Community Services - Regular Meeting

Recording in progress.

Ran upstairs.

There you go. It's all good.

Then I was thinking, then I stopped and looked at my email to make sure I was

the right place.

Or is it your computer? Hot. It should be.

Should be. Yeah. The bigger

piece. Oh, good.

It's old.

How are you? Happy New Year. I just

Joyce or Jeremy or Giselle or Jeremy? Anyone online? Can you hear us okay? We're testing the sound.

Yes. We can.

Hi, everybody.

Yes. Joyce.

Yes.

Good morning. Good afternoon. Sorry.

So now we have to do this.

That's what I said.

Yeah. It's

So it's like they can It's got to be either Do we want them to see us, or do we wanna see them? Because we apparently can't. Are

we ready? We'll we'll get it better figured out for next week. I mean,

next month.

If I

sit there, they can see the back of my head.

Or if you guys sit in those three chairs,

can

they still see?

I can see you on there.

You're blocked by the You can turn that off.

So you think we should sit there, even though we just moved from there?

No. I joined a mouse. So

we

For folks online, are having a couple of computer technical difficulties that we're trying to resolve. So give us just a second. We have IT here. Mandy's trying to help because I can't do it. Turn that table side facing me.

I was going to say turn it. This Which one? Yeah. That's Okay.

I'm not crazy.

That was not young. If you turn it

Well, Well, you can

see. You don't

have to You have to see the screen.

Actually, this way is better.

More. Come over this way a little more toward me. There we

go. Hello?

Good enough.

So while we're getting this set up, if

you want to

start calling the meeting to

order Sure.

You can see us. Let me get my Yeah. No.

Sorry, you guys. Just reset my password. Oh, because It's not because of the few, right? But I can't. Oh,

I do have agendas for those of us here. I have a loaner computer from IT because my computer is broken. And now the loader also isn't working. So Mandy's going to go get a third computer.

You have an agenda.

Well, think I've

got one.

Okay. The mouse isn't connecting. Oh, little mouse. See if this works.

If we look that way, they can see our face. Can you see, Jellia? I'm safe. Okay.

So welcome to the first Health Council meeting of twenty twenty We

do the call to order. Yay. Okay. Yay. So do we call the council members? Or do we call everybody? Or do people Sold the waste themselves. So that is a good question, Mandy.

Thank you so I appreciate it. All right. We are rocking and rolling. We have all the parts in alignment for at least an hour and

a half. The

way that we

have done it in the past was to introduce all of the health council members first or to take role, I guess. And then to ask for members of the public to introduce themselves. And then jump in from there.

Always first.

It's always

It's little challenging.

It's Okay. It's like technology just quit over the holiday break.

Heard also there, whoever they are, the mysterious crewmans that run all our technology, they're making some shifts around the cell services. They're shifting over some satellites. So it's just like

I would say our IT here has been so helpful. But I'm just like, oh, no, this is also not working.

It's me. We're ready. Okay.

We are ready.

All right. We're ready. Go for roll. Hello, ladies and gentlemen. Happy New Year. I'm Lisa Hampton. I'm the incoming chair. And this is Jill Dehaven. She's the vice chair. And Celeste Raffin is here. So we'll just do roll call for the council. So Joe? Here. Celeste? Here. I am here, clearly. And Leticia? I see you. Oops. I'm here. Okay. Perfect. Thanks. Giselle? Here.

Hi, Giselle. And Joyce? Hi. Hi, Joyce. And Lindsay?

Hi, guys. I'm here.

Hi, Joyce. Thank you. And then Lindsay is not

here today.

Okay. And we have Jeremy from do we have our Jeremy from the county? Could the county employees just introduce themselves, please?

Hello. Jeremy Martinez from Los Alamos Social Service. I'm a health care specialist. Thank you.

Thank you. Jessica. And I

thought I saw Jordan jump in, but she may also be having difficulty. I was going to call on her. And hi, everyone. I'm Jessica Strong, social services manager for Alamos County.

Thank you, Jessica. And then we have Jeremy from DOH. Jeremy? I think you're still muted, Jeremy. Can you unmute?

Okay. Well, we'll wait for him to jump in. And then do we have anybody else online? Are there any members of the public at the meeting? Is that everybody?

That's everybody. Can

you show them?

Everyone's camera Okay. Perfect.

Let's call to order. Do we have any public comment? Probably not. That's not on the agenda. Probably not because we don't have any members of the public here.

Okay. So the first thing we want to do is approve the minutes of the last two meetings. The December 5 meeting was the regular health council meeting and then the December 6 meeting was to prepare for presentation of the comprehensive health plan and recommendations. Is that correct, Jessica? It is. Okay. And so is everybody good with the minutes of the December 5 meeting? Does anybody have any Yes,

I can

move to approve, if we don't have anything else. Sorry.

Okay. Okay. So we don't really need a motion. If everybody's okay with it, we have a unanimous approval. I just know that because I reviewed the Roberts book of rules. We're just going to try to save a little time here. So if everybody's good with it, we'll approve the December 5 meeting minutes unanimously. And so did everybody get a chance to look at the December 6 meeting minutes? Is everybody okay with those as

well? Yes.

Okay. And so we'll approve those unanimously as well. And then I guess we'll move on to the next item.

Are we doing Okay? This is great. I know it kind of just feels like

I can tell.

Along, but I'm not even

on line.

That's how it goes.

Okay. So let me get my notes here. So like I said, I'm Lisa Hampton. Jessica and I have Matt, and Jill and I have Matt to just talk about not only what our goals are for 2025, but also how we'd like to set the tone for our health council meetings and our council in general. Clearly, we're short. Quite a few people. Joyce, we've got to get you re interviewed, right?

She's going

get her re

So we'll take care of that very shortly. And we're down

eight members after that. We can have up to 15.

Up to 15. We don't have to have 15, but we can have up to 15. So let me just grab my notes here. So I think what I'd like to do is I'd like to have this, and I've talked, like I said, with Jill and Jessica, to be

a more

collaborative type, team type environment. I'd like to get a lot of feedback. I know that a lot of you are not able to come in person just because of work constraints, time constraints, other challenges. A lot of people clearly have day jobs. And so we really want this to be more of a conversational type environment.

And we also talked about we kind of restructured the agenda a little bit. I don't know if you all noticed looking at it. But we kind of are going to minimize the time for the chair's report and the staff report as well so that there's more time for the members to do a roundtable and provide input and just to have discussions and collaborate. So with that in mind, what I was going to ask you all to do, and I didn't ask ahead of time, but I'd like to do introductions and just tell me a little bit and tell the group a little bit about who you are and your background and that sort of thing. And also maybe one goal that you would have since everybody was on the council last year, one goal that you would have for the council this year.

And also, maybe think about and discuss or just even plant the seed for somebody that you might be able to recruit that you think would be really good for the council. Because the more people from varied backgrounds that we get, I think the better we're going to be as a team. So with that, I will do mine. And then I won't have to do it during the roundtable. And then we'll go to Jessica's report.

So basically, I'm Lisa Hampton. I retired two years ago from the weapons complex. I was a program manager and a quality engineer. I'm currently serving on several other boards and commissions. I'm on the Board of Registration, which is just part time and is pretty fun, especially this year during the voting cycle.

And also, I'm on the Board as community health and well-being director for the League of Women Voters. And I'm also participating in the older adult network, which is kind of an offshoot. We have liaisons from the health care community as well as seniors as well as people on boards and commissions with the county. So that's a pretty interesting organization. They've done a lot of cool things.

As far as goals for the year, my goal actually, I have three goals. But they're brief. My primary goal would be to help social services with their mission and just be kind of a support and an advisory organization as well as kind of a sounding board. And then if they need an extra pair of hands, I think all of us have kind of jumped in and done things like inputting surveys or worked on companies in healthcare, liaised with other organizations. And just to kind of help Jessica and her team with the heavy lifting a little bit, take the load off a little bit.

And also, I think a big objective of mine would be to demonstrate progress, and we're going to talk about this in the work plan, on the recommendations that we just made to county council as a result of our comprehensive health plan. So we have the action plan with some really concrete, measurable, quantifiable recommendations that we can go forward on. And then the third thing would just be to and this is kind of, I think, going to be a pet peeve of mine this year. There's been so much talk about a quote social services hub. First of all, I'd like to make a recommendation to look at that title and maybe come up with a name that's a little more meaningful.

So I'd like to put that on agenda for next time. And Jessica, Angela, and I, and I think Celeste as well, have talked about do we need a separate committee that could meet a couple times a month that is a multidisciplinary, maybe regional type committee to even look at this? So not going into a lot of detail, but I would like to put that on agenda for next month. That's okay. So that's all I have, and I'm going to turn it over to Jessica Strong. Fantastic.

All right. I will give the staff report. And then as Lisa mentioned, probably starting next month, I'll attach it as a written item so that it doesn't take up so much time here. And then if there are questions or leads to the discussion, happy to have that here, of course. By way of background, I am the social services manager. I'm approaching my two year anniversary with the county. And before that, I've done a lot of other interesting things. I well, I worked for a hot minute for the Pittsburgh Public Schools, but that was not my forte.

So I didn't

stay there very long, I don't usually include it. I worked in Allegheny County, which is where Pittsburgh is on the East Coast Office of Behavioral Health for a number of years. Did a lot with mental health, substance use, advocacy for families. At the time, the state mental hospital that fed our five county region was being closed by

the governor.

So developing community based services for people that some of them had lengths of stay at the mental hospital for over twenty years. So how to transition people into the community and build wraparound supports for them. And then also employed my team was entirely made up of people with lived experience with severe mental illness or significant mental illness. And so we did a lot of training education around what that is like, did a lot of work with the Crisis Network in Pittsburgh. I then was a freelancer for a number of years working for nonprofits, grant writing, event planning.

I was really a Jill of all trades, so I know nonprofit life inside and out. I was involved in startup land, entrepreneurial world. I had an idea for a co working space with on-site childcare to help working moms that then turned into an app. And so I was managing child care workers but also software staff. So neither I had done before and just kind of jumped in. I think that may be why some of us are kind kindred spirits. Like, how hard could it be? Actually incredibly But now we're in it. And now here we are. We're learning child care regulations and software code.

I did that for a number of years. And then I was recruited to be the executive director of a national hospice organization. And then I ended up moving across the country and coming here, and that's a really short bio on me. My very brief staff report as you all heard, the comprehensive health plan was approved at the December 17 County Council meeting. So since the last time we met, we now have a finalized CHP product, which is super exciting.

And I will be going over the work plan we have to file as a board and commission of the county, and almost all of it references. Like, what are our plans for the year? See that giant report we just completed. We will be implementing or, you know, looking at how to implement the things in the plan. But also since we met, social services held the Winter Workshop at Fuller Lodge. We called it Winter Workshop. It sounded like a nice name. We pulled together about 15 members of the community, faith based leaders, a couple of our health council members were there, some other local leaders to just at

the very

base, the idea was to start laying the groundwork for building collaborations to help people who are homeless or maybe at risk of becoming homeless, for people to start getting to know each other and then to know what resources are in the community. And I think we might end up doing that quarterly, kind of keeping those connections going and expanding. Jeremy, who is on the call from social services, helped set that up. I think we were thrilled with 15 people. That just seemed great for our first one.

In the meantime since we last met, I have had several meetings to keep building social service collaborations, with the police department, who I will just share a huge win. They reached out to social services. They came to us with a concern about an older adult woman who keeps calling the police for assistance. And it was unclear what kind of assistance she might need. And so Jordan, who is our new case coordinator, specifically hired to help with older adults, went out today with the police to start making that connection with her and getting her connected to services. So we just feel like this is a huge win. Pieces are all coming together in our big puzzle.

And you are on their float.

Yes. Debbie and I and our kids were on their float at the Holiday Lights Parade. Our kids had just a fantastic time with that. And then other meetings included with Family Strengths Network, Self Help, LARSO, and the Community Foundation. So it has been it has been a really good month for trying to brainstorm how we're gonna move into 2025 and and do more with our community partners.

And then the last thing, I have reached out to Jen Bartram and Maury, recently termed off health council members, to work on an article to come out next week, as we had talked about last month, outlining some of the history of the Health Council and then putting in a plug to now is a great time to join the Health Council. We have a lot of exciting initiatives. So they have taken that ball and run with that. And then I did put in a plug when I sent out the agenda. We will need health council members to write articles to continue that monthly article series February.

I put February February through June because I'm still on fiscal calendar brain. I know Celeste has written two. Joyce has written one or maybe two. I thought one, maybe two. And I know we had some ideas for other ones.

Are you gonna send out the science?

That table? Yes, will send that out. Realized I had forgotten to attach that. But I will

send

out As you

mentioned, you will help we can get people to help go astride.

I am always happy to help go astride.

My forte, but I wanted to do the carbon monoxide one, and it was fantastic.

Yeah. Thank you so much.

So far, no one has needed ghostwriting services. You all are fantastic. So so just wanted to put a plug in for that. That is my brief report. Any questions I can help answer? Anything from social services that people might need to know?

So I'm just curious, since this is January, starting a new calendar year, what are your top three goals? Twelve months from now, when we're sitting in this room and having these conversations That's a great question. What is going to make you feel like, wow, we get it out of

the park? Or even just one if you don't

have three. Not like three.

Oh, wait. I had one more thing that I put a note I forgot to say. Let me back up a quick step because I think it relates. We also got the first part of the opioid plan out the door. We have amended the contract with the public schools.

That was one of our funding priorities, to continue to fund the prevention efforts. No need for us to recreate prevention efforts with K through 12 aged kids when the schools are already doing a really good job with that. And so that amendment was approved at Tuesday's County Council. So I would say three goals would be one would be aligned with a social services action center that we would have. And I have no idea what to expect because this is not my world. This is yours. But forward progress. Is that blueprints? Is that a site? Is that schematics?

Is it public input with colored stickers? And we have priority. Yes. But that there's been momentum on that because I think that that's important.

And that was why I personally wanted to establish a committee just so that would get a lot of focus. And anybody on the council who's interested in being on the committee just It could be a committee.

We have to keep talking about it, right? We have to keep doing it. And so I think a second one that we've talked a lot about at social services is how do we approach increased outreach? And in my head, I would love for there to be a training plan that is put into place. So getting people trained in suicide prevention, and then those occur regularly.

So I've been talking to Jen Bartram about how we would do that. We're proceeding with the forest and nature guided meditation walks. They're not therapy per se, but you could see how they might be applicable to people for whom either therapy is a really long wait list or maybe they just have other needs. There's a ton of emerging evidence coming out about some places call it forest bathing. But guided meditative walks in nature being good input.

So putting together a lot of pieces, we're getting several social service people trained. Is this your goal? Is a training and outreach calendar where a lot of people are trained across different things. Gotcha. Okay. So that's two. Three.

More staff.

Yeah. I mean, like, healthy division, well staffed and good

Well, that'll come

And our division is good and healthy.

Yeah. That'll come with your goal one because we're going go through that.

Well, and it's also coming with the recommendations.

It's budget submittal. Our division continues to grow and be healthy. We're doing a good workout in the community. Are. Thanks asking. For

Cool. Any other questions for Jessica? Comments, concerns? Anybody else from staff that would like to jump in at this time before we do the member roundtable? Jeremy?

Did we get Jordan yet?

I think she might be sitting with Jeremy. Okay.

So one thing I forgot to mention was that I attended the what is it? I'm sorry, the inclusivity task force meeting yesterday. And they have seven members. Six of them were there yesterday. And Lizbeth I can't pronounce her last name. Lunginger? She runs the store that's in

The Steam Lab.

The Steam Lab, which is kind of a play education area for kids and young adults. Anyway, so she's the chair of that board. Teresa Coe was there. Linda Madison was there from county. Really good discussion. My take is that they're just kind of getting started as well. And so they're planning to send one or two liaisons here to our meetings. And so I will give that to you. I'll give that information to you. And if you can include them when you send out the notice for the meetings and stuff.

So actually they have like 12 different working groups, which I think is very optimistic of them. Anyway, so I would love to hear from everybody on the council. So let's do a member roundtable, maybe starting with Jill.

Oh, okay. Jill Dehaven. I am a commercial real estate broker with Colliers, which is second largest commercial real estate brokerage firm in the world. My region is Northern New Mexico, and I have focused hard on Los Alamos for many reasons. Someone actually on a meeting this morning called me a silo buster, which I think is appropriate because we act like we're a area of 20,000,000 people.

And in fact, we're an area of 20,000. So one of my goals on being on this committee is, to me, social services is critical piece of economic development. If we don't have a strong regional perspective on that and services and facilities to support that, It is a detriment. It's right up there with quality education because it's all part of living in a healthy community. I am also on Los Alamos County's Environmental and Sustainability Council.

I've been in that green world for decades. And so I'm just trying to figure out what that is. I sit on the board of the Santa Fe Regional Airport. And I have been working hard with them to appreciate that they have some really cool neighbors in Los Alamos that would love to figure out how to go to the airport and not have to drive. So working on some things with that.

And just trying to figure out how to get everybody to row in the same direction. There is a lot of reinvention of the wheel, not just in a social services arena, but everywhere. Everybody's reinventing the wheel. It's a single pot of money. It's a single economic moment.

And the better we learn to partner together, the better off we are. I have a couple of goals. Goal number one is to really keep pushing to connect Los Alamos Social Services with Espanola, basically, to really make it a regional effort. We are too small to do it all individually, but we suddenly open up all sorts of possibilities if we work together. And I think we're getting there.

And we will get there because there's just too many reasons. As somebody in the commercial real estate world and in the urban planning world, I plan to be very active this facility, whatever this facility is, whatever it's called.

Center of Excellence.

Yeah, whatever the name is, for obvious reasons from a real estate perspective, but also because I think we have an opportunity as an organization to really show the, I'll call it, the proactive steps of defining our needs and wants and creating, as Lisa says, the five who, what, when, where, how, why. And I think we can accomplish that in a relatively short period of time. There's been a ton of work done on independently. And it's really just kind of putting that all together. So again, I'm a pretty big silo person of getting rid of all of that.

And then I really think another goal of mine is to help this community understand what social services does. There's a lot of other not a lot, but a few other folks that it feels like they're engaged to, although they're nonprofits. And so instead of operating in separate little piles, how about we all get together and let social services kind of direct needs, wants, as opposed to it's my road or the highway, my way or the highway. So that's me. I'm going to get sent to the principal's office several times, I'm sure. And that's Okay. Not my first time to go to the principal's office. So yeah, so I'm excited to shake a few things up, actually.

Excellent. Thank you, James. Celeste, here are just introductions if you have a goal or two. And then if you know of somebody who might be interested in staying on the council.

Oh, let me add that before I forget. Roland Carter excuse me, Roland Jones.

Is Tyler Jones. He

goes by Roland in his real life and by Tyler in his personal life. So he is on the Santa Fe Fire Department. And and they will only know him as Roland. So that's why I'm trying to he has a big interest in doing this if he can do it remotely because he's in Santa Fe even though he lives here. But he brings a

He has to be He does.

He lives in White Rock

who works in Santa Fe.

Oh, just works good.

In Santa Fe. He's got permission from the fire chief to do his lunch time once a month on Zoom to do this. So if can we just put him on the list, I think that

would be.

Yeah. Was he able to get the link that we sent him?

I think he was. They had a death in the family during the holidays. They've missed. But

if he

has I want to get him on the mailing list to attend these boards because he's an EMT. He's a registered nurse. And he's a fire hospital or something. Sorry.

So I'm Celeste Raffin. I am a retired board certified emergency physician. I started out practicing in Los Angeles. And I spent several years there in the gun and knife clubs. So that very poor community, a lot of immigrants, a lot of

it's a real eye opener.

Then I moved to Salt Lake City, Utah, where I practiced in a very elderly community. I was there for seventeen years. The average age of a patient there was about 76. So I really got a feeling for the issues of a new population. Then I moved to Park City, Utah and practiced there for ten years. And that was really interesting because it was a population where you had people that had nothing,

and you

had people that were in the top 1%. And so I saw the whole spectrum. I also worked in a very rural community, which was also incredibly interesting. So I feel like I got a pretty good view of my the thing about emergency medicine is we see everybody and everything. Nobody is immune from the emergency department. We see the result of and I think that's where I'm at now. And I'm just going to stop that. My concern is this is Los Alamos County Health. And I feel like we're morphing completely into social services, which certainly is part of health, but it's not all of health. And I did communicate with you.

I really thought we did an amazing job with the health plan. But it wasn't really a health plan in my eye. Was a social services plan. While I think that's good, I think we're deviating from our mission a little bit. As someone I feel like the biggest problem that we have in our health care, believe it or not, is not funding, is not lack of doctors, is that we are an absolutely reactionary society. We don't want to do anything to prevent. We just want to react. You get sick, you want to react. You have a heart attack, you want to react. You fall.

You're an elderly person, you're falling all the time, you want to react. Well, why are we doing anything to stop that all in the first place? That is my huge complaint. I spent a lot of time in Europe, because my parents, my in laws are from Europe, that one of the successes of their health care system is that they're very interdisciplinary.

And we are not.

And I'm frustrated with that. Not going to say that I wasn't frustrated. When I looked at the health survey, I saw that there was a perception of deed. There was scarcity. There was cost. And there was putting out fires. But what I didn't see is, what can we do to prevent the fires in the first place? And that's pretty germane right now if you look at Los Angeles. So you asked me what my goals are. And again, I'm not trying to diss you, because I think what we accomplished was fantastic.

I'm really excited. I think the biggest thing that excites me is this whole idea of compiling resources that says what is actually available that is easy to look at, a phone book style resource where you don't go online. You're not getting knocked off your page. I think if we can accomplish that, that would be huge. But I would also like to see us not just looking at the small section that's very important that needs help.

But I think everybody needs help. And I think we need to focus on the whole county. And we need to focus on things like preventing falls, being this is my favorite thing learning to be a good patient. Because it's a real art to being a good patient. And if you learn to be a good patient, you can prevent half the stuff that people are complaining about. Lifestyle, certainly, I think we need to get more into lifestyle. I think we need to look at how we can help people correct easy problems, like hearing and vision, our elderly. And so I think, yeah, it's great to respond to people in times of need. But I also feel like we need to figure out a way to prevent them from needing.

So I think that that's awesome. It fits a lot into And I recommendations

of outreach, right? Right. And I think Unite Us is a good way to approach it. I really think, again so you said you wanted to what was it called?

Social services?

I'll just ask.

So I mean, we can talk about the name. I personally don't like social and we're diverging a little bit. But the whole term social services invokes to me, it's like, oh, are we going to have organized volleyball games and bingo and dances on Friday?

The whole idea of unite us. We talked about having a clear I would like to see it more going back to the idea of health being the umbrella

I think the word and for social services being health center, some sort. But we can talk about that back. And I'd love to get everybody's input on what they think an appropriate name would be. And then I think we can influence the county if we say, oh, the health council, we feel like that this name and this definition is what we really need.

I'm just going to share a quick story with you. When I was interviewing for medical school, I was at the Salt Lake City VA. And the the Salt Lake City VA is where the artificial heart was invented. So here I am being my gutsy little, rash self, as she's the Bueno principal's office. And the man that I was interviewing with says, so what do you think about the artificial heart? And I said, you know, the artificial heart is wonderful. It's fascinating technology. It's super cool. But why couldn't we spend those hundreds of millions of dollars on preventing the heart attack in the first place? Because we would have helped a whole lot more people.

And then he said, well, give me an example. And I said, Okay. In the late '50s, we had the polio epidemic. And all these people were in iron lungs. We had all these deaths. We had all these people that were hurt and spent the rest of their lives still living with the ramifications of polio. But then the sock vaccine, we prevented polio. It turned out the guy I was interviewing with Oh my gosh. But I got into med school. So he must have liked me.

But my point is, we need to really and we're such a smart community. We're such an empowered community. Really need to work on prevention. And it has to be one of our folks. And prevention also applies to psychological issues,

for sure. And I think that's where drug and alcohol

dovetails with the Department of Health, because a lot of their outreach focus is on prevention, right? And so to do more of that So

people unite us. And I'm not talking but the whole idea of a giant Network. Network. Network. We look at everything. But I think prevention has to be you can't forget about it. And I feel I'll just put

in a plug that Jonas Salk is from UPMC from Pittsburgh.

That's where

the polio

vaccine was developed.

So do you Thank you. That's great. I mean, that's all. I really

can't think of

anybody you want to recruit. Okay. Well, if you think of somebody. Thank you. Celeste. So can we put the camera back on? The online people, is anybody sharing their

They all have their cameras off. But I think if they speak, they'll pop up. They're they're not

speaking. Okay. So, Joyce, we hope to get you interviewed soon. Can you tell us about yourself and your background and then any goals you might have? And then maybe a person that you think we could recruit, please?

Hi, everybody. Yes. So let's see. So my background is nursing. I actually grew up in White Rock, and so I've lived here a long time despite a few little times where I without a school or working in different places, and brought my family back and raised them all here.

So I started out my career here as a labor and delivery nurse at the hospital. I was a brand new nurse, and I was trained here and grew up basically here in the hospital. My background was microbiology to start off with, so I did some lab kind of work for a little bit, but wanted to be around people more, found that here. So I did twenty five years or so of labor and delivery here, which was just lovely, a small community, you see people growing up, and it just really is a nice connection. And about, gosh, what has it been, like maybe eight years ago, needed a change of basically quality of life.

Because of course, and you probably know Celeste, in the hospitals, and especially smaller communities, you end up doing everything, jack of all trade, and trying to cover everything, which was great. I learned a lot and was happy to do that. But now I am the infection preventionist here at the hospital. I also do employee health. I am a community member for the Lantel biosafety committee, which has been really fascinating, probably for the last maybe four years or so.

So some of the things I just I think one of my goals, and before we even started this, was to get in you know, to one of the meetings in person. I just I feel like, yes, there's so much value in being there in person. It is tough. You know, I have people coming in and asking about things or needing help with something, and anybody that gets a needle stick or that kind of thing, I'm available here. And I'm the only one, right, for small hospitals, so that's, so I feel the responsibility being present in the hospital, but I really would love to get to a meeting in person on at least one this year. So that's a goal. And it should happen.

And we also on the last agenda item, Joyce, we're gonna discuss maybe changing the time to make it more flexible for people who have rigid work schedules. Uh-huh.

Okay. Yes. Saw that on the agenda, so thank you for that. Yeah. Gosh. At this time, I am not sure. Mean, my circle is, you know, the hospital right now as far as but I'm gonna expand and see who else, you know, might be able to be on this committee. So, yeah, I just I think, like, everywhere, everybody feels overwhelmed and you know? But this is really an important connection, so I'm really grateful to be able to be here with you all and representing the hospital piece of this. So

Thank you.

That's where things are at.

Thank you for your article. So do you end reviewing the health plan and the recommendations and what we're hoping to accomplish this year? Do you have anything particular that really speaks to you?

Yeah, you know, one of

the things that I think, and it's coming, I think it really is coming up a lot, has already probably been spoken about, but is the connection with our discharging patients, especially from our ER, to wherever they need to go, and the follow-up, especially with mental health patients. It's just such a challenge. We see it so many times here. We hold on to patients because we can't get them safely discharged somewhere, and we just hold on to them in the ER. And so as you can imagine, that's challenges everywhere.

And just, it's repeated. We see the same patients, bless their hearts, coming in, and I feel like we just kinda keep doing the same thing because we don't have processes or resources, you know, to accommodate that. And I I know that's, you know, a critical part of of this this this group as well and some of the things that we've looked at. So that's probably number one on my list.

Excellent. Thank you so much. Is there anything else?

No. I don't

think so. Thanks.

Okay. Thank you, Doris. Leticia, how are you?

I'm doing well. How are you?

Awesome. Awesome.

Would you

I'm Leticia Martinez. My background is I've been a nurse for twenty five years. I did work at the Espanol ER for sixteen years before I went back to school to become a nurse practitioner. So currently, I work for in the Los Alamos office, but we're only open two days a week right now. So my experience is primarily ER nursing and being a nurse practitioner in primary care.

I live in White Rock. I've lived up there for thirteen years. Used to live in Chimayo before that. So I am very well aware of all of our of Rio Reba County, Los Alamos County, and all the issues in both counties. My goal, I guess, to be on the health council is to support social services and to help them with this comprehensive health plan that we have to make it a reality and to give my input as a, as a health care worker and how I can help improve in Los Alamos our health and the patient's health.

And I'm here to see patients from Los Alamos County. So if anybody needs to refer somebody to me, I'm happy to see them in my office. At this time, I don't know anybody that would be willing to apply for the health council. I guess that's it.

No worries. We're all we're just trying to brainstorm. Can I give a shout out, though, to Leticia?

And I'm so glad, Joyce and Leticia, that you're both on health counsel. But it's like that same kind of, why is it this way, and why can't we do it another way? Leticia contacted Leticia sees people who are in jail who need health care and had some concerns about mean, Leticia, if you want to share more, you can but that some of the processes aren't working due to lack of a psychiatrist. We need other staff to help with these diagnoses, to help with medication that people need. And so she came over to social services and met with Aloysa and myself.

Can we make this better? And so it was exactly to that, not because you're on the health council Latricia, I think you would have come over anyways, I hope. But it was just such a good example of this isn't working. What else can we do? How do we find additional people to fill this gap? And so anyways, I just wanted to give a shout out because now that ball is

And yes, it is pretty tough going in there and seeing the inmates. And they all have mental illness. And we don't have the resources for them. And it's hard managing them medically, mentally with me only being up here two days a week, and they don't have medical staff on board. And it's the, you know, the detention officers are dispensing meds to them, which, you know, I don't know.

Sometimes it's how safe that is. So that's my concern that they don't have medical staff there daily to help them and to dispense meds to the inmates. They don't know what the meds are. The detention officers are not well versed in medical at all. So I have to be very specific and give specific instructions on what to do if this happens, if that happens. So it does take a lot of my time when I have to see the patients there. So, yeah, I mean, it would be nice if they could get some medical staff on-site.

Well, thank you, Leticia. We appreciate your expertise and all the grassroots work that you're doing. Did lose Giselle? Did Giselle have to sign off?

She did have to jump off. She had something yes, she

had Okay. To

So is there anyone else from counsel?

Think that's

Nobody else from counsel. But we should grab Giselle for February and get her background and goals. Oh, yeah. Yeah. Definitely. Should add her.

Let's keep that. And so I see Jeremy and Jeremy. And I think we have a little time. So I'd love

Is it that it's almost 01:00? And we still have to do the work plan. We have to

do the work plan. Could you guys just maybe introduce yourselves real quick and just tell what your position is? And

Sure. I I can do a quick introduction to everyone. Can you all hear me?

Yes. Hey, Jeremy.

Okay. Hey. Sorry about that. I've been dealing with technical issues all day. Nice to see everyone. I'm Jeremy Espinosa. I'm the Northeast Region community epidemiologist with the Department of Health, the public health division, and I am headquartered in in Santa Fe. I can I'm here to active support for you all for any questions you may have or data requests. I'm happy to help as best as I can, provide support to the health council. I can give a little background.

I'm I've been with the New Mexico Department of Health for the last six or seven years, different sections of it. But I am actually familiar with Northern New Mexico, the Los Alamos Espanola region. I am from Espanola, so I I'm a local. And I it's my quick little background. So happy to help. And

Perfect. And thank you all.

Happy New Year.

Happy New Year,

Andy. Thank you for the COVID test. Those were well distributed. And, you know, if you do get to make it up here in person, like I said, we're gonna discuss maybe a better time for people, like, possibly toward the end of the day or something. But

we No.

No. Sure. I I'm just happy to to make it up there. Like, the time of day isn't an issue with me, but if it's for, you know, the main health council, that that's fine. I can make it as I try to either in person at least a few times a year.

Perfect.

But I I will to be fair, I I don't know what the weather is like in Las Palmas today. It's been so weird.

I'll be there. Every hour changes.

I don't I I don't wanna drive up there. I I mean, I said I'm from Espanola. I used to, work for back when I was a teenager, and, I learned the hard way about traveling up in the cold months. So

Sure.

I'm still but happy to be there in the summer.

Thank you for being on

my then Josefa Gallego is joined from the Department of Health as well.

Are we

Yeah. Let's let's Josefa, could you tell us a little bit about yourself? And thank you for joining our meeting.

It's nice to meet all of you. I know some of you already. My name is Josefa Gallegos. I go by Joe. And I've been the public health nurse here at the Los Alamos Public Health Office.

So I'm glad to see Leticia is also on this meeting because we work alongside each one another. I've been here one and a about one and a half years, and I moved here with my family from Idaho. We were there for about seventeen years. I live in White Rock. I have always wanted to work in public health, and I just the opportunities just never came up until I moved to Los Alamos.

So I'm really happy to be here. I'm learning a lot about our community needs. I love that the health department here is really a safety net for the most valuable clients in our community. We offer family planning services, STD testing and treatment. We offer immunizations, TB testing and treatment.

If it's ordered through the state TB program. There's a lot of services that that we are able to provide here. We're a small clinic, but in the short time that I've been here, I know that we're seeing more and more clients and I'm really, really happy to see that word is spreading. People in the community are learning about the services that we provide, and I'm I'm glad to see them utilizing them. For before I accepted the position, we had had a few nurses that were here in the clinic that did not stay that long.

And so for a while, we just didn't have a stable public health nurse here Monday through Friday. And so that's what I'm able to offer our community right now. Somebody consistent, is here, Monday through Friday. And I'm just

Thank you, Joe. Do you

You're welcome.

Where are you located? Are you over by social services there? Okay. And the hours are what are your hours?

The hours are Monday through Friday. Monday through Friday, eight to five. We are closed for lunch from twelve to one. We do accept walk ins. We we prefer appointments if possible just to make sure that I'm here in the office. Every now and then, I do get called to help cover some of the other clinics like in Espanola, Taos, and Santa Fe. But I'm hoping that that doesn't happen too often.

So you would go down there and then our clinic would be closed? Is that how that would work?

No, our clinic is not closed. We have I'm sorry? Or would they

send the patients up here? You said you get re closed to cover Espanola and Taos? So how does Yes.

So there's times so how does that work? Here? Yes. So when that happens, we have a clerk here. Her name is Ivy Velasquez. She's wonderful. She's here, and she takes messages. She takes down the information. And then as soon as I'm able to, I'm able to make contact with with the the people and let them know when they can come in.

Okay.

But we work really hard at prioritizing their needs. So we're here for them.

Thank you, Joe. We appreciate all the information

You're welcome. And all your hard work. You're welcome. Thank you.

Me see.

Jeremy? He

needs to jump on the Yeah. Work

And then

Please circle back. Let's see if this works. Presentation mode. Work plan mode. All right. Folks online, can you see the document on the screen?

Yes. I can see it.

Success. One tech victory.

Returning pages.

All right. If it doesn't scroll, let me know, and I'll pretend like I can fix it. Although, you know, that's not true. Okay. So the county is continuing to formalize some of the documentation required of all of the boards and commissions. We completed one of these last year. It is a way for everyone to have information about what each board and commission is working on. So I have put together a draft for

us to review. You will see it in

a couple places. The fonts are a little bit wonky. Don't worry about that. I just don't have a good version of Adobe on this loaner computer, but we will make it all pretty before we turn it in. Technically, this is due at the end of the month, but we don't have a county council liaison assigned to us yet, so we'll work on that timeline.

You'll also see I did not fill in the members and our terms because I need to clean that up from the website, and then it'll pull over into this. So the first page is just the administrative stuff. But if we want to start at the top of page two. The document asks is highlights from the previous year.

Can we make

sure they Oh, When I scrolled, can you guys now see the top

of page two? Top five activities for the previous calendar Okay.

Because when I advanced the slides, they did the slides did not advance last time, right? So thank you for checking. So I pulled out five highlights from the previous year. I am happy to make any edits to these. I was hoping we would have this next bit of time to discuss, but what I pulled out was we finalized our comprehensive health plan that felt big.

We completed a community wide health survey, which helps establish a baseline for future data collection efforts. Here as the health council, we had trainings and presentations on local health matters. I started to list them out. We had the person from the AA come. I feel like there was another one earlier in the summer.

Anyways, I did keep that one a little bit vague. The one that we had put on last year and I carried over from this year because it's important, we did complete the required activities for the Alliance of Health Councils and the New Mexico Department of Health, including those deliverables listed there opioid overdose prevention, Narcan distribution, nine eighty eight crisis, and suicide prevention. And then we also provided support. This ties to the report that we did last year, this document last year, and you'll see where this comes in later. But we did provide support to various health related initiatives in the community, including the Older Adult Health Fair, grandparents raising grandchildren, recovery related events, and the Older Adult Summit.

The one that I just remembered as Joyce was talking, we also provided support in the form of swag bags for the medical center's vaccine event. So I will add that on here.

I would just suggest that you did community outreach at all of the concerts during the summertime at the table.

We did have stuff at the concerts.

Yeah. I think you ought to take credit for that, if that's Okay.

We did have Narcan and materials and the vaccine event. Does anyone are these top five activities Okay? Are there other ones we should add that were particularly notable for the health council? This kind of covers the report, the data, the outreach, and also we continue to meet the goals set out by the Alliance and the Department of Health. And anyone online, you can just unmute and talk because it'll be hard for me to juggle seeing a raised hand.

You don't need to raise your hand. Just shout it out. Reasonably Okay?

It's good. Did you have some stats on a table of how many visits you had and how many you know what I'm saying? How many clients you processed?

We do for social services, but it's a little bit harder for a health council. And it's really interesting because that comes up in the meetings I have with the Department of Health is how to track some of this. And if Denny takes information about flyers that they've provided us on September or suicide prevention and she puts them at the farmer's market, we can't really track the number of people that take a flyer.

I do track the clients through your office and stuff, but that's more

We track

in our office. Yeah, yeah. But tracking the outcomes for some of the health council stuff is a little trickier.

I would just also add I would add just maybe a separate or top five I would in outreach. Let's see here. The training I would say in bullet three, say outreach not only at the concerts in the park, but also at the libraries and at the farmers market? We can at the

farmers market. I mean, have the health council materials there.

Reported on that one to council.

We went

to So maybe it's up to you.

We can totally edit it.

Because it does require time and effort from staff.

Can't remember who all wrote articles last year. I know Joyce wrote a really good article on vaccines. I wrote one on Narcan. I think Maury wrote one. And then I wrote the carbon monoxide. I can get any comments from the health council, but I got a lot of comments from my neighbors. That was the objective. On my

On people seeing it. So let's add the outreach articles

Actually, to looking, maybe they would be under accomplishments rather than on Whatever. Wherever you think it fits.

Well, it's a little let's add it to the top five accomplishments. So the next list is top five accomplishments. But I would say implemented a media outreach plan.

Think Because Maury wrote a really good 01/2010. I can't remember. Was it about Jay? I can't remember what it was about. But I know it was great.

And maybe what I mentioned before that, maybe that goes in 01/2024 as well, instead of in, well, it's an activity, but it's also an accomplishment. Like if we're at all these events and stuff, wherever you think it is.

But I

think this is good to beef that up. So 1.2 is very similar to 1.1,

top five accomplishments. I would adjust that to because it reads exactly like the top. I would say presented to the county and was approved 100%. Say that because that is the accomplishment. We did the activity, and that is the accomplishment. And I think on the second one, the completed community health wide survey, I would pull that out and say documented and incorporated the outcomes and made it inclusive within the comprehensive health plan. Perfect. Accomplishment is an action.

Yeah, would put the newspaper outreach in one.

Yep. Think it should be its own.

Yeah, the health because that's more of an activity.

Yep. Perfect. Folks online, does that all sound good? Change the wording on a couple of the 1.2.1, 1.2.2. And then really, I just carried over 1.2.5 from the previous one. But I say we take that one out altogether and say implemented a media outreach plan with monthly articles to raise awareness of the health council activities.

And then 01/2024,

you could add the other

The other venues. Perfect. Thank you.

Lessons learned. Get more people.

So this is what I left blank. We need more people on the health council. Any other I really struggled with lessons learned because it felt like we had a pretty good year. Knock I on all things. This is not a Boarding Commission with a lot of contentious public hearings. People like the health council, and we all get stuff done.

Great response from the county counselors.

Yeah. I would put lessons learned, need to focus on regional connectivity. That's cool.

I like that. What

is the word? Leverage. Regional resources.

Celeste, you looked like we were thinking of something. Collaborative.

Understand what she said.

Leticia or Joyce, any lessons learned from the past year? We don't need five. I was

going to be snarky. You're not really snarky, but social services needs

Yeah. Yeah. No. I don't know how same thing.

Because I don't mean it as a diff. I mean it as a you remind me of the guy in multiplicity.

You could There's probably way of phrasing it. Like determining priorities to not overburden. Encouraging some

of the

staff support. To request more staff in the budget.

Can give you're doing great stuff, but you guys are all stretched so thin.

So I would say the lessons learned are will require more staff to do all of the work. What you're doing is identifying accomplish our goals. To accomplish goals. Yeah, that's great.

That's a good guy.

Because that's more positive. And implement recommendations. And accomplish goals. Because you have all these recommendations. And then as we said before, we attached a body to each one that we thought we needed. I will just point out that the

Because there's only twenty four hours in the

When we jumped over to

the PDF, suddenly my mouse is the mouse on the computer is working again, but now the plug in mouse isn't working. Poor guy. It's gremlins. It is gremlins. The next part is any special projects or assignments that would have been given to us not otherwise included by counsel or by Corey, director of CSD.

And there really aren't any other special projects. I mean, you're not necessarily given stuff outside of the scope of the health council. But I wrote, begin implementation of the action items presented in the comprehensive health plan and then identify funding to carry out activities as needed in case there are additional grants or other funding opportunities that come our way. If there's in the Federal Register funding for a regional behavioral health center, we should feel emboldened to look at that in more detail. So otherwise, I don't believe there's anything else that's been assigned to the health council.

Can you capture

the deliverables required by DOH? DOH and the

It's just kind of included in that's not outside the scope, right? Yeah. So I didn't put anything else in here.

So I'm sorry. Was, unfortunately couldn't go to the presentation. But when you presented and obviously they approved it did they, at that point, say you have to do this, you have to do that?

It's approved. Well, she presented the

recommendations. Well,

were a few. You can watch it. There were some questions. But basically, my understanding is that we presented the recommendations and they approved it. And then the next step would be the budget submittal and to put those additional FTEs and any funding.

And then for both health council and social services Celeste, absolutely to your point to determine how will those items get done. What could be done by health council? We could work on an outreach training plan and make sure if health council wants their own table I am totally just making this up on the fly. If health council wants their own table at the summer concert series, we need to register that table with whoever is in charge of those and get a out materials. Health council takes on one piece of the outreach.

And then who's going to meet with the health and human services or social service director in Espanola and Ria Arriba County, a health council member, and a social services manager, and we'll go meet to talk about regional mental health needs. We would divvy up who's doing what. But otherwise, county council doesn't provide guidance for how it gets done. They just kind of say, the roadmap is ready.

Then a year from now, when we check-in with them,

we will have to say

submit an action plan that says

Nope.

The action items was going to do this, so

I was going to do it. Correct.

Correct. The dates. We have some flexibility in short, medium, and

long range. Other

projects or activities being proposed, I wanted to give us some flexibility here. Obviously, Lisa, to your point, complete the deliverables for the Department of Health and the Alliance of Health Councils. And then continue to support community related health initiatives. I can also make this say prevention activities, Celeste, to your earlier point. But ones that we have talked about in the past and in the CHP, but older adults, youth and family mental health and substance use, suicide prevention.

I can add support prevention efforts. But if the medical center is doing a vaccine clinic, we want to buy ourselves flexibility to be like, yes, of course, we can do that. That's under our work plan to support community related health initiatives. Or if there's another series of recovery events in September.

No, I think that's fine. I think it's better to be more job done specifically. If you start being specific, then you risk leaving out stuff and then not being able to do it because as you left it out.

That's why I was hoping this was vague enough to capture. We want to be able to have impact in the community if events come up under our purview.

Are you going to include a copy of our action, our recommendations?

I can.

I don't know that I

need to attach it, but I can.

Because you're attaching the county priorities. Is this from their strategic planning?

It is. That comes with it as an attachment.

So maybe attach this. And then I don't know that you need two point well, fix the number on it too because you have

I can't. How it came to me.

Okay. Well, on this redundant number Can

I get 2.2.1? Do we want to just say

the projects or activities would be to implement the short term recommendations of the action plan. I mean, because instead of trying to just take a piece of it out, because what you've listed in two is a subset of

the action plan. Take 2.2.2 out. 2.2.1, the second 2.2.1 out.

And then just say deliverables for the alliance and DOH. And then implement the short term recommendations that were in the

I believe. Plan. You know what I'm saying? So that's listed up.

That's on 2.1.1, I think, what you're talking about.

Oh, is it already?

Yeah. Begin presentation of action items presented in the

And this format is assigned to us. So I know it's a little bit wonky and redundant. But you

said projects or assignments. That was given to us by Corey and by the council, right? Right.

And so then

the others are POH and Alliance. And then we just want to have the flexibility if there are community events or initiatives to say, yes, that is supported. We talk about it in our meeting. And yes, we want to support those other community

efforts. So I don't think Celeste said,

if we're

going to be just general and not specific, why couldn't we just say the short term objectives found and punt to our recommendations rather than picking a few things out? You know what I'm saying? Because those would be also activities that we're proposing. Because we've actually proposed all of these recommendations, right? I mean, don't know. What do you guys think? Leticia?

I'm confused.

Is this going?

Easy to do.

It just gets filed with the county manager's office.

So my suggestion is rather than that second bullet on 2.2, just point to the our short term recommendation.

I would say we

want to

keep it so that then in December when we go back to present to counsel, we can say, here's the events that we supported or partnered with, or helped show support for.

Okay. I just feel like we're leaving some things out if we just say older adults, youth, and suicide prevention.

I could add could include but not be limited to.

And you do say other topics listed in comprehensive health. Just say recommendations. The recommendations from the comprehensive health. Just add the word recommendations.

Yes. Not to you, to the computer. It's just not scrolling. I'm sorry. I know we're getting close to time. The guiding documents are they just are what they are. We have a county resolution that established the health council, the comprehensive health plan, and then the CHIP plan as approved by the Department of Health. This is where the fonts got wonky. I will have that fixed before I submit it formally. And then other county departments or boards and commissions that we work with.

I would say that and it's called the inclusivity now. Okay. It's called inclusivity

task I will change inclusivity task force. And then I just put, obviously, social services. And then there may be other county divisions, departments, and boards, and commissions that we put as a recommendation in the CHP. We talked about the transportation board. There might be planning and zoning. There may be other things. The housing. The housing. Right. And so I wanted to keep that one also as broad as possible. And then, again, any special events. We don't yet have anything planned, but there might be community wide events. Fairs should be taken out. I should just say events. Again, I wanted to make it as broad as possible.

To support things, there may be opportunities to gather public feedback for a hub action center. There may be opportunities to support if the Transportation Board wanted to hold a health related bike infrastructure, they wanted a health council liaison rate. Anyway, I was trying to keep that as broad as possible. And then attachment A is provided to us how we align with the county council's strategic plan.

So can I just discuss one thing in two minutes that we have left?

Real quick. Okay. With all these changes, is this good to submit to the county I manager's

want to discuss 2.2.2.

Oh, Okay. I'm sorry.

So this gets back to and I think maybe we can't wait until next time. I would like to not have the term social services hub in there if we can come up with a term that is like a community health center or Just say facility. Well, no, but it's a center, not a It's a facility.

Could you just say community health and social services center?

Yes. I'm fine with that. Does everybody what do you guys think? Leticia and Joyce, are you Okay with us changing the terminology to get rid of this hub thing?

Yes. Definitely. With it.

Oh, thank you, guys. It's just great to It's on my mind. And social services. Because I'm kinda Yeah. And social services center. Okay. And let's do a search and replace on that.

I will.

Only other thing is I would like for us to establish a separate committee to review that. Just because we're an hour and a half in and we got a lot done, but we're not going to have enough time in these meetings. And I really want to draw attention to a committee. Do we have the authority as a council to

We can make any number of subcommittees.

I know you don't like it.

Well, it's It's not working.

Another one. Because it has to

follow all the same county procedures. Meetings will have to be noticed. Agenda has to be posted.

Whether it's a committee or a working group.

I think a working group can be separate.

I was on the parks. Which the space

spurred all

these and we got clarifications. Turned into the open space working group.

Okay. We call it a working group. Whatever that name.

The problem with the working group is it has to be people who are not on the committee. Can't be asked. You can have up to three board members, and then the rest have to be private citizens. Unattached says whatever you want to

call it. Members of the public.

Members of the public that

are not Okay. So what do you guys think we should do?

Well, I think let's put this on the agenda because this is a conversation that needs to happen. Well, it has

to be a subcommittee, I

would guess. So maybe you could just do a little How about a breakout committee?

DIG through. Still has to be a committee, though.

Well, but we want to put it in the work committee.

I thought we already did. I'm going to change

Not the committee or the working group. We just said that we would research it. But I'm really passionate about I

think what needs to happen is a bigger conversation with the health council on how we proceed with completing that item on the action plan. Is it a committee? Is it a work plan? Is it public input sessions? Is it We just put on the box. Because I say since we're out of time, conversation. Because How are we going to

You know, it's in the county because I had to read it. Let me They

formalized all of this.

County booklet that we have, if you have the most

Because I never went to

oh, no. Okay, I have it at home.

So instead of maybe saying none at this time, we could say doing research to determine yesterday. Leave

it open.

Think to your point, you want to be sure It doesn't get lost. We're going to take this on.

I've got a 40

or 50 page training manual. It's plastic the little things I on

had sent that to everybody as an electronic document maybe in October. They updated it to include the work plan because of the open spaces.

So if you do a search and replace and replace hub, and then like Jill said on 5.1, just say we're pursuing the idea of working

Hey, none at this time. We can create one later.

What document has all the rules of how

Or we can say maybe. Maybe.

Not at this time, but there might be one. So

I'll say maybe

part We're not beholden to this, because we could create one later.

I think Okay. You know, my impression of this plan is that we don't have to sit down and item and file everything. We're just saying we're working on this. We're not saying how we work that out. We're just saying we're going to do

it. Perfect.

Think if you add too much

Let's just change the name, and then next month put it on the agenda to discuss whether we should have a working group or committee or

Let's how also move to the February agenda possibly changing the date and time. Let's keep it to this first Thursday so that we can have that discussion.

Do you want to get feedback from the health council on what would work for them as far as the time?

So that an email with like a doodle poll?

Yeah. Like

a poll to say what like Thursday mornings are definitely not, Friday morning's definitely good, something like that.

I think you're going to be debating this forever if you give everybody a choice.

I think we're going

to have to just say

We were looking at During

the day or after work.

Yeah, three to five or whatever.

Yeah. And then just everybody's in task with the Thursdays.

Okay.

So let's just hang on the Thursdays. I personally I mean, you're going to

do it

after work, I think you'd do it at 04:00 in the afternoon so people can have an excuse to leave work. Clearly. And not I mean, I sit on one board that's at 05:30, and it kills me.

It's awful.

Yeah. Well, since we are retired, I think you folks who are still employed

full time. Could you not employ That's why it kills me. I live

at 05:30 meetings. It's

it's right over dinner. It is. And but then

you get home at, like, seven, 07:30, you're just exhausted.

Have to make dinner.

What about three? So I gotta bath. I gotta go.

I have two as well.

Thanks, you guys.

Good to meet you.

Hi, Latrice. Thank

you. Thank Thank you.

What is

mine? I can't remember if I saved I saved the new updated do you have the new updated rules and regulations? Yes.

That is what I

sent in the fall. It was all updated to include work groups.

I know I have the bound one. I'm just not sure if I have this.

I can check, but I would have sent it to you whenever that was finalized. Maybe

I go look for it, it'd be like

September and October ish. Yes.

And do we I mean, if we had

And I should just say, to be clear, that we're not live, I am not opposed to committees per se. But we only have seven people. And so a subcommittee of seven, it's going

to be

three people

doing