[00:00:00.060] - Kimberly Robinson So we're going to go ahead and get started. I do want to let everybody know that this meeting is being recorded. So I want to welcome everyone here taking your time today to join this meeting. This is our second well, our first quarterly meeting of the New Year. So we have a lot to go over. I tried to get information that you had asked about in May for this meeting, so it's going to be kind of exciting. So with that, let's go ahead and do a roll call Teresa if you'll do roll call. I'd appreciate it. [00:00:34.340] - Teresa George OK, can everyone hear me OK? [00:00:37.360] - Kimberly Robinson Yes. [00:00:38.700] - Teresa George OK, well, if you'll just answer that, your present, when I call your name, please. Natalie Alden. Natalie Alden Erick Collazo. [00:00:52.920] - Erick Collazo Present. [00:00:54.520] - Teresa George Thank you, Patricia Dorell. Patricia Dorell. Suzanne Doswell [00:01:05.180] - Suzanne Doswell present. [00:01:10.850] - Teresa George Tina Densley. Tina Densley Joanne Hoertz. Joanne Hoertz. Marsha Martino. Marsha Martino. Kevin Mullen. Kevin Mullen Rhonda Ross. Rhonda Ross. Jeffrey Secure. Jeffrey Secure. Larissa Swan. Larissa Swan. Sean VanGerena. Sean VanGerena. Ricky Zeidman [00:02:14.990] - Ricky Zeidman Present. [00:02:18.220] - Teresa George Thank you. OK, so Kimberly, we have three members present and I'm sorry, [00:02:25.920] - Leah Colston maybe Jeffrey Secure maybe on. I mean, he can be muted. I see a JS in the participants. Not really sure. [00:02:38.810] - Teresa George Can you tell Ed if that's caller 16 or 22? [00:02:47.840] - Ed Mills I'm looking. [00:02:51.810] - Suzanne Doswell It looks like you OK, Jeff has left and he may be dialing back in. [00:02:59.050] - Teresa George OK, I'll just keep an eye out for it on the list here, but currently it shows three present Kimberly. [00:03:09.910] - Kimberly Robinson Maybe later in the meeting, we'll just check back and see if anybody logged in late. I know that happened in the past. So, OK, moving forward, Ricky, you want to go ahead and do an approval call for a call for approval for the minute? [00:03:24.620] - Ricky Zeidman Yes. Before we do that, I have one correction, which is on page seven, paragraph three. My last name is spelled incorrectly. It's Zeidman everywhere else. It is correct. We can we can get that corrected. I move to approve the minutes, do I have a second? [00:03:45.770] - Suzanne Doswell I second from Suzanne. [00:03:48.640] - Ricky Zeidman All in favor. I. [00:03:51.190] - Suzanne Doswell I. [00:03:52.920] - Erick Collazo Any opposed? Minutes are approved. [00:03:58.370] - Kimberly Robinson OK, wonderful. Thank you. All right, so we'll jump right into program update so we don't have any new council members right now. We do have one application that's been processed and that is for a Miss Christine O'Donnell, who is applying for the vacancy for the spinal cord injury survivor and family member under the remaining vacancies. We do have a TBI survivor or family member, and that's only because Sean VanGerena his term ended eight, 15, 2020. However, he's still going to continue to serve on the council until this position has been filled. So besides that TBI, we still have the spinal cord injury survivor, family member, which is Christine, which is pending. And then we have two vacancies for special needs of children with a TBI or spinal cord injury. [00:04:54.970] - Suzanne Doswell This is Suzanne, I had a question. [00:04:57.690] - Kimberly Robinson Yes, ma'am. [00:04:58.420] - Suzanne Doswell Hello. Yes, I have a gentleman who works for the Brain Injury Association of America who now lives in Tallahassee area, who's interested in that position. But I know he applied before and nothing ever happened. So I'm wondering what the procedure is for him to get his name in now. [00:05:20.860] - Kimberly Robinson He can go out to the website and actually go to the advisory council and there's a place right on there where they can fill out the application and it gets sent in and then Teresa George, I think you get notified when there's an application still and then we'll take it from there. We'll take it from there. [00:05:40.450] - Suzanne Doswell Thank you. That's great. Thanks. [00:05:44.510] - Kimberly Robinson And Teresa I see that Natalie, is just coming on as well, I just saw her name pop up. [00:05:50.190] - Teresa George Yes, I saw I'll count her present [00:05:54.310] - Kimberly Robinson Susan if he has any problems, he can reach out to me directly and I can help him with that. [00:06:01.130] - Suzanne Doswell Thank you very much. [00:06:05.560] - Kimberly Robinson All right, we're going to switch our menu up our menu, our meeting agenda up a little bit because some folks are going to be able to stay on the phone. So we're going to move budget up as our first topic instead of down below there. We're just going to we're going to jump right in about budget. So in the attachments that I had, there is one that shows you the program budget overview and it's going to show you expenditures for trust, fund general revenue and then our revenues. As well. So if you want to pull it up and Beau has it up on the screen, if you can see the screen, he has it up, so. Let's talk a little bit about allocations first, and I like to go over this for anybody that's new to budget, maybe they don't have a full understanding. So there's a little history behind it. And then we can get into what some of the expenditures are in the revenue and so forth. So for allocations, there's two major sources of funding for the brain and spinal cord injury program. There's a fund that is funded through revenues like traffic or boating, made excitations transfers, temporary tags, and then there's general revenue. The trust fund and the general revenue pot represent actual cash that the program has available. Revenues are deposited into the trust fund monthly, as reported by each county circuit court. And these may vary from month to month. Recent analysis on state revenues has revealed a significant decline due to covid, which makes sense considering at one point people were not incurring traffic citations, they weren't voting, taig offices were closed and etc.. The GAA, which is the General Appropriation Act. Is reviewed and approved by the governor and may be impacted by legislation as it is passed by the Florida Congress, the GAA represents the spending authority that is allocated to each state agency all the way down to the program level. But there is a difference between cash spending a.. Spending authority. Spending authority outlined in the data tells each state agency how much they were allowed to spend in the given fiscal year, for example, be BSCIP has a line item that states there's approximately three point five million allocated for spinal cord research, which allows the department to serve as a pastor to provide funding to the universities. There's a line item that allocates an approximation of one point six seven million to purchase client services. These numbers represent the amount of funding the department has the authority to spend, but does not represent actual funding amounts. This might make more sense once you understand how this relates to the trust fund in general revenues. So, for example, let's use the one point six million dollars that were allocated for the purchase client services. The revenues collected for that year are one point five million. The department has the authority to spend all of the cash, the revenues that are collected. However, if one point eight million in revenues are collected, the department can only spend one point six million of that one point eight million that was collected. To summarize, the GAA provides the limit that the agency can spend, the revenues are collected and deposited in trust funds, which represent the actual cash that the agency has to spend up to the limit defined in the GAA. I know that's a lot to take in, so basically, even though we have the authority. We can only we have the authority to spend a one point six million, we can't go over that even if we get more cash in. So on the expenditures, which you'll see here, this is what was approved on the GAA for this state year, twenty twenty one. Every state agency works diligently to spend one hundred percent of the allocated funding every year because the funds are not spent. Allocations may be decreased the following fiscal years. However, the program will exercise of fiscal responsibility in all transactions. The chart provided to you is broken down into specific categories that are established by the state to facilitate the tracking of expenditures for both the trust fund and the general revenue. So in the categories, I added some explanation so that you might better understand what some of these are, I put a little detail in there. So let's look at our expenditures here. So you have expenditures for trust fund for twenty twenty one and expenditures for the general revenue twenty twenty one. Notice that I have a column for Biscuit and I have a column for passthrough. So if you go down for the trust fund, you'll see we have salaries, we have OPS staff, we have expenses, we have contract services. Well, I have two categories of contract services. One is members and then one is actual, like a Florida contractual administrative services leases, things like that. We also have the purchase client services. The universities, which is the pass through. And we have the state match for Medicaid notice, I have that highlighted in yellow because we aren't actually getting invoices for this anymore, even though they they've given us an allocation for we are using that funding at all. So we are getting invoices for it. And so that's for the trust fund, for the general revenue you have where the contracts are in the purchase client services. So for BSCIP, we have our purchase client services, the general revenue, which some of you might...understand them to be called our special funding. Some people call it special funding, some people just call it our general revenue, but that's the one million dollars. And then we have the three contracts or two contracts and then the Broward's children is just the pass through service as well. That Broward's children only represents four children at the Broward Children's Center that we issue authorizations for every month. And once that money is gone, it doesn't last the full year because of the way those authorizations are issued is based on the Medicaid fee schedule. So that funding doesn't usually last the whole year. And they understand that they're OK with that. So then we'll go down to the revenues. So in this table, you'll see that there's projections for twenty twenty one, but there's also a comparison in there from the first quarter of nineteen twenty in the first quarter of twenty twenty one. So as expected, due to covid, we're seeing some declines in revenue and preparation for these revenue shortfalls. The department is conducting fiscal analysis to ensure we mitigate impacts to the program funding. For the projection, I used a five percent reduction based on the totals from last year, 19 20. The department has advised that the decline in revenue exceed five percent and maybe even higher for some programs in their component parts, depending on the source of the revenues. So as you're looking down at the little chart that I have there, you can see the comparison there. The traffic related civil penalties were actually down this year compared to last year. However, under temporary license, tags were up a little bit. Deep conviction, we're down voting under the influence, we're down a little bit subrogation. We didn't have any record for last year, so so far we're in a win win there. The motorsport motorcycle specialty tags, it was identified that there was an error in coding. So once that coding specs, then I'll be able to have that number to present to you all and then I'll have a better project projection on that. And then we just have miscellaneous refunds, cash and grants, donations, and then it goes down to the red light traffic tickets there. So you can see we're down in red light running as well. So that kind of gives you an overview as to where the program is right now, kind of where we're looking. You can see how I projected again, I took five percent from last year. It may be even less. We'll see how the year goes. Nobody's really going to know until we get into the full swing of what's going to happen here with covid this year. So does anybody have any questions they want to ask right now? OK, then we'll go ahead and we'll move on to the next agenda item, which is from the regional manager. So Beau should have a document he's going to bring up. And it was in the attachment about the statistics for the region, so I'm going to turn this over to Beau. Beau, are you there? Are you muted? OK. I don't know where his speaker is, but that's OK, we'll move on here. So the report that you're seeing is broke down by the regions. You'll see applicants. And then you'll see inservice clients and these are broken down by injury type as well. And at the last meeting you all had talked about actually wanted to be able to see some numbers. So we put this together for you. So each regional manager is going to talk about their region specific and you can kind of follow along on the documents that appear on the screen or in your attachments. So we'll start out with Beth she goes... Her name is Valerie Collins, but we call her Beth and she's in region one. So, Beth, I'll turn it over to you to talk about your region. What's happening with the audio here? [00:17:14.550] - Ed Mills That's what I was just talking to Beau. We're doing it through a chat thing, but he's having problems with unmuted himself. I'm trying to see why that is. [00:17:27.050] - Kimberly Robinson I'm looking into chat Jeffrey was having a problem with hearing. [00:17:36.380] - Jeffrey Secure Because, I wasn't called in. I wasn't on the call. [00:17:42.930] - Kimberly Robinson Oh, OK. [00:17:46.530] - Jeffrey Secure Yeah. [00:17:51.060] - Kimberly Robinson Beth, can you hear us? Yeah, I can hear you, Jeffrey. Beau can you hear us? [00:17:58.590] - Jeffrey Secure I can hear you. [00:18:02.150] - Kimberly Robinson That's perfect. [00:18:07.260] - Ed Mills There's no way I can do anything with them in regards to unmuting them, with what they've got. [00:18:13.570] - Kimberly Robinson OK. [00:18:15.420] - Ed Mills Beau's calling back in, he'll be back in a second. [00:18:25.440] - Audience (inaudible) [00:18:25.550] - Kimberly Robinson We'll move down to Roslyn while they're getting online. Let's go to Roslyn. You can talk about your region. [00:18:31.880] - Rosalind Myles OK. Good afternoon. My name is Rosalind, manager of the Region three since our last council meeting. There has been no significant changes within our region. So I'll just go ahead and read off our new applicants report for the general program adults, there's 55 brain injuries and 20 spinal cord injuries and four dual injuries for a total of seventy nine for the pediatric new applicants. We have seven brain injuries and one dual injury for a total of eight service clients. We have 56 brain injuries, 50 spinal cord injuries and eight dual injuries for a total of one hundred and fourteen. For the pediatric and service clients, we have six brain injuries two spinal cord or total of eight. For successful closures for the adult general program, we have 20. For the pediatric program, we have none at this time. [00:19:55.610] - Kimberly Robinson Umm, let's see John Wanecski, you want to talk about your region. Your phone is muted. I see you muted. [00:20:16.380] - Ed Mills (Inaudible) say you look good, but. [00:20:21.130] - John Wanecski Now, here my computer mic doesn't work well, can you hear me? [00:20:25.390] - Kimberly Robinson Yes, we can hear you now. [00:20:28.680] - John Wanecski Oh, good. OK, let's start over. [00:20:31.520] - Beau Pfister This is this is Beau can you hear me as well? [00:20:36.380] - John Wanecski Yes [00:20:36.950] - Kimberly Robinson Yes, we can hear you Beau. [00:20:39.710] - Beau Pfister OK, thank you. Not sure what was going on there. [00:20:44.030] - Kimberly Robinson Go ahead John. [00:20:46.240] - John Wanecski Our region was. You know, it's been a little different with this whole covid thing being out there, but I hats off to all my staff and the region for for really taking care of our clients. Services were minimized, but services still continued. So that's a really good thing for our folks going over our numbers here. We have new applicants for our adult program for this quarter was we had 67 brain injuries and 19 spinal cord injuries and 17 dual (inaudible) For our pediatric program, we had six brain injuries, one spinal cord, and we didn't have any dual diagnosed individuals this quarter for a total of seven. In the inservice for adults let me pull up the report here for inservice for adults, we had seventy two brain injured and fifty one spinal cord and nine dual, for a total of a hundred and thirty two this quarter. For the pediatric program, we had 17 brain injured, four spinal cord and two dual, which was twenty three total for that and for successful closure for this quarter, we had twenty two reintegrated and had four eligible for V.R. for a total of twenty six successful closures in our adult program and for our pediatric. We had three community reintegrated and we didn't have any eligible for VR for a total of three there. So that's that's it for our numbers for this quarter. But all is well in Region four. Thank you. [00:22:35.100] - Kimberly Robinson Thank you, John. Jose you want to speak about region five. [00:22:42.560] - Jose Dubrocq Yes, good afternoon this is Jose Dubrocq from Region five, as the managers have explained, everything is going smooth, nothing has been happening here so that we can get referrals and everything is going fine. We did had a service for telehealth that I just want to mention and with a physical therapist. And it went well, very informative and by many clients and very few clients are using the telehealth as physical therapy. Most of them are using psychology now in reference to the number for the new applicants. We had for brain injury eighty seven clients, for the spinal cord we had nine and for dual injury we had six with a total of a hundred and two. For the pediatric we had five brain injury and one spinal cord. In reference to the client service report, we had one hundred and thirty three brain injury, fifty six spinal cord, 11 dual injury with with a total of two hundred and for the pediatric side we had eight brain injury, one spinal cord and three dual injuries with the total of 12. In reference to the successful closures, we had a total of twenty four communities reintegrated and three that were referred to VR that's a total of twenty seven and for the pediatric we had none that fall in that category. But everything is running smooth and we're all here in the in the region working in the office. [00:24:24.450] - Kimberly Robinson OK, very good, thank you. We'll go back to Beth. Are you on the line now? [00:24:32.700] - Beth Collins Yes, can you hear me now, [00:24:34.490] - Kimberly Robinson OK? Yes, ma'am. You want to get our council an update on your region? [00:24:40.430] - Beth Collins OK, yeah, everything is running pretty smoothly in our region during this unusual time, I want to definitely speak about my staff as well. I definitely give them credit for thinking outside the box and keeping everything moving along for our part to just go over the numbers a little bit here for the new applicants for region one, we have sixty four brain injury, forty spinal injury, 17 dual injury or a total of one hundred and twenty one for adult and pediatric, we had 16 brain injured, no spinal cord injuries and one dual injury for a total of 17. Moving to the service client. We had 96 adult brain injury, eighty spinal cord injury and seven dual injury for a total of one hundred and eighty three. And on the pediatric side, we had nine brain injury, five spinal cord injuries and two dual injuries for a total of 16. And for our closures for the adult, we had a total of forty eight community reintegrated, no eligible for VR and a total of forty eight. For pediatric, we had four community reintegrated and none for VR and the total of four. [00:26:26.160] - Kimberly Robinson Any questions for Beth? [00:26:29.550] - Ricky Zeidman This is Ricky, I do have a question on the um I'm just trying to get back to the sheet on the pediatric, where you had 16 brain injuries, that's basically 40 percent of the total for the state. Do you have any comments or or why that's so high? [00:26:55.740] - Beau Pfister Beth I might be able to give a little bit of insight, this is Beau, Ricky to answer your question. I think one of the reasons that they might when it comes to some of the pediatrics is because one of the big rehab centers where we do get referrals across the state for individuals that are going to be and other places and Shands, they are generating some of the reports regardless of where the physical location of the client is. So that's where they were at the time of the referral most likely that would be my first guess without venturing too deep into some data. [00:27:31.970] - Ricky Zeidman Thank you. Thank you. [00:27:36.200] - Jeffrey Secure I have a question [00:27:36.590] - Kimberly Robinson Good question. [00:27:38.710] - Jeffrey Secure I have a question, this is Jeffrey I, I know that, but in a way or a random on the way is a very like a forum for what? What? When I read that the whole community is going through and somehow like things like kind of fluctuated and went from the lower or the same, you know, and corporations were like in the danger zone, the one that are low danger zone from the south ya know South Florida some people talk about the downside for them to go back home now and on the other hand, there is a number that one got the money and didn't come back for very freeing for and for a special community I live in. I guess I'll have the info update from that person that is not a part of the community, not just as a neighbor. I didn't know there was a regulation not to say or not. I don't know if any of that makes sense, though, not. Just to let you know what I'm thinking? [00:29:17.110] - Kimberly Robinson So I want to make sure that I hear what you're asking correctly, you're asking because of the various numbers throughout the state, in the regions, why some regions are higher with clients and some are lower with clients. Is that what you're asking? [00:29:41.200] - Jeffrey Secure Yes are they being are they being helped from by first responders as they are like three or four covid reason compared to Pensacola and spinal cord reason, you know, is anything blocking, you know, their receiving all of those services and help [00:30:16.560] - Kimberly Robinson So in all of our regions, there's no specific area that is preventing anybody from getting services. The referrals do vary in the regions like Region three is typically lower because of the area that they cover than, let's say, Miami and Jacksonville, because those are big cities. So there's going to be more going on in those regions, even in Orlando. But there's no region that because of covid or any other region, we're not able to provide services. [00:30:52.750] - Jeffrey Secure Thank you. [00:30:53.040] - Kimberly Robinson Is that what you're that's what you're asking? Correct. [00:30:57.740] - Jeffrey Secure Yes, that's right. Thank you. [00:31:03.990] - Kimberly Robinson OK, you're welcome. Bueau you want to give an update on region two. [00:31:10.390] - Beau Pfister Sure, be glad to. Well, we're just dealing with the same struggles that everybody is dealing with and trying to adjust and acclimate to the new environment that we're in, which does, like Jose previously mentioned, include telehealth. And I apologize if he can't see me. I'm sharing my screen as well right now, so it could get a little choppy and laggy. That's why you don't see me talking right now, because you do see my screen. But when it comes to our biggest hurdle for our region two, it was our biggest vendor that's been causing us some of the biggest issues lately when it comes to billing the affects of Covid more along the lines. I know we'll talk about this on a different subject, but just to give an insight of what we were dealing with and how we addressed it, getting the billing information in an accurate and timely manner to be able to assist and provide the funding and authorization to get it done within our hour time window has been somewhat of a challenge because of the dynamic of our vendors. So we actually just had an in-service as well on Tuesday with Orlando health billing and smoothed out pretty much any issues and kinks we were having, have a good chain of communication and just we went along with that. Other than that, we're kind of smooth sailing like everybody else. We're not billing services and nothing's being prevented as far as the rest of the external environment. What's going on? As far as our applicants? We had a total of ninety four. Sixty being brain injured, thirty two spinal cord injuries and two duals. As far as pediatrics, we had a total of seven, which is six brain injuries and one spinal cord injury. And as I was speaking previously, some of those referrals, it's very common for a lot of the referrals that come into region one, that they are designated as Region two clients as well just because we share a lot of the same county borders. So that's why you see a variation in the number, sometimes too. [00:32:58.680] - Ricky Zeidman Thank you [00:33:00.880] - Beau Pfister OK, as far as our in-service clients, we have a total of one hundred and forty six for the adult program. Eighty five brain injured, fifty six spinal cord injuries and five dual injuries. As far as pediatrics, we have a total of 16, 11 being brain injured and five spinal cord injuries. And for our community reintegrated closures at this time, we have a total of two or uh.. A total of nine for region two, guessing that number is a little low because we have we had some services and people that decided to delay services even if they were coming close to the end of the road we didn't hold that against them give everybody the benefit of the doubt at this time to make sure that all of their campaign objectives are complete. So we might be monitoring more or holding them just to make sure that they're getting services adequately and their comfort level as well. And finally, for the pediatrics, we had a total of two community reintegrated closures so with that we're swimming along. [00:34:02.550] - Kimberly Robinson Excellent. Anybody have any more questions for the region? If not, we'll jump down to Justin and he can give us an update on the resource center. [00:34:14.030] - Erick Collazo This is Erick Collazo, I have a question regarding on the report, it looks like accountability for V.R. there was seven people. Is V.R. operational during the pandemic? Is this typical of what you would see for a 90 day process with V.R.? [00:34:35.570] - Kimberly Robinson We don't have a lot of clients that actually get referred over to their spa, as I understand, they are still taking applicants. That do get referred over. [00:34:49.440] - Beau Pfister Yes, and the tough part would be all right now. Sorry, I thought you were finished. [00:34:55.030] - Kimberly Robinson Go ahead Beau. [00:34:56.820] - Beau Pfister Oh, I was just thinking, well, a lot of it now, the transition, even when I was a case manager, they were a lot more open arms to people in different situations when it comes to their rehabilitation and where they were in the status of their rehabilitation. It's gotten to a point now and I can't speak for the other regions, but when we try to send a referral, they have to be ready for work. That that is a contingency and it's a deal breaker. If they are not ready to go to work at this time, then they would not be eligible for the VR services. [00:35:34.930] - Erick Collazo So so when did you see that shift in their philosophy? [00:35:41.000] - Beau Pfister Well, definitely in the last couple of years, because it wasn't like that when I was a case manager between 2013 and 2018, maybe towards the end of it, I'd say in the last year or two, is really transition that way. And obviously, I like I said, I can't speak for other regions just to be our offices that we contact in our region. One thing we are planning on doing and coordinating soon is a statewide in-service with vocational rehabilitation. So maybe we can get some more insight on their processes and try to integrate it more into what we offer and how we transition individuals. [00:36:18.340] - Erick Collazo OK, I also know that our experience was they also will pay for educational services if you're not ready to go to work and you want to go back to school and continue your education, are you seeing them also slow down the process on education or is it just work related? [00:36:35.660] - Beau Pfister A lot of the instances that we've dealt with and circumstances and if there's any other manager has an answer on what you've dealt with, have been for employment. We haven't had any for the educational side. So I definitely couldn't speak to that accurately right now. [00:36:51.510] - Erick Collazo OK, thank you. [00:36:54.860] - Beth Collins I can say we have one recently and something I wasn't aware of, but if they wanted to go to a school or technical program or anything like that, they have to provide household income information and they have to meet eligibility to be eligible for the school for any kind of school, whether it's a state school, college or a technical program. The criteria for financial stability. [00:37:37.920] - Erick Collazo Thank you. [00:37:40.510] - Kimberly Robinson Good questions, Erick, Thank you. Justin, you want to talk a little bit about the resource center and what you've been up to? [00:37:48.700] - Justin Stark Sure, I'll talk a little bit about this for a minute, some of the outreach that we've done in July, July 10th, we spoke to actually a pretty large group, over 50 physical therapy students from Nova Southeastern University. That's in kind of the Clearwater area. On July 23rd in August, we spoke at both both meetings, about one hundred students, each from USFS medical school program. So and we we value these and services because a lot of times, you know, the biggest issue that people with brain and spinal cord injuries face once they're out in the community is finding practitioners, whether it be therapists, physicians, you name it, that are, you know, experienced with, you know, our conditions, with some of the resources that are out there as far as, you know, the state and you know, and things like that. And and just just the basics sometimes of, you know, being treating a patient that has one of these disabilities, you would think that they would get a lot of practice. But surprisingly enough, you know, schools and things like that, you know, they're very limited to whatever their clinical rotation may be. So, you know, we've we've partner with a lot of these universities because, you know, we're able to give, you know, these future practitioners experience and education and things while they're still especially now, while they're still on the learning phase and and becoming future physicians. So, you know, I think it's important to try to, you know, educate them early on and then, you know, as they get out into the field and get in on the practice and start treating patients, you know, they know some of the things that are out there. Also some things we have been doing. We and I think I spoke on this last time we've moved our, you know, normal physical support group to a virtual via resume. That's similar to what a lot of what a lot of support groups have been doing throughout the state. And it's great in a way. I mean, obviously, you lose the in-person contact, which is and some of the the opportunity for an individual to get out and and and be active in their community. But you also, on the other end of it, do pick up, you know, the ability to be able to open it up to people that may not be in a geographical location or may not have transportation, things like that. So I know the support group that we typically hold in Tampa, we've had members, you know, from Miami, from Orlando, from various different places where people are just looking for that camaraderie and that and that and fill that void that they're in isolation that they're experiencing now with some of the cold stuff. And then lastly, and I think this is in the later on the agenda, it'll be touched on a bit more. But we've been trying to, you know, look at increasing our our traumatic brain injury resources and components on our website to try to fill some of the void that that is lost with the BIAF. So that's that's my report unless anybody has any questions. [00:41:46.990] - Ricky Zeidman This is Ricky just a comment on the virtual meetings in the support group. I find that in the Delray Beach area where I go to Delray Beach Medical Center just started putting them online. Unfortunately, a lot of the elderly people get lost on that and they don't have the the technology wherewithal to do that. And it's sort of sad because we lose, say, a pretty fair amount of them who are seniors, who just aren't able to understand that technology and do it. On the other hand, like you said, though, you do pick up a lot of people that really wouldn't be able to travel. And so, I mean, there are pros and cons to that, to the whole thing. And I guess that's to be expected. [00:42:39.520] - Justin Stark I think when this is kind of when covid is kind of under control and and in the future, I think you'll see probably a combination of of of people going back to the in person and supplementing it with some of the virtual. I think that's kind of a I think we've kind of learned and to be honest with you, from each month that we go on, you know, we pick up members here and there. And there was a lot of in the beginning issues with, you know, people worrying about the technology aspect of it. And and, you know, we've we've had our and we still have our issues with, you know, trying to talk people through signing in and things like that. But it's slowly but surely, I think people are getting more comfortable with it. And just I mean, I don't have any firm data for this just from my overall just interaction with spinal cord injuries and and individuals throughout the state. I think the the par population is taking covid, for the most part pretty seriously. And there's far more people that I see that are erring on the side of caution and staying home and and not wanting to go out in the community versus those that are kind of out there just, you know, disregarding whatever, whatever, you know, guidelines that are put in place. So with that, you know, cautious population, I do think, you know, these virtual meetings are essential to to. To helping them try to have some kind of outlet, their. [00:44:20.250] - Kimberly Robinson Natalie, are you able to hear us now or can you can we hear you? You have some questions. [00:44:36.030] - Natalie Alden Can you hear me? [00:44:36.890] - Kimberly Robinson We'll keep working on it. Oh, yes. There you are. Awesome [00:44:40.540] - Natalie Alden I keep on trying to unmute the phone and then it goes back into the cell. So so I had a couple of things that I've been trying to unmute myself. So one question was when the VR is telling you that the has to be ready for work. Are they giving you a guideline on what they mean by that? Because as you stated, you know, education is a part of the armed services. And if somebody is able to go to school and they're wanting work, but they have to have the schooling first, that could be a several year process and being able to to finish some kind of either college or vocational schools, or are they giving you a guideline on that? [00:45:30.040] - Kimberly Robinson Any regional managers [00:45:32.910] - Beau Pfister I was gonna say for region two we have it, like I said, had a scenario like that, might be able to answer that as well. But when it comes to the educating or planning, whatever technical role or whatever the employment would be, I haven't had to go down that road just yet. But I do understand what you're saying. I was just going to call it a lot more quickly. You know, just this meeting is going to make me start of a lot more questions when it comes to exactly preparing individuals for getting to work and what their role is in that and how ready and what exactly does that define instead of somebody just saying, oh, if we had a we found one conversation I had with somebody was if we found a job for them tomorrow, would they be ready to go? And I said, absolutely not. But there you know, that's what their goal is at that time. For that, they were not going to be eligible. [00:46:22.910] - Natalie Alden So I would say that if you come across somebody, the other person who is saying that, then please, please, please contact our agency, because that is a direct violation of what VR is supposed to be doing. And that is something our advocates would definitely do, a supervised referral for that individual to ensure that they become of the our client and that they can move forward in that process. So that's first and foremost, you know, and and then on the other end of what what was being said as far as the support groups and everything, and I do, I think there will end up being some kind of hybrid on, you know, people being able to join, you know, virtually versus people doing stuff in person. I do say that I have friends of mine that that have not left their house for six months, you know, due to all of this COGAT stuff. And they are doing stuff online with people and everything. But I do see the impact of their mental and physical health has deteriorated over this time period with the fact that, you know, they're they're not even willing to take a safety precautions in order to go and do therapy and such. So it's kind of a double edged sword when we're saying that, you know, you know, people are not adhering to the guidelines, you know, when the guidelines are different in different communities and, you know, and trying to weigh catching covid versus, you know, making it where you're going to have a debilitating issues that are going to outweigh some some of that. So, I mean, it's a personal choice, and I think we should be respectful of that. [00:48:22.840] - Beau Pfister Agreed. [00:48:23.440] - Kimberly Robinson Thank you, Natalie. Any other questions for the regions or for Beau? OK, and I'm going to keep us rolling here, the next next agenda item is BSCIP's key Project. So I've asked each leadership member to talk about what some of their top projects are that they're working on right now for the program. So we'll start out with Ed, he's our RIMS project manager. [00:49:02.640] - Ed Mills And the first one I have to talk about is the central registry portal update, what we're currently doing, BSCIP, currently the central registry we receive in taxes as the primary means of receiving referrals from hospitals and facilities. Vaccines are still deemed to be very safe and a lot of facilities still use them regularly. BSCIP has been working with a company called Digital Innovation, and that's an outside vendor that the trauma group, which is the Office of Trauma, part of our same bureau, they actually use them to build the next generation trauma registry called NextGen, and that's how they receive all the stuff from the hospitals in regards to the trauma stuff that they to get. in data wise. And, you know, the big benefit of using them for the system is the hospitals are already used to the software. They're already in there. There's, you know, familiarity. So we've been working with them. And instead of faxes, the referrals are going to start becoming coming into electronically via the central registry portal is what we're calling. This analysis was performed on the Skip Central Registry processes by us and we determine what modifications we want to make for the future with the portal. So we're not having things quite as stringent on hospitals. You know, we always get a lot of stuff. What's missing data, things like that. So we really work for quite a while there to come up with how we wanted the new stuff to look at. All the screens have been created in the portal. We've been working back and forth with them, testing, making sure everything's good. We're about to do some final real world scenario testing. We've done some, but we need to do a final big run through of all the different scenarios that we deal with. Then we're going to have to identify some hospitals that we're going to bring in to test with us. Just a little test bed, probably two or three that we can work closely with, but they will be real world tests. They'll be putting in these referrals. They'll be coming to us. We'll be loading them. Those hospitals will then once they do their stuff, they'll submit things through the portal. And then we have our central registry. We almost call them like the specialists will be going up and grabbing those referrals, bringing them down entertainment trends. So that's phase one, is that the specialists and referrals from the portal? Phase two, which is going to take us a little bit of time to get to, but we are going to hopefully get there this year is where the referrals from the portal are uploaded electronically into RIMS automatically. So they get entered over here, is picked up by REM's via a timely job. It grabs those sets and right into Ren's and nobody has to enter anything. Phase three, which is the Holy Grail, is that hospitals create the the referral on their side and in their software. There's a way that they can do it through an XML template basically, and they can actually submit the data automatically up into the portal to go from their system directly into the portal, directly down to us. And nobody has to touch anything other than the hospital initially entering that information into their system. We already have. We know that there's a couple of hospitals that are interested in that. We've had that discussion years ago. So anyways, well, all of this stuff is going on. The British team is simultaneously using all of the information we gathered before. We're going to take the existing screens and we're going to modify things. We're having to figure out where the data is going to go back things through, make sure that we're getting all the scenarios here as to what the changes are going to be. Again, there's a lot of challenges with outside data coming into us, without us sitting there smoothing it out and making sure that all the scenarios of are being met, we're not getting duplicated clients, things like that. So all that analysis is underway right now in regards to our screens and we're doing what's called use cases. We're going to put that together so we can get all the buy in from all the other leadership. And, you know, people that we bring in from the team in order to look at the screens. And like I say, after we get them was looking at that with the team will be begin building on all the screens. So that's kind of our goal. Our main goal for this fiscal year is to get the central registry portal up. Very big project. We have a bunch of other projects that are constantly going on to. But this is going to be like our main primary focus. All right, so any questions? Go ahead. [00:53:34.980] - Yvonne Secure I'm just I'm Jeffrey Secure his mom, Yvonne, I'm a mother of a TBI survivor. So when the point of central registry and I probably should notice, but I just want to get clarification to the point of the hospital, the patient coming in to the for the client, whatever, coming into the hospital and then being part of the registry is that one that two year period, is it wasn't there a certain two year period that your agencies work with their client? [00:54:07.580] - Ed Mills I think this more.. [00:54:08.710] - Yvonne Secure was a two year and a previous meeting. [00:54:11.900] - Ed Mills Yeah, we will what we I think that's more of a benchmark. We have benchmarks in our program where we try to make sure that people are passing through various stages. And two years is typically the time frame that somebody would say in our program. And that's typically OK. That means like getting whatever services along those lines. But it doesn't mean that they can't go beyond that time. It doesn't mean they can be closed out before that time. But when it hits two years, we have to be looking at that case and saying, why is it gone this long? And, you know, is this justified? Should we be keeping this OK? Because, again, we're supposed to be short term services. [00:54:47.970] - Yvonne Secure OK, gotcha. And I think that's part of a struggle of a parent of a family that's affected by TBI, is that the TBI is a lifelong condition. And so I was just curious as to what the two year and thank you for clarifying that. That is helpful. [00:55:05.400] - Jeffrey Secure One other question. [00:55:06.080] - Ed Mills If this goes into the other concern. But again, remember that after us, there's long term care if somebody needs to apply for that waiver. [00:55:18.670] - Yvonne Secure Thank you [00:55:19.300] - Jeffrey Secure I have a question. And in regards to that, the possibility of of having added added possibilities for people that there are survivors of brain injuries and injuries being a job at the hospital that you went through. And if there's anything that worth to conflict with, with, you know, there are, I guess, work on on that particular person that was at one point a staff, you know, of the facility as well as a patient prior to. What could the case worker? Case worker informed of the the sudden layoff of what the hospital of new. So having as well as we got out of our personal experience with that, because I kind of. I didn't feel I didn't feel that I didn't feel the quote as, of course, the connection with the hospital as I have I with the patient, you know, I just felt like there was there was some I just fine line between being fairly treated and being pushed aside rather than make the changes after they fire you, you know, and and so there was a caseworker, you know, leading up to this pleasant moment, you know, like what happened what happened between there was a bridge, you know, when it fell apart, you know, because of their trial of having a patient, you know, for the first time, you know, become like a like stop, you know, like in a in a different Department of health or injury recovery, you know, and it wasn't born with for instance, I wasn't born, you know, something that that required services, you know. But when it happened all sudden, you know, there was a whole change of direction. I was headed and after the, you know, not self, admittedly, you know, said that they messed up or anything. But I did with, you know, the trial and error is, you know, me being the first one in that process of growing competition for working with the people that are caring for the patients in general. You know, so after the mistake was made with the problem that they had now what is what is the bridge between, you know, trial and error and being connected with a case worker instead of being forgotten about and having to be independent, more so on my own with help from my mother for, you know, she didn't have mental preparedness because of her own trauma from my recovery that prolong or the prolonged thing that wasn't in and then wasn't on the same time as me. You know, it took a long time for her to be vice versa, you know, to. I'm not sure if you guys are understanding me or not. [00:59:02.430] - Kimberly Robinson Let me let me let me answer a little bit for you, Jeffrey. I'm pretty sure I understand where you're going with this. So when a client's in the hospital and we get the referral and at the time that the client is discharged from the hospital, that that case manager's job is pretty much done at the hospital. That's where we step in and pick up and we try to help you to determine, first of all, we have to do our eligibility determination, but we try to find the supports that you're going to need, provide you with the equipment you're going to need services that you're going to need. And even though we're a short term program, when we close out a client from the brain and spinal cord injury program, we don't just bail your case is closed, see you later. We're not like that. So when we close out a client, we we have a closure letter that we send you. We talk to you first to let you know, you know, we've done as much as we can. We consider your community reintegrated. And if the client doesn't agree with that, that's OK. We can leave the case open a little bit longer. If there's something more that they need, even if it's just case management may be to help you find something else that you're looking for, maybe housing or what have you. So when we go to close, we talk to you, to you and the family first and let you know why we feel that it's time to close the case. Perhaps we've done everything that we can do. When we send that out to you, we also send additional resources to other places that can continue to help you in areas that maybe we can't anymore, but that's where these client surveys are also going to come into play excuse me, where we can follow up with the clients a little bit later just to see how you're doing. You know, we have the closure surveys that we're going to be doing. And so that's to reach back out and see how the clients are doing. So you're not really forgotten. And I think I can speak truthfully and say that our case managers take their clients to heart. You clients are not just a number to our to our case managers. Not at all. A lot of them get pretty attached. And so we have our surveys, but we also give the opportunity. And it's even in the closure letter, you know, if there's something else that comes up a little bit later down the road, maybe maybe a client needs a new wheelchair or maybe they need help finding, you know, physical therapy, anything, they can always call the case manager back. They can always request their case to be reopened. And we have what we call post closure services that we can help to provide with. We can't do as much as we can when you first came into the program because funding limits us. So I don't know if that kind of answers your questions or reassure you that for our clients, they aren't necessarily forgotten. Not at all. [01:02:15.120] - Audience (inaudible) [01:02:16.480] - Jeffrey Secure Yeah. Emotional emotionally person on a personal level. I was emotionally detaching myself from the region, from all the services because of me remembering some, don't you know, or whatever of the past and of me trying to be right. I remember myself. I and I wasn't as well or as well equipped in my own mind to become that, you know, and the finding that out. I had education, you know, and I would that the goal oriented mindset to be who I who I once was. Then things were added to the OCT, you know, wasn't like the program was and wasn't there, you know, what happened with the education. But, you know, like they improve on things and make things more available, you know? So I don't know. I don't know maybe. Yeah. [01:03:19.950] - Yvonne Secure Your point is made. [01:03:21.520] - Jeffrey Secure I don't know. What do you see from the that there? If I was ready to accept the services, I was I was I'm just glad that your caseworker did all they could. I just wasn't ready, ready to accept it. So thank you for clarifying all that for sure. [01:03:42.340] - Kimberly Robinson Absolutely. You're welcome. OK, Ed, you want to go on and talk about case notes as one of your projects. [01:03:51.940] - Ed Mills I'm going to say and what Jeffrey just said is kind of a real good lead-in into the case. That's why we're doing this. It doesn't seem like a huge project at face value, but we have case notes and which is a primary function of what we do. A lot of documentation goes in and we we figured out how we can utilize case notes in a much better manner because we're really heavy into performance indicators. We've been really using these a lot to make sure that people aren't forgotten, that, you know, if somebody is carrying a very large caseload, which happens from time to time, it's very hard to keep up with what's going on. And so we're trying to build stuff into our system. Now that in the REHM'S, which is rehabilitation information management system, we're trying to build in alerts and things that proactively alert a staff member about what is going on in their case. And we're going to keep building this out quite a bit because in the end, what we're trying to do is instead of people having to keep lists outside of the system, you know, be really super, super on top of what's going on because there's so much we want Rehm's to really be feeding them a lot of stuff, saying, hey, you need to do this within this time and just just keep pumping stuff out. And so we started looking at case notes and the case notes types because what we have in there has been there since before I got here, which is now 14 plus years ago. And we started looking at this. And it's going to be a very large transformation because we want to make things to, as a group together, better for staff to see. But primarily there's a better naming standard and, you know, obviously to allow indicator cohorts to be run. But, you know, just giving example, this would be like client contact. We have a case in there right now just for client contact. Well, right now, staff go in and put in both attempts that are made and successful contacts and the same contact type. Well, if you want to get any kind of meaningful data out of that, you have to use it because somebody has to go in there, read those and say, oh, yeah, they attempted to said, oh, yeah, they they found the calls, got a hold of somebody. We're breaking that up into a client contact attempt, client contact success. Seems pretty small, but it's huge on the back end because then we can start going in and saying this client was last contacted or was there was contact, but he was successful two weeks ago. Well, we can put benchmarks in our system where we know the dates of when these things went, when this date was, when we have benchmarks, when they're supposed to be contacting the clients, depending on where they've been in a certain status. So we can start alerting people and letting them know, oh, you need to give Joe a call. That was in such and such time. And if those things don't happen, we can alert higher up so people can go ahead and go in and go make sure that these clients are being served properly. So that's one of our big pushes that we're really working towards here. Like I said, let's see some of some of the examples of that like like I've written down here. Was the applicant being successfully contacted within the first 10 days. That's the benchmark we have internally. And we have to make sure that we get that. I mean, that's like a you know, we really want that immediately because of what Jeffrey said. When somebody is transitioning with us, we have to be there immediately to alert the you know, the clients that we're here for them has a client that is an applicant status and successfully contacted within the last 15 days, has a client that is in service status for six months and successfully contacted regarding regularly within four weeks. So there's just different timeframes we can set up in here and really make this to where we can and again, proactively tell our staff what is going on. And so we give them alertness, says, hey, you really got to contact this person. So this is going to be we're actually working on this project concurrently with the central registry. And the reason being there's going to be a lot of stuff we have to do with because we meet with staff, we pull things together, then we have to analyze and see how we're going to have to bring over data with data migration and stuff like that. So they're both being worked on concurrently and like I say, so we're working on that. And we're hoping that that will also be accomplished this year as well to that one, hopefully sooner rather than later, because as soon as we get that one going, the sooner we can go ahead and start running these new indicated reports. And we probably have now in our system, I say we're running probably anywhere from 30 to 40 indicators on a regular weekly basis. And again, I've been here for 14 years and we're pulling stuff that we've never pulled before. And it's been very helpful. We're tightening up a lot of stuff. It's really helping to show when staff need training, when something needs to change, if somebody is overworked, shows a lot of stuff. So we're really trying to hone our processes. And this is a means of getting us there. So any any questions on this this project? [01:08:55.780] - Kimberly Robinson Thank you. I appreciate that. Next, Beau's going to give us a couple updates on his projects that he's been working on and one of those him and Teresa work on together. But I'll let him share that with you. [01:09:09.260] - Beau Pfister Which one I do this all myself. No, I'm kidding. Of course, it's 3000 boxes, the. Leading the charge anyway. Yes, and one thing, this on top of what Jeffrey was saying, I think Ed would agree to this, and this is a good segue way. What you said really was a good Segway into our key project, because the end game of our key projects is to provide that it'll be your biggest advocate and to put ourselves in a position to build the consistency, to be your biggest advocate before and after. And a little saying we have and reason to at least is that case management is forever. You know, that is something. And that's where I would expect somebody who has successfully left our program or unsuccessfully left our program to be reaching out to us. You know, as one of their you know, I hope we've established that sort of position with their family, with their support. That's what we should be doing, is building that rapport and becoming the biggest advocate with that is setting ourselves up, you know, with my projects, especially, you know, that top off of what Ed's doing the case notes, those center registry porter. It's all going to be part of the procedures that we're trying to build, consistency with all of our procedures with that series. And I have been working on a weekly basis and actually have recurring meetings on a weekly basis for our annual refresher trainings. That's something that we're going to be doing, scheduling them at a time where there's not much said, you know, there's not much going on in the middle of the year. So January, we're going to start having our annual refresher training. It's going to touch the statutes, the policies, the procedures, all the procedures that the case managers, the rehab techs and managers and us should be literally living by and following to make sure that we're providing the best services we possibly can, because that is the end game. And to be most efficient with the services, with the budget. So that is in the works. That's something that we're going to start doing on an annual basis. This will be different than the mandatory training that state employees are required to take for the Department of Health. So this is going to be specifically to brain and spinal cord injury policies, procedures and operating procedures. And we're going to base it on a regional basis, meaning that we are going to be performing these training and we'll be doing five of them because we're going to go to each region and do it so we can individualize it a little more to the dynamics of that region, because that's going to be the fastest way to be the most efficient. So that's the direction we're going with the annual training. Any questions on that right now? [01:11:37.110] - Kimberly Robinson And if I. If I can chime in on that, I'm not sure if you said anything or not, Beau but this is where our health nurse consultant is going to be key in some of these trainings as well. So she's going to have a special section which is going to help with education for our staff members as well. [01:12:02.770] - Beau Pfister Absolutely, continual education is a priority as well, so having Nancy aboard and assisting with us is going to be very nice. OK, well, moving on, the second big kind of project, kind of adjusting glazed over this earlier when we were talking was the integration of brain injury resources to the Florida Spinal Cord Injury Resource Center. So this isn't something that's going to happen by tomorrow, but it is something that we are starting to actively work on. We're being proactive with what we're doing to the point where, although BIAF is no longer a tangible resource for us, we do have connections through it with a case manager that works in the region two Robin Tipton, who was employed with the Brain Injury Association. We had just been meeting with her and they're reaching out and gathering other resources. And we're starting to compile things to at least put on the BSCIPTraNet and, you know, to top off what we already have on the BSCIPTraNet to really start building a really good resource database for both brain and spinal cord injuries also as well is going to be a work in progress. But we're already already taking charge in that game as well. Any question? [01:13:22.210] - Kimberly Robinson All right. Thank you both. Next is Teresa. She is our program policy and compliance administrator. [01:13:32.080] - Teresa George Can everyone hear me? OK. One of the items that you all identified in one of our last meetings was wanting to know more information about our vendor directory, and so we've provided to report for you for this meeting, our vendor directory of active vendors. And also one of the goals for me in this position was to identify the areas where we have vendor deficiencies. And we did that by surveying the regions and asking the regional managers to reach out to the case managers. And so we've also provided that report for you so that you could see region wide what we are looking for. One of the other goals that I plan to hopefully meet this year is to develop some targeted recruitment for to fill in those gaps. And one of the ways I hope to do this, I hate to overwhelm the Rams team even more, but we are looking to do some also some to develop some performance indicator reporting in RIMS we actually have a weekly report that comes out about our vendors that have been inactivated and that are activated, that are currently carrying authorizations, active vendors with no active authorization. We do have some little glitches here with some of the vendors, sometimes part of what they have to do for us and also what they have to do is a state requirement. They're required to have an account with my for the marketplace and. To make sure that they stay active in that database, because if they don't log in at least once every four months, it will drop them off and then they kind of have to start over with us in the process. they are given a new secret number, which means we have to go in and and kind of reassign them back in and to the vendor directory. So those are just a couple of things that we're trying to see if we can tweak and help move along with the vendor directly in the future. [01:15:48.500] - Ricky Zeidman Teresa, this is Ricky, I have a couple of questions, the vendor areas of deficiencies, does that mean that we need more vendors in those areas? [01:16:00.150] - Teresa George Yes, for example, here, what Beau has on the screen for Region one and Region one consist of Jacksonville, Alachua, Tallahassee and the Pensacola area, they have a need for rehab engineers region wide. They have a need for contractors, region wide, transportation, region wide. And then they also need outpatient therapy that vendors that also accept Medicaid in certain counties. And so that's just our area. So if you have any type of suggestion or comment that you would like to send my way, feel free to email me with any suggestions that you have. Like I said, I want to do some target recruitment and we are in the process of developing that myself, myself and Caitlin Burch, who is our vendor directories specialist we're trying to get together and and make sure that we can target some of these certain vendors and groups in these areas where we do have the deficiencies. So it will help the case managers when they are looking for someone to serve the clients. [01:17:09.830] - Ricky Zeidman My other comment would be that Region five must be doing something right because they have zero deficiencies. [01:17:16.340] - Teresa George Well, that's a very big area down there, Miami. So I'm sure there are a lot more businesses there than in some of the other outlying areas, such as Jacksonville, because there's a lot of rural areas up in that region one. [01:17:28.370] - Ricky Zeidman Right. And I also look at region for where I'm located. I'm in Palm Beach County. I don't want to say I'm shocked to see that these just so many things that are needed. But how do we how do we as a team go about getting these vendors, you know, eliminating that, [01:17:46.110] - Teresa George That's that's what we need to find out, we need to find out. What it is that maybe prevents people from wanting to sign up as a vendor, I mean, is it is it the the hoops that they have to jump through? Is it they feel like it's too hard to get into my Florida marketplace. I mean, we do offer assistance for that. And the state has a has a number that you can call that to walk you through the process. It is just like any other type of vendor that you would have to sign up for. I mean, we do have certain requirements, but it's not unusual requirements. I mean, we require that you are part of my Florida marketplace and that you do show us a copy of your license and we can verify your license and that you have to have liability insurance, which a lot of these things are what you're going to have to have anyway if you're doing a job, even for an individual, sometimes they'll want that. I mean, if you pull a building permit, a contractor is going to have to show all that to a building inspector in order to get a permit. So it's nothing unusual that we're asking for. OK, thank you. So I just I just like all of the words out there that we're in need of those. [01:18:59.530] - Kimberly Robinson If I can chime in here for just a moment, because one of the reasons we brought this up to the council again during this time is in our last meeting, there were council members who asked us for a list of who all of all of our vendors are because we talked about this a little bit. And what were the areas in the type of vendors we were looking for? Because some folks had indicated that they may be able to have some contact sports or perhaps help find us some leads to help fill some of these deficiencies. So that was one of the the reasons for bringing this up again is to share that with you, because we would like your help. If you can think of an agency that may be willing to participate as a vendor or that can help us out in any of these counties. That would be fabulous to get that feedback from you all. [01:19:54.590] - Ricky Zeidman And I'm thinking that possibly the outreach committee that Erick is lead on might be able to do something in this area at a future time. [01:20:07.390] - Kimberly Robinson That's very possible. We're we're going to get down there to the committee meetings here just shortly. That'll be a good topic. Anybody else have any questions for Teresa, Ed or Beau? OK, does anybody need to take about a 10 minute break before we continue, we're about now maybe halfway through our agenda. All right, I'll take that as no and we'll just keep on rolling. We have had a few members join in that weren't at Roll Call earlier. So we have obviously, Natalie Alden is on the phone. Joanne Hoertz, I'm sorry if I butcher your name every time she is on the call. Marcha Marsha Martino Marsha Martino. I'm having a day with names. She has joined the calls. Tina Densley has also joined the call. Just so everybody's aware, we do have some more council members who were able to make it, that's fantastic. [01:21:18.320] - Teresa George You actually have eight kimberly so now you actually have a quorum present. [01:21:24.450] - Kimberly Robinson OK, wonderful. Thank you and thank you all for letting me know that you would you were joining, that was perfect. Next, we're going to go over the impact of covid 19 and Beau's going to speak on that. [01:21:42.530] - Beau Pfister OK, well, as we were talking before, as we were kind of going over the regions, telehealth is becoming more prominent. And when it comes to the effects of Covid, I think this is the biggest change in subtle one of that either that has been going on. And we're starting to see more and more of it with with the way I know you initially brought this up at the previous meeting saying telehealth might be something in this and that it has changed since then. And there are a lot of considerations going on. Even way above CMW right now is also considering making telehealth visits more permanent. Right now with the medical billing, everything is coded the same when we get a bill for these telehealth visits because CMS is giving them as a temporary kind of solution to the pandemic right now. So with that on the Billing, this isn't too much explanation, but the modifier to the billing and that's how they're making those changes. Now they're talking about making permanent codes for this. So I think for us to be the advocates for our clients is to try to get out there and make sure that anybody that can receive telehealth is better than receiving no services at all. I think Natalie was speaking on that earlier, and we do respect those decisions of everybody. And we tried to work around that with the vendors and with the availability of telehealth services that we have. Just to give you a quick little couple of numbers since, you know, since the initial beginning of our telehealth kind of world, Jose Dubrocq who did speak on the Region five. So, you know, he did attend and inservice attended a physical therapy visit. It seemed to go very well. It was well put together and the consumer had a good experience. So we've been paying for a little more. We're starting to you know, we're starting to create reports to show how much telehealth is actually going on inside of our care plans. If we're authorizing it for that particular service and bearing it down to some specific numbers, like as of right now, there are a total of sixty two different services that have been provided via telehealth. And if I'm reading that correctly, and Brain and Spinal has paid for 30 of them just about. And Ed if I'm wrong on that number at all or anything, you can chime in at any time. I know we kind of just got this and I asked for a lot, so I appreciate it. But we are really I think we're going to see this number increase. We're starting to see an increase on the care plans. And I think we're going to see a more permanency with this. So it's something that we're going to continue to adjust to and I also got an email. I don't know if anybody else is registered with the Brain Injury Association of America, but they're advocates for telehealth. I just took a survey this morning just explaining the experience and explaining what our clients are going through. So I'm going to try to urge I send it out to all of my readers, try to get everybody to maybe take the survey because they're going to be an advocate for the telehealth as well, and especially in our rural area and we're individuals that are immune compromised. I think this is a very viable option at the time, right this time right now. So I think it's going to be here to stay. Any questions right now. [01:25:02.590] - Kimberly Robinson I just wanted to add that just to let the council know that. Even though we have the pandemic going on that our clients are still getting fully served, we keep contact with them. We have staff members who are still teleworking because of the pandemic. Some folks have gone back to the office, but we have never missed a beat, even though we had staff teleworking and we still do. We have not missed a beat with any anything, any type of service, you know, any communication. We use teams a lot. We have ways that we can share printers through network and shared folders. So I just wanted to assure you all that we've not we've not dropped the ball on that one thing I'm really proud of the staff. They've done a phenomenal job, just phenomenal. And our computer geeks, Ed's team and Rob, they've just set things up so beautifully that it just works. It's it's just amazing how well it works. That's all I can say. [01:26:08.070] - Beau Pfister Now, I think that's a good point. Kimberly, just to top off on that, at the end, when it comes to a client not receiving a service brain and spinal, the brain spinal cord injury program has not prevented a client from receiving a service that they've chosen not to it has been one hundred percent their choice, which we have not held against them. [01:26:31.990] - Kimberly Robinson Any questions about the impact, anybody have any questions? OK, we're going to move on to community partners and Beau has a really good update on a project that we're working with FAAST on. I'll let you speak to that, please. [01:26:52.260] - Beau Pfister Ok, deep breathe. So, yes, we were presented, I forgot exactly how it was brought to our attention, but that's Fast and Home Smart Assistant, which is a company down in the southwest region of Florida, or they have a grant that they're putting together to create a smart home, persay for an individual, and they're looking for a specific demographic C4, C5 didn't specify too too much beyond that. They requested us to present some viable candidates to them that we had in our program. And Rosalind, I have to say, I appreciate has done a great job in preparing all this in Region three and getting everything put together. We are in contact with Matt Hollaway over at the atfast, have the applications. We're in the process of completing all of those, getting those submitted so they can kind of go through him and select a candidate for the smart home system, which is going to be an integrated system for electronics, an automated, more automated electronic things than than most houses would have or that they would be equipped with. That makes it all the more accessible when it comes to some of those features are barriers to independence that, well, C four or five Quad might have. So it's going to be more voice activation automation. And there are some technical aspects to it. And one of the prerequisites was I hope that whoever was going to be receiving this had the support of somebody that was technically able to provide it. So we're trying to deal with those specifications, provide what we can to fast to make a good decision and hopefully some of our candidates or some of our clients get selected. I think it'd be a good thing. And Roslyn or Kimberly, if I'm forgetting anything, feel free to chime in. [01:28:44.850] - Kimberly Robinson So on the on the agenda, we provided the Web address, if you wanted to go out and actually check it out a little bit yourself so you can see a little more detail about what that is and how we were approached was through through fast and a vendor called Cornerstone. What's the last part of that Cornerstone ventures? Cornerstone Ventures there they're are going to be doing there. There they are, the vendor that will be doing the installation and whoever home they. They picked we gave them several different clients that qualified for from BSCIP, they had eight of eight people that they could set this up for and they wanted to do this for at least one of our clients. So we're working with them. And we'll give you an update at the next meeting to let you know how that's going and how that client's doing. That's pretty exciting. So it doesn't cost BSCIP anything, it's just through the grant that FAAST has, so any questions about that? The next subject this was this has been a hot topic for quite a while here and thanks to Jane Johnson, who actually got me in touch with somebody over at AHCA, I was able to find out some information about the midwater client that transitioned back in two thousand seventeen. I wasn't allowed or I wasn't able to find out a whole lot of detailed information because of HIPPA, I was limited. But I did have some information here that I wanted to provide to you all. So maybe that would help you to understand what happened to them, to answer some of the questions that you were curious about. I can go over this in detail here if you want. I can't get any more information than what I've provided today in this report. So if you want more detail, you're going to have to make a public request through the agency for health care. I can't do that. This is the most that I could get. So we provided a couple of different reports to them that they needed, that we requested to me. They told me what they needed in order to get data back on the client. So Ed's team came up with those records and we submitted them along with the questions, because the questions that we asked them, you know, of the two hundred and one waitlist applicants, how many qualified and were added to long term care. What is the status of those cases? If the cases were closed? What were the reasons? And of the two hundred one waitress applicants that did not or did not or have not qualified. How many did not qualify and were not added to long term care? What is the status of those cases and for those cases that were close? What were the reasons? So they came back with the two hundred and one waitlist applicant transition. Fifty nine were enrolled. Fifty eight were enrolled in the long term care program. One client was enrolled into another DOA program. I don't know what program that is. Seven were enrolled in the Medicaid long term care program for some period of time or partial. For the seven individuals that were listed as partial, they were not enrolled in long term care program for a period of time, but are not currently enrolled as of six. Twenty nine twenty. So no additional information related as to why they disenrolled DOEA provided information to offer some reform, AHCA does not know what individuals these were. Thirty six were on the wait list. Ninety nine are none of the above. So of those ninety nine, these clients were released from the long term care wait, but didn't enroll for a variety of reasons, such as they either passed away. They were what they called in the pipeline for enrollment and etc. For individuals listed as none above in AHCA, these individual individuals are considered released from the wait list when they are in the process of enrolling. As such, they would no longer be formally considered to be on the waitlist if they were on the wait list and then did not enroll. They would also be counted in that group in the inservice. [01:33:44.630] - Ricky Zeidman Yeah, just looking at this from an outsider's view, this looks pretty dismal. It looks like a lot of people were eliminated, if I'm seeing that correctly, for whatever reasons or no reasons. [01:34:00.670] - Kimberly Robinson Well, the reason I can only tell you the reasons that they provided to me. So delivering it inservice client [01:34:13.530] - Joanne Hoertz Can you hear this is Joanne Hoertz? I do think when I kind of look at some existing residents in my facilities, I do think people just transitioned into other plans. They didn't stop receiving services that I don't have any data on that. But anecdotally, when I've looked at some history of some people on that wave, or it might not really be as dismal as it does appear to be. [01:34:45.110] - Ricky Zeidman That would be interesting to see. I think one of the concerns came when that article was that, you know, people would be be just fall through the cracks on it. And again, just looking at this, it appears that some did in lieu of another, you know, reason. [01:35:07.790] - Kimberly Robinson I can't say if (inaudible) [01:35:11.210] - Ed Mills I can tell you that I was part of the transition team, and one thing I can assure you is that we are working with our midwater team and the Rin's team and leadership team. We made sure that every person was handed off. We had when we actually had to pull these reports for him, we had case notes that were loaded again, case notes being a key thing. We had certain ones that had to be loaded stating that people from the long term care, they had certain representatives that these people were handed off. There was the whole thing. People had to sign letters. I mean, we went to the nth degree to make sure that nobody was dropped on our side. So I just want to make sure that that part is understood by everybody that I mean, we really went to as far as we could go to make sure that everybody was handed off cleanly. [01:35:58.550] - Ricky Zeidman Thank you. That's good to know. [01:36:04.430] - Kimberly Robinson Some inservice client, so questions asked by BSCIP of AHCA, so of the three hundred and forty eight inservice clients that were transitioned, what is the status of those cases? And for those cases that were closed? What were the reasons? Their response was of three hundred and forty eight clients transitions. Two hundred and eighty nine were currently enrolled in long term care. Forty one were deceased but previously enrolled in long term care. 11 were not enrolled. They had no current Medicaid eligibility to deceased to two passed away before January 1st of twenty. Eighteen two never enrolled in long term care. One was a volunteer voluntarily did not enroll in one was due to a level of care. Two did not enroll. One was unable to locate and one moved out of the country and one not enrolled was because they lost eligibility before January 1st of twenty eighteen. So I do hope that you do find some of this information helpful and it does answer some of your questions that you've been longing for. I can only apologize, I can't get any more information than that, but I wanted to provide you with what I could get. And again, you know, I thank Jane Johnson also she is the one who helped to find me a contact over there to work with for that. So I appreciate her. Next on the agenda is the Florida health charts, and Ed's going to give you an update as to where we are with that. And I believe you're going to show them the website and where the information was going to be maybe. [01:37:55.840] - Ed Mills Yeah, yeah, I'll give everybody a little little little show, Your Honor, so I'll let them keep holding on to this for a second and then I'll I'll swing it over and I'll grab the control from him in a second. So just to remind everyone, the self-help parts project, this is something that data used to be provided to them by BSCIP a long time ago and the data that was given over to them, the person that we had that was a data analyst left and there was no notes, there was no documentation as to what was being provided. And it was not easy to replicate what was getting put through their health charts. Their group as well, too, which is the Division of Public Health Statistics and Performance Management, Bureau of Community Health Assessment, Public Health Reporting Section. That's a mouthful. That's that's their group. They didn't have anybody on their site either that had any documentation. That's exactly what was being provided and in what way. So we determined that the best way to move forward was to come up with what was really helpful to the community and start fresh. And we did. And we had a lot of meetings and we came up with the decision that we were going to be sending through stuff regarding injuries, specifically clients that made it into an in-service status for a general program, adult for program, pediatric case. And the information regarding injuries was really key because they need it for disaster preparedness. They want to know within certain counties how many people in the general estimate are were injured that met our criteria so they could make sure that the shelters are set up. And so that's the first one that we went after. We still expect that in the future we may come up with extra data here that needs to be put out. But we the first thing you always have to do is get on the board. We wanted to get on the board and put out something meaningful, so. They see something really important to note here is that we really documented this process well, and so I think everybody is hopefully starting to see how well we work together as a team. I mean, I know what Beau is doing in his projects and Teresa and hers and vice versa. And can we all work together to make sure that we're not missing anything? And one of us has been doing something that oversteps some one of the other other groups. So we make sure that things are really well documented because we don't want to repeat some of the issues of the past where you come in here and you find out that something was great and nobody knows how to reproduce it. We have step by step documentation now that that points out how to pull this data, which is not easy to fool. This is one that our data analyst calls and goes through and step by step has to put the stuff together and then send it out. And it's something that my developers can do, too. But again, there's programs that you use like this one that's called FAAST, and it's one that a data analyst will use in order to really pull the data and scrub it and make sure that everything is correct. Now, since we even started this process, we ended up losing our data analyst who went back home from where she was from, which is another country during all this pandemic stuff. So we lost her. The good news is we won't lose a step. We can actually reproduce the data now as we need to reproduce it. And just so everyone knows the data, the first round we actually produced five years worth of data and that took a little bit because, again, there's always scrubbing and making sure that certain things we have to make sure there is no hit the information. We have to make sure there was anything where in the past something wasn't produced in the data. How do you handle that? But basically what we're including is injury type etiology, age group, race, ethnicity, gender and county of injury. Pretty key questions everyone wants to know and and to where we're at right now to is we're currently in the dev environment, Dev, and test for them. And we're finalizing just a couple of pieces of verbiage in regards to footnotes. Once those are done, they're going to be putting this out in the production site. So we're probably looking like within the next couple of weeks this will be out there. So we're actually very, very close. Let me pull this up and I'll share the screen. This what I'm going to show you guys is all in their Dev environment. I'm not great with navigating this yet, but it's pretty easy to use a screen here. OK, everybody can see this, this is what is basically going to look like and what gets populated up top all comes off of this injury type part here. But you can also do spinal cord injuries. You can do brain and spinal cord, which obviously gandules of you're both of those or the total clients across the board. And you can get down into specifics here, too. So, like, if you're looking for, that's the same. If you were looking in Duval County, wanted to see this one and look at certain times of the year you're looking at, this is all the years of data and there is a glitch and there's stuff where I say it's just it's the software wasn't built like this. They're actually trying to fix this to where it can come up and they'll just start off just with two thousand nineteen. But you see, I can turn these on and off. So if you wanted to really just look at twenty nineteen, you can actually look at this and see that injuries really seem to spike in June or Duval County. And then like I say, if you want to see it over time, you can come in and take a look at it. And then this is where you start getting in, start saying, all right, well, if all of these were up here for the same time frame, kind of like if you're doing this, the one example we always like to look at is Daytona. You look at Daytona during this week, it always spikes same time and it's very high. So if you're ever going to do any kind of prevention materials, handing things out, doing something along those lines, this is how you can actually go in there and identify that pretty well and visually. So this is like I say, you get to see the different pieces here and these are just different slices. So, again, you're looking at this from Florida standpoint, you know, across the board. And then again, you get figures down below. So it's a it's a pretty neat tool and it's just going to be nice, like to say you have this out there for people to be able to come in and use and start being able to access totally public space. And this can be accessed. We'll send it out to everyone when it's ready, but it's going to be through F.L. Health charts. It's a really good site to have a lot of information out there. So does anybody have any questions that they want to ask me? [01:44:38.090] - Marsha Martino This is Marsha. They hear me. Yes, ma'am. OK, some really great information, and perhaps this is just a minor point, but it would be really great to have person first language on there. So not brain injured clients, but clients with brain injuries, maybe a minor point, but it jumps out at me. [01:45:03.630] - Ed Mills Now, the thing when you're saying that that would be a major one for us, that's not something that I don't believe we capture at all. First language, so basically you want first language spoken like the primary language as we speak. [01:45:18.660] - Marsha Martino No, no, no, no, no, no person first language. So I'm not the person is not a brain injured client. It's a client who has a brain injury. It's the person first language kind of. And in social services, it's pretty basic to do person first language, so it's not a word, you know, [01:45:42.410] - Audience If you change the descriptor. [01:45:45.500] - Ed Mills It would be client with a brain injury for a client. [01:45:48.930] - Marsha Martino Exactly. Right, right. Right, exactly. That's pretty basic. I mean, in social services that that would be something that would really jump out at someone as as really inappropriate. So, I mean, outside of social services, it may not jump out, but it's still it's respectful. It's a respectful way to speak about someone. [01:46:15.040] - Ed Mills I think that's going to be easy enough for them to do. That's an interesting point. I mean, honestly, if in all the times I've done that, I've never actually heard that. But it makes sense and we have to be sensitive to that stuff, so. [01:46:28.440] - Marsha Martino Google it, it's all over the place, but probably just in the right and the right person, first language. Yeah, I mean, they've changed legislation and everything to make it person first. [01:46:41.100] - Ed Mills Thank you. [01:46:45.930] - Kimberly Robinson Good information. Thank you. OK, next on the agenda is the Icare values. So at our last meeting, there was a council member who suggested and made the recommendation if we could review the mission, vision and the values of the program. So I attached a document that tells you our mission, our vision, our vision and values, the Icare values. So our mission is to protect, promote and improve the health of all people in Florida through integrated state, county and community efforts. Our vision is to be the healthiest state in the nation. Our values, the eyecare stands for I stands for innovation, we search for creative solutions and manage resources wisely, B is for collaboration. We use teamwork to achieve common goals and solve problems. As for accountability. We perform with integrity and respect. As for responsiveness, we achieve our mission by serving our customers and engaging our partners and E is for excellence, we promote quality outcomes through learning and continuous performance improvement. So I thought that was pretty important to include how it was brought up as a recommendation. So anybody have any comments? They want to add. OK, Ricky, that's right. Well, thank you. We'll move on to council business now. So before we get into a discussion on our committees, which has been very interesting, our committees are very interesting and I'm really pleased on how they're going. Some of the conversation that I hear coming from the committees is talk about legislation and people wanting to go, you know, to advocate at the sessions when they open for legislative reasons. So the recommendation is. To form legislation, legislative committee itself, and the idea for that is we want to talk about. What the council can do, what it takes to make a change, and that includes writing rules, so this is going to be like an education committee. My recommendation, the first meeting is going to be brief. Maybe keep it to about an hour and this is going to go over what the council members and so forth can and can't do, such as they cannot propose legislation at any proposed legislation will need to go through we in through our process, public records requests will need to be made for any data that needs to be presented. Council members cannot lobby for anything for BSCIP. It may be possible that a council member can lobby in the capacity of an individual that I'm actually going to be verifying with legal, but I believe that to be correct. And any legislation request has to be ready and submitted by August. For September of twenty twenty one, so we missed this year in order to submit any changes, but we can prepare for anything we want to change. For twenty twenty one, so what I'm proposing and making a recommendation for is to send out a poll to see when the best date and time is for everybody, because there's a lot of folks to consider for this committee. So if you all like that idea, then I'll move forward with that if it's something that you all would be interested in. What do you say? Anybody [01:51:12.200] - Ricky Zeidman it's Ricky I would be interested to see how many people would be willing to serve on this type of a committee, we need I think we need some more participation right now. We've got the four committees and they're sparsely, you know, occupied when we have this legislative committee, which could be very important, I think I agree. But you know who's going to be doing it? That would that would be the question. [01:51:43.250] - Kimberly Robinson OK, so I can send out a doodle poll on that. [01:51:48.270] - Joanne Hoertz I would support that this is Joanne. [01:51:57.910] - Kimberly Robinson Well, what I'll do is I'll send out a doodle poll on it and we'll see what kind of feedback we get on it and I'll just move forward from there. So that takes us right into our conversation about our charter committee that we have, we have four of them right now. So the first thing I want to talk about is and this goes along with what you said, Ricky, is participation. So we have. All of our council members, except for three, have agreed to participate on a committee and those specific three individuals I sent an email to and I asked for them to think about what committee they would like to participate in and let me know. So I'm still waiting to hear back from those three committees, but they've been pretty active that are a little hard getting started. As my leadership team knows, the hardest part is getting the first one and to get it started. That's the hardest part. So I, I wanted to have each person from the committee, the lead council member, talk about their committee at this meeting. And I think what we're going to hear about what's going on in some of our committees is that they overlap a little bit. So it may be after we've heard from each committee member, it may be that we want to, you know, combine committee because some of them overlap a little bit or we may not want to. So let's just go through and get feedback on each committee first, hear what's going on, and then let's just bring it full circle at the end to see if maybe we need to combine committees or we can leave them the way that they've been going. So the first committee is the performance and quality improvement, which is Kevin Mullen. And Beau is the facilitator from BSCIP. So it's Kevin. I don't think Kevin's here. [01:54:09.430] - Beau Pfister I don't think so, [01:54:12.360] - Kimberly Robinson Beau you want to just talk a little bit about that committee. [01:54:16.140] - Beau Pfister Oh, well, sure. Where this will be very, very brief. We are the committee that I've been coordinating with Kevin and our other only other committee member. And the first day that we had available was tomorrow. So I did send the agenda out in the calendar. Invite everybody is more than welcome to come. We are the Performance and Quality Improvement Committee. So just a couple of little things that we will be starting with tomorrow and discussing maybe an update that's going to be a little reciprocated with today's meeting, obviously with the excuse me, customer satisfaction survey. Say that five times. Also, finalizing and discussing the quarterly report for the advisory council. The specifics of the quarterly report, so maybe we can build something a little more consistent. And other than that, that's kind of the base and pretty much anything. That's the goal. Number one of the approved charter, which is the Comprehensive Identification Evaluation and Documentation Report of program services, resources and stakeholders. So obviously, I'll have more insight after tomorrow after our inaugural meeting and be glad the present after that. [01:55:31.870] - Kimberly Robinson It's a start. Like I said, the hardest part is schedule first meeting [01:55:37.800] - Beau Pfister It's scheduled. [01:55:40.330] - Kimberly Robinson So I think, you know, and Ed used this for his I didn't use it then that doodle poll seems to be a good way to send it out and to figure out who is available and for what times so that maybe we can get more people to sit in. The next meeting is public awareness. Ricky, you want to speak about public awareness? [01:56:03.020] - Ricky Zeidman Yes, thank you. We had our first meeting on Thursday, September 10th at one o'clock. By the way, our next meeting is next Thursday, October 1st at one o'clock. The we we discuss target areas of where we would like to reach out and make the public awareness of the committee of the program. We talked about media meaning print broadcasting. We talked about medical facilities, including hospitals, rehab facilities, nursing homes, long term care facilities, doctors offices and walk in clinics. We discuss public agencies like county and city, public health departments and local and state police departments. We talked about educational entities, private and public, elementary, primary and secondary schools, and also public and private colleges and universities. And we also discussed elected officials, mayors, city managers, state senators and representatives and federal senators and representatives and then community associations. It was a pretty good meeting, a lot of input in there. However, when Kimberly was talking about perhaps combining committees, I think our committee and the outreach committee really have almost the same goals and that if a committee were to be combined, which I think is probably a good idea to consolidate that public awareness and outreach be combined as the Outreach, Outreach and Public Awareness Committee. And the work that should be one committee is I think the goal is, like I say, are the same. I'd be interested to see if Erick would agree with that. And that's that's my report. [01:58:01.350] - Kimberly Robinson Next, is education Joanne you want to talk about education? [01:58:06.610] - Joanne Hoertz Sure, sure. We had a meeting on September 1st and what we did is we kind of looked at what ways we could get more information out there, which is where I think there probably is overlap with other committees and talked a lot about the website, how it's sound, how do we get it promoted more, talked a little bit about it and brought up on the screen what the state or local or even State Department of Health website looks like. And is there a way that we can have more of a banner or a button on the front pages? We don't know that that's really something that's going to be very possible. Jane Johnson made a recommendation which was really great to kind of work with the Sill's so that we can try to get some information out on their Web pages and be able to help provide education and information via the social Web sites across the state. And I think that's something we need to work on in our next meeting. Then we talked about using the other resource of the actually the website of the Florida Spinal Cord Injury Resource Center and see if that would be able to be something we could use for education, even though it doesn't include brain. We wanted to see if there was an opportunity there, because the way that Web page is set up, it's very nice and it's very catchy. And I think it would draw in a lot of people to learn information. We were going to find out whether or not we can do any paid advertising to help with getting information out. And we talked about ways we can make the layup more friendly with pictures or question versus big things of of text. We're finding out who we could send email blast to in terms of educational materials so that we could update any referral sources. We talked about the need to try to get information out to case managers because we do think that they turn over quickly and see if there's a way we could identify if there's any regional areas that don't seem to be submitting referrals. So that was kind of what we talked about at our first meeting. And I need to send out a doodle poll to get this next meeting scheduled. [02:00:29.900] - Ricky Zeidman Joanne this is Ricky, keep in mind one of the things we put in our public awareness committee was the possibility of doing public service announcements and Erick had a contact with the Florida Panthers professional hockey team. They would probably be very short, 15 seconds, 30 seconds, but it probably wouldn't cost us anything because they these sports teams have the facilities to do it. And this may be something that would be basically free publicity. And if it worked for the Florida Panthers there, I have a list that we're going to be discussing on the next meeting next week that I have to send in to Ed. But I've listed, you know, a group of the professional teams within the state. There are a whole bunch. And this would be, you know, I think incredible publicity for us for the program and without a cost to us. [02:01:26.030] - Joanne Hoertz And that's a great idea. OK. I like that idea. [02:01:41.560] - Kimberly Robinson Excellent, The next committee is Outreach Erick would you like to speak to that? [02:01:47.220] - Erick Collazo Sure. How is everyone on the phone? So we've had two outreach committee calls and we sort of identified on the first call, if we're going to do outreach is it's about us. What's our story? What does BSCIP do? What what do we provide and how do you reach us? And it came to a conclusion that we really needed to get down to the infrastructure as far as how we get the information out. So one of the first three objectives we set what's what are what's our resource list? And can we identify a location like a Web site to put out a resource list to talk about our story? If we're talking to either somebody politically or somebody in the medical industry or somebody or a family, how do we get information out? Then we identified where they're going to be our communication methods. And third of all, what how do we identify who our audiences are? And we came to a conclusion on our second call after doing some research on this, that we felt that the amount of work that's already been done on the current website for Florida Spinal Cord Injury Resource Center, which if you have not been to that website, it's actually a very simple, simplistic website that actually works pretty well. And so one of the recommendations we wanted to make to the group is that we should probably focus the brain injury portion of it and combine it, since being Florida doesn't exist anymore, to combine it onto the resources, what Florida spinal cord injury and sort of make that the go to place for information and how we get our messaging out. We've all looked at, I guess, the DOJ website, the BSCIP, and we felt that that was a little bit too technical. It wasn't consumer friendly. So that's one of the recommendations that we're going to make generally. And it's probably a joint effort with the rest of the committee. From what I've heard. The other item that we discussed and I'm looking for my notes, I've got a bunch of papers here was what is the what what could be our social media outreach? And I guess there are restrictions from from a state perspective on social media. So Teresa is going to reach out to a social media manager. Teresa, I think is what you mentioned tomorrow and have a discussion with with them on what is flexibility and what are we allowed to do as a as a council, as far as what information we can put out on YouTube for video or Twitter or even Facebook. And then the other thing that we concluded was, if we're going to have these websites start generating information, whether it be social media or a static website that has data on it, what's going to be the protocol for posting information? I think the council, along with help from the staff, we need to decide what is going to be the priority and the protocol for posting information as we start doing our outreach and or our media campaigns or our essays. And our next call is on a three sort of confirmed. I think it's October 8th, Teresa. [02:05:23.630] - Teresa George October eight. Yes. At one o'clock when you have that meeting tomorrow with the communications office and I will also inquire during that meeting about the public service announcements, what we would need, what kind of hoops we have to jump through for that may not be the right person, that maybe she can point me to the right person. [02:05:45.070] - Erick Collazo Yeah. Ricky, in response to your your question about the sports teams, the response I got right now is they're just trying to figure out when they're going to open up, when the arenas will be full again, you know, because everything is a very limited as far as public awareness and public entry into the into the games. So they're just they're they're trying to figure out what tomorrow brings right now. [02:06:11.540] - Ricky Zeidman I can understand that. I can understand it. At least get the ball rolling. [02:06:16.510] - Erick Collazo Yeah, they're very friendly and they're open to discussion. I think they're just trying to they're concerned about, I guess, their own survival at the moment [02:06:23.390] - Ricky Zeidman I can definitely understand that. [02:06:28.240] - Erick Collazo So that's that's what I have for outreach committee. [02:06:33.720] - Kimberly Robinson Excellent. So we have four very good committees going in for the regional managers on the call. And I know Justin has been participating in some of these committees. You all are welcome to sit in on any of these committee meetings. We can have outside people in on the committee meetings. They, you know, anybody from the public, they just can't vote on anything when it comes time to vote. And in order for committee to vote on anything, all committee members or I'm sorry, all council members would have to be present or at least enough for a quorum. Know, just just as a reminder. So I'm looking for feedback from folks on what you think about. Do you want to continue with four individual committees? Do you want to try to combine any of the committees? I'm I'm open minded on anything. I'm good with the way they are. And if we wanted to combine I would be open minded to that as well. [02:07:36.780] - Ricky Zeidman So it's Ricky. At this point I'd say let's leave it as is and see how we progress. We've always got time to do that later on. And also, I'm sorry I have to leave the meeting now, but thank you very much for everything today. So. [02:07:52.150] - Kimberly Robinson OK, all right. Well, very good. Well, I hope you have a good rest of the day, Ricky. [02:07:59.440] - Ricky Zeidman Thank you, you too [02:07:59.950] - Kimberly Robinson And we'll leave, we'll leave, we'll leave the committees as they are right now. No problem with that. Anyhow, [02:08:08.710] - Marsha Martino This is Marsha Martino relative to the relative to the legislative committee, there may be more interest in people outside of this group or there may be additional interest from people outside this group of family members or or individuals who have brain injuries or spinal cord injuries may be people who would be interested in being active legislatively. [02:08:37.600] - Kimberly Robinson Excellent. That would be wonderful. [02:08:42.810] - Suzanne Doswell This is Suzanne in the old days, the Brain Injury Association affiliates, it's like CIA f words, that voice, and it was the families that presented that, as Marcia was suggesting. So it might be if we were to find a way to set it up and invite key people in, that might be where we need their voices and their participation without being told members of the council. [02:09:21.800] - Kimberly Robinson Well, I think what we're going to start with on that is because Leah will sit in on this as well, because she's she's my guru, she's my expert and I, I go to her because I don't want to mislead or misunderstand anything. So I would have at least had our first meeting and I. Picture that to be more of an education, to understand what what we can and what we can't do and how we go about doing that when we are reforming the charter. She talked about educating council members and our own staff members about these gift rules and will promulgation process and what we have to do in order to change statues and and what those processes are. So I think the first meeting, I would make it about an hour long so that we kind of all understand what the meeting or what the committee is about. And from there, we can move forward and then really start digging into it and then we can start inviting people in that we think would be supportive. Does that sound reasonable to you? Well. [02:10:40.560] - Erick Collazo Kimberly, this is Erick Collazo, I was part of the old BIF lobbying efforts and I was also BSCIP member, if I recall, because of legal issues, BSCIP BSCIP is very restrictive on what you can and how you can lobby. So from a legal perspective, historically, Brain Injury Association of Florida and the spinal injury, the Miami project were more more flexible and how they could register their lobbyists and go talk to the legislators in Tallahassee and meet with them. And because every time you walk into a legislator's office, you've got to register, you know, they want to know where you live and who you represent. And as a parent of a survivor, I could always put down parent of a survivor or brain injury association of Florida was one of their members. But if I recall, it was so restrictive to be a lobbyist and or a proponent for BSCIP that it was not recommended that we have a legislative committee. OK, maybe you should do legal research first with your legal side. [02:11:57.830] - Marsha Martino I actually know the answer to that because we do that. We have I do that for nomy. It can't be more than 20 percent of your budget or 20 percent of your time. So it's it's I mean, we hire actually we started a fire once before and hired a lobbyist, but it was really mostly for the comfort level of the other groups. Not many groups are going to hit 20 percent of their budget on a lot on a lobbyist. So and lobbying, you know, that's that is you think your members can lobby, you know, your constituents can lobby, so it's your own like staff money time budget that you have to worry about. It's hard to 20 percent. [02:12:43.290] - Erick Collazo You know, historically, we would invite survivors and their families to go to travel to Tallahassee and tell their story to the legislators, whether they were spinal injury or brain injury. So there was less amount spent on a third party lobbyists versus having families being trained on how to lobby and what to ask for. [02:13:08.700] - Marsha Martino It carries a lot more weight, so, [02:13:12.600] - Kimberly Robinson Well, I have been speaking with legal on this matter and about will promulgate promulgation and setting some new rules for this and so forth. And I are working on a project that would legal on that right now. So excellent suggestion, Erick. I appreciate your input. And Marsha, I greatly appreciate your input on this. What I'll do is I'll send out a doodle poll, the first meeting, and we'll see how that goes and take it from there. I know that if I talk to a lobbyist, I'm out. That ends my career with BSCIP right there. I cannot talk to that is number one rule. Do not talk to a lobbyist or you're out. That was pretty, pretty ingrained in me. So I do understand some of it. Do I understand it all fully? I'll admit that I do not. But I am willing to learn a little sponge. Sometimes I'm just willing to learn and I have a great teacher Leah is an absolute wonderful resource and a mentor. So I think that we'll go ahead and put something out there. We'll see how that first meeting goes and we'll take it from there. I'm not going to commit to it for everybody, but we'll take it from there and see how it goes. And I appreciate the council's input on that greatly. So do we have anything more about committees? Any other questions, anything we want to bring up? Ricky did have to leave, but that's OK. We can keep moving forward. We have Natalie here. The next agenda item was the client satisfaction survey. So unfortunately, I don't have any information to feed back to you all or to give back to you all the surveys as I'm still waiting for the division to make their final approval, that we can start our surveys and use those in. Leah is looking in to see why it's taking so long to get the approval back on them. I can only assume it's because of covid and everything that goes on up there with that whole pandemic. So as soon as I get the OK and my number comes up, I ask frequently if there's any update. I'm like the squeaky wheel. Sometimes I'm sure I annoy people, but it's important to me and I keep pushing. Eventually they're going to have to answer me because they're going to get tired of me. So they're going to have to answer me. That's all that I have on my agenda. Does the council have any recommendations for the next quarterly meeting? Anything that you would like to know more about? Any reports you would like to see? [02:16:10.090] - Erick Collazo This is Erick, I have a comment. One of the suggestions that came up in our our our committee discussions is what kind of resources are out there that that has a list of vendors or current resources that we can start updating the website. So we wanted to invite the council members and anyone else that has information on spinal or brain injury, either vendors or information that we can set links up in for these to Justin. And Justin has an email on his website, if Justin.Stark@FloridaHealth.gov. But so he wanted to sort of start assembling the information so he can start filtering it to see if it's available for use in the future. So that's a recommended area we wanted to make to the group. [02:17:07.480] - Beau Pfister Yes. I just want to make sure you know that with our email address is that there's a period in between first and last name, so it would be justin dot stark at florida health dot gov and that's across the board. His email address is also on the meeting if that helps anybody. All right. [02:17:26.600] - Erick Collazo It's also in the Florida Spinal Cord Injury Research Center on the contact us page on the tab. So Justin has volunteered to start getting in and I said, you know, you're going to be buried when everyone starts selling your data. [02:17:47.320] - Kimberly Robinson Welcome to The Jungle. [02:17:51.180] - Erick Collazo OK, that's all I have. [02:17:53.570] - Kimberly Robinson All right, excellent, excellent. Is there any new business? This is an open discussion, public comments, future meeting, date recommendations, anything anybody would like to put out there. [02:18:11.860] - Erick Collazo This is Erick again, Kimberly did when we were getting the data on the Medicaid waiver, I noticed there was 41 clients that had passed away. Do we know how it was covid impacted? Are we keeping data on any of our clients if they've had covid or haven't had covid? [02:18:35.280] - Kimberly Robinson The regions, they do identify clients that have had covid current cases for these NetWeaver clients, I would have no idea. I couldn't answer to that, and I don't think I'll get that data. I have to be really careful, as you know, about HIPPA [02:18:59.460] - Erick Collazo True No, I was just wondering if if because our client base, because of the injuries, I imagine they have to be more cautious because of covid. And if there was any data that we actually had that that could actually so we could educate others on how covid could really impact a TBI or a spinal cord injury survivor. [02:19:23.700] - Kimberly Robinson I don't think we're if we're tracking them, it would be in their case notes, perhaps when we notified that a client has expired. [02:19:36.290] - Ed Mills Erick to what you said that the data that you saw there, that was data that came directly from the Agency for health care. So those ones we wouldn't have any of that data because once they went to them and said, there's HIPPA we can get anything else. So we have no idea, but are also making a note for us to look at that about tracking samples, because we are putting it in case that's a stuff. But actually having that as a closure type of covid is actually the reason for death. [02:20:05.190] - Marsha Martino We're required to report it to DCF, so they're asking for it, so, you know, I can't believe it's you know, it's. They're obviously collecting it somehow. [02:20:19.080] - Erick Collazo OK, thank you. [02:20:21.770] - Kimberly Robinson You're welcome. Good question. We've got a lot of good questions there. You keep going as [02:20:27.530] - Erick Collazo Well as having a TBI survivor at home, It's a handful to make sure he's not going out and exposing himself. So any data I can find that there are is that [02:20:40.990] - Kimberly Robinson Absolutely (inaudible) [02:20:43.900] - Joanne Hoertz I'm sorry, this is Joanne Hoertz. I missed what your question was. I was distracted. I'm sorry. Could you repeat that? [02:20:48.970] - Erick Collazo My question was in the information that we got Medicaid waiver, there was 41 clients that had passed away. Did we know of what the percentage was due to covid if we knew that information? Do we have a covid mortality rate to TBI or spinal cord injury survivors? [02:21:08.450] - Joanne Hoertz That is a great question. I have not seen any data in the stuff that the state has put out or on the website. And I know that, you know, with those waivers in the long term care settings, there is a system that has to be reported in to send that data in the emergency status system. So we have to identify a number each day of anyone that would have been a death or a positive case. But they have no other identifying information about that, like type of of of, you know, primary diagnosis or anything. So there's there's nothing to link in the state of the system, the numbers that they have for covid mortality with primary diagnosis, I'm sure that there's other data, but it's not reported that way from the people that might have people that were in that waiver program. But that is a great question. We need a graduate student or a doctorate student to do this data for us. [02:22:25.360] - Joanne Hoertz (Inaudible) that's really that's really great. That's access. Amazing Erick. [02:22:31.800] - Ed Mills (Inaudible) to make a data request of the Agency for Health Care regarding some of that information, because that information goes up through the hospitals and they may be tracking some of that and they may be able to, with ICD 10 codes, be able to pull certain pieces to be able to tell you what the outcome was of them being in a hospital like that. I'm not positive with that, though. I don't know what hoops you have to jump through, but they would be the ones to be able to get that from, I think. [02:23:04.470] - Jeffrey Secure I think I think that I think because because of like people that are potential and have potential need to go to hospitals, they would like to know, you know, how risky it would be to go to the hospital because of either change the system or or a lack of quality. You know, and why is that? You know? And, you know, I would think that, you know, that during this time especially that it would be necessary. You know, that information is the patient or the family of the patients can find it, you know, to reassure their you know, their medical and, you know, studying is going to be safe that we could find it to without risking, you know, breaking rules as much. Why we checked twice or not. [02:24:10.060] - Erick Collazo It's actually a really interesting question, right? The risk of the hospital versus the risk of the patient, you know, depending on how many covid cases they have. I will tell you that my son never tells the doctors that he had a TBI, so we actually go to visits and say, you know, Andrew had it because he'll never remember if he is meeting a new doctor. We have to explain the story to him and give him the scans and everything, because he doesn't he doesn't give out the information. We actually have to tell people about it. So I'd be concerned that if he walks into a hospital or clinic that they may not know he's a TBI survivor because he won't tell them. [02:24:52.390] - Kimberly Robinson It's interesting. [02:24:57.460] - Natalie Alden Hi, um, I have a question about the resources that I'm on the website, and I, I know one of the things that I struggle with is locating. Support groups for TBI, free, free support, community type of resources, and I know there used to be some in Jacksonville area, so used to be like Camp TBI's that were but they they just kind of dissipated. And I don't know if there's anywhere any links that that are your website, you know, knows about or who kind of manages the support group type community. That might be another outreach method. [02:25:51.700] - Justin Stark I can talk about this a little bit, as you see, kind of I mean, I don't know who's operating, but if you go to our website, we have a separate kind of tab for spinal cord injury support groups. And, you know, we reach out to individuals, the individual contact that that run those. And and with support groups, as you can imagine, they change leaders frequently. They change methods of how they meet, you know, locations, things like that. So it is a constant running operation. You know, we're basically at this point without having the kind of most current list. I've seen a list of the physical kind of packet that we were providing with support for reformation. But it's it looks pretty outdated. So that's something we kind of need to look at and would really be helpful to me. If you guys do have contacts, whether it's just individuals that run support the support groups, because I look myself and can't find kind of a good cohesive list. So it's something we're going to have to, you know, put together probably from scratch, unless, you know, obviously if we're unless we're able to obtain some of the the resources being used towards the end and then kind of go from there. And even then, it's probably going to take some updating. The other thing I wanted to point out and kind of specify as far as like resources we're looking, if you kind of go to our A to Z, we have categories that we create and those are pretty fluid. We can create those very easily and quickly. And so as you send me information and things that we should add to the website, if you could just kind of keep in mind of do we need to create a new category or for that specific area and how it would be best populated in there. So, you know, some of this stuff obviously does overlap, whether you're a spinal cord injury or brain injury, things like relationships and dressing and stuff may be kind of, you know, similar, but they're very well, I'm sure are specific TBI related categories that the spinal cord population doesn't deal with that. Maybe we need to look at adding to these. I hope that helps answer the question, [02:28:41.830] - Yvonne Secure You know, having lived through it for the past 12 years and I remember thrusting into that community like you don't know what you don't know and you don't know what to expect. You don't know what's going to come back to normal. I don't know anything. And then I you know, I could see the value of connecting with other people to either share serious sort of help them or learn something from others, you know, so because it's all the information typically is not forthcoming. And I mean, I'm sure that they get some they're probably still in shock. You know, a year or two after the accident, you're still in a state of shock and denial and all that stuff. So that's for me personally, I know that that would, you know, may be a value and maybe others like me, even this long after the incident, it's still it's still fresh and it's still I feel like I could know, help others, that I could also learn from others to the continuous a lifelong thing. [02:29:44.870] - Beau Pfister And Justin, what I'll do from the regional side is I'll be meeting with all my managers tomorrow, we have a meeting, we will have a list of updated support groups that our case managers know to by early next week. That way we can get the ball rolling on that. That's a great point, something we definitely should be able to help provide for you. I can't I mean, there are no. [02:30:09.840] - Joanne Hoertz This is Joanne Hoertz. I'm sorry. [02:30:15.280] - Justin Stark I was just going to say under our support group tab, I mean, right now we have spinal cord injury groups, but there's nothing stopping us from easily just adding a brain for an injury group and start populating that. So once I start knowing about this or knowing the. [02:30:37.780] - Beau Pfister Sorry, DeLay. [02:30:40.050] - Justin Stark Now, once we start, once I start knowing about them, you know, it's a pretty easy add to the to the website, so that's all I got. [02:30:48.700] - Beau Pfister And even if even if we don't get up on the website, we can at least make sure you're apprised of them, get them on the BSCIPTraNet and make sure you have knowledge. And as well, it might be a good exercise for the regions to. [02:31:03.120] - Joanne Hoertz I just wanted to add this is Joanne Hoertz that at our organization, we have not been able to restart the support groups, we've done some virtual things. I don't know that they've really had a lot of luck with getting a lot of virtual things running in terms of support with brain injury groups. But as anything comes back online, I can make sure that the the council has that information. It has been very difficult, and I certainly can understand the frustration and the concern with not being able to have access to a resource like this during covid. [02:31:44.100] - Jeffrey Secure I got a little question about, well, I can't start a community for independent, independent living at the architect of those, you know, the first set of stuff that was working for a and I wasn't very familiar with the fellowship group. You know, there were something, you know, like I said, blockading. Ah, ah. Our desire for unity in our community and even though the stop is no longer. No longer what was the community, the effect of, you know, a few years of having to adapt to to the absence of of interacting with people for the good, you know? I don't know how to. I don't know how to. Bring bring it up to one hundred and twenty residents, you know, as in very agreeable, you know, approval from their standpoint when no staff is willing to comprehend what importance really they are defending the people who don't believe and know, the people who do you know, they support, know good for. You know, you're going above and beyond outside of the village. But what about our internal intoxicates? You know, our community is it should be allowed to have unity, you know, instead of feeling like we're we're here to say anything that has gotten us through the tactical or our physical, mental, emotional loss or gain or in life now when when we can't speak in. And I get the right way, you know, by just sharing our story, there's no there's no bonfire, no like to sit around and roast marshmallows. Now, you know, there's something about walking by individual. Privilege to do that for a reason for safety buyers not wanting to be started. I. I just feel that I feel that there is something that is starting guarding us from being the one being together despite our differences, you know, to come together and adapt to our differences and listen to things we have yet to experience instead of instead of being there, you know, in an isolated or in our own confused self. I don't know, if you guys have eperienced something like that private community, so we go to a new type of fashion thing going on in our system right now is in multiple places around around Florida. I don't know if the lead by example, you know, where the thieves come here and it starts popping up everywhere else, you know, is like when, when and when am I going to go to. To my mind, able to get the communication with other people like our own and see how they did it. I don't know if the president ever of a group know that. You know what you can be know. I just don't just I'm kind of I'm kind of feeling that the staff, you know, have passion for helping themselves. But I just don't know how without someone being allowed in here with a like there was a Tim Tebow foundation that dropped off some Bibles and then and then everything else, you know, you know, you're not welcome here. You know, for three years, you know, we can go to the church beyond our private family, but we can't have someone help people like A Chaplin or Reverend or anything coming in here and help these people find that they are always going to be there, you know? And so, I mean, it's a community that but it's just like you all do in some sort of a way. [02:36:44.320] - Kimberly Robinson Well, maybe if we find more support groups, we can find something near where you are. That will be more helpful for the struggles that you're having. We'll be posting them. Go ahead. [02:36:57.220] - Joanne Hoertz I have a couple ideas that maybe would be helpful for for Jeff. Is that OK? OK, so so Jeff, there is the the Brooks clubhouse, which is on University Boulevard, is open. And I'd be happy to to meet with you and I could introduce you to that resource. And it's OK, it's open, I'd be happy to be with you and help you or be able to help get. I don't know if you need transportation and if it would be helpful. If there's a person that, you know, I'd be happy to help talk to people at ARC about what needs are and maybe come up with a way to help them be able to safely have some individuals that are able to go in and provide support services in your in your in your community. [02:38:02.040] - Kimberly Robinson Joanne I think that all ties back to the fact that ties all back to our education committee [02:38:08.200] - Joanne Hoertz I think our people are people are very afraid with covid, but there are ways that we can you know, I can do education and help to set up trainings to to make sure people can get in and be able to get some sense of normalcy back to help because it is a very difficult time. [02:38:28.310] - Kimberly Robinson For sure. [02:38:28.830] - Jeffrey Secure Thank you [02:38:35.460] - Kimberly Robinson Are there any other comments or any other discussion? I think this has been a really good meeting, and I thank you all for taking the time to join Natalie Alden. Can you hear us since Ricky's left? Do you want to make a motion for closing in, adjourn? I don't know if you can can you hear me? We can't hear you if you're talking. I got a text, she says she makes a motion to adjourn [02:39:22.570] - Erick Collazo I Second the motion. [02:39:25.310] - Kimberly Robinson All right. All right, well, thank you all. I think I'll probably schedule the next meeting for maybe sometime in January. I'll get back with you all. Thank you. Thank you. Thank you. Have a good day. Thanks, everybody.