KNOW FUS OUT THERE AND HOW TO GET THE RESOURCES.
THAT'S ONE OF OUR BIGGEST PROBLEMS. KNOWING WHERE TO GO.
WILL WE NEED TO KNOW WHERE TO GO? SO I THINK THIS IS WHAT THIS IS TALKING ABOUT TODAY.
AND IF THAT'S WHAT YOU ALL TALKING ABOUT, THINK THAT'S ON TARGET.
GET THE PEOPLE HERE TO KNOW WHAT WE DO, THEN KNOW WHAT THAT.
JUST SAY I NEEDED, UH, A PLUMBER.
WHERE DO I GO? I JUST DO THAT OUT.
THEN WE'LL KNOW WHERE TO CALL YOU.
I'M GONNA CALL YOU AND YOUR LITTLE HUG YOU GO HELP
SO I LIKE THAT BECAUSE THAT'S WHAT WE NEED TO DO.
UNLESS YOU WORK IN YOUR COMMUNITY AND DON'T HAVE A NEED TO KNOW WHAT THESE PEOPLE ARE DOING, THEN YOU DON'T KNOW WHAT'S GOING ON.
BUT IF YOU ONE OF THOSE ACTIVE COMMISSIONERS AND PEOPLE ARE CALLING YOU FOR SERVICES, JUST CALL, UM, MR. HART, HELP
BUT JUST CALL REALLY THE SENIOR, UH, AFFAIR.
I HAD A PROBLEM WITH A YOUNG LADY, NOT IN MY DISTRICT, BUT I WAS SO GLAD THAT A MIRACLE WAS ABLE TO HELP MS. TABITHA AND MS. CHRISTINA 'CAUSE SHE REALLY SPOKE HIGHLY OF MS. CHRISTINA.
SO YOU ALL ARE DOING A BEAUTIFUL JOB AND THE WORD IS GETTING OUT TO THOSE WHO ARE NOT REACHING.
SOME OF THE PEOPLE ARE GETTING.
AND IN TERMS OF THAT, IF I MAY CHAIR, I DO, I DO WANNA SAY I, I WITH UM, CHRIS FROM DNA, UM, JUST HERE RECENTLY, I MET WITH HIM AND YOU KNOW, AS WE'RE TALKING ABOUT OLDER ADULTS THAT ARE HOME BOUND, AS YOU ALL KNOW, THOSE WHO PARTICIPATE IN MEALS ON WHEELS, UM, LIKELY ARE ISOLATED AS WELL.
AND SO WE'VE BEEN DISCUSSING STRATEGIES IN WHICH WE CAN SUPPORT, UM, THOSE OVERDOSE AND, AND EVEN OPPORTUNITIES WHERE THEY MAY BE ABLE TO CALL IN IF THERE IS AN OPPORTUNITY FOR THEM TO HEAR, UM, INSTEAD OF, UM, YOU KNOW, TOTALLY BEING, UM, ALIENATED FROM OPPORTUNITIES AND EVENTS.
AND THERE IS TIMES SUCH AS BUDGET WHERE PEOPLE CAN ACTUALLY CALL IN, RIGHT? MAYBE THEY CAN MAKE THE CITY HALL OR SOME OF THE ENGAGEMENT AROUND THE CITY, BUT MANY PEOPLE DON'T KNOW THAT THEY CAN ACTUALLY PICK UP THE PHONE AND JUST DIAL IN AND LISTEN AND THEN UNMUTE AND ASK THE QUESTIONS.
SO WANT TO MAKE SURE THAT THEY HAVE THOSE LEVELS OF OPPORTUNITIES, ESPECIALLY RESIDING WITHIN THE CITY OF DALLAS.
UM, SO THAT WE HEAR FROM THEM.
AND SO WE'VE BEEN BRAINSTORMING AS WELL AND SAFETY CONTACT.
I JUST WANNA MAKE MENTION OF THAT, THAT WE'VE BEEN ACTIVELY WORKING ON SOME OF THOSE AREAS.
I, I'LL, UM, PROVIDE SOME FEEDBACK.
IN TERMS OF, FROM A, A BROADER PERSPECTIVE AS TO HOW WE ACTUALLY WANT TO INFLUENCE CITY COUNCIL AND THE CITY MANAGER IN TERMS OF THE IMPORTANCE OF WHAT WE'RE PROPOSING AND REALLY WHAT, WHAT'S THE BURNING PLATFORM FOR? WHY SHOULD CITY COUNCIL AND THE CITY MANAGER CARE DEEPLY ABOUT THIS AS WE DO AS A GROUP? AND THAT WOULD BE ONE AREA WHERE I WOULD SAY THE, THE OVERALL PLAN LAYS OUT SOME OF THE STATISTICS, UM, BUT IN A, IN A VERY KIND OF CLINICAL WAY AS OPPOSED TO, YOU KNOW, THE IMAGINE THIS TYPE OF WAY SHOWS THE TREMENDOUS GROWTH IN A NUMBER OF SENIORS IN THE CITY OF DALLAS AND THE SERVICES THAT WILL BE REQUIRED AND THE SUPPORT THAT WILL BE REQUIRED, NOT JUST FOR THOSE SPECIFIC SENIORS, BUT ALL OF THEIR CAREGIVERS AS WELL.
AND I'M NOT SURE THAT THE, THE REPORT OR THE PRESENTATION, AND I'LL GIVE YOU AN EXAMPLE IN, IN THE PRESENTATION, WE SHOW THE POPULATION OF SENIORS, WHICH IS GOOD.
UM, AND THE FACT THAT THAT'S GROWN FROM 135,000 IN 2000 TO 219,000 IN 2023.
BUT WHAT WE DON'T SHOW ON THIS IS WHAT A PIECE
[00:45:01]
OF DATA INCLUDED IN THE BROADER PRESENTATION WOULD BE.AND BY 2035 THERE'S GONNA BE 300,000.
AND SO I THINK JUST BEING ABLE TO PORTRAY MUCH MORE CLEARLY AND DISTINCTLY THE, THE REQUIREMENT ESSENTIALLY THAT THE CITY PAY VERY CLOSE ATTENTION TO THE NEEDS OF A SIGNIFICANTLY GROWING POPULATION OF THE CITY.
AND WHY THAT'S IMPORTANT FOR THE CITY TO FOCUS ON.
UM, BECAUSE AT THE END OF THE DAY, WHAT ARE WE TRYING TO ACHIEVE? AND I THINK THAT'S, THAT, THAT IS ONE THING THAT AS I READ THROUGH THE BROADER DOCUMENT, UM, WAS KIND OF UNCLEAR.
IT IS LIKE, IS THE CITY OF DALLAS I ATTEMPTING TO BE ONE OF THE TOP FIVE LARGEST CITIES IN THE COUNTRY TO LIVE IN AS A SENIOR? OR WHAT, WHAT ARE WE ACTUALLY TRYING TO ACCOMPLISH AT THE END OF THE DAY? UM, AND, AND SO WE HAVE A LOT OF THESE GOALS, BUT WHAT'S THE END GAME? AND I THINK THE END GAME IS TO MAKE DALLAS, IF NOT THE BEST CITY, ONE OF THE BEST CITIES IN THE US TO TO BE A SENIOR THERE MISSION UP TO THAT THERE ISN'T REALLY A MISSION, RIGHT? YEAH.
IS THERE A MISSION STATEMENT ANYWHERE THAT GUY THIS, THAT WE'RE MISSING PERHAPS KEVIN? NO, I THINK WE TALK ABOUT THE PURPOSE VERY, I THINK GUY HAVE SHARED THE PURPOSE VERY EARLY ON, UM, REGARDING, UM, IN THE EXECUTIVE SUMMARY IT DOES GO, GO AFTER AND TALKS ABOUT THE INVOLVEMENT NEEDS FOR OLDER ADULTS, UH, AND THE IMPORTANCE OF THE CITY.
UM, SO WE RETHINK IT APPROACH FOR POLICY MAKING THAT IS STATED THERE IN THE BEGINNING.
AND I DO APPRECIATE YOUR YOUR COMMENTS AS WELL.
UM, I ALSO WANNA SAY THAT I THINK THAT'S EVERYTHING YOU SAID IS VERY IMPORTANT, BUT THE CITY HAS ALREADY COMMITTED, COMMITTED TO SUPPORTING OLDER ADULTS.
THAT'S WHY WE'RE AGE FROM CITY AND I AGREE, AGE FRIENDLY, STATE, AGE FRIENDLY, THE CITY HAVE A MISSION STATEMENT.
THAT'S EXACTLY WHAT I WAS GONNA ASK.
SO IN THE AGE FRIENDLY CITY, UM, WE HAVE SIGNED ON AS A, TO BE A CITY THAT HAS COMMITTED TO SERVING OVERDOSE AT LARGE.
AND I THINK THE OTHER PIECE THAT'S MISSING HERE IS UNDERSTANDING WHERE WE ARE WITH THAT, UPDATING THE H 20 ACTION PLAN.
AND IT IS MY ENDEAVOR FOR US TO TAKE THE IMPLEMENTATION PLAN AND OVERLAP THAT WITH OUR NEW H 20 PLAN.
AND I THINK, THINK THAT IN ITSELF IS GOING TO SPEAK TO EXACTLY WHAT YOU'RE STATING BECAUSE I THINK WE'RE, I THINK THERE'S, IT IS NOT A LEVEL OF CONFUSION, BUT IT'S UNDERSTANDING LIKE WHERE WE ARE.
AND I THINK THAT'S THE PROBLEM IS THAT WE WROTE THE PLAN IN 2019.
WE HAVE, WE HAVE ASSESSED THE PLAN EVEN WITH THAT, WE HAVE NOT COMPLETED ALL OF THE DUTIES WITHIN THAT PLAN DUE TO COVID, RIGHT? SO INSTEAD OF US REWRITING THE AGE MONEY ACTION PLAN PRIOR TO ME COMING IN, IT WAS MY UNDERSTANDING THAT, THAT THE STRATEGIC PLAN IS GONNA GUIDE AND HELP US TO UNDERSTAND WHAT THE NEEDS WORK, WHERE THE COMMUNITY, WE WILL START WORKING ON THE IMPLEMENTATION PLAN.
AND THEN FROM THERE WE WILL REWRITE THE AGE 20 ACTION PLAN AS WELL.
AND THAT SAYS EXACTLY WHAT THE CITY OF DALLAS IS COMMITTED TO, WHO'S GOING TO PARTNER, WHO'S GONNA DO WHAT WITH OUR AGENCIES, UM, OUR PARTNER AGENCIES, AND HOW WE'RE GONNA MOVE FORWARD AT LARGE AS A CITY TO SUPPORT THESE DISEASE INVOLVING EVOLVING NEEDS OF OUR OLDER ADULTS, WHICH WE WILL ALMOST HAVE 300,000 IN X AMOUNT OF YEARS.
AND THE WAY I LOOK AT THIS, JUST SO THAT WE'RE ALL CLEAR, UM, IS THAT WE HAVE TWO THINGS THAT WE HAVE TO DO.
THREE, WE NEED TO GET THIS ADOPTED.
WE NEED TO GET THE IMPLEMENTATION PLAN AND WE NEED TO UPDATE AND SUBMIT TO A RB, OUR NEW G MONTHLY ACTION.
WILL THAT BE PART OF THE DISCUSSION WITH CITY COUNCIL? DO YOU DESCRIBE THAT? BECAUSE YES, AGAIN, IT'S, IT'S NOT PRESENT HERE IN, SO IT'S NOT, YEAH.
SO WE DO ACTUALLY MENTION IT THERE.
UM, AS FAR AS THE, THE PLAN ITSELF, WE DID LOOK AT THAT THROUGHOUT THE STRATEGIC PLAN.
IT WAS, I'M GONNA BE HONEST, IT WAS MORE OF AN INTERNAL REVIEW OF WHAT DID WE DO, WHAT DID WE SAY WE'RE GOING TO DO, AND WHERE WE ARE.
UM, LOOK AT THAT ANALYSIS AND I CAN SHARE THAT WITH YOU.
I, BUT LOOKING AT THAT ANALYSIS FROM 2019, WE WERE JUST ABOUT 50%, UM, COMPLETED WITH THE ACTIONS WRITTEN SIDE OF THE AGE ONE ACTION PLAN FROM 2019.
UM, A LOT OF LARGE DISRUPTION WAS DUE TO COVID.
UM, HOWEVER, THIS ALSO ONCE AGAIN WAS THE UNDERSTANDING OF WHAT WE WROTE TO A RP AND SAID, HEY, YOU REALIZE THAT WE'RE IN NEED OF A NEW H ONE ACTION PLAN, A NEW ITERATION ALLOW US TO DO THIS PLAN IS ALREADY BEEN APPROVED.
AND THEN WE WILL FOLLOW UP ONCE WE MOVE FORWARD AFTER THE IMPLEMENTATION THING.
AND AR IS AWARE AND HAS A AGREED AND UNDERSTAND WHERE WE ARE IN OUR STATUS OF THAT.
THAT'S WHEN I CAME ON WHAT WAS SHARED.
UM, AND I BELIEVE, YEAH, UNDER THE ACTION ITEM, ARE YOU ASKING FOR, YOU'RE ASKING FOR SAC SUPPORT OF TODAY? YES, SIR.
[00:50:01]
TO SUPPORT THE STRATEGIC PLAN? YES, SIR.IS THAT WITH DISCUSSION ITEMS THAT ARE POTENTIALLY AMENDMENTS OR ARE WE TO SUPPORT IT AS DISCUSSION? SO THAT WOULD BE UP TO THE COMMISSION AT LARGE.
UM, MY RECOMMENDATION IF THERE'S ANY HEAVY LIFT, THEN IF I HAVE TO MAKE A HEAVY LIFT, IT HAS BEEN, WE'VE BEEN TOLD BY THE ATTORNEYS THAT WE'LL HAVE TO PUT IT BACK ON THE AGENDA.
IF WE'RE GOING TO MAKE, UM, MINIMUM CHANGES, THEN WE WILL YOU WALK AND GIVE ME THE AUTONOMY TO DO THAT VERY MINIMALLY.
UM, IF THERE'S ANY LANGUAGE OR WORDING, SLIGHT CHANGES OF THAT, I CAN DO THAT.
IF THERE'S HEAVY LIST OR A HEAVY ADDITIONS, WE WILL HAVE TO COME BACK TO THE COMMISSION.
ONCE AGAIN, I WOULD ASK THAT THE MISSION, YOU KNOW, CHOOSE THE VOTE TODAY ON IT SO THAT WE CAN MOVE FORWARD.
YOU ALL WILL STILL HAVE OPPORTUNITY FOR US TO MODIFY AS IT RELATES TO HOW WE'RE GOING TO CARRY THIS OUT WHEN WE CREATE AN IMPLEMENTATION PLAN, WHICH IS GOING TO BE THE GREATER TO ME IF THAT'S GOING TO BE THE MOST IMPORTANT.
UH, UH, SO, UM, SO I'M GONNA ASK, SO AS WE'RE ALL SITTING AND TRYING TO FIGURE THIS OUT, WHAT WOULD THE, EXCUSE ME, WHAT WOULD BE THE DOWNSIDE IF WE DON'T APPROVE? MAYBE THAT'S THE QUESTION WE NEED TO ASK NOW.
MAYBE, OR MAYBE FROM MY OWN HEAD.
SO WHAT WOULD BE THE DOWNSIDE IF WE DON'T APPROVE THIS TODAY? SO I DO PROS AND CONS IN MY HEAD ALL THE TIME.
BRIAN, IT, FROM THE WAY IT STANDS NOW, IT WOULD SEEM TO ME, IS THERE ANYTHING EGREGIOUS IN THIS PLAN THAT WOULD DRIVE US NUTS MOVING FORWARD TO PREPARED IT? ANSWER TO THAT.
I MEAN, YEAH, WE, YEAH, SOME OF, WELL, I THINK IF I UNDERSTAND CORRECTLY WHAT TAB SAID, IF THERE'S ERRORS, THOSE ARE NOT SOMETHING THAT WOULD REQUIRE, THAT IS CORRECT.
AND YOU ALL ME STATE THAT IF THERE'S SOMETHING THAT'S, I DON'T KNOW IF THEY'RE TYPOGRAPHIC THERE FOR EDITING.
SO THERE'S THE EDIT, LIKE EDITING OR IF THERE IS, UM, GRAMMAR THAT NEEDS TO BE CORRECTED, THAT IS OKAY.
I'VE SUBMITTED MY RECOMMENDATION IN HERE AND I, AND I DID BEGIN TO, UM, MAKE THOSE MODIFICATIONS IN HERE.
I BELIEVE THERE WAS THE BANK BOOMER AND SOME OTHER ITEM.
SO WE, SO WITH APPROVING THIS, WE'RE GIVING YOU THE TAB, THE COMMISSION TO DO THOSE MIND AND GRAMMATICAL CHANGES.
I HAVEN'T SPOKEN, BUT I, I FIND THIS WHOLE THING JUST OVERWHELMING AND, AND, AND, AND I HEAR YOU SAYING WHEN WE GET TO THE NEXT PHASE, YOU'RE GONNA EXPECT US TO HAVE A CONVERSATION.
AND THIS WHOLE PROCESS HAS, I MEAN, YOU KNOW, THIS WHOLE PROCESS HAS, UH, BAFFLED ME BECAUSE I FEEL LIKE WE REALLY HAVEN'T HAD CONVERSATION.
WE'VE HAD PRESENTATIONS, BUT NOT CONVERSATION.
UH, THIS KIND OF DOCUMENT IS NOT UNCOMMON TO ME, BUT I HAVE FOUND IT VERY CONFUSING.
NOW, YOU KNOW, I'M NOT SAYING MY CITY COUNCIL MEMBER WILL FIND IT CONFUSING.
I DID WATCH, I DIDN'T KNOW YOU WERE GONNA PRESENT TO THE, THE COMMITTEE, THE QUALITY YOUR LIFE COMMITTEE OR WOULD'VE AT LEAST BEEN WATCHING DURING PRESENT, IF NOT PRESENT.
BUT I DO RECALL, YOU KNOW, ESPECIALLY ONE PARTICULAR COUNCILWOMAN SPEAKING, SHE, SHE JUST WAS LIKE, WHAT IS ALL OF THIS? I MEAN, I'M, I'M USING MY WORDS NOT HERS.
I FIND THIS THING CONFUSING AND UNCLEAR AND, AND, AND MAYBE I'M ONLY SPEAKING FOR MYSELF.
I WOULD LIKE SOMETHING MUCH MORE CLEAR.
I ALSO FIND SOME OF THE GOALS OR, OR STRATEGIES OR WHATEVER TO BE JUST, UH,
IT'S, IF WE'RE NOT GONNA DO SOME OF THESE THINGS, THIS STUFF IS JUST FLUFFY.
AND I'M, I'M REALLY DISAPPOINTED.
I WORKED VERY, VERY FOCUSED WITH TWO DIFFERENT COUNCIL MEMBERS TO GET THE MONEY FOR THIS PROJECT.
AND I, AND, AND, AND I'M, I'M, I'M VERY DISAPPOINTED IN WHAT WE, WHAT WE'VE PRODUCED NOW.
I THINK THIS THING COULD BE MUCH MORE CLEAR.
I THINK IT'S WAY TOO LATE TO TRY TO DO THAT.
I CERTAINLY WANNA SEE THE TYPO GRAPHICAL AND, AND SOME OF THE THINGS THAT ARE IN HERE THAT SHOULD BE CORRECTED.
I MEAN, I WANT IT TO AT LEAST BE LITERALLY CORRECT.
I WOULD, I SENT YOU A THING ON WHAT I THINK NEEDS TO BE ADDED TO THE GLOSSARY TO HELP MAKE THIS MUCH MORE CLEAR.
I, I JUST THINK THIS WHOLE THING NEEDS A LOT OF WORK.
BUT, YOU KNOW, I I I ALSO AM NOT CONFIDENT WE'RE GONNA GET ANYWHERE WITH WHAT WE'RE TRYING TO DO.
SO I MEAN, I'M, I'M NOT SAYING WE WON'T GET ANYWHERE WITH IMPLEMENTING THE PLAN.
I'M JUST SAYING, I DON'T KNOW HOW MUCH CAN BE SAID OUT OF THIS.
AND I, I FIND THE WHOLE PROCESS TO HAVE BEEN VERY FRUSTRATING.
[00:55:01]
US A THING IN DECEMBER AND EVEN IN NOVEMBER, AND THEN YOU SAID YOU'VE GOTTA DO THE ANNUAL PLAN AND, AND THEN WE GET THIS THING AND WE GET IT IN, YOU KNOW, AND, AND, UM, I, I'M NOT PLEASED.NEEDLESS TO SAY I WASN'T PLEASED WITH THE DATA COLLECTION.
UM, WE ALL KNOW SENIORS DON'T GET THE INFORMATION.
WE KNEW THAT BEFORE WE PAID A HUNDRED, $250,000.
WE ARE NOT THE ONLY SIGNIFICANT AGENCY IN THE CITY THAT SEES THAT AS A PROBLEM.
AND I DO THINK PARTNERING, WE NEED TO PARTNER WITH SOME OF THESE OTHER AGENCIES.
IF, IF THIS COMMISSION, I MEAN, IF THIS PLAN DOES TWO THINGS, IF IT GETS THE CITY ON A, ON A, ON A LEVEL OF FOCUSING ON SENIORS AND IT GETS THE AGENCIES IN THE CITY OF DALLAS COLLECTIVELY WORKING AND, AND, AND I THINK WE'RE WORKING TOGETHER, BUT WE'RE, WE NEED TO HAVE A BETTER FOCUS, I THINK WE WILL HAVE BEEN AMA DONE AMAZING WORK.
AND IF THOSE ARE OUR TWO GOALS, I'D BE THRILLED WITH IT.
UH, THAT'S MY, THAT'S MY SPEECH.
SO, UM, I, I, I THINK YOU HAVE SOME GOOD POINTS PROBLEM.
AND I'M NOT LOOKING AT THE OUTSIDE.
I'M LOOKING AT THIS COMMISSION.
AND IF WE DO, IF ONLY WITH VERY, IT'S BECAUSE WE HAVE THINGS THAT ARE GOING ON.
NO, I'M TALKING ABOUT WE HAVE, YOU KNOW, LIKE I, I ASKED YOU ABOUT ONE THING HAPPENING, YOU KNEW RIGHT AWAY YOU SHARED THAT WITH ME.
WHY CAN'T WE WORK TOGETHER? YOU KNOW? AND I DO UNDERSTAND WHAT YOU'RE SAYING, BUT YOU KNOW, OF COURSE I CAME AFTER THIS ALL WAS CREATED.
BUT WASN'T IT CREATED EARLIER BY THIS GROUP BEFORE I EVEN JOINED THAT THIS WAS GOING ON? BECAUSE I REMEMBER PETER TALKING ABOUT THIS MM-HMM
AND NOW IT'S KIND OF LIKE, WELL, YOU KNOW, THIS IS WHAT'S HAPPENED AND, AND SO FORTH THAT IT SOUNDS LIKE THERE WERE SOME YEARS THAT THIS HAS BEEN, IT SOUNDS LIKE ODD, IT SOUNDS LIKE THIS HAS BEEN GOING ON FOR MORE THAN A YEAR OR SO.
FROM MY PERSPECTIVE, I'M SPEAKING FROM MY PERSPECTIVE, WE'VE SAT, WE'VE SAT THROUGH PRESENTATIONS.
OUR CONVERSATION HAS BEEN VERY LIMITED.
OUR BACK AND FORTH HAS BEEN VERY, I MEAN, I REMEMBER THE FIRST TIME THOSE GUYS CAME, THEY SPENT HALF THE MEETING TELLING US ABOUT THEIR HISTORY AND WHAT FABULOUS ADMINISTRATORS THEY WERE WITH THEIR RUNNING THEIR STATE.
AND YOU GET DOWN TO THE BOTTOM AND THEY HAVE DATA FROM, I BELIEVE THE NUMBER WAS 59 CLIENTS.
AND, AND ALMOST HALF OF THOSE CAME FROM ONE ZIP CODE.
AND IF, YOU KNOW, IF IT'S NOT BEEN A CONVERSATION, AND THIS IS WHAT WE'VE GOT AND I'M NOT HAPPY WITH IT, BUT I KNOW THIS IS A BUREAUCRACY AND WE'VE GOT IT.
SO I SEE OUR ATTORNEY, SHE MAY COME OVER.
WELL, JUST AS A REMINDER, WE NEED TO MAKE SURE THAT ALL OF THE DISCUSSION IS GERMANE TO THE SENIOR SERVICES STRATEGIC PLAN, WHICH IT HAS BEEN.
THAT'S WHAT WE ARE TALKING YES.
SO I HAVE A POINT OF CLARIFICATION.
I'M, WE'VE TALKED CONSISTENTLY ABOUT GUIDEHOUSE, IS THAT THE AGENCY OF THE ORGANIZATION? THAT IS GREAT.
SO GUIDEHOUSE, UM, WITH OUR, THAT'S, THAT'S OKAY.
I, I DON'T NEED THE EXPLANATION.
UH, BUT I'M SEEING HERE THIS IS PREPARED BY COAST SPIRAL CONSULTING DOCUMENT THAT YOU HAVE SOME REAL ISSUES WITH.
WHAT'S THE DIFFERENCE? SO I WAS GETTING READY TO SAY THAT.
SO GUIDEHOUSE, UM, WAS OUR AWARDEE FOR THE STRATEGIC PLAN.
AND UM, OUR SUB AUTHORITY WAS
SO RO HANDLED THE COMMUNICATION PORTION OF THE DEPLOYMENT, UM, WHICH YOU WILL SEE THAT REPORTS TOWARDS THE END.
YOU SEE THAT REPORT TOWARDS THE END.
AND GUIDEHOUSE WAS THE, UM, LARGER AWARD.
SO THEY'RE NOT, SO, SO THE ERRORS ARE THOSE ERRORS MADE BY GUIDEHOUSE OR MODIFICATIONS THAT WE'RE CONCERNED ABOUT MADE BY GUIDEHOUSE OR MADE BY
SO I WILL SAY GUIDEHOUSE AS OF NOW.
SO THEN WHY IS MS. SPARROW INFORMATION
[01:00:02]
DOCUMENT THAT I'M LOOKING AT? 'CAUSE THEY COMPLETED THE COMMUNICATIONS PLAN, WHICH WAS A SUB PROPOSAL ACTUALLY INCLUDED IN THE ARTICLE.SO YOU'RE ASKING US TO TAKE ACTION ON THIS DOCUMENT TODAY BASED UPON INFORMATION FROM GUIDEHOUSE AND FROM, UH, COACH FARROW
ARE THERE ANY COMMENTS FROM THOSE WHO ARE ON SCREEN? UH, GOOD, GOOD AFTERNOON EVERYBODY.
I THINK THE GRAMMATICAL A ERRORS WELL CAN BE CORRECTED, YOU KNOW, QUICKLY.
AND ALL THE CONTENT THAT THAT HAS, WE HAVE, UH, THAT THE GROUP HAS CONCERNS ABOUT TAB.
AND YOU SAID THAT IT'S NOT CONTINGENT UPON OUR APPROVAL THAT IT COULD STILL GO.
WE ARE JUST GIVING OUR INPUT THAT IS THAT IS CORRECT? YES, MA'AM.
HOWEVER, WE WOULD WANT THE SUPPORTS FROM THE COMMISSION TO MOVE FORWARD.
YEAH, THAT'S WHAT I WAS, I WAS WONDERING ABOUT.
SO I THINK IF WE, YOU KNOW, HAVE A, WITNESSES HAVE TO BE FINISHED CHAPTER, SO WE, UM, WOULD LIKE TO MOVE FORWARD WITH THE, UH, QUALITY OF BLACK ARTS AND CULTURE ON THEIR AGENDA, THEIR COMMITTEE AGENDA, THEIR NEXT GEN.
MY UNDERSTANDING WILL BE MARCH THE 23RD.
HOWEVER, IF WE FEEL LIKE WE'RE NOT PREPARED TO DO THAT, I GUESS TO LEADERSHIP ABOUT MOVING THAT TIMEFRAME BACK.
I WILL SAY THAT ONCE AGAIN, GUIDEHOUSE HAD TO FULFILL THE, BASED ON THE IRP, THAT WAS ALREADY PRI PRIOR TO MY ARRIVAL.
THEY DID SUBMIT AND COMPLETE WHAT WAS, UM, REQUESTED OF THEM BASED ON THE IRP.
UM, GUIDEHOUSE, UM, ALSO DID COME IN DECEMBER AND AS I, MY, MY, UM, NOTES, SOME OF THESE ISSUES THAT HAS BEEN RAISED WAS NOT TOTALLY SHARED WITH GUIDEHOUSE.
SO, UM, I AM HERE TO SUPPORT, OF COURSE, THIS, BUT I WANNA ALSO JUST MAKE IT CLEAR THAT, YOU KNOW, GUIDEHOUSE HAS COME TO US THREE, FOUR TIMES AS WELL THROUGHOUT THIS PROCESS.
WHETHER IT WAS A SURVEY, UM, OR OPPORTUNITIES IN WHICH WE HAD OPPORTUNITIES TO ENGAGE AT LARGE, WE, WE DID HAVE OPPORTUNITIES FOR THE COMMISSION TO PARTICIPATE.
UM, AND WE DID HAVE COMMISSIONERS THAT ACTUALLY WENT OUT AND HELPED US WITH THE SURVEYS ALONG WITH THAT.
SO, BY NO, IS THAT MY POINTING FINGERS, BUT I ALSO JUST WANNA BRING THIS TO THE COMMISSION, IS THAT WE HAVE BEEN IN COMMUNICATION, WHETHER IT WAS VIA EMAIL OR MYSELF, THE STAFF HAVE BEEN AVAILABLE TO ANSWER QUESTIONS AS IT RELATES TO THE STRATEGIC PLAN THROUGHOUT THE PROCESS.
NO, SHE, SHE SAID THANK YOU AND, AND I'M NOT TRYING TO MAKE AN ARGUMENT AND I, AND I APPRECIATE THE HARD WORK YOU'VE PUT INTO THIS, BUT NUMBER ONE, WE DID NOT GET A PRINTED COPY OF THIS UNTIL JANUARY.
AND THIS IS, THIS IS THE THING THAT I, THAT I MOST RESPOND TO, UH, THOSE MEETINGS WITH GUIDEHOUSE, AGAIN, I FOUND THEM TO BE KIND OF ONE SIDED.
UH, I ALSO FELT, YOU KNOW, I MEAN, I HONESTLY, BELIEVE IT OR NOT, I WAS IN, I WAS INHIBITED AND DIDN'T SAY WHAT I REALLY THOUGHT, WHICH I KNOW YOU FIND AMAZING, BUT, UM, YOU KNOW, I TRIED TO BE POLITE AND, AND I WAS ALSO KIND OF STUNNED BY WHAT I WAS HEARING AT TIMES.
AND, UH, I'M JUST, YOU KNOW, I'M JUST SAYING I'M NOT, I DIDN'T APPRECIATE THE PROCESS AND I DON'T APPRECIATE THIS A HUNDRED PERCENT.
AND I THINK THAT, YOU KNOW, THAT'S JUST ME.
AND, AND IT'S, AND I'M NOT POINTING FINGERS AT YOU AT ALL.
YEAH, THAT'S, WHO'S THAT? ARE THERE ANY OTHER QUESTIONS OR COMMENTS RELATED TO SENIOR SERVICES PLANS? YEAH, MR. LEE, WE'RE GONNA VOTE TODAY ON THIS.
THIS IS WHAT, JUST MY SUGGESTION.
SO SINCE EVERYBODY CAN MAKE SUGGESTIONS, THE CONTENT OF THIS IS VERY SIMPLE.
A 3-YEAR-OLD CAN UNDERSTAND IT.
AND WE GONNA VOTE, I'M JUST GONNA GO AHEAD AND VOTE.
NOW, IF YOU READ ABOUT A T OR YOU SHOULD HAVE SAID R WHEN YOU SEE A HERB, THEN YOU CAN FIX THAT.
BUT I'M LOOKING AT THE CONTENT AND WHAT IS, WHAT IS THE MAJOR ISSUES AND WHAT ARE YOU TALKING ABOUT? DO YOU UNDERSTAND WHAT THE SIX GOALS ARE? DO YOU UNDERSTAND? I COULD HAVE SAID IS, OH GIRL, YOU MADE THE WRONG WORD.
BUT WHAT IS THIS THING IS TELLING US WHAT YOU ALL PLAN TO DO.
IT IS PLAIN AS DAY, AND I THINK THE CONTENT IS WHAT WE ARE CONCERNED ABOUT.
AND IF YOU'RE GONNA VOTE, WE CAN GO AHEAD AND VOTE.
AND I'M GONNA GO AHEAD AND SAY, I'M GONNA VOTE.
YEAH, I'D LIKE TO MAKE MOTION.
[01:05:01]
YEAH.I'M GONNA SEE NOTHING WRONG WITH IT.
THAT THE SAC SUPPORT THE STRATEGIC PLAN, THE NECESSARY MODIFICATIONS THAT WILL BE MADE BY, OKAY.
SO GO FORWARD WITH THE VOTES YOU'RE SEEING THAT'S, THAT'S MY HE NEEDS TO STEP INTO THAT BUSH.
ANOTHER, NOW WE NEED STACK SUPPORTS.
SO YEAH, JUST TO NECESSARY MODIFICATION.
AND, AND JUST FOR AGAIN, SPECIFIC CLARIFICATION, THOSE ARE ONLY MINOR.
YOU'RE SUGGESTING MINOR TYPOGRAPHICAL.
YOU BET THAT IS, THAT IS CORRECT.
THERE'S SOME OTHER, I MEAN, I THINK WE NEED TO EXPAND THE GLOSSARY, BUT ANYWAY, NEED, OKAY.
AND THAT'S WHAT WE ARE VOTING ON.
CAN WE GET A ROLL CALL? I, I TO ASK MS. MARKUP IF YOU CAN HELP WITH THAT, PLEASE? YES.
SO ALL IN FAVOR, PLEASE RAISE YOUR HAND AND THEN, YEAH, I CAN'T FACILITATE IT.
MAYOR NORMAN, SUPERVISOR WITH THE SENIOR SERVICES, UH, WOULD REQUESTING A ROLE CALL.
SO FROM DISTRICT ONE PURPLE BOTH.
CAN YOU, CAN YOU SAY THAT? YES, YES OR NO? YES.
SHE CAN RAISE HER HAND IF SHE CAN.
ARE YOU ABLE TO UNMUTE COMMISSIONER RELL? YES.
DISTRICT THERE WERE EIGHT IN FAVOR.
THREE AGAINST THE MOTION PASSES.
ALRIGHT, CAN I ASK NOW ONE QUESTION.
SO, YOU KNOW, I WAS COMFORTABLE VOTING FOR THIS THOUGH THOUGH.
SOME OF IT WAS CLEAR OR NOT AND, AND THERE WAS SO MUCH INFORMATION.
UM, BUT THAT, THAT I'M GOING AHEAD ON FAITH THAT THIS IS A LIVING DOCUMENT AND THAT AS WE WORK THROUGH THIS, RIGHT, THAT WE'RE GONNA HAVE THE OPPORTUNITY TO LOOK AT EACH OF THE GOALS AND SAY MAYBE THIS IMPLEMENTATION CAN HAPPEN A LITTLE DIFFERENTLY.
SO THAT WILL BE A PART OF THE IMPLEMENTATION.
WE'LL MOVE ALONG TO THE NEXT AGENDA ITEM, WHICH IS A REVIEW OF COMMUNITY HEALTH NEEDS ASSESSMENT BY PARKLAND HEALTH.
AND WE HAVE, UH, SOME SUBSTITUTIONS FOR OUR PRESENTERS AND THEY ARE ONLINE.
ONE IS IN, UH, I APOLOGIZE FOR MY PRONUNCIATION, BUT I THINK I'VE GOT THE MONA TEI AND SWATHI SINGH, THANK YOU FOR JOINING US AND PLEASE FEEL FREE TO JUMP IN.
AND THANK YOU FOR GIVING US OPPORTUNITY TO PROVIDE AN UPDATE ON, ON DALLAS COUNTIES 2025 COMMUNITY HEALTH NEEDS ASSESSMENT RESULTS, WHICH IS OUR CHNA.
SO I'M SWATHI ANG, CHNA PROGRAM MANAGER.
AND JOINING ME TODAY IS MY COLLEAGUE MONA ANI.
MY NAME IS MONA ANI AND I'M THE CHNA PROGRAM MANAGER FOR, UH, THE CHNA REPORT.
AND WE WORK WITH TERRA CITA OAKS DIRECTOR OF COMMUNITY HEALTH PROGRAM, AND SHE IS UNABLE TO JOIN US TODAY, BUT WE WILL PRESENT ON HER BEHALF.
SO, OUR AGENDA FOR TODAY INCLUDES COMMUNITY HEALTH NEEDS ASSESSMENT REQUIREMENTS, CHA PROCESS, AND THEN 2025 CHNE KEY FINDINGS.
SO LET'S START WITH WHAT IS COMMUNITY HEALTH NEEDS ASSESSMENT? SO A COMMUNITY HEALTH ASSESSMENT IS SIMPLY A STRUCTURED WAY OF LOOKING AT COMMUNITY HEALTH.
IT'S REVIEWING DATA ON HEALTH INDICATORS.
CAN YOU SPEAK UP? OUR SOUND IS A PROBLEM.
CAN YOU HEAR ME WELL,
A COMMUNITY HEALTH NEEDS ASSESSMENT.
[01:10:02]
THANK YOU.SO A COMMUNITY HEALTH NEEDS ASSESSMENT IS SIMPLY A STRUCTURED WAY OF LOOKING AT COMMUNITY HEALTH.
IT IS REVIEWING DATA ON HEALTH INDICATORS TO FIGURE OUT THE MAJOR PROBLEMS AND STRENGTH IN THE COMMUNITY.
THE GOAL IS TO USE THESE FINDINGS TO GUIDE STRATEGIES THAT IMPROVE THE COMMUNITY'S OVERALL HEALTH.
NOW, ONE OF THE QUESTIONS THAT WE OFTEN GET ASKED IS, WHY DO WE DO, OR WHY DO WE CONDUCT A-C-H-N-A? AND THE REASON IS THAT IT'S REQUIRED BYLAW.
THE AFFORDABLE CARE ACT MANDATES THAT TAX EXEMPT AND GOVERNMENTAL HOSPITALS COMPLETE A-C-H-N-A EVERY THREE YEARS.
AND THIS IS A REQUIREMENT WHICH IS REINFORCED THROUGH THE IRS REGULATIONS, THE CHE FRAMEWORK.
WHAT? SO THE CHE FRAMEWORK IS GROUNDED IN THE CORE FUNCTIONS OF PUBLIC HEALTH.
AND THIS IS, YOU CAN SEE IN THIS, UH, CIRCLE WHEEL, WHICH TALKS ABOUT THE PUBLIC HEALTH, ABOUT ASSESSMENTS, POLICY DEVELOPMENT, AND ASSURANCE.
NOW, THERE ARE SOME OF THE CHNA REQUIREMENTS THAT WE HAVE TO DO BY THE LAW IN OUR CHNA REPORT.
SO SOME OF THE REQUIREMENTS FOR OUR CHNA IS TO DEFINE THE COMMUNITY IT SERVES, IDENTIFY DISPARITIES IN THE COMMUNITY, BUILT UPON THE PREVIOUS CHNA FINDINGS, INCLUDE COMMUNITY INPUT, COLLABORATE WITH THE PUBLIC AGENCY, HEALTH AGENCY, AND OTHER STAKEHOLDERS.
IDENTIFY THE HEALTH NEEDS, WRITE A WRITTEN CHNA REPORT AND MAKE IT AVAILABLE TO THE PUBLIC.
AND FURTHERMORE, DEVELOP A IMPLEMENTATION PLAN BASED ON THE, YOU KNOW, HEALTH NEEDS THAT HAVE BEEN, UH, FOUND OUT IN THE CHNA REPORT.
NEXT, WE DISCUSS OUR CHNA PROCESS.
SO THIS INVOLVES A SOLID COLLABORATION OF PARKLAND WITH DALLAS COUNTY HEALTH AND HUMAN SERVICES TO COLLABORATE TOGETHER AND DEVELOP A-C-H-N-A REPORT.
NOW, THE CHA PROCESS AND THE METHODOLOGY.
FOLLOWING THE PUBLIC HEALTH PRACTICE AND PRINCIPLES, WE GATHER TWO TYPES OF DATAS TO UNDERSTAND THE FACTORS THAT INFLUENCE THE HEALTH AND THE COMMUNITY NEEDS, AND TO IDENTIFY THE HEALTH GAPS AND THE TRENDS, ALL THE DIFFERENT ELEMENTS THAT WILL HELP US ADDRESS THE HEALTH NEEDS OF THE COMMUNITY.
THE DATA COMES FROM MULTIPLE SOURCES.
SO WE HAVE A QUANTITATIVE DATA THAT COMES FROM CDC, WONDER, US CENSUS, DALLAS COUNTY HEALTH AND HUMAN SERVICES, DALLAS FORT WORTH HEALTH COUNT HEALTH, UH, COUNCIL, UM, PARKLAND REGISTRIES, UH, EPIC AND OTHER TRUSTED SOURCES TO PROVIDE AN INSIGHT TO THE POP, UH, POPULATION HEALTH INDICATORS.
ALSO, THE CLINICAL AND THE UTILIZATION DATA FOR THE QUALITATIVE SIDE, WE GATHERED DATA THROUGH OUR FOCUS GROUPS THAT WAS DONE IN THE COMMUNITY AS WELL AS THE COMMUNITY SURVEYS, AND WE WILL TALK ABOUT IT IN DETAIL IN OUR NEXT SLIDE.
UH, SO FOR OUR ONLINE SURVEY, IT WAS A JOINT EFFORT, UH, BETWEEN PARKLAND AND DALLAS COUNTY HEALTH AND HUMAN SERVICES.
WE RECEIVED AROUND 2000 SURVEY RESPONSES, BUT AFTER FILTERING FOR THOSE THAT WERE INCOMPLETE SURVEYS AND THOSE THAT WERE OUT OUT OF COUNTY, WE ENDED UP WITH 1,435 VALID RESPONSES.
AND THIS NUMBER IS MUCH HIGHER THAN WHAT WAS IN OUR LAST CHNA, WHICH WAS AROUND 400 SURVEYS.
SO THIS TIME WE WERE ABLE TO, YOU KNOW, LOOK AT 1,435 SURVEYS.
NOW, IN TERMS OF DEMOGRAPHIC, THE SURVEYS THAT WE HAD TOGETHER, 32% OF THE RESPONDENTS WERE HISPANIC AND 30% WERE BLACK OR AFRICAN AMERICAN.
NOW, THE WAY THE THESE SURVEYS AND THE FOCUS GROUP WERE, YOU KNOW, UM, WE TRIED TO ANALYZE THEM WAS WE USED ESTABLISHED QUALITATIVE ANALYSIS SOFTWARE TO SUPPORT OUR DATA REVIEW FOR FOCUS GROUP.
WE USED DDU THAT ALLOWED US TO SYSTEMATICALLY CODE RESPONSES AND IDENTIFY KEY THEMES AND PATTERNS.
AND FOR OUR ONLINE SURVEY, WE USED QUALTRICS THAT PROVIDED STRUCTURED INSIGHT INTO THE PARTICIPANTS' FEEDBACK ACROSS DIFFERENT COMMUNITIES.
FOR FOCUS GROUPS, WE HAD 36 SESSIONS THAT WERE COMPLETED IN THE COMMUNITY, AND 3 21 COMMUNITY MEMBERS PARTICIPATED.
[01:15:01]
THROUGH THIS QUALITATIVE DATA ANALYSIS, WE WANTED TO LEARN FROM THE COMMUNITY WHAT IS HEALTHY COMMUNITY FOUNDATION STRUCTURE.AND BASED ON THE RESPONSES THAT WE RECEIVED FROM THE COMMUNITY, TWO PILLAR PRIMARY PILLAR EMERGED.
ONE WAS THE COMMUNITY INFRASTRUCTURE AND RESOURCE, AND THE OTHER WAS STRENGTHENING HEALTHCARE DELIVERY.
NOW, WITHIN THESE EACH PILLAR, THERE WERE THREE BUILDING BLOCKS THAT YOU CAN SEE IN THIS PICTURE, AND WE WILL DISCUSS THEM IN DETAIL LATER ON IN OUR PRESENTATION.
FROM THE COMMUNITY PERSPECTIVE, THESE DIMENSIONS, THE FIVE EASE OF HEALTHCARE ACCESS, THEY HELPED US ASSESS THE BARRIERS AS WELL AS THE OPPORTUNITIES FOR PROVIDING ACCESS TO CARE.
THEY REFLECT THE LIVED EXPERIENCES OF INDIVIDUALS THAT PROVIDED US WITH THE RESPONSES AND HELPED US NAVIGATE THE HEALTHCARE AND PUBLIC HEALTH SYSTEMS RATHER THAN JUST FOCUSING ON ASSUMPTIONS OR THE INTERNAL STRUCTURE.
AND AGAIN, WE WILL TALK ABOUT THIS IN, UH, LATER IN OUR, UM, YOU KNOW, UH, SLIDES.
NOW WE MOVE ON TO THE QUANTITATIVE DATA, AND I'LL HAND IT OVER TO MY COLLEAGUES.
MONA, THANK YOU SO MUCH, SWATHI.
UM, EVERYONE, CAN YOU ALL HEAR ME CLEARLY? YES.
UM, SO SWATHI HIGHLIGHTED THE QUALITATIVE ASPECT, BUT THE STRENGTH OF OUR CHNA REPORT LIES IN ITS INTEGRATION OF RICH QUALITATIVE INSIGHTS WITH ROBUST QUANTITATIVE ANALYSIS.
SO TO SUPPORT PRECISE COMMUNITY INFORMED ACTION, WE COMBINED THE CLINICAL PUBLIC HEALTH AND SOCIAL QUANTITATIVE DATA TO DEVELOP A VERY COMPREHENSIVE VIEW OF THE COMMUNITY HEALTH.
UM, PUBLIC HEALTH SURVEILLANCE CLINICAL RECORDS, SOCIAL SERVICES DATA WERE INTEGRATED TO CAPTURE BOTH THE HEALTH OUTCOMES AND THE FACTORS INFLUENCING THEM.
UM, THE NATIONAL AND STATE SOURCES, SUCH AS, UH, YOU CAN SEE B-R-F-S-S-C-D-C, HRSA, THE US CENSUS, TEXAS DSHS, THEY ALL PROVIDED LIKE A STANDARDIZED BENCHMARK.
UH, WHILE LOCAL DATA SETS FROM PARKLAND AND THE COUNTY ENSURE THAT THE DATA IS RELEVANT AND TIMELY EMRS OR THE ELECTRONIC MEDICAL RECORDS, THEY OFFERED INSIGHTS INTO THE REAL WORLD DISEASE BURDEN UTILIZATION AS WELL AS THE OUTCOME.
AND TO ADDRESS THE NON-MEDICAL DRIVERS OF HEALTH, WE INCORPORATED DATA ON HOUSING, TRANSPORTATION, AND PUBLIC ASSISTANCE.
SO OVERALL, THIS, THIS CROSS SECTOR APPROACH, IT SORT OF HELPED US STRENGTHEN THE CONFIDENCE IN OUR FINDING AND, UM, IT REFLECTS THE TRUE COMMUNITY NEEDS.
UM, A NEW ADDITION IN THIS CHNA IS THE CAPABILITY TO DRILL DOWN TO THE CENSUS BLOCK LEVEL FOR A MORE TARGETED INTERVENTION BY IDENTIFYING WHERE EXACTLY THE CONCERN OR THE NEED LIES.
SO THE MAPS HERE, THEY PROVIDE A SNAPSHOT OF PRESENT DAY RISK LEVEL ACROSS ZIP CODES AND CENSUS TRACTS.
UM, AGAIN, THIS PROVIDES A MORE GRANULAR VIEW.
AREAS SHOWN IN DARKER BLUE, THEY REFLECT VERY HIGH VULNERABILITY WHILE THE LIGHT GREEN INDICATES VERY LOW VULNERABILITY.
THE TABLE IN THE MIDDLE, IT, IT LISTS THE TOP 10 ZIP CODES WITH THE HIGHEST COMMUNITY VULNERABILITY INDEX SCORES, UM, THAT ARE CONCENTRATED IN THE SOUTHERN SECTOR OF THE DALLAS COUNTY, PARTICULARLY IN SOUTHEAST DALLAS.
THIS MAP, UM, IT SHOWS THE HEART DISEASE MORTALITY BY ZIP CODE ACROSS DALLAS COUNTY.
AND AGAIN, THE COLOR CODES ARE THE LIGHTER SHADES INDICATING LOWER MORTALITY, THE DARKER, UH, RED SHADES INDICATING HIGHER TO VERY HIGH HEART DISEASE MORTALITY.
WHAT REALLY STANDS OUT IS THAT THE HIGH MORTALITY AREAS, THEY SORT OF OVERLAP WITH COMMUNITIES THAT ARE FACING HIGH VULNERABILITY AND ARE DENSELY POPULATED.
SO THIS POINTS OUT TO THE INFLUENCES OF THE SOCIOECONOMIC CONDITIONS AND NOT JUST INDIVIDUAL'S HEALTH BEHAVIOR.
UM, THE LINE CHART ON YOUR LEFT SHOWS MORTALITY RATE FOR DALLAS COUNTY, TEXAS, AND THE US AS YOU CAN SEE, ALL THREE LINES, THEY FOLLOW A SIMILAR PATTERN.
THERE IS A SHARP SPIKE AROUND 2021.
THIS REFLECTS THE COVID-19 PANDEMIC.
AFTER THE PEAK, THE MORTALITY RATES, THEY DECLINE, BUT THEY DO NOT RETURN FULLY TO THE PRE PANDEMIC LEVEL.
AND EVEN THOUGH YOU MAY NOTICE THAT THE TRENDS ARE SIMILAR, THE MORTALITY RATE REMAINS HIGHER IN TEXAS, IN DALLAS COUNTY.
WHEN WE COMPARE IT TO THE NATION
[01:20:01]
ON THE RIGHT, WE ARE NO ON THE RIGHT.WE ARE LOOKING AT THE LEADING CAUSES OF DEATH FROM 2020 TO 2024, AND IT DOES NOT COME AS A SURPRISE THAT HEART DISEASE AND CANCER, THEY REMAIN THE TOP TWO LEADING CAUSES OF DEATH FOR THE COUNTY, VERY SIMILAR TO STATE AND NATIONAL LEVEL.
I DO WANNA MENTION THAT ACCIDENTS DID MOVE UP, UH, FROM FIFTH POSITION TO THE FOURTH POSITION WHEN WE COMPARED IT WITH OUR PREVIOUS CHNA.
THESE CHARTS, THEY SHOW THAT DESPITE, UH, COVID-19, WHICH WE CONSIDER AS A SHORT TERM SHOCK, CHRONIC DISEASES, THEY REMAIN THE DOMINANT DRIVERS OF MORTALITY.
SO IT JUST REINFORCES THE URGENCY OF, UM, EARLY DETECTION, PREVENTION AND MANAGEMENT OF CHRONIC DISEASES.
UM, THE GRAPH ON THE LEFT, IT SHOWS THE LIFE EXPECTANCY IN DALLAS COUNTY ZIP CODE WITH THE LOWEST OUTCOMES, UH, COMPARING THE OVERALL POPULATION OF BLACK AFRICAN-AMERICAN RESIDENTS FROM 2016 TO 2023.
NOW, I WANNA SPEND SOME TIME OVER HERE BECAUSE IF WE NOTICE ACROSS EVERY ZIP CODE SHOWN IN THAT GRAPH, LIFE EXPECTANCY IS CONSISTENTLY LOWER FOR BLACK AFRICAN AMERICAN RESIDENTS THAN THE OVERALL POPULATION AND LOWEST FOR BLACK AFRICAN AMERICAN MEN.
SO FOR EXAMPLE, IF YOU LOOK AT 7 5 2 1 0 AND 2 1 5, THE BLACK AFRICAN AMERICAN MEN, THEY LIVE ABOUT FOUR TO FIVE YEARS FEWER THAN THE COUNTY AVERAGE.
AND IF YOU NOTICE EVEN IN AREAS WITH SLIGHTLY HIGHER LIFE EXPECTANCY LIKE 7 5 2 16, THERE IS STILL A GAP OF OF SEVERAL YEARS THAT REMAIN IN THE LAST TWO ZIP CODES.
UH, WHERE YOU HAVE THE NR THE DATA FOR, FOR BLACK POPULATION IS, UM, IT IS PRETTY SMALL DUE TO THE POPULATION SIZE, WHICH IN ITSELF IS A LIMITATION THAT WE NEED TO ADDRESS.
TALKING ABOUT THE GRAPH ON THE RIGHT, IT DISPLAYS THE NUMBER OF INDIVIDUALS IN THE PARKLAND HIV REGISTRY ACROSS DIFFERENT AGE GROUPS.
BETWEEN 2021 AND 24, UH, PARKLAND EXPERIENCED AN APPROXIMATE 28% OVERALL INCREASE IN THE PATIENTS WITHIN THAT PERIOD.
AND WHAT YOU CAN SEE IS THAT THE MOST SIGNIFICANT RISE OCCURRED AMONG PATIENTS AGED 65 AND OLDER WITH 122% INCREASE, FOLLOWED BY A 33% INCREASE IN THOSE AGED 56 TO 64.
SO THIS INCREASE REFLECTS, UH, QUITE A FEW THINGS.
IT REFLECTS OUR EXPANDED ACCESS TO HIV TESTING AND SCREENING, BUT AT THE SAME TIME, IT ALSO REFLECTS THAT THIS POPULATION IS THE FASTEST GROWING AGE GROUP.
I'LL GIVE IT BACK TO SWATI TO TALK MORE ABOUT SOME OTHER DETAILS.
THANK YOU, MONA, AND I HOPE YOU ALL CAN HEAR ME WELL.
UM, ALSO ADDING TO THE QUANTITATIVE DATA ANALYSIS, WE INCLUDED IN OUR THIS TIME CHNA REPORT, 10 YEAR OUTPATIENT SERVICES FORECAST FOR DALLAS COUNTY ACROSS MULTIPLE HEALTH CONDITIONS.
SHOWN HERE IS AN EXAMPLE OF ALL CANCER TYPES, UH, AS WELL AS THE LUNG AND THORACIC CANCER FORECAST.
NOW, THIS FORECAST IS BASED ON THE DALLAS COUNTY POPULATION TRENDS INCLUDING POPULATION SIZE, BIRTH DEATH, AND DEMOGRAPHIC DISTRIBUTION.
NOW, THE ANALYSIS WE WOULD LIKE TO LET YOU KNOW THAT IS DEVELOPED BY A THIRD PARTY SG TWO.
AND THE DATA THAT WE GET, THE FORECAST, YOU KNOW, INFORMATION THAT WE GET, IT HELPS US SUPPORT FUTURE PLANNING AND RESOURCE ALLOCATION.
NOW, FOR THIS CHNA REPORT, WE HAVE ALSO INTRODUCED NEW DATA ELEMENTS TO PROVIDE A DEEPER UNDERSTANDING OF COMMUNITY HEALTH TRENDS.
WE INCORPORATED BASELINE DATA FROM THE NON-MEDICAL DRIVERS OF HEALTH AND THE COUNTY'S MEDICAL PROFILE FOR THE YEARS 2019 TO 2022, SO THAT WE CAN TRACK CHANGE OVER TIME.
HERE ARE THE ZIP CODES, LEVEL TRENDS, SPECIFICALLY THE NUMBER AND THE PERCENTAGE OF D COUNTY ZIP CODES THAT EXPERIENCED AN INCREASE, DECREASE, OR NO SIGNIFICANT CHANGE IN VULNERABILITY BETWEEN 20 20 19 TO 2022.
THE KEY AREAS THAT STOOD OUT WERE MEDIAN INCOME AND CONNECTIVITY, WHICH ARE MARKED IN YELLOW, AND BOTH OF THEM SHOW SIGNIFICANT POSITIVE CHANGE ACROSS DALLAS COUNTY ZIP CODES, 50% ZIP PUSH.
SEE, UH, SAW A SIGNIFICANT POSITIVE CHANGE.
NOW BY CONNECTIVITY, I WANNA PAUSE HERE AND MENTION THAT WE MEAN WHETHER THE HOUSEHOLD HAS A DEVICE CONNECTED TO INTERNET.
SO THAT SHOWED A SIGNIFICANT INCREASE.
NOW, ON THE OTHER HAND, MENTAL HEALTH, WHICH IS MARKED
[01:25:01]
HERE IN A RED BLOCK THERE, WE SAW 60% OF THE ZIP CODES REPORTING A SIGNIFICANT WORSENING IN MENTAL HEALTH TRENDS IN THE PAST 14 DAYS.UH, AND WE WILL EXPLORE A LITTLE BIT MORE IN OUR NEXT SLIDE, WHICH IS ADDING ON OUR HEALTH TRENDS IN DALLAS COUNTY.
YEAH, YEAH, THE MAP HERE, THOSE CHANGES IN DIABETES AND MENTAL HEALTH PREVALENCE ACROSS ZIP CODES BETWEEN 2019 TO 2022.
SO THE MAP ON THE LEFT SHOWS THE DIABETES, UH, TRENDS AND THE DATA INDICATES STATISTICALLY SIGNIFICANT HEALTH IMPROVEMENT THAT IS DECREASING DIABETES RATE IN FOUR ZIP CODES, WHICH ARE MARKED IN GREEN.
AND AMONGST THESE FOUR ZIP CODES, THREE ARE R-C-H-N-A ZIP CODES, WHERE THERE HAS BEEN A TARGETED INTERVENTION FOR THE PAST SIX YEARS.
AND WE ARE HAPPY TO SAY THAT WE SAW THE IMPROVEMENT.
WE SAW THE DECREASE IN THE DIABETES RATE, UH, TREND FOR A BEHAVIORAL HEALTH AND MENTAL HEALTH, WHICH IS ON THE RIGHT.
UH, MAP SHOWS A DIFFERENT STORY.
MANY ZIP CODES AREAS MARKED IN DREAD LABELS SHOW US INCREASE IN THE PREVALENCE OF MENTAL HEALTH CONCERNS AND THE IMPACT OF PANDEMIC CANNOT BE OVERSTATED, AND ESPECIALLY OUR CURRENT ENVIRONMENT.
ALSO, THE INCREASED FOCUS ON MENTAL HEALTH AWARENESS EDUCATION ACROSS SYSTEMS HAS PROMPTED INDIVIDUALS TO OPENLY ACKNOWLEDGE THEIR MENTAL HEALTH NEEDS AND CONTRIBUTE TO THE NORMALIZATION AND REPORTING OF THESE MENTAL HEALTH CONCERN.
SO MAYBE THAT IS THE REASON THAT WE ARE SEEING MORE PEOPLE LOOKING OUT AND, YOU KNOW, SHOWING THAT THEY HAVE ISSUES.
NOW TO IDENTIFY AND PRIORITIZE THE HEALTH NEEDS OF DALLAS COUNTY COMMUNITIES.
A COMPREHENSIVE DATA ANALYSIS AND SYNTHESIS WAS COMPLETED TO ENSURE THE RIGOR AND RELIABILITY OF THIS PROCESS.
A DATA TRIANGULATION METHOD WAS APPLIED.
THIS IS A WELL-ESTABLISHED PUBLIC HEALTH METHODOLOGY THAT BRINGS TOGETHER MULTIPLE DATA SOURCES, WHETHER IT'S SURVEY FOCUS, GROUP, EXISTING HEALTH STATISTICS, AND THE INTEGRATION OF THE QUANTITATIVE AND QUALITATIVE DATA ALLOWS MORE COMPREHENSIVE UNDERSTANDING OF THE COMMUNITY HEALTH CHALLENGES AND STRENGTHENS THE VALIDITY OF THE FINDINGS.
SO THE KEY FINDINGS WERE PRIORITIZED BY THE ORDER OF IMPORTANCE BASED ON THE TOPICS THAT EMERGED MOST PROMINENTLY FROM THE COMMUNITY INPUT, COUPLED BY THE QUANTITATIVE DATA AND THE MORBIDITY AND MORTALITY FURTHER GUIDING THE PRIORITIZATION PROCESS.
SO WHAT ARE THESE CHNA FINDINGS? NEXT SLIDE PLEASE.
SO THE 2025 CHNA FINDINGS IDENTIFIED FOUR MAJOR DOMAIN OF NEEDS.
FIRST WAS THE HEALTHCARE, SECOND WAS THE COMMUNITY INFRASTRUCTURE, THIRD WAS THE PREVENTIVE HEALTH, AND FOURTH WAS THE SYSTEMIC PUBLIC HEALTH ALIGNMENT.
THESE WERE THE KEY FOCUS AREAS THAT EMERGED FROM ALL THE DATA THAT WE HAD COLLECTED, WHETHER IT'S A QUALITATIVE OR QUANTITATIVE.
AND TO DISCUSS ALL THESE AREAS IN DETAIL, I'LL TURN IT OVER TO MONA TO SHARE THE, THE FINDINGS.
UM, AS YOU CAN SEE ON THAT SCREEN, EVEN THOUGH THERE ARE FOUR KEY FINDINGS UNDER EACH UH, SECTION, WE HAVE, UH, DIFFERENT KEY CATEGORIES.
SO, UM, SORRY, MEKA, IF YOU CAN JUST SCROLL DOWN AGAIN.
SO STARTING WITH THE HEALTHCARE, UM, UNDER HEALTHCARE, AS YOU CAN SEE, WE HAVE FIVE KEY CATEGORIES WITH BEHAVIORAL HEALTH AND MENTAL WELLNESS COMING ON TOP.
AND JUST NOW, SWATHI MENTIONED THAT WE OBSERVED A SIGNIFICANT DECLINE IN MEL MENTAL HEALTH ACROSS 60% OF OUR ZIP CODES.
SO THIS JUST SORT OF UNDERSCORES THE URGENCY OF ADDRESSING THE ISSUE.
NEXT IS CHRONIC DISEASE, NO SURPRISES THERE.
THEY REMAIN CON CONSISTENT OVER TIME, UH, WITH THE SAME CONDITIONS IMPACTING, UM, OUR COMMUNITIES OVER AND OVER AGAIN.
THEN WE HAVE, UH, THE ACCESS TO CARE FROM THE COMMUNITY'S PERSPECTIVE.
AND THE INPUT WAS CATEGORIZED USING THE FIVE, A FRAMEWORK OF HEALTHCARE ACCESS.
THERE WAS, UM, EARLIER ON THE PRESENTATION, SO DID SHOW THE FIVE A FRAMEWORK, SO I WILL BE DIVING MORE IN DETAIL ON THAT.
UH, BUT WHAT COMES UNDER FIVE A? WE HAVE ACCESSIBILITY, ACCOMMODATION, AFFORDABILITY, AND THE TOP TWO ELEMENTS THAT ARE MENTIONED HERE ARE AVAILABILITY AND ACCEPTABILITY.
SO FROM A COMMUNITY PERSPECTIVE, THESE DIMENSIONS, THEY SORT OF HELP US ASSESS
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THE BARRIERS AND ALSO IDENTIFY OPPORTUNITIES OF IMPROVING ACCESS TO CARE.THEN YOU HAVE MATERNAL AND CHILD HEALTH.
THIS REMAINS A PRIORITY AREA AS EXPECTED, GIVEN THAT ITS IMPACT, UM, IS ON LONG-TERM HEALTH OUTCOMES.
AND LASTLY, WE HAVE SEXUALLY TRANSMITTED INFECTIONS WITHIN WHICH HIV CONTINUES TO BE A MAJOR CONCERN.
ALRIGHT, TALKING ABOUT, UM, ACCEPTABILITY.
NOW ACCEPTABILITY REFERS TO CULTURAL AND PERSONAL SATISFACTION.
AND THE TOP THREE CATEGORIES IDENTIFIED WERE ESTABLISHING TRUST WAS THE FIRST ONE HERE.
THE PATIENTS EXPRESSED THAT THEY WANT PROVIDERS TO, YOU KNOW, LOOK THEM IN THE EYE AND RECOGNIZE THEM AS AN INDIVIDUAL AND NOT JUST ANOTHER PATIENT.
THEN YOU HAVE THE PATIENT PROVIDER INTERACTION, FOLLOWED BY PERSON CENTERED CARE.
AGAIN, THESE FOCUS ON THE RELATION BUILDING ASPECT BETWEEN STAFF AND PATIENTS.
IT IS ALL ABOUT CREATING A PERSON-CENTERED APPEARANCE, FOSTERING THOSE POSITIVE RELATIONS, AND FINALLY, BUILDING TRUST.
THE NEXT CATEGORY OF, UM, SIGNIFICANT IMPORTANCE WAS AVAILABILITY.
AVAILABILITY OF SERVICES AND PROVIDERS.
AS YOU CAN SEE ON THE SCREEN, IT IS FURTHER DIVIDED INTO TWO BUCKETS.
YOU HAVE THE COMMUNITY PRESENCE AND ACCESS TO ADDITIONAL HEALTH SERVICES.
UNDER COMMUNITY PRESENCE, WHAT THE COMMUNITY WANTS IS SERVICES CLOSE TO HOME SO THAT THEY DON'T HAVE TO SPEND A LOT OF TIME ON TRAVEL.
UM, THEY WANT MORE HELP SCREENINGS AND EDUCATIONS.
AND AT THE BOTTOM IT'S JUST REALLY HAVING THOSE COMMUNITY CLINICS AND ACCESS TO MEDICATIONS.
UNDER ACCESS TO AFFORDABLE HEALTH SERVICES, THEY WANT ACCESS TO ER AND URGENT CARE, SPECIALTY CARE, AND MORE PARKLAND FACILITIES CLOSER TO THE COMMUNITY.
UM, WE WERE NOT SURPRISED WHEN TWO SERVICES, UH, WERE REQUESTED TO BE MORE IN THE COMMUNITY.
ONE WAS THE PEDIATRIC SERVICES AND THE OTHER WAS GERIATRIC SERVICES.
NOW THIS SLIDE TALKS ABOUT ACCESSIBILITY, REFERRING TO HOW INDIVIDUALS, UM, CAN EASILY PHYSICALLY ACCESS AND UTILIZE HEALTHCARE SERVICES.
AND AS YOU CAN SEE ON THE SCREEN, WE HAVE TRANSPORTATION, MOBILE SERVICES, AND VIRTUAL SERVICES.
I WOULD JUST LIKE TO PAUSE HERE AND SORT OF TAKE YOU ALL BACK TO, UM, SOMETHING THAT MS. TABITHA WAS TALKING ABOUT, THE STRATEGIC PLAN ALIGNMENT.
UM, I HAPPEN TO SEE THAT UNDER ALIGNED DRIVERS OF OPPORTUNITIES, SHE HAD THE EXACT SAME THINGS MENTIONED.
SHE HAD TRANSPORTATION, MOBILITY, DIGITAL ACCESS, AND HEALTHY FOOD.
THAT IS EXACTLY WHAT OUR COMMUNITY IS ASKING FOR.
SO WHEN WE, WHEN WE ANALYZED COMMUNITY INPUT, AGAIN, NO SURPRISE HERE, TRANSPORTATION EMERGED AS THE MOST SIGNIFICANT BARRIER ACROSS ALL FOCUS GROUPS.
UM, THE COMMUNITY MEMBERS, THEY DESCRIBED CHALLENGES WITH PUBLIC TRANSIT, LONG WALKS, MULTIPLE BUS TRANSFERS, AND INCONSISTENT ROUTES.
SO MUCH SO THAT THE, THE, THE PROVIDERS ALSO ECHOED THESE CONCERNS.
THEY ACKNOWLEDGED THAT TRANSPORTATION GAP IS MAKING IT VERY DIFFICULT FOR PATIENTS TO KEEP UP WITH THEIR APPOINTMENTS.
UM, COMMUNITY ALSO HIGHLIGHTED THE NEED FOR MOBILE SERVICES SUCH AS MOBILE HEALTH VANS AND MAYBE SOME VIRTUAL OPTIONS.
SO JUST TO KEEP IN MIND THAT AS WE PLAN OUR NEXT STEPS, MOBILE AND VIRTUAL SERVICES SHOULD REMAIN OUR PRIORITIES.
ALRIGHT, SO THIS IS, UH, THE LAST BUILDING BLOCK THAT I HAVE ACCOMMODATION.
AND THIS REFERS TO HOW WELL THE STRUCTURE AND DELIVERY OF CARE IT ALIGNS WITH THE REALITIES OF THE COMMUNITY THAT WE ARE SERVING.
AS YOU CAN SEE HERE, THERE ARE MULTIPLE NEEDS, UM, THAT WERE IDENTIFIED.
HOWEVER, FOR TODAY'S DISCUSSION, I WILL FOCUS ON THE TOP THREE PRIORITIES.
COMMUNITIES, COMMUNITY MEMBERS EMPHASIZED THE NEED FOR A ONE-STOP HEALTH ACCESS POINT.
WHAT DOES THAT MEAN? A SINGLE LOCATION WHERE THEY CAN RECEIVE, UH, PRIMARY CARE, SPECIALTY CARE, TESTING, IMAGING, AND ALL THE SUPPORTIVE RESOURCES.
THIS MODEL WOULD THEN REDUCE THE TRAVEL TIME TO HALF OR MAYBE LESS.
IT'LL FO IT'LL FOSTER STRONGER RELATIONSHIPS WITH PROVIDERS BECAUSE YOU'RE SEEING THE SAME FACES AGAIN AND AGAIN, THEREBY IMPROVING TRUST AND OVERALL CONTINUITY OF CARE.
OTHER IMPORTANT ELEMENTS WERE SHORTER WAIT TIMES AND EXTENDED HOURS, WHICH WERE CONSTANTLY MENTIONED AGAIN AND AGAIN.
THE NEXT SLIDE TALKS ABOUT, UM, THE THIRD, UH, KEY AREA OF FINDING, WHICH IS PREVENTIVE HEALTH.
UNDER PREVENTIVE HEALTH, WE HAVE TWO CATEGORIES.
BOTH THE COMMUNITY AND HEALTH SYSTEMS,
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THEY EXPRESSED CONCERNS ABOUT THE FUTURE STATE OF IMMUNIZATION PROGRAMS, ESPECIALLY GIVEN, GIVEN THE CURRENT ENVIRONMENT AND THE CHANGING POLICIES.SO THIS WAS SEEN AS AN IMPORTANT FINDING, UM, SORT OF A PROACTIVE MEASURE TO SAFEGUARD HEALTH MOVING FORWARD.
UM, IF YOU REMEMBER, I DID MENTION THAT ACCIDENTS HAVE GONE UP, UH, TO THE FOURTH POSITION WHEN WE COMPARE IT TO THE LAST PRE, UH, LAST CHNA REPORT.
UM, THIS STILL REMAINS AN AREA OF WORK THAT WE DEFINITELY NEED TO TAP INTO.
UH, FINALLY MOVING TO A BROADER CATEGORY THAT IMPACTS HOW DIFFERENT SYSTEMS WORK TOGETHER, WE HAVE THE SYSTEMIC PUBLIC HEALTH ALIGNMENT.
THIS CONTAINS YOUR DATA SHARING AND PUBLIC POLICY DATA SHARING.
IT REFERS TO SHARING PATIENT INFORMATION ACROSS HEALTH SYSTEMS AT LARGE, UM, BETWEEN DIFFERENT PROVIDERS, BETWEEN SCHOOL DISTRICTS, BETWEEN SOCIAL SERVICE ORGANIZATIONS AND BETWEEN DIFFERENT HOSPITALS.
IT BECOMES ESSENTIAL, UM, YOU KNOW, FOR DELIVERING CARE SERVICES AND CREATING THAT ONE STOP HEALTH ACCESS MODEL THAT I WAS TALKING ABOUT EARLIER BECAUSE COMMUNITY MEMBERS, WHAT THEY MENTIONED WAS THEY'RE SPENDING A LOT OF TIME DURING THEIR FIRST APPOINTMENT JUST TELLING THE STORY ALL OVER AGAIN.
THEY'RE JUST RETELLING THE SAME PROBLEMS, THE SAME STORY OVER AND OVER AGAIN.
SO THEY WANT THE PROVIDERS TO HAVE ACCESS TO THIS INFORMATION UPFRONT SO THAT IT'LL MAKE THEIR VISIT MORE PRODUCTIVE RATHER THAN REPETITIVE.
LASTLY, WE HAVE THE PUBLIC POLICY.
UM, NOW THERE ARE CONFLICTING POLICIES ACROSS SECTORS.
WE ALL KNOW THAT, FOR EXAMPLE, UH, YOU KNOW, CONSTANT REAPPLICATION OF MEDICAL SERVICES LIKE MEDICAID, MEDICARE, IF YOU ARE A PARKLAND, UM, PATIENT, JUST REAPPLICATION OF THE PARKLAND FINANCIAL ASSISTANCE, THE PFA.
SO SORT OF STREAMLINING THESE PROCESSES WOULD MAKE NAVIGATING SYSTEMS SO MUCH EASIER.
UM, FINALLY IF WE GO TO THE NEXT SLIDE, WE HAVE OUTLINED OUR NEXT STEPS.
WE ARE CURRENTLY WORKING WITH THE DALLAS COUNTY TO COMPLETE, UM, THE 26 28 CHN IMPLEMENTATION PLAN, THE OFFICIAL PUBLIC RELEASE OF THE IMPLEMENTATION PLAN.
AND THE REPORT IS SCHEDULED FOR APRIL 23RD, 2026.
AND, UH, YEAH, PLEASE SUBMIT, UH, CONTACT INFORMATION FOR STAKEHOLDERS WHO SHOULD RECEIVE THE REPORT, UM, OR NEED TO BE INVITED.
SO THAT IS ALL THAT SWATHI AND I HAD FOR TODAY.
AND AGAIN, WE THANK YOU ALL SO MUCH FOR INVITING US AND ALLOWING US TO BE A PART OF, UH, THIS CONFERENCE AND SORT OF PRESENTING OUR REPORT.
WE NOW OPEN UP THE FLOORS FOR ANY QUESTIONS.
ARE THERE ANY QUESTIONS OR COMMENTS FROM THE COMMISSIONERS? COMMISSIONER TYSON? YEAH, I, I HAVE AN INTERESTING QUESTION.
PART OF THIS IS PROBABLY NOT CONNECTED TO THE FACT THAT I WORK IN TRAUMA MEDICINE.
UH, WHEN YOU TALK ABOUT INJURIES, IS, IS IS THERE A A DEFINITION OF WHAT TYPES OF INJURIES YOU SEEING THE MOST OF THAT? THAT'S A GREAT QUESTION.
SO, UH, WHEN WE TALK ABOUT INJURIES, THE LATEST, UM, SORRY, NOT THE LATEST, BUT THE MOST IMPACTFUL INJURIES THAT WE DID NOTICE WERE, UH, MOTOR VEHICLE ACCIDENTS.
UM, MAJORITY OF THE CASES THAT WE SAW WERE RELATED TO M MOTOR MBA, BUT AT THE SAME TIME, THERE WERE INJURIES, UM, OUTSIDE OF MOTOR VEHICLE ACCIDENTS SUCH AS, UM, UM, HOUSE THEFT AND, UM, OTHER PETTY CRIMES THAT WE COMBINED.
AND EVERYTHING, UH, WAS A CULMINATION.
IT WAS A CULMINATION OF EVERYTHING THAT SORT OF JUMPED THE INJURIES OR THE ACCIDENTS FROM, UM, THE FIFTH POSITION TO THE FOURTH POSITION IN THIS CYCLE.
OTHER QUESTIONS OR COMMENTS? OKAY.
WELL, MONA AND SWATI, THANK YOU VERY MUCH.
I, THAT WAS AN OUTSTANDING REPORT.
THAT'S, AND I, I THINK ON BEHALF OF ALL OF THE COMMISSIONERS, GIVEN OUR FOCUS ON SENIORS, AS I READ THROUGH IT, I JUST APPLIED THAT FILTER OF HOW DOES THIS AFFECT SENIORS? AND OBVIOUSLY IT ALMOST MAGNIFIES, UM, ALL OF THESE ISSUES OR OF SIGNIFICANT IMPACT TO THE SENIOR POPULATION OF DALLAS.
AND SO THE WORK THAT YOU'RE DOING IS INCREDIBLY VALUABLE AND THE REPORT THAT YOU PROVIDED, UM, IS, IS TERRIFIC.
WE HAVE ONE OTHER COMMENT, JUST A COMMENT.
I, I LIKE THE PART WHEN YOU SAID THAT WHEN YOU WAS KEEPING YOUR REPORT HIGH, MS. TABATHA HAD THE SAME MYRIAD
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MIRRORING WHAT YOU WERE SAYING ABOUT SOME OF THE STUFF.SO WHAT YOU ARE DOING AND WHAT WAS IS ALREADY IN THIS REPORT IS KIND OF LIKE TOGETHER.
SO THANK YOU FOR BRINGING THAT OUT AS WELL.
RIGHT? AND I HAD AN ISSUE COME UP, UH, THAT CROSSED DALLAS AND I WOULD LOVE LIKE TWO OR THREE MINUTES.
WE'RE NOT GONNA SOLVE IT TODAY.
SO HOW DO I MAKE THAT HAPPEN? ARE YOU ON ITEM? NO, I WANT, I WANT TO RAISE AN ITEM TO THE COMMISSION.
YOU CAN, COULD, YOU CAN MAKE A RECOMMENDATION.
SO ARE YOU, IS IT A DISCUSSION POINT OR, UM, IS IT SOMETHING, IT'S SOMETHING THAT'S NOT ON THE AGENDA RIGHT NOW, IS THAT RIGHT? IT'S SOMETHING THAT'S NOT ON THE AGENDA.
AND IT'S A TOPIC OF DISCUSSION THAT YOU WANT FOR NEXT MEETING? UH, PERHAPS.
UM, WHAT I WOULD RECOMMEND IS TO, LET'S GO AHEAD AND FINISH WITH THE STAFF REPORTS AND THEN STAFF.
DO THEY TYPICALLY GIVE YOU THE RECOMMENDATION FOR AGENDA? I THINK, BUT DR.
BE A GOOD IDEA JUST TO LET STAFF KNOW WHAT YOUR RECOMMENDATION IS BECAUSE THEY CAN PUT IT, UH, NO, I DON'T WANNA DO THAT.
I SPECIFICALLY WANNA BRING IT HERE.
THE REASON WE WANNA BE MINDFUL ABOUT THAT IS BECAUSE THERE ISN'T NOTICE TO THE PUBLIC ABOUT THE TOPIC THAT YOU'RE GOING TO SPEAK.
I'M NOT ASKING FOR ANY, I'M NOT ASKING, THIS IS NOT GONNA BE SOLVED.
I JUST WANNA RAISE THE ISSUE AND PERHAPS THE STAFF WILL ACT ON IT.
AND IF THE CHAIR IS WILLING TO RECOGNIZE YOU FOR A COUPLE OF MINUTES, YOU CAN.
CAN WE, CAN WE DO THIS AT THE VERY END? RIGHT.
CONTINUE WITH THE AGENDA AND THEN AT THE VERY END, THANK YOU.
PROVIDE HER THANK YOU COMMENTS.
SUPERVISOR WITH THE HOUSING AND COMMUNITY EMPOWERMENT SENIOR SERVICES, SORRY, AGE FRIENDLY SENIOR SERVICES.
AND CONSIDERING THE TIME, I'M GOING TO KEEP IT BRIEF AND THEN OPEN FOR ANY QUESTIONS YOU MIGHT HAVE FOR REGARDING THE REPORT THAT WAS SHARED PREVIOUSLY WITH YOU.
THE REPORT THAT WAS SENT LAST WEEK WAS LAST YEAR'S REPORT.
SO THAT WAS COMPLETELY MY FAULT.
SO I, THIS MORNING SENT THE CORRECT 2026, UH, REPORT AND WE'VE OFFERED IT ALSO HERE AS I PRE NOW, UH, JUST TO HIGHLIGHT SOME OF THE ITEMS FROM OUR OUTREACH.
SO WE ARE BACK, UH, WITH OUR, UM, UM, ESTATE PLANNING EVENTS WITH LEGAL AID.
WE'RE LOOKING TO SCHEDULE A TOTAL OF FIVE EVENTS THIS YEAR.
SO WE HAVE, UH, NEXT MONTH WE'LL BE AT THE, UH, WEST DALLAS MULTIPURPOSE CENTER AND IN APRIL WE'LL BE AT THE UM, BLESS, UM, HARRY STONE RECREATION CENTER.
UM, AS ALSO WE ARE WORKING ON OUR TWO LARGER EVENTS.
SO WE HAVE A PUBLIC HEALTH WEEK EVENT COMING UP ON APRIL 7TH THAT IS NOT ON THIS SPREADSHEET YET.
YOU WILL BE RECEIVING MORE INFORMATION ON THAT SHORTLY AS WELL AS OUR OLDER AMERICANS MONTH EVENT.
WHERE WILL THAT BE? DO YOU KNOW YET? SO PUBLIC HEALTH WEEK EVENT WILL BE ON APRIL 7TH AND THAT'LL BE AT THE DALLAS COLLEGE WEST CAMPUS.
AND THEN OUR OLDER AMERICANS MONTH EVENT WILL BE AT THE BILL J PRIEST.
SO I WILL GIVE YOU THE, UH, INFORMATION ON THOSE, UH, IN THE MATTER OF FEW WEEKS REGARDING OUR NUMBERS.
SO OUR HELPLINE CALLS HAVE CONTINUED TO REMAIN STEADY.
UM, AND AGAIN, AS I'VE SAID IN OUR PREVIOUS MEETINGS, UH, THE, THE LARGEST CALL VOLUME IS REGARDING UTILITY RENTAL MORTGAGE ASSISTANCE.
UM, REGARDING OUND, I WANTED TO SHARE A FEW NOTES REGARDING, UM, THE PREVIOUS TIME I WAS SPEAKING HERE TO THE COMMISSION, THERE WERE SOME QUESTIONS REGARDING THE OUND, UH, PROGRAM NUMBERS.
AND SO, UM, I UNDERSTAND IT'S BEEN FEW MONTHS, BUT I WANTED TO JUST MAKE A NOTE OF THAT.
SO, UH, OUT OF THE, UH, NURSING HOMES THAT THEY SERVICE UNDER THE CITY FUNDING, UM, THERE ARE 27 OUT OF 31 NURSING HOMES IN THE CITY OF DALLAS.
AND THERE ARE FOUR OUT OF 89 ASSISTED LIVING LIVING FACILITIES.
AND THIS IS MAINLY BASED ON THE MEDICAID CERTIFICATION STATUS OR LOCATIONS WITHIN THE DALLAS QUALIFIED CENSUS TRACK.
SO THAT'S HOW THEY DETERMINE THOSE FACILITIES.
UM, AND THEN LAST TIME THERE WAS A QUESTION REGARDING THE,
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UM, WHICH ONE WAS IT? UH, ASSIST LOW INCOME RESIDENTS IN OBTAINING NEEDED GOODS OR SERVICES.SO THIS REFERS TO DONATED ITEMS THAT SENIOR SOURCE HAS RECEIVED.
UM, AND THAT'S WHY IT ALL DEPENDS ON WHAT THEY HAVE, UM, AVAILABLE TO DONATE AT THAT TIME.
WE ARE LOOKING TO HAVE SENIOR SOURCE, UH, JOIN US HERE LATER THIS YEAR TO ALSO GIVE, UM, OR INFORMATION DIRECTLY FROM THEIR, UM, AGENCY.
NOW I OPEN THE FOR, FOR ANY QUESTIONS.
HOW MANY ASSISTED LIVING DID YOU SAY AND HOW MANY ARE? SO THERE ARE, UH, THE CITY FUNDING IS, IS FOUR OUT OF THE 89 ASSISTED LIVING FACILITIES.
DO, DO YOU KNOW WHICH ONES THOSE ARE? I DON'T HAVE THE EXACT LIST.
COMMISSIONER, WHAT DATE IS THE APRIL ESTATE PLANNING AT HARRY STONE? THAT WILL BE DECEMBER 5TH.
THAT'S GONNA BE ON THE 15TH OF APRIL.
YEAH, WE'RE FINALIZING THOSE FLYERS RIGHT NOW, SO AS SOON AS WE HAVE THE APRIL ESTATE TIME.
ALRIGHT, HARRY, STILL WELL THANK YOU.
SO I, UM, ARE PART OF A PROGRAM CALLED, CALLED DALLAS AREA AND JAPAN DALLAS AREA.
INTERFAITH IS 50 PLUS CHURCHES AND TWO SYNAGOGUES IN THE CITY OF DALLAS.
UM, I AM AT A MEETING LAST SUNDAY AT KING OF GLORY LUTHERAN CHURCH WHERE EACH OF THE GROUPS THAT WERE AVAILABLE WITH DALLAS AREA INTERFAITH PRESENTED AND ONE OF THE AREAS THAT THEY'RE WORKING ON IS HOUSING.
AT WHICH POINT THE PRESENTER STANDS UP AND DESCRIBES THE WORST HOUSING PROGRAM IN THE COUNTRY, HIS HOURS.
AND I SIT ON THIS COMMISSION, I'M LIKE, SO I HAD A CONVERSATION WITH HIM A LITTLE BIT AFTERWARDS AND, AND I'M GONNA TELL YOU WHAT HE TOLD ME.
AND THEN WHAT I WANT IS YOU GUYS TO TELL ME HOW WE CAN ADDRESS THIS IN THE FUTURE.
SO I JUST WANNA PUT THAT OUT THERE.
SO, UM, I THINK THAT'S PROBABLY ENOUGH INFORMATION THAT ON AN AGENDA ITEM, SINCE YOU ARE ASKING FOR A DISCUSSION, CAN I GIVE THEM THE SPECIFICS OF WHAT THEY TOLD ME AND THEN THEY CAN HAVE THE CONVERSATION.
THAT'S WHY I'M DOING IT THIS WAY BECAUSE I WANT THE ENTIRE GROUP TO HEAR IT NOT THROUGH ANY FILTERS.
SO, UM, I COULD UNDERSTAND THAT IF AT THIS POINT THOUGH, IT'S GIVING INFORMATION THAT WE DIDN'T DIVULGE THE PUBLIC ON, SO IT WOULD BE BETTER IF IT WAS, UM, YOU CAN ALWAYS SEND A MEMO TO EVERYONE'S, PREPARE THEM FOR NEXT AGENDA, THAT WAY THEY HAVE SOME KIND OF BACKGROUND AND THEN AT THE NEXT MEETING IT WOULD BE BEST TO RAISE IT THAT WAY.
AND THAT'S JUST IN CASE ANYONE THE PUBLIC WANTS TO SPEAK ALSO ABOUT THE TOPIC, THEY'LL HAVE THE CHANCE AND WE CAN, THIS HAPPENED ON THE AGENDA FOR NEXT MONTH.
THAT SOUNDS, WE'RE GONNA HAVE TO PUSH IT DOWN TO NOT SINAI.
LET'S DO, ALRIGHT, SO THEN IF WE CAN PUT THAT ON THE APRIL AGENDA.
UM, UH, AND WHAT I DIDN'T WANT WAS HOUSING TO COME HERE AND GIVE US A PRESENTATION.
UM, I REALLY WOULD LOVE FOR US ON THE OUTSIDE TO TELL THEM WHAT WE'VE HEARD AND THEN RESPOND TO WHAT WE'VE HEARD.
MAYBE CAN YOU GET THE PRESENTER AREA INTERFACE TO DO THAT? YEAH, I DO.
OH, THAT'S ACTUALLY, THAT'S A GREAT IDEA.
ANY OTHER COMMENTS OR QUESTIONS? YES, THIS IS MARIAN.
I WANNA THANK EVERYONE WHO ATTENDED OUR SENIOR EVENT AT, UH, DISTRICT SEVEN.
I REALLY APPRECIATE YOUR ATTENDANCE AND SUPPORT.
AND NOW THANKS FOR THE STAFF WHO, WHO WAS THERE AND GAVE SUPPORT AND, UH, FOR, UM, YOU KNOW, HAVING A TABLE AND MIKE HEALTH FOR BEING THERE.
I JUST LIKE TO SAY TO COMMISSIONER WILLIAMS THAT I AM SO SORRY I COULDN'T ATTEND AND YOU ARE IN TROUBLE.
BEFORE ELO LUNDY HAD AN EVENT AS WELL.
ONE OF THE LADIES IN THE COMMUNITY GAVE US A BIG VALENTINE DEAL AND I WAS SO HURT I COULDN'T COME TO YOURS.
BUT CHARITY BEGINS AT HOME AS SPREAD BROAD.
WHO CAME TO THAT TOO? BUT I HATE, I MISSED IT.
ALRIGHT, WITH THAT WE CAN CLOSE THE MEETING WITH MOVE WE ADJOURN.