1 00:00:19,152 --> 00:00:20,186 >> GOOD MORNING. THE HUMAN 2 00:00:20,186 --> 00:00:20,820 SERVICES LABOR AND 3 00:00:20,820 --> 00:00:21,454 ECONOMIC DEVELOPMENT 4 00:00:21,454 --> 00:00:23,490 COMMITTEE MEETING OF THE 5 00:00:23,490 --> 00:00:24,591 SEATTLE CITY COUNCIL WILL COME 6 00:00:24,591 --> 00:00:24,958 TO ORDER. 7 00:00:24,958 --> 00:00:28,461 IT IS 9:33 A.M. , JUNE 5, 2026. 8 00:00:28,461 --> 00:00:30,363 I'M COUNCILMEMBER 9 00:00:30,363 --> 00:00:31,464 ALEXIS MERCEDES RINCK, CHAIR OF 10 00:00:31,464 --> 00:00:31,631 THE 11 00:00:31,631 --> 00:00:32,999 COMMITTEE. WILL THE COMMITTEE 12 00:00:32,999 --> 00:00:33,233 CLERK 13 00:00:33,233 --> 00:00:35,735 PLEASE CALL THE ROLL AND LET THE 14 00:00:35,735 --> 00:00:36,236 RECORD 15 00:00:36,236 --> 00:00:37,103 REFLECT 16 00:00:37,103 --> 00:00:38,438 COUNCILMEMBER HOLLINGSWORTH AND 17 00:00:38,438 --> 00:00:39,272 JUAREZ 18 00:00:39,272 --> 00:00:39,773 ARE 19 00:00:39,773 --> 00:00:40,039 EXCUSED. 20 00:00:40,039 --> 00:00:40,373 >> VICE CHAIR 21 00:00:40,373 --> 00:00:41,040 FOSTER. 22 00:00:41,040 --> 00:00:41,341 >> HERE. 23 00:00:41,474 --> 00:00:43,510 >> COUNCILMEMBER 24 00:00:43,510 --> 00:00:44,277 SAKA. 25 00:00:44,277 --> 00:00:44,711 >> HERE. 26 00:00:44,844 --> 00:00:45,879 >> CHAIR 27 00:00:45,879 --> 00:00:46,179 RINCK. 28 00:00:46,179 --> 00:00:46,346 >> 29 00:00:46,346 --> 00:00:46,813 PRESENT. 30 00:00:46,813 --> 00:00:48,148 >> CHAIR, THERE ARE 31 00:00:48,148 --> 00:00:50,650 THREE MEMBERS PRESENT AND TWO 32 00:00:50,650 --> 00:00:50,917 EXCUSED. 33 00:00:50,917 --> 00:00:51,518 >> THANK YOU. 34 00:00:51,518 --> 00:00:52,685 WE WILL NOW MOVE ONTO 35 00:00:52,685 --> 00:00:54,687 APPROVAL OF TODAY'S AGENDA. 36 00:00:54,687 --> 00:00:56,089 IF THERE IS NO OBJECTION, 37 00:00:56,089 --> 00:00:58,258 THE AGENDA WILL BE ADOPTED. 38 00:00:58,258 --> 00:00:59,926 HEARING NO OBJECTION, THE 39 00:00:59,926 --> 00:01:00,760 AGENDA 40 00:01:00,760 --> 00:01:01,694 IS ADOPTED. WELCOME, EVERYONE. 41 00:01:01,694 --> 00:01:04,364 WE HAVE THREE ITEMS ON 42 00:01:04,364 --> 00:01:04,898 TODAY'S AGENDA. 43 00:01:04,898 --> 00:01:07,634 FIRST A VOTE ON A RESOLUTION 44 00:01:07,634 --> 00:01:08,535 UPDATING CITYWIDE PARKING 45 00:01:08,535 --> 00:01:10,403 AND BUSINESS IMPROVEMENT AREAS 46 00:01:10,403 --> 00:01:10,570 OR 47 00:01:10,570 --> 00:01:13,273 BIAs, THEN A BRIEFING FROM KING 48 00:01:13,273 --> 00:01:15,508 COUNTY REGIONAL HOMELESSNESS 49 00:01:15,508 --> 00:01:16,509 AUTHORITY REGARDING 50 00:01:16,509 --> 00:01:17,644 THE COLLECTIVE ACTION PLAN 51 00:01:17,644 --> 00:01:19,145 SUBMITTED BY THE AGENCY TO BOTH 52 00:01:19,145 --> 00:01:19,379 THE 53 00:01:19,379 --> 00:01:20,914 MAYOR'S OFFICE AND COUNTY 54 00:01:20,914 --> 00:01:26,286 EXECUTIVE ON MAY 55 00:01:26,286 --> 00:01:29,189 2, 2026. AND FINALLY WE HAVE A 56 00:01:29,189 --> 00:01:31,224 BRIEFING FROM THE CITY HUMAN 57 00:01:31,224 --> 00:01:33,660 SERVICES DEPARTMENT AND SEATTLE 58 00:01:33,660 --> 00:01:33,893 HEALTH 59 00:01:33,893 --> 00:01:36,262 KING COUNTY TO SUBSTANCE 60 00:01:36,262 --> 00:01:37,163 USE DISORDER. 61 00:01:37,163 --> 00:01:38,097 AND WITH THAT WE WILL NOW 62 00:01:38,097 --> 00:01:39,632 OPEN THE HYBRID PUBLIC COMMENT 63 00:01:39,632 --> 00:01:40,133 PERIOD. 64 00:01:40,133 --> 00:01:41,067 PUBLIC COMMENT SHOULD RELATE 65 00:01:41,067 --> 00:01:42,669 TO ITEMS ON TODAY'S AGENDA 66 00:01:42,669 --> 00:01:43,903 OR WITHIN THE PURVIEW OF 67 00:01:43,903 --> 00:01:44,471 COMMITTEE. 68 00:01:44,471 --> 00:01:47,207 CLERK, HOW MANY SPEAKERS ARE 69 00:01:47,340 --> 00:01:47,807 SIPED UP FOR TODAY. 70 00:01:47,807 --> 00:01:49,275 >> CURRENTLY WE HAVE 71 00:01:49,275 --> 00:01:51,544 ONE IN- PERSON SPEAKER SIGNED 72 00:01:51,544 --> 00:01:51,945 UP, 73 00:01:51,945 --> 00:01:53,346 AND THERE ARE TWO REMOTE 74 00:01:53,346 --> 00:01:53,780 SPEAKERS. 75 00:01:53,780 --> 00:01:54,147 >> THANK YOU. 76 00:01:54,147 --> 00:01:55,215 EACH SPEAKER WILL HAVE 77 00:01:55,215 --> 00:01:55,682 TWO MINUTES. 78 00:01:55,682 --> 00:01:57,016 WE WILL START WITH IN 79 00:01:57,016 --> 00:01:58,151 PERSON SPEAKERS FIRST. 80 00:01:58,151 --> 00:02:00,620 CLERK, CAN 81 00:02:00,620 --> 00:02:01,888 YOU PLEASE READ THE PUBLIC 82 00:02:01,888 --> 00:02:02,121 COMMENT 83 00:02:02,121 --> 00:02:02,689 INSTRUCTIONS. 84 00:02:02,689 --> 00:02:03,523 >> THE PUBLIC 85 00:02:03,523 --> 00:02:04,624 COMMENT PERIOD WILL BE MODERATED 86 00:02:04,624 --> 00:02:04,858 IN 87 00:02:04,858 --> 00:02:06,426 THE FOLLOWING MANNER. 88 00:02:06,426 --> 00:02:09,295 SPEAKERS WILL BE CALLED IN THE 89 00:02:09,295 --> 00:02:11,564 ORDER IN WHICH THEY 90 00:02:11,564 --> 00:02:12,832 REGISTERED UNTIL THE PUBLIC 91 00:02:12,832 --> 00:02:14,133 COMMENT PERIOD HAS CONCLUDED. 92 00:02:14,133 --> 00:02:15,835 PLEASE BEGIN SPEAKING BY STATING 93 00:02:15,835 --> 00:02:17,337 YOUR FULL NAME AND ITEM YOU 94 00:02:17,337 --> 00:02:17,704 ARE ADDRESSING. 95 00:02:17,704 --> 00:02:18,905 SPEAKERS WILL HEAR A 96 00:02:18,905 --> 00:02:20,139 CHIME WHEN TEN SECONDS ARE LEFT 97 00:02:20,139 --> 00:02:21,407 ON THEIR 98 00:02:21,541 --> 00:02:22,809 TIME. SPEAKERS MICS WILL BE 99 00:02:22,809 --> 00:02:23,076 MUTED IF 100 00:02:23,076 --> 00:02:24,611 THEY DO NOT END THEIR 101 00:02:24,611 --> 00:02:25,612 COMMENTS WITHIN THE ALLOTTED 102 00:02:25,612 --> 00:02:25,812 TIME 103 00:02:25,812 --> 00:02:28,314 TO ALLOW US TO 104 00:02:28,314 --> 00:02:28,715 CALLOON THE NEXT 105 00:02:28,715 --> 00:02:29,315 SPEAKER. THE PUBLIC COMMENT 106 00:02:29,315 --> 00:02:29,616 PERIOD IS 107 00:02:29,616 --> 00:02:30,984 NOW OPEN, AND WE'LL BEGIN 108 00:02:30,984 --> 00:02:32,485 WITH THE FIRST SPEAKER ON THE 109 00:02:32,485 --> 00:02:32,685 LIST. 110 00:02:32,819 --> 00:02:33,286 >> THANK YOU. 111 00:02:33,286 --> 00:02:35,989 THE FIRST IN- PERSON SPEAKER IS 112 00:02:35,989 --> 00:02:37,624 MICHAEL PICKETT. 113 00:02:37,757 --> 00:02:38,658 >> GOOD MORNING. 114 00:02:38,658 --> 00:02:39,959 I WANTED TO THANK COUNCILMEMBERS 115 00:02:39,959 --> 00:02:42,929 FOR YOUR SACRIFICE. 116 00:02:42,929 --> 00:02:44,998 YOU GET 117 00:02:44,998 --> 00:02:46,032 MORE COMPLAINTS AND CRITICISM 118 00:02:46,032 --> 00:02:46,699 THAN YOU DO 119 00:02:46,699 --> 00:02:47,967 COMPLIMENTS, AND I APPRECIATE 120 00:02:47,967 --> 00:02:48,968 THE WORK YOU DO. 121 00:02:48,968 --> 00:02:50,169 I SERVE ON THE BOARD OF 122 00:02:50,169 --> 00:02:51,337 FAIR START AS A 123 00:02:51,337 --> 00:02:52,805 COMMUNITY VOLUNTEER. I LIVE IN 124 00:02:52,805 --> 00:02:53,606 THE CITY OF SEATTLE. 125 00:02:53,606 --> 00:02:55,341 I'M NOT HOMELESS AND I 126 00:02:55,341 --> 00:02:55,942 NEVER 127 00:02:55,942 --> 00:02:57,677 HAVE BEEN. I HAVE A CAREER IN 128 00:02:57,677 --> 00:02:58,511 MANAGEMENT 129 00:02:58,645 --> 00:03:00,046 CONSULTING. I HELP COMPANIES 130 00:03:00,046 --> 00:03:00,780 LIKE 131 00:03:00,780 --> 00:03:03,683 MICROSOFT AND STARBUCKS IN THE 132 00:03:03,683 --> 00:03:04,417 CITY OF 133 00:03:04,417 --> 00:03:05,385 SEATTLE, THE STATE OF 134 00:03:05,385 --> 00:03:06,486 WASHINGTON, AND KING 135 00:03:06,486 --> 00:03:06,686 GATES 136 00:03:06,686 --> 00:03:07,887 FOUNDATION. AND EVERY SINGLE ONE 137 00:03:07,887 --> 00:03:08,521 OF THEM 138 00:03:08,521 --> 00:03:09,956 HAD AREAS THEY NEEDED TO DO 139 00:03:09,956 --> 00:03:10,189 BETTER. 140 00:03:10,189 --> 00:03:12,058 I THINK THE CITY OF SEATTLE 141 00:03:12,058 --> 00:03:13,726 DOES REALLY WELL, AND I 142 00:03:13,726 --> 00:03:15,028 THINK THEY HAVE AREAS THEY NEED 143 00:03:15,028 --> 00:03:18,064 TO DO 144 00:03:18,064 --> 00:03:20,533 BETTER. 145 00:03:20,533 --> 00:03:21,134 THEY ARE A 5-YEAR- 146 00:03:21,134 --> 00:03:21,634 OLD ORGANIZATION. 147 00:03:21,634 --> 00:03:22,468 THEY WERE FOUNDED AND 148 00:03:22,468 --> 00:03:25,905 STARTED BY A LEADERSHIP TEAM NOT 149 00:03:25,905 --> 00:03:26,806 TERRIBLY 150 00:03:26,806 --> 00:03:29,542 PROCESSED AND 151 00:03:29,542 --> 00:03:30,443 ENTREPRENEURIAL. THAT LEADERSHIP 152 00:03:30,443 --> 00:03:31,511 TEAM IS NO 153 00:03:31,511 --> 00:03:32,312 LONGER HERE. 154 00:03:32,312 --> 00:03:35,615 WE'RE NOW UNDER VERSION TWO OF 155 00:03:35,615 --> 00:03:36,115 KCRHA. 156 00:03:36,115 --> 00:03:38,017 TO EXPECT FLAWLESSNESS IN 157 00:03:38,017 --> 00:03:39,385 THEIR OPERATIONS IS NOT 158 00:03:39,385 --> 00:03:39,819 REALISTIC. 159 00:03:39,819 --> 00:03:41,221 THEY'VE GOT AREAS THEY NEED TO 160 00:03:41,221 --> 00:03:41,554 IMPROVE. 161 00:03:41,554 --> 00:03:42,922 WHAT I WOULD URGE ALL OF YOU 162 00:03:42,922 --> 00:03:44,757 TO DO IS TO HELP THEM, ADVOCATE 163 00:03:44,757 --> 00:03:46,392 FOR THEM, AND HOLD THEM 164 00:03:46,392 --> 00:03:47,227 ACCOUNTABLE, BUT THEY 165 00:03:47,227 --> 00:03:48,428 NEED SUPPORT. THEY NEED A LITTLE 166 00:03:48,428 --> 00:03:48,761 MORE TIME 167 00:03:48,761 --> 00:03:50,496 TO GET THINGS FIGURED OUT. 168 00:03:50,496 --> 00:03:52,231 IF WE'RE IN THE SAME SPOT IN 169 00:03:52,231 --> 00:03:54,267 A YEAR OR TWO, I THINK A 170 00:03:54,267 --> 00:03:54,901 REEVALUATION AND A 171 00:03:54,901 --> 00:03:55,835 SERIOUS ONE IS WARRANTED. 172 00:03:55,835 --> 00:03:57,937 BUT RIGHT NOW OUR COMMUNITY, 173 00:03:57,937 --> 00:04:00,173 PEOPLE ON THE STREETS, 174 00:04:00,173 --> 00:04:03,843 AND EVERYBODY WANTS MORE 175 00:04:03,843 --> 00:04:04,110 RESULTS. 176 00:04:04,110 --> 00:04:05,278 AND KCRHA AND THE 177 00:04:05,278 --> 00:04:07,080 ORGANIZATION IS SET UP AS BEST 178 00:04:07,080 --> 00:04:07,814 POSITIONED TO DO THAT. 179 00:04:07,814 --> 00:04:10,850 IF YOU WERE TO TRY AND NEUTER 180 00:04:10,850 --> 00:04:12,285 THEM OR MAKE A 181 00:04:12,285 --> 00:04:13,419 CHANGE, IT WOULD COST MILLIONS 182 00:04:13,419 --> 00:04:13,686 AND TIME. 183 00:04:13,686 --> 00:04:15,688 AND IT'S TIME THAT WE DON'T 184 00:04:15,822 --> 00:04:17,023 HAVE. SO I WOULD URGE YOU TO 185 00:04:17,023 --> 00:04:18,524 SUPPORT THEM, ADVOCATE FOR 186 00:04:18,524 --> 00:04:20,193 THEM, ADVOCATE FOR THE FOLKS WHO 187 00:04:20,193 --> 00:04:20,627 ARE 188 00:04:20,627 --> 00:04:22,228 HOMELESSNESS -- WHO ARE 189 00:04:22,228 --> 00:04:23,896 HOMELESS, AND GIVE IT 190 00:04:23,896 --> 00:04:26,633 ANOTHER SHOT AND HOLD THEM 191 00:04:26,633 --> 00:04:26,966 ACCOUNTABLE. 192 00:04:26,966 --> 00:04:29,669 THANK YOU. 193 00:04:29,802 --> 00:04:31,170 >> THANK 194 00:04:31,170 --> 00:04:31,604 YOU. 195 00:04:31,604 --> 00:04:33,306 >> THE FIRST REMOTE SPEAKER 196 00:04:33,306 --> 00:04:35,775 IS ALBERTO ALVAREZ. 197 00:04:35,775 --> 00:04:38,578 PLEASE PRESS STAR SIX WHEN 198 00:04:38,578 --> 00:04:39,479 YOU HEAR THE PROMPT. 199 00:04:39,479 --> 00:04:49,722 YOU HAVE BEEN 200 00:04:51,190 --> 00:04:52,792 UNMUTED. 201 00:04:52,792 --> 00:04:53,693 >> THANK YOU. 202 00:04:53,693 --> 00:04:55,061 GOOD MORNING, CHAIR RINCK 203 00:04:55,061 --> 00:04:57,063 AND VICE 204 00:04:57,063 --> 00:04:58,031 CHAIR FOSTER. PRICE INCREASES 205 00:04:58,031 --> 00:04:58,698 DUE TO TARIFF 206 00:04:58,698 --> 00:05:00,600 WHERES, THE IRAN OIL 207 00:05:00,600 --> 00:05:03,136 BLOCKADE, AND FEDERAL BURDENS ON 208 00:05:03,136 --> 00:05:04,704 TRADE 209 00:05:04,704 --> 00:05:05,471 AND MANUFACTURING INFLATING 210 00:05:05,471 --> 00:05:07,307 THE PRICE TO CONSUMERS TO OUR 211 00:05:07,307 --> 00:05:08,675 CITY WOULD FURTHER PUSH 212 00:05:08,675 --> 00:05:11,544 LOCAL SHOPPERS AND NEARBY 213 00:05:11,544 --> 00:05:11,944 RESIDENTS 214 00:05:12,078 --> 00:05:14,380 AWAY. THE MAJORITY OF WORKERS IN 215 00:05:14,380 --> 00:05:14,914 HOTEL 216 00:05:14,914 --> 00:05:16,382 HOSPITALITY, FOOD AND 217 00:05:16,382 --> 00:05:18,685 DRINKS, BUILDING MAINTENANCE, 218 00:05:18,685 --> 00:05:18,851 AND 219 00:05:18,851 --> 00:05:20,386 MORE LIVE FAR OUTSIDE THE 220 00:05:20,386 --> 00:05:20,687 BOUNDARIES 221 00:05:20,687 --> 00:05:23,556 OF OUR CITIES -- OF OUR CITY. 222 00:05:23,556 --> 00:05:24,991 MOST OF WHICH WOULD NOT 223 00:05:24,991 --> 00:05:28,695 BENEFIT FROM THE MAYOR'S 224 00:05:28,695 --> 00:05:29,195 SPENDING ON 225 00:05:29,195 --> 00:05:31,264 TRANSIT AS LINES WITH 226 00:05:31,264 --> 00:05:34,233 MAJORITY SEATTLE STOPS WOULD BE 227 00:05:34,233 --> 00:05:35,735 EXPANDED. THE MAYOR WILL BE 228 00:05:35,735 --> 00:05:36,369 TAXING 229 00:05:36,369 --> 00:05:38,338 THE REMAINING INCOME AFTER FOOD, 230 00:05:38,338 --> 00:05:41,607 RENT, UTILITIES OF THE MOST 231 00:05:41,607 --> 00:05:43,176 STRUGGLING WORKERS WHO CAN 232 00:05:43,176 --> 00:05:46,579 NEVER AFFORD TO BE 233 00:05:46,579 --> 00:05:48,581 OUR NEIGHBOR. EXPRESS LINES FROM 234 00:05:48,581 --> 00:05:49,582 NEARBY 235 00:05:49,582 --> 00:05:51,250 TOWNS, THE TWO TO THREE BUSES 236 00:05:51,250 --> 00:05:54,921 A PERSON TAKES INTO OUR CITY, OR 237 00:05:54,921 --> 00:05:55,154 THE 238 00:05:55,154 --> 00:05:57,323 45- MINUTE DRIVE, NONE OF 239 00:05:57,323 --> 00:05:59,025 THESE WOULD BE ALLEVIATE WOULD 240 00:05:59,025 --> 00:05:59,459 THE 241 00:05:59,459 --> 00:06:00,293 MAYOR'S PLAN. 242 00:06:00,293 --> 00:06:04,263 YET SHE WILL BE TAXING THEIR 243 00:06:04,263 --> 00:06:05,465 PARTICIPATION IN OUR 244 00:06:05,465 --> 00:06:07,066 LOCAL ECONOMY FAR HIGHER THAN 245 00:06:07,066 --> 00:06:07,233 ANY 246 00:06:07,233 --> 00:06:11,237 BENEFIT THEY WILL EVER SEE. 247 00:06:11,237 --> 00:06:12,839 PLEASE MOVE FORWARD WITH 248 00:06:12,839 --> 00:06:15,575 GREAT CAUTION ON ANOTHER SALES 249 00:06:15,575 --> 00:06:15,775 TAX. 250 00:06:15,775 --> 00:06:18,211 TAKE INTO ACCOUNT THAT 251 00:06:18,211 --> 00:06:20,747 TAXING VEHICLES AND LOCAL 252 00:06:20,747 --> 00:06:21,948 PARKING 253 00:06:21,948 --> 00:06:25,251 ARE THE BEST WAY TO 254 00:06:25,251 --> 00:06:26,552 ENSURE AN INCREASE TO RIDERSHIP. 255 00:06:26,552 --> 00:06:30,990 THANK YOU ALL AND HAVE A GOOD 256 00:06:30,990 --> 00:06:31,290 DAY. 257 00:06:31,424 --> 00:06:34,093 >> THANK 258 00:06:34,093 --> 00:06:34,594 YOU. 259 00:06:34,594 --> 00:06:35,895 >> THE NEXT SPEAKER ON THE 260 00:06:35,895 --> 00:06:37,663 LIST IS DAVID HEINZ. 261 00:06:37,663 --> 00:06:39,932 PLEASE PRESS STAR SIX WHEN 262 00:06:39,932 --> 00:06:42,068 YOU HEAR THE PROMPT. 263 00:06:42,068 --> 00:06:44,871 YOU HAVE BEEN UNMUTED. 264 00:06:45,004 --> 00:06:46,506 >> HI, DAVID HEINZ. 265 00:06:46,506 --> 00:06:49,709 WE ALWAYS NEEDED A KING COUNTY 266 00:06:49,709 --> 00:06:51,344 REGIONAL HOMELESSNESS 267 00:06:51,344 --> 00:06:53,479 AUTHORITY TO KEEP SERVICE 268 00:06:53,479 --> 00:06:55,047 PROVIDERS HONEST, FORTHRIGHT, 269 00:06:55,047 --> 00:06:55,214 AND 270 00:06:55,214 --> 00:06:56,916 DILIGENT THAT WOULD IMPROVE THE 271 00:06:56,916 --> 00:06:57,183 OUTCOMES. 272 00:06:57,183 --> 00:06:59,318 INSTEAD KING COUNTY 273 00:06:59,318 --> 00:06:59,986 HOMELESSNESS AUTHORITY, THE 274 00:06:59,986 --> 00:07:00,286 ORIGINAL 275 00:07:00,286 --> 00:07:01,487 STARTERS OF IT PERVERTED 276 00:07:01,487 --> 00:07:02,555 THE INTERPRETATIONS OF POLICY 277 00:07:02,555 --> 00:07:02,722 AND 278 00:07:02,722 --> 00:07:03,856 BEGAN RUNNING INTERFERENCE 279 00:07:03,856 --> 00:07:05,625 FOR CRIMINALS AND PRIORITIZING 280 00:07:05,625 --> 00:07:08,127 THE MOST SELF- DESTRUCTIVE, MORE 281 00:07:08,127 --> 00:07:09,328 PROFITABLE REPEAT OFFENDERS IN 282 00:07:09,328 --> 00:07:10,530 PARTNERSHIP WITH SOME OF IT 283 00:07:10,530 --> 00:07:11,931 RACIST, WOKE, CORRUPT AT 284 00:07:11,931 --> 00:07:13,933 THE HUMAN SERVICES DEPARTMENT, 285 00:07:13,933 --> 00:07:14,867 IMPLODING OUR SOCIETY. 286 00:07:14,867 --> 00:07:18,504 AND YET EVER SINCESINCE 287 00:07:18,504 --> 00:07:20,106 FINEGOOD TOOK OVER THERE'S BEEN 288 00:07:20,106 --> 00:07:21,007 A 289 00:07:21,007 --> 00:07:24,110 331% INCREASE IN DRUG OVERDOSE 290 00:07:24,110 --> 00:07:25,478 FATALITIES WHILE KING 291 00:07:25,478 --> 00:07:27,280 COUNTY KEEPS MISLEADING ABOUT IT 292 00:07:27,280 --> 00:07:29,749 ONLY BEING A PUBLIC HEALTH 293 00:07:29,749 --> 00:07:29,982 CRISIS, 294 00:07:29,982 --> 00:07:33,085 AS EVIL PREDATORS ARE LISTED 295 00:07:33,085 --> 00:07:34,587 NONVIOLENT, LOW LEVEL COMMITTING 296 00:07:34,587 --> 00:07:35,655 CRIMES AGAINST 297 00:07:35,655 --> 00:07:36,856 HUMANITY, DESTROYING THEIR 298 00:07:36,856 --> 00:07:38,257 FELLOW MAN'S 299 00:07:38,257 --> 00:07:38,691 LIFE. 300 00:07:38,691 --> 00:07:40,226 IN FACT, PUBLIC HEALTH 301 00:07:40,226 --> 00:07:42,094 CRISIS FOR KING COUNTY BELIEVES 302 00:07:42,094 --> 00:07:45,531 THEY NEED DRUG KITS, WHICH ARE 303 00:07:45,531 --> 00:07:49,502 UP TO 304 00:07:49,502 --> 00:07:51,137 75,000, YET WE STILL HAVE A 305 00:07:51,137 --> 00:07:54,273 PLATEAU OF A MINIMUM OF 600 306 00:07:54,273 --> 00:07:55,908 OVERDOSES, WHICH IS A STILL 307 00:07:55,908 --> 00:07:56,642 A SIGNIFICANT AMOUNT. 308 00:07:56,642 --> 00:07:58,978 BUT YET WE GET THIS 309 00:07:58,978 --> 00:08:00,446 MISLEADING WORDS TO BE HEARD 310 00:08:00,446 --> 00:08:00,646 FROM 311 00:08:00,646 --> 00:08:04,150 PROPAGANDA BUREAUCRATS WHO ARE 312 00:08:04,283 --> 00:08:04,984 UNTRUSTWORTHY. IT'S LIKE YOU 313 00:08:04,984 --> 00:08:05,952 MYTH BE 314 00:08:05,952 --> 00:08:07,753 UNQUALIFIED BUT YOU'RE 315 00:08:07,753 --> 00:08:08,354 UNTRUSTWORTHY 316 00:08:08,354 --> 00:08:09,455 BECAUSE YOUR EXPERIENCE GETS IN 317 00:08:09,455 --> 00:08:09,856 THE WAY 318 00:08:09,856 --> 00:08:10,289 OF REAL PROGRESS. 319 00:08:10,289 --> 00:08:12,225 I HATE TO SAY THIS, FOLKS, BUT 320 00:08:12,225 --> 00:08:14,193 YOU NEED TO UNDERSTAND THE 321 00:08:14,193 --> 00:08:16,462 FOUNDATIONAL, PHILOSOPHICAL, 322 00:08:16,462 --> 00:08:17,763 ARCHITECTURAL APPROACH TO PUBLIC 323 00:08:17,763 --> 00:08:19,532 HEALTH IN SEATTLE IS BASED 324 00:08:19,532 --> 00:08:22,034 ON BRAD FINEGOOD BEING ADVISED 325 00:08:22,034 --> 00:08:22,201 BY 326 00:08:22,201 --> 00:08:25,104 HIS DRUG ADDICT BROTHER, WHO HE 327 00:08:25,104 --> 00:08:27,673 DIDN'T EVEN KNOW WAS A 328 00:08:27,673 --> 00:08:29,208 DRUG ADDICT AND YET DIED OF A 329 00:08:29,208 --> 00:08:29,609 DRUG ADDICTION. 330 00:08:29,609 --> 00:08:31,611 AND YET BRAD WAS TOLD BY 331 00:08:31,611 --> 00:08:33,279 HIS BROTHER THAT DRUG ADDICTS 332 00:08:33,279 --> 00:08:33,479 NEED 333 00:08:33,479 --> 00:08:34,981 A SAFE PLACE TO DO DRUGS. 334 00:08:34,981 --> 00:08:37,049 AND BRAD HAS SHARED WITH US 335 00:08:37,049 --> 00:08:38,751 HIS MISERY AND FORCED ALL OF US 336 00:08:38,751 --> 00:08:41,888 TO BE SUBJECTED TO ALL THESE 337 00:08:41,888 --> 00:08:43,022 PEOPLE DROPPING DEAD BECAUSE HE 338 00:08:43,022 --> 00:08:44,357 BELIEVES THEY NEED A SAFE 339 00:08:44,357 --> 00:08:49,595 PLACE TO DO DRUGS. 340 00:08:49,729 --> 00:08:52,198 >> THAT CONCLUDES OUR 341 00:08:52,198 --> 00:08:54,433 PUBLIC 342 00:08:54,433 --> 00:08:54,800 COMMENT PERIOD. 343 00:08:54,800 --> 00:08:55,434 HEARING NO OBJECTION, WE'RE 344 00:08:55,434 --> 00:08:56,068 GOING TO MOVE ONTO OUR FIRST 345 00:08:56,068 --> 00:08:57,036 ITEM OF BUSINESS. 346 00:08:57,036 --> 00:08:59,505 WILL THE CLERK PLEASE READ ITEM 347 00:08:59,505 --> 00:09:00,673 ONE INTO THE 348 00:09:00,673 --> 00:09:00,907 RECORD. 349 00:09:00,907 --> 00:09:04,477 >> ITEM ONE, RESOLUTION 32207, A 350 00:09:04,477 --> 00:09:06,245 RESOLUTION ADOPTING 351 00:09:06,245 --> 00:09:07,113 UPDATED POLICIES REGARDING 352 00:09:07,113 --> 00:09:08,214 THE ESTABLISHMENT AND MANAGEMENT 353 00:09:08,214 --> 00:09:09,548 OF PARKING AND BUSINESS 354 00:09:09,548 --> 00:09:10,917 IMPROVEMENT AREAS FOR THE CITY 355 00:09:10,917 --> 00:09:11,083 OF 356 00:09:11,083 --> 00:09:13,619 SEATTLE AND SUPERSEDING 357 00:09:13,619 --> 00:09:16,489 RESOLUTION 358 00:09:16,622 --> 00:09:18,424 31657. BRIEFING, DISCUSSION, 359 00:09:18,424 --> 00:09:19,091 AND POSSIBLE 360 00:09:19,091 --> 00:09:19,392 VOTE. 361 00:09:19,392 --> 00:09:22,695 >> THANK 362 00:09:22,695 --> 00:09:22,995 YOU, CLERK. 363 00:09:22,995 --> 00:09:23,729 COLLEAGUES, AS OUR PRESENTERS 364 00:09:23,729 --> 00:09:27,266 GET SETTLED IN, JUST AS A 365 00:09:27,266 --> 00:09:28,267 REMINDER, WE HEARD ACTUALLY 366 00:09:28,267 --> 00:09:29,535 LAST WEEK DURING OUR SPECIAL 367 00:09:29,535 --> 00:09:30,736 MEETING, AND AS WE DISCUSSED WE 368 00:09:30,736 --> 00:09:32,405 ARE BRINGING THIS FOR A 369 00:09:32,405 --> 00:09:35,841 VOTE TODAY. THE CITYWIDE BIA 370 00:09:35,841 --> 00:09:37,610 POLICIES PROVIDE A GUIDANCE AND 371 00:09:37,610 --> 00:09:37,877 POTENTIAL 372 00:09:38,010 --> 00:09:40,212 BIAs. THIS RESOLUTION WILL 373 00:09:40,212 --> 00:09:40,746 UPDATE AND 374 00:09:40,746 --> 00:09:41,981 SIMPLIFY THAT GUIDANCE. 375 00:09:41,981 --> 00:09:43,849 WE KNOW BIA IS A POWERFUL 376 00:09:43,849 --> 00:09:45,017 TOOL THAT ALLOWS BUSINESSES 377 00:09:45,017 --> 00:09:46,152 AND PROPERTY OWNERS AND 378 00:09:46,152 --> 00:09:46,419 NEIGHBORS 379 00:09:46,419 --> 00:09:48,354 ACROSS THE CITY TO TARGET 380 00:09:48,354 --> 00:09:49,455 SHARED RESOURCES TO MEET THE 381 00:09:49,455 --> 00:09:50,590 SPECIFIC NEEDS OF THEIR 382 00:09:50,590 --> 00:09:51,090 OWN 383 00:09:51,090 --> 00:09:52,124 NEIGHBORHOODS. AND SO EXCITED TO 384 00:09:52,124 --> 00:09:52,325 HAVE 385 00:09:52,325 --> 00:09:52,925 THIS BEFORE US TODAY. 386 00:09:52,925 --> 00:09:54,760 I'LL TURN IT OVER TO THE 387 00:09:54,760 --> 00:09:56,329 TABLE IF YOU WANT TO TAKE A 388 00:09:56,329 --> 00:09:56,696 MOMENT 389 00:09:56,696 --> 00:09:57,330 TO FIRST INTRODUCE YOURSELVES 390 00:09:57,330 --> 00:09:58,464 FOR THE RECORD AND THEN PROCEED 391 00:09:58,464 --> 00:09:58,664 WITH 392 00:09:58,664 --> 00:09:59,599 THE TOPIC AT HAND. 393 00:09:59,599 --> 00:10:00,833 PLEASE GO 394 00:10:00,833 --> 00:10:01,267 FORWARD. 395 00:10:01,267 --> 00:10:03,502 >> JASMINE MARWAHA, COUNCIL 396 00:10:03,502 --> 00:10:07,773 CENTRAL STAFF. 397 00:10:07,907 --> 00:10:11,010 >> ISAAC HORWITH, OFFICE 398 00:10:11,010 --> 00:10:12,678 OF 399 00:10:12,678 --> 00:10:13,145 ECONOMIC DEVELOPMENT. 400 00:10:13,145 --> 00:10:15,047 >> THERESA BARRERAS, OFFICE 401 00:10:15,047 --> 00:10:15,481 OF 402 00:10:15,481 --> 00:10:15,948 ECONOMIC DEVELOPMENT. 403 00:10:15,948 --> 00:10:16,849 >> YEAH, THANK YOU FOR 404 00:10:16,849 --> 00:10:18,017 HAVING US TODAY AND CONSIDERING 405 00:10:18,017 --> 00:10:18,317 TO APPROVE 406 00:10:18,317 --> 00:10:19,085 THE RESOLUTION. 407 00:10:19,085 --> 00:10:20,686 I 408 00:10:20,686 --> 00:10:21,253 WON'T SPEND A LOT OF TIME 409 00:10:21,253 --> 00:10:22,855 RECAPPING THE LEGISLATION, AS 410 00:10:22,855 --> 00:10:25,191 CHAIR 411 00:10:25,191 --> 00:10:26,292 RINCK DESCRIBED. IT MAKES MANY 412 00:10:26,292 --> 00:10:26,525 SMALL 413 00:10:26,525 --> 00:10:29,028 CHANGES TO MAKE 414 00:10:29,028 --> 00:10:29,862 THE POLICIES MORE USER-FRIENDLY 415 00:10:29,862 --> 00:10:30,363 AND EASY TO 416 00:10:30,363 --> 00:10:31,897 UNDERSTAND THE ROLES 417 00:10:31,897 --> 00:10:34,500 AND RESPONSIBILITIES OF THE CITY 418 00:10:34,500 --> 00:10:34,667 AND 419 00:10:34,667 --> 00:10:36,469 OF CURRENT OR PROSPECTIVE BIAs. 420 00:10:36,469 --> 00:10:38,504 THE MOST SUBSTANTIVE 421 00:10:38,504 --> 00:10:41,140 CHANGE IS AROUND REDUCING THE 422 00:10:41,140 --> 00:10:41,974 BARRIERS FOR 423 00:10:41,974 --> 00:10:43,509 RENEWING AN EXISTING 424 00:10:43,509 --> 00:10:45,277 BIA AS LONG AS THEY'RE NOT 425 00:10:45,277 --> 00:10:45,711 MAKING ANY 426 00:10:45,711 --> 00:10:46,746 SIGNIFICANT CHANGES TO HOW THEY 427 00:10:46,746 --> 00:10:48,381 OPERATE OR 428 00:10:48,381 --> 00:10:49,649 THEIR BOUNDARIES. WE'RE 429 00:10:49,649 --> 00:10:50,549 AVAILABLE IF THERE ARE 430 00:10:50,549 --> 00:10:51,350 ANY FOLLOW- UP QUESTIONS. 431 00:10:51,350 --> 00:10:53,319 AND I THINK THERESA HAD -- 432 00:10:53,452 --> 00:10:54,787 >> I'LL JUST ADD THAT 433 00:10:54,787 --> 00:10:56,722 THE POLICIES WERE LAST 434 00:10:56,722 --> 00:10:59,191 UPDATED AROUND TEN YEARS AGO, 435 00:10:59,191 --> 00:10:59,358 AND 436 00:10:59,358 --> 00:11:00,559 SO IT WAS TIME TO TAKE ANOTHER 437 00:11:00,559 --> 00:11:02,395 LOOK AND MAKE SOME IMPROVEMENTS 438 00:11:02,395 --> 00:11:03,195 FROM THINGS WE HAD SEEN. 439 00:11:03,195 --> 00:11:04,330 AND WE WORKED CLOSELY WITH 440 00:11:04,330 --> 00:11:06,198 THE DIRECTORS OF ALL OF OUR 441 00:11:06,198 --> 00:11:06,465 BUSINESS 442 00:11:06,465 --> 00:11:08,134 IMPROVEMENT AREAS IN THE CITY 443 00:11:08,134 --> 00:11:10,002 TO GO THROUGH THE POLICIES IN- 444 00:11:10,002 --> 00:11:12,271 DEPTH AND AGREE ON WHAT CHANGES 445 00:11:12,271 --> 00:11:12,505 WERE 446 00:11:12,505 --> 00:11:14,040 NEEDED, AND SO IT WAS A 447 00:11:14,040 --> 00:11:15,608 VERY INCLUSIVE PROCESS, AND I 448 00:11:15,608 --> 00:11:22,014 THINK WE LANDED ON A A 449 00:11:22,014 --> 00:11:23,015 RESULT. 450 00:11:23,015 --> 00:11:23,949 >> COLLEAGUES, 451 00:11:23,949 --> 00:11:31,691 QUESTIONS THAT YOU HAVE ON THE 452 00:11:31,691 --> 00:11:31,991 RESOLUTION. 453 00:11:31,991 --> 00:11:34,360 I AM NOT 454 00:11:34,360 --> 00:11:34,994 SEEING ANY HANDS. I KNOW WE HAD 455 00:11:34,994 --> 00:11:35,194 A 456 00:11:35,194 --> 00:11:35,961 ROBUST DISCUSSION ABOUT THIS 457 00:11:35,961 --> 00:11:41,734 LAST WEEK, 458 00:11:41,734 --> 00:11:43,202 AND SO 459 00:11:43,202 --> 00:11:43,769 UNLESS THERE ARE ANY FINAL 460 00:11:43,769 --> 00:11:44,503 POINTS, I THINK I'M 461 00:11:44,503 --> 00:11:45,604 GOING TO KEEP US MOVING ALONG 462 00:11:45,604 --> 00:11:45,805 THEN. 463 00:11:45,805 --> 00:11:48,040 I MOVE THAT THE COMMITTEE MOVE 464 00:11:48,040 --> 00:11:48,707 FORWARD WITH 465 00:11:48,707 --> 00:11:51,010 RECOMMENDING ADOPTION OF 466 00:11:51,010 --> 00:11:51,410 RESOLUTION 32207. 467 00:11:51,410 --> 00:11:52,378 IS THERE A 468 00:11:52,378 --> 00:11:53,312 SECOND? 469 00:11:53,312 --> 00:11:53,612 >> 470 00:11:53,612 --> 00:11:53,846 SECOND. 471 00:11:53,846 --> 00:11:55,214 >> IT IS MOVED AND SECONDED 472 00:11:55,214 --> 00:11:56,649 TO RECOMMEND ADOPTION 473 00:11:56,649 --> 00:11:57,016 OF RESOLUTION. 474 00:11:57,016 --> 00:12:00,986 ANY FINAL COMMENTS? 475 00:12:00,986 --> 00:12:02,254 ALL RIGHT, WILL THE CLERK PLEASE 476 00:12:02,254 --> 00:12:03,355 CALL THE ROLL ON THE 477 00:12:03,355 --> 00:12:04,023 COMMITTEE RECOMMENDATION TO 478 00:12:04,023 --> 00:12:05,291 ADOPT 479 00:12:05,291 --> 00:12:05,458 THE 480 00:12:05,458 --> 00:12:05,758 RESOLUTION? 481 00:12:05,758 --> 00:12:06,258 >> VICE 482 00:12:06,258 --> 00:12:07,393 CHAIR FOSTER. 483 00:12:07,393 --> 00:12:07,793 >> 484 00:12:07,793 --> 00:12:08,127 YES. 485 00:12:08,127 --> 00:12:10,096 >> COUNCILMEMBER 486 00:12:10,096 --> 00:12:11,030 SAKA. 487 00:12:11,030 --> 00:12:11,197 >> 488 00:12:11,197 --> 00:12:11,530 AYE. 489 00:12:11,530 --> 00:12:12,031 >> CHAIR RINCK. 490 00:12:12,164 --> 00:12:12,598 >> 491 00:12:12,598 --> 00:12:12,832 YES. 492 00:12:12,832 --> 00:12:14,366 >> THERE ARE THREE IN 493 00:12:14,366 --> 00:12:16,335 FAVOR, ZERO OPPOSED, SW ZERO 494 00:12:16,469 --> 00:12:16,836 ABSTENTIONS. 495 00:12:16,969 --> 00:12:18,437 >> WONDERFUL. 496 00:12:18,437 --> 00:12:19,105 THE MOTION CARRIES AND THE 497 00:12:19,105 --> 00:12:19,839 COMMITTEE RECOMMENDATION 498 00:12:19,839 --> 00:12:21,073 TO ADOPT THE RESOLUTION WILL 499 00:12:21,073 --> 00:12:23,976 BE SENT TO THE JUNE 15th FULL 500 00:12:23,976 --> 00:12:24,176 CITY 501 00:12:24,176 --> 00:12:24,643 COUNCIL MEETING. 502 00:12:24,643 --> 00:12:25,911 THANK YOU, COLLEAGUES, 503 00:12:25,911 --> 00:12:26,812 AND THANK YOU FOR BEING HERE. 504 00:12:26,812 --> 00:12:27,646 HAVE A GREAT WEEKEND. 505 00:12:27,646 --> 00:12:29,482 WITH THAT, WE WILL NOW MOVE 506 00:12:29,482 --> 00:12:30,483 ONTO OUR SECOND ITEM OF 507 00:12:30,483 --> 00:12:30,750 BUSINESS. 508 00:12:30,750 --> 00:12:32,785 WILL THE CLERK PLEASE READ 509 00:12:32,785 --> 00:12:33,786 ITEM TWO INTO IT RECORD 510 00:12:33,786 --> 00:12:34,053 IN. 511 00:12:34,053 --> 00:12:35,354 >> ITEM TWO, KING 512 00:12:35,354 --> 00:12:37,189 COUNTY REGIONAL HOMELESSNESS 513 00:12:37,189 --> 00:12:37,490 AUTHORITY, 514 00:12:37,490 --> 00:12:38,390 KCRHA, FORENSIC 515 00:12:38,390 --> 00:12:41,360 EVALUATION STATUS UPDATE, 516 00:12:41,360 --> 00:12:44,330 BRIEFING AND 517 00:12:44,463 --> 00:12:44,797 DISCUSSION. 518 00:12:44,797 --> 00:12:45,297 >> THANK YOU SO MUCH. 519 00:12:45,297 --> 00:12:46,832 AS OUR PRESENTERS SIT DOWN 520 00:12:46,832 --> 00:12:48,768 AT THE TABLE, A NOTE FOR MY 521 00:12:48,768 --> 00:12:49,668 COLLEAGUES AND VIEWING 522 00:12:49,668 --> 00:12:51,637 PUBLIC, THIS ITEM WILL HAVE 523 00:12:51,637 --> 00:12:51,937 KCRHA SPEAK 524 00:12:51,937 --> 00:12:53,672 TO THE CORRECTIVE ACTION 525 00:12:53,672 --> 00:12:54,540 PLAN THAT THEY WERE REQUIRED 526 00:12:54,540 --> 00:12:56,775 TO SUBMIT TO THE MAYOR'S OFFICE 527 00:12:56,775 --> 00:12:58,277 AND THE KCRHA GOVERNING BOARD AS 528 00:12:58,277 --> 00:12:59,378 A RESULT OF THE 529 00:12:59,378 --> 00:13:00,679 FORENSIC EVALUATION FINDINGS. 530 00:13:00,679 --> 00:13:02,615 THIS CORRECTIVE ACTION PLAN 531 00:13:02,615 --> 00:13:03,949 REQUIREMENT WAS ALSO OUTLINED IN 532 00:13:03,949 --> 00:13:06,152 THE RESOLUTION PASSED BY 533 00:13:06,152 --> 00:13:11,824 FULL COUNCIL ON TUESDAY OF 534 00:13:11,824 --> 00:13:12,258 THIS WEEK, 535 00:13:12,258 --> 00:13:12,825 AND THIS PAPER DOCUMENT WAS 536 00:13:12,825 --> 00:13:13,459 SUBMITTED BY KCRHA AND RECEIVED 537 00:13:13,459 --> 00:13:14,693 BY IT THREE ENTITIES ON 538 00:13:14,693 --> 00:13:14,894 MAY 539 00:13:14,894 --> 00:13:16,295 22nd. AND TODAY'S PRESENTATION 540 00:13:16,295 --> 00:13:17,596 COVERS 541 00:13:17,596 --> 00:13:18,531 THE CONTENT. SO, PRESENTERS, IF 542 00:13:18,531 --> 00:13:18,831 YOU COULD 543 00:13:18,831 --> 00:13:21,333 TAKE A MOMENT TO UNMUTE YOUR 544 00:13:21,333 --> 00:13:22,134 MICROPHONES, INTRODUCE YOURSELF 545 00:13:22,134 --> 00:13:23,302 BY STATING YOUR FULL NAME 546 00:13:23,302 --> 00:13:24,537 INTO THE MICROPHONE FOR THE 547 00:13:24,537 --> 00:13:26,138 RECORD, AND THEN PROCEED WITH 548 00:13:26,138 --> 00:13:26,739 THE 549 00:13:26,739 --> 00:13:28,073 PRESENTATION. THAT WOULD BE 550 00:13:28,073 --> 00:13:28,407 GREAT. 551 00:13:28,407 --> 00:13:29,842 THANK 552 00:13:29,842 --> 00:13:30,376 YOU. 553 00:13:30,376 --> 00:13:35,915 >> GOOD MORNING, CHAIR RINCK, 554 00:13:35,915 --> 00:13:37,783 CO- CHAIR FOSTER, MEMBER 555 00:13:37,783 --> 00:13:46,859 SAKA, MEMBERS OF THE PUBLIC. 556 00:13:46,859 --> 00:13:49,662 I'M CLAIRE 557 00:13:49,662 --> 00:13:50,262 CINSON. 558 00:13:50,262 --> 00:13:51,530 >> I'M WILLIAM 559 00:13:51,530 --> 00:13:53,632 TOW AE. I'M ASSOCIATE DEPUTY 560 00:13:53,632 --> 00:13:53,799 FOR 561 00:13:53,799 --> 00:13:54,767 STRATEGY AT KCRHA. 562 00:13:54,900 --> 00:13:57,336 >> WE'RE HERE EXCITED TO TALK 563 00:13:57,336 --> 00:13:57,603 TO 564 00:13:57,603 --> 00:13:58,604 YOU AND TALK ABOUT 565 00:13:58,604 --> 00:14:00,072 OUR CORRECTIVE ACTION PLAN AND 566 00:14:00,072 --> 00:14:02,241 ANSWER ANY QUESTIONS YOU 567 00:14:02,241 --> 00:14:02,408 MAY 568 00:14:02,408 --> 00:14:04,076 HAVE. AS YOU CAN SEE, WE 569 00:14:04,076 --> 00:14:05,211 KEPT THE SLIDES STREAM LINED SO 570 00:14:05,211 --> 00:14:05,377 WE 571 00:14:05,377 --> 00:14:06,879 CAN GET RIGHT TO YOUR 572 00:14:06,879 --> 00:14:07,913 QUESTIONS OR ANY DISCUSSION 573 00:14:07,913 --> 00:14:08,247 YOU'D LIKE 574 00:14:08,247 --> 00:14:08,414 TO 575 00:14:08,414 --> 00:14:10,816 HAVE. I'D LIKE TO START WITH 576 00:14:10,816 --> 00:14:11,517 JUST 577 00:14:11,517 --> 00:14:14,420 SOME BRIEF BACKGROUND FOR THOSE 578 00:14:14,420 --> 00:14:18,624 NOT 579 00:14:18,757 --> 00:14:19,725 FAMILIAR. KCRHA WAS STARTED 580 00:14:19,725 --> 00:14:20,593 DURING 581 00:14:20,593 --> 00:14:21,460 A REALLY TUMULTUOUS TIME DURING 582 00:14:21,460 --> 00:14:23,028 A 583 00:14:23,028 --> 00:14:24,563 GLOBAL PANDEMIC. WE REALLY 584 00:14:24,563 --> 00:14:25,831 STARTED OPERATIONS IN 585 00:14:25,831 --> 00:14:28,734 EARLY 2021, AND THIS 586 00:14:28,734 --> 00:14:32,304 EVALUATION PERIOD RAN FROM APRIL 587 00:14:32,438 --> 00:14:33,472 2021 THROUGH 588 00:14:33,472 --> 00:14:36,275 JULY 2025. WE'VE INCLUDED A 589 00:14:36,275 --> 00:14:36,709 REFERENCEREFERENCE 590 00:14:36,709 --> 00:14:38,277 DECK WITH A BRIEF TIME LINE OF 591 00:14:38,277 --> 00:14:41,513 KCRHA'S OPERATIONS. 592 00:14:41,513 --> 00:14:45,484 THE FORENSIC EVALUATION THAT WAS 593 00:14:45,484 --> 00:14:54,260 CONDUCTED BY CLARK NEWBER 594 00:14:54,260 --> 00:14:55,728 OUR CONTROLS AND REPORTING 595 00:14:55,728 --> 00:14:55,995 PRACTICES 596 00:14:55,995 --> 00:14:57,329 DURING THE ENTIRE 597 00:14:57,329 --> 00:14:57,596 REPORTING 598 00:14:57,596 --> 00:14:58,831 PERIOD. AND AS THE EVALUATION 599 00:14:58,831 --> 00:14:59,064 POINTS 600 00:14:59,064 --> 00:15:00,933 OUT, THESE REALLY STARTED 601 00:15:00,933 --> 00:15:04,169 AT INCEPTION AND KIND OF BUILT 602 00:15:04,169 --> 00:15:05,604 AND INTERSECTED WITH EACH OTHER 603 00:15:05,604 --> 00:15:05,804 OVER 604 00:15:05,804 --> 00:15:07,773 THE PERIOD OF TIME THAT 605 00:15:07,773 --> 00:15:12,478 THE EVALUATION COVERED. 606 00:15:12,478 --> 00:15:14,880 WE'RE VERY THANKFUL THERE'S NO 607 00:15:14,880 --> 00:15:17,016 EVIDENCE OF FRAUD OR MISUSE 608 00:15:17,016 --> 00:15:18,784 OF FUNDS, DESPITE SOME OF THE 609 00:15:18,784 --> 00:15:19,451 REPORTING YOU MAY 610 00:15:19,451 --> 00:15:20,886 HAVE SEEN. THE QUOTE- UNQUOTE 611 00:15:20,886 --> 00:15:21,120 MISSING 612 00:15:21,120 --> 00:15:23,322 FUNDS THAT ARE SOMETIMES 613 00:15:23,322 --> 00:15:23,589 MENTIONED 614 00:15:23,589 --> 00:15:26,792 IN NEWS RELATE TO FUNDS THAT 615 00:15:26,792 --> 00:15:28,927 WE PAID OUT TO HOMELESSNESS 616 00:15:28,927 --> 00:15:31,830 SERVICE PROVIDERS OR OTHER 617 00:15:31,830 --> 00:15:32,131 APPROPRIATE 618 00:15:32,131 --> 00:15:32,564 USES. 619 00:15:32,564 --> 00:15:36,368 BUT OUR RECONCILIATION ON 620 00:15:36,368 --> 00:15:39,138 OUR BACK END FOR GETTING 621 00:15:39,138 --> 00:15:39,838 REIMBURSED, FRANKLY DIDN'T 622 00:15:39,838 --> 00:15:40,172 HAPPEN OR 623 00:15:40,172 --> 00:15:41,140 HAPPENED INCORRECTLY. 624 00:15:41,140 --> 00:15:44,209 WE'RE STILL INVESTIGATING THAT 625 00:15:44,209 --> 00:15:45,444 DEEPLY OVER THE COURSE 626 00:15:45,444 --> 00:15:50,549 OF THOSE -- THOSE YEARS. 627 00:15:50,549 --> 00:15:53,218 I JUST WANT TO, YOU 628 00:15:53,218 --> 00:15:54,586 KNOW, EMPHASIZE THAT KCRHA 629 00:15:54,586 --> 00:15:59,191 IS RESPONSIBLE FOR FIXING 630 00:15:59,191 --> 00:15:59,625 THESE 631 00:15:59,625 --> 00:16:00,292 PROBLEMS. AND WE KNOW THAT WE 632 00:16:00,292 --> 00:16:00,659 HAVE WORK 633 00:16:00,659 --> 00:16:05,364 TO DO WITH OUR PARTNERS TO 634 00:16:05,364 --> 00:16:07,299 BETTER COLLABORATE AND 635 00:16:07,299 --> 00:16:07,700 COORDINATE 636 00:16:07,700 --> 00:16:10,536 WITH OUR FUNDERS AND MAKE SURE 637 00:16:10,536 --> 00:16:12,271 THAT THESE ISSUES ON OUR BACK 638 00:16:12,271 --> 00:16:12,838 END ARE 639 00:16:12,838 --> 00:16:16,875 ECEN 640 00:16:16,875 --> 00:16:18,043 ECEN RECONCILED. 641 00:16:18,043 --> 00:16:20,212 SO WHERE WE ARE NOW WE HAVE 642 00:16:20,212 --> 00:16:20,746 SUBMITTED A CORRECTIVE 643 00:16:20,746 --> 00:16:22,147 ACTION PLAN THAT'S VERY 644 00:16:22,147 --> 00:16:23,382 DETAILED, 645 00:16:23,382 --> 00:16:25,951 THAT WALKS THROUGH EVERY 646 00:16:25,951 --> 00:16:27,286 EVALUATION 647 00:16:27,286 --> 00:16:28,854 FINDING IN RESPONSE TO 648 00:16:28,854 --> 00:16:29,955 THE EVALUATION THAT WAS 649 00:16:29,955 --> 00:16:30,222 SUBMITTED 650 00:16:30,222 --> 00:16:32,091 ON MAY 651 00:16:32,091 --> 00:16:34,493 22nd. IT ACKNOWLEDGES THE 652 00:16:34,493 --> 00:16:34,827 SERIOUSNESS, 653 00:16:34,827 --> 00:16:38,897 AS I HAVE RELATED, TO THESE 654 00:16:39,031 --> 00:16:41,500 ISSUES. AND IT HAS ALLOWED US TO 655 00:16:41,500 --> 00:16:41,700 MOVE 656 00:16:41,700 --> 00:16:44,636 FROM RESPONSE TO THE EVALUATION 657 00:16:44,636 --> 00:16:48,273 INTO REALLY KNOWING OUR PATH 658 00:16:48,273 --> 00:16:49,475 FORWARD FOR CORRECTING 659 00:16:49,475 --> 00:16:49,708 THE 660 00:16:49,708 --> 00:16:54,346 ISSUES. IT'S REALLY WHAT -- AS 661 00:16:54,346 --> 00:16:54,513 I 662 00:16:54,513 --> 00:16:57,649 JOINED THE CITY, THE REGION IN 663 00:16:57,649 --> 00:16:57,850 2024, 664 00:16:57,850 --> 00:16:59,351 I KNEW THERE WAS A LOT THAT 665 00:16:59,351 --> 00:17:00,419 WE NEEDED TO FIX. 666 00:17:00,419 --> 00:17:03,722 BUT IT'S REALLY HARD FROM A 667 00:17:03,722 --> 00:17:04,923 BIRD'S-EYE VIEW TO UNDERSTAND 668 00:17:04,923 --> 00:17:05,224 EVERYTHING. 669 00:17:05,224 --> 00:17:06,625 AND I KNOW THOSE OF YOU WHO 670 00:17:06,625 --> 00:17:08,427 HAVE BEEN INVOLVED LONGER 671 00:17:08,427 --> 00:17:08,794 THAN I HAVE 672 00:17:08,794 --> 00:17:10,462 UNDERSTAND THAT. AND SO THIS IS 673 00:17:10,462 --> 00:17:10,863 AN AMAZING 674 00:17:10,863 --> 00:17:13,265 TOOL THAT WE HAVE NOW TO ROAD 675 00:17:13,265 --> 00:17:17,102 MAP EXACTLY HOW THE BACK 676 00:17:17,102 --> 00:17:18,337 END GOVERNANCE NEEDS 677 00:17:18,337 --> 00:17:20,272 TO WORK. SO OUR FOCUS IS NOW 678 00:17:20,272 --> 00:17:21,707 STABILIZING ALL OF THOSE 679 00:17:21,707 --> 00:17:22,007 OPERATIONS, 680 00:17:22,007 --> 00:17:27,713 CONTINUING TO RECONCILE SOME 681 00:17:27,713 --> 00:17:29,681 OF THE UNRESOLVED ISSUES THAT 682 00:17:29,681 --> 00:17:31,316 HAVE COME ON OUR RADAR. 683 00:17:31,316 --> 00:17:32,651 WE'VE ALREADY STRENGTHENED 684 00:17:32,651 --> 00:17:35,487 CONTROLS, WHICH WILLIAM 685 00:17:35,487 --> 00:17:36,889 TOWEY WILL TALK TO YOU ABOUT IN 686 00:17:36,889 --> 00:17:37,089 JUST 687 00:17:37,089 --> 00:17:37,556 A MOMENT. 688 00:17:37,556 --> 00:17:38,757 AND WE'RE DOING MUCH 689 00:17:38,757 --> 00:17:39,925 CLEARER REPORTING TO THE CITY, 690 00:17:39,925 --> 00:17:43,128 BOARD, AND COUNTY WHERE 691 00:17:43,128 --> 00:17:43,395 POSSIBLE. 692 00:17:43,395 --> 00:17:44,797 WE STILL HAVE SOME THINGS TO FIX 693 00:17:44,797 --> 00:17:46,965 SO OUR REPORTING IS ACCURATE 694 00:17:46,965 --> 00:17:47,132 AND 695 00:17:47,132 --> 00:17:49,468 TIMELY. WE'RE APPROACHING THIS 696 00:17:49,468 --> 00:17:49,835 WORK WITH 697 00:17:49,835 --> 00:17:51,336 ACCOUNTABLE, TRANSPARENCY, 698 00:17:51,336 --> 00:17:51,703 AND URGENCY. 699 00:17:51,703 --> 00:17:52,704 WE UNDERSTAND AND HAVE 700 00:17:52,704 --> 00:17:54,473 HEARD FROM YOU THE URGENCY AND 701 00:17:54,473 --> 00:17:55,074 THE 702 00:17:55,074 --> 00:17:57,242 UNACCEPTABILITY OF 703 00:17:57,242 --> 00:17:57,643 THE SITUATION. 704 00:17:57,643 --> 00:18:00,379 AND WE HOPE THAT YOU WILL SEE 705 00:18:00,379 --> 00:18:04,316 OUR CORRECTIVE ACTION PLAN 706 00:18:04,316 --> 00:18:06,018 AND SEE HOW WE ARE TRYING TO 707 00:18:06,018 --> 00:18:08,620 MOVE IN 708 00:18:08,620 --> 00:18:12,624 THAT DIRECTION. 709 00:18:12,758 --> 00:18:13,158 WILLIAM? 710 00:18:13,158 --> 00:18:15,861 >> THANK YOU. 711 00:18:15,861 --> 00:18:20,532 ON SLIDE FOUR, WE LIST OUT SOME 712 00:18:20,532 --> 00:18:21,834 OF THE ITEMS RELATED TO CURRENT 713 00:18:21,834 --> 00:18:24,036 STATUS AND 714 00:18:24,036 --> 00:18:24,803 OPERATIONS. I WOULD NOTE THAT 715 00:18:24,803 --> 00:18:25,137 THE 716 00:18:25,137 --> 00:18:27,706 FORENSIC EVALUATION COVERED 717 00:18:27,706 --> 00:18:28,273 THE PERIOD OF TIME FROM THE 718 00:18:28,273 --> 00:18:29,675 BEGINNING OF KCRHA 719 00:18:29,808 --> 00:18:30,375 THROUGH TO -- 720 00:18:30,375 --> 00:18:30,843 >> APOLOGIES. 721 00:18:30,843 --> 00:18:32,344 I THINK WE'RE HAVING AN ISSUE 722 00:18:32,344 --> 00:18:32,578 -- 723 00:18:32,578 --> 00:18:35,414 ARE YOU PRESENTING SLIDES RIGHT 724 00:18:35,414 --> 00:18:35,781 NOW? 725 00:18:35,781 --> 00:18:37,216 OKAY, CAN WE ADDRESS 726 00:18:37,216 --> 00:18:37,950 THAT? THANK YOU. 727 00:18:37,950 --> 00:18:38,884 GIVE ME 728 00:18:38,884 --> 00:18:41,019 ONE MOMENT. WE'LL BE AT EASE, 729 00:18:41,019 --> 00:18:42,221 COLLEAGUES, JUST WHILE WE MAKE 730 00:18:42,221 --> 00:18:42,421 SURE 731 00:18:42,421 --> 00:18:45,657 THE SLIDES ARE 732 00:18:45,657 --> 00:18:46,358 UP. APOLOGIES. 733 00:18:46,358 --> 00:18:48,160 AND WHILE WE'RE ON 734 00:18:48,160 --> 00:18:49,895 THOSE TECHNICAL ADJUSTMENTS, 735 00:18:49,895 --> 00:18:50,162 WILLIAM, 736 00:18:50,162 --> 00:18:52,865 IF YOU CAN MAKE SURE THAT YOUR 737 00:18:52,865 --> 00:18:53,565 MIC IS ON. 738 00:18:53,565 --> 00:18:56,235 I THINK WE'RE HAVING SOME 739 00:18:56,368 --> 00:18:56,768 TROUBLE. 740 00:18:56,902 --> 00:18:57,302 >> I BELIEVE IT IS. 741 00:18:57,302 --> 00:18:58,203 >> I THINK YOU CAN ALSO MOVE IT 742 00:18:58,203 --> 00:19:01,406 CLOSER TO 743 00:19:01,406 --> 00:19:01,740 YOU. 744 00:19:01,740 --> 00:19:02,508 >> THANK 745 00:19:02,508 --> 00:19:04,276 YOU. 746 00:19:04,276 --> 00:19:04,576 >> PERFECT. 747 00:19:04,576 --> 00:19:04,810 GREAT. 748 00:19:04,810 --> 00:19:05,177 PLEASE PROCEED. 749 00:19:05,177 --> 00:19:05,744 THANK YOU. 750 00:19:05,878 --> 00:19:06,545 >> THERE WE GO. 751 00:19:06,545 --> 00:19:07,212 THANK YOU SO MUCH. 752 00:19:07,212 --> 00:19:08,614 SO THE FORENSIC 753 00:19:08,614 --> 00:19:09,581 EVALUATION COVERED THE PERIOD 754 00:19:09,581 --> 00:19:10,015 FROM THE 755 00:19:10,015 --> 00:19:13,152 BEGINNING OF KCRHA THROUGH 756 00:19:13,152 --> 00:19:16,021 TO JUNE OF 2025. 757 00:19:16,021 --> 00:19:18,557 AND IT UNCOVERED REALLY TWO 758 00:19:18,557 --> 00:19:22,961 OR THREE KEY AREAS OF FOCUS -- 759 00:19:22,961 --> 00:19:24,129 POLICIES AND PROCEDURES 760 00:19:24,129 --> 00:19:26,498 AND PRACTICES FOR 761 00:19:26,498 --> 00:19:27,266 OPERATIONS GENERALLY AS WELL AS 762 00:19:27,266 --> 00:19:27,799 A COUPLE OF 763 00:19:27,799 --> 00:19:30,369 OTHER AREAS. 764 00:19:30,502 --> 00:19:31,170 THIS SLIDE REALLY RELATES TO THE 765 00:19:31,170 --> 00:19:34,907 FIRST CATEGORY OF ITEMS, 766 00:19:34,907 --> 00:19:36,441 AND I WOULD NOTE THAT THE BULK 767 00:19:36,441 --> 00:19:36,675 OF 768 00:19:36,675 --> 00:19:38,343 THE PROBLEMS IDENTIFIED IN 769 00:19:38,343 --> 00:19:41,313 THE EVALUATION CENTER ON THE 770 00:19:41,313 --> 00:19:41,513 YEARS 771 00:19:41,513 --> 00:19:44,216 '22, '23, AND '24. 772 00:19:44,216 --> 00:19:45,651 IT'S NOTABLE. 773 00:19:45,651 --> 00:19:47,252 AND THE EVALUATION ALSO 774 00:19:47,252 --> 00:19:49,555 NOTES THAT IN '25 WE SWITCHED 775 00:19:49,555 --> 00:19:50,255 TO 776 00:19:50,255 --> 00:19:52,391 AN UPDATED CONTRACTS 777 00:19:52,391 --> 00:19:52,991 MANAGEMENT SYSTEM. 778 00:19:52,991 --> 00:19:57,596 THE ORIGINAL SYSTEM WAS 779 00:19:57,596 --> 00:20:00,899 INSUFFICIENT, AS IT IS 780 00:20:00,899 --> 00:20:02,367 APPARENT FROM THE RESULTS OF 781 00:20:02,367 --> 00:20:02,568 THE 782 00:20:02,568 --> 00:20:05,103 EVALUATION. AND SO WE KNOW THAT 783 00:20:05,103 --> 00:20:06,138 THE YEAR 784 00:20:06,138 --> 00:20:08,574 2025 AND 2026 ARE SIGNIFICANTLY 785 00:20:08,574 --> 00:20:10,375 IMPROVED FROM THOSE EARLIER 786 00:20:10,375 --> 00:20:15,147 YEARS, SO IT'S A LITTLE BIT OF 787 00:20:15,147 --> 00:20:15,280 A 788 00:20:15,280 --> 00:20:17,115 TALE OF TWO ORGANIZATIONS IN 789 00:20:17,115 --> 00:20:17,349 A 790 00:20:17,349 --> 00:20:18,550 SENSE. THE POLICIES AND 791 00:20:18,550 --> 00:20:21,053 PROCEDURES THAT YOU'LL SEE 792 00:20:21,053 --> 00:20:24,556 NOTED ON THIS SLIDE 793 00:20:24,556 --> 00:20:26,391 ARE RELATED TO PRIMARILY THE 794 00:20:26,391 --> 00:20:30,095 KIND OF ACTIVITIES THAT 795 00:20:30,095 --> 00:20:32,664 WERE CENTRALLY IMPROVED THROUGH 796 00:20:32,664 --> 00:20:33,065 THE 797 00:20:33,065 --> 00:20:36,435 IMPLEMENTATION OF SALESFORCE. 798 00:20:36,435 --> 00:20:37,336 THERE ARE STILL SEVERAL 799 00:20:37,336 --> 00:20:38,637 ITEMS NOTED IN OUR 800 00:20:38,637 --> 00:20:39,504 CORRECTIVE ACTION PLAN RELATED 801 00:20:39,504 --> 00:20:40,405 TO THESE AREAS. 802 00:20:40,405 --> 00:20:42,174 HOWEVER, WE HAVE HAD MANY OF 803 00:20:42,174 --> 00:20:44,810 THE CONTROL CHANGES UNDERWAY OR 804 00:20:44,810 --> 00:20:45,277 IN PLACE. 805 00:20:45,277 --> 00:20:46,945 THOSE ARE BEING CODIFIED. 806 00:20:46,945 --> 00:20:51,750 OUR MONTHLY CLOSE IS HAPPENING 807 00:20:51,750 --> 00:20:55,420 REGULARLY AT THIS 808 00:20:55,420 --> 00:20:58,457 POINT. THE FINANCE, LEADERSHIP, 809 00:20:58,457 --> 00:20:58,624 AND 810 00:20:58,624 --> 00:21:01,193 CONTROLLER LEVEL REVIEW IS 811 00:21:01,193 --> 00:21:02,828 AN EXAMPLE OF CHANGES THAT TOOK 812 00:21:02,828 --> 00:21:04,262 PLACE IN 2025 RIGHT AROUND WHEN 813 00:21:04,262 --> 00:21:05,897 THE EVALUATION WAS ENDING. 814 00:21:05,897 --> 00:21:08,667 THE ABILITY TO VALIDATE 815 00:21:08,667 --> 00:21:10,168 A RECEIVABLES AND 816 00:21:10,168 --> 00:21:11,770 BASICALLY PERFORM 817 00:21:11,770 --> 00:21:12,270 RECONCILIATIONS, WHICH 818 00:21:12,270 --> 00:21:16,475 WAS ONE OF THE CORE PROBLEMS 819 00:21:16,475 --> 00:21:20,812 FROM THE EARLIERS IS LARGELY 820 00:21:20,812 --> 00:21:23,181 RESOLVED AND FUNCTIONING AT 821 00:21:23,181 --> 00:21:24,549 THIS POINT, AND WE'RE 822 00:21:24,549 --> 00:21:26,385 EVALUATING WHERE WE MAY NEED 823 00:21:26,385 --> 00:21:26,685 ADDITIONAL 824 00:21:26,685 --> 00:21:28,186 CAPACITY OR EXTERNAL VALIDATION. 825 00:21:28,186 --> 00:21:29,421 AND I'LL SPEAK TO THAT A 826 00:21:29,421 --> 00:21:32,290 LITTLE BIT MORE IN THE NEXT 827 00:21:32,290 --> 00:21:32,524 SLIDE. 828 00:21:32,524 --> 00:21:34,359 AND SO WHERE WE'RE AT NOW IS 829 00:21:34,359 --> 00:21:36,261 WE HAVE IMPLEMENTED ALL THE 830 00:21:36,261 --> 00:21:41,466 CONTROL CHANGES IN PLACE FOR 831 00:21:41,466 --> 00:21:42,601 APPROVALS, 832 00:21:42,601 --> 00:21:44,136 DOCUMENTATION, ACCESS REVIEWS. 833 00:21:44,136 --> 00:21:45,037 THERE WAS NOTABLE 834 00:21:45,037 --> 00:21:47,673 CONVERSATION AROUND THINGS LIKE 835 00:21:47,673 --> 00:21:49,107 GIFT CARDS 836 00:21:49,107 --> 00:21:49,608 AND PURCHASE CARDS. 837 00:21:49,608 --> 00:21:50,242 I WOULD JUST FRAME THAT IN 838 00:21:50,242 --> 00:21:53,712 THE SCOPE AND SCALE OF THE 839 00:21:53,712 --> 00:21:56,515 FINANCIAL IMPLICATIONS FROM THIS 840 00:21:56,648 --> 00:21:57,983 EVALUATION, THOSE ITEMS 841 00:21:57,983 --> 00:22:00,719 ARE VERY MUCH AT THE MARGIN, 842 00:22:00,719 --> 00:22:01,553 AND OF COURSE IT'S 843 00:22:01,553 --> 00:22:03,855 APPROPRIATE THERE ARE 844 00:22:03,855 --> 00:22:05,657 APPROPRIATE AND PROPER 845 00:22:05,657 --> 00:22:07,159 CONTROLS IN PLACE FOR THOSE. 846 00:22:07,159 --> 00:22:08,493 THOSE CONTROLS WERE LARGELY 847 00:22:08,493 --> 00:22:08,827 IN PLACE. 848 00:22:08,827 --> 00:22:13,165 THEY JUST WEREN'T AS THOROUGHLY 849 00:22:13,298 --> 00:22:16,568 DOCUMENTED AS ONE MIGHT HAVE 850 00:22:16,568 --> 00:22:17,002 LIKED. 851 00:22:17,002 --> 00:22:20,272 THE PHASE ONE WORK FOR THE 852 00:22:20,272 --> 00:22:22,708 CORRECTIVE ACTION PLAN HAS 853 00:22:22,708 --> 00:22:24,042 REALLY LEANED INTO MAKING 854 00:22:24,042 --> 00:22:25,510 SURE THAT THOSE POLICIES AND 855 00:22:25,510 --> 00:22:28,947 PRACTICES AND PROCEDURES ARE 856 00:22:28,947 --> 00:22:31,750 FULLY DOCUMENTED AND IN 857 00:22:31,750 --> 00:22:38,323 COMPLIANCE WITH 2CFR200, 858 00:22:38,323 --> 00:22:39,524 THE REQUIREMENTS TO SHOW 859 00:22:39,524 --> 00:22:40,926 WE'RE NOT ONLY DOING THE RIGHT 860 00:22:40,926 --> 00:22:41,626 THINGS BUT WE'RE DOCUMENTING 861 00:22:41,626 --> 00:22:41,793 AND 862 00:22:41,793 --> 00:22:43,428 THE POLICIES AND PROCEDURES IS 863 00:22:43,428 --> 00:22:44,262 CLEAR AROUND THAT. 864 00:22:44,262 --> 00:22:46,431 THE OTHER PART OF IT IS 865 00:22:46,431 --> 00:22:48,133 THIS SECONDARY ELEMENT OF THE 866 00:22:48,133 --> 00:22:49,101 EVALUATION, WHICH RELATES 867 00:22:49,101 --> 00:22:51,636 TO SOME REALLY PRETTY LARGE 868 00:22:51,636 --> 00:22:52,804 DOLLAR 869 00:22:52,938 --> 00:22:54,339 NUMBERS. AND THEY FALL INTO 870 00:22:54,339 --> 00:22:55,841 THREE KEY 871 00:22:55,841 --> 00:22:58,577 CATEGORIES -- 872 00:22:58,577 --> 00:23:02,080 UNRECONCILED ACCOUNTS 873 00:23:02,080 --> 00:23:02,514 RECEIVABLES, WHICH 874 00:23:02,514 --> 00:23:12,958 AS DR. KINNISON NOTED WE 875 00:23:15,861 --> 00:23:17,129 DID NOT PAY BACK TO OUR 876 00:23:17,129 --> 00:23:17,395 FOUNDERS. 877 00:23:17,395 --> 00:23:19,531 AT KCRHA WE HAVE FIVE THINGS 878 00:23:19,531 --> 00:23:20,398 WE REALLY SPEND MONEY ON. 879 00:23:20,398 --> 00:23:21,800 WE SPEND MONEY RELATED TO 880 00:23:21,800 --> 00:23:23,135 THE HUD COC WORK. 881 00:23:23,135 --> 00:23:26,004 WE SPEND MONEY TO OUR 882 00:23:26,004 --> 00:23:27,005 DEPARTMENT OF COMMERCE 883 00:23:27,005 --> 00:23:27,472 SUPPORTIVE HOUSING 884 00:23:27,472 --> 00:23:29,107 PROGRAMS, AND WE SPEND 885 00:23:29,107 --> 00:23:30,842 MONEY RELATED TO CITY OF 886 00:23:30,842 --> 00:23:32,177 SEATTLE CONTRACTS AND KING 887 00:23:32,177 --> 00:23:32,411 COUNTY 888 00:23:32,411 --> 00:23:32,711 CONTRACTS. 889 00:23:32,711 --> 00:23:34,312 AND THE FIFTH BEING WE 890 00:23:34,312 --> 00:23:36,481 SPEND MONEY FOR THE 891 00:23:36,481 --> 00:23:37,916 ADMINISTRATIVE OVERHEAD OF THE 892 00:23:37,916 --> 00:23:38,416 ORGANIZATION. 893 00:23:38,416 --> 00:23:41,052 AND OUR INITIAL REVIEW HAS 894 00:23:41,052 --> 00:23:43,288 FOCUSED IN 895 00:23:43,288 --> 00:23:44,456 ON CLEARLY UNDERSTANDING THOSE 896 00:23:44,456 --> 00:23:44,723 EXPENSES 897 00:23:44,723 --> 00:23:46,725 AND THE 898 00:23:46,725 --> 00:23:48,260 INCOME RELATED. AND BECAUSE WE 899 00:23:48,260 --> 00:23:49,060 USED THE 900 00:23:49,060 --> 00:23:50,762 KING COUNTY TREASURY, WE DON'T 901 00:23:50,762 --> 00:23:51,730 HAVE OUR OWN 902 00:23:51,730 --> 00:23:53,598 BANK ACCOUNT. WE USED THE 903 00:23:53,598 --> 00:23:53,999 INVESTMENT POOL. 904 00:23:53,999 --> 00:23:58,537 WE HAVE 100% CLEAN RECORDS ON 905 00:23:58,537 --> 00:24:00,305 EVERY PENNY WE HAVE SPENT 906 00:24:00,305 --> 00:24:01,339 AND EVERY PENNY THAT'S COME 907 00:24:01,339 --> 00:24:01,706 INTO THE 908 00:24:01,706 --> 00:24:02,407 ORGANIZATION, AND WE 909 00:24:02,407 --> 00:24:04,209 CAN IDENTIFY THAT FLOW OF CASH 910 00:24:04,209 --> 00:24:07,045 ACROSS THOSE FIVE CATEGORIES. 911 00:24:07,045 --> 00:24:09,347 SO WE'VE ALREADY BEGUN 912 00:24:09,347 --> 00:24:11,583 WORKING THROUGH A CASH ANALYSIS 913 00:24:11,583 --> 00:24:14,119 THAT WE WILL CONTINUE IN THE 914 00:24:14,119 --> 00:24:14,352 COMING 915 00:24:14,352 --> 00:24:19,090 WEEKS AND HAVE IDENTIFIED WITH 916 00:24:19,090 --> 00:24:21,927 CLARITY THAT THE VAST MAJORITY 917 00:24:21,927 --> 00:24:24,362 OF THESE 918 00:24:24,362 --> 00:24:25,163 UNRECONCILED RECEIVABLES RESIDE 919 00:24:25,163 --> 00:24:25,564 IN THE 920 00:24:25,564 --> 00:24:26,898 RELATIONSHIP BETWEEN THE CITY 921 00:24:26,898 --> 00:24:33,905 OF SEATTLE AND KING COUNTY AND 922 00:24:33,905 --> 00:24:34,940 KCRHA. 923 00:24:34,940 --> 00:24:36,575 THAT BEING SAID, THERE'S KIND 924 00:24:36,575 --> 00:24:42,147 OF TWO LEVELS OF ANALYSIS THERE. 925 00:24:42,147 --> 00:24:45,016 THE TOP LEVEL CASH ANALYSIS WILL 926 00:24:45,016 --> 00:24:45,917 GIVE US THE DOLLAR AMOUNTS. 927 00:24:45,917 --> 00:24:48,186 THE PURSUIT OF THECULE 928 00:24:48,186 --> 00:24:50,755 DETAIL RELATIVE TO THE 929 00:24:50,755 --> 00:24:51,056 PARTICULARS 930 00:24:51,056 --> 00:24:54,893 OF EACH CONTRACT, TO EACH CASH 931 00:24:54,893 --> 00:24:55,093 SWAP 932 00:24:55,093 --> 00:25:00,565 RELATED TO THOSE UNRECONCILABLE 933 00:25:00,565 --> 00:25:02,367 RECEIVABLES WILL TAKE LONGER 934 00:25:02,367 --> 00:25:04,302 AND REQUIRE MORE HISTORICAL 935 00:25:04,302 --> 00:25:06,371 EVALUATION, WHICH IS THE SORT 936 00:25:06,371 --> 00:25:07,839 OF WORK THAT'S ANTICIPATED IN 937 00:25:07,839 --> 00:25:08,073 PHASE 938 00:25:08,073 --> 00:25:13,278 TWO. ALSO IN PHASE TWO WE 939 00:25:13,278 --> 00:25:15,881 NOTE THAT THE OPPORTUNITY WILL 940 00:25:15,881 --> 00:25:18,283 CONTINUE TO 941 00:25:18,283 --> 00:25:20,886 IMPROVE SYSTEMS WITHIN KCRHA 942 00:25:20,886 --> 00:25:22,821 SOSO THAT STATUS OF 943 00:25:22,821 --> 00:25:25,156 THE ORGANIZATION THAT WE HAVE 944 00:25:25,156 --> 00:25:25,357 TODAY 945 00:25:25,357 --> 00:25:32,030 IN THE SORT OF '25, '26 FRAME 946 00:25:32,030 --> 00:25:32,197 OF 947 00:25:32,197 --> 00:25:33,665 FUNCTIONING AND OPERATING 948 00:25:33,665 --> 00:25:35,834 QUITE WELL IS STABILIZED, 949 00:25:35,834 --> 00:25:36,902 WELL- DOCUMENTED, CLEARLY 950 00:25:36,902 --> 00:25:38,069 DEFENSIBLE, AND 951 00:25:38,069 --> 00:25:40,438 OPERATING SMOOTHLY MOVING 952 00:25:40,438 --> 00:25:42,007 FORWARD LEAVING THE CITY, THE 953 00:25:42,007 --> 00:25:42,440 COUNTY, 954 00:25:42,440 --> 00:25:44,376 AND OURSELVES WITH THE TASK 955 00:25:44,376 --> 00:25:46,144 OF UNDERSTANDING WHAT THE 956 00:25:46,144 --> 00:25:48,280 FINAL NUMBERS ARE RELATIVE TO 957 00:25:48,280 --> 00:25:49,114 THE 958 00:25:49,114 --> 00:25:54,352 UNRECONCILED RECEIVABLES AND 959 00:25:54,352 --> 00:25:56,555 THE ADMINISTRATIVE 960 00:25:56,555 --> 00:25:57,222 OVERSPEND OF WHICH THERE IS ALSO 961 00:25:57,222 --> 00:25:57,422 SOME 962 00:25:57,422 --> 00:25:59,491 NOTABLE ITEMS THAT SHOW UP ON 963 00:25:59,491 --> 00:25:59,758 THAT SUCH 964 00:25:59,758 --> 00:26:01,493 AS THE EXPENSE OF 965 00:26:01,493 --> 00:26:05,564 TRANSITIONING TO SALESFORCE AND 966 00:26:05,564 --> 00:26:06,097 ALSO 967 00:26:06,097 --> 00:26:07,699 THE INTEREST THAT IS BEING 968 00:26:07,699 --> 00:26:09,000 ACCRUED ON THE NEGATIVE BALANCE 969 00:26:09,000 --> 00:26:09,200 IN 970 00:26:09,200 --> 00:26:12,370 THE KING COUNTY INVESTMENT POOL. 971 00:26:12,370 --> 00:26:16,675 NOTEWORTHY IS THE ROLE OF 972 00:26:16,675 --> 00:26:19,644 PROGRAM UNDERSPEND EACH YEAR 973 00:26:19,644 --> 00:26:20,879 THAT HAS BEEN A OPPORTUNITY OVER 974 00:26:20,879 --> 00:26:22,981 THE YEARS FOR THE CITY OF 975 00:26:22,981 --> 00:26:31,957 SEATTLE, KING COUNTY, AND KCRHA 976 00:26:31,957 --> 00:26:33,925 TO RECONCILE ADDITIONAL 977 00:26:33,925 --> 00:26:35,427 EXPENSES THAT WERE 978 00:26:35,427 --> 00:26:38,229 UNANTICIPATED DURING THE COURSE 979 00:26:38,229 --> 00:26:42,467 OF THE YEAR BE THEY 980 00:26:42,467 --> 00:26:43,802 PROGRAMMATIC, ADMINISTRATIVE, 981 00:26:43,802 --> 00:26:45,203 OR OTHER RELATED ACTIVITIES. 982 00:26:45,203 --> 00:26:47,672 AND THAT UNDERSPEND 983 00:26:47,672 --> 00:26:49,908 ALLOCATIONS AT TIMES HAS BEEN 984 00:26:49,908 --> 00:26:50,275 USED TO 985 00:26:50,275 --> 00:26:52,310 REIMBURSE KCRHA FOR 986 00:26:52,310 --> 00:26:56,247 UNBUDGETED ADMINISTRATIVE 987 00:26:56,247 --> 00:26:56,514 OVERSPEND 988 00:26:56,514 --> 00:26:59,417 OR OTHER PROGRAMMATIC 989 00:26:59,417 --> 00:27:01,419 EXPENSES THAT WERE OUT OF THE 990 00:27:01,419 --> 00:27:04,022 ORIGINAL BUDGET. SO THAT IS AN 991 00:27:04,022 --> 00:27:04,422 IMPORTANT NOTE IN 992 00:27:04,556 --> 00:27:06,958 THIS AREA. BUT, ULTIMATELY, THE 993 00:27:06,958 --> 00:27:07,258 TASK OVER 994 00:27:07,258 --> 00:27:08,727 THE COMING MONTHS WILL BE 995 00:27:08,727 --> 00:27:10,962 TO DETERMINE WHAT THAT FINAL 996 00:27:10,962 --> 00:27:12,030 NUMBER ENDS UP BEING AND 997 00:27:12,030 --> 00:27:14,432 UNDERSTANDING HOW 998 00:27:14,432 --> 00:27:17,002 THE CITY AND THE COUNTY PARTNERS 999 00:27:17,002 --> 00:27:22,107 WISH TO PROCEED 1000 00:27:22,107 --> 00:27:23,975 WITH RECONCILING THAT NUMBER. 1001 00:27:23,975 --> 00:27:25,410 AND THAT NUMBER IS 1002 00:27:25,410 --> 00:27:27,045 IMPORTANT BECAUSE IT IS EMBEDDED 1003 00:27:27,045 --> 00:27:27,245 INTO 1004 00:27:27,245 --> 00:27:28,413 OUR NEGATIVE BALANCE WITH 1005 00:27:28,413 --> 00:27:28,947 THE 1006 00:27:28,947 --> 00:27:30,348 INVESTMENT POOL. SO ONCE WE KNOW 1007 00:27:30,348 --> 00:27:31,016 WHAT THAT 1008 00:27:31,016 --> 00:27:32,250 NUMBER IS, WE CAN HAVE 1009 00:27:32,250 --> 00:27:33,018 CONFIDENCE 1010 00:27:33,018 --> 00:27:33,685 THE REMAINING AMOUNT 1011 00:27:33,685 --> 00:27:34,519 IN THAT NEGATIVE BALANCE IS 1012 00:27:34,519 --> 00:27:34,886 RELATED 1013 00:27:34,886 --> 00:27:35,854 TO 1014 00:27:35,854 --> 00:27:46,431 NORMAL OPERATIONS. SO I'LL STOP 1015 00:27:47,432 --> 00:27:47,665 THERE. 1016 00:27:47,665 --> 00:27:48,833 >> WE'LL TURN IT BACK TO YOU 1017 00:27:48,833 --> 00:27:50,635 FOR QUESTIONS AND MORE 1018 00:27:50,635 --> 00:27:52,671 DEEPER DISCUSSION ON ANY AREAS 1019 00:27:52,671 --> 00:27:53,071 OF INTEREST. 1020 00:27:53,204 --> 00:27:55,707 >> THANK YOU ALL FOR THE 1021 00:27:55,707 --> 00:27:56,374 PRESENTATION TODAY AND 1022 00:27:56,374 --> 00:27:57,842 COMING FOR THIS DISCUSSION. 1023 00:27:57,842 --> 00:27:58,843 I IMAGINE MY COLLEAGUES 1024 00:27:58,843 --> 00:28:01,179 WILL HAVE A 1025 00:28:01,179 --> 00:28:02,347 NUMBER OF QUESTIONS. I KNOW MANY 1026 00:28:02,347 --> 00:28:03,281 IN THE PUBLIC 1027 00:28:03,281 --> 00:28:04,816 HAVE BEEN ENGAGED IN 1028 00:28:04,816 --> 00:28:05,550 DISCOURSE ON THIS TOPIC. 1029 00:28:05,550 --> 00:28:07,852 AND SO JUST TO GET US WARMED UP, 1030 00:28:07,852 --> 00:28:08,453 COLLEAGUES, I'M GOING 1031 00:28:08,453 --> 00:28:11,322 TO START WITH A COUPLE OF 1032 00:28:11,322 --> 00:28:13,591 QUESTIONS AND INVITE YOU ALL TO 1033 00:28:13,591 --> 00:28:14,826 CHIME IN WITH 1034 00:28:14,959 --> 00:28:16,394 YOURS. JUST STARTING US OFF, 1035 00:28:16,394 --> 00:28:16,594 KCRHA 1036 00:28:16,594 --> 00:28:19,097 SAYS IN THE CORRECTIVE ACTION 1037 00:28:19,097 --> 00:28:19,297 PLAN 1038 00:28:19,297 --> 00:28:20,498 THAT EXTERNAL 1039 00:28:20,498 --> 00:28:21,566 STABILIZATION SUPPORT IS NEEDED 1040 00:28:21,566 --> 00:28:22,233 IN ORDER 1041 00:28:22,233 --> 00:28:24,536 TO FULLY ADDRESS FORENSIC 1042 00:28:24,536 --> 00:28:25,937 EVALUATION FINDINGS. 1043 00:28:25,937 --> 00:28:27,038 CAN KCRHA EXPLAIN WHAT 1044 00:28:27,038 --> 00:28:28,373 THIS MEANS IN PLAIN LANGUAGE? 1045 00:28:28,373 --> 00:28:30,075 DOES THIS MEAN MORE FUNDING 1046 00:28:30,075 --> 00:28:31,476 IS NEEDED IN ORDER TO PAY 1047 00:28:31,476 --> 00:28:33,711 FOR ADDITIONAL STAFF AND 1048 00:28:33,711 --> 00:28:34,145 THEIR CONSULTANTS? 1049 00:28:34,145 --> 00:28:35,580 DOES THIS MEAN IN KIND SUPPORT 1050 00:28:35,580 --> 00:28:37,882 FROM KING COUNTY OR CITY 1051 00:28:37,882 --> 00:28:40,218 OF SEATTLE FINANCE TEAMS OR 1052 00:28:40,218 --> 00:28:40,652 SOME COMBINATION? 1053 00:28:40,785 --> 00:28:44,456 >> THANKS FOR THAT QUESTION. 1054 00:28:44,456 --> 00:28:45,690 I THINK WE ARE VERY OPEN TO 1055 00:28:45,690 --> 00:28:48,793 SOME COMBINATION OF THOSE TWO 1056 00:28:48,793 --> 00:28:50,995 SOLUTIONS. 1057 00:28:50,995 --> 00:28:52,797 OUR FINANCE DEPARTMENT IS 1058 00:28:52,797 --> 00:28:55,400 UNDERSTAFFED AT THE MOMENT. 1059 00:28:55,400 --> 00:28:56,701 WE'VE HAD A COUPLE OF RECENT 1060 00:28:56,835 --> 00:28:59,637 LOSSES. AND IN ADDITION TO JUST 1061 00:28:59,771 --> 00:29:01,873 NEEDING MORE REGULAR STAFF TIME 1062 00:29:01,873 --> 00:29:02,173 TO 1063 00:29:02,173 --> 00:29:04,309 DO OUR REGULAR BUSINESS, WE 1064 00:29:04,309 --> 00:29:14,819 LACK SOME OF THE EXPERTISE A 1065 00:29:32,604 --> 00:29:35,173 SMALL TEAM -- FULLY 1066 00:29:35,173 --> 00:29:37,675 IMPLEMENTING THE CORRECTIVE 1067 00:29:37,675 --> 00:29:38,443 ACTION PLAN. 1068 00:29:38,443 --> 00:29:40,712 WE HAVE SOME OTHER NEEDS 1069 00:29:40,712 --> 00:29:42,514 THATTHAT ARE AROOMIFICATION OF 1070 00:29:42,514 --> 00:29:44,616 JUST BEING 1071 00:29:44,616 --> 00:29:46,885 A LITTLE BIT UNDERSTAFFED 1072 00:29:46,885 --> 00:29:49,521 IN CORE INFRASTRUCTURE SUCH AS 1073 00:29:49,521 --> 00:29:49,788 I.T. 1074 00:29:49,788 --> 00:29:53,424 AND HR AND WOULD VERY MUCH 1075 00:29:53,424 --> 00:29:55,059 LIKE TO CONTINUE DISCUSSIONS 1076 00:29:55,059 --> 00:29:55,260 THAT 1077 00:29:55,260 --> 00:29:56,694 WE HAVE BEEN HAVING FOR SOME 1078 00:29:56,694 --> 00:29:56,895 TIME 1079 00:29:56,895 --> 00:30:00,098 ABOUT HOW WE, YOU KNOW, 1080 00:30:00,098 --> 00:30:01,199 STREAMLINE GETTING 1081 00:30:01,199 --> 00:30:02,467 THOSE RESOURCES TO KCRHA GIVEN 1082 00:30:02,467 --> 00:30:02,634 OUR 1083 00:30:02,634 --> 00:30:08,873 PARTNERSHIPS WITH THE CITY AND 1084 00:30:09,007 --> 00:30:10,108 COUNTY. SO THAT'S THE 1085 00:30:10,108 --> 00:30:11,943 CORRECTIVE ACTION 1086 00:30:11,943 --> 00:30:12,644 PLAN. 1087 00:30:12,844 --> 00:30:13,478 >> THANK YOU FOR THAT. AND 1088 00:30:13,478 --> 00:30:13,945 BUILDING ON THAT 1089 00:30:13,945 --> 00:30:16,181 POINT, UNDERSTANDING THAT 1090 00:30:16,181 --> 00:30:16,648 THERE'S SOME 1091 00:30:16,648 --> 00:30:20,485 IDENTIFIED LACKING EXPERTISE 1092 00:30:20,485 --> 00:30:21,719 INTERNALLY AND NEED TO 1093 00:30:21,719 --> 00:30:22,921 TRY TO BRING IN ADDITIONAL 1094 00:30:22,921 --> 00:30:24,622 SUPPORTS, DOES KCRHA HAVE AN 1095 00:30:24,622 --> 00:30:26,157 ESTIMATED COST OF THE AMOUNT 1096 00:30:26,157 --> 00:30:28,493 OF STABILIZATION SUPPORT NEEDED 1097 00:30:28,493 --> 00:30:31,162 AND OVER WHAT TIME PERIOD, AND 1098 00:30:31,162 --> 00:30:31,362 WHAT 1099 00:30:31,362 --> 00:30:32,330 MIGHT HAPPEN OR WHAT WOULD 1100 00:30:32,330 --> 00:30:34,599 YOU DO IF YOU CANNOT RECEIVE 1101 00:30:34,599 --> 00:30:36,167 EXTERNAL SUPPORT? 1102 00:30:36,301 --> 00:30:38,836 >> DO YOU HAVE THOUGHTS ON THAT 1103 00:30:39,037 --> 00:30:39,437 ONE? 1104 00:30:39,437 --> 00:30:41,906 >> SURE, I'LL 1105 00:30:41,906 --> 00:30:42,340 LEAN IN ON THAT A 1106 00:30:42,340 --> 00:30:49,581 LITTLE BIT. TO BUILD ON DR. 1107 00:30:49,581 --> 00:30:50,715 KINNISON'S REMARKS A LITTLE 1108 00:30:50,715 --> 00:30:51,549 BIT, AN 1109 00:30:51,549 --> 00:30:53,852 ELEMENT I THINK IS IMPORTANT FOR 1110 00:30:53,852 --> 00:30:54,352 THIS 1111 00:30:54,352 --> 00:30:55,320 EXTERNAL ROLE CENTERS ON THE 1112 00:30:55,320 --> 00:30:56,821 FACT THAT THERE'S GOING TO 1113 00:30:56,821 --> 00:30:58,122 BE THIS NUMBER THAT EMERGES 1114 00:30:58,122 --> 00:31:02,827 THAT THE CITY AND THE 1115 00:31:02,827 --> 00:31:04,329 COUNTY AND KCRHA ARE GOING TO 1116 00:31:04,329 --> 00:31:04,662 GRAPPLE WITH. 1117 00:31:04,662 --> 00:31:06,030 AND THE ALLOCATIONS OF 1118 00:31:06,030 --> 00:31:08,633 THAT EXPENSE AND THE HISTORY OF 1119 00:31:08,633 --> 00:31:08,833 THOSE 1120 00:31:08,833 --> 00:31:11,769 EXPENSES WILL BE IMPORTANT. 1121 00:31:11,769 --> 00:31:15,773 AND I THINK THAT IT WOULD 1122 00:31:15,773 --> 00:31:17,108 BE VITALLY -- ALL PARTIES 1123 00:31:17,108 --> 00:31:20,478 WOULD SEEK TO HAVE ESSENTIALLY A 1124 00:31:20,612 --> 00:31:22,847 THIRD- PARTY REFERENCE 1125 00:31:22,847 --> 00:31:24,482 RELATIVE TO THE EFFICACY OF 1126 00:31:24,482 --> 00:31:24,849 THOSE 1127 00:31:24,849 --> 00:31:26,618 NUMBERS, SO TO SPEAK. 1128 00:31:26,618 --> 00:31:28,186 SO I DON'T THINK IF WE 1129 00:31:28,186 --> 00:31:31,289 PRODUCE THEM JUST ON OUR OWN, 1130 00:31:31,289 --> 00:31:31,556 THERE MAY 1131 00:31:31,556 --> 00:31:32,690 BE QUESTION MARKS AROUND 1132 00:31:32,690 --> 00:31:34,692 THAT. AND THERE'LL NEED TO BE 1133 00:31:34,692 --> 00:31:35,827 SOME BALANCING OUT BETWEEN THE 1134 00:31:35,827 --> 00:31:38,363 COUNTY AND THE CITY ON HOW THESE 1135 00:31:38,363 --> 00:31:38,796 BECOME 1136 00:31:38,930 --> 00:31:41,232 RESOLVED. THE QUESTION OF THE 1137 00:31:41,232 --> 00:31:41,633 EXPENSE, 1138 00:31:41,633 --> 00:31:46,070 THE WAY I VIEW IT WOULD BE WHEN 1139 00:31:46,070 --> 00:31:49,707 DR. 1140 00:31:49,707 --> 00:31:51,242 KINNISON ASKED FOR THIS 1141 00:31:51,242 --> 00:31:52,844 EVALUATION A WHILE AGO, IT 1142 00:31:52,844 --> 00:31:54,579 WAS CLEAR TO HER WE NEEDED A 1143 00:31:54,579 --> 00:31:56,848 HIGHER LEVEL OF CAPABILITY IN 1144 00:31:56,848 --> 00:31:57,048 THAT 1145 00:31:57,048 --> 00:31:58,449 AREA, AND WE CHOSE TO 1146 00:31:58,449 --> 00:32:01,719 HOLD OFF -- OR SHE CHOSE TO HOLD 1147 00:32:01,719 --> 00:32:04,055 OFF ON PURSUING A PERSON FOR 1148 00:32:04,055 --> 00:32:06,591 THAT ROLE UNTIL THE EVALUATION 1149 00:32:06,591 --> 00:32:06,758 WAS 1150 00:32:06,891 --> 00:32:09,127 COMPLETED. WHAT WE KNOW TODAY IS 1151 00:32:09,127 --> 00:32:09,794 THAT THE 1152 00:32:09,794 --> 00:32:11,496 ORGANIZATION WOULD BENEFIT 1153 00:32:11,496 --> 00:32:21,039 FROM A CFO- TYPE ROLE WITH THE 1154 00:32:21,039 --> 00:32:23,875 CORRECT LEVEL OF 1155 00:32:23,875 --> 00:32:24,409 CAPABILITY AND EXPERIENCE 1156 00:32:24,409 --> 00:32:25,176 RELATIVE TO THE 1157 00:32:25,176 --> 00:32:26,477 COMPLEX LEVEL OF OPERATIONS. 1158 00:32:26,477 --> 00:32:29,747 FOR ME THE WAY TO PROCEED HERE 1159 00:32:29,747 --> 00:32:32,817 WOULD BE SOME SORT OF 1160 00:32:32,817 --> 00:32:33,785 EXTERNAL CONSULTANT OR 1161 00:32:33,785 --> 00:32:36,387 TEMPORARY PROFESSIONAL IN THAT 1162 00:32:36,387 --> 00:32:36,754 SPACE WHO'S 1163 00:32:36,754 --> 00:32:39,123 ACCEPTABLE TO ALL THREE 1164 00:32:39,123 --> 00:32:41,059 PARTIES THAT ACTS AS ESSENTIALLY 1165 00:32:41,059 --> 00:32:43,895 THE INTERIM PERSON IN THAT ROLE 1166 00:32:43,895 --> 00:32:44,095 AND 1167 00:32:44,095 --> 00:32:45,763 ACTS AS THE SOURCE OF TRUTH 1168 00:32:45,763 --> 00:32:49,534 FOR WHAT THE RESOLUTION IS ON 1169 00:32:49,534 --> 00:32:51,135 THESE MATTERS AND THEN ENSURES 1170 00:32:51,135 --> 00:32:51,336 THAT 1171 00:32:51,336 --> 00:32:52,870 THE ORGANIZATION'S FINANCES 1172 00:32:52,870 --> 00:32:55,406 ARE STABLE AND OPERATING WELL 1173 00:32:55,406 --> 00:32:56,374 SO THAT A FOLLOWING EMPLOYEE 1174 00:32:56,374 --> 00:33:03,514 IN THAT ROLE HAS A CLEAN 1175 00:33:03,514 --> 00:33:09,153 STARTING 1176 00:33:09,287 --> 00:33:09,821 POINT. 1177 00:33:09,821 --> 00:33:11,622 >> AND FOR COST THINKING OF AN 1178 00:33:11,622 --> 00:33:13,291 EXTERNAL CFO AND INCLUDING 1179 00:33:13,291 --> 00:33:15,626 A YORE OF AN AXANT, I 1180 00:33:15,626 --> 00:33:18,596 THINK WE COULD THINK ABOUT 1181 00:33:18,596 --> 00:33:18,863 $500,000 1182 00:33:18,863 --> 00:33:25,103 OVER THE NEXT 12 MONTHS. 1183 00:33:25,236 --> 00:33:25,837 >> THANK YOU. 1184 00:33:25,837 --> 00:33:27,772 I WANT TO CONTINUE ON WHAT'S 1185 00:33:27,772 --> 00:33:28,473 NEEDED. 1186 00:33:28,473 --> 00:33:29,240 I WANT TO SHIFT GEARS A 1187 00:33:29,240 --> 00:33:30,141 LITTLE BIT JUST TO MOVE INTO 1188 00:33:30,141 --> 00:33:30,675 SOME 1189 00:33:30,675 --> 00:33:33,077 OF THE POINTS ABOUT FEDERAL 1190 00:33:33,077 --> 00:33:33,544 FUNDING REQUIREMENTS. 1191 00:33:33,544 --> 00:33:34,879 HOW IS KCRHA ADDRESSING 1192 00:33:34,879 --> 00:33:37,715 ANY FINDINGS RELATED TO FEDERAL 1193 00:33:37,715 --> 00:33:38,483 FUNDING 1194 00:33:38,483 --> 00:33:40,284 REQUIREMENTS, FOR EXAMPLE THE 1195 00:33:40,284 --> 00:33:41,486 FORENSIC EVALUATION 1196 00:33:41,486 --> 00:33:44,155 SPECIFICALLY NOTED KCRHA IS 1197 00:33:44,155 --> 00:33:44,455 AT 1198 00:33:44,455 --> 00:33:45,156 COMPLIANCE WITH THOSE 1199 00:33:45,156 --> 00:33:46,324 REQUIREMENTS BY NOT HAVING 1200 00:33:46,324 --> 00:33:49,093 AN INTERNAL CONTROL 1201 00:33:49,093 --> 00:33:50,962 FRAMEWORK. YET THE CORRECTIVE 1202 00:33:50,962 --> 00:33:53,264 ACTION PLAN DOES 1203 00:33:53,264 --> 00:33:53,831 NOT APPEAR TO ADDRESS THIS 1204 00:33:53,831 --> 00:33:55,133 PIECE, SO I'M WONDERING 1205 00:33:55,133 --> 00:33:56,334 IF YOU CAN EXPAND 1206 00:33:56,334 --> 00:33:56,768 ON THAT. 1207 00:33:56,768 --> 00:33:58,202 >> WILLIAM, YOU'VE BEEN 1208 00:33:58,202 --> 00:33:59,303 WORKING WITH OUR COMPLIANCE TEAM 1209 00:33:59,303 --> 00:33:59,470 ON 1210 00:33:59,470 --> 00:33:59,704 THAT 1211 00:33:59,704 --> 00:34:00,038 ISSUE. 1212 00:34:00,038 --> 00:34:02,173 >> YEAH, THE CORRECTIVE 1213 00:34:02,173 --> 00:34:03,141 ACTION PLAN IS LENGTHY AND 1214 00:34:03,141 --> 00:34:03,741 COVERS A 1215 00:34:03,741 --> 00:34:05,576 LOT OF DIFFERENT AREAS. 1216 00:34:05,576 --> 00:34:07,879 YOU'LL SEE REFERENCES IN THERE 1217 00:34:07,879 --> 00:34:11,616 TO KOSO FRAMEWORK AND OTHER 1218 00:34:11,749 --> 00:34:12,950 MATTERS. WE FEEL STRONGLY WE'RE 1219 00:34:12,950 --> 00:34:14,819 IN GOOD 1220 00:34:14,952 --> 00:34:15,887 SHAPE THERE. IT'S AN EXAMPLE OF 1221 00:34:15,887 --> 00:34:18,156 THE CHANGES 1222 00:34:18,156 --> 00:34:20,358 WHEN CLARK NEWBURGH WAS 1223 00:34:20,358 --> 00:34:21,859 EVALUATING AND CALLING OUT 1224 00:34:21,859 --> 00:34:26,764 ACTIVITIES IN THE '22, '23, 1225 00:34:26,764 --> 00:34:27,265 '24 1226 00:34:27,398 --> 00:34:29,467 FRAME. WE HAD A CONTROLLER COME 1227 00:34:29,467 --> 00:34:29,634 IN 1228 00:34:29,634 --> 00:34:31,169 ACTUALLY 2025. 1229 00:34:31,169 --> 00:34:33,070 WE HAD RESULTS FROM 1230 00:34:33,070 --> 00:34:34,238 OTHER EVALUATIONS AND AUDITS 1231 00:34:34,238 --> 00:34:34,639 THAT WERE 1232 00:34:34,639 --> 00:34:35,706 INFORMED THE NEED TO IMPROVE 1233 00:34:35,706 --> 00:34:38,176 MANY OF THOSE PRACTICES. 1234 00:34:38,176 --> 00:34:41,679 WE HAVE 1235 00:34:41,679 --> 00:34:42,647 CURRENTLY IN OUR CORRECTIVE 1236 00:34:42,647 --> 00:34:44,315 ACTION PLAN DASHBOARD 1237 00:34:44,315 --> 00:34:45,316 A SECTION SPECIFICALLY 1238 00:34:45,316 --> 00:34:48,786 CALLING WHAT I CALL OUR HUD 1239 00:34:48,786 --> 00:34:49,086 READINESS. 1240 00:34:49,086 --> 00:34:50,988 SO WE ARE MAKING SURE THAT BY 1241 00:34:50,988 --> 00:34:53,925 THE AUGUST 26th DEADLINE THAT WE 1242 00:34:53,925 --> 00:34:56,227 HAVE IRREFUTABLE EVIDENCE OF 1243 00:34:56,227 --> 00:34:58,830 ALL OF THOSE REQUIREMENTS BEING 1244 00:34:58,830 --> 00:34:59,497 MET, 1245 00:34:59,497 --> 00:35:02,867 IMPLEMENTED IN PLACE AND 1246 00:35:02,867 --> 00:35:08,739 DOCUMENTED PROPERLY. 1247 00:35:08,873 --> 00:35:10,374 >> AUGUST 26th IS WHEN WE WILL 1248 00:35:10,374 --> 00:35:11,242 SUBMIT OUR APPLICATION TO HUD. 1249 00:35:11,242 --> 00:35:13,811 AND SO WHEN WE SUBMIT 1250 00:35:13,811 --> 00:35:17,181 THAT, WE WANT TO BE ABLE TO SAY 1251 00:35:17,181 --> 00:35:17,915 AT THAT 1252 00:35:17,915 --> 00:35:20,785 TIME ANY ISSUES THAT MIGHT 1253 00:35:20,785 --> 00:35:22,019 REFLECT THAT POINT ARE 1254 00:35:22,019 --> 00:35:22,620 RESOLVED. 1255 00:35:22,620 --> 00:35:26,824 >> I KNOW IN CLARK MEMBER'S 1256 00:35:26,958 --> 00:35:27,458 EVALUATION, THERE WAS 1257 00:35:27,458 --> 00:35:28,059 IDENTIFICATION SOME OF THESE 1258 00:35:28,059 --> 00:35:29,293 FINDINGS, IN ORDER TO RESOLVE 1259 00:35:29,293 --> 00:35:30,495 THEM, THERE'S A SEQUENTIAL 1260 00:35:30,495 --> 00:35:31,863 ORDER THAT SHOULD BE IN PLACE IN 1261 00:35:31,863 --> 00:35:33,064 ORDER FOR THEM TO 1262 00:35:33,064 --> 00:35:34,832 BE SUCCESSFUL. I'M WONDERING 1263 00:35:34,832 --> 00:35:35,933 HOW KCRHA 1264 00:35:35,933 --> 00:35:37,401 INTEGRATED CLARK 1265 00:35:37,401 --> 00:35:38,135 NEWBURGH'S RECOMMENDATIONS SOME 1266 00:35:38,135 --> 00:35:38,336 OF 1267 00:35:38,336 --> 00:35:39,437 THESE ACTIONS HAVE TO HAVE 1268 00:35:39,437 --> 00:35:41,639 IN A 1269 00:35:41,639 --> 00:35:42,273 SPECIFIC ORDER TO BE SUCCESSFUL. 1270 00:35:42,406 --> 00:35:44,809 >> AGAIN, THE OVERALL CORRECTIVE 1271 00:35:44,809 --> 00:35:47,211 ACTION PLAN ENCOMPASSES OVER 1272 00:35:47,211 --> 00:35:48,946 70 DIFFERENT MILESTONE 1273 00:35:48,946 --> 00:35:54,519 COMPONENTS, AND MANY OF THEM ARE 1274 00:35:54,519 --> 00:35:56,954 INTERRELATED AND 1275 00:35:56,954 --> 00:35:57,555 SEQUENCED. 1276 00:35:57,555 --> 00:36:00,324 >> I WOULD SAY WE ALSO USED A 1277 00:36:00,324 --> 00:36:00,958 RISK FRAMEWORK. 1278 00:36:00,958 --> 00:36:03,161 SO ADDRESSING THE HIGHEST 1279 00:36:03,161 --> 00:36:05,596 RISK ITEMS FIRST AND 1280 00:36:05,596 --> 00:36:06,063 PRIORITIZING THOSE. 1281 00:36:06,063 --> 00:36:08,599 SO WHILE SORT OF SMALLER IN IN 1282 00:36:08,599 --> 00:36:11,035 IMPACT, THE HIGH- RISK AREAS 1283 00:36:11,035 --> 00:36:15,506 THAT, YOU KNOW, THE CITY 1284 00:36:15,506 --> 00:36:18,809 AND COUNTY ASKED US TO ADDRESS 1285 00:36:18,809 --> 00:36:21,078 FIRST WERE AROUND THOSE 1286 00:36:21,078 --> 00:36:22,346 CASH EQUIVALENT ITEMS, SO 1287 00:36:22,346 --> 00:36:24,248 THE BUSINESS CARD, PURCHASE 1288 00:36:24,248 --> 00:36:24,448 CARD, 1289 00:36:24,448 --> 00:36:26,784 GIFT CARDS, AND HOW WE 1290 00:36:26,784 --> 00:36:27,251 REIMBURSE EMPLOYEES. 1291 00:36:27,251 --> 00:36:28,853 WE WERE ABLE TO DO THAT 1292 00:36:28,853 --> 00:36:30,087 FAIRLY QUICKLY BECAUSE MANY OF 1293 00:36:30,087 --> 00:36:31,589 THOSE PRACTICES WERE IN PLACE. 1294 00:36:31,589 --> 00:36:33,991 AGAIN, NOT WELL- DOCUMENTED 1295 00:36:33,991 --> 00:36:35,860 OR PEOPLE HAD -- BECAUSE WE HAD 1296 00:36:35,860 --> 00:36:39,063 VACANCIES, PEOPLE WERE STIRRING 1297 00:36:39,197 --> 00:36:41,732 OUTSIDE OF THE POLICIES AND 1298 00:36:41,732 --> 00:36:43,367 PROCEDURES, SO WE LOCKED 1299 00:36:43,367 --> 00:36:44,635 THAT DOWN IMMEDIATELY. 1300 00:36:44,635 --> 00:36:46,204 AND SO THAT WAS AN 1301 00:36:46,204 --> 00:36:47,805 IMPORTANT STEP JUST IN 1302 00:36:47,805 --> 00:36:48,306 MITIGATING ANY 1303 00:36:48,306 --> 00:36:48,773 RISK 1304 00:36:48,773 --> 00:36:51,309 THERE. AND THEN AS WILLIAM SAID, 1305 00:36:51,309 --> 00:36:53,578 THIS ISSUE OF THE UNRECONCILED 1306 00:36:53,578 --> 00:36:58,349 FUNDS I THINK IS AT THE CENTER 1307 00:36:58,349 --> 00:36:58,549 OF 1308 00:36:58,549 --> 00:37:00,251 OUR CORRECTIVE ACTIONS, AND SO 1309 00:37:00,251 --> 00:37:06,290 THAT HAS BEEN A PRIORITY FOR 1310 00:37:06,290 --> 00:37:09,160 SOME 1311 00:37:09,160 --> 00:37:09,393 TIME. 1312 00:37:09,527 --> 00:37:11,195 >> I WANT TO TAKE A 1313 00:37:11,195 --> 00:37:14,832 STEP BACK JUST IN TERMS OF THE 1314 00:37:14,832 --> 00:37:16,434 INTERNAL CONTROL FRAME. 1315 00:37:16,434 --> 00:37:19,036 WILL WE HAVE AN INTERNAL CONTROL 1316 00:37:19,036 --> 00:37:20,071 FRAMEWORK DEVELOPED BY 1317 00:37:20,071 --> 00:37:20,304 AUGUST? 1318 00:37:20,304 --> 00:37:20,538 >> YES. 1319 00:37:20,538 --> 00:37:22,173 WE HAVE AN INTERNAL 1320 00:37:22,173 --> 00:37:31,148 CONTROL FRAMEWORK ACTIVE RIGHT 1321 00:37:31,148 --> 00:37:33,384 NOW. THE THOROUGH AND 1322 00:37:33,384 --> 00:37:34,418 COMPLETE DOCUMENTATION OF 1323 00:37:34,418 --> 00:37:35,119 THAT FRAMEWORK IS BEING 1324 00:37:35,119 --> 00:37:35,987 COMPLETED IN THE 1325 00:37:35,987 --> 00:37:36,320 COMING 1326 00:37:36,320 --> 00:37:37,088 MONTHS. MOST OF THE CORE 1327 00:37:37,088 --> 00:37:37,355 DOCUMENTS 1328 00:37:37,355 --> 00:37:38,155 ARE ALREADY IN PLACE. 1329 00:37:38,155 --> 00:37:40,324 THE FRAMEWORK OUTLINE IS IN 1330 00:37:40,324 --> 00:37:40,691 PLACE. 1331 00:37:40,691 --> 00:37:44,929 AND AS I NOTED, THAT'S 1332 00:37:44,929 --> 00:37:47,431 OF PARTICULAR IMPORTANCE AND 1333 00:37:47,431 --> 00:37:50,234 FOCUS BECAUSE OF THE FIXED 1334 00:37:50,234 --> 00:37:51,335 RUNWAY RELATIVE TO THAT. 1335 00:37:51,335 --> 00:37:52,937 AND I JUST EVALUATED 1336 00:37:52,937 --> 00:37:55,539 THE DASHBOARD ON THAT YESTERDAY 1337 00:37:55,539 --> 00:37:56,540 SO YOU CAN SEE WHERE WE'RE 1338 00:37:56,540 --> 00:37:56,774 GOING. 1339 00:37:56,774 --> 00:37:58,009 AND I FEEL GOOD ABOUT 1340 00:37:58,009 --> 00:38:00,778 WHERE WE'RE AT WITH 1341 00:38:00,778 --> 00:38:01,212 THAT. 1342 00:38:01,212 --> 00:38:02,947 >> INTERESTED IN THAT PART 1343 00:38:02,947 --> 00:38:05,950 BEING CRITICAL FOR COMPLIANCE. 1344 00:38:06,083 --> 00:38:06,817 THANK YOU. COLLEAGUES, THOSE ARE 1345 00:38:06,817 --> 00:38:07,084 JUST SOME 1346 00:38:07,084 --> 00:38:08,653 OF MY WARMUP QUESTIONS FOR THIS 1347 00:38:08,653 --> 00:38:08,986 DISCUSSION. 1348 00:38:08,986 --> 00:38:11,756 I WANT TO OPEN IT UP TO YOU ALL 1349 00:38:11,756 --> 00:38:13,157 AND ALSO RECOGNIZE 1350 00:38:13,157 --> 00:38:14,925 COUNCILMEMBER RIVERA JOINING US 1351 00:38:14,925 --> 00:38:15,192 AS 1352 00:38:15,192 --> 00:38:16,494 TODAY'S 1353 00:38:16,494 --> 00:38:16,861 SPECIAL GUEST. 1354 00:38:16,861 --> 00:38:17,762 WELCOME. GOING TO COMMITTEE 1355 00:38:17,762 --> 00:38:17,995 MEMBERS 1356 00:38:17,995 --> 00:38:19,730 FIRST, I'LL START WITH VICE 1357 00:38:19,730 --> 00:38:20,264 CHAIR 1358 00:38:20,264 --> 00:38:20,498 FOSTER. 1359 00:38:20,498 --> 00:38:22,600 >> THANK YOU SO MUCH, CHAIR. 1360 00:38:22,600 --> 00:38:28,873 AND THANK YOU SO MUCH, WILLIAM, 1361 00:38:28,873 --> 00:38:32,109 AND CEO KINNISO NCHG. 1362 00:38:32,109 --> 00:38:34,378 I APPRECIATE YOUR RESPONSES 1363 00:38:34,378 --> 00:38:35,780 TO MANY OF OUR QUESTIONS AND 1364 00:38:35,780 --> 00:38:37,415 ENGAGEMENT OVER THE LAST 1365 00:38:37,415 --> 00:38:37,782 SEVERAL MONTHS. 1366 00:38:37,782 --> 00:38:39,083 I'LL LOOKING FORWARD TO 1367 00:38:39,083 --> 00:38:41,485 OUR CONVERSATION TODAY IN 1368 00:38:41,485 --> 00:38:42,153 COMMITTEE. I WANT TO RETURN AS I 1369 00:38:42,153 --> 00:38:42,320 WAS 1370 00:38:42,320 --> 00:38:44,188 TAKING SOME NOTES ON YOUR 1371 00:38:44,188 --> 00:38:44,455 RESPONSES 1372 00:38:44,455 --> 00:38:45,289 TO COUNCILMEMBER RINCK'S 1373 00:38:45,289 --> 00:38:45,589 QUESTIONS. 1374 00:38:45,589 --> 00:38:48,993 I HAVE A FEW OF MY OWN, BUT I 1375 00:38:48,993 --> 00:38:50,461 FIRST WANT TO KNOW I GOT 1376 00:38:50,461 --> 00:38:50,828 CLARITY. 1377 00:38:50,828 --> 00:38:53,964 I THINK I HEARD YOU MENTION 1378 00:38:53,964 --> 00:38:56,267 500,000 AROUND THE EXTERNAL CFO 1379 00:38:56,400 --> 00:38:57,802 ROLE. I WANT TO MAKE SURE I 1380 00:38:57,802 --> 00:38:58,269 HEARD 1381 00:38:58,269 --> 00:38:58,636 YOU CORRECTLY. 1382 00:38:58,636 --> 00:39:02,173 CAN YOU JUST SHARE THAT 1383 00:39:02,173 --> 00:39:02,573 THINKING AGAIN. 1384 00:39:02,573 --> 00:39:04,008 THAT'S NOT NECESSARILY FOR 1385 00:39:04,008 --> 00:39:05,743 THAT INTERNAL HIRE APPROACH, 1386 00:39:05,743 --> 00:39:05,976 RIGHT? 1387 00:39:05,976 --> 00:39:07,778 CAN I HEAR A LITTLE BIT 1388 00:39:07,778 --> 00:39:08,145 MORE? 1389 00:39:08,145 --> 00:39:09,480 >> YEAH, SO THAT'S A BACK OF 1390 00:39:09,480 --> 00:39:10,781 THE NAPKIN APPROACH. 1391 00:39:10,781 --> 00:39:12,483 IT WOULD DEPEND ON WHICH FIRM 1392 00:39:12,483 --> 00:39:15,086 WE CONTRACTED FROM, HOW LONG WE 1393 00:39:15,086 --> 00:39:16,654 WANTED TO BRING THAT KIND 1394 00:39:16,654 --> 00:39:17,321 OF EXPERTISE IN. 1395 00:39:17,455 --> 00:39:19,690 BULLET IN THINKING, YOU KNOW, 1396 00:39:19,690 --> 00:39:23,994 WHAT WE -- THE AGENCY HAS HAD A 1397 00:39:23,994 --> 00:39:31,335 CFO, A TEMPORARY OR EXTERNAL CFO 1398 00:39:31,335 --> 00:39:33,938 REALLY FOR ALL OF ITS TENURE. 1399 00:39:33,938 --> 00:39:36,707 AND THAT COST FOR ROBERT'S 1400 00:39:36,707 --> 00:39:37,975 HALF IS IN THE 1401 00:39:37,975 --> 00:39:39,977 REPORT. IT WOULD BE ABOUT THE 1402 00:39:39,977 --> 00:39:40,177 SAME, 1403 00:39:40,177 --> 00:39:42,179 AND THEN WE DO HAVE SOME 1404 00:39:42,179 --> 00:39:42,480 ADDITIONAL 1405 00:39:42,480 --> 00:39:46,050 ACCOUNTING TEAM NEEDS SOME 1406 00:39:46,050 --> 00:39:47,551 OF WHICH ARE IN OUR BUDGET, 1407 00:39:47,551 --> 00:39:48,652 SOME OF WHICH ARE NOT. 1408 00:39:48,652 --> 00:39:52,256 SO JUST SORT OF A BALLPARK FOR 1409 00:39:52,256 --> 00:39:55,025 YOU, BECAUSE I KNOW CLARK 1410 00:39:55,025 --> 00:39:56,227 NEWBURGH WAS GENEROUS 1411 00:39:56,227 --> 00:39:57,628 IN PROVIDING AN ESTIMATE WHAT 1412 00:39:57,628 --> 00:39:59,530 IT MIGHT COST TO BRING FORENSIC 1413 00:39:59,530 --> 00:40:00,765 CONSULTANTS IN TO DO THIS 1414 00:40:00,765 --> 00:40:01,165 WORK. 1415 00:40:01,165 --> 00:40:01,465 >> 1416 00:40:01,465 --> 00:40:01,699 RIGHT. 1417 00:40:01,699 --> 00:40:03,400 >> BUT ALSO ACKNOWLEDGE, 1418 00:40:03,400 --> 00:40:05,236 LIKE, THAT MAY NOT BE THE LEVEL 1419 00:40:05,236 --> 00:40:06,203 OF ASSISTANCE THAT 1420 00:40:06,203 --> 00:40:06,470 WE NEED. 1421 00:40:06,470 --> 00:40:08,272 >> GOT IT. 1422 00:40:08,272 --> 00:40:09,573 AND THEN -- AND I APPRECIATE 1423 00:40:09,573 --> 00:40:10,174 THAT. 1424 00:40:10,174 --> 00:40:11,942 THAT WAS A GOOD SEGUE SORT 1425 00:40:11,942 --> 00:40:13,310 OF INTO MY NEXT PART OF 1426 00:40:13,310 --> 00:40:13,544 THIS 1427 00:40:13,544 --> 00:40:14,912 QUESTION. YOU MENTIONED THE SORT 1428 00:40:14,912 --> 00:40:15,179 OF -- THE 1429 00:40:15,179 --> 00:40:17,214 POTENTIAL NEED FOR THE 1430 00:40:17,214 --> 00:40:19,784 FORENSIC EVALUATION TO KIND OF 1431 00:40:19,784 --> 00:40:20,084 UNDERSTAND 1432 00:40:20,217 --> 00:40:21,485 THIS. AND I KNOW, WILLIAM, YOU 1433 00:40:21,485 --> 00:40:21,685 SPOKE 1434 00:40:21,819 --> 00:40:23,821 TO THIS A LITTLE BIT AS WELL. 1435 00:40:23,821 --> 00:40:27,625 WHAT I THOUGHT I HEARD FROM YOU, 1436 00:40:27,625 --> 00:40:29,026 WILLIAM, WAS IN REGARD TO 1437 00:40:29,026 --> 00:40:30,361 THE ACCOUNT RECEIVABLES AND 1438 00:40:30,361 --> 00:40:32,496 RESOURCES PAID 1439 00:40:32,496 --> 00:40:33,564 TO PROVIDERS BUT HAVE NOT BEEN 1440 00:40:33,564 --> 00:40:33,998 BILLED CORRECTLY 1441 00:40:33,998 --> 00:40:34,498 TO THE AGENCY. 1442 00:40:34,498 --> 00:40:36,066 AND WHAT I BELIEVE I HEARD 1443 00:40:36,066 --> 00:40:37,334 YOU SAY, WILLIAM, IS 1444 00:40:37,334 --> 00:40:39,270 YOUR UNDERSTANDING RIGHT NOW IS 1445 00:40:39,270 --> 00:40:41,605 THAT THE VAST MAJORITY OF 1446 00:40:41,605 --> 00:40:42,540 THOSE RECEIVABLES SIT BETWEEN 1447 00:40:42,540 --> 00:40:42,706 THE 1448 00:40:42,706 --> 00:40:44,708 CITY, THE COUNTY, AND KCRHA. 1449 00:40:44,708 --> 00:40:46,911 BUT IT'S MY UNDERSTANDING 1450 00:40:46,911 --> 00:40:49,380 THAT IT WOULD TAKE SIGNIFICANT 1451 00:40:49,380 --> 00:40:52,349 TIME AND EXPENSE IN ORDER TO 1452 00:40:52,349 --> 00:40:53,484 ACCURATELY RECONSTRUCT THOSE. 1453 00:40:53,484 --> 00:40:55,085 AND I THOUGHT I WAS 1454 00:40:55,085 --> 00:40:55,953 HEARING SOMETHING DIFFERENT FROM 1455 00:40:55,953 --> 00:40:56,353 YOU 1456 00:40:56,353 --> 00:40:58,989 ALL TODAY, SO I WANT TO ASK FOR 1457 00:40:58,989 --> 00:40:59,123 A 1458 00:40:59,123 --> 00:40:59,723 LITTLE BIT MORE CLARIFICATION 1459 00:40:59,723 --> 00:41:00,057 ON 1460 00:41:00,057 --> 00:41:00,391 THAT POINT. 1461 00:41:00,391 --> 00:41:02,126 >> YEAH, DEEPLY APPRECIATE THAT 1462 00:41:02,126 --> 00:41:08,299 QUESTION, AND IT KIND OF 1463 00:41:08,299 --> 00:41:10,734 SEGUES INTO THE RESPONSE AROUND 1464 00:41:10,734 --> 00:41:11,068 THE 1465 00:41:11,202 --> 00:41:11,802 COST. AS I WAS DESCRIBING 1466 00:41:11,802 --> 00:41:13,370 EARLIER, THERE ARE TWO WAYS YOU 1467 00:41:13,370 --> 00:41:14,138 CAN COME 1468 00:41:14,138 --> 00:41:15,773 AT THIS RECEIVABLES ISSUES. 1469 00:41:15,773 --> 00:41:18,809 YOU CAN DO A CASH 1470 00:41:18,809 --> 00:41:19,410 ACCOUNTING, WHICH IS GOING TO 1471 00:41:19,410 --> 00:41:19,777 TELL 1472 00:41:19,777 --> 00:41:21,312 YOU SPECIFICALLY OF THOSE 1473 00:41:21,312 --> 00:41:22,913 RECEIVABLES, WHICH 1474 00:41:22,913 --> 00:41:24,481 ONES ACCRUE TO KING COUNTY, AND 1475 00:41:24,481 --> 00:41:24,815 WHICH 1476 00:41:24,815 --> 00:41:27,218 ONES ACCRUE TO THE CITY OF 1477 00:41:27,218 --> 00:41:29,520 SEATTLE. 1478 00:41:29,520 --> 00:41:31,856 AND THAT IS AN EXERCISE THAT 1479 00:41:31,856 --> 00:41:33,524 CAN BE COMPLETED, IN FACT, WILL 1480 00:41:33,524 --> 00:41:33,691 BE 1481 00:41:33,691 --> 00:41:34,959 COMPLETED IN THE COMING 1482 00:41:34,959 --> 00:41:36,293 WEEKS BECAUSE IT'S RATHER JUST 1483 00:41:36,293 --> 00:41:37,661 LIKE LOOKING AT YOUR BANK 1484 00:41:37,661 --> 00:41:38,629 STATEMENT. 1485 00:41:38,629 --> 00:41:42,366 YOU CAN SEE THE EXPENSES 1486 00:41:42,366 --> 00:41:43,801 LISTED. YOU CAN SEE THE INCOME, 1487 00:41:43,801 --> 00:41:44,101 AND 1488 00:41:44,101 --> 00:41:45,836 WE REALLY ONLY HAVE FIVE BANDS 1489 00:41:45,836 --> 00:41:49,907 OF OPERATIONAL FLOW FOR THOSE 1490 00:41:49,907 --> 00:41:50,407 FUNDS. 1491 00:41:50,407 --> 00:41:51,675 SO WE WILL KNOW PRETTY SOON 1492 00:41:51,675 --> 00:41:54,445 IN THE COMING WEEKS WHAT THOSE 1493 00:41:54,445 --> 00:41:57,214 NUMBERS ARE, AND THIS SPEAKS TO 1494 00:41:57,214 --> 00:42:01,285 THE NOTE THAT MIKE NURSE 1495 00:42:01,285 --> 00:42:03,187 FROM 1496 00:42:03,187 --> 00:42:04,355 CLARK NEWBURGH MADE DURING THE 1497 00:42:04,355 --> 00:42:05,523 PRESENTATION RELATIVE TO 1498 00:42:05,523 --> 00:42:06,557 THE QUESTION OF HOW MUCH 1499 00:42:06,557 --> 00:42:07,758 WOULD IT COST TO FIGURE THAT 1500 00:42:07,758 --> 00:42:07,958 OUT. 1501 00:42:07,958 --> 00:42:09,860 AND MIKE NOTED IF YOU HIRED 1502 00:42:09,860 --> 00:42:11,295 HIS WHOLE TEAM TO COME IN AND DO 1503 00:42:11,295 --> 00:42:13,364 IT, IT COULD BE VERY, 1504 00:42:13,364 --> 00:42:13,564 VERY 1505 00:42:13,564 --> 00:42:15,466 EXPENSIVE. HE ALSO NOTED THAT'S 1506 00:42:15,466 --> 00:42:15,633 NOT 1507 00:42:15,633 --> 00:42:16,901 HOW YOU WOULD GO ABOUT IT, 1508 00:42:16,901 --> 00:42:17,134 THOUGH. 1509 00:42:17,134 --> 00:42:19,303 BUT HIS POINT WAS SALIENT, IN 1510 00:42:19,303 --> 00:42:20,905 THAT IF YOU'RE TRYING TO GO 1511 00:42:20,905 --> 00:42:24,441 BACK INTO THE 2022 OR 2023 1512 00:42:24,441 --> 00:42:28,078 AND DETERMINE EXACTLY WHY THIS 1513 00:42:28,078 --> 00:42:30,314 $35,000 ROLLOVER FROM ONE 1514 00:42:30,314 --> 00:42:32,616 CONTRACT TO ANOTHER 1515 00:42:32,616 --> 00:42:34,151 THATTHAT AGREED TO MOVE 1516 00:42:34,151 --> 00:42:35,452 DIDN'T GET BILLED, IT WOULD BE 1517 00:42:35,452 --> 00:42:37,221 VERY EXPENSIVE TO TRY AND TRACK 1518 00:42:37,221 --> 00:42:43,227 DOWN TO THAT LEVEL OF DETAIL 1519 00:42:43,227 --> 00:42:43,961 THE PARTICULARS OF THOSE. 1520 00:42:43,961 --> 00:42:45,896 BUT FROM A CASH ANALYSIS, 1521 00:42:45,896 --> 00:42:48,365 WE'LL BE ABLE TO TELL IN THE 1522 00:42:48,365 --> 00:42:51,035 COMING WEEKS PRETTY CLEARLY WHAT 1523 00:42:51,035 --> 00:42:51,902 THOSE 1524 00:42:51,902 --> 00:42:52,503 NUMBERS ARE. 1525 00:42:52,503 --> 00:42:53,637 AND I THINK THEN IT BECOMES A 1526 00:42:53,637 --> 00:42:53,971 DECISION. 1527 00:42:53,971 --> 00:42:55,873 WE WILL PROBABLY BE ABLE TO 1528 00:42:55,873 --> 00:42:57,341 HAVE MOST OF THOSE CLEARLY 1529 00:42:57,341 --> 00:42:58,576 IDENTIFIED, A MAJORITY OF 1530 00:42:58,576 --> 00:42:58,776 THOSE 1531 00:42:58,776 --> 00:43:01,111 FUNDS. BUT IF YOU WANT TO REALLY 1532 00:43:01,111 --> 00:43:02,880 PURSUE IT DOWN TO THE VERY 1533 00:43:02,880 --> 00:43:03,113 FINITE 1534 00:43:03,113 --> 00:43:04,782 DOLLAR, IT WOULD 1535 00:43:04,782 --> 00:43:05,983 BE TIME- CONSUMING AND 1536 00:43:05,983 --> 00:43:06,817 EXPENSIVE. 1537 00:43:06,817 --> 00:43:09,653 AND POTENTIALLY NOT FULLY 1538 00:43:09,653 --> 00:43:10,988 ACHIEVABLE GIVEN THE HISTORY 1539 00:43:10,988 --> 00:43:13,357 OF 1540 00:43:13,357 --> 00:43:13,857 THE EARLIERS. 1541 00:43:13,857 --> 00:43:16,427 >> YEAH, I APPRECIATE THAT. 1542 00:43:16,427 --> 00:43:18,329 ONE THING AND I THINK THIS 1543 00:43:18,329 --> 00:43:19,930 MAY BE WORK FOR US TO FOLLOW UP 1544 00:43:19,930 --> 00:43:21,498 ON OUR END, AND LET ME SAY 1545 00:43:21,498 --> 00:43:23,067 I APPRECIATE YOU MAKING THE 1546 00:43:23,067 --> 00:43:23,834 DISTINCTION BETWEEN THE 1547 00:43:23,834 --> 00:43:24,902 CASH BASIS AND GOING BACK AND 1548 00:43:24,902 --> 00:43:26,337 LOOKING AT THE ACCOUNTS. 1549 00:43:26,337 --> 00:43:27,504 I THINK ONE OF THE REMAINING 1550 00:43:27,504 --> 00:43:28,539 QUESTION THAT I 1551 00:43:28,539 --> 00:43:29,206 HAVE IS WHETHER OR NOT THE 1552 00:43:29,206 --> 00:43:29,606 INFORMATION THAT 1553 00:43:29,606 --> 00:43:31,308 WE HAVE IN A FEW WEEKS WILL 1554 00:43:31,308 --> 00:43:32,876 BE SUFFICIENT FOR OUR NEEDS AT 1555 00:43:32,876 --> 00:43:33,043 THE 1556 00:43:33,043 --> 00:43:35,679 CITY OR THE NEEDS OF THE 1557 00:43:35,679 --> 00:43:37,147 COUNTYCOUNTY IN ORDER TO -- TO 1558 00:43:37,147 --> 00:43:38,248 SIGN OFF 1559 00:43:38,248 --> 00:43:38,916 ON 1560 00:43:38,916 --> 00:43:40,617 THOSE PAYMENTS. SO MAKING SURE 1561 00:43:40,617 --> 00:43:42,019 THAT WE HAVE 1562 00:43:42,019 --> 00:43:43,053 SUFFICIENT INFORMATION THAT 1563 00:43:43,053 --> 00:43:44,121 MEET OUR CONTRACTING STANDARDS 1564 00:43:44,121 --> 00:43:44,321 TO 1565 00:43:44,321 --> 00:43:45,522 GO BACK AND DO THAT. 1566 00:43:45,522 --> 00:43:51,095 SO I'M LOOKING FORWARD 1567 00:43:51,095 --> 00:43:53,163 TO GETTING THE RESULTS OF THE 1568 00:43:53,163 --> 00:43:55,199 WORK YOU ALL ARE DOING, BECAUSE 1569 00:43:55,199 --> 00:43:55,332 I 1570 00:43:55,332 --> 00:43:57,134 BELIEVE IT 1571 00:43:57,134 --> 00:43:57,968 WILL PROVIDE ADDITIONAL 1572 00:43:57,968 --> 00:43:59,870 NECESSARY CLARITY 1573 00:43:59,870 --> 00:44:00,671 ESPECIALLY AROUND THE 1574 00:44:00,671 --> 00:44:01,672 $8 MILLION. 1575 00:44:01,672 --> 00:44:03,107 BECAUSE AS WE'VE STATED, 1576 00:44:03,107 --> 00:44:04,074 THE COMMUNICATION ABOUT THAT 1577 00:44:04,074 --> 00:44:04,975 IS REALLY IMPORTANT. 1578 00:44:04,975 --> 00:44:06,543 AND SO HAVING THAT 1579 00:44:06,543 --> 00:44:07,711 UNDERSTANDING IS CERTAINLY 1580 00:44:07,711 --> 00:44:08,545 USEFUL, BUT I'M 1581 00:44:08,545 --> 00:44:10,347 NOT SURE THAT IT -- WHETHER OR 1582 00:44:10,347 --> 00:44:12,316 NOT IT WILL BE SUFFICIENT FOR 1583 00:44:12,316 --> 00:44:13,083 THE BILLING PURPOSES. 1584 00:44:13,083 --> 00:44:14,952 SO I LOOK FORWARD TO SEEING 1585 00:44:14,952 --> 00:44:16,720 THAT WHEN IT COMES TO US, AND 1586 00:44:16,720 --> 00:44:16,920 THEN 1587 00:44:16,920 --> 00:44:18,055 WE CAN ANSWER THAT QUESTION 1588 00:44:18,055 --> 00:44:18,922 OF WHETHER THE INFORMATION 1589 00:44:18,922 --> 00:44:19,289 IS SUFFICIENT. 1590 00:44:19,289 --> 00:44:20,591 HAPPY TO TAKE A COMMENT ON 1591 00:44:20,591 --> 00:44:23,293 THAT, IF YOU HAVE ONE, BUT 1592 00:44:23,293 --> 00:44:23,560 THAT'S 1593 00:44:23,560 --> 00:44:24,595 JUST THE CONCERN I WANTED TO 1594 00:44:24,595 --> 00:44:25,029 WORK 1595 00:44:25,029 --> 00:44:25,262 OUT 1596 00:44:25,262 --> 00:44:25,496 THERE. 1597 00:44:25,496 --> 00:44:26,363 >> I THINK WE'RE EXACTLY 1598 00:44:26,363 --> 00:44:26,597 ALIGNED 1599 00:44:26,597 --> 00:44:26,897 ON THAT. 1600 00:44:26,897 --> 00:44:29,066 AND THE GOAL THAT HOPEFULLY 1601 00:44:29,066 --> 00:44:30,367 THIS WILL BE A GOOD 1602 00:44:30,367 --> 00:44:31,301 DECISION SUPPORT TOOL RELATIVE 1603 00:44:31,301 --> 00:44:31,935 TO THAT 1604 00:44:31,935 --> 00:44:32,269 CONVERSATION. 1605 00:44:32,403 --> 00:44:34,638 >> THAT'S VERY HELPFUL, THANK 1606 00:44:34,638 --> 00:44:34,972 YOU. 1607 00:44:35,105 --> 00:44:37,508 AND, YEAH, AND I THINK WE'LL 1608 00:44:37,508 --> 00:44:39,410 HAVE TO SEE WITH THAT -- HOW DO 1609 00:44:39,543 --> 00:44:40,878 I SAY THIS? ONCE WE HAVE THAT 1610 00:44:40,878 --> 00:44:41,245 INFORMATION, I 1611 00:44:41,245 --> 00:44:42,312 THINK WE'LL BETTER KNOW 1612 00:44:42,312 --> 00:44:44,882 WHAT ADDITIONAL INFORMATION IS 1613 00:44:44,882 --> 00:44:47,684 NEEDED AND IF IT IS POSSIBLE 1614 00:44:47,684 --> 00:44:49,887 AND IF WE HAVE THE COSTS TO GO 1615 00:44:49,887 --> 00:44:50,287 DOWN THE 1616 00:44:50,287 --> 00:44:51,855 ROAD TO GET THE REMAINDER 1617 00:44:51,855 --> 00:44:53,057 OF THE INFORMATION NEEDED TO 1618 00:44:53,057 --> 00:44:54,191 COMPLETE THE BILLING PROCESS. 1619 00:44:54,191 --> 00:44:58,162 SO THANK YOU SO MUCH FOR THAT. 1620 00:44:58,162 --> 00:45:06,603 I WANTED TO RETURN NOW TO THINGS 1621 00:45:06,603 --> 00:45:07,371 I WAS GOING TO ASK BEFORE. 1622 00:45:07,371 --> 00:45:09,506 I KNOW IN THE CORRECTIVE 1623 00:45:09,506 --> 00:45:11,008 ACTION PLAN THERE ARE TARGETS 1624 00:45:11,008 --> 00:45:11,575 FOR 1625 00:45:11,575 --> 00:45:13,277 30, 60 DAYS, BUT WE ALSO KNOW AT 1626 00:45:13,277 --> 00:45:14,978 THE END OF THE 90 DAYS NOT ALL 1627 00:45:14,978 --> 00:45:16,580 OF THE FINDINGS WILL BE 1628 00:45:16,580 --> 00:45:16,880 COMPLETELY 1629 00:45:16,880 --> 00:45:17,981 ADDRESSED. AND WE JUST TALKED 1630 00:45:17,981 --> 00:45:18,715 ABOUT SOME 1631 00:45:18,715 --> 00:45:20,751 OF THE COMPLEXITY RELATED TO 1632 00:45:20,751 --> 00:45:21,385 THAT. 1633 00:45:21,385 --> 00:45:23,520 SO CAN YOU JUST SHARE A 1634 00:45:23,520 --> 00:45:26,590 BIT ABOUT WHY THE AGENCY 1635 00:45:26,590 --> 00:45:27,624 BELIEVES WE'LL FEED MORE TIME 1636 00:45:27,624 --> 00:45:27,825 AFTER 1637 00:45:27,825 --> 00:45:29,493 THE 90 DAYS TO RESOLVE THE 1638 00:45:29,493 --> 00:45:29,760 ACTIONS? 1639 00:45:29,760 --> 00:45:32,196 AND OBVIOUSLY YOU CAN 1640 00:45:32,196 --> 00:45:33,797 LEAVE OUT THE ONE WE JUST DUG 1641 00:45:33,797 --> 00:45:34,031 INTO. 1642 00:45:34,031 --> 00:45:35,666 >> I'LL START THAT ONE, AND 1643 00:45:35,666 --> 00:45:37,701 THEN I'LL ASK WILLIAM TO ADD. 1644 00:45:37,701 --> 00:45:40,504 SO THERE'S DIFFERENT LEVELS OF 1645 00:45:40,504 --> 00:45:43,073 FINDINGS, AND I THINK ONE 1646 00:45:43,073 --> 00:45:46,276 IS SORT OF HISTORICAL CLEANUP. 1647 00:45:46,276 --> 00:45:48,912 AND THOSE ARE TANGIBLE 1648 00:45:48,912 --> 00:45:50,314 ACCOUNTABLE 1649 00:45:50,314 --> 00:45:52,850 PROCEDURES, POLICIES, THINGS 1650 00:45:52,850 --> 00:45:54,751 THAT WE NEED 1651 00:45:54,751 --> 00:45:59,123 TO -- AND KCRHA IS, YOU 1652 00:45:59,123 --> 00:46:00,457 KNOW, BASICALLY SOLELY 1653 00:46:00,457 --> 00:46:00,757 RESPONSIBLE 1654 00:46:00,757 --> 00:46:01,525 FOR IMPLEMENTING CORRECTIONS 1655 00:46:01,525 --> 00:46:02,192 TO THOSE THINGS. 1656 00:46:02,192 --> 00:46:03,794 MANY OF THOSE THINGS WILL 1657 00:46:03,794 --> 00:46:08,132 BE DONE IN 90 DAYS JUST FOR 1658 00:46:08,132 --> 00:46:10,667 CAPACITY, YOU KNOW, REASONS. 1659 00:46:10,667 --> 00:46:12,769 IT MIGHT MOVE INTO PHASE TWO TO 1660 00:46:12,769 --> 00:46:14,972 REALLY MAKE SURE ALL OF 1661 00:46:14,972 --> 00:46:17,508 THE DOCUMENTATION OF HAVING 1662 00:46:17,508 --> 00:46:18,542 DONE THOSE IS COMPLETE SO THAT 1663 00:46:18,542 --> 00:46:18,742 WE 1664 00:46:18,742 --> 00:46:23,514 CAN PRESENT THAT TO THE BOARD 1665 00:46:23,647 --> 00:46:25,449 BECAUSE THAT, AS YOU KNOW FROM 1666 00:46:25,449 --> 00:46:26,083 THE CORRECTIVE ACTION PLAN, WE 1667 00:46:26,083 --> 00:46:26,550 WON'T CONSIDER THE 1668 00:46:26,550 --> 00:46:27,618 FINDINGS CLOSED UNTIL THE BOARD 1669 00:46:27,618 --> 00:46:29,386 CONSIDERS THE FINDINGS CLOSED. 1670 00:46:29,386 --> 00:46:31,655 THE OTHER SET OF THINGS IS 1671 00:46:31,655 --> 00:46:35,192 REALLY ABOUT HOW DO WE MOVE 1672 00:46:35,192 --> 00:46:35,692 FORWARD? 1673 00:46:35,692 --> 00:46:37,294 BECAUSE THERE'S SOME THINGS 1674 00:46:37,294 --> 00:46:39,396 WITH OUR FUNDING MODEL AND HOW 1675 00:46:39,396 --> 00:46:41,798 WE'RE DOING BUSINESS WITH OUR 1676 00:46:41,798 --> 00:46:42,099 FUNDING 1677 00:46:42,099 --> 00:46:44,334 PARTNERS THAT NEED TO 1678 00:46:44,334 --> 00:46:46,103 BE ADDRESSED TO KEEP US 1679 00:46:46,103 --> 00:46:47,704 FROM CONTINUING TO STRUGGLE WITH 1680 00:46:47,704 --> 00:46:50,140 SOME OF THE FINANCIAL ISSUES 1681 00:46:50,140 --> 00:46:51,708 THAT WE'RE HAVING AS 1682 00:46:51,708 --> 00:46:52,976 AN ORGANIZATION. THOSE THINGS 1683 00:46:52,976 --> 00:46:56,613 REQUIRE A REAL 1684 00:46:56,613 --> 00:46:57,781 DEDICATED PARTNERSHIP OVER TIME 1685 00:46:57,781 --> 00:47:02,686 TO DO THINGS LIKE STREAM LINE 1686 00:47:02,686 --> 00:47:05,055 AND COME TO A BASELINE 1687 00:47:05,055 --> 00:47:06,223 UNDERSTANDING OF HOW THE 1688 00:47:06,223 --> 00:47:07,191 INVOICING SHOULD WORK AND 1689 00:47:07,191 --> 00:47:08,659 WORK ON THAT TOGETHER AND 1690 00:47:08,659 --> 00:47:10,460 IMPLEMENT THOSE NEXT STEPS. 1691 00:47:10,460 --> 00:47:17,734 WE ANTICIPATE THAT WILL 1692 00:47:17,734 --> 00:47:18,769 TAKE, YOU KNOW, MAYBE UP TO 1693 00:47:18,769 --> 00:47:21,104 NINE MONTHS TO DO WERE 1694 00:47:21,104 --> 00:47:22,206 PARTNERS DEPENDING ON THEIR 1695 00:47:22,206 --> 00:47:22,539 CAPACITY AND 1696 00:47:22,673 --> 00:47:24,408 OUR CAPACITY. YEAH, WHAT WOULD 1697 00:47:24,408 --> 00:47:24,942 YOU ADD 1698 00:47:24,942 --> 00:47:25,976 TO THAT, WILLIAM? 1699 00:47:26,109 --> 00:47:28,545 >> I THINK THAT'S REALLY AN 1700 00:47:28,545 --> 00:47:29,813 APPROPRIATE OVERVIEW, 1701 00:47:29,813 --> 00:47:31,081 PERHAPS SORT OF PAINTING A 1702 00:47:31,081 --> 00:47:31,582 LITTLE BIT 1703 00:47:31,582 --> 00:47:33,083 OF WHAT DOES THAT DETAIL LOOK 1704 00:47:33,083 --> 00:47:33,717 LIKE AND MEAN. 1705 00:47:33,717 --> 00:47:35,219 EARLIER I MENTIONED, YOU KNOW, 1706 00:47:35,219 --> 00:47:38,055 EVERY YEAR THERE ARE MANY 1707 00:47:38,055 --> 00:47:38,889 MILLIONS OF DOLLARS 1708 00:47:38,889 --> 00:47:40,290 OF PROGRAMMATIC UNDERSPEND. 1709 00:47:40,290 --> 00:47:46,163 AND THAT UNDERSPEND BECOMES 1710 00:47:46,163 --> 00:47:47,231 THIS OPPORTUNITY FOR ALL 1711 00:47:47,231 --> 00:47:50,934 THREE COUNTIES -- THE COUNTY, 1712 00:47:50,934 --> 00:47:51,168 THE 1713 00:47:51,168 --> 00:47:52,502 CITY, KCRHA -- TO BETTER 1714 00:47:52,502 --> 00:47:55,172 UNDERSTAND HOW TO ACTIVATE THE 1715 00:47:55,172 --> 00:47:56,607 HOMELESSNESS RESPONSE SYSTEM, 1716 00:47:56,607 --> 00:47:57,841 TO ROLLOVER FUNDS THAT WEREN'T 1717 00:47:57,841 --> 00:47:59,977 USED INTO THE NEXT PERIOD, TO 1718 00:47:59,977 --> 00:48:00,878 MAYBE BALANCE OUT DIFFERENT 1719 00:48:00,878 --> 00:48:01,078 NEEDS 1720 00:48:01,078 --> 00:48:02,479 BETWEEN THE COUNTY AND THE CITY. 1721 00:48:02,479 --> 00:48:04,114 SO, FOR EXAMPLE, THE CITY 1722 00:48:04,114 --> 00:48:07,851 MIGHT HAVE A FUND SOURCE THAT IS 1723 00:48:07,851 --> 00:48:09,386 EXPIRING AND THEY WANT TO USE 1724 00:48:09,386 --> 00:48:11,421 QUICKLY, AND SO THEY 1725 00:48:11,421 --> 00:48:12,756 WILL MAYBE PAY SOME OF THE 1726 00:48:12,756 --> 00:48:13,223 THINGS THAT 1727 00:48:13,223 --> 00:48:14,458 THE COUNTY TYPICALLY WOULD 1728 00:48:14,458 --> 00:48:14,825 HAVE PAID. 1729 00:48:14,825 --> 00:48:15,959 BUT BECAUSE THEY WANT TO 1730 00:48:15,959 --> 00:48:17,327 MOVE THE MONEY THROUGH 1731 00:48:17,327 --> 00:48:18,128 QUICKLY, THEY'LL PICK THAT UP. 1732 00:48:18,128 --> 00:48:20,430 AND THEN THE COUNTY WILL KIND OF 1733 00:48:20,430 --> 00:48:24,301 CONSIDER THAT AS, LIKE, 1734 00:48:24,301 --> 00:48:25,769 A QUID PRO QUO THAT GETS 1735 00:48:25,769 --> 00:48:26,169 RETURNED LATER. 1736 00:48:26,169 --> 00:48:27,905 SO IT IS A REALLY IMPORTANT 1737 00:48:27,905 --> 00:48:30,440 COMPONENT OF THE SYSTEM 1738 00:48:30,440 --> 00:48:32,276 AND CENTRAL TO THE PROJECT, TO 1739 00:48:32,276 --> 00:48:33,977 THE KCRHA PROJECT, WHICH IS 1740 00:48:33,977 --> 00:48:36,113 THIS IDEA THAT THE FUNDING 1741 00:48:36,113 --> 00:48:36,346 BETWEEN 1742 00:48:36,346 --> 00:48:39,182 THE COUNTY AND THE CITY 1743 00:48:39,182 --> 00:48:40,250 AND THE OTHER PARTNERS RELATIVE 1744 00:48:40,250 --> 00:48:41,285 TO THE 1745 00:48:41,285 --> 00:48:44,354 HOMELESSNESS RESPONSE SYSTEM IS 1746 00:48:44,488 --> 00:48:45,489 OPTIMIZED IN PARTNERSHIP 1747 00:48:45,489 --> 00:48:47,491 AND THAT THERE'S OPPORTUNITIES 1748 00:48:47,491 --> 00:48:50,193 TO PERHAPS REBID SOME OF THE 1749 00:48:50,193 --> 00:48:50,427 AREAS 1750 00:48:50,427 --> 00:48:52,696 THAT SHOULD BE OPTIMIZED 1751 00:48:52,696 --> 00:48:53,664 OR UPDATED OVER THE YEARS. 1752 00:48:53,664 --> 00:48:56,667 AND IN THE PAST -- YOU KNOW, 1753 00:48:56,667 --> 00:48:59,536 IN THE ENTIRETY OF KCRHA'S 1754 00:48:59,536 --> 00:49:00,771 OPERATION, THAT GOAL HAS 1755 00:49:00,771 --> 00:49:02,773 NEVER BEEN ENGAGED OR 1756 00:49:02,773 --> 00:49:03,540 REALIZED BECAUSE OF THE 1757 00:49:03,540 --> 00:49:05,075 STRUCTURE THAT WE 1758 00:49:05,075 --> 00:49:05,442 HAVE 1759 00:49:05,442 --> 00:49:07,411 NOW. SO I THINK THAT IS SORT OF 1760 00:49:07,411 --> 00:49:10,881 AN EXAMPLE OF THE -- YOU KNOW, 1761 00:49:10,881 --> 00:49:11,081 THAT 1762 00:49:11,081 --> 00:49:11,548 PHASE TWO 1763 00:49:11,548 --> 00:49:11,882 OPPORTUNITY. 1764 00:49:11,882 --> 00:49:12,249 >> THANK YOU. 1765 00:49:12,249 --> 00:49:13,717 AND CHAIR, IF I MAY JUST 1766 00:49:13,717 --> 00:49:15,652 ONE MORE QUESTION HERE. 1767 00:49:15,652 --> 00:49:17,821 I WANT TO SORT OF ASK JUST 1768 00:49:17,821 --> 00:49:18,622 A CLARIFYING QUESTION ON 1769 00:49:18,622 --> 00:49:20,557 THAT POINT BECAUSE I THINK WHAT 1770 00:49:20,557 --> 00:49:20,691 I 1771 00:49:20,691 --> 00:49:23,293 HEAR IN YOUR RESPONSE IN 1772 00:49:23,293 --> 00:49:25,829 REGARDSREGARDS THE 30, 60, 90 1773 00:49:25,829 --> 00:49:26,096 DAYS 1774 00:49:26,096 --> 00:49:28,298 AND THE WORK THAT 1775 00:49:28,298 --> 00:49:30,600 WILL BE REMAINING IS A BIT OF AN 1776 00:49:30,600 --> 00:49:30,967 INDICATOR THERE 1777 00:49:30,967 --> 00:49:32,269 ARE SOME COMPONENTS OF A 1778 00:49:32,269 --> 00:49:32,602 RESPONSE TO 1779 00:49:32,602 --> 00:49:34,504 THE CORRECTIVE ACTION PLAN THAT 1780 00:49:34,504 --> 00:49:36,540 ARE UNDER THE 1781 00:49:36,540 --> 00:49:37,174 CONTROL OF THE 1782 00:49:37,174 --> 00:49:38,375 AGENCY. AND HEAR THAT THERE ARE 1783 00:49:38,375 --> 00:49:38,675 SOME 1784 00:49:38,675 --> 00:49:39,543 THAT REQUIRE DECISION MAKING AND 1785 00:49:39,543 --> 00:49:40,711 INPUT AND 1786 00:49:40,711 --> 00:49:42,512 ADDRESSING FROM PARTNER AGENCIES 1787 00:49:42,512 --> 00:49:43,447 AND FUNDER 1788 00:49:43,447 --> 00:49:43,814 AGENCIES. 1789 00:49:43,814 --> 00:49:45,349 BUT I DO WANT TO MAKE SURE 1790 00:49:45,349 --> 00:49:48,085 THAT I'M CLARIFYING 1791 00:49:48,085 --> 00:49:49,453 THIS. AND PLEASE UNDERSTAND 1792 00:49:49,453 --> 00:49:50,921 MY INTENTION HERE BECAUSE I DO 1793 00:49:50,921 --> 00:49:52,889 THINK THAT WHILE THERE IS A ROLE 1794 00:49:52,889 --> 00:49:53,657 CERTAINLY FOR THE 1795 00:49:53,657 --> 00:49:55,892 FUNDER AGENCIES, I WANT TO MAKE 1796 00:49:55,892 --> 00:49:56,093 SURE 1797 00:49:56,093 --> 00:49:57,027 YOU'RE NOT -- YOU'RE 1798 00:49:57,027 --> 00:49:59,529 NOT SUGGESTING THAT THAT'S THE 1799 00:49:59,529 --> 00:50:00,030 SOLE 1800 00:50:00,030 --> 00:50:03,667 COMPONENT HERE BECAUSE I KNOW AS 1801 00:50:03,667 --> 00:50:05,035 THAT HAS COME UP -- I 1802 00:50:05,035 --> 00:50:06,303 KNOW AS THAT HAS COME UP AND 1803 00:50:06,303 --> 00:50:07,704 WE'RE TRYING TO DISCUSS SOME OF 1804 00:50:07,704 --> 00:50:09,506 THE COMPLEXITY OF THESE AUDIT 1805 00:50:09,506 --> 00:50:10,674 FINDINGS, THAT THERE HAVE 1806 00:50:10,674 --> 00:50:12,642 BEEN POINTS IN TIME WHERE WE'VE 1807 00:50:12,642 --> 00:50:14,277 HEARD FROM THE AGENCY 1808 00:50:14,277 --> 00:50:14,578 INFORMATION 1809 00:50:14,578 --> 00:50:17,280 ABOUT THE FUNDER PRACTICES, 1810 00:50:17,280 --> 00:50:20,417 AND I WANT TO MAKE SURE 1811 00:50:20,417 --> 00:50:21,318 I'M UNDERSTANDING CORRECTLY YOU 1812 00:50:21,318 --> 00:50:21,485 ARE 1813 00:50:21,485 --> 00:50:24,688 TRYING TO POINT TO THAT AS A 1814 00:50:24,688 --> 00:50:26,857 COMPONENT BUT NOT AS THE WHOLE. 1815 00:50:26,857 --> 00:50:28,592 AND IT'S MY BELIEF AND 1816 00:50:28,592 --> 00:50:29,626 MY UNDERSTANDING THAT EVEN 1817 00:50:29,626 --> 00:50:31,128 AFTER THE 90- DAY 1818 00:50:31,128 --> 00:50:32,462 PERIOD THERE ARE STILL GOING TO 1819 00:50:32,462 --> 00:50:32,963 BE 1820 00:50:32,963 --> 00:50:34,197 CERTAIN ITEMS THAT ARE WITHIN 1821 00:50:34,197 --> 00:50:34,364 THE 1822 00:50:34,364 --> 00:50:35,599 AGENCY'S CONTROL THAT WILL NEED 1823 00:50:35,599 --> 00:50:35,966 TO 1824 00:50:35,966 --> 00:50:37,901 BE ADDRESSED OUTSIDE OF THAT 90- 1825 00:50:37,901 --> 00:50:38,402 DAY PERIOD. 1826 00:50:38,402 --> 00:50:41,838 SO I WANT TO MAKE SURE THAT I'M 1827 00:50:41,972 --> 00:50:43,073 BOTH CORRECT IN THAT AND THAT 1828 00:50:43,073 --> 00:50:45,175 WE'RE CLARIFYING THAT, 1829 00:50:45,175 --> 00:50:45,375 THE 1830 00:50:45,375 --> 00:50:45,742 RESPONSIBILITY. 1831 00:50:45,742 --> 00:50:47,043 >> YES, THAT'S CORRECT. 1832 00:50:47,043 --> 00:50:48,612 THERE WILL BE LIKELY BE SOME 1833 00:50:48,612 --> 00:50:53,083 OF OUR WORK THAT CONTINUES PAST 1834 00:50:53,083 --> 00:50:54,017 90 DAYS. 1835 00:50:54,017 --> 00:50:56,720 AGAIN, YOU KNOW, ONLY HAVING 1836 00:50:56,720 --> 00:50:57,988 MAYBE FIVE STAFF WHO HAD 1837 00:50:57,988 --> 00:50:59,423 THE SKILLS TO WORK ON 1838 00:50:59,423 --> 00:51:01,525 THIS, YOU KNOW, THERE'S ONLY SO 1839 00:51:01,525 --> 00:51:01,792 MUCH THEY 1840 00:51:01,792 --> 00:51:02,893 CAN ACCOMPLISH EVEN THOUGH 1841 00:51:02,893 --> 00:51:06,930 THEY'RE WORKING QUITE A LOT. 1842 00:51:06,930 --> 00:51:10,634 AND THERE'S A SEQUENCING, 1843 00:51:10,634 --> 00:51:11,468 AS COUNCILMEMBER 1844 00:51:11,468 --> 00:51:13,503 RINCK NOTED. AND SO SOME OF THIS 1845 00:51:13,503 --> 00:51:14,604 WE HAVE TO 1846 00:51:14,604 --> 00:51:18,542 RECONCILE THE $8 MILLION OF 1847 00:51:18,542 --> 00:51:23,213 FUNDING THAT NEEDS TO BE 1848 00:51:23,213 --> 00:51:24,081 RESOLVED SO WE CAN 1849 00:51:24,081 --> 00:51:26,516 UNDERSTAND OUR NEGATIVE CASH 1850 00:51:26,516 --> 00:51:26,783 BALANCE. 1851 00:51:26,783 --> 00:51:31,288 THEN WE NEED TO WORK WITH OUR 1852 00:51:31,288 --> 00:51:34,024 KPIC PARTNERS TO ADDRESS THAT 1853 00:51:34,024 --> 00:51:35,692 OPERATING MODEL AND HOW 1854 00:51:35,692 --> 00:51:36,760 WE PARTICIPATE IN OUR THAT 1855 00:51:36,760 --> 00:51:37,928 MODEL, HOW OUR FUNDERS 1856 00:51:37,928 --> 00:51:38,295 PARTICIPATE IN 1857 00:51:38,295 --> 00:51:39,863 THAT MODEL SO WE CAN 1858 00:51:39,863 --> 00:51:41,865 REALLY SHRINK DOWN THE TIME 1859 00:51:41,865 --> 00:51:42,099 BETWEEN 1860 00:51:42,099 --> 00:51:43,733 US PAYING THE PROVIDERS AND 1861 00:51:43,733 --> 00:51:46,336 US GETTING REIMBURSED FOR THAT. 1862 00:51:46,336 --> 00:51:48,905 THERE'S SOME OPPORTUNITY FOR 1863 00:51:48,905 --> 00:51:51,508 OPTIMIZATION THERE IF WE WANT 1864 00:51:51,508 --> 00:51:53,510 TO SHRINK DOWN THE INTEREST 1865 00:51:53,510 --> 00:52:00,117 PAYMENTS THAT ARE REQUIRED BY 1866 00:52:00,250 --> 00:52:04,821 THE KCIP WHEN WE ENACT OUR 1867 00:52:04,821 --> 00:52:05,388 REIMBURSEMENT MODEL 1868 00:52:05,388 --> 00:52:06,356 STARTING WITH ZERO. 1869 00:52:06,356 --> 00:52:08,391 AND YOU'RE RIGHT, MANY 1870 00:52:08,391 --> 00:52:09,893 THINGS WITHIN THE ACTION PLAN 1871 00:52:09,893 --> 00:52:10,227 SIT WITH 1872 00:52:10,227 --> 00:52:12,529 KCRHA SOLELY TO ADDRESS. 1873 00:52:12,529 --> 00:52:14,464 AND WE ARE ADDRESSING THOSE WITH 1874 00:52:14,464 --> 00:52:16,032 AS MUCH URGENCY AS 1875 00:52:16,032 --> 00:52:18,368 POSSIBLE, WORKING WITH OUR BOARD 1876 00:52:18,368 --> 00:52:18,535 AND 1877 00:52:18,535 --> 00:52:20,504 COUNCILS TO MAKE SURE 1878 00:52:20,504 --> 00:52:21,905 THEY UNDERSTAND THE PROGRESS 1879 00:52:21,905 --> 00:52:22,839 WE'RE MAKING AND THAT 1880 00:52:22,839 --> 00:52:23,540 THERE'S DOCUMENTATION WITH 1881 00:52:23,540 --> 00:52:23,907 THAT PROGRESS. 1882 00:52:23,907 --> 00:52:25,542 AND I THINK THERE'S 1883 00:52:25,542 --> 00:52:26,243 SOME OPPORTUNITIES FOR 1884 00:52:26,243 --> 00:52:27,777 PARTNERSHIP THAT WE'VE POINTED 1885 00:52:27,777 --> 00:52:28,044 OUT 1886 00:52:28,044 --> 00:52:29,513 VERY SPECIFICALLY IN THE 1887 00:52:29,513 --> 00:52:30,180 CORRECTIVE ACTION PLAN. 1888 00:52:30,313 --> 00:52:32,582 >> THAT'S VERY 1889 00:52:32,582 --> 00:52:32,949 HELPFUL, THANK 1890 00:52:32,949 --> 00:52:33,917 YOU. AND, CHAIR, ACTUALLY, THANK 1891 00:52:33,917 --> 00:52:34,117 YOU. 1892 00:52:34,117 --> 00:52:35,285 THIS IS MY LAST QUESTION. 1893 00:52:35,285 --> 00:52:36,853 SO I -- I THINK THAT'S 1894 00:52:36,853 --> 00:52:39,222 VERY HELPFUL IN TERMS OF 1895 00:52:39,222 --> 00:52:42,259 JUST DELINEATING THE AGENCY'S 1896 00:52:42,259 --> 00:52:42,492 ROLE -- 1897 00:52:42,492 --> 00:52:44,094 THE FUNDER PARTNER'S ROLE, 1898 00:52:44,094 --> 00:52:45,829 BUT THEN WE HAVE OBVIOUSLY THE 1899 00:52:45,829 --> 00:52:46,930 GOVERNING BOARD ROLE, THE 1900 00:52:46,930 --> 00:52:49,132 ROLE OF THE TWO COUNCILS THAT 1901 00:52:49,132 --> 00:52:50,734 APPROVE 1902 00:52:50,734 --> 00:52:52,802 THE FUNDING. AND SO I WONDER HOW 1903 00:52:52,802 --> 00:52:53,170 YOU'RE 1904 00:52:53,170 --> 00:52:54,838 ANTICIPATING, YOU KNOW, THE SORT 1905 00:52:54,838 --> 00:52:56,606 OF PHASE TWO COMPONENT? 1906 00:52:56,606 --> 00:52:57,941 SO WE HAVE THE END OF 1907 00:52:57,941 --> 00:52:59,309 AUGUST KIND OF DEADLINES COMING 1908 00:52:59,309 --> 00:52:59,476 UP. 1909 00:52:59,476 --> 00:53:01,344 AND THEN DO YOU ANTICIPATE 1910 00:53:01,344 --> 00:53:03,413 COMMUNICATING BACK TO 1911 00:53:03,413 --> 00:53:04,681 THE GOVERNING BOARD OR TO 1912 00:53:04,681 --> 00:53:07,117 THE FUNDING BODY SORT 1913 00:53:07,117 --> 00:53:08,218 OF RECOMMENDATIONS FOR THE -- 1914 00:53:08,218 --> 00:53:10,954 FOR WHAT NEEDS TO HAPPEN NEXT 1915 00:53:10,954 --> 00:53:12,556 IN ORDER TO ADDRESS WHAT WON'T 1916 00:53:12,556 --> 00:53:12,722 BE 1917 00:53:12,722 --> 00:53:14,157 COVERED IN THOSE 90 DAYS? 1918 00:53:14,157 --> 00:53:16,593 SO THOSE PARTS THAT YOU'VE JUST 1919 00:53:16,593 --> 00:53:18,562 SORT OF INDICATED 1920 00:53:18,562 --> 00:53:20,897 WHETHER THEY'RE CITY ROLE OR 1921 00:53:20,897 --> 00:53:21,131 AGENCY 1922 00:53:21,264 --> 00:53:22,299 ROLE. 1923 00:53:22,299 --> 00:53:22,799 >> YES, SO ONE OF THE 1924 00:53:22,799 --> 00:53:24,201 THINGS THAT WE DECIDED EARLY ON 1925 00:53:24,201 --> 00:53:24,568 IS 1926 00:53:24,568 --> 00:53:27,404 WE COULDN'T WAIT FOR SORT OF 1927 00:53:27,404 --> 00:53:28,905 INCREMENTAL DEADLINES TO 1928 00:53:28,905 --> 00:53:29,105 SHARE 1929 00:53:29,105 --> 00:53:30,440 PROGRESS. AND SO ONE OF THE 1930 00:53:30,440 --> 00:53:31,308 THINGS WE HAVE 1931 00:53:31,308 --> 00:53:33,610 INTERNALLY AND ARE 1932 00:53:33,610 --> 00:53:34,778 DEVELOPINGDEVELOPING EXTERNAL 1933 00:53:34,778 --> 00:53:35,478 USE WITH THE 1934 00:53:35,478 --> 00:53:37,247 BOARD AND POTENTIALLY COUNCIL IS 1935 00:53:37,247 --> 00:53:41,017 A DASHBOARD THAT'S SHOWING 1936 00:53:41,017 --> 00:53:42,819 PROGRESS ON, YOU KNOW, A WEEKLY 1937 00:53:42,819 --> 00:53:44,554 BASIS FOR WHAT WE ARE 1938 00:53:44,554 --> 00:53:46,890 ACHIEVING AND WHERE WE'VE GOT 1939 00:53:46,890 --> 00:53:48,158 BLOCKERS, AND WE CAN, YOU 1940 00:53:48,158 --> 00:53:49,259 KNOW, SPECIFICALLY WORK WITH OUR 1941 00:53:49,259 --> 00:53:52,028 BOARD TO SAY THIS IS A RESOURCE 1942 00:53:52,028 --> 00:53:52,929 ISSUE, 1943 00:53:52,929 --> 00:53:54,564 THIS IS AN EXPERTISE 1944 00:53:54,564 --> 00:53:55,565 ISSUE, YOU KNOW, WE HIT 1945 00:53:55,565 --> 00:53:55,999 SOMETHING THAT WAS 1946 00:53:55,999 --> 00:53:57,701 DONE WRONG AND SO WE HAVE 1947 00:53:57,701 --> 00:53:58,668 TO REDO IT. 1948 00:53:58,668 --> 00:54:03,239 I MEAN BRR THERE , THERE ARE ANY 1949 00:54:03,239 --> 00:54:03,473 NUMBER 1950 00:54:03,473 --> 00:54:04,474 OF REASONS WHY THERE ARE 1951 00:54:04,474 --> 00:54:05,909 DELAYS, AND WE WANT TO BE CLEAR 1952 00:54:05,909 --> 00:54:06,476 WITH 1953 00:54:06,476 --> 00:54:07,677 OUR PARTNERS WHY IF THERE ARE 1954 00:54:07,677 --> 00:54:11,214 DELAYS, WHY THERE ARE DELAYS. 1955 00:54:11,214 --> 00:54:12,649 WE WANT TO MAKE SURE THOSE 1956 00:54:12,649 --> 00:54:14,084 HIGH-RISK ITEMS ARE FULLY 1957 00:54:14,084 --> 00:54:15,251 ADDRESSED AS SOON AS POSSIBLE. 1958 00:54:15,251 --> 00:54:17,387 AND THEN IN TERMS OF THE 1959 00:54:17,387 --> 00:54:18,321 SEQUENCING, ANY 1960 00:54:18,321 --> 00:54:20,123 RATE LIMITING STEP NEEDS TO BE 1961 00:54:20,123 --> 00:54:20,523 ADDRESSED FIRST. 1962 00:54:20,523 --> 00:54:21,891 SO THOSE ARE THE KINDS OF 1963 00:54:21,891 --> 00:54:25,161 THINGS THAT WE FELT WE NEEDED A 1964 00:54:25,161 --> 00:54:28,031 DASHBOARD TO DO, AS MENTIONED IN 1965 00:54:28,031 --> 00:54:29,332 OUR PLAN. 1966 00:54:29,332 --> 00:54:31,635 THAT IS NEARLY 1967 00:54:31,635 --> 00:54:33,803 COMPLETE, AND THEN THAT WILL BE 1968 00:54:33,803 --> 00:54:35,572 I THINK 1969 00:54:35,572 --> 00:54:36,740 AN ONGOING TOOL FOR US TO USE 1970 00:54:36,740 --> 00:54:39,309 ABOUT WHERE WE ARE AND WHAT 1971 00:54:39,309 --> 00:54:39,609 MILESTONES 1972 00:54:39,609 --> 00:54:41,578 WE'LL HIT BY WHICH DATES 1973 00:54:41,578 --> 00:54:43,146 AND THEN WHAT WILL 1974 00:54:43,146 --> 00:54:44,347 CONTINUE INTO PHASE TWO. 1975 00:54:44,347 --> 00:54:45,081 AND THEN THERE'S 1976 00:54:45,081 --> 00:54:46,549 OPPORTUNITIES TO INTERCEDE. 1977 00:54:46,549 --> 00:54:47,684 YOU KNOW IF THE BOARD 1978 00:54:47,684 --> 00:54:48,918 SAYS ACTUALLY WE THINK YOU NEED 1979 00:54:48,918 --> 00:54:49,085 TO 1980 00:54:49,085 --> 00:54:50,553 PUT MORE RESOURCES HERE, 1981 00:54:50,553 --> 00:54:52,489 LEAVE THAT FOR LATER, THAT'S 1982 00:54:52,489 --> 00:54:52,789 THE KIND 1983 00:54:52,789 --> 00:54:53,923 OF THING THAT WE'VE HAD 1984 00:54:53,923 --> 00:54:56,459 TO DO SINCE THE BEGINNING OF THE 1985 00:54:56,459 --> 00:54:59,262 ORGANIZATION, AS IS OBVIOUS. 1986 00:54:59,262 --> 00:55:01,264 AND MAYBE THERE'S AN 1987 00:55:01,264 --> 00:55:02,832 OPPORTUNITY TO HEAR THE 1988 00:55:02,832 --> 00:55:03,199 FUNDER'S 1989 00:55:03,199 --> 00:55:04,701 PRIORITIES AND MAKE SURE THOSE 1990 00:55:04,701 --> 00:55:06,102 ARE REFLECTED IN THE 1991 00:55:06,102 --> 00:55:06,403 SEQUENCING. 1992 00:55:06,403 --> 00:55:07,771 >> THANK YOU SO MUCH. 1993 00:55:07,771 --> 00:55:08,405 THANK YOU, CHAIR. 1994 00:55:08,538 --> 00:55:11,141 >> THANK YOU FOR THOSE 1995 00:55:11,141 --> 00:55:12,942 QUESTIONS, VICE CHAIR. 1996 00:55:12,942 --> 00:55:15,311 COUNCILMEMBER SAKA, YOU ARE 1997 00:55:15,311 --> 00:55:15,645 RECOGNIZED. 1998 00:55:15,779 --> 00:55:17,647 >> THANK 1999 00:55:17,647 --> 00:55:19,215 YOU, CHAIR. AND FIRST OFF WANT 2000 00:55:19,215 --> 00:55:25,088 TO THANK DR. 2001 00:55:25,088 --> 00:55:28,692 KINNISON, MR. TOWEY FOR 2002 00:55:28,692 --> 00:55:29,292 REPORTING ON PROGRESS, NEXT 2003 00:55:29,292 --> 00:55:31,194 STEPS, REMEDIATION, ALL 2004 00:55:31,194 --> 00:55:31,561 THE THINGS. 2005 00:55:31,561 --> 00:55:32,562 ALSO APPRECIATE THE 2006 00:55:32,562 --> 00:55:34,297 OPPORTUNITY TO CONNECT WITH BOTH 2007 00:55:34,297 --> 00:55:36,333 OF YOU 2008 00:55:36,333 --> 00:55:37,801 IN MY OFFICE A FEW WEEKS 2009 00:55:37,801 --> 00:55:38,535 BACK AND LEARN MORE. 2010 00:55:38,535 --> 00:55:40,537 NOW IT'S TIME TO CONTINUE 2011 00:55:40,537 --> 00:55:43,039 THE CONVERSATION AS WE'RE 2012 00:55:43,039 --> 00:55:43,340 DOING 2013 00:55:43,340 --> 00:55:45,909 HERE. AND ALSO WANT TO THANK THE 2014 00:55:45,909 --> 00:55:46,142 CHAIR 2015 00:55:46,142 --> 00:55:48,845 AND VICE CHAIR FOR YOUR 2016 00:55:48,845 --> 00:55:49,813 EXCELLENT QUESTIONS EARLIER. 2017 00:55:49,813 --> 00:55:53,183 TICKED A FEW OF MINE OFF MY OWN 2018 00:55:53,183 --> 00:55:57,020 LIST SO -- BUT JUST CURIOUS, 2019 00:55:57,020 --> 00:55:59,289 IF YOU CAN HELP US BETTER 2020 00:55:59,289 --> 00:56:01,624 UNDERSTAND BECAUSE YOU 2021 00:56:01,624 --> 00:56:04,661 ALLUDED TO THE FACT -- TALKED 2022 00:56:04,661 --> 00:56:04,994 ABOUT 2023 00:56:04,994 --> 00:56:06,996 THE ORGANIZATION WON'T BE ABLE 2024 00:56:06,996 --> 00:56:08,865 TO FULLY RESPOND IN A 2025 00:56:08,865 --> 00:56:10,300 COMPREHENSIVE AND DEFENSIBLE WAY 2026 00:56:10,300 --> 00:56:10,567 TO 2027 00:56:10,567 --> 00:56:13,269 SPECIFIC FINDINGS OF THE 2028 00:56:13,269 --> 00:56:14,337 FORENSIC 2029 00:56:14,337 --> 00:56:14,704 EVALUATION. 2030 00:56:14,704 --> 00:56:16,072 AND SOME OF THOSE THINGS 2031 00:56:16,072 --> 00:56:19,275 MIGHT NOT BE FULLY 2032 00:56:19,275 --> 00:56:20,176 RESOLVED. CAN YOU PROVIDE A 2033 00:56:20,176 --> 00:56:20,443 LITTLE 2034 00:56:20,443 --> 00:56:21,711 MORE DETAIL ABOUT THAT AND JUST 2035 00:56:21,711 --> 00:56:23,480 TALK A LITTLE BIT MORE ABOUT 2036 00:56:23,480 --> 00:56:23,680 THAT? 2037 00:56:23,680 --> 00:56:25,415 QUESTION ONE, I'LL GET BOTH OF 2038 00:56:25,415 --> 00:56:27,650 MY QUESTIONS OUT HERE, BUT 2039 00:56:27,650 --> 00:56:30,620 YOU MENTIONED THE -- SO QUESTION 2040 00:56:30,620 --> 00:56:32,622 TWO IS HOW WILL KCRHA ENSURE 2041 00:56:32,622 --> 00:56:32,822 THAT 2042 00:56:32,822 --> 00:56:35,825 THE CORRECTIVE ACTIONS 2043 00:56:35,825 --> 00:56:37,093 IMPLEMENTED NOW AND ARE PLANNED 2044 00:56:37,093 --> 00:56:39,863 ARE TRULY SUSTAINABLE AFTER THAT 2045 00:56:39,863 --> 00:56:41,965 INITIAL STABILIZATION AND 2046 00:56:41,965 --> 00:56:43,700 RECONCILIATION PHASES 2047 00:56:43,700 --> 00:56:44,534 ARE COMPLETE? 2048 00:56:44,534 --> 00:56:47,170 SO, IN OTHER WORDS, LIKE, 2049 00:56:47,170 --> 00:56:49,672 HOW ARE YOU -- HOW DO YOU PLAN 2050 00:56:49,672 --> 00:56:53,076 TO MAKE SURE THAT THOSE ACTIONS 2051 00:56:53,076 --> 00:56:53,243 AND 2052 00:56:53,243 --> 00:56:54,778 SOLUTIONS ARE TRULY DURABLE, 2053 00:56:54,778 --> 00:56:55,845 IF THAT 2054 00:56:55,845 --> 00:56:58,481 MAKES SENSE? 2055 00:56:58,481 --> 00:57:00,650 >> THANKS SO MUCH. 2056 00:57:00,650 --> 00:57:02,585 THOSE ARE A GREAT PAIR 2057 00:57:02,585 --> 00:57:03,253 OF QUESTIONS. 2058 00:57:03,253 --> 00:57:04,988 AND IT REALLY BOILS DOWN TO 2059 00:57:04,988 --> 00:57:06,923 THE CORE OF MANY OF THESE ISSUES 2060 00:57:06,923 --> 00:57:09,325 IS THE MATURITY OF THE 2061 00:57:09,325 --> 00:57:12,429 ORGANIZATION AND THE AMOUNT OF 2062 00:57:12,429 --> 00:57:13,129 MONEY THAT WAS 2063 00:57:13,129 --> 00:57:16,266 HANDLED BY THE ORGANIZATION AT A 2064 00:57:16,266 --> 00:57:20,904 REALLY NASCENT TIME IN ITS 2065 00:57:21,037 --> 00:57:22,772 DEVELOPMENT. AND WHAT FOLKS DID 2066 00:57:22,772 --> 00:57:23,039 IS 2067 00:57:23,039 --> 00:57:24,974 PRIORITIZE GETTING MONEY OUT. 2068 00:57:24,974 --> 00:57:26,209 WE ALL REMEMBER 2069 00:57:26,209 --> 00:57:29,913 PUTTING PROVIDERS IN A REALLY 2070 00:57:29,913 --> 00:57:30,180 DIFFICULT 2071 00:57:30,180 --> 00:57:31,815 POSITION, NOT BEING ABLE TO 2072 00:57:31,815 --> 00:57:32,282 PAY THEM. 2073 00:57:32,282 --> 00:57:35,351 AND SO THAT BECAME THE 2074 00:57:35,351 --> 00:57:38,922 PRIORITY, AND WHEN THAT IS 2075 00:57:38,922 --> 00:57:39,589 PRIORITIZED, YOU KNOW, WITH THE 2076 00:57:39,589 --> 00:57:41,691 SIZE AND 2077 00:57:41,691 --> 00:57:43,827 RESOURCES THIS TEAM HAVE, 2078 00:57:43,827 --> 00:57:46,463 OTHER THINGS LIKE DOCUMENTING P- 2079 00:57:46,463 --> 00:57:47,163 CARD 2080 00:57:47,163 --> 00:57:48,498 POLICY ARE NOT PRIORITIZED. 2081 00:57:48,498 --> 00:57:52,035 AND IT WAS IN THAT STATE WHEN I 2082 00:57:52,035 --> 00:57:53,169 ARRIVED, AGAIN, I'VE 2083 00:57:53,169 --> 00:57:54,838 MENTIONED COMING FROM FEDERAL 2084 00:57:54,838 --> 00:57:56,406 GOVERNMENT WHERE THERE IS LIKE A 2085 00:57:56,406 --> 00:57:57,540 FORM IN 2086 00:57:57,540 --> 00:57:58,675 TRIPLICATE OF 2087 00:57:58,675 --> 00:58:00,243 EVERYTHING INCLUDING GETTING 2088 00:58:00,243 --> 00:58:01,244 SOMETHING HUNG ON YOUR WALLS. 2089 00:58:01,244 --> 00:58:04,681 AND THE LACK OF POLICY 2090 00:58:04,681 --> 00:58:05,648 AND PROCEDURE THAT WAS AVAILABLE 2091 00:58:05,648 --> 00:58:10,053 TO ME AS I ONBOARDED. 2092 00:58:10,053 --> 00:58:13,289 SO THE BOARD -- AND SO NOW 2093 00:58:13,289 --> 00:58:14,290 WE'RE FIXING THAT. 2094 00:58:14,290 --> 00:58:15,692 AND, AGAIN, THAT'S SORT OF HOW 2095 00:58:15,692 --> 00:58:18,194 I'M USED TO DOING MY WORK. 2096 00:58:18,194 --> 00:58:19,929 SO WE HAVE IMPLEMENTED 2097 00:58:19,929 --> 00:58:21,531 MANY POLICIES AND 2098 00:58:21,531 --> 00:58:21,998 PROCEDURES FORMALLY. 2099 00:58:21,998 --> 00:58:23,600 WE'VE DEVELOPED SIGNATURE 2100 00:58:23,600 --> 00:58:26,970 POLICIES, WORKED WITH THE BOARD 2101 00:58:26,970 --> 00:58:30,473 TO UNDERSTAND HOW THOSE 2102 00:58:30,473 --> 00:58:31,875 WORKFLOWS SHOULD GO OVERTIME 2103 00:58:31,875 --> 00:58:34,043 AND HAVE ADJUSTED WITH NEW 2104 00:58:34,043 --> 00:58:34,277 BOARDS. 2105 00:58:34,277 --> 00:58:36,212 AND SO I'LL TURN IT WITH 2106 00:58:36,212 --> 00:58:36,446 WILLIAM 2107 00:58:36,446 --> 00:58:39,148 TO GET INTO SOME THE DETAILS 2108 00:58:39,148 --> 00:58:41,684 OF THE HISTORIAL 2109 00:58:41,684 --> 00:58:42,318 RECONCILIATION PROBLEMS WE ARE 2110 00:58:42,318 --> 00:58:43,152 LIKELY TO 2111 00:58:43,152 --> 00:58:45,755 HAVE, BUT I THINK FUND LTALLY 2112 00:58:45,755 --> 00:58:47,290 A GOVERNMENT ORGANIZATION 2113 00:58:47,290 --> 00:58:49,025 THAT'S HANDLING PUBLIC FUNDS, 2114 00:58:49,025 --> 00:58:49,525 YOU HAVE 2115 00:58:49,525 --> 00:58:51,160 GOT TO HAVE YOUR POLICIES 2116 00:58:51,160 --> 00:58:53,863 AND PROCEDURES DOCUMENTED AND 2117 00:58:53,863 --> 00:58:54,697 HAVE 2118 00:58:54,697 --> 00:58:56,266 WAYS TO, YOU KNOW, 2119 00:58:56,266 --> 00:58:58,334 REGULARLY ENSURE THAT THEY ARE 2120 00:58:58,334 --> 00:58:58,534 BEING 2121 00:58:58,534 --> 00:58:58,801 FOLLOWED. 2122 00:58:58,801 --> 00:59:01,371 AND SO THAT IS WHAT HAS BEEN 2123 00:59:01,371 --> 00:59:03,039 UNDERWAY SINCE I ARRIVED, 2124 00:59:03,039 --> 00:59:07,343 CONTINUES TO BE UNDERWAY IN OUR 2125 00:59:07,343 --> 00:59:09,979 FINANCE SPACE, THAT IS THE 2126 00:59:09,979 --> 00:59:11,614 WAY THAT WE SUSTAIN BEST 2127 00:59:11,614 --> 00:59:14,183 PRACTICES AND ENSURE THEY'RE 2128 00:59:14,183 --> 00:59:15,051 BEING 2129 00:59:15,184 --> 00:59:15,552 FOLLOWED. 2130 00:59:15,552 --> 00:59:18,087 >> YEAH, I WOULD JUST ADD 2131 00:59:18,087 --> 00:59:19,022 I APPRECIATE THE 2132 00:59:19,022 --> 00:59:20,990 QUESTIONS SPECIFICALLY RELATIVE 2133 00:59:20,990 --> 00:59:23,293 TO A 2134 00:59:23,293 --> 00:59:25,728 QUESTION, CHAIR RINCK 2135 00:59:25,728 --> 00:59:27,730 CENTERED IN ON AS WELL, RELATIVE 2136 00:59:27,730 --> 00:59:27,897 TO 2137 00:59:27,897 --> 00:59:31,434 THE POLICY AND PROCEDURES, 2138 00:59:31,434 --> 00:59:33,536 DOCUMENTATIONS, HUD 2139 00:59:33,536 --> 00:59:38,007 READINESS, IF YOU WILL, TO CFR- 2140 00:59:38,007 --> 00:59:39,008 200 2141 00:59:39,008 --> 00:59:42,579 COMPLIANCE, COSO COMPLIANCE. 2142 00:59:42,579 --> 00:59:44,647 THE CLARK NEWBURGH 2143 00:59:44,647 --> 00:59:46,015 LEGISLATION HIGHLIGHTED THOSE 2144 00:59:46,015 --> 00:59:46,249 THINGS 2145 00:59:46,249 --> 00:59:48,751 AND FROM THEIR PERSPECTIVE 2146 00:59:48,751 --> 00:59:50,753 REVIEWING 22, 24, AND 25 THOSE 2147 00:59:50,753 --> 00:59:50,987 WERE 2148 00:59:50,987 --> 00:59:57,126 REALLY CLEAR AREAS OF PRIME 2149 00:59:57,126 --> 00:59:57,827 IMPROVEMENT. 2150 00:59:57,827 --> 01:00:00,763 THE ORGANIZATION BEGAN 2151 01:00:00,763 --> 01:00:01,831 RECTIFYING THOSE WITH 2152 01:00:01,831 --> 01:00:04,367 THE ARRIVAL OF A CONTROLLER 2153 01:00:04,367 --> 01:00:05,468 AND CONTINUED THAT TO 2154 01:00:05,468 --> 01:00:06,502 PRESENT WHERE WE ARE NOW IN A 2155 01:00:06,502 --> 01:00:07,537 PLACE OF 2156 01:00:07,537 --> 01:00:09,372 REALLY FOCUSING OUR ACTIVITY 2157 01:00:09,372 --> 01:00:11,908 IS MAKING SURE THAT WE HAVE THE 2158 01:00:11,908 --> 01:00:12,208 COMPLIANCE 2159 01:00:12,208 --> 01:00:12,942 FRAMEWORKS DOCUMENTED, 2160 01:00:12,942 --> 01:00:16,713 THAT WE HAVE THE ABILITY TO 2161 01:00:16,713 --> 01:00:17,013 DEMONSTRATE 2162 01:00:17,013 --> 01:00:18,581 THOSE PRACTICES AND POLICIES 2163 01:00:18,581 --> 01:00:21,985 AS BEING NOT ONLY IN PLACE BUT 2164 01:00:21,985 --> 01:00:22,752 FUNCTIONING PROPERLY. 2165 01:00:22,752 --> 01:00:24,954 AND THEN RELATIVE TO THINGS 2166 01:00:24,954 --> 01:00:28,257 THAT WILL TRANSCEND INTO THE 2167 01:00:28,257 --> 01:00:28,791 PHASE 2168 01:00:28,791 --> 01:00:32,328 TWO, YOU KNOW, THE DEEPER 2169 01:00:32,328 --> 01:00:33,963 RECONCILIATION OF 2170 01:00:33,963 --> 01:00:34,964 UNRECONCILED RECEIVABLES IS 2171 01:00:34,964 --> 01:00:35,698 LIKELY TO 2172 01:00:35,698 --> 01:00:37,033 TAKE LONGER DEPENDING ON, YOU 2173 01:00:37,033 --> 01:00:37,233 KNOW, 2174 01:00:37,233 --> 01:00:38,901 THE LEVEL OF DETAIL THAT 2175 01:00:38,901 --> 01:00:41,738 ONE WANTS TO GO INTO THERE. 2176 01:00:41,738 --> 01:00:45,174 ALSO THE ABILITY TO WORK MORE 2177 01:00:45,174 --> 01:00:47,443 CLOSELY WITH FUNDING PARTNERS 2178 01:00:47,443 --> 01:00:51,047 ON CASH FLOW ANALYSIS, CONTRACT 2179 01:00:51,047 --> 01:00:53,249 MANAGEMENT, PAYMENT TIMING, 2180 01:00:53,249 --> 01:00:54,083 PAYMENT RECEIPTS. 2181 01:00:54,083 --> 01:00:55,284 THOSE SORTS OF THINGS ARE 2182 01:00:55,284 --> 01:00:57,420 A LITTLE MORE OPERATIONAL, THAT 2183 01:00:57,420 --> 01:01:00,890 WILL BE IN MORE THE PHASE TWO. 2184 01:01:00,890 --> 01:01:02,025 BUT THE -- YOU KNOW, 2185 01:01:02,025 --> 01:01:03,993 THE REAL IMPORTANT GOAL FOR US 2186 01:01:03,993 --> 01:01:04,661 IS THAT AS 2187 01:01:04,661 --> 01:01:08,231 WE MOVE TOWARD THE HUD 2188 01:01:08,231 --> 01:01:14,971 SUBMISSION, IN AUGUST WE HAVE 2189 01:01:14,971 --> 01:01:15,672 ALL OF THOSE CORE COSO 2190 01:01:15,672 --> 01:01:17,740 RELATED POLICY PIECES IN PLACE 2191 01:01:17,740 --> 01:01:19,442 AND 2192 01:01:19,575 --> 01:01:20,143 FUNCTIONING. 2193 01:01:20,143 --> 01:01:20,309 >> 2194 01:01:20,309 --> 01:01:23,379 THANK YOU. NO FURTHER QUESTIONS, 2195 01:01:23,513 --> 01:01:23,880 CHAIR. 2196 01:01:23,880 --> 01:01:26,783 >> THANK YOU, COUNCILMEMBER 2197 01:01:26,916 --> 01:01:28,284 SAKA. VICE CHAIR FOSTER, IS THAT 2198 01:01:28,284 --> 01:01:29,018 A 2199 01:01:29,018 --> 01:01:29,218 NEW 2200 01:01:29,218 --> 01:01:29,419 HAND? 2201 01:01:29,419 --> 01:01:30,553 >> IT WASN'T, BUT I 2202 01:01:30,553 --> 01:01:32,422 ACTUALLY HAVE ONE QUESTION I 2203 01:01:32,422 --> 01:01:34,123 WANTED TO 2204 01:01:34,123 --> 01:01:34,524 ASK. 2205 01:01:34,524 --> 01:01:39,462 AND I DON'T KNOW -- APOLOGIES, 2206 01:01:39,462 --> 01:01:40,396 COUNCIL, FIRST. 2207 01:01:40,396 --> 01:01:42,899 THANK YOU FOR WRAPPING UP WITH 2208 01:01:42,899 --> 01:01:45,268 HUD ONLY BECAUSE WE'VE HEARD A 2209 01:01:45,268 --> 01:01:47,637 LOT ABOUT THIS AS 2210 01:01:47,637 --> 01:01:48,738 GOVERNING BOARD MEMBERS. 2211 01:01:48,738 --> 01:01:50,073 COULD YOU JUST SPEAK AS 2212 01:01:50,073 --> 01:01:51,407 BRIEFLY AS POSSIBLE TO THE 2213 01:01:51,407 --> 01:01:52,775 SIGNIFICANCE OF THAT HUD 2214 01:01:52,775 --> 01:01:53,176 SUBMISSION, 2215 01:01:53,176 --> 01:01:54,477 THE RESOURCES THAT COME INTO 2216 01:01:54,477 --> 01:01:56,312 OUR COMMUNITY BECAUSE OF THE 2217 01:01:56,312 --> 01:01:56,579 ROLE 2218 01:01:56,579 --> 01:02:00,049 OF THE CONTINUUM OF CARE AND THE 2219 01:02:00,049 --> 01:02:01,084 4,000-PLUS PEOPLE THAT 2220 01:02:01,084 --> 01:02:02,919 ARE HOUSED IN OUR REGION BECAUSE 2221 01:02:02,919 --> 01:02:07,890 OF THOSE RESOURCES. 2222 01:02:08,091 --> 01:02:10,960 >> ABSOLUTELY. THE USE OF THE 2223 01:02:10,960 --> 01:02:14,764 HUD COC FUNDS FOR 2224 01:02:14,764 --> 01:02:16,866 WA- 500, WHICH IS THE NAME OF 2225 01:02:16,866 --> 01:02:19,869 OUR CONTINUUM OF CARE LOCAL 2226 01:02:19,869 --> 01:02:21,070 HERE, HAVE BEEN SIGNIFICANT 2227 01:02:21,070 --> 01:02:21,304 ANCHOR 2228 01:02:21,304 --> 01:02:25,441 COMPONENTS UNDERGIRDING 2229 01:02:25,441 --> 01:02:27,710 THE PERMANENT SUPPORTIVE 2230 01:02:27,710 --> 01:02:29,378 HOUSING INVESTMENTS IN KING 2231 01:02:29,378 --> 01:02:30,847 COUNTY REGION FOR TEN 2232 01:02:30,847 --> 01:02:32,849 YEARS. THEY HAVE REPRESENTED A 2233 01:02:32,849 --> 01:02:35,618 SOLID AND STABLE FLOW OF 2234 01:02:35,618 --> 01:02:36,486 FUNDS THAT ARE A CORE PART OF 2235 01:02:36,486 --> 01:02:37,019 THE 2236 01:02:37,019 --> 01:02:38,421 OVERALL FUNDING STACK THAT 2237 01:02:38,421 --> 01:02:38,688 PROVIDERS 2238 01:02:38,688 --> 01:02:40,790 PUT TOGETHER WHEN THEY PLACE 2239 01:02:40,790 --> 01:02:42,825 THESE BUILDINGS 2240 01:02:42,825 --> 01:02:45,928 INTO OPERATION. IN 2025 OVER 500 2241 01:02:45,928 --> 01:02:46,129 UNITS 2242 01:02:46,129 --> 01:02:47,396 OF PERMANENT SUPPORTIVE HOUSING 2243 01:02:47,396 --> 01:02:50,099 CAME ONLINE. 2244 01:02:50,099 --> 01:02:52,468 IT REPRESENTS THE TAIL END 2245 01:02:52,468 --> 01:02:54,570 OF WHAT WOULD BE A PEAK 2246 01:02:54,570 --> 01:02:55,771 PRODUCTION PERIOD -- HIGH 2247 01:02:55,771 --> 01:02:56,139 INTEREST 2248 01:02:56,139 --> 01:02:57,473 RATES, OTHER ECONOMIC FACTORS, 2249 01:02:57,473 --> 01:02:57,640 AND 2250 01:02:57,640 --> 01:03:00,276 UNCERTAINTY AROUND THE FUTURE 2251 01:03:00,276 --> 01:03:01,911 OF HUD ARE IMPACTING THE ABILITY 2252 01:03:01,911 --> 01:03:04,380 TO CONTINUE TO DEVELOP THOSE AT 2253 01:03:04,380 --> 01:03:07,083 THE RATE THAT WE HAVE IN THE 2254 01:03:07,083 --> 01:03:08,518 PAST. 2255 01:03:08,518 --> 01:03:09,051 AND THEY'RE CENTRALLY 2256 01:03:09,051 --> 01:03:10,086 IMPORTANT TO THE OVERALL 2257 01:03:10,086 --> 01:03:10,419 HOMELESSNESS 2258 01:03:10,419 --> 01:03:13,890 WORK IN KING COUNTY BECAUSE THEY 2259 01:03:13,890 --> 01:03:18,494 REPRESENT A HOUSING OUTCOME OF 2260 01:03:18,494 --> 01:03:20,797 A TYPE THAT IS THE ONLY 2261 01:03:20,797 --> 01:03:23,933 REAL PATHWAY FOR FOLKS WHO ARE 2262 01:03:23,933 --> 01:03:28,738 CHRONICALLY HOMELESS 2263 01:03:28,738 --> 01:03:28,938 WITH 2264 01:03:28,938 --> 01:03:29,572 CO-OCCURRING BEHAVIORAL HEALTH, 2265 01:03:29,572 --> 01:03:29,939 MENTAL HEALTH. 2266 01:03:29,939 --> 01:03:31,407 SO TO GET INTO 2267 01:03:31,407 --> 01:03:33,075 PERMANENT SUPPORTIVE HOUSING, 2268 01:03:33,075 --> 01:03:33,643 YOU HAVE 2269 01:03:33,643 --> 01:03:36,345 A CONDITION -- YOU 2270 01:03:36,345 --> 01:03:39,015 HAVE A DIAGNOSIS OF SOME TYPE 2271 01:03:39,015 --> 01:03:41,350 THAT 2272 01:03:41,350 --> 01:03:43,286 QUALIFIES YOU AS A DISABILITY 2273 01:03:43,286 --> 01:03:44,153 BEING INTO THAT BUILDING. 2274 01:03:44,153 --> 01:03:45,555 AND MOST OF THE POPULATION THAT 2275 01:03:45,555 --> 01:03:46,455 IS SORT OF THE MOST 2276 01:03:46,455 --> 01:03:48,991 DIFFICULT FOR US TO RESOLVE INTO 2277 01:03:48,991 --> 01:03:50,593 HOUSING, 2278 01:03:50,593 --> 01:03:52,628 PERMISSIBLE HOUSING IS 2279 01:03:52,628 --> 01:03:53,696 THE PATHWAY FOR THAT. 2280 01:03:53,696 --> 01:03:54,597 FOR ME THAT'S HOW I 2281 01:03:54,597 --> 01:03:58,134 TEND TO THINK OF THE IMPORTANCE 2282 01:03:58,134 --> 01:04:01,737 OF HUD 2283 01:04:01,737 --> 01:04:04,840 COC HOUSING EVERY 2284 01:04:04,840 --> 01:04:05,141 YEAR. 2285 01:04:05,141 --> 01:04:07,610 >> THANK YOU, COUNCILMEMBER 2286 01:04:07,610 --> 01:04:07,844 FOSTER. 2287 01:04:07,844 --> 01:04:08,644 NEXT, COUNCILMEMBER 2288 01:04:08,644 --> 01:04:09,912 RIVERA, THANK YOU FOR JOINING US 2289 01:04:09,912 --> 01:04:10,146 TODAY. 2290 01:04:10,146 --> 01:04:11,514 YOU 2291 01:04:11,514 --> 01:04:12,315 ARE RECOGNIZED. 2292 01:04:12,315 --> 01:04:16,719 >> THANKS, 2293 01:04:16,719 --> 01:04:17,553 COUNCIL CHAIR AND LETTING ME SIT 2294 01:04:17,553 --> 01:04:18,354 IN TODAY OR 2295 01:04:18,354 --> 01:04:19,488 JUST WELCOME ME. 2296 01:04:19,488 --> 01:04:21,090 I KNOW WE CAN ATTEND 2297 01:04:21,090 --> 01:04:23,392 EACH OTHER'S MEETINGS AND 2298 01:04:23,392 --> 01:04:24,727 I WANT TO MAKE SURE THAT CHAIR 2299 01:04:24,727 --> 01:04:24,961 KNOWS. 2300 01:04:24,961 --> 01:04:26,829 WE ALL VERY MUCH CARE ABOUT 2301 01:04:26,829 --> 01:04:27,330 THIS ISSUE. 2302 01:04:27,330 --> 01:04:28,497 I WANT TO THANK YOU BOTH 2303 01:04:28,497 --> 01:04:29,799 FOR BEING HERE AND ESPECIALLY 2304 01:04:29,799 --> 01:04:31,767 FOR SCHEDULING A MEETING WITH 2305 01:04:31,767 --> 01:04:32,268 ME. 2306 01:04:32,268 --> 01:04:33,402 I THINK NEXT WEEK I DO 2307 01:04:33,402 --> 01:04:34,737 HAVE A LOT OF QUESTIONS. 2308 01:04:34,737 --> 01:04:36,739 WE JUST GOT THIS 2309 01:04:36,739 --> 01:04:38,941 CORRECTIVE ACTION PLAN LAST 2310 01:04:38,941 --> 01:04:39,408 WEEK, AND IT 2311 01:04:39,408 --> 01:04:41,944 IS SIZABLE, AND REALLY 2312 01:04:41,944 --> 01:04:42,245 APPRECIATE 2313 01:04:42,245 --> 01:04:44,547 YOU HIGH LEVEL PRESENTING TODAY. 2314 01:04:44,547 --> 01:04:46,349 I WAS WATCHING SOME OF MY IN 2315 01:04:46,349 --> 01:04:46,882 MY OFFICE. 2316 01:04:46,882 --> 01:04:50,686 I DO HAVE JUST TWO 2317 01:04:50,686 --> 01:04:57,593 QUESTIONS, AND ONE IS OBVIOUSLY 2318 01:04:57,727 --> 01:05:00,029 CLARK'S FORENSIC ASSESSMENT HAD 2319 01:05:00,029 --> 01:05:00,229 MANY 2320 01:05:00,229 --> 01:05:01,130 ITEMS FOR CORRECTION IN THERE. 2321 01:05:01,130 --> 01:05:03,566 AND I THINK, WILLIAM, YOU SAID 2322 01:05:03,566 --> 01:05:04,934 EARLIER THERE WERE, LIKE, 2323 01:05:04,934 --> 01:05:07,503 70 PIECES TO THAT THAT NEEDED TO 2324 01:05:07,503 --> 01:05:09,905 BE 2325 01:05:09,905 --> 01:05:10,239 ADDRESSED. 2326 01:05:10,239 --> 01:05:11,474 AND FROM YOUR PRESENTATION 2327 01:05:11,474 --> 01:05:13,242 TODAY AND WHAT I HEARD YOU SAY 2328 01:05:13,242 --> 01:05:15,177 IS YOU'RE TACKLING IN THE FIRST 2329 01:05:15,177 --> 01:05:16,345 90 DAYS THE FIRST PRIORITY OF 2330 01:05:16,345 --> 01:05:17,213 THOSE, AND THEN 2331 01:05:17,213 --> 01:05:19,248 OBVIOUSLY YOU HAVE TO KEEP 2332 01:05:19,248 --> 01:05:21,550 WORKING THROUGH. 2333 01:05:21,550 --> 01:05:28,124 MY QUESTION IS WHAT IS THE 2334 01:05:28,124 --> 01:05:31,861 OVERALL COST THAT YOU THINK 2335 01:05:31,861 --> 01:05:41,337 IT WILL TAKE TO ALL THE 2336 01:05:41,337 --> 01:05:41,637 CORRECTIVE 2337 01:05:41,771 --> 01:05:43,172 ACTIONS? O THAT IS NOT JUST 2338 01:05:43,172 --> 01:05:43,873 HIRING 2339 01:05:43,873 --> 01:05:44,473 THE CFO. 2340 01:05:44,473 --> 01:05:46,375 WE KNOW OBVIOUSLY CLARK HAD 2341 01:05:46,375 --> 01:05:47,043 RECOMMENDATIONS IT WAS GOING 2342 01:05:47,043 --> 01:05:50,546 TO COST -- AND IT WAS A VERY 2343 01:05:50,546 --> 01:05:53,616 LARGE NUMBER -- TO PUT INTO 2344 01:05:53,616 --> 01:05:54,083 PLACE 2345 01:05:54,083 --> 01:05:55,184 THE THINGS WE'RE RECOMMENDING 2346 01:05:55,184 --> 01:05:55,351 AS 2347 01:05:55,351 --> 01:05:56,786 PART OF THAT ASSESSMENT. 2348 01:05:56,786 --> 01:06:02,958 I ALSO HEARD YOU SAY, DIRECTOR 2349 01:06:02,958 --> 01:06:03,859 KINNISON, THERE WAS A CAPACITY. 2350 01:06:03,859 --> 01:06:05,328 I HEARD YOU USE THE WORD 2351 01:06:05,328 --> 01:06:06,362 CAPACITY OR STRENGTH 2352 01:06:06,362 --> 01:06:07,363 MULTIPLE TIMES IN THIS 2353 01:06:07,363 --> 01:06:07,697 PRESENTATION. 2354 01:06:07,697 --> 01:06:09,365 SO WHAT WOULD BE A FAIR 2355 01:06:09,365 --> 01:06:12,101 ASSESSMENT OF HOW MUCH IT WOULD 2356 01:06:12,234 --> 01:06:13,135 TAKE TO ACTUALLY GET TO CORRECT 2357 01:06:13,135 --> 01:06:17,873 ALL OF THESE ITEMS MOVING 2358 01:06:18,007 --> 01:06:18,307 FORWARD? 2359 01:06:18,307 --> 01:06:22,011 >> THANK YOU FOR THAT QUESTION. 2360 01:06:22,011 --> 01:06:24,213 THE SHORT VERSION IS WE'RE 2361 01:06:24,213 --> 01:06:24,447 NOT 2362 01:06:24,447 --> 01:06:26,315 SURE. PART OF THAT IS BECAUSE OF 2363 01:06:26,315 --> 01:06:27,550 THE SEQUENCING OF NEEDING TO 2364 01:06:27,550 --> 01:06:32,521 ADDRESS THE FINDINGS. 2365 01:06:32,521 --> 01:06:34,523 SO AS VICE CHAIR FOSTER ALLUDED 2366 01:06:34,523 --> 01:06:36,726 TO, WE KNOW WE NEED TO DO 2367 01:06:36,726 --> 01:06:41,163 A HIGH- LEVEL CASH ANALYSIS 2368 01:06:41,163 --> 01:06:43,532 TO UNDERSTAND WHO -- WHICH 2369 01:06:43,532 --> 01:06:48,637 FUNDER WE MAY HAVE MIS- BILLED 2370 01:06:48,637 --> 01:06:49,271 OR 2371 01:06:49,271 --> 01:06:50,506 UNDERBILLED FOR THAT $8 2372 01:06:50,506 --> 01:06:51,207 MILLION OR SO. 2373 01:06:51,207 --> 01:06:52,808 THE WORK TO GET DOWN TO 2374 01:06:52,808 --> 01:06:54,844 THAT LEVEL THAT 2375 01:06:54,844 --> 01:06:56,779 MAY BE REQUIRED BY THE CITY OR 2376 01:06:56,779 --> 01:06:57,279 COUNTY WOULD COST 2377 01:06:57,279 --> 01:06:57,947 MORE MONEY. 2378 01:06:57,947 --> 01:06:59,348 AND SO THAT'S AN OPTION 2379 01:06:59,348 --> 01:07:01,016 THAT WE WOULD FRAME OUT ONCE WE 2380 01:07:01,016 --> 01:07:01,784 GET THAT 2381 01:07:01,784 --> 01:07:02,952 FIRST STEP DONE TO 2382 01:07:02,952 --> 01:07:04,854 SAY, YOU KNOW, HERE 2383 01:07:04,854 --> 01:07:07,189 ARE THE OPTIONS. WE CAN STOP 2384 01:07:07,189 --> 01:07:07,790 HERE, OR WE CAN 2385 01:07:07,790 --> 01:07:09,158 PROCEED, AND THIS IS, YOU 2386 01:07:09,158 --> 01:07:11,727 KNOW, ABOUT HOW MANY HOURS WE 2387 01:07:11,727 --> 01:07:13,028 THINK 2388 01:07:13,028 --> 01:07:14,730 THAT WOULD TAKE. 2389 01:07:14,730 --> 01:07:16,265 AND I THINK WE HAVE A COUPLE 2390 01:07:16,265 --> 01:07:17,266 OF RECOMMENDATIONS THEREAT 2391 01:07:17,266 --> 01:07:19,068 REQUIRE THAT KIND OF SEQUENCING. 2392 01:07:19,068 --> 01:07:22,271 SO UNDERSTANDING HOW FAR WE 2393 01:07:22,271 --> 01:07:22,905 CAN GET WITH INTERNAL EXISTING 2394 01:07:22,905 --> 01:07:25,975 RESOURCES, AND THEN ARTICULATING 2395 01:07:25,975 --> 01:07:32,548 A NEED FOR -- A CFO- TYPE LEADER 2396 01:07:32,548 --> 01:07:34,016 OR SOMEONE TO COME IN AND 2397 01:07:34,016 --> 01:07:35,451 REALLY BRING EXPERTISE 2398 01:07:35,451 --> 01:07:37,019 OR PROJECT MANAGE THAT FOR US. 2399 01:07:37,019 --> 01:07:40,689 IT WILL COST MORE 2400 01:07:40,689 --> 01:07:42,458 THAN, YOU KNOW, THAT 500,000 FOR 2401 01:07:42,458 --> 01:07:42,658 JUST 2402 01:07:42,658 --> 01:07:44,260 THE BASIC CAPACITY STAFFING. 2403 01:07:44,260 --> 01:07:46,228 I THINK THAT WE NEED TO 2404 01:07:46,228 --> 01:07:46,929 IMPLEMENT THIS, BUT I THINK 2405 01:07:46,929 --> 01:07:49,498 YOU ALL AND OUR FUNDERS HAVE 2406 01:07:49,498 --> 01:07:51,233 CHOICES 2407 01:07:51,233 --> 01:07:56,906 ABOUT HOW FAR -- HOW 2408 01:07:56,906 --> 01:08:00,142 MUCH INFORMATION NEEDS TO 2409 01:08:00,142 --> 01:08:01,243 BE HAD ABOUT 2022 WHEN WE'RE 2410 01:08:01,243 --> 01:08:03,779 WORKING ON SPREAD SHEETS AND 2411 01:08:03,779 --> 01:08:04,079 INTERNAL 2412 01:08:04,079 --> 01:08:06,649 ENTRIES AND IT'S METAPHORICALLY 2413 01:08:06,649 --> 01:08:07,349 IN SHOE BOXES. 2414 01:08:07,349 --> 01:08:09,685 YOU KNOW, HOW FAR DO WE WANT 2415 01:08:09,685 --> 01:08:10,953 TO GO THERE? 2416 01:08:10,953 --> 01:08:15,124 VERSUS IN '25, '24 WE GOT 2417 01:08:15,124 --> 01:08:16,292 MUCH BETTER RECORDS. 2418 01:08:16,292 --> 01:08:18,561 SO THOSE ARE SOME OF IT 2419 01:08:18,561 --> 01:08:20,396 THINGS I THINK I NEED TO LAY OUT 2420 01:08:20,396 --> 01:08:20,596 FOR 2421 01:08:20,596 --> 01:08:21,964 YOU IN ORDER TO UNDERSTAND THE 2422 01:08:21,964 --> 01:08:23,432 KIND OF RESOURCE REQUESTS WE MAY 2423 01:08:23,432 --> 01:08:23,632 HAVE. 2424 01:08:23,766 --> 01:08:25,000 >> AND WHAT'S THE TIME LINE FOR 2425 01:08:25,134 --> 01:08:25,401 THAT? 2426 01:08:25,401 --> 01:08:27,336 >> I THINK WE HAVE A GOOD 2427 01:08:27,336 --> 01:08:29,939 GRASP ON THAT WITHIN OUR 90- DAY 2428 01:08:29,939 --> 01:08:32,174 PERIOD OF WORK, POTENTIALLY 2429 01:08:32,174 --> 01:08:33,442 SOONER FOR SOME PIECES. 2430 01:08:33,576 --> 01:08:36,712 >> WHAT ABOUT THE FULL 2431 01:08:36,712 --> 01:08:37,012 PICTURE? 2432 01:08:37,012 --> 01:08:38,280 >> I THINK AT 90 DAYS WE'LL 2433 01:08:38,280 --> 01:08:41,851 HAVE A REAL SENSE OF HOW MUCH WE 2434 01:08:41,851 --> 01:08:42,017 CAN 2435 01:08:42,017 --> 01:08:43,118 GET WITH CURRENT RESOURCES, 2436 01:08:43,118 --> 01:08:45,087 WHAT WE KNOW BY THEN AND WHAT 2437 01:08:45,087 --> 01:08:47,223 WE DON'T KNOW, AND THEN BASED 2438 01:08:47,223 --> 01:08:49,258 ON YOUR INPUT ABOUT WHAT YOU 2439 01:08:49,258 --> 01:08:51,260 STILL NEED TO KNOW, LIKE, HOW 2440 01:08:51,260 --> 01:08:53,562 MUCH MORE INFORMATION IS NEEDED. 2441 01:08:53,562 --> 01:08:57,766 WE WILL BY THEN HAVE THINGS LIKE 2442 01:08:57,766 --> 01:08:59,068 POLICIES IN PLACE, AND 2443 01:08:59,068 --> 01:09:00,402 OUR PROCESSES LIKE OUR HARD 2444 01:09:00,402 --> 01:09:01,003 CLOSE 2445 01:09:01,003 --> 01:09:03,472 AT THE END OF EVERY MONTH, 2446 01:09:03,472 --> 01:09:05,040 YOU KNOW, INSTITUTIONALIZED AND 2447 01:09:05,040 --> 01:09:07,776 DOCUMENTED, AND THE BOARD WOULD 2448 01:09:07,910 --> 01:09:08,244 HAVE SEEN THAT 2449 01:09:08,244 --> 01:09:10,746 DOCUMENTATION. IT'S OF THESE 2450 01:09:10,746 --> 01:09:11,213 MORE 2451 01:09:11,213 --> 01:09:13,082 HISTORICAL PIECES THAT WE NEED 2452 01:09:13,082 --> 01:09:13,516 TO 2453 01:09:13,516 --> 01:09:15,584 UNCOVER THAT I 2454 01:09:15,584 --> 01:09:16,185 THINK ARE THE PLACE WHERE WE 2455 01:09:16,185 --> 01:09:17,953 NEED TO MAKE A CHOICE 2456 01:09:17,953 --> 01:09:21,190 ABOUT THE RESOURCES WE SPEND 2457 01:09:21,190 --> 01:09:21,690 THERE. 2458 01:09:21,690 --> 01:09:23,526 >> THANK YOU FOR THAT ANSWER. 2459 01:09:23,526 --> 01:09:25,227 I GUESS I'M GOING TO ASK 2460 01:09:25,227 --> 01:09:26,795 YOU SOMETHING YOU MAY OR MAY 2461 01:09:26,795 --> 01:09:27,796 NOT KNOW AND THAT'S OKAY. 2462 01:09:27,796 --> 01:09:30,466 AND THAT IS I'M NOT SURE IF IN 2463 01:09:30,466 --> 01:09:34,737 THE CONTRACT WITH CLARK THERE 2464 01:09:34,737 --> 01:09:35,938 WAS AN OPPORTUNITY FOR THEM TO 2465 01:09:35,938 --> 01:09:37,139 REVIEW YOUR CORRECTIVE 2466 01:09:37,139 --> 01:09:38,908 ACTION PLAN AND GIVE FEEDBACK ON 2467 01:09:38,908 --> 01:09:39,175 IT. 2468 01:09:39,175 --> 01:09:41,810 DO YOU KNOW IF THAT'S 2469 01:09:41,810 --> 01:09:43,145 HAPPENING, THAT WAS PART OF THE 2470 01:09:43,145 --> 01:09:43,412 -- 2471 01:09:43,546 --> 01:09:44,513 >> I DON'T KNOW. 2472 01:09:44,513 --> 01:09:45,748 I HAVEN'T SEEN THAT 2473 01:09:45,748 --> 01:09:46,081 CONTRACT. 2474 01:09:46,081 --> 01:09:47,850 >> WHAT DO YOU THINK THEY'D 2475 01:09:47,850 --> 01:09:49,852 SAY IF THEY REVIEWED THIS 2476 01:09:49,852 --> 01:09:50,152 CORRECTIVE 2477 01:09:50,152 --> 01:09:52,188 ACTION PLAN AND SORT OF 2478 01:09:52,188 --> 01:09:54,056 WHAT YOU'VE LAID OUT AS A PATH 2479 01:09:54,056 --> 01:09:54,423 FORWARD? 2480 01:09:54,557 --> 01:09:56,659 >> I THINK LARGELY THEY WOULD 2481 01:09:56,659 --> 01:09:59,662 PERCEIVE IT AS AN APPROPRIATE, 2482 01:09:59,662 --> 01:10:01,497 SERIOUS DOCUMENT THAT TOOK 2483 01:10:01,497 --> 01:10:03,132 THEIR RECOMMENDATIONS VERY 2484 01:10:03,132 --> 01:10:05,768 SERIOUSLY, HIGHLIGHTED WHAT WE 2485 01:10:05,768 --> 01:10:05,935 ARE 2486 01:10:05,935 --> 01:10:08,137 ABLEABLE DO AND WHAT WE NEED 2487 01:10:08,137 --> 01:10:08,604 HELP 2488 01:10:08,604 --> 01:10:11,373 DOING, AND LAID OUT SOME 2489 01:10:11,373 --> 01:10:12,074 PATHWAYS 2490 01:10:12,074 --> 01:10:12,541 FORWARD. 2491 01:10:12,541 --> 01:10:13,909 YOU KNOW, I WON'T SPEAK 2492 01:10:13,909 --> 01:10:14,310 FOR THEM. 2493 01:10:14,310 --> 01:10:17,279 I'M SURE THEY HAVE THINGS 2494 01:10:17,279 --> 01:10:18,581 THEY WOULD HAVE DONE 2495 01:10:18,581 --> 01:10:18,981 DIFFERENTLY, BUT 2496 01:10:18,981 --> 01:10:20,983 I THINK IT'S VERY -- WE TOOK 2497 01:10:20,983 --> 01:10:26,455 ALL OF THEIR FINDINGS AS, YOU 2498 01:10:26,455 --> 01:10:26,922 KNOW, 2499 01:10:26,922 --> 01:10:27,489 RESONATING. 2500 01:10:27,489 --> 01:10:28,791 THERE WERE SOME -- A FEW 2501 01:10:28,791 --> 01:10:31,794 THINGS AROUND THE EDGES WE FELT 2502 01:10:31,927 --> 01:10:33,295 MAYBE WE HAD MORE INFORMATION 2503 01:10:33,295 --> 01:10:34,229 ABOUT THAT WASN'T IN THERE. 2504 01:10:34,229 --> 01:10:36,198 BUT THEY'RE AN EXCELLENT FIRM. 2505 01:10:36,198 --> 01:10:39,101 THEY DID EXCELLENT WORK, 2506 01:10:39,101 --> 01:10:40,502 AND WE TOOK THAT AS A VERY 2507 01:10:40,502 --> 01:10:40,769 VALUABLE 2508 01:10:40,769 --> 01:10:41,103 TOOM TOOL. 2509 01:10:41,103 --> 01:10:42,771 I MEAN, IT WAS KIND OF WHAT I 2510 01:10:42,771 --> 01:10:44,506 WAS HOPING TO GET TO FIGURE 2511 01:10:44,506 --> 01:10:48,043 OUT HOW DO WE MOVE THIS AGENCY 2512 01:10:48,177 --> 01:10:48,544 FORWARD. 2513 01:10:48,544 --> 01:10:50,646 >> AND THE CORRECTIVE 2514 01:10:50,646 --> 01:10:55,584 ACTION PLAN DOES -- I 2515 01:10:55,584 --> 01:10:56,518 WAS LOOKING THROUGH IT -- DOES 2516 01:10:56,518 --> 01:10:56,885 ADDRESS 2517 01:10:56,885 --> 01:11:05,127 EVERY SINGLE ITEM THAT THE 2518 01:11:05,127 --> 01:11:07,463 CLARK NEWBURGH FORENSIC 2519 01:11:07,463 --> 01:11:07,763 ASSESSMENT 2520 01:11:07,896 --> 01:11:09,999 RAISED. YOU'RE JUST NOT SURE 2521 01:11:09,999 --> 01:11:10,599 YET 2522 01:11:10,599 --> 01:11:13,302 HOW YOU GET TO SOLVE FOR EACH OF 2523 01:11:13,302 --> 01:11:13,535 THOSE. 2524 01:11:13,669 --> 01:11:16,672 >> FOR SOME OF THE HISTORICAL 2525 01:11:16,672 --> 01:11:18,540 PIECES, I THINK THERE ARE LEVELS 2526 01:11:18,540 --> 01:11:19,241 OF RESOLUTION. 2527 01:11:19,241 --> 01:11:27,016 SO ARE WE COMFORTABLE 2528 01:11:27,016 --> 01:11:28,584 KNOWING GENERALLY -- YOU KNOW, 2529 01:11:28,584 --> 01:11:32,187 OUR FAILURE WAS NOT CORRECTLY 2530 01:11:32,187 --> 01:11:33,822 BILLING OUR FUNDERS 2531 01:11:33,822 --> 01:11:35,157 OVER THE COURSE OF COUPLE OF 2532 01:11:35,157 --> 01:11:35,391 YEARS. 2533 01:11:35,391 --> 01:11:39,662 AS WILLIAM SAID EARLIER, WE 2534 01:11:39,662 --> 01:11:40,296 FEEL 2535 01:11:40,296 --> 01:11:41,363 CONFIDENT WE'LL GET TO HIGH 2536 01:11:41,363 --> 01:11:42,331 LEVEL AMOUNT BECAUSE WE HAVE THE 2537 01:11:42,331 --> 01:11:44,233 KING COUNTY TREASURY, WHAT 2538 01:11:44,233 --> 01:11:45,901 WE GOT AND WHAT WE PAID OUT, SO 2539 01:11:45,901 --> 01:11:47,002 WE'LL GET 2540 01:11:47,002 --> 01:11:49,238 A BALANCE. WHAT VICE CHAIR 2541 01:11:49,238 --> 01:11:50,172 FOSTER ASKED AND 2542 01:11:50,172 --> 01:11:51,507 IS ABSOLUTELY TRUE IS, YOU KNOW, 2543 01:11:51,507 --> 01:11:52,741 THERE ARE RULES THAT THE CITY 2544 01:11:52,741 --> 01:11:55,444 AND THE COUNTY NEED TO FOLLOW TO 2545 01:11:55,444 --> 01:11:57,513 REIMBURSE US FOR THOSE 2546 01:11:57,513 --> 01:11:59,748 FUNDS THROUGH PATHWAYS THEY 2547 01:11:59,748 --> 01:12:00,249 HAVE AVAILABLE. 2548 01:12:00,249 --> 01:12:03,452 AND SO WHAT LEVEL OF 2549 01:12:03,452 --> 01:12:04,386 ADDITIONAL INFORMATION WOULD BE 2550 01:12:04,386 --> 01:12:04,653 NEEDED 2551 01:12:04,653 --> 01:12:05,421 FOR THAT TO HAPPEN? 2552 01:12:05,421 --> 01:12:07,189 AND WHAT ARE THE ALTERNATIVES? 2553 01:12:07,189 --> 01:12:09,491 AND I THINK THAT IS WHERE 2554 01:12:09,491 --> 01:12:11,527 WE NEED TO PROVIDE GOOD 2555 01:12:11,527 --> 01:12:13,629 DECISION SUPPORT TO YOU ALL TO 2556 01:12:13,629 --> 01:12:13,829 SAY 2557 01:12:13,829 --> 01:12:18,367 THIS IS WHAT WE KNOW AT THIS 2558 01:12:18,367 --> 01:12:19,501 LEVEL, HOW MUCH FURTHER DO WE 2559 01:12:19,501 --> 01:12:20,436 NEED 2560 01:12:20,436 --> 01:12:20,836 TO 2561 01:12:20,836 --> 01:12:23,706 GO? AND THEN WE NEED TO 2562 01:12:23,706 --> 01:12:25,174 UNDERSTAND ESPECIALLY IN THOSE 2563 01:12:25,174 --> 01:12:27,543 VERY EARLY YEARS THE RECORDS ARE 2564 01:12:27,543 --> 01:12:27,843 NOT GREAT. 2565 01:12:27,843 --> 01:12:29,978 AND SO THERE'S A 2566 01:12:29,978 --> 01:12:30,813 TRADEOFF BETWEEN HOW MUCH MONEY 2567 01:12:30,813 --> 01:12:31,647 WE PUT IN 2568 01:12:31,647 --> 01:12:34,416 AND WHAT THE ULTIMATE ABILITY 2569 01:12:34,416 --> 01:12:36,018 OF THE AGENCY IS TO PROVIDE 2570 01:12:36,018 --> 01:12:38,187 THE RECORDS THAT WOULD BE 2571 01:12:38,187 --> 01:12:38,520 NEEDED. 2572 01:12:38,520 --> 01:12:44,026 >> AND WHAT WAS CLARK 2573 01:12:44,026 --> 01:12:44,760 NEWBURGH'S 2574 01:12:44,760 --> 01:12:46,328 RECOMMENDATION ON THAT? 2575 01:12:46,462 --> 01:12:47,062 BECAUSE I THOUGHT THEY SAID THAT 2576 01:12:47,062 --> 01:12:48,097 WAS MISSING AND THAT IT 2577 01:12:48,097 --> 01:12:49,998 WAS SOMETHING THAT -- THAT, YOU 2578 01:12:49,998 --> 01:12:52,968 KNOW, INDUSTRY STANDARD AND 2579 01:12:52,968 --> 01:12:54,236 WHAT WE SHOULD BE DOING WE 2580 01:12:54,236 --> 01:12:54,470 SHOULD 2581 01:12:54,603 --> 01:12:56,238 HAVE. AND SO I HEAR YOU SAY IT 2582 01:12:56,238 --> 01:12:56,472 DEPENDS 2583 01:12:56,472 --> 01:12:59,708 HOW MUCH YOU WANT TO KNOW, 2584 01:12:59,708 --> 01:13:01,844 IT'S NOT -- IT'S NOT EXACTLY 2585 01:13:01,844 --> 01:13:04,346 ALIGNING WITH WHAT I READ IN THE 2586 01:13:04,346 --> 01:13:04,546 CLARK 2587 01:13:04,546 --> 01:13:05,080 NEWBURGH REPORT. 2588 01:13:05,080 --> 01:13:09,084 SO WHAT I'M HEARING YOU SAY IS 2589 01:13:09,084 --> 01:13:11,520 HOW MUCH OF THAT BACK 2590 01:13:11,520 --> 01:13:12,121 INFORMATION DO YOU WANT? 2591 01:13:12,121 --> 01:13:16,525 AND I GES MY REACTION IS, 2592 01:13:16,525 --> 01:13:17,526 WELL, INDUSTRY STANDARD IS WE 2593 01:13:17,526 --> 01:13:19,461 SHOULD HAVE ALL OF IT BECAUSE 2594 01:13:19,461 --> 01:13:22,731 JUST WE'RE IN 2026 DOESN'T 2595 01:13:22,731 --> 01:13:23,232 MEAN OUR 2596 01:13:23,232 --> 01:13:25,234 BOOKS SHOULDN'T BE IN ORDER 2597 01:13:25,234 --> 01:13:25,634 FROM 2022. 2598 01:13:25,634 --> 01:13:28,904 SO I -- THAT IS OF CONCERN, I 2599 01:13:28,904 --> 01:13:31,807 GUESS, IS WHAT I'M TRYING TO 2600 01:13:31,940 --> 01:13:32,674 SAY. 2601 01:13:32,674 --> 01:13:33,041 >> ABSOLUTELY. 2602 01:13:33,041 --> 01:13:34,409 AND I WISH DEEPLY I COULD 2603 01:13:34,409 --> 01:13:37,346 GO BACK AND DO IT 2604 01:13:37,346 --> 01:13:37,713 DIFFERENTLY. 2605 01:13:37,713 --> 01:13:37,980 >> THANK 2606 01:13:37,980 --> 01:13:39,047 YOU. I HAVE OTHER QUESTIONS BUT 2607 01:13:39,047 --> 01:13:41,116 WE'RE GOING TO MEET. 2608 01:13:41,116 --> 01:13:41,617 THANK YOU SO MUCH. 2609 01:13:41,617 --> 01:13:45,053 THANK YOU, CHAIR. 2610 01:13:45,053 --> 01:13:46,321 APPRECIATE YOUR -- AND YOU ALL 2611 01:13:46,321 --> 01:13:48,090 ASKED A LOT OF QUESTIONS I 2612 01:13:48,090 --> 01:13:49,358 HAD AS WELL, BUT APPRECIATE 2613 01:13:49,358 --> 01:13:50,192 THE OPPORTUNITY TO ASK MINE. 2614 01:13:50,192 --> 01:13:50,592 THANK 2615 01:13:50,592 --> 01:13:50,893 YOU. 2616 01:13:50,893 --> 01:13:54,096 >> THANK YOU FOR 2617 01:13:54,096 --> 01:13:55,497 YOUR PARTICIPATION TODAY 2618 01:13:55,497 --> 01:13:56,799 AND COMMITTEE COUNCILMEMBER 2619 01:13:56,799 --> 01:13:57,099 RIVERA. 2620 01:13:57,099 --> 01:13:59,034 THANK YOU ALL 2621 01:13:59,034 --> 01:14:01,270 COMMITTEE MEMBERS FOR YOUR 2622 01:14:01,270 --> 01:14:01,570 QUESTIONS. 2623 01:14:01,570 --> 01:14:02,171 I APPRECIATE THE SERIOUSNESS 2624 01:14:02,171 --> 01:14:02,871 EVERYONE IS BRINGING TO 2625 01:14:02,871 --> 01:14:04,439 THIS TOPIC AND DEEPLY APPRECIATE 2626 01:14:04,439 --> 01:14:05,607 THE ENGAGEMENT IN OUR DISCUSSION 2627 01:14:05,741 --> 01:14:06,809 TODAY. THANK YOU TO OUR PARTNERS 2628 01:14:06,809 --> 01:14:08,210 AT KCRHA FOR COMING INTO 2629 01:14:08,210 --> 01:14:08,510 COMMITTEE. 2630 01:14:08,510 --> 01:14:10,445 I'M NOT SEEING ANY ADDITIONAL 2631 01:14:10,445 --> 01:14:11,547 QUESTIONS, SO I AM GOING TO 2632 01:14:11,547 --> 01:14:12,948 MOVE US TO OUR NEXT ITEM OF 2633 01:14:12,948 --> 01:14:13,282 BUSINESS. 2634 01:14:13,282 --> 01:14:18,053 AND THANK YOU AGAIN FOR 2635 01:14:18,053 --> 01:14:18,420 YOUR 2636 01:14:18,420 --> 01:14:20,622 TIME. COLLEAGUES, AS WE MOVE 2637 01:14:20,622 --> 01:14:21,790 INTO ITEM 2638 01:14:21,924 --> 01:14:23,759 THREE, I'M GOING TO HAVE ITEM 2639 01:14:23,759 --> 01:14:24,326 THREE BE READ INTO THE 2640 01:14:24,326 --> 01:14:26,228 RECORD, BUT THEN I'M GOING TO 2641 01:14:26,228 --> 01:14:26,595 PUT US 2642 01:14:26,595 --> 01:14:28,463 AT EASE FOR JUST A COUPLE 2643 01:14:28,463 --> 01:14:28,931 OF MOMENTS. 2644 01:14:28,931 --> 01:14:30,566 WE'RE SCANT ON QUORUM, 2645 01:14:30,566 --> 01:14:33,101 BUT I HAVE TO STEP OFF VERY 2646 01:14:33,101 --> 01:14:35,537 BRIEFLY, BUT I WILL BE 2647 01:14:35,537 --> 01:14:36,171 RIGHT BACK. BUT I WILL MOVE US 2648 01:14:36,171 --> 01:14:36,438 AT LEAST 2649 01:14:36,438 --> 01:14:37,639 TO READ IT INTO THE RECORD. 2650 01:14:37,639 --> 01:14:38,907 SO WE WILL NOW MOVE ONTO 2651 01:14:38,907 --> 01:14:39,308 ITEM THREE. 2652 01:14:39,308 --> 01:14:41,376 WILL THE CLERK PLEASE READ 2653 01:14:41,376 --> 01:14:44,780 ITEM THREE INTO IT RECORD? 2654 01:14:44,913 --> 01:14:47,182 >> ITEM THREE, APPROACH 2655 01:14:47,182 --> 01:14:49,451 TO PUBLIC HEALTH TO SUBSTANCE 2656 01:14:49,451 --> 01:14:51,119 USE DISORDER IN SEATTLE AND 2657 01:14:51,119 --> 01:14:51,520 KING COUNTY. 2658 01:14:51,520 --> 01:14:53,422 BRIEFING AND 2659 01:14:53,422 --> 01:14:54,656 DISCUSSION. 2660 01:14:54,656 --> 01:14:55,224 >> THANK YOU. 2661 01:14:55,224 --> 01:14:58,660 AND I'LL PUT US AT EASE, 2662 01:14:58,660 --> 01:15:09,104 AND I'LL BE RIGHT BACK. 2663 01:18:21,963 --> 01:18:22,531 >> GREAT. 2664 01:18:22,531 --> 01:18:23,465 AND WE ARE BACK. 2665 01:18:23,465 --> 01:18:26,068 THANK YOU, EVERYONE, FOR 2666 01:18:26,068 --> 01:18:26,935 THAT BRIEF BREAK. 2667 01:18:26,935 --> 01:18:28,503 BEFORE GOING INTO 2668 01:18:28,503 --> 01:18:30,872 TODAY'S PRESENTATION, I WANT 2669 01:18:30,872 --> 01:18:32,707 TO TAKE A MOMENT TO FIRST AND 2670 01:18:32,707 --> 01:18:33,942 FOREMOST ADDRESS A COMMENT THAT 2671 01:18:33,942 --> 01:18:34,176 WAS 2672 01:18:34,176 --> 01:18:36,611 MADE DURING THE PUBLIC 2673 01:18:36,611 --> 01:18:38,880 COMMENT PERIOD FROM MR. HAYNES 2674 01:18:38,880 --> 01:18:39,414 TOWARDS ONE OF 2675 01:18:39,414 --> 01:18:41,183 OUR PRESENTERS TODAY, BRAD 2676 01:18:41,183 --> 01:18:42,084 FINEGOOD, JUST TO NOTE 2677 01:18:42,084 --> 01:18:44,152 FOR THE RECORD WHAT WAS SAID WAS 2678 01:18:44,152 --> 01:18:44,386 WHOLLY 2679 01:18:44,386 --> 01:18:45,287 UNACCEPTABLE AND 2680 01:18:45,287 --> 01:18:46,488 INAPPROPRIATE AND DOWN RIGHT 2681 01:18:46,488 --> 01:18:46,822 HURTFUL, SO 2682 01:18:46,822 --> 01:18:49,357 I WANT TO APOLOGIZE TO BRAD. 2683 01:18:49,357 --> 01:18:50,559 I HAVE APPRECIATED 2684 01:18:50,559 --> 01:18:51,760 YOUR VULNERABILITY IN SHARING 2685 01:18:51,760 --> 01:18:53,829 YOUR FAMILY'S STORY, YOUR 2686 01:18:53,829 --> 01:18:54,129 BROTHER'S 2687 01:18:54,129 --> 01:18:56,331 STORY. IT HAS GIVEN ME STRENGTH 2688 01:18:56,331 --> 01:18:56,998 TO TALK 2689 01:18:56,998 --> 01:18:59,067 ABOUT MY OWN 2690 01:18:59,067 --> 01:19:01,837 FAMILY'S STORY. AND I KNOW MANY 2691 01:19:01,837 --> 01:19:03,438 OTHER FOLKS ACROSS OUR COMMUNITY 2692 01:19:03,438 --> 01:19:04,673 HAVE STORIES JUST LIKE 2693 01:19:04,673 --> 01:19:07,042 YOURS. 2694 01:19:07,042 --> 01:19:07,509 >> THANK YOU SO MUCH. 2695 01:19:07,509 --> 01:19:08,376 I WOULD NEVER WISH 2696 01:19:08,376 --> 01:19:11,213 THE EXPERIENCE THAT MY 2697 01:19:11,213 --> 01:19:12,481 FAMILY'S GONE THROUGH ON ANY 2698 01:19:12,481 --> 01:19:12,914 MEMBER OF OUR 2699 01:19:12,914 --> 01:19:14,049 COMMUNITY OR ANY OTHER 2700 01:19:14,049 --> 01:19:14,449 COMMUNITY. 2701 01:19:14,449 --> 01:19:15,150 THANK YOU SO 2702 01:19:15,150 --> 01:19:15,784 MUCH. 2703 01:19:15,784 --> 01:19:19,721 >> SO I -- I THANK YOU FOR YOUR 2704 01:19:19,855 --> 01:19:21,690 GRACIOUSNESS, AND I JUST WANT 2705 01:19:21,690 --> 01:19:24,693 TO NOTE I'M ASHAMED YOUR STORY 2706 01:19:24,693 --> 01:19:24,860 WAS 2707 01:19:24,860 --> 01:19:25,727 WEAPONIZED ARE AGAINST YOU. 2708 01:19:25,727 --> 01:19:28,430 I WILL BE DOUBLE- CHECKING TO 2709 01:19:28,430 --> 01:19:30,098 SEE HOW THESE REMARKS MAY BE 2710 01:19:30,098 --> 01:19:31,533 IN FURTHER VIOLATION OF 2711 01:19:31,533 --> 01:19:31,900 COUNCIL RULES. 2712 01:19:31,900 --> 01:19:36,371 CLERKS, IF YOU'RE LISTENING, 2713 01:19:36,371 --> 01:19:38,039 I'LL BE SWINGING BY TO TALK 2714 01:19:38,039 --> 01:19:38,607 ABOUT THIS GOING FORWARD. 2715 01:19:38,607 --> 01:19:39,674 I THOUGHT IT WAS IMPORTANT 2716 01:19:39,674 --> 01:19:41,443 TO GET THAT ON THE RECORD, SO 2717 01:19:41,443 --> 01:19:41,676 THANK 2718 01:19:41,676 --> 01:19:41,877 YOU. 2719 01:19:41,877 --> 01:19:42,210 >> THANK YOU. 2720 01:19:42,210 --> 01:19:44,779 THANK YOU FOR YOUR COVERAGE 2721 01:19:44,779 --> 01:19:46,848 ANDAND VOICE IN 2722 01:19:46,848 --> 01:19:47,182 SPEAKING. 2723 01:19:47,182 --> 01:19:48,550 >> WITH THAT, REALLY EAGER 2724 01:19:48,550 --> 01:19:49,784 TO DIVE INTO TODAY'S 2725 01:19:49,784 --> 01:19:51,086 PRESENTATION ON THIS TOPIC THAT 2726 01:19:51,086 --> 01:19:51,453 IS SO 2727 01:19:51,453 --> 01:19:54,122 CLOSE TO MANY OF OUR HEARTS. 2728 01:19:54,122 --> 01:19:56,224 AND SO IN TERMS OF 2729 01:19:56,224 --> 01:19:58,927 FORMALITIES, I AM GOING TO ASK 2730 01:19:58,927 --> 01:19:59,561 EVERYONE TO INTRODUCE THEMSELVES 2731 01:19:59,561 --> 01:20:00,529 AND 2732 01:20:00,529 --> 01:20:04,166 THEN INVITE YOU TO GO ONTO 2733 01:20:04,166 --> 01:20:04,432 TODAY'S 2734 01:20:04,566 --> 01:20:05,333 PRESENTATION. I THANK YOU FOR 2735 01:20:05,333 --> 01:20:05,834 MAKING TIME ON 2736 01:20:05,834 --> 01:20:06,835 THIS FRIDAY MORNING TO 2737 01:20:06,835 --> 01:20:08,637 TALK ABOUT THIS IMPORTANT 2738 01:20:08,637 --> 01:20:08,870 TOPIC. 2739 01:20:08,870 --> 01:20:10,672 >> THANK YOU, COMMITTEE CHAIR. 2740 01:20:10,672 --> 01:20:11,907 AND THANK YOU, MEMBERS OF THE 2741 01:20:11,907 --> 01:20:12,774 PUBLIC FOR BEING WITH 2742 01:20:12,774 --> 01:20:14,342 US TODAY AND ENGAGING 2743 01:20:14,342 --> 01:20:15,911 IN THIS CONVERSATION WITH US. 2744 01:20:15,911 --> 01:20:19,881 WE ALL LOOK FORWARD TO -- 2745 01:20:19,881 --> 01:20:21,583 THIS IS A DIFFICULT SUBJECT AND 2746 01:20:21,583 --> 01:20:21,750 ONE 2747 01:20:21,750 --> 01:20:24,019 WE LOOK REALLY HONORED TO DO 2748 01:20:24,019 --> 01:20:24,219 THE 2749 01:20:24,219 --> 01:20:27,489 WORK. MY NAME IS BRAD FINEGOOD 2750 01:20:27,489 --> 01:20:27,689 AND I 2751 01:20:27,689 --> 01:20:32,227 GET THE HONOR OF WORKING 2752 01:20:32,227 --> 01:20:33,328 IN SEATTLE CITY COUNCIL KING 2753 01:20:33,328 --> 01:20:36,198 COUNTY AND I OVERSEE OUR 2754 01:20:36,198 --> 01:20:36,498 PREVENTION 2755 01:20:36,498 --> 01:20:37,132 EFFORTS IN KING COUNTY. 2756 01:20:37,132 --> 01:20:39,100 AND I I'LL PASS IT OVER TO MY 2757 01:20:39,100 --> 01:20:39,601 FELLOW 2758 01:20:39,601 --> 01:20:39,901 PANEL. 2759 01:20:39,901 --> 01:20:41,536 >> THANK YOU, BRAD, AND THANK 2760 01:20:41,536 --> 01:20:43,338 YOU, COUNCIL, FOR HAVING US. 2761 01:20:43,338 --> 01:20:51,413 MY NAME IS CHRIS 2762 01:20:51,413 --> 01:20:51,713 KLAEYSEN. 2763 01:20:51,713 --> 01:20:53,949 >> MY NAME IS RACHEL MARHILL. 2764 01:20:53,949 --> 01:21:01,756 I'M DESC'S SENIOR OPERATIONS 2765 01:21:01,890 --> 01:21:02,190 MANAGER. 2766 01:21:02,190 --> 01:21:02,958 >> GOOD MORNING. 2767 01:21:02,958 --> 01:21:07,829 MY NAME IS CALLAN FOCKELE, AND 2768 01:21:07,829 --> 01:21:13,969 I'M THE SENIOR MEDICAL LEAD FOR 2769 01:21:14,102 --> 01:21:16,204 THE ORCA 2770 01:21:16,204 --> 01:21:16,504 PROGRAM. 2771 01:21:16,504 --> 01:21:18,173 >> PLEASE PROCEED WITH YOUR 2772 01:21:18,306 --> 01:21:19,875 PRESENTATION. 2773 01:21:20,008 --> 01:21:20,609 >> THANK YOU SO MUCH. A LITTLE 2774 01:21:20,609 --> 01:21:21,409 BIT OF OVERVIEW OF 2775 01:21:21,409 --> 01:21:22,043 OUR PRESENTATION TODAY. 2776 01:21:22,043 --> 01:21:23,778 WE'RE GOING TO GIVE A DATA 2777 01:21:23,778 --> 01:21:24,613 OVERVIEW, BECAUSE I 2778 01:21:24,613 --> 01:21:25,647 THINK IT IS IMPORTANT TO TAKE A 2779 01:21:25,647 --> 01:21:25,947 LOOK 2780 01:21:25,947 --> 01:21:27,082 AT WHAT WE'VE BEEN EXPERIENCING 2781 01:21:27,082 --> 01:21:27,549 IN OUR 2782 01:21:27,549 --> 01:21:29,951 COMMUNITY, BOTH THE 2783 01:21:29,951 --> 01:21:31,786 REALLY TERRIBLE SCOURGE OF 2784 01:21:31,786 --> 01:21:32,053 OVERDOSE 2785 01:21:32,187 --> 01:21:34,122 DEATHS THAT WE'VE EXPERIENCED 2786 01:21:34,122 --> 01:21:36,291 DUE TO A REALLY TOXIC DRUG 2787 01:21:36,291 --> 01:21:37,459 SUPPLY AND THEN ALSO 2788 01:21:37,459 --> 01:21:38,894 SOME SUCCESSES WE'VE BEEN ABLE 2789 01:21:38,894 --> 01:21:39,060 TO 2790 01:21:39,060 --> 01:21:40,262 EXPERIENCE RECENTLY, AND 2791 01:21:40,262 --> 01:21:41,930 WE'LL HEAR FIRST- HAND FROM 2792 01:21:41,930 --> 01:21:42,664 COLLEAGUES ABOUT IT. 2793 01:21:42,664 --> 01:21:45,667 WE'RE GOING TO TALK 2794 01:21:45,667 --> 01:21:47,903 ABOUT -- WITH THAT EVOLUTIONS 2795 01:21:47,903 --> 01:21:51,406 IN MEDICATIONS FOR OPIOID USE 2796 01:21:51,406 --> 01:21:53,041 DISORDER, HOW OUR CARE 2797 01:21:53,041 --> 01:21:54,576 HAS EVOLVED OVER TIME BECAUSE 2798 01:21:54,576 --> 01:21:56,912 WE'VE REALLY BEEN ABLE TO DO 2799 01:21:56,912 --> 01:21:57,445 SOME REAL 2800 01:21:57,445 --> 01:21:58,813 INNOVATIVE WORK HERE THAT REALLY 2801 01:21:58,813 --> 01:22:01,850 LEADS THE COUNTRY IN 2802 01:22:01,850 --> 01:22:03,685 BEING ABLE TO GET CARE TO THE 2803 01:22:03,685 --> 01:22:03,952 PEOPLE 2804 01:22:03,952 --> 01:22:05,854 WHO ARE MOST IN NEED AND WHO IS 2805 01:22:05,854 --> 01:22:06,755 THE MOST VULNERABLE. 2806 01:22:06,755 --> 01:22:08,156 CHRIS WILL TALK ABOUT THE 2807 01:22:08,156 --> 01:22:09,925 CITY OF SEATTLE INVESTMENT, AND 2808 01:22:09,925 --> 01:22:10,125 THEN 2809 01:22:10,125 --> 01:22:13,094 WE'LL HEAR ABOUT THE AMAZING 2810 01:22:13,094 --> 01:22:16,031 WORK THAT DEESC HAS STOOD UP 2811 01:22:16,031 --> 01:22:17,899 AT THE OVERDOSE AND CARE 2812 01:22:17,899 --> 01:22:18,733 ACCESS CENTER DOWN THE STREET. 2813 01:22:18,733 --> 01:22:20,702 AND THEN WE'LL HAVE TIME FOR 2814 01:22:20,702 --> 01:22:26,741 QUESTIONS AT THE END. 2815 01:22:26,875 --> 01:22:27,542 SO A LITTLE BIT -- A LITTLE 2816 01:22:27,542 --> 01:22:28,043 OVERVIEW ABOUT WHAT WE 2817 01:22:28,043 --> 01:22:29,144 EXPERIENCED AS FAR AS OVERDOSE 2818 01:22:29,277 --> 01:22:30,645 DEATHS. THE CALLER WAS RIGHT. 2819 01:22:30,645 --> 01:22:32,781 WE HAVE SEEN -- WE SAW FROM 2820 01:22:32,781 --> 01:22:36,584 BASICALLY 2018, 2019 TO 2821 01:22:36,584 --> 01:22:40,088 2023 JUST A HUGE, TREMENDOUS 2822 01:22:40,088 --> 01:22:40,355 INCREASE 2823 01:22:40,355 --> 01:22:41,056 IN OVERDOSE 2824 01:22:41,056 --> 01:22:42,557 DEATHS. WHEN I STARTED WITH THE 2825 01:22:42,557 --> 01:22:47,062 COUNTY IN 2015, WE WERE 2826 01:22:47,062 --> 01:22:47,329 AVERAGING 2827 01:22:47,329 --> 01:22:49,564 AROUND 350 OVERDOSE DEATHS PER 2828 01:22:49,564 --> 01:22:51,700 YEAR, APPROXIMATELY ONE A DAY. 2829 01:22:51,700 --> 01:22:54,536 IN 2015 WE HAD THREE 2830 01:22:54,536 --> 01:22:55,904 OVERDOSE DEATHS IN THE COUNTY 2831 01:22:55,904 --> 01:22:56,171 THAT 2832 01:22:56,171 --> 01:22:58,506 WERE DUE TO FENTANYL. 2833 01:22:58,506 --> 01:23:01,176 AND SO THAT'S LESS THAN 1% 2834 01:23:01,176 --> 01:23:03,345 OF OUR OVERDOSE DEATHS IN 2015 2835 01:23:03,345 --> 01:23:05,113 WERE DUE TO FENTANYL. 2836 01:23:05,113 --> 01:23:09,684 AND THEN WE HAD THIS AWFUL 2837 01:23:09,684 --> 01:23:10,785 CONCURRENCE OF SEEING A 2838 01:23:10,785 --> 01:23:12,887 DRASTIC CHANGE IN THE DRUG 2839 01:23:12,887 --> 01:23:13,154 SUPPLY 2840 01:23:13,154 --> 01:23:14,556 THAT WE EXPERIENCED NOT ONLY IN 2841 01:23:14,556 --> 01:23:17,025 THE COUNTY BUT IN THE WHOLE 2842 01:23:17,025 --> 01:23:18,326 REGION AND ACROSS THE UNITED 2843 01:23:18,326 --> 01:23:18,560 STATES 2844 01:23:18,560 --> 01:23:19,461 OVERLAPPING WITH COVID. 2845 01:23:19,461 --> 01:23:22,364 AND SO THAT HAD MANY, MANY, 2846 01:23:22,364 --> 01:23:25,166 MANY CHALLENGES THAT CAME WITH 2847 01:23:25,166 --> 01:23:25,700 IT. 2848 01:23:25,700 --> 01:23:28,303 AND IN 2023 ACROSS THE COUNTY WE 2849 01:23:28,303 --> 01:23:30,705 HAD OVER 1,300 PEOPLE THAT 2850 01:23:30,705 --> 01:23:32,307 DIED 06 AN 2851 01:23:32,307 --> 01:23:36,745 OVERDOSE DEATH. AND OUT OF THOSE 2852 01:23:36,745 --> 01:23:37,245 1,300, OVER 2853 01:23:37,245 --> 01:23:40,348 A THOUSAND WERE DUE TO FENTANYL. 2854 01:23:40,348 --> 01:23:45,720 SO THAT -- SO IN 2023 WE REALLY 2855 01:23:45,720 --> 01:23:46,554 REACHED -- IN THE THIRD 2856 01:23:46,554 --> 01:23:50,492 QUARTER OF 2023, THE APEX OF A 2857 01:23:50,492 --> 01:23:50,725 REALLY 2858 01:23:50,725 --> 01:23:51,159 TERRIBLE SITUATION. 2859 01:23:51,159 --> 01:23:53,728 AND AT THAT POINT ABOUT 80% OF 2860 01:23:53,728 --> 01:23:56,731 OUR OVERDOSE DEATHS WERE DUE TO 2861 01:23:56,865 --> 01:23:58,066 FENTANYL. SO CHANGING OVER THE 2862 01:23:58,066 --> 01:23:59,234 COURSE 2863 01:23:59,234 --> 01:24:01,069 OF EIGHT YEARS FROM 1% OF 2864 01:24:01,069 --> 01:24:02,470 OVERDOSE DEATHS DUE TO FENTANYL 2865 01:24:02,470 --> 01:24:02,871 TO 80%. 2866 01:24:02,871 --> 01:24:04,739 AND THAT REALLY, YOU 2867 01:24:04,739 --> 01:24:07,275 KNOW, FORCED US INTO LOOKING AT 2868 01:24:07,275 --> 01:24:07,776 THE 2869 01:24:07,776 --> 01:24:08,743 TOOLS THAT WE HAD. 2870 01:24:08,743 --> 01:24:10,145 THE TOOLS THAT WE HAD I 2871 01:24:10,145 --> 01:24:11,179 WOULD SAY WERE DIFFICULT AND 2872 01:24:11,179 --> 01:24:13,515 SUBSTANDARD AND REALLY TRYING TO 2873 01:24:13,515 --> 01:24:15,450 EVOLVE OR MODEL OF CARE. 2874 01:24:15,450 --> 01:24:18,720 THE GOOD NEWS IS THAT 2875 01:24:18,720 --> 01:24:20,922 OVERDOSE DEATHS ARE -- THAT 2876 01:24:20,922 --> 01:24:21,322 PEAKED IN 2877 01:24:21,322 --> 01:24:24,059 2023 ARE ON A HUGE DECLINE. 2878 01:24:24,059 --> 01:24:26,995 IN THE CITY OF SEATTLE OVER THE 2879 01:24:26,995 --> 01:24:29,931 PAST TWO YEARS, WE'VE SEEN A 2880 01:24:29,931 --> 01:24:31,833 44% DECREASE IN OVERDOSE DEATHS. 2881 01:24:31,833 --> 01:24:34,335 NOW, THAT'S STILL 2882 01:24:34,335 --> 01:24:35,637 UNACCEPTABLE AND EXTREMELY A 2883 01:24:35,637 --> 01:24:36,337 LARGE NUMBER OF 2884 01:24:36,337 --> 01:24:37,305 OVERDOSE DEATHS. 2885 01:24:37,305 --> 01:24:39,574 BUT IT IS GREAT THAT WE'VE 2886 01:24:39,574 --> 01:24:40,642 SEEN A DECREASE. 2887 01:24:40,642 --> 01:24:42,677 AND IN THE FIRST QUARTER, 2888 01:24:42,677 --> 01:24:44,045 THE FIRST FIVE MONTHS OF THIS 2889 01:24:44,045 --> 01:24:48,383 YEAR, WE'RE CONTINUING TO SEE A 2890 01:24:48,383 --> 01:24:49,350 SUBSTANTIAL DECREASE. 2891 01:24:49,350 --> 01:24:50,351 AS A MATTER OF FACT, ACROSS 2892 01:24:50,351 --> 01:24:53,521 THE COUNTY IN THE FIRST FIVE 2893 01:24:53,521 --> 01:24:54,155 MONTHS THIS YEAR, WE'VE SEEN 2894 01:24:54,155 --> 01:24:54,389 ANOTHER 2895 01:24:54,389 --> 01:24:56,324 30% DECREASE IN OVERDOSE DEATHS. 2896 01:24:56,324 --> 01:24:58,726 SO WE'RE CONTINUING TO SEE 2897 01:24:58,726 --> 01:24:59,127 THOSE 2898 01:24:59,127 --> 01:25:01,229 NUMBERS COME DOWN. 2899 01:25:01,229 --> 01:25:03,231 SO THAT -- THAT GIVES US A LOT 2900 01:25:03,231 --> 01:25:05,433 OF HOPE. 2901 01:25:05,433 --> 01:25:06,801 IMPORTANT TO NOTE THAT THERE 2902 01:25:06,801 --> 01:25:09,437 IS A HUGE OVERLAP IN THE PEOPLE 2903 01:25:09,437 --> 01:25:14,275 WHO ARE LIVING OUTSIDE, LIVING 2904 01:25:14,275 --> 01:25:14,442 IN 2905 01:25:14,442 --> 01:25:16,177 SOME SUPPORTIVE HOUSING AND 2906 01:25:16,177 --> 01:25:18,446 OVERDOSE DEATHS. 2907 01:25:18,446 --> 01:25:20,648 WE KNOW 2908 01:25:20,648 --> 01:25:21,349 THAT, AS WAS DISCUSSED EARLIER 2909 01:25:21,349 --> 01:25:22,083 WITH THE KING 2910 01:25:22,083 --> 01:25:22,951 COUNTY REGIONAL HOUSING 2911 01:25:22,951 --> 01:25:23,251 AUTHORITY, 2912 01:25:23,251 --> 01:25:25,153 THE PEOPLE WHO 2913 01:25:25,153 --> 01:25:27,122 ARE THE SICKEST ARE OFTEN -- ARE 2914 01:25:27,122 --> 01:25:27,655 THE ONES THAT 2915 01:25:27,655 --> 01:25:29,924 WE'RE TRYING TO GET HOUSED, AND 2916 01:25:29,924 --> 01:25:30,191 THAT'S 2917 01:25:30,191 --> 01:25:30,992 IMPERATIVE. AND WE NEED TO 2918 01:25:30,992 --> 01:25:31,493 CONTINUE 2919 01:25:31,493 --> 01:25:33,261 TO EVOLVE OUR MODEL OF CARE 2920 01:25:33,261 --> 01:25:36,264 TO REACH THOSE PEOPLE BECAUSE 2921 01:25:36,264 --> 01:25:38,566 WE KNOW IT'S IMPORTANT -- IT'S 2922 01:25:38,566 --> 01:25:40,268 PARAMOUNT THEY THEY HAVE TO 2923 01:25:40,268 --> 01:25:41,536 BE HOUSED WITHIN OUR 2924 01:25:41,536 --> 01:25:42,303 PERMANENT SUPPORTIVE HOUSING 2925 01:25:42,303 --> 01:25:42,770 SYSTEM. 2926 01:25:42,770 --> 01:25:45,707 AND WHEN THEY ARE -- AND 2927 01:25:45,707 --> 01:25:47,242 WHEN PEOPLE CLOSE THEIR DOORS, 2928 01:25:47,242 --> 01:25:48,543 THAT ALSO PRESENTS RISKS, AND SO 2929 01:25:48,543 --> 01:25:50,345 WE CONTINUE TO WORK WITH 2930 01:25:50,345 --> 01:25:53,148 PARTNERS AT KING COUNTY 2931 01:25:53,148 --> 01:25:53,781 REGIONAL HOUSING AUTHORITY AND 2932 01:25:53,781 --> 01:25:54,182 HOUSING PARTNERS 2933 01:25:54,182 --> 01:25:56,651 TO EVOLVE MODELS OF CARE TO 2934 01:25:56,651 --> 01:25:57,952 ADDRESS OVERDOSE RISKS IN 2935 01:25:57,952 --> 01:25:59,454 SUPPORTIVE HOUSING, AND I'M 2936 01:25:59,454 --> 01:26:02,423 ALSO HAPPY TO NOTE THAT 2937 01:26:02,423 --> 01:26:04,893 PROPORTIONALLY TO THE OVERALL 2938 01:26:04,893 --> 01:26:07,295 DECREASE TO OVERDOSE DEATHS, 2939 01:26:07,295 --> 01:26:08,763 OVERDOSE DEATHS AMONGST 2940 01:26:08,763 --> 01:26:10,598 PEOPLE LIVING OUTSIDE AND IN 2941 01:26:10,598 --> 01:26:13,268 SUPPORTIVE HOUSING ALSO CONTINUE 2942 01:26:13,268 --> 01:26:13,701 TO 2943 01:26:13,701 --> 01:26:14,602 DECREASE. 2944 01:26:14,602 --> 01:26:16,004 SO AS YOU CAN SEE OVERALL 2945 01:26:16,004 --> 01:26:18,773 OVER HALF OF THE PEOPLE IN 2946 01:26:18,773 --> 01:26:21,209 2025 WHO DIED IN THE CITY OF 2947 01:26:21,209 --> 01:26:21,743 SEATTLE OF 2948 01:26:21,743 --> 01:26:27,849 OVERDOSE WERE WITHIN THE 2949 01:26:27,982 --> 01:26:29,184 HOUSINGIDARY OR HOUSING -- OR 2950 01:26:29,184 --> 01:26:30,418 THE UNHOUSED 2951 01:26:30,418 --> 01:26:31,119 AND 2952 01:26:31,119 --> 01:26:32,420 PERMANENT SUPPORT CONTINUUM. AND 2953 01:26:32,420 --> 01:26:33,588 WE ALSO HAVE SEEN HUGE 2954 01:26:33,721 --> 01:26:35,023 DISPARITIES. WE KNOW THAT BLACK 2955 01:26:35,023 --> 01:26:35,690 AND 2956 01:26:35,690 --> 01:26:38,226 AFRICAN AMERICAN 2957 01:26:38,226 --> 01:26:39,093 INDIVIDUALS HAVE 2958 01:26:39,093 --> 01:26:40,828 DISPROPORTIONATE IMPACTS 2959 01:26:40,828 --> 01:26:41,029 FROM 2960 01:26:41,029 --> 01:26:41,663 OVERDOSE AND OVERDOSE DEATHS. WE 2961 01:26:41,663 --> 01:26:44,165 ALSO KNOW THAT OUR 2962 01:26:44,165 --> 01:26:45,733 LATINX POPULATION IS CONTINUING 2963 01:26:45,733 --> 01:26:46,067 TO 2964 01:26:46,067 --> 01:26:47,936 SEE INCREASES IN OVERDOSE 2965 01:26:47,936 --> 01:26:50,238 DEATHS, SO THIS CONTINUES TO BE 2966 01:26:50,238 --> 01:26:50,405 A 2967 01:26:50,405 --> 01:26:51,773 FOCUS OF THE WORK THAT WE DO 2968 01:26:51,773 --> 01:26:52,674 TRYING TO 2969 01:26:52,674 --> 01:26:55,310 ADDRESS THE DISPARITIES IN 2970 01:26:55,310 --> 01:26:57,278 OVERDOSE DEATHS IN UNHOUSED 2971 01:26:57,278 --> 01:27:01,149 POPULATIONS AND IN OUR -- IN OUR 2972 01:27:01,149 --> 01:27:02,750 COMMUNITIES 2973 01:27:02,750 --> 01:27:04,219 OF COLOR. SO PIVOTING A LITTLE 2974 01:27:04,219 --> 01:27:04,485 BIT TO 2975 01:27:04,485 --> 01:27:06,354 SOME OF THE THINGS THAT WE KNOW 2976 01:27:06,354 --> 01:27:09,090 WORKS, AND THIS IS GOING TO ALSO 2977 01:27:09,090 --> 01:27:11,426 DOVE TAIL INTO WHAT OUR 2978 01:27:11,426 --> 01:27:15,530 FRIENDS AT DESC IS GOING TO TALK 2979 01:27:15,530 --> 01:27:15,730 ABOUT 2980 01:27:15,730 --> 01:27:17,298 TODAY, THAT ONE OF THE 2981 01:27:17,298 --> 01:27:18,900 BEST TOOLS WITHOUT A DOUBT 2982 01:27:18,900 --> 01:27:20,435 ARE MEDICATIONS FOR OPIATE 2983 01:27:20,435 --> 01:27:21,069 USE DISORDER. 2984 01:27:21,069 --> 01:27:22,804 TIME AND TIME AGAIN MEDICATIONS 2985 01:27:22,804 --> 01:27:24,172 FOR OPIATE USE DISORDER 2986 01:27:24,172 --> 01:27:26,474 ARE SHOWN TO DECREASE DEATHS BY 2987 01:27:26,474 --> 01:27:27,008 OVER 50%. 2988 01:27:27,008 --> 01:27:28,209 WE ALSO KNOW THAT 2989 01:27:28,209 --> 01:27:29,043 FENTANYL HAS BEEN DIFFICULT TO 2990 01:27:29,043 --> 01:27:29,377 GET 2991 01:27:29,377 --> 01:27:31,946 PEOPLE STARTED ON MEDICATIONS 2992 01:27:31,946 --> 01:27:34,882 FOR FOR 2993 01:27:34,882 --> 01:27:36,084 OPIATE USE DISORDER 2994 01:27:36,084 --> 01:27:38,720 AND CONTINUED MEDICATIONS FOR 2995 01:27:38,720 --> 01:27:39,420 OPIATEOPIATE USE DISORDER. 2996 01:27:39,420 --> 01:27:41,322 I ALSO WANT TO BE VERY CLEAR -- 2997 01:27:41,322 --> 01:27:43,758 AND VERY CAREFUL AND VERY CLEAR 2998 01:27:43,758 --> 01:27:46,894 TO SAY THAT IT'S NOT A GOLDEN 2999 01:27:46,894 --> 01:27:47,328 -- 3000 01:27:47,328 --> 01:27:49,297 IT'S NOT A GOLDEN TICKET. 3001 01:27:49,297 --> 01:27:50,765 WHEN SOMEONE GETS STARTED 3002 01:27:50,765 --> 01:27:52,867 ON MEDICATIONS FOR OPIATE 3003 01:27:52,867 --> 01:27:54,168 USE DISORDER, WHEN SOMEONE IS 3004 01:27:54,168 --> 01:27:54,369 ABLE 3005 01:27:54,369 --> 01:27:56,237 TO CONTINUE TO STABILIZE ON 3006 01:27:56,237 --> 01:27:57,805 MEDICATIONS FOR OPIATE USE 3007 01:27:57,805 --> 01:27:58,573 DISORDER, THERE ARE SO 3008 01:27:58,573 --> 01:27:59,907 MANY OTHER THINGS PEOPLE 3009 01:27:59,907 --> 01:28:02,510 ARE STRUGGLING WITH IN THEIR 3010 01:28:02,510 --> 01:28:02,844 LIVES 3011 01:28:02,977 --> 01:28:03,578 THAT ARE ALSO IMPORTANT TO 3012 01:28:03,578 --> 01:28:05,113 ADDRESS AND NEED TO 3013 01:28:05,113 --> 01:28:05,513 BE ADDRESSED. 3014 01:28:05,513 --> 01:28:07,148 AND MEDICATIONS FOR OPIATE 3015 01:28:07,148 --> 01:28:10,451 USE DISORDER ARE JUST 3016 01:28:10,451 --> 01:28:12,353 THAT, 3017 01:28:12,353 --> 01:28:12,987 MEDICATIONS FOR OPIATE USE 3018 01:28:12,987 --> 01:28:14,022 DISORDER. AND WE ALSO KNOW 3019 01:28:14,022 --> 01:28:14,355 THERE'S A 3020 01:28:14,355 --> 01:28:17,892 LOT OF PEOPLE USING STIMULANTS 3021 01:28:17,892 --> 01:28:23,998 OUT THERE AND SPECIFICALLY 3022 01:28:23,998 --> 01:28:25,133 METHAMPHETAMINE, AND THERE'S 3023 01:28:25,133 --> 01:28:26,734 NO LIGHTENING ROD OF 3024 01:28:26,734 --> 01:28:28,536 INTERVENTIONS WE HAVE. 3025 01:28:28,536 --> 01:28:29,137 THERE'S DIFFERENT TOOLS WE 3026 01:28:29,137 --> 01:28:29,804 HAVE, BUT THERE'S NO MEDICATION 3027 01:28:29,804 --> 01:28:30,004 THAT 3028 01:28:30,004 --> 01:28:31,339 HAS THE IMPACT THAT 3029 01:28:31,339 --> 01:28:33,174 MEDICATIONS FOR OPIATE USE 3030 01:28:33,174 --> 01:28:35,209 DISORDER HAVE. IMPORTANT TO NOTE 3031 01:28:35,209 --> 01:28:35,843 IN THIS SLIDE 3032 01:28:35,843 --> 01:28:37,979 IS THAT METHADONE HAS 3033 01:28:37,979 --> 01:28:39,514 BEEN FAIRLY STABLE WITH THE 3034 01:28:39,514 --> 01:28:39,947 NUMBER 3035 01:28:39,947 --> 01:28:41,249 OF SEATTLEITES WHO HAVE BEEN 3036 01:28:41,249 --> 01:28:46,688 ABLE TO START AND GET ACCESS TO 3037 01:28:46,821 --> 01:28:48,790 METHADONE. WE'VE ALSO BEEN ABLE 3038 01:28:48,790 --> 01:28:52,260 TO PIVOT 3039 01:28:52,260 --> 01:28:53,394 FROM FIXED SITE METHADONE 3040 01:28:53,394 --> 01:28:54,796 CLINICS TO MORE MOBILE UNITS. 3041 01:28:54,796 --> 01:28:56,998 SO WE HAVE SOME VANS THAT CAN 3042 01:28:56,998 --> 01:28:59,033 GET CLOSER TO WHERE PEOPLE ARE 3043 01:28:59,033 --> 01:29:05,306 AT, MORE EASILY 3044 01:29:05,306 --> 01:29:06,441 ACCEPTABLE, ACCESSIBLE FOR 3045 01:29:06,441 --> 01:29:06,674 PEOPLE. 3046 01:29:06,674 --> 01:29:12,380 WE SAW A HUGE INCREASE 3047 01:29:12,380 --> 01:29:22,323 IN AVAILABILITY FOR ORAL BUFNOR 3048 01:29:22,457 --> 01:29:24,959 FREEN. IT CONTINUES TO GROW BUT 3049 01:29:24,959 --> 01:29:25,126 NOT 3050 01:29:25,126 --> 01:29:28,930 AT THE SUBSTANTIAL STATE WE 3051 01:29:28,930 --> 01:29:30,498 SAW FROM 2020. 3052 01:29:30,498 --> 01:29:32,867 AND LASTLY I'LL PROVIDE 3053 01:29:32,867 --> 01:29:33,101 THE 3054 01:29:33,101 --> 01:29:38,005 OBJECTIVE. AN INJECTABLE 3055 01:29:38,005 --> 01:29:38,306 MEDICATION 3056 01:29:38,306 --> 01:29:40,241 IS ANOTHER FORM BUT IT COMES IN 3057 01:29:40,241 --> 01:29:42,276 A COUPLE OF DIFFERENT DOSES 3058 01:29:42,276 --> 01:29:44,479 THAT SOMEONE CAN GET AN 3059 01:29:44,479 --> 01:29:44,779 INJECTION. 3060 01:29:44,779 --> 01:29:46,314 AND SO THAT INJECTION 3061 01:29:46,314 --> 01:29:48,483 ALLOWS THEM 3062 01:29:48,483 --> 01:29:49,817 TO STABILIZE. IT ALLOWS 3063 01:29:49,817 --> 01:29:50,251 INDIVIDUALS NOT TO 3064 01:29:50,251 --> 01:29:52,687 HAVE TO WORRY ABOUT DAILY 3065 01:29:52,687 --> 01:29:54,355 MEDICATION REGIMENTS, KEEPING 3066 01:29:54,355 --> 01:29:55,656 THEIR MEDICATION SAFE, 3067 01:29:55,656 --> 01:29:57,158 OR ACCESSING THEIR MEDICATION ON 3068 01:29:57,158 --> 01:29:57,925 A DAILY BASIS. 3069 01:29:57,925 --> 01:30:08,503 AND I'LL LET -- I'LL LET DR. 3070 01:30:13,508 --> 01:30:15,143 FOCKELE TALK ABOUT IT. 3071 01:30:15,143 --> 01:30:18,546 WE KNOW PEOPLE OUT THERE 3072 01:30:18,546 --> 01:30:18,946 ARE STRUGGLING. 3073 01:30:18,946 --> 01:30:21,149 THEY HAVE A LOT OF COMPLEXITIES. 3074 01:30:21,149 --> 01:30:21,582 THEY'RE VERY 3075 01:30:21,582 --> 01:30:22,683 SICK OFTEN. AND THE MORE THAT WE 3076 01:30:22,683 --> 01:30:23,351 CAN MAKE 3077 01:30:23,351 --> 01:30:24,719 IT EASIER TO PEOPLE TO GET INTO 3078 01:30:24,719 --> 01:30:26,621 CARE, THE BETTER -- THE 3079 01:30:26,621 --> 01:30:28,356 MORE LIKELY THAT THEY'LL START 3080 01:30:28,356 --> 01:30:30,024 IN CARE AND THAT THEY'LL BE 3081 01:30:30,024 --> 01:30:30,324 ABLE 3082 01:30:30,324 --> 01:30:31,959 TO RETAIN IN CARE. 3083 01:30:31,959 --> 01:30:33,628 WHEN I FIRST STARTED PEOPLE 3084 01:30:33,628 --> 01:30:36,497 HAD TO MAKE -- THE 3085 01:30:36,497 --> 01:30:36,998 ONLY OPTION REALLY WAS 3086 01:30:36,998 --> 01:30:37,899 METHADONE, AND 3087 01:30:37,899 --> 01:30:39,233 PEOPLE HAD TO TRUDGE ACROSS 3088 01:30:39,233 --> 01:30:39,434 TOWN, 3089 01:30:39,434 --> 01:30:41,502 MAKE AN APPOINTMENT, GO FOR A 3090 01:30:41,502 --> 01:30:42,770 PSYCHO SOCIAL ASSESSMENT, AND 3091 01:30:42,770 --> 01:30:43,004 COME 3092 01:30:43,004 --> 01:30:44,238 BACK DAYS LATER FOR THEIR 3093 01:30:44,238 --> 01:30:45,206 MEDICATION. 3094 01:30:45,206 --> 01:30:46,741 AND WE'VE BEEN REALLY BEEN ABLE 3095 01:30:46,741 --> 01:30:48,609 TO FLIP THAT SYSTEM ON ITS 3096 01:30:48,609 --> 01:30:49,977 HEAD AND LEAD WITH PEOPLE HAVING 3097 01:30:49,977 --> 01:30:54,549 ACCESS 3098 01:30:54,549 --> 01:30:55,082 TO MEDICATION BECAUSE WE 3099 01:30:55,082 --> 01:30:55,783 KNOW THAT'S LIFESAVING. WE'VE 3100 01:30:55,783 --> 01:30:56,117 BEEN ABLE TO 3101 01:30:56,117 --> 01:30:57,652 COLLABORATE ACROSS MULTIPLE 3102 01:30:57,652 --> 01:30:58,252 DIFFERENT ORGANIZATIONS AND 3103 01:30:58,252 --> 01:30:58,653 SYSTEMS TO 3104 01:30:58,653 --> 01:31:00,555 ADDRESS THE COMPLEX HEALTH 3105 01:31:00,555 --> 01:31:01,823 NEEDS, AND THERE'S STILL A 3106 01:31:01,823 --> 01:31:02,890 LONG WAY TO GO. 3107 01:31:02,890 --> 01:31:05,059 YOU KNOW, KUDOS TO THE 3108 01:31:05,059 --> 01:31:06,694 EXECUTIVE FOR BREAKING THE CYCLE 3109 01:31:06,694 --> 01:31:06,894 WORK 3110 01:31:06,894 --> 01:31:08,529 GROUP, WHICH WAS JUST CHARTERED 3111 01:31:08,529 --> 01:31:11,632 TO BE ABLE TO THINK ABOUT HOW DO 3112 01:31:11,632 --> 01:31:14,402 WE DO BETTER 3113 01:31:14,402 --> 01:31:15,937 WORK ACROSS SYSTEMS, AND WE'RE 3114 01:31:15,937 --> 01:31:16,270 STARTING TO 3115 01:31:16,270 --> 01:31:18,372 SEE THOSE IMPACTS, NOT 3116 01:31:18,372 --> 01:31:19,774 TO MENTION INVESTMENTS THAT 3117 01:31:19,774 --> 01:31:22,543 THE CITY HAS MADE REALLY AROUND 3118 01:31:22,543 --> 01:31:24,812 ACCESS AND LINKAGE TO CARE -- 3119 01:31:24,812 --> 01:31:27,515 HAS REALLY BEEN ABLE TO PAY 3120 01:31:27,515 --> 01:31:29,350 OFF, TO LINK PEOPLE FROM SYSTEMS 3121 01:31:29,350 --> 01:31:31,118 LIKE THE HOSPITAL AND JAIL 3122 01:31:31,118 --> 01:31:32,220 TO COMMUNITY- BASED SETTINGS 3123 01:31:32,220 --> 01:31:33,654 WHERE THEY CAN GET CARE. 3124 01:31:33,654 --> 01:31:35,990 AND, AGAIN, THE INCREASE 3125 01:31:35,990 --> 01:31:40,494 IN LONG- ACTING INJECTABLE 3126 01:31:40,494 --> 01:31:40,728 HAS 3127 01:31:40,728 --> 01:31:41,362 PROVIDED US. IT'S NOT A -- 3128 01:31:41,362 --> 01:31:41,729 WHETHER IT'S 3129 01:31:41,729 --> 01:31:42,930 A GAME CHANGER JUST LIKE A 3130 01:31:42,930 --> 01:31:49,804 REALLY GREAT TOOL WE HAVE AT OUR 3131 01:31:49,804 --> 01:31:51,672 DISPOSAL WE HAVEN'T HAD BEFORE. 3132 01:31:51,672 --> 01:31:53,241 AND LASTLY JUST FOR ME 3133 01:31:53,241 --> 01:31:54,575 NOTING THAT IN PUBLIC HEALTH, WE 3134 01:31:54,575 --> 01:31:54,909 HAVE 3135 01:31:54,909 --> 01:31:56,811 A COUPLE OF DIFFERENT -- WE 3136 01:31:56,811 --> 01:31:58,446 HAVE -- WITHIN OUR STRATEGIC 3137 01:31:58,446 --> 01:31:59,580 PLAN, WE HAVE TWO GOALS. 3138 01:31:59,580 --> 01:32:00,915 ONE IS TO MAKE SURE 3139 01:32:00,915 --> 01:32:03,184 TO REDUCE HARM 3140 01:32:03,184 --> 01:32:03,818 TO PEOPLE. WE KNOW THAT PEOPLE 3141 01:32:03,818 --> 01:32:05,119 AREN'T ALWAYS IN A POSITION TO 3142 01:32:05,119 --> 01:32:06,320 ACCESS TREATMENT OR BE ABLE TO 3143 01:32:06,320 --> 01:32:06,554 RECEIVE 3144 01:32:06,554 --> 01:32:07,655 TREATMENT, BUT WE NEED TO 3145 01:32:07,655 --> 01:32:09,257 BE ABLE TO REDUCE THE HARM 3146 01:32:09,257 --> 01:32:10,558 TO PEOPLE AND BE ABLE TO 3147 01:32:10,558 --> 01:32:12,193 PROVIDE TREATMENT TO PEOPLE WHEN 3148 01:32:12,193 --> 01:32:15,129 THEY WANT IT, IN A WAY THAT THEY 3149 01:32:15,129 --> 01:32:15,529 WANT 3150 01:32:15,529 --> 01:32:17,298 IT, AND BOTH, YOU KNOW, 3151 01:32:17,298 --> 01:32:18,833 WITH FOCUSING ON EQUITY AND 3152 01:32:18,833 --> 01:32:20,334 THE COMMUNITIES MOST 3153 01:32:20,334 --> 01:32:20,668 MARGINALIZED. 3154 01:32:20,668 --> 01:32:22,270 I'LL JUST END IN 3155 01:32:22,270 --> 01:32:27,942 TRANSITION TO -- TO DIRECTOR 3156 01:32:27,942 --> 01:32:28,342 KLAEYSEN 3157 01:32:28,342 --> 01:32:31,012 WITH THE STATEMENT THAT IN KING 3158 01:32:31,145 --> 01:32:32,647 COUNTY, PUBLIC HELPS FILL THIS 3159 01:32:32,647 --> 01:32:41,589 ROLE, BUT OUR PARTNERS IN 3160 01:32:41,589 --> 01:32:42,623 DCHS FILLS THIS ROLE. 3161 01:32:42,623 --> 01:32:45,226 OFTEN HARM REDUCTION CAN BE THE 3162 01:32:45,226 --> 01:32:46,794 SHINY THING, BUT IN 3163 01:32:46,794 --> 01:32:47,461 REALITY THE TREATMENT SYSTEM 3164 01:32:47,461 --> 01:32:48,663 THAT THE COUNTY 3165 01:32:48,663 --> 01:32:49,697 STANDS UP, YOU KNOW, HUNDREDS OF 3166 01:32:49,697 --> 01:32:51,165 MILLIONS OF DOLLARS A 3167 01:32:51,165 --> 01:32:52,500 YEAR REALLY FOCUSES ON 3168 01:32:52,500 --> 01:32:53,734 PROVIDING ACCESS TO TREATMENT 3169 01:32:53,734 --> 01:32:54,936 AND TREATMENT SERVICES FOR 3170 01:32:54,936 --> 01:32:56,404 PEOPLE WHEN AND WHERE THEY NEED 3171 01:32:56,404 --> 01:32:57,772 IT BECAUSE WE KNOW THAT PEOPLE 3172 01:32:57,772 --> 01:32:59,273 WANT TO GET BETTER AND THAT WE 3173 01:32:59,273 --> 01:33:00,675 HAVE TO BE ABLE TO GIVE THEM 3174 01:33:00,675 --> 01:33:02,376 THE OPPORTUNITY TO GET BETTER 3175 01:33:02,376 --> 01:33:02,577 WHEN 3176 01:33:02,577 --> 01:33:03,945 AND WHERE THEY NEED IT. 3177 01:33:03,945 --> 01:33:05,513 AND WITH THAT, I'LL TURN IT 3178 01:33:05,513 --> 01:33:06,113 OVER TO 3179 01:33:06,113 --> 01:33:06,347 CHRIS. 3180 01:33:06,347 --> 01:33:07,515 >> THANK YOU, BRAD. 3181 01:33:07,515 --> 01:33:09,984 MUCH APPRECIATED. 3182 01:33:09,984 --> 01:33:12,587 AND AS BRAD MENTIONED, MY 3183 01:33:12,587 --> 01:33:13,187 PORTION OF THIS BRIEFING IS 3184 01:33:13,187 --> 01:33:14,789 GOING TO FOCUS ON HOW 3185 01:33:14,789 --> 01:33:16,324 AND WHY SEATTLE INVESTS IN 3186 01:33:16,324 --> 01:33:16,557 PUBLIC 3187 01:33:16,557 --> 01:33:17,925 HEALTH AND JUST WHERE THAT 3188 01:33:17,925 --> 01:33:18,426 FUNDING GOES. 3189 01:33:18,426 --> 01:33:19,327 SO BEFORE GETTING INTO 3190 01:33:19,327 --> 01:33:22,630 IT A LITTLE BIT, I JUST WANTED 3191 01:33:22,630 --> 01:33:24,432 TO SAY 3192 01:33:24,432 --> 01:33:26,133 OUR PARTNERSHIP WITH 3193 01:33:26,133 --> 01:33:27,735 SEATTLE HEALTH 3194 01:33:27,735 --> 01:33:31,038 KING COUNTY IS GOVERNED WITH THE 3195 01:33:31,038 --> 01:33:31,505 INTERLOCAL AGREEMENT. 3196 01:33:31,505 --> 01:33:32,740 COUNTY IS RESPONSIBLE 3197 01:33:32,740 --> 01:33:33,374 FOR PROVIDING PUBLIC 3198 01:33:33,374 --> 01:33:34,475 HEALTH THROUGHOUT THE REGION AND 3199 01:33:34,475 --> 01:33:36,010 SUPPORTS CONTRACTS TO 3200 01:33:36,010 --> 01:33:37,645 SUPPORT SEATTLE RESIDENTS WITH 3201 01:33:37,645 --> 01:33:39,847 ENHANCED ACCESS TO SERVICES, 3202 01:33:39,847 --> 01:33:40,314 ENSURE WE'RE 3203 01:33:40,314 --> 01:33:41,749 RESPONSIVE TO SEATTLE'S 3204 01:33:41,749 --> 01:33:43,951 NEEDS AND ALSO TEST INNOVATIVE 3205 01:33:43,951 --> 01:33:46,287 MODELS AND HOPEFULLY 3206 01:33:46,287 --> 01:33:46,687 SCALE THEM ACROSS 3207 01:33:46,687 --> 01:33:49,857 THE REGION. WITH THAT, IN 2026 3208 01:33:49,857 --> 01:33:50,591 HSD IS 3209 01:33:50,591 --> 01:33:52,693 INVESTING OVER $35 MILLION 3210 01:33:52,693 --> 01:33:53,828 IN PUBLIC HEALTH EFFORTS. 3211 01:33:53,828 --> 01:33:55,396 OVER THE NEXT FEW SLIDES 3212 01:33:55,396 --> 01:33:57,765 I'M GOING TO HIGHLIGHT SOME OF 3213 01:33:57,765 --> 01:33:59,166 THOSE PROGRAMS, WHICH ADDRESS 3214 01:33:59,166 --> 01:34:01,902 THE BASIC NEEDS OF COMMUNITY 3215 01:34:01,902 --> 01:34:04,639 MEMBERS, WHO ARE AS BRAD SHARED 3216 01:34:04,639 --> 01:34:07,875 EXPERIENCING DISPROPORTIONATELY 3217 01:34:07,875 --> 01:34:08,643 POOR HEALTH OUTCOMES REALLY TO 3218 01:34:08,643 --> 01:34:10,111 SUPPORT THEIR PATHWAYS 3219 01:34:10,111 --> 01:34:12,913 TO STABILITY AND SUSTAIN 3220 01:34:12,913 --> 01:34:13,914 WELL-BEING. 3221 01:34:13,914 --> 01:34:15,983 OF THIS 35 MILLION, $20 3222 01:34:15,983 --> 01:34:17,985 MILLION IS ALKATDED TO PUBLIC 3223 01:34:17,985 --> 01:34:19,387 HEALTH KING COUNTY WITH 3224 01:34:19,387 --> 01:34:21,322 THE REMAINOR GOING DIRECTLY TO 3225 01:34:21,322 --> 01:34:21,555 SERVICE 3226 01:34:21,555 --> 01:34:23,324 PROVIDERS. AND JUST A NOTE HERE 3227 01:34:23,324 --> 01:34:24,125 AS WELL THE 3228 01:34:24,125 --> 01:34:25,726 BUDGET DOES COME FROM A VARIETY 3229 01:34:25,726 --> 01:34:28,496 OF SOURCES, GENERAL FUND AND 3230 01:34:28,496 --> 01:34:30,498 DOLLARS THE CITY RECEIVES, 3231 01:34:30,498 --> 01:34:32,400 AND PUBLIC SAFETY SALES TAX. 3232 01:34:32,400 --> 01:34:34,702 SO THERE ARE A VARIETY 3233 01:34:34,702 --> 01:34:36,737 OF PROGRAMS WITHIN 3234 01:34:36,737 --> 01:34:37,938 HSD'S PUBLIC HEALTH PORTFOLIO, 3235 01:34:37,938 --> 01:34:38,572 AND THIS 3236 01:34:38,572 --> 01:34:40,141 GIVES A BIT OF AN OVERVIEW OF 3237 01:34:40,141 --> 01:34:40,374 THOSE. 3238 01:34:40,374 --> 01:34:41,475 SO FIRST WANTED 3239 01:34:41,475 --> 01:34:42,710 TO MENTION HEALTHCARE ACCESS FOR 3240 01:34:42,710 --> 01:34:45,413 HOMELESS AND LOW 3241 01:34:45,413 --> 01:34:46,414 INCOME INDIVIDUALS. THAT DOES 3242 01:34:46,414 --> 01:34:46,647 INCLUDE 3243 01:34:46,647 --> 01:34:48,549 PHYSICAL HEALTHCARE AND DENTAL 3244 01:34:48,549 --> 01:34:48,749 CARE. 3245 01:34:48,749 --> 01:34:50,351 AND THIS WORK IS REALLY LED 3246 01:34:50,351 --> 01:34:52,586 BY COMMUNITY ORGANIZATIONS 3247 01:34:52,586 --> 01:34:52,820 THROUGH 3248 01:34:52,820 --> 01:34:53,387 THE COMMUNITY 3249 01:34:53,387 --> 01:34:54,221 HEALTH PARTNERSHIPS PROGRAM 3250 01:34:54,221 --> 01:34:57,191 AND THE HEALTHCARE FOR THE 3251 01:34:57,191 --> 01:34:57,658 HOMELESS NETWORK. 3252 01:34:57,658 --> 01:34:58,959 ALONGSIDE THAT WE ALSO 3253 01:34:58,959 --> 01:35:00,861 FUND PROGRAMS THAT ARE FOCUSED 3254 01:35:00,861 --> 01:35:04,198 ON EXPANDING ACCESS TO 3255 01:35:04,198 --> 01:35:05,666 REPRODUCTIVE HEALTHCARE, ORAL 3256 01:35:05,666 --> 01:35:06,734 HEALTH, 3257 01:35:06,734 --> 01:35:09,603 AND COMMUNITY BASED RESPONSES TO 3258 01:35:09,603 --> 01:35:10,805 ORAL 3259 01:35:10,805 --> 01:35:13,441 HEALTH CRISES. AND FINALLY 3260 01:35:13,441 --> 01:35:15,076 OVERDOSE PREVENTION 3261 01:35:15,076 --> 01:35:17,678 OR SUBSTANCE ABUSE 3262 01:35:17,678 --> 01:35:19,080 DISORDER, NOTED IN ORANGE THEY 3263 01:35:19,080 --> 01:35:19,313 MAKE UP 3264 01:35:19,313 --> 01:35:24,485 39% OF THE BUDGET OR $13. 6 3265 01:35:24,485 --> 01:35:24,752 MILLION. 3266 01:35:24,752 --> 01:35:26,587 WANTED TO ON THIS SLIDE KEY IN 3267 01:35:26,587 --> 01:35:29,490 ON THOSE INVESTMENTS 3268 01:35:29,490 --> 01:35:30,057 AND JUST NOTE THAT IT'S 3269 01:35:30,057 --> 01:35:30,324 IMPORTANT 3270 01:35:30,324 --> 01:35:31,625 TO SHARE THAT SEATTLE IS 3271 01:35:31,625 --> 01:35:31,892 INVESTING 3272 01:35:31,892 --> 01:35:37,932 ACROSS AN ENTIRE CONTINUUM OF 3273 01:35:37,932 --> 01:35:40,167 SUD RESPONSE RANGING FROM 3274 01:35:40,167 --> 01:35:40,534 PREVENTION AND 3275 01:35:40,534 --> 01:35:42,103 EARLY INTERVENTION TO HARM 3276 01:35:42,103 --> 01:35:42,870 REDUCTION, TREATMENT AND 3277 01:35:42,870 --> 01:35:43,270 MANAGEMENT ALL 3278 01:35:43,270 --> 01:35:45,606 THE WAY TO RECOVERY AND 3279 01:35:45,606 --> 01:35:47,908 HEALTHCARE 3280 01:35:47,908 --> 01:35:49,009 SYSTEMS SUPPORT. AND THIS REALLY 3281 01:35:49,009 --> 01:35:49,543 RECOGNIZES 3282 01:35:49,543 --> 01:35:51,011 THAT RECOVERY FROM SUD IS NOT 3283 01:35:51,011 --> 01:35:52,646 A LINEAR PATH, BUT FOR 3284 01:35:52,646 --> 01:35:55,182 MANY INDIVIDUALS IT REQUIRES 3285 01:35:55,182 --> 01:35:55,449 MULTIPLE 3286 01:35:55,449 --> 01:35:57,184 ATTEMPTS TO CARE AND 3287 01:35:57,184 --> 01:35:58,119 HIGHLY INDIVIDUALIZED SUPPORT AS 3288 01:35:58,119 --> 01:36:00,821 WELL, WHICH IS WHY WE FUND THIS 3289 01:36:01,021 --> 01:36:02,690 CONTINUUM. IN ADDITION, 3290 01:36:02,690 --> 01:36:02,990 SEATTLE'S 3291 01:36:02,990 --> 01:36:04,692 FUNDING IS FOCUSED ON 3292 01:36:04,692 --> 01:36:07,695 EXPANDING SERVICES, AGAIN, 3293 01:36:07,695 --> 01:36:10,064 TO ADDRESSING EXISTING 3294 01:36:10,064 --> 01:36:10,364 INEQUITIES, 3295 01:36:10,364 --> 01:36:11,832 BRIDGING SERVICE GAPS, AND 3296 01:36:11,832 --> 01:36:12,066 MEETING 3297 01:36:12,066 --> 01:36:14,535 PEOPLE WHERE THEY ARE TO SUPPORT 3298 01:36:14,535 --> 01:36:15,736 MORE 3299 01:36:15,736 --> 01:36:16,437 EQUITABLE OUTCOMES. 3300 01:36:16,437 --> 01:36:17,905 ON THE NEXT SLIDE I'M GOING 3301 01:36:17,905 --> 01:36:18,939 TO HIGHLIGHT SEVERAL OF THESE 3302 01:36:18,939 --> 01:36:20,107 INVESTMENTS IN A LITTLE 3303 01:36:20,107 --> 01:36:20,307 MORE 3304 01:36:20,307 --> 01:36:22,710 DETAIL. FIRST UP IS THE 3305 01:36:22,710 --> 01:36:23,677 PREVENTION OF FATAL OVERDOSE 3306 01:36:23,677 --> 01:36:24,111 THROUGH 3307 01:36:24,111 --> 01:36:26,580 TRAINING ON OVERDOSE 3308 01:36:26,580 --> 01:36:27,081 RESPONSE, AND ALSO THE 3309 01:36:27,081 --> 01:36:29,984 DISTRIBUTION OF NALOXONE 3310 01:36:29,984 --> 01:36:30,351 OR 3311 01:36:30,351 --> 01:36:31,652 NARCAN. CALLING OUT HERE THERE 3312 01:36:31,652 --> 01:36:32,186 IS $2. 3313 01:36:32,186 --> 01:36:34,488 5 MILLION ALLOCATED FOR 3314 01:36:34,488 --> 01:36:40,327 COMMUNITY- BASED ORGANIZATION 3315 01:36:40,327 --> 01:36:44,031 PREVENTION, AND MOUD PROGRAMS. 3316 01:36:44,031 --> 01:36:48,235 NEXT IS SUPPORT FOR 3317 01:36:48,235 --> 01:36:49,637 THOSE EXPERIENCING OVERDOSE AS 3318 01:36:49,637 --> 01:36:52,907 WELL AS 3319 01:36:52,907 --> 01:36:57,311 FUNDING FOR ORCA CENTER 3320 01:36:57,444 --> 01:36:58,112 OPERATIONS. CONNECTIONS TO 3321 01:36:58,112 --> 01:36:58,379 SERVICES, 3322 01:36:58,379 --> 01:37:00,481 FUNDS PROGRAMS 3323 01:37:00,481 --> 01:37:01,015 THAT PROVIDES HEALTHCARE 3324 01:37:01,015 --> 01:37:01,448 LINKAGES FOR PEOPLE 3325 01:37:01,448 --> 01:37:03,617 USING SUBSTANCES, WHICH 3326 01:37:03,617 --> 01:37:05,586 INCLUDES CARE NAVIGATORS FOR 3327 01:37:05,586 --> 01:37:07,721 THOSE EXITING THE HOSPITAL TO 3328 01:37:07,721 --> 01:37:09,924 ENSURE THEY RECEIVE CONTINUED 3329 01:37:09,924 --> 01:37:12,827 CARE AS WELL AS $881,000 3330 01:37:12,827 --> 01:37:14,128 FOR TRANSPORTATION AND 3331 01:37:14,128 --> 01:37:15,396 CASE MANAGEMENT NEEDS AT THE 3332 01:37:15,396 --> 01:37:17,464 KING COUNTY SOBERING CENTER FOR 3333 01:37:17,464 --> 01:37:19,433 SEATTLE RESIDENTS. 3334 01:37:19,433 --> 01:37:22,203 LOW BARRIER ACCESS TO 3335 01:37:22,203 --> 01:37:23,437 MOUD SUPPORTS PEOPLE WHERE THEY 3336 01:37:23,437 --> 01:37:25,139 ARE WHETHER THAT'S AT THE 3337 01:37:25,139 --> 01:37:26,707 PATHWAYS CLINIC AT THE DOWNTOWN 3338 01:37:26,707 --> 01:37:28,943 PUBLIC HEALTH CENTER, OR AT 3339 01:37:28,943 --> 01:37:32,813 PERMANENT SUPPORTIVE HOUSING AND 3340 01:37:32,947 --> 01:37:34,114 SHELTER SITES AT THE EXPANSION 3341 01:37:34,114 --> 01:37:35,683 OF THE 3342 01:37:35,683 --> 01:37:36,250 ORCA 3343 01:37:36,250 --> 01:37:38,152 POD PROGRAM. AND FINALLY THIS 3344 01:37:38,152 --> 01:37:39,153 FUNDING SUPPORTS IN PATIENT 3345 01:37:39,153 --> 01:37:40,621 TREATMENT, AND WANTED TO CALL 3346 01:37:40,621 --> 01:37:41,188 OUT THERE 3347 01:37:41,188 --> 01:37:43,824 THE $400 MILLION ALLOCATED FOR 3348 01:37:43,824 --> 01:37:44,058 THE 3349 01:37:44,191 --> 01:37:45,426 TREATMENT CENTER. THESE 3350 01:37:45,426 --> 01:37:46,927 INVESTMENTS IN LOW BARRIER 3351 01:37:46,927 --> 01:37:48,062 SERVICES SUPPORT OUR EFFORTS 3352 01:37:48,062 --> 01:37:50,331 TO ADDRESS OVERDOSES IN SUD THAT 3353 01:37:50,331 --> 01:37:52,333 BRAD WAS 3354 01:37:52,333 --> 01:37:57,438 MENTIONING THERE. NEXT SLIDE. 3355 01:37:57,571 --> 01:37:58,205 AND, AGAIN, 2025 SAW THE LOWEST 3356 01:37:58,205 --> 01:37:58,772 NUMBER OF DEATHS OF FATAL 3357 01:37:58,772 --> 01:37:59,740 OVERDOSES SINCE 2022. 3358 01:37:59,740 --> 01:38:01,375 WE DO NOTE WE NEED TO 3359 01:38:01,375 --> 01:38:02,543 BUILD ON THAT PROGRESS AND KEEP 3360 01:38:02,543 --> 01:38:02,743 IT 3361 01:38:02,743 --> 01:38:06,046 GOING, AND REALLY HOW DO WE 3362 01:38:06,046 --> 01:38:07,281 DO THAT? I THINK THROUGH THESE 3363 01:38:07,281 --> 01:38:08,382 BULLETS HERE CONTINUED 3364 01:38:08,382 --> 01:38:10,117 PARTNERSHIPS WITH 3365 01:38:10,251 --> 01:38:10,951 TEAMS THAT ARE WORKING ON THE 3366 01:38:10,951 --> 01:38:12,820 GROUND THAT INCLUDE OUR OWN CITY 3367 01:38:12,820 --> 01:38:13,754 OF SEATTLE DEPARTMENTS 3368 01:38:13,754 --> 01:38:16,023 SUCH AS FIRST RESPONDERS AT 3369 01:38:16,023 --> 01:38:16,357 SEATTLE FIRE 3370 01:38:16,357 --> 01:38:17,992 AND CARE WORKING WITH THE 3371 01:38:17,992 --> 01:38:18,859 COUNTY AND ALSO COMMUNITY 3372 01:38:18,859 --> 01:38:19,793 ORGANIZATIONS TO REACH 3373 01:38:19,793 --> 01:38:20,494 INDIVIDUALS THAT 3374 01:38:20,494 --> 01:38:22,696 ARE MOST IMPACTED BY FATAL 3375 01:38:22,696 --> 01:38:23,597 OVERDOSE AND ALSO LEAST 3376 01:38:23,597 --> 01:38:24,298 CONNECTED 3377 01:38:24,298 --> 01:38:24,632 TO SERVICES. 3378 01:38:24,632 --> 01:38:26,767 THE SECOND WAY THROUGH 3379 01:38:26,767 --> 01:38:28,202 CONNECTED LOW BARRIER SERVICES 3380 01:38:28,202 --> 01:38:28,402 FOR 3381 01:38:28,402 --> 01:38:30,337 PEOPLE WHEREVER 3382 01:38:30,337 --> 01:38:31,705 THEY ARE. THAT INCLUDES 3383 01:38:31,705 --> 01:38:33,540 MOBILE SERVICES AND ALSO 3384 01:38:33,540 --> 01:38:34,074 TARGETED INVESTMENT IN 3385 01:38:34,074 --> 01:38:34,842 PUBLIC HEALTH SERVICES TO 3386 01:38:34,842 --> 01:38:36,277 MEET THE NEEDS OF OUR 3387 01:38:36,277 --> 01:38:36,710 SEATTLE RESIDENTS. 3388 01:38:36,710 --> 01:38:38,145 AND WITH THAT, I'M GOING TO 3389 01:38:38,145 --> 01:38:38,345 TURN 3390 01:38:38,345 --> 01:38:41,715 IT OVER TO DESC. 3391 01:38:41,849 --> 01:38:42,950 >> YEAH, THANK YOU SO 3392 01:38:42,950 --> 01:38:44,251 MUCH, AGAIN, FOR HAVING US 3393 01:38:44,251 --> 01:38:44,451 THIS 3394 01:38:44,451 --> 01:38:46,153 MORNING. AND WE'RE EXCITED TO 3395 01:38:46,153 --> 01:38:46,487 SHARE 3396 01:38:46,487 --> 01:38:49,023 ABOUT THE OPIOID RECOVERY AND 3397 01:38:49,023 --> 01:38:49,256 CARE 3398 01:38:49,256 --> 01:38:52,159 ACCESS OR ORCA PROGRAMS. 3399 01:38:52,159 --> 01:38:54,361 AND, AGAIN, MY NAME IS 3400 01:38:54,361 --> 01:38:55,963 RACHEL. 3401 01:38:55,963 --> 01:39:02,036 >> AND MY NAME IS CALLAN 3402 01:39:02,036 --> 01:39:02,369 FOCKELE. 3403 01:39:02,369 --> 01:39:03,203 FIRST OF ALL, TO SAY THANK 3404 01:39:03,203 --> 01:39:04,805 YOU FOR YOUR SUPPORT AS 3405 01:39:04,805 --> 01:39:05,272 HIGHLIGHTED EARLIER. 3406 01:39:05,272 --> 01:39:06,140 THIS WORK WOULD NOT HAVE 3407 01:39:06,140 --> 01:39:07,574 HAPPENED WITHOUT THE CITY AND 3408 01:39:07,574 --> 01:39:09,777 COUNCIL, SO THANK YOU FOR THAT. 3409 01:39:09,777 --> 01:39:10,644 WE'RE REALLY EXCITED 3410 01:39:10,644 --> 01:39:12,813 AND PRIVILEGED TO BE TELLING 3411 01:39:12,813 --> 01:39:13,814 YOU ABOUT WHAT HAS BEEN 3412 01:39:13,814 --> 01:39:14,081 HAPPENING 3413 01:39:14,081 --> 01:39:14,481 THIS 3414 01:39:14,481 --> 01:39:17,051 LAST YEAR. SO WHAT IS ORCA OTHER 3415 01:39:17,051 --> 01:39:18,452 THAN A 3416 01:39:18,452 --> 01:39:18,852 REALLY COOL 3417 01:39:18,852 --> 01:39:20,921 ACRONYM THAT STANDARDS FOR 3418 01:39:20,921 --> 01:39:22,156 OPIOID 3419 01:39:22,156 --> 01:39:23,724 RECOVERY, CARE AND ACCESS. 3420 01:39:23,724 --> 01:39:25,192 IT'S AN UMBRELLA THAT INCLUDES 3421 01:39:25,192 --> 01:39:27,328 THE ORCA CENTER, WHICH IS OUR 3422 01:39:27,328 --> 01:39:28,796 BRICK AND MORTAR LOCATED A 3423 01:39:28,796 --> 01:39:31,699 FEW BLOCKS AWAY AT 515 THIRD 3424 01:39:31,699 --> 01:39:31,932 AVENUE. 3425 01:39:31,932 --> 01:39:35,035 AND OUR PATIENT OUTREACH 3426 01:39:35,035 --> 01:39:35,869 DIVISION, OR 3427 01:39:35,869 --> 01:39:38,205 POD TEAM. SO THE ORCA CENTER, 3428 01:39:38,205 --> 01:39:38,472 THERE'S 3429 01:39:38,472 --> 01:39:39,573 REALLY TWO WAYS YOU CAN GET 3430 01:39:39,573 --> 01:39:40,641 IN THE FRONT DOOR. 3431 01:39:40,641 --> 01:39:42,009 ONE IS THROUGH OVERDOSE 3432 01:39:42,009 --> 01:39:44,411 RESPONSE, SO 24/7 ACCESS FOR 3433 01:39:44,411 --> 01:39:46,380 OVERDOSE SURVIVORS TO RECEIVE 3434 01:39:46,380 --> 01:39:47,881 MEDICAL STABILIZATION, AND 3435 01:39:47,881 --> 01:39:49,216 ALSO SAME- DAY ACCESS TO 3436 01:39:49,216 --> 01:39:52,553 MEDICATION FOR OPIOID USE 3437 01:39:52,553 --> 01:39:54,688 DISORDER. SO THIS IS THE ORCA 3438 01:39:54,688 --> 01:39:56,190 CENTER THAT'S ALL SPIC-AND- 3439 01:39:56,190 --> 01:39:56,423 SPAN 3440 01:39:56,423 --> 01:39:58,292 BEFORE WE ACTUALLY OPEN THE 3441 01:39:58,292 --> 01:39:58,659 DOORS, 3442 01:39:58,659 --> 01:40:01,762 AND NOW THERE ARE ACTUALLY 3443 01:40:01,762 --> 01:40:02,029 CURTAINS 3444 01:40:02,029 --> 01:40:03,731 THAT CREATES MORE PRIVATE SPACES 3445 01:40:03,731 --> 01:40:05,399 IN BETWEEN THE RECLINERS, 3446 01:40:05,399 --> 01:40:07,835 BUT THIS OFFERS A PLACE FOR 3447 01:40:07,835 --> 01:40:09,603 PEOPLE TO RECOVER SAFELY FROM AN 3448 01:40:09,603 --> 01:40:10,704 OVERDOSE 3449 01:40:10,704 --> 01:40:13,073 EVENT. THERE ARE PROVIDERS, 3450 01:40:13,073 --> 01:40:13,340 NURSES, 3451 01:40:13,340 --> 01:40:16,243 24/7 MEDICAL 3452 01:40:16,243 --> 01:40:17,678 ASSISTANTS DURING DAY SHIFT TO 3453 01:40:17,678 --> 01:40:18,412 HELP SUPPORT CLIENTS WHEREVER 3454 01:40:18,412 --> 01:40:18,712 THEY ARE. 3455 01:40:18,712 --> 01:40:19,880 THE OTHER WAY PEOPLE CAN 3456 01:40:19,880 --> 01:40:21,015 GET THROUGH THE FRONT DOOR 3457 01:40:21,015 --> 01:40:22,616 IS THROUGH OUR WALK IN HOURS. 3458 01:40:22,616 --> 01:40:24,952 SO FROM 9:00 A.M. TO 11 P.M. 3459 01:40:24,952 --> 01:40:26,620 EVERY DAY OF THE WEEK, EVERY 3460 01:40:26,620 --> 01:40:29,356 DAY OF THE 3461 01:40:29,356 --> 01:40:29,990 YEAR, PATIENTS CAN COME IN AND 3462 01:40:29,990 --> 01:40:31,058 START OR CONTINUE 3463 01:40:31,058 --> 01:40:32,559 ON MEDICATIONS FOR OPIOID 3464 01:40:32,559 --> 01:40:32,793 USE 3465 01:40:32,793 --> 01:40:34,128 DISORDER. AND AS BRAD HAD 3466 01:40:34,128 --> 01:40:34,461 MENTIONED 3467 01:40:34,461 --> 01:40:37,865 EARLIER, MEDICATIONS FOR OPIOID 3468 01:40:37,998 --> 01:40:39,333 USE DISORDER 3469 01:40:39,333 --> 01:40:41,468 REDUCE MORTALITY FOR PATIENTS 3470 01:40:41,468 --> 01:40:42,336 WITH OPIOID USE 3471 01:40:42,336 --> 01:40:43,804 DISORDER BY 50%. 3472 01:40:43,804 --> 01:40:45,105 THAT'S A NUMBER TREATED OF TWO. 3473 01:40:45,105 --> 01:40:46,807 SO YOU NEED TO TREAT TWO 3474 01:40:46,807 --> 01:40:49,009 PEOPLE TO POTENTIALLY SAVE ONE 3475 01:40:49,009 --> 01:40:49,309 PERSON'S 3476 01:40:49,309 --> 01:40:49,510 LIFE. 3477 01:40:49,510 --> 01:40:52,112 I PREVIOUSLY WORKED IN AN 3478 01:40:52,112 --> 01:40:53,213 EMERGENCY DEPARTMENT. 3479 01:40:53,213 --> 01:40:54,715 THERE IS NOT A 3480 01:40:54,715 --> 01:40:56,250 MEDICATION I COULD PRESCRIBE OR 3481 01:40:56,250 --> 01:40:57,217 ADMINISTER MORE EFFECTIVE THAN 3482 01:40:57,217 --> 01:40:57,418 THAT. 3483 01:40:57,418 --> 01:40:58,886 IT IS TRULY A PRIVILEGE TO 3484 01:40:58,886 --> 01:41:01,922 BE ABLE TO WORK AT THE 3485 01:41:01,922 --> 01:41:02,656 ORCA CENTER AND PROVIDE THAT 3486 01:41:02,656 --> 01:41:02,890 ACCESS. 3487 01:41:02,890 --> 01:41:07,561 WE HAVE SUBLINGUAL AND 3488 01:41:07,561 --> 01:41:08,829 INJECTABLE WE'RE ALSO ABLE 3489 01:41:08,829 --> 01:41:10,631 TO PROVIDE AT THE MOMENT TO A 3490 01:41:10,631 --> 01:41:10,798 LOT 3491 01:41:10,798 --> 01:41:13,400 OF PATIENTS INTERESTED IN 3492 01:41:13,400 --> 01:41:14,568 ADMINISTERING MEDICATIONS. 3493 01:41:14,568 --> 01:41:20,674 ALSO WE ARE ONE PART OF A LARGER 3494 01:41:20,674 --> 01:41:23,077 MILLU PROVIDERS IN 3495 01:41:23,077 --> 01:41:23,243 OUR 3496 01:41:23,243 --> 01:41:24,011 COMMUNITY. USING SOMETHING 3497 01:41:24,011 --> 01:41:24,812 CALLED 3498 01:41:24,812 --> 01:41:26,480 THE 72-HOUR RULE, WHICH ALLOWS 3499 01:41:26,480 --> 01:41:26,847 US TO 3500 01:41:26,847 --> 01:41:27,514 INITIATE AND 3501 01:41:27,514 --> 01:41:28,649 CONTINUE MEDICATIONS FOR PEOPLE 3502 01:41:28,649 --> 01:41:28,816 FOR 3503 01:41:28,816 --> 01:41:29,516 A CERTAIN PERIOD OF TIME 3504 01:41:29,516 --> 01:41:33,153 AND ACTUALLY DO A WARM HANDOFF 3505 01:41:33,153 --> 01:41:33,353 INTO 3506 01:41:33,353 --> 01:41:34,588 OPIOID TREATMENT PROGRAM 3507 01:41:34,588 --> 01:41:36,490 OR METHADONE CLINIC IN 3508 01:41:36,490 --> 01:41:36,723 OUR 3509 01:41:36,723 --> 01:41:37,925 COMMUNITY. WE'RE AGNOSTIC TO 3510 01:41:37,925 --> 01:41:38,325 THAT CLINIC 3511 01:41:38,325 --> 01:41:41,095 PARTNER, BUT WE ACTUALLY HAVE 3512 01:41:41,095 --> 01:41:42,996 EVERGREEN TREATMENT SERVICES 3513 01:41:42,996 --> 01:41:43,831 CO-LOCATED WITH US 3514 01:41:43,831 --> 01:41:44,498 MONDAY THROUGH FRIDAY. 3515 01:41:44,498 --> 01:41:47,000 WE HAVE A CARE NAVIGATOR 3516 01:41:47,000 --> 01:41:48,202 MONDAY THROUGH FRIDAY, AND A 3517 01:41:48,202 --> 01:41:49,636 PROVIDER OFTEN TWO DAYS A WEEK 3518 01:41:49,636 --> 01:41:49,803 IN 3519 01:41:49,803 --> 01:41:52,806 ORDER TO DO MEDICAL INTAKES, AS 3520 01:41:52,806 --> 01:41:54,174 BRAD HAD MENTIONED YEARS AGO 3521 01:41:54,174 --> 01:41:55,609 WOULD HAVE TAKEN DAYS CAN NOW 3522 01:41:55,609 --> 01:41:56,176 HAPPEN IN THE MOMENT. 3523 01:41:56,176 --> 01:41:58,545 AND THE WARM HANDOFF CAN 3524 01:41:58,545 --> 01:42:00,180 HAPPEN JUST AROUND THE QUARTER 3525 01:42:00,180 --> 01:42:00,447 TO 3526 01:42:00,447 --> 01:42:01,782 THE MOBILE VAN WHERE PEOPLE CAN 3527 01:42:01,782 --> 01:42:02,516 CONTINUE TO DOSE. 3528 01:42:02,516 --> 01:42:04,918 WE ALSO HAVE ACCESS TO SHOWERS, 3529 01:42:04,918 --> 01:42:06,720 SNACKS, AND LAUNDRY AND 3530 01:42:06,720 --> 01:42:08,589 OTHER SERVICES BECAUSE 3531 01:42:08,589 --> 01:42:09,723 WE'RE CO-LOCATED IN 3532 01:42:09,723 --> 01:42:13,861 THE DOWNTOWN BEHAVIORAL HEALTH 3533 01:42:13,861 --> 01:42:14,194 CLINIC, WHICH 3534 01:42:14,194 --> 01:42:15,162 THE DESC RUNS, AND ALSO ABLE 3535 01:42:15,162 --> 01:42:16,096 TO OFFER OTHER BEHAVIORAL 3536 01:42:16,096 --> 01:42:18,432 HEALTH SERVICES 3537 01:42:18,432 --> 01:42:19,500 THERE, SO WE'RE ABLE TO PROVIDE 3538 01:42:19,500 --> 01:42:19,833 CONNECTIONS 3539 01:42:19,833 --> 01:42:22,102 TO BEHAVIORAL HEALTH, OTHER 3540 01:42:22,102 --> 01:42:23,337 SHELTER, AND 3541 01:42:23,337 --> 01:42:24,104 HOUSING ALLOCATION. AND NAMELY 3542 01:42:24,104 --> 01:42:24,938 THE STAR 3543 01:42:24,938 --> 01:42:27,608 CENTER, WHICH IS DESC RUNS ALSO 3544 01:42:27,608 --> 01:42:27,841 DOWN 3545 01:42:27,841 --> 01:42:28,275 THE STREET. 3546 01:42:28,275 --> 01:42:32,646 AS YOU KNOW IT OFFERS LOTS OF 3547 01:42:32,646 --> 01:42:33,981 SHELTER BEDS -- I BELIEVE 3548 01:42:33,981 --> 01:42:35,582 90 SHELTER BEDS FOR PEOPLE UP TO 3549 01:42:35,582 --> 01:42:35,749 90 3550 01:42:35,749 --> 01:42:36,083 DAYS. 3551 01:42:36,083 --> 01:42:37,284 THE ORCA CENTER IS ABLE 3552 01:42:37,284 --> 01:42:38,252 TO PROVIDE AND MANAGE UP TO 3553 01:42:38,252 --> 01:42:38,952 FIVE OF THOSE BEDS. 3554 01:42:38,952 --> 01:42:41,154 SO THOSE ABLE TO INITIATE THOSE 3555 01:42:41,154 --> 01:42:44,224 MEDICATIONS CAN STAY THERE FOR 3556 01:42:44,224 --> 01:42:45,626 A SHORT PERIOD OF TIME IN ORDER 3557 01:42:45,626 --> 01:42:47,094 TO STABILIZE BEFORE WE DO A 3558 01:42:47,094 --> 01:42:47,928 WARM HAND OFF ELSEWHERE. 3559 01:42:47,928 --> 01:42:51,331 AND THE ORCA POD TEAMTEAM A TEAM 3560 01:42:51,331 --> 01:42:54,067 OF PROVIDERS AND NURSES AND 3561 01:42:54,067 --> 01:42:55,469 PEERS ABLE TO 3562 01:42:55,469 --> 01:42:57,638 BRING CLINICAL CARE DIRECTLY TO 3563 01:42:57,638 --> 01:42:58,105 PATIENTS IN 3564 01:42:58,105 --> 01:42:59,006 PERMANENT SUPPORTIVE HOUSING 3565 01:42:59,006 --> 01:42:59,339 AND SHELTER. 3566 01:42:59,339 --> 01:43:01,608 AND IT'S REALLY PROVIDING 3567 01:43:01,608 --> 01:43:04,278 CARE THAT WORKS BEST FOR THAT 3568 01:43:04,411 --> 01:43:05,412 INDIVIDUAL. AND MAYBE EVENTUALLY 3569 01:43:05,412 --> 01:43:05,746 THAT 3570 01:43:05,746 --> 01:43:08,181 MEANS COMING TO THE ORCA 3571 01:43:08,181 --> 01:43:10,284 CENTER, BUT WE WILL REPEATEDLY 3572 01:43:10,284 --> 01:43:10,851 KNOCK ON 3573 01:43:10,851 --> 01:43:12,452 PEOPLE'S DOORS AND LET 3574 01:43:12,452 --> 01:43:13,921 THEM KNOW WE'RE THERE FOR 3575 01:43:13,921 --> 01:43:14,788 THEM. 3576 01:43:14,788 --> 01:43:15,088 >> AWESOME. 3577 01:43:15,088 --> 01:43:15,956 AND THEN I WANT TO 3578 01:43:15,956 --> 01:43:18,892 HIGHLIGHT JUST A FEW OF OUR 3579 01:43:18,892 --> 01:43:19,159 METRICS. 3580 01:43:19,159 --> 01:43:20,928 AS BRAD SAID EARLIER, 3581 01:43:20,928 --> 01:43:22,996 PEOPLE WANT TO GET BETTER, AND 3582 01:43:22,996 --> 01:43:23,530 AS OUR 3583 01:43:23,664 --> 01:43:25,832 SERVICES HAVE EXPANDED, WE'VE 3584 01:43:25,832 --> 01:43:26,567 SEEN A REALLY HUGE DEMAND. 3585 01:43:26,567 --> 01:43:29,369 SO THE ORCA CENTER OPENED IN 3586 01:43:29,369 --> 01:43:31,171 SEPTEMBER 2025. 3587 01:43:31,171 --> 01:43:33,840 AND THEN IN JANUARY OF THIS 3588 01:43:33,840 --> 01:43:36,109 YEAR WE RECEIVED FUNDING FROM 3589 01:43:36,109 --> 01:43:36,543 HSD 3590 01:43:36,543 --> 01:43:38,712 TO EXPAND THE ORCA POD TEAM 3591 01:43:38,712 --> 01:43:40,213 WHICH IS NOW JUST ABOUT FULLY 3592 01:43:40,213 --> 01:43:42,316 STAFFED, SO 3593 01:43:42,316 --> 01:43:44,685 WE DO EXPECT THESE NUMBERS WILL 3594 01:43:44,685 --> 01:43:45,018 KEEP GROWING. 3595 01:43:45,018 --> 01:43:49,556 AT THE ORCA CENTER WE'VE SERVED 3596 01:43:49,556 --> 01:43:51,959 451 POST- OVERDOSE 3597 01:43:51,959 --> 01:43:53,994 PATIENTS BETWEEN THE ORCA CENTER 3598 01:43:53,994 --> 01:43:56,229 AND ORCA POD PROGRAMS, WE'VE 3599 01:43:56,229 --> 01:43:56,597 HAD NEARLY 3600 01:43:56,597 --> 01:43:58,265 8,000 ENCOUNTERS, EITHER 3601 01:43:58,265 --> 01:44:00,701 PEOPLE WALKING INTO THE ORCA 3602 01:44:00,701 --> 01:44:01,301 CENTER OR 3603 01:44:01,301 --> 01:44:03,270 ORCA POD STAFF OUTREACH AND 3604 01:44:03,270 --> 01:44:04,638 CLIENTS AT THEIR RESIDENCES, 3605 01:44:04,638 --> 01:44:08,342 AND THEN WE'VE HAD 713 UNIQUE 3606 01:44:08,342 --> 01:44:11,411 CLIENTS START ON MEDICATIONS FOR 3607 01:44:11,411 --> 01:44:14,548 OPIOID USE DISORDER AND 380 3608 01:44:14,548 --> 01:44:18,151 CLIENTS START ON A MONTHLY 3609 01:44:18,151 --> 01:44:20,854 LONG- ACTING INJECTABLE 3610 01:44:20,988 --> 01:44:22,122 MEDICATION. AND THEN WE JUST 3611 01:44:22,122 --> 01:44:22,322 WANT 3612 01:44:22,322 --> 01:44:23,824 TO CLOSEOUT WITH ONE 3613 01:44:23,824 --> 01:44:25,259 CLIENT STORY THAT REALLY 3614 01:44:25,259 --> 01:44:26,226 HIGHLIGHTS I THINK THE 3615 01:44:26,226 --> 01:44:26,727 PARTNERSHIPS THAT 3616 01:44:26,727 --> 01:44:29,129 ARE HAPPENING ACROSS THIS 3617 01:44:29,129 --> 01:44:29,429 COMMUNITY. 3618 01:44:29,429 --> 01:44:31,698 SO THIS CLIENT WAS A WOMAN 3619 01:44:31,698 --> 01:44:34,301 WITHWITH LONG HISTORY OF OPIOID 3620 01:44:34,301 --> 01:44:35,669 USE 3621 01:44:35,669 --> 01:44:36,236 DISORDER. 3622 01:44:36,236 --> 01:44:37,604 SHE'D BEEN TREATED WITH 3623 01:44:37,604 --> 01:44:40,540 METHADONE IN THE PAST AND HAD AN 3624 01:44:40,540 --> 01:44:41,108 OVERDOSE IN HER APARTMENT. 3625 01:44:41,108 --> 01:44:44,011 SEATTLE FIRE DEPARTMENT'S 3626 01:44:44,011 --> 01:44:44,478 HEALTH 3627 01:44:44,478 --> 01:44:46,279 99 TEAM RESPONDED TO THAT 3628 01:44:46,279 --> 01:44:56,723 PATIENT, AND THEY OFFERED 3629 01:44:58,458 --> 01:44:58,959 IT IN THE MOMENT. 3630 01:44:58,959 --> 01:45:01,428 THE HEALTH 99 TEAM WAS ABLE 3631 01:45:01,428 --> 01:45:03,163 TO SPEND AN AMOUNT OF TIME WITH 3632 01:45:03,163 --> 01:45:05,132 HER, 3633 01:45:05,132 --> 01:45:05,599 DO SOME MOTIVATIONAL 3634 01:45:05,599 --> 01:45:07,100 INTERVIEWING, AND SHE DID END 3635 01:45:07,100 --> 01:45:07,734 UP STARTING IT. 3636 01:45:07,734 --> 01:45:08,902 AND AFTER MORE 3637 01:45:08,902 --> 01:45:09,569 CONVERSATION, THE PATIENT CAME 3638 01:45:09,569 --> 01:45:10,504 TO THE ORCA CENTER. 3639 01:45:10,504 --> 01:45:12,172 SHE STAYED WITH US 3640 01:45:12,172 --> 01:45:14,074 OVERNIGHT, AND DURING HER STAY 3641 01:45:14,074 --> 01:45:14,408 SHE 3642 01:45:14,408 --> 01:45:16,910 STARTED A MONTH- LATE LONG- 3643 01:45:16,910 --> 01:45:19,780 ACTING 3644 01:45:19,780 --> 01:45:20,213 INJECTABLE. 3645 01:45:20,213 --> 01:45:21,682 AS WELL AS WORKING KS CLOSELY 3646 01:45:21,682 --> 01:45:23,950 WITH HEALTH 99, WE WORK 3647 01:45:23,950 --> 01:45:25,385 CLOSELY WITH THE HEALTH PATHWAYS 3648 01:45:25,385 --> 01:45:28,055 TEAM AND HANDED THIS PATIENT OFF 3649 01:45:28,055 --> 01:45:29,890 TO THEM TO PROVIDE OUTREACH. 3650 01:45:29,890 --> 01:45:31,458 SHE HAD MOBILITY LIMITATIONS 3651 01:45:31,458 --> 01:45:32,893 AND NEEDED CARE DELIVERED AT HER 3652 01:45:32,893 --> 01:45:35,328 HOME, THE PATHWAYS TEAM WAS 3653 01:45:35,328 --> 01:45:37,197 ABLE TO MEET THAT 3654 01:45:37,197 --> 01:45:37,464 NEED. 3655 01:45:37,464 --> 01:45:40,133 >> IF I CAN BEFORE WE CLOSE, 3656 01:45:40,133 --> 01:45:42,369 I WANT TO JUST ACKNOWLEDGE HOW 3657 01:45:42,369 --> 01:45:45,205 TRANSFORMATIONAL THE ORCA CENTER 3658 01:45:45,205 --> 01:45:45,972 HAS BEEN FOR US AND OUR 3659 01:45:45,972 --> 01:45:46,340 SYSTEM 3660 01:45:46,340 --> 01:45:47,507 OF CARE. ONE OF THE QUESTIONS 3661 01:45:47,507 --> 01:45:49,443 THAT I 3662 01:45:49,443 --> 01:45:50,277 USED TO GET OFTEN IS, LIKE, WHAT 3663 01:45:50,277 --> 01:45:52,045 DID WE LEARN FROM COVID? 3664 01:45:52,045 --> 01:45:57,150 LIKE, WE WERE ABLE TO 3665 01:45:57,150 --> 01:45:57,884 OPERATIONALIZE AND STAND 3666 01:45:57,884 --> 01:45:59,486 UP SERVICES 3667 01:45:59,486 --> 01:46:01,021 SO EXPEDIENTLY. AND ONE OF THE 3668 01:46:01,021 --> 01:46:02,355 THINGS WE DID 3669 01:46:02,355 --> 01:46:04,124 LEARN IS THAT PEOPLE IF GIVEN 3670 01:46:04,124 --> 01:46:07,527 A SAFE PLACE TO 3671 01:46:07,527 --> 01:46:08,161 BE, WOULD BE REALLY INTERESTED 3672 01:46:08,161 --> 01:46:08,695 IN 3673 01:46:08,695 --> 01:46:10,063 HAVING TREATMENT FOR THEIR 3674 01:46:10,063 --> 01:46:11,832 OPIOID USE 3675 01:46:11,832 --> 01:46:13,700 DISORDER AND REDUCING RISK FOR 3676 01:46:13,834 --> 01:46:16,269 OVERDOSE. SO IT REALLY WAS A 3677 01:46:16,269 --> 01:46:16,703 COMMUNITYCOMMUNITY 3678 01:46:16,703 --> 01:46:17,671 TO GET START WOULD THE ORCA 3679 01:46:17,671 --> 01:46:17,971 CENTER. 3680 01:46:17,971 --> 01:46:18,805 IT WAS THE CITY. 3681 01:46:18,805 --> 01:46:20,340 IT WAS THE COUNTY. 3682 01:46:20,340 --> 01:46:21,475 IT WAS OUR PARTNERS 3683 01:46:21,475 --> 01:46:22,576 AT UNIVERSITY OF 3684 01:46:22,576 --> 01:46:23,944 WASHINGTON, OBVIOUSLY OUR 3685 01:46:23,944 --> 01:46:28,949 PARTNERS AT DESC. 3686 01:46:28,949 --> 01:46:30,384 OUR PARTNERS AT HEALTH 99. 3687 01:46:30,384 --> 01:46:32,252 FOR YEARS OUR FIRST RESPONDERS 3688 01:46:32,252 --> 01:46:33,520 HAVE SAID GIVE US SOMEWHERE 3689 01:46:33,520 --> 01:46:35,589 ELSE TO SEND PEOPLE BESIDES JAIL 3690 01:46:35,589 --> 01:46:36,857 AND HOSPITALS AND WE'LL TAKE 3691 01:46:36,857 --> 01:46:37,124 THEM 3692 01:46:37,257 --> 01:46:39,393 THERE, AND THAT'S WHAT'S 3693 01:46:39,393 --> 01:46:40,160 HAPPENED. AND THIS PROOF OF 3694 01:46:40,160 --> 01:46:40,594 CONCEPT HAS 3695 01:46:40,594 --> 01:46:42,129 REALLY PROVEN QUITE AMAZING. 3696 01:46:42,129 --> 01:46:48,368 SO JUST HUGE APPRECIATION TO THE 3697 01:46:48,368 --> 01:46:48,835 COLLABORATION. 3698 01:46:48,835 --> 01:46:49,903 AND THANK YOU, COUNCILMEMBERS, 3699 01:46:49,903 --> 01:46:50,470 FOR YOUR SUPPORT. 3700 01:46:50,470 --> 01:46:54,241 AND ALL THE THANKS TO DESC FOR 3701 01:46:54,241 --> 01:46:55,742 ALL THE HARD WORK THEY DO ON A 3702 01:46:55,742 --> 01:46:56,743 DAILY BASIS. 3703 01:46:56,743 --> 01:46:57,911 WITH THAT, ANY 3704 01:46:57,911 --> 01:46:58,211 QUESTIONS? 3705 01:46:58,211 --> 01:46:59,579 >> THANK YOU SO MUCH. 3706 01:46:59,579 --> 01:47:00,714 COLLEAGUES, WHAT QUESTIONS 3707 01:47:00,714 --> 01:47:02,682 DO YOU HAVE FOR OUR 3708 01:47:02,682 --> 01:47:03,150 PRESENTERS TODAY? 3709 01:47:03,150 --> 01:47:06,086 I'LL START WITH VICE CHAIR 3710 01:47:06,219 --> 01:47:06,520 FOSTER. 3711 01:47:06,653 --> 01:47:07,254 >> FIRST OF ALL, THANK YOU ALL 3712 01:47:07,254 --> 01:47:07,788 SO MUCH FOR THE WORK YOU 3713 01:47:07,788 --> 01:47:09,322 DO EVERY DAY, 3714 01:47:09,322 --> 01:47:10,290 SORRY, AND MAKING OUR CITY JUST 3715 01:47:10,290 --> 01:47:11,124 A SAFER AND 3716 01:47:11,124 --> 01:47:12,459 HEALTHIER PLACE. 3717 01:47:12,459 --> 01:47:13,660 I DEEPLY APPRECIATE IT. 3718 01:47:13,660 --> 01:47:17,330 I WANT TO -- I'M FIRST GOING 3719 01:47:17,330 --> 01:47:19,199 TO ASK IT'S IT'S NOT A 3720 01:47:19,199 --> 01:47:20,634 TECHNICAL QUESTION BUT AN 3721 01:47:20,634 --> 01:47:20,901 EXPLAINER 3722 01:47:20,901 --> 01:47:22,135 QUESTION. I DON'T MEAN TO ASK 3723 01:47:22,135 --> 01:47:22,502 YOU TO 3724 01:47:22,502 --> 01:47:24,905 GO INTO VIVID DETAIL, BUT I DO 3725 01:47:24,905 --> 01:47:25,105 WANT 3726 01:47:25,105 --> 01:47:27,607 YOU TO EXPLAIN A BIT ABOUT WHAT 3727 01:47:27,741 --> 01:47:29,576 PRECIPITATED 3728 01:47:29,576 --> 01:47:30,210 WITHDRAWAL IS. I THINK IT'S 3729 01:47:30,210 --> 01:47:30,544 IMPORTANT -- 3730 01:47:30,544 --> 01:47:31,812 I LEARNED A LOT OVER THE 3731 01:47:31,812 --> 01:47:33,013 LAST YEAR ABOUT THE CHALLENGES 3732 01:47:33,013 --> 01:47:33,346 THAT PEOPLE 3733 01:47:33,346 --> 01:47:34,281 HAVE WHEN THEY'RE 3734 01:47:34,281 --> 01:47:35,248 SEEKING TREATMENT AND SOME OF 3735 01:47:35,248 --> 01:47:35,515 THE 3736 01:47:35,515 --> 01:47:37,451 THINGS THAT REALLY KEEP PEOPLE 3737 01:47:37,451 --> 01:47:38,852 FROM SEEKING TREATMENT. 3738 01:47:38,985 --> 01:47:41,254 AND THE THING I HEARD A LOT 3739 01:47:41,254 --> 01:47:42,589 ABOUT 3740 01:47:42,589 --> 01:47:43,190 WAS THE WITHDRAWAL SYMPTOMS. 3741 01:47:43,190 --> 01:47:44,991 AND IF YOU CAN JUST SPEAK TO IT 3742 01:47:44,991 --> 01:47:47,394 BRIEFLY, I DON'T MEAN TO ASK 3743 01:47:47,394 --> 01:47:49,696 YOU 3744 01:47:49,696 --> 01:47:52,466 TO BE TOO VIVID, BUT I DO 3745 01:47:52,466 --> 01:47:52,666 THINK 3746 01:47:52,666 --> 01:47:53,233 IT'S AN IMPORTANT FACT. 3747 01:47:53,233 --> 01:47:55,869 >> LUCKILY, WE HAVE A 3748 01:47:55,869 --> 01:47:56,970 TRADITIONAL MEDICINE DOCTOR ON 3749 01:47:56,970 --> 01:47:58,238 THE 3750 01:47:58,238 --> 01:47:58,605 PANEL. 3751 01:47:58,605 --> 01:47:59,339 >> THANK YOU FOR THAT QUESTION. 3752 01:47:59,339 --> 01:48:00,974 YEAH, IF IT'S OKAY I'M GOING 3753 01:48:00,974 --> 01:48:02,475 TO TALK A BIT ABOUT THE 3754 01:48:02,475 --> 01:48:03,677 RECEPTORS OR CUPS IN 3755 01:48:03,677 --> 01:48:04,144 OUR BODY. 3756 01:48:04,144 --> 01:48:04,945 >> 3757 01:48:04,945 --> 01:48:05,278 GREAT. 3758 01:48:05,278 --> 01:48:09,049 >> SO THOSE OPIOID RECEPTORS OR 3759 01:48:09,049 --> 01:48:12,853 CUPS ARE KIND OF THROUGHOUT OUR 3760 01:48:12,986 --> 01:48:13,920 BODIES, AND OPIOIDS BUY INTO 3761 01:48:13,920 --> 01:48:14,354 THEM. 3762 01:48:14,354 --> 01:48:18,892 SO OPIOIDS FULLY FILLS UP THAT 3763 01:48:19,025 --> 01:48:23,096 CUP. OTHER FULL OPIOIDS, OX 3764 01:48:23,096 --> 01:48:23,330 COTTON, 3765 01:48:23,330 --> 01:48:24,531 METHADONE, FULLY FILL UP 3766 01:48:24,531 --> 01:48:24,898 THAT CUP. 3767 01:48:24,898 --> 01:48:26,600 IT ALL DEPENDS ON THE HALF 3768 01:48:26,600 --> 01:48:27,634 LIFE OR HOW LONG IT STICKS 3769 01:48:27,634 --> 01:48:27,901 AROUND 3770 01:48:27,901 --> 01:48:30,103 IN THE BODY HOW LONG IT IS 3771 01:48:30,103 --> 01:48:32,539 FULL, SO IT EMPTIES DEPENDING ON 3772 01:48:32,539 --> 01:48:33,139 THAT HALF LIFE. 3773 01:48:33,139 --> 01:48:37,010 SO FENTANYL IS SUPER 3774 01:48:37,010 --> 01:48:37,210 SHORT 3775 01:48:37,210 --> 01:48:39,079 ACTING. FILLS UP THAT CUP AND 3776 01:48:39,079 --> 01:48:39,579 WEARS OFF. 3777 01:48:39,579 --> 01:48:40,847 SO OFTEN THEY'RE JUST TRYING TO 3778 01:48:40,847 --> 01:48:42,749 KEEP THAT CUP FULL SO THEY 3779 01:48:42,749 --> 01:48:43,450 DON'T FEEL SICK. 3780 01:48:43,450 --> 01:48:45,519 EVERY TIME THAT CUP IS 3781 01:48:45,519 --> 01:48:47,120 EMPTY PEOPLE FEEL WITHDRAWAL 3782 01:48:47,120 --> 01:48:47,621 AND CRAVINGS. 3783 01:48:47,621 --> 01:48:48,588 AS YOU CAN IMAGINE YOU'RE 3784 01:48:48,588 --> 01:48:50,323 TRYING TO CONSTANTLY FILL UP 3785 01:48:50,323 --> 01:48:50,590 THAT CUP 3786 01:48:50,590 --> 01:48:52,025 ESPECIALLY IN THIS ERA 3787 01:48:52,025 --> 01:48:52,525 OF FENTANYL. 3788 01:48:52,525 --> 01:48:54,361 SO THE TWO MEDICATIONS WE USE 3789 01:48:54,361 --> 01:48:55,629 IN ORDER TO COMBAT NOT 3790 01:48:55,629 --> 01:48:58,298 JUST WITHDRAWAL AND CRAVINGS BUT 3791 01:48:58,298 --> 01:48:58,498 ALSO 3792 01:48:58,498 --> 01:48:59,699 REDUCING MORTALITY 3793 01:48:59,699 --> 01:48:59,866 AND 3794 01:48:59,866 --> 01:49:01,868 METHADONE. SO METHADONE AND 3795 01:49:01,868 --> 01:49:02,102 OPIOID 3796 01:49:02,102 --> 01:49:03,370 CAN COMPLETELY FILL UP THAT CUP 3797 01:49:03,370 --> 01:49:04,638 AND HELP WITH WITHDRAWAL AND 3798 01:49:04,771 --> 01:49:07,574 CRAVINGS. SOME OF THE NEGATIVE 3799 01:49:07,574 --> 01:49:09,209 SIDE EFFECTS OF METHADONE, 3800 01:49:09,209 --> 01:49:11,144 THOUGH, ARE WHEN USED WITH OTHER 3801 01:49:11,144 --> 01:49:13,647 SEDATING SUBSTANCES IT CAN 3802 01:49:13,647 --> 01:49:15,115 CAUSE INCREASED SEDATION, 3803 01:49:15,115 --> 01:49:17,350 OTHER PROBLEMS AND THOSE KINDS 3804 01:49:17,350 --> 01:49:17,551 OF 3805 01:49:17,551 --> 01:49:19,352 THINGS. METHADONE NEEDS TO BE 3806 01:49:19,352 --> 01:49:20,220 SLOWLY INCREASED OVER TIME IN 3807 01:49:20,220 --> 01:49:20,654 ORDER 3808 01:49:20,654 --> 01:49:23,423 TO BE AT A THERAPEUTIC 3809 01:49:23,423 --> 01:49:24,291 LEVEL, AND SOMETIMES THAT CAN 3810 01:49:24,291 --> 01:49:24,824 TAKE WEEKS, 3811 01:49:24,824 --> 01:49:25,692 MONTHS, FOR PEOPLE 3812 01:49:25,692 --> 01:49:26,793 TO EVENTUALLY GET THAT CUP 3813 01:49:26,793 --> 01:49:27,227 COMPLETELY 3814 01:49:27,227 --> 01:49:30,363 FULL, AND PEOPLE CAN FEEL WELL. 3815 01:49:30,363 --> 01:49:33,633 IT'S A PARTIAL OPIOID 3816 01:49:33,633 --> 01:49:35,168 AGONIST, SO IT PARTIALLY FILLS 3817 01:49:35,168 --> 01:49:35,402 UP 3818 01:49:35,402 --> 01:49:37,737 THAT CUP JUST ENOUGH TO HELP 3819 01:49:37,737 --> 01:49:37,938 WITH 3820 01:49:37,938 --> 01:49:39,172 WITHDRAWAL AND CRAVINGS BUT 3821 01:49:39,172 --> 01:49:40,840 IT DOESN'T FULLY FILL UP THAT 3822 01:49:40,840 --> 01:49:41,041 CUP. 3823 01:49:41,041 --> 01:49:42,442 IT ONLY PARTIALLY FILLS IT 3824 01:49:42,442 --> 01:49:45,612 UP, SO IT DOESN'T CUT SOME 3825 01:49:45,612 --> 01:49:47,781 OF THE NEGATIVE SIDE EFFECTS 3826 01:49:47,781 --> 01:49:48,648 LIKE SEDATION, RESPIRATORY 3827 01:49:48,648 --> 01:49:49,749 INFECTION, OTHER THINGS 3828 01:49:49,749 --> 01:49:50,050 ESPECIALLY 3829 01:49:50,050 --> 01:49:52,485 WHEN PEOPLE ARE USING 3830 01:49:52,485 --> 01:49:54,087 POTENTIALLY OTHER PREDATING 3831 01:49:54,087 --> 01:49:54,621 SUBSTANCES. 3832 01:49:54,621 --> 01:49:56,723 THE ISSUE IS HOW DO YOU GET 3833 01:49:56,723 --> 01:49:58,658 FROM THE TENTH FLOOR OF THAT 3834 01:49:58,658 --> 01:49:58,925 BUILDING 3835 01:49:58,925 --> 01:49:59,826 TO THE FIFTH FLOOR OF THAT 3836 01:49:59,826 --> 01:50:00,160 BUILDING? 3837 01:50:00,160 --> 01:50:01,227 BECAUSE IF YOU'RE ON THE 3838 01:50:01,227 --> 01:50:02,595 TENTH FLOOR BECAUSE YOU'RE 3839 01:50:02,595 --> 01:50:03,763 ACTIVELY USING FENTANYL OR HAVE 3840 01:50:03,763 --> 01:50:04,230 A FULL 3841 01:50:04,230 --> 01:50:07,233 OPIOID AGONIST IN YOUR SYSTEM, 3842 01:50:07,233 --> 01:50:08,234 YOU NEED TO GET TO THE 3843 01:50:08,234 --> 01:50:10,503 FIFTH FLOOR WITHOUT GOING TOO 3844 01:50:10,503 --> 01:50:10,737 FAST. 3845 01:50:10,737 --> 01:50:12,005 BECAUSE THAT DROP FROM THE 3846 01:50:12,005 --> 01:50:14,841 TENTH FLOOR OF THE BIDDING TO 3847 01:50:14,841 --> 01:50:15,508 THE FIFTH FLOOR MAKES PEOPLE 3848 01:50:15,508 --> 01:50:15,709 FEEL 3849 01:50:15,842 --> 01:50:17,177 SICK. SO IF YOU CAN IMAGINE 3850 01:50:17,177 --> 01:50:19,412 YOU'RE IN AN ELEVATOR AND YOU 3851 01:50:19,412 --> 01:50:20,113 DROP TO THAT 3852 01:50:20,113 --> 01:50:23,350 FIFTH FLOOR IT CAN CAUSE NAUSEA, 3853 01:50:23,350 --> 01:50:25,518 UNFORTUNATELY IN THIS SITUATION 3854 01:50:25,518 --> 01:50:26,886 DIARRHEA, IRRITABILITY. 3855 01:50:26,886 --> 01:50:28,088 SOME PEOPLE SAY THE 3856 01:50:28,088 --> 01:50:30,390 WORST INFECTION OR FLU OF YOUR 3857 01:50:30,390 --> 01:50:31,424 LIFE, BUT I WOULD SAY IT'S MUCH 3858 01:50:31,424 --> 01:50:31,725 WORSE. 3859 01:50:31,725 --> 01:50:33,526 SO WE HAVE TO BE TRICKY HOW 3860 01:50:33,526 --> 01:50:36,529 TO GET ONTO THAT FIFTH FLOOR. 3861 01:50:36,529 --> 01:50:38,832 HISTORICALLY WE'VE DONE 3862 01:50:38,832 --> 01:50:40,734 TEENY TINY LITTLE BITS OF 3863 01:50:40,734 --> 01:50:42,802 MEDICATION TO GET PEOPLE UP TO 3864 01:50:42,802 --> 01:50:43,103 THAT LEVEL. 3865 01:50:43,103 --> 01:50:45,839 WITH THE LONG- ACTING LEVELS 3866 01:50:45,839 --> 01:50:47,273 THAT COMES IN DIFFERENT 3867 01:50:47,273 --> 01:50:48,308 FORMULATIONS AND DIFFERENT 3868 01:50:48,308 --> 01:50:48,575 DOSES, WE 3869 01:50:48,575 --> 01:50:49,776 CAN GET SOMEONE ELSE UP TO THE 3870 01:50:49,776 --> 01:50:51,611 FIRST FLOOR ON DAY ONE, THE 3871 01:50:51,611 --> 01:50:53,146 THIRD FLOOR ON DAY TWO, AND THEN 3872 01:50:53,146 --> 01:50:54,514 THE FIFTH FLOOR ON DAY 3873 01:50:54,514 --> 01:50:57,050 THREE, AND EASE PEOPLE ONTO THAT 3874 01:50:57,050 --> 01:50:57,350 MEDICATION 3875 01:50:57,350 --> 01:50:59,519 SLOWLY TO MINIMIZE THE RISK 3876 01:50:59,519 --> 01:51:00,253 OF PRECIPITATED WITHDRAWAL. 3877 01:51:00,253 --> 01:51:01,388 AND THEN THE IMPORTANCE, 3878 01:51:01,388 --> 01:51:02,789 TOO, IS THAT FOLKS HAVE TO 3879 01:51:02,789 --> 01:51:04,491 CONTINUE TO 3880 01:51:04,491 --> 01:51:05,191 HAVE FULL OPIOID 3881 01:51:05,191 --> 01:51:07,927 AGONISTS ONBOARD TO NOT FEEL 3882 01:51:07,927 --> 01:51:08,194 SICK. 3883 01:51:08,194 --> 01:51:09,896 AND IT'S BEEN NICE AT THE 3884 01:51:09,896 --> 01:51:11,431 ORCA CENTER WHERE WE HAVE ACCESS 3885 01:51:11,431 --> 01:51:13,233 TO METHADONE AND OTHER FULL 3886 01:51:13,233 --> 01:51:13,466 OPIOID 3887 01:51:13,466 --> 01:51:14,434 AGONISTS TO ADDRESS 3888 01:51:14,434 --> 01:51:15,335 PEOPLE'S SYMPTOMS TO ALSO 3889 01:51:15,335 --> 01:51:15,802 REDUCE 3890 01:51:15,802 --> 01:51:18,371 THE RISKS OF 3891 01:51:18,371 --> 01:51:18,972 PRECIPITATED WITHDRAWAL, AND 3892 01:51:18,972 --> 01:51:19,305 ALSO WHAT WE 3893 01:51:19,305 --> 01:51:20,740 SAY IS PROTRACTED WITHDRAWAL, 3894 01:51:20,740 --> 01:51:21,574 WITHDRAWAL THAT WOULD 3895 01:51:21,574 --> 01:51:23,710 JUST CONTINUE BECAUSE OF 3896 01:51:23,710 --> 01:51:25,478 ABSTINENCE OR ABSTAINING 3897 01:51:25,478 --> 01:51:26,513 FROM OPIOIDS. HOPEFULLY THAT 3898 01:51:26,513 --> 01:51:29,549 ANSWERS YOUR 3899 01:51:29,549 --> 01:51:29,816 QUESTION. 3900 01:51:29,949 --> 01:51:31,117 >> IT FANTASTICALLY 3901 01:51:31,117 --> 01:51:32,318 DID. THANK YOU SO MUCH. 3902 01:51:32,318 --> 01:51:33,753 AND I THINK IT -- AND I'M 3903 01:51:33,753 --> 01:51:42,295 GOING TO NOW HAVE THIS CUP 3904 01:51:42,295 --> 01:51:42,629 ANALOGY. 3905 01:51:42,629 --> 01:51:43,930 I FEEL LIKE YOU WERE SPEAKING 3906 01:51:43,930 --> 01:51:46,332 TO MY LEARNING STYLE, SO THANK 3907 01:51:46,332 --> 01:51:47,033 YOU 3908 01:51:47,167 --> 01:51:47,600 FOR THAT. 3909 01:51:47,600 --> 01:51:48,168 YOU WERE TALKING ABOUT THE 3910 01:51:48,168 --> 01:51:48,601 ABILITY HOW TO GET 3911 01:51:48,601 --> 01:51:49,869 ONTO THE RIGHT FLOOR IN A MORE 3912 01:51:49,869 --> 01:51:50,570 RAPID 3913 01:51:50,570 --> 01:51:51,371 WAY, EASING THOSE 3914 01:51:51,371 --> 01:51:51,838 WITHDRAWAL SYMPTOMS. 3915 01:51:51,838 --> 01:51:53,373 WHAT I HEARD WHEN I WAS -- I 3916 01:51:53,373 --> 01:51:55,275 GOT TO 3917 01:51:55,275 --> 01:51:57,210 VISIT THE ORCA CENTER LAST YEAR 3918 01:51:57,210 --> 01:51:57,844 BEFORE IT OPENED AND DO A TOUR 3919 01:51:57,844 --> 01:51:58,878 AND TALK TO SOME TREATMENT 3920 01:51:58,878 --> 01:51:59,946 PROVIDERS, AND WHAT I 3921 01:51:59,946 --> 01:52:02,015 HEARD REALLY CLEARLY WAS HOW 3922 01:52:02,015 --> 01:52:03,616 IMPORTANT THAT IS FOR SUPPORTING 3923 01:52:03,616 --> 01:52:04,784 PEOPLE NOT JUST WITH THE 3924 01:52:04,784 --> 01:52:05,085 EXPERIENCE 3925 01:52:05,085 --> 01:52:07,520 BUT WITH THE UPTICK. 3926 01:52:07,520 --> 01:52:08,188 AND I FEEL LIKE WE'RE SEEING 3927 01:52:08,188 --> 01:52:09,422 THAT IN THE NUMBERS THAT ARE IN 3928 01:52:09,422 --> 01:52:10,657 THE SLIDES YOU SHARED WITH US 3929 01:52:10,657 --> 01:52:12,892 TODAY, 3930 01:52:12,892 --> 01:52:13,693 JUST SEEING HOW MANY ENCOUNTERS 3931 01:52:13,693 --> 01:52:14,461 YOU'VE HAD, 3932 01:52:14,461 --> 01:52:15,695 AND HOW MANY PATIENTS THAT ARE 3933 01:52:15,695 --> 01:52:16,496 NOW PARTICIPATING IN THE 3934 01:52:16,496 --> 01:52:16,763 PROGRAM. 3935 01:52:16,763 --> 01:52:27,073 SO THANK YOU FOR 3936 01:52:28,108 --> 01:52:32,879 THAT. MY FOLLOW- UP QUESTION IS 3937 01:52:32,879 --> 01:52:33,546 KIND OF FROM YOU TO US, IN WHAT 3938 01:52:33,546 --> 01:52:35,849 WOULD IT TAKE TO SCALEUP 3939 01:52:35,849 --> 01:52:36,216 INVESTMENTS SO 3940 01:52:36,216 --> 01:52:37,317 THAT THE ORCA CENTER CAN 3941 01:52:37,317 --> 01:52:38,151 CONTINUE TO HAVE SUCCESS? 3942 01:52:38,151 --> 01:52:39,452 WHEN WE THINK ABOUT THE 3943 01:52:39,452 --> 01:52:40,720 ORCA CENTER AND STAR CENTER 3944 01:52:40,720 --> 01:52:41,921 COMING ONLINE AND THE IMPACT 3945 01:52:41,921 --> 01:52:44,390 THEY'RE HAVING, AND WHEN WE 3946 01:52:44,390 --> 01:52:47,060 CERTAINLY SEE AND FEEL THE 3947 01:52:47,060 --> 01:52:47,794 FENTANYL EPIDEMIC IN PARTICULAR 3948 01:52:47,794 --> 01:52:48,061 IN 3949 01:52:48,061 --> 01:52:48,361 OUR 3950 01:52:48,361 --> 01:52:49,395 COMMUNITY? HOW ARE WE THINKING 3951 01:52:49,395 --> 01:52:49,596 ABOUT 3952 01:52:49,596 --> 01:52:53,066 SORT OF SCALE AND NEED TO MAKE 3953 01:52:53,066 --> 01:52:53,266 SURE 3954 01:52:53,266 --> 01:52:53,833 THAT WE CAN CONTINUE TO SEE 3955 01:52:53,833 --> 01:53:03,610 SUCCESS? 3956 01:53:03,743 --> 01:53:06,179 >> YEAH, I THINK -- I 3957 01:53:06,179 --> 01:53:07,747 MEAN, FIRST OF ALL, IT IS THE 3958 01:53:07,747 --> 01:53:08,882 DEMAND CERTAINLY CONTINUES TO 3959 01:53:08,882 --> 01:53:11,451 EXCEED OUR CAPACITIES, SO 3960 01:53:11,451 --> 01:53:13,953 MORE INVESTMENTS WITH 3961 01:53:13,953 --> 01:53:14,787 PROVIDERS CERTAINLY ARE ALWAYS 3962 01:53:14,787 --> 01:53:15,788 -- 3963 01:53:15,788 --> 01:53:16,189 ALWAYS HELPFUL. 3964 01:53:16,189 --> 01:53:17,624 AND THEN, YOU KNOW, AS 3965 01:53:17,624 --> 01:53:20,126 BRAD MENTIONED EARLIER, 3966 01:53:20,126 --> 01:53:21,661 MEDICATIONS ARE SO IMPORTANT, 3967 01:53:21,661 --> 01:53:22,896 BUT SO 3968 01:53:22,896 --> 01:53:23,396 IS 3969 01:53:23,396 --> 01:53:24,831 EVERYTHING ELSE. SO INCREASING 3970 01:53:24,831 --> 01:53:26,432 ACCESS TO 3971 01:53:26,432 --> 01:53:28,735 SHELTER RESOURCES IS CERTAINLY 3972 01:53:28,735 --> 01:53:29,202 SUPER 3973 01:53:29,202 --> 01:53:31,437 HELPFUL, AND OTHER 3974 01:53:31,437 --> 01:53:33,306 RESOURCES TO HELP ADDRESS OTHER 3975 01:53:33,306 --> 01:53:34,140 SOCIAL DETERMINANTS OF 3976 01:53:34,140 --> 01:53:34,541 HEALTH. 3977 01:53:34,541 --> 01:53:37,243 >> ANYTHING TO ADD, 3978 01:53:37,243 --> 01:53:37,610 CALLAN? 3979 01:53:37,610 --> 01:53:40,713 >> I THINK WHAT WE ALSOALSO 3980 01:53:40,713 --> 01:53:43,783 WE HAD THE PRIVILEGE OF BEING 3981 01:53:43,783 --> 01:53:46,753 THE ONE MOUD PROVIDER FOR SOME 3982 01:53:46,753 --> 01:53:51,090 OF THE SEATTLE DEPARTMENTS 3983 01:53:51,090 --> 01:53:52,458 AND POP UPS THEY'VE DONE LAST 3984 01:53:52,458 --> 01:53:52,659 YEAR. 3985 01:53:52,659 --> 01:53:54,227 AGAIN, A DEMAND THAT FAR EXCEEDS 3986 01:53:54,227 --> 01:53:56,763 THE CAPACITY TO BE ABLE 3987 01:53:56,763 --> 01:53:57,030 TO 3988 01:53:57,030 --> 01:53:57,697 SERVE. AND I THINK WHAT WE ALSO 3989 01:53:57,697 --> 01:53:57,864 SAW 3990 01:53:57,864 --> 01:53:59,065 IN THAT SETTING IS THAT THE 3991 01:53:59,065 --> 01:54:00,967 FOLKS WHO WERE HOUSED OR WHO WE 3992 01:54:00,967 --> 01:54:02,602 COULD FIND THE NEXT DAY AND 3993 01:54:02,602 --> 01:54:03,770 OUTREACH, WE WERE ABLE TO 3994 01:54:03,770 --> 01:54:04,003 SUPPORT 3995 01:54:04,003 --> 01:54:05,138 THROUGH THE PROCESS. 3996 01:54:05,138 --> 01:54:07,640 SO I THINK THAT WAS -- HAS BEEN 3997 01:54:07,640 --> 01:54:08,575 SO INVALUABLE ESPECIALLY 3998 01:54:08,575 --> 01:54:10,143 WITH THE STAR CENTER BEING JUST 3999 01:54:10,143 --> 01:54:11,744 AROUND THE CORNER, TO BE ABLE 4000 01:54:11,744 --> 01:54:14,280 TO HOUSE FOLKS BECAUSE WE CAN 4001 01:54:14,280 --> 01:54:14,847 START 4002 01:54:14,847 --> 01:54:16,816 SOMEONE AFTER AN OVERDOSE 4003 01:54:16,816 --> 01:54:18,818 EVENT -- ACTUALLY, THIS 4004 01:54:18,818 --> 01:54:19,219 JUST HAPPENED. 4005 01:54:19,219 --> 01:54:20,954 WE START SOMEONE ON A 4006 01:54:20,954 --> 01:54:22,589 MEDICATION AFTER AN OVERDOSE 4007 01:54:22,589 --> 01:54:23,389 EVENT ON 4008 01:54:23,389 --> 01:54:24,057 ORAL MEDICATION. 4009 01:54:24,057 --> 01:54:26,259 THIS PERSON WAS UNINSURED 4010 01:54:26,259 --> 01:54:28,261 AND COULDN'T BE ENSURED IN OUR 4011 01:54:28,261 --> 01:54:30,496 CITY, SO THAT PERSON WAS SENT TO 4012 01:54:30,496 --> 01:54:31,264 THE STAR CENTER. 4013 01:54:31,264 --> 01:54:32,799 HEALTH 99 BROUGHT THEM TO 4014 01:54:32,799 --> 01:54:34,067 THE PATHWAY AFTERWARDS. 4015 01:54:34,067 --> 01:54:35,635 AND THEY'D BEEN IN OUR CITY 4016 01:54:35,635 --> 01:54:37,971 FOR THREE YEARS AND UNENGAGED IN 4017 01:54:37,971 --> 01:54:38,338 OUR SERVICES. 4018 01:54:38,338 --> 01:54:40,673 AND NOT BECAUSE OF -- 4019 01:54:40,673 --> 01:54:40,907 NOT FOR 4020 01:54:40,907 --> 01:54:41,841 WANT. IT'S JUST IMPOSSIBLE FOR 4021 01:54:41,841 --> 01:54:43,776 THEM TO BE FOUND IN A WAY TO 4022 01:54:43,776 --> 01:54:44,911 HELP SUPPORT THEM. 4023 01:54:44,911 --> 01:54:46,379 SO I THINK JUST THAT 4024 01:54:46,379 --> 01:54:47,714 CONNECTION OF MEDICATIONS AND 4025 01:54:47,714 --> 01:54:48,114 HOUSING 4026 01:54:48,114 --> 01:54:50,016 AND BEING ABLE TO OUTREACH THEM 4027 01:54:50,016 --> 01:54:50,183 AND 4028 01:54:50,183 --> 01:54:51,651 BE ABLE TO LINK THOSE 4029 01:54:51,651 --> 01:54:53,286 TWO THINGS -- BECAUSE REALLY 4030 01:54:53,286 --> 01:54:54,654 THE SPECIAL SAUCE WHEN WE 4031 01:54:54,654 --> 01:54:56,322 FIRST STARTED EVEN PRIOR TO ORCA 4032 01:54:56,322 --> 01:54:59,592 OPENING WAS THE OUTREACH. 4033 01:54:59,592 --> 01:55:00,126 TO BE ABLE TO SHOW UP 4034 01:55:00,126 --> 01:55:01,527 FOR SOMEONE REPEATEDLY AND 4035 01:55:01,527 --> 01:55:04,397 WITHOUT AN AGENDA AND NOT 4036 01:55:04,397 --> 01:55:05,064 NECESSARILY FOR MEDICATIONS BUT 4037 01:55:05,064 --> 01:55:06,966 JUST TO 4038 01:55:06,966 --> 01:55:08,401 SHOW UP FOR THEM, TO KNOW THAT 4039 01:55:08,401 --> 01:55:10,770 I'M IN YOUR CORNER AND I WILL 4040 01:55:10,770 --> 01:55:11,671 HELP SUPPORT YOU AND THE 4041 01:55:11,671 --> 01:55:12,038 GOALS YOU HAVE. 4042 01:55:12,038 --> 01:55:13,406 AND SOMETIMES THAT DOESN'T 4043 01:55:13,406 --> 01:55:14,374 COME THROUGH IN THE NUMBERS 4044 01:55:14,374 --> 01:55:17,810 BECAUSE IT TAKES TEN OR 20 4045 01:55:17,810 --> 01:55:18,177 OUTREACHES TO 4046 01:55:18,177 --> 01:55:19,846 HELP SUPPORT THEM AND MAYBE 4047 01:55:19,846 --> 01:55:22,515 TO ONE DAY WANTING MEDICATIONS. 4048 01:55:22,515 --> 01:55:24,951 SO I THINK ACKNOWLEDGEMENT 4049 01:55:24,951 --> 01:55:26,219 THE NUMBERS WILL BE SLIGHTLY 4050 01:55:26,219 --> 01:55:27,186 LESS ON 4051 01:55:27,186 --> 01:55:29,956 THAT MEDICATION THAN JUST ON THE 4052 01:55:30,089 --> 01:55:30,590 OUTREACH. 4053 01:55:30,590 --> 01:55:32,325 >> I WANTED TO SAY 4054 01:55:32,325 --> 01:55:33,459 QUICKLY AS WELL I WANTED TO 4055 01:55:33,459 --> 01:55:33,926 THANK 4056 01:55:33,926 --> 01:55:35,762 MAYOR WILSON AND THE COUNTY AS 4057 01:55:35,762 --> 01:55:37,463 WELL ON THE EMPHASIS ON THE 4058 01:55:37,463 --> 01:55:38,931 OUTREACH STRATEGY AS WELL AND 4059 01:55:38,931 --> 01:55:39,132 THE 4060 01:55:39,132 --> 01:55:40,566 FOCUS AS MENTIONED MAKING SURE 4061 01:55:40,566 --> 01:55:42,435 THESE SERVICES CAN COME TO FOLKS 4062 01:55:42,435 --> 01:55:42,769 AT THOSE 4063 01:55:42,769 --> 01:55:44,904 NEW SITES. AND I WANTED TO THANK 4064 01:55:44,904 --> 01:55:48,641 PUBLIC HEALTH AND DESC AND OTHER 4065 01:55:48,775 --> 01:55:49,342 PROVIDERS WE'VE HAD 4066 01:55:49,475 --> 01:55:50,076 CONVERSATIONS ABOUT HOW WE CAN 4067 01:55:50,076 --> 01:55:50,610 GROW AND EXPAND THAT IN 4068 01:55:50,610 --> 01:55:51,044 THE COMING 4069 01:55:51,044 --> 01:55:52,178 YEAR. 4070 01:55:52,178 --> 01:55:53,913 >> YEAH, I THINK AS HAS BEEN 4071 01:55:53,913 --> 01:55:55,381 MENTIONED, A KEY PARTNER IN 4072 01:55:55,381 --> 01:55:57,350 THIS IS HEALTH 99 AND THE 4073 01:55:57,350 --> 01:55:59,085 SEATTLE FIRE DEPARTMENT, THE 4074 01:55:59,085 --> 01:56:00,253 WORK THAT 4075 01:56:00,253 --> 01:56:02,588 THEY'RE DOING AROUND POP- 4076 01:56:02,588 --> 01:56:05,591 UPS, AROUND GETTING FOLKS INTO 4077 01:56:05,591 --> 01:56:08,161 CARE AND TRIAGING CASE 4078 01:56:08,161 --> 01:56:09,562 MANAGEMENT 4079 01:56:09,562 --> 01:56:09,996 AND FOLLOW-UP. 4080 01:56:09,996 --> 01:56:12,632 THE IMPORTANT -- ONE OF 4081 01:56:12,632 --> 01:56:14,033 THE THINGS THAT DR. FOCKELE WAS 4082 01:56:14,033 --> 01:56:16,970 TALKING ABOUT WITH THE 4083 01:56:16,970 --> 01:56:21,841 MULTISHOTS IS THAT DESC HAS BEEN 4084 01:56:21,841 --> 01:56:24,310 WITH THE FORE RUNNER IN THIS 4085 01:56:24,310 --> 01:56:25,411 COUNTRY ABOUT INJECTION AND 4086 01:56:25,411 --> 01:56:30,717 HOW THAT WORKS AND THIS MULTI- 4087 01:56:30,717 --> 01:56:32,785 DAY THREE-SHOT REGIMEN AND 4088 01:56:32,785 --> 01:56:34,754 REALLY TRANSFORMING OUR SYSTEM 4089 01:56:34,754 --> 01:56:34,921 OF 4090 01:56:34,921 --> 01:56:35,922 CARE BASED UPON THAT. 4091 01:56:35,922 --> 01:56:37,323 SO ANYTHING WE CAN DO 4092 01:56:37,323 --> 01:56:38,391 TO CONTINUE TO SUPPORT PEOPLE 4093 01:56:38,391 --> 01:56:40,026 TO ESPECIALLY GET TO THAT THIRD 4094 01:56:40,026 --> 01:56:42,161 DAY, AND THEN HOW DO WE GET -- 4095 01:56:42,161 --> 01:56:45,098 HOW DO WE DO FOLLOW- UP IN A 4096 01:56:45,098 --> 01:56:46,866 MONTH, AS YOU SHOWED FROM OUR 4097 01:56:46,866 --> 01:56:48,835 DASHBOARD WHAT THE 4098 01:56:48,835 --> 01:56:49,135 MEDICATION 4099 01:56:49,135 --> 01:56:50,069 INDICATORS. IT'S REALLY ABOUT 4100 01:56:50,069 --> 01:56:50,436 GETTING PEOPLE 4101 01:56:50,436 --> 01:56:52,105 START ASKED THEN KEEPING THEM 4102 01:56:52,105 --> 01:56:53,406 ON MEDICATION TO BE ABLE 4103 01:56:53,406 --> 01:56:55,007 TO STABILIZE AND STABILIZE SOME 4104 01:56:55,007 --> 01:56:55,675 OF THIS OTHER CARE. 4105 01:56:55,675 --> 01:56:57,377 THE LAST THING I'LL JUST 4106 01:56:57,377 --> 01:56:59,379 SAY REAL QUICK IS THE 4107 01:56:59,379 --> 01:57:00,213 MEDICATION'S SUPER EXPENSIVE. 4108 01:57:00,213 --> 01:57:03,249 AND LUCKILY RIGHT NOW 4109 01:57:03,249 --> 01:57:05,718 MEDICATION COVERS 4110 01:57:05,718 --> 01:57:06,352 THE MEDICATION. BUT WHEN PEOPLE 4111 01:57:06,352 --> 01:57:06,719 DO NOT HAVE 4112 01:57:06,719 --> 01:57:07,720 MEDICAID, PUBLIC HEALTH 4113 01:57:07,720 --> 01:57:09,188 IS SPENDING A LOT OF TIME, 4114 01:57:09,188 --> 01:57:09,522 ENERGY, 4115 01:57:09,522 --> 01:57:10,823 EFFORT, AND RESOURCES ON TRYING 4116 01:57:10,823 --> 01:57:16,729 TO MAKE SURE THAT 4117 01:57:16,729 --> 01:57:17,096 AGENCIES HAVE 4118 01:57:17,096 --> 01:57:18,197 A FAIL SAFE TO BE ABLE TO 4119 01:57:18,197 --> 01:57:19,665 PROVIDE THE MEDICATION TOTO 4120 01:57:19,665 --> 01:57:22,602 RIGHT THEN AND THERE WITHOUT 4121 01:57:22,602 --> 01:57:23,269 MEDICAID BEING A BARRIER. 4122 01:57:23,269 --> 01:57:25,405 AND WE KNOW THAT THE 4123 01:57:25,405 --> 01:57:26,372 MEDICAID WORK REQUIREMENTS THAT 4124 01:57:26,372 --> 01:57:28,741 ARE COMING AROUND THE CORNER 4125 01:57:28,741 --> 01:57:28,975 HAVE -- 4126 01:57:28,975 --> 01:57:33,179 YOU KNOW, COULD HAVE A REALLY 4127 01:57:33,179 --> 01:57:34,680 DETRIMENTAL EFFECT ON 4128 01:57:34,680 --> 01:57:35,481 THIS POPULATION OF PEOPLE. 4129 01:57:35,481 --> 01:57:36,949 AND SO I THINK IT'S GOING TO 4130 01:57:36,949 --> 01:57:38,184 BE REALLY IMPORTANT WE CONTINUE 4131 01:57:38,184 --> 01:57:39,652 TO INVEST IN THINGS LIKE 4132 01:57:39,652 --> 01:57:40,820 THE MEDICATION AND GETTING 4133 01:57:40,820 --> 01:57:41,788 THE MEDICATION TO PEOPLE. 4134 01:57:41,788 --> 01:57:43,156 BECAUSE, YOU KNOW, AS FOLKS 4135 01:57:43,156 --> 01:57:44,690 KNOW, IF SOMEBODY SHOWS UP 4136 01:57:44,690 --> 01:57:46,359 AND WE CAN'T GIVE THEM 4137 01:57:46,359 --> 01:57:47,593 TREATMENT WHEN THEY WANT IT, 4138 01:57:47,593 --> 01:57:47,794 THEY 4139 01:57:47,794 --> 01:57:51,364 MIGHT NOT SHOW UP TOMORROW, 4140 01:57:51,364 --> 01:57:54,267 RIGHT, BECAUSE OF THEIR LIVING 4141 01:57:54,267 --> 01:57:54,867 COMPLEXITIES OR 4142 01:57:54,867 --> 01:57:56,302 BEHAVIORAL HEALTH CONDITIONS OR 4143 01:57:56,302 --> 01:57:56,536 MEDICAL 4144 01:57:56,536 --> 01:57:58,004 COMPLEXITIES OR HOMELESSNESS. 4145 01:57:58,004 --> 01:58:00,873 BUT THEY MIGHT ALSO DIE AND BE 4146 01:58:00,873 --> 01:58:02,508 IN AN UNFORTUNATE PERSON 4147 01:58:02,508 --> 01:58:04,777 THAT SHOWS UP IN OUR -- IN OUR 4148 01:58:04,777 --> 01:58:05,411 FATAL 4149 01:58:05,411 --> 01:58:05,878 OVERDOSES. 4150 01:58:05,878 --> 01:58:07,413 AND SO WE WANT TO DO AS MUCH 4151 01:58:07,413 --> 01:58:08,681 AS POSSIBLE TO PROVIDE TREATMENT 4152 01:58:08,681 --> 01:58:12,151 RIGHT THEN AND THERE. 4153 01:58:12,151 --> 01:58:13,352 THE MEDICATION CALLS 4154 01:58:13,352 --> 01:58:14,253 FOR SOMETHING WE'RE SPENDING A 4155 01:58:14,253 --> 01:58:17,590 LOT OF TIME AND EFFORT TO MAKE 4156 01:58:17,590 --> 01:58:17,957 SURE. 4157 01:58:17,957 --> 01:58:18,858 >> THANK YOU ALL FOR COMING 4158 01:58:18,858 --> 01:58:19,692 AND PRESENTING ON THIS 4159 01:58:19,692 --> 01:58:21,194 WORK. I WOULD LOVE TO HAVE MORE 4160 01:58:21,194 --> 01:58:22,128 TIME WITH YOU. 4161 01:58:22,128 --> 01:58:23,029 UNFORTUNATELY, WE'RE GOING TO 4162 01:58:23,029 --> 01:58:25,264 BE LOSING QUORUM, SO I DO NEED 4163 01:58:25,264 --> 01:58:25,431 TO 4164 01:58:25,431 --> 01:58:28,267 STOP OUR CONVERSATION HERE, BUT 4165 01:58:28,267 --> 01:58:28,534 HOPING WE 4166 01:58:28,534 --> 01:58:29,168 CAN CONTINUE THIS CONVERSATION 4167 01:58:29,168 --> 01:58:30,136 AGAIN. THANK YOU SO MUCH FOR 4168 01:58:30,136 --> 01:58:30,870 SHARING ESPECIALLY THE WORK 4169 01:58:30,870 --> 01:58:31,070 ABOUT 4170 01:58:31,070 --> 01:58:31,537 THE ORCA CENTER. 4171 01:58:31,537 --> 01:58:32,772 IT'S INCREDIBLE, SO 4172 01:58:32,772 --> 01:58:35,541 WE'LL CONTINUE TO BE IPDIALOGUE 4173 01:58:35,541 --> 01:58:36,375 WITH 4174 01:58:36,375 --> 01:58:37,810 YOU ALL. BUT, COLLEAGUES, WE 4175 01:58:37,810 --> 01:58:38,144 HAVE REACHED 4176 01:58:38,144 --> 01:58:39,979 THE END OF TODAY'S AGENDA. 4177 01:58:39,979 --> 01:58:41,314 HEARING NO FURTHER BUSINESS TO 4178 01:58:41,314 --> 01:58:44,350 COME BEFORE US, THE NEXT HUMAN 4179 01:58:44,350 --> 01:58:45,818 SERVICES, ECONOMIC LABOR 4180 01:58:45,818 --> 01:58:48,221 COMMITTEE MEETING IS 4181 01:58:48,221 --> 01:58:48,621 SCHEDULESCHEDULE 4182 01:58:48,621 --> 01:58:51,290 JULY 22 nd AT 2:00 P.M. 4183 01:58:51,290 --> 01:58:52,258 HEARING NO FURTHER 4184 01:58:52,258 --> 01:58:54,160 BUSINESS, WE'RE ADJOURNED AND 4185 01:58:54,160 --> 01:58:54,627 HAVE A GOOD 4186 01:58:54,760 --> 01:58:55,328 WEEKEND. 4187 01:58:55,328 --> 01:58:55,728 >> THANK YOU, CHAIR.