►
From YouTube: Board of Health Meeting September 12, 2022
A
B
C
E
B
A
B
A
H
A
H
H
A
G
Great
thanks,
I
I
just
want
to
speak,
I'm
glad
to
see
you're
back
in
person.
Now
I
don't
know
if
audience
or
I'll
say:
community
members
are
welcomed
there,
but
I'm
sure
you'll
you
can
clarify
later
just
wanted.
A
quick
note,
just
to
you
know
continually
impart
on
you,
folks,
obviously
being
in
person
is
the
best.
So
I'll
do
my
best
to
make
it
there.
So
I
can
meet
you
in
person.
Unfortunately,
I
found
your
your
the
way
that
you
enacted
public
policies.
G
G
Each
and
every
one
of
you
just
functioned
essentially,
as
pharma
reps,
you
know
just
pushing
exactly
what
the
cdc
said,
or
otherwise,
without
any
level
of
critical
thinking
your
vaccine
verification
program,
what
an
abject
mess!
No
wonder!
So
many
community
members
push
back
on
that.
Let's
hope,
that's
a
brain
child,
that's
long
lost
and
forgotten
as
we
as
as
with
lockdowns
and
everything
else
that
didn't
work
that
you
imposed
on
our
community
at
large.
So
I
think
it's
refreshing
to
see
that
there's
a
lot
a
number
of
lawsuits
going
against
the
cdc.
G
G
I've
done
the
exact
opposite
of
every
bit
of
health
guidance
that
you've
given
out
throughout
this,
and
I
couldn't
be
healthier
and
only
had
coveted
once
so
big
whoop
on
that
one.
I
guess:
there's
been
a
lack
of
policy
trans
transparency
policy,
making
transparency
as
it
relates
to
kids.
You
were
entirely
unable
to
effectively
communicate
their
actual
risk
throughout
so
kids
abjectly
affected.
We
see
they
have
speech
issues
now,
otherwise
that
was
wholly
imposed
by
yourselves.
That's
not
good!
G
B
G
Delight
soon
so
anyways
just
continually
trying
to
urge
you
to
a
present
a
different
perspective.
Don't
all
be
aligned,
don't
all
be
going
down
the
straight
and
narrow,
saying
we've
got
a
we've
got
to
vaccinate
this
whole
community.
That
is
not
the
right
step
and
your
guidance
was
so
wholly
off
target
that
I
think
you
really.
You
really
missed
an
opportunity.
So
I
think
you
need
to
come
back
and
try
and
work
with
the
folks
that
are
here
in
boulder
thanks.
G
A
I
All
right,
thank
you,
so
much
greg,
I'm
lexi
nolan
interim
director
of
boulder
county
public
health,
welcome
to
our
first
agenda
item
this
evening,
which
is
an
early
glimpse
of
the
work
ahead
to
develop
a
new
strategic
plan
for
boulder
county
public
health
that
will
range
from
2023
to
27.,
despite
the
amount
of
work
that
we
have
at
the
moment.
Generally,
the
timing
is
good
and
presents
an
opportunity
to
strengthen
our
agency
and
refresh
our
approaches
to
supporting
a
healthy
community.
I
F
Greg
and
landry
and
morgan
thanks
so
much
for
joining
today.
We're
gonna
go
to
the
next
slide.
Sorry
about
that,
but
before
we
jump
into
that,
I
want
to
take
the
opportunity
to
also
introdu
introduce
elise,
wallin
she's,
our
new
health
planning
and
evaluation
manager,
and
I
remember
when
I
was
in
that
position.
I
also
came
to
the
board
and
was
introduced.
She
plays
a
pivotal
role
instead
of
the
strategic
planning
process,
so
I
invited
lise
just
to
pop
in
and
say
hello.
J
Thank
you
all.
Can
you
hear
me?
Yes,
yes,
you're
good
here
and
see
perfect.
Thank
you
yeah
good
afternoon.
Everyone.
It's
wonderful,
to
have
an
opportunity
to
e-meet
you,
hopefully
I'll,
have
an
opportunity
to
meet
you
all
in
person
in
the
not-too-distant
future,
miss
kelly
shared.
My
name
is
elise
wall.
I
am
the
new
health
planning
and
evaluation
program
manager
prior
to
joining
the
bcph
team.
I
was
at
jefferson
county
public
health
for
the
last
six
years,
the
last
four
of
those
years
with
their
epidemiology
and
planning
team.
J
So
I
was
able
to
support
the
department
with
a
variety
of
strategic
initiatives,
everything
from
supporting
our
cha
chip
process
to
our
strategic
plan,
performance
management,
data,
governance,
quality,
improvement
program.
Evaluation
accreditation
got
to
wear
lots
of
different
hats,
so
I'm
very
excited
to
bring
my
skill
set
and
abilities
to
the
bcph
family
and
I
look
forward
to
working
with
all
of
you.
F
F
So
I'm
going
to
jump
into
our
slide
deck
here
a
bit
and,
as
lexi
said,
it's
a
little
snapshot.
It's
a
snapshot
looking
for
at
our
strategic
plan,
our
next
five
years
teaching
plan,
which
really
runs
from
2023
through
2027.,
and
so
what
I'm
going
to
focus
on
in
this
presentation.
This
brief
presentation
is
really
pulling
out
the
framework
right
of
this
plan
and
and
not
doing
a
deep
dive
into
some
of
the
details.
For
a
couple
reasons.
F
One
is,
I
don't
think
we're
there
yet
we
want
to
have
a
lot
of
community
community
and
staff
engagement
in
this
process.
It'll
give
you
a
good
idea
of
our
thinking
of
sort
of
the
basics
around
our
strategic
plan
and
some
of
the
expectations
I
have
for
y'all
once
once
this
presentation
is
over.
Is
that
you'll
be
able
to
really?
F
So,
just
a
snapshot-
we've
been
working
on
on
this
plan
for
a
few
months
now,
frankly,
lexi
and
I
have
been
engaging
in
lots
of
conversations
and
we've
been
moving
some
pieces
forward
from
really
frankly
as
early
as
late
last
year.
Right
at
this
point,
just
to
let
you
know,
we
have
chosen
mental
behavior
health,
that's
at
mbh
space
as
our
next
public
health
improvement
plan,
priority
right
and
how
we
got
around.
That
was
how
we
got
to
that
was
last.
F
H
F
F
F
our
priorities
that
we
had
originally
set
were
mental
health,
stewardship
transparency
and
sustainability,
right
health,
equity
and
then
later
on,
we
added
climate
action,
and
that
was
a
space.
I
think
right
before
the
covid.
The
pandemic
hit
was
we're
looking
at
climate
change,
so
that
was
a
new
priority
that
they
put
in
place.
F
K
F
Some
accomplishments
from
that
space
and
then,
since
maybe
about
a
year
or
so,
we've
been
re-engaging
in
that
process.
Right
and,
for
example,
we
have
several
mental
health,
youth,
mental
health
pilot
programs
running
in
our
agency
right
now,
and
so
what's
next
for
this
space
is
at
the
end
of
the
year.
F
F
So,
just
a
quick
like
what
is
your
teacher
plan
framework
right,
so
I
basically
wrote
down
like
why
are
we
using
this
framework?
Because
I
want
folks,
I
want
you
all
to
understand
sort
of
a
clear
understanding
of
goals,
a
theory
of
change
and
how
we
got
there
right.
I
think
some
people
will
really
get
tripped
up
on
this
language
and
we
really
want
to
make
sure
that
people
understand.
You
know
what
is
the
broader
framework
of
how
we're
building
this
plan
and
it
helps
us
move
in
alignment
with
social
determinants
of
health.
F
F
So
I'm
going
to
jump
into
the
framework
right
now
again,
there's
a
timeline
of
23
through
27
right,
so
it's
basically
a
five-year
timeline
and
it's
really
based
on
two
pillars
and
a
foundation
right
and
that
support
each
other.
What
I'm
trying
to
say
is
that,
if
one
fails,
they
all
could
fail
right
in
some
ways
so
we're
looking
at
on.
F
I
can't
tell
if
it's
your
left
or
right,
but
it's
the
left
on
the
screen
in
my
screen,
is
the
organizational
development
priorities,
that's
sort
of
an
internal
facing
and
I'll
jump
into
some
spaces
around
that,
but
that's
basically
the
road
map
that
lexi
has
developed
it's
internal
facing
on
the
other
on
the
other
pillar,
the
community
impact
priorities.
That's
looking
at
programmatic
work,
that's
looking
at
external
work!
How
do
you
work
with
the
community
and
then
sort
of
those
cross-cutting
foundational
priorities
on
the
bottom?
Are
things
are
really
it's?
F
So,
on
organizational
development
side,
it's
again
it's
really
about
it-
builds
on
the
road
map
that
I
know
you've
seen
alexis
shared
with
y'all
before
so
three
million
areas
of
work
that
in
that
space
so
far,
are
supporting
our
people,
rebuilding
our
systems
and
developing
an
agency
vision
and
priorities
right,
so
that
internal
focus.
So
we
strengthen
ourselves
internally
in
order
to
better
be
able
to
do
the
work
next.
F
On
the
community
impact
side
again,
this
is
around
external
facing
programs.
I
put
the
mental
behavior
health
space
in
there
because
that
again,
that
that
is
a
program
space
that
we're
going
to
be
working,
that
we
already
know
that
we're
going
to
be
working
on
as
the
community
health
priority
right.
F
Public
health
improvement
plan
priority
for
the
community
is
mental
behavior
health.
The
other
parts
I
put
tbd
is
because
we're
going
to
use
the
community
health
profile
speaking
with
staff
and
partners
and
such
to
develop,
maybe
two
to
four
additional
priorities
as
an
agency
that
we're
also
going
to
be
our
as
part
of
our
five-year
strategic
plan
going
forward
and
I'll
jump
into
those
a
little
bit
more
in
upcoming,
slides.
F
So
on
the
bottom,
we
have
like
foundational
priorities
right
and
again
this
we're
really
talking
about.
This
is
how
we
work,
and
this
is
how
we
work-
I
mean
around
across
the
internal
organizational
development
work,
as
well
as
how
we
work
on
the
community
impact
side,
that
external
facing
programs,
and
so
these
are
things
like
community
engagement
and
power
sharing.
F
These
are
things
like
learning
and
growth
metrics,
for
example,
policy,
health
and
racial
equity.
These
are
spaces
that
we
are
going
to
be
foundation,
support
for
those
other
projects
or
other
programs
that
we're
working
this
for
the
two
pillars.
That
makes
sense
so
they're
going
to
be
implemented
across
the
agency,
not
just
in
these
individual
programs.
F
F
F
Those
are
potential
spaces
right
that,
throughout
this
fall
and
early
into
next
year,
we're
going
to
be
working
using
data
right
data
and
evidence
looking
at
our
capacity
in
our
current
work.
What
are
our
current
strengths
in
these
spaces
in
an
engagement
process,
both
with
community
and
internally,
with
staff
on
deciding
what
could
be
those
additional
programmatic
priorities,
and
so
the
cross-cutting
work
is
exactly
the
same
right.
It's
those
three
power
spaces
there
of
health
and
racial
equity,
community
engagement
and
power
sharing
and
policy
right,
and
what
does
that
mean?
F
So
I'm
going
to
run
through
this
very
briefly,
but
we're
looking
at
what
is
different.
I
think
morgan
asked
what
is
different
from
the
last
one
right:
we're
still
using
evidence-based
or
evidence-form
approaches
right,
we're
looking
at
services,
social
determinants
of
health
across
the
continuum
we're
engaging
community
engaging
staff,
but
one
of
the
main
differences
is
that,
for
this
next
process,
is
we're
going
to
have
a
comprehensive
across
the
agency
embedding
in
metrics
of
all
these
spaces,
including
the
foundational
work
as
well
right.
F
So,
if
we're
talking
about
community
engagement,
how
are
we
as
an
agency
doing
that
across
all
our
programs?
And
how
are
we
measuring
that?
So
we're
not
just
talking
about
it,
we're
actually
measuring
and
making
sure
that
we're
doing
that
so
staff
should
see
themselves
in
some
way
or
another
in
some
place
in
this
plan
right
next.
F
F
F
And
I
don't
expect
you
all
to
read
every
single
detail
on
this
map.
I
do
would
invite
you
all
to
take
a
look
at
this
graphic
when
you
have
the
time.
So,
as
you
can
see
on
the
left,
we
we
have
different
trails
right,
the
organizational
development,
the
program
priorities
and
how
we
work
priorities
and
basically
there's
different
dates
and
timelines,
and
how
we're
going
to
get
to
an
official
launch
of
all
this
work
early
of
2024.
we're
looking
at
2023
as
that
base
planning
period
detailed
planning.
F
So
we
have
a
full
four
years
of
implementation,
which
is
much
different
than
we
did
before,
which
took
us
a
little
bit
more
time
to
do
that,
so
this
is
going
to
be
updated
on
a
monthly
basis.
We
even
have
a
little
hiker
to
tell
us
where
we're
going
on
each
one
of
these
play
spaces,
so
you'll
be
able
you'll,
see
these
and
you've
asked
questions
about
it
and
see
where
we're
going
on
these
spaces.
F
F
So,
as
the
next
steps
again
we're
looking
at
completing
our
community
health
assessment
planning,
not
the
assessment
itself,
but
planning
with
omni
the
detail,
planning
meeting
with
key
stakeholders
and
defining
how
we're
going
to
reach
community
we're
working
on
the
community
health
profile
and
we're
building
out
reporting
and
updating
processes.
So
people
feel
engaged,
have
the
opportunity
for
input
and
move
things
forward
and.
F
C
A
F
F
L
H
Yeah
thanks
kelly
for
giving
that
overview.
I
mean
my
question
sort
of
follows
on
what
you
just
talked
about,
because
I,
as
I
recall
from
the
last
strategic
planning
process,
when
I
think
affordable
housing,
you
know,
was
ended
up
being
sort
of
the
top
in
mental
and
behavioral
health
and
it
and
it
was
sort
of
a
vote
system
with
these
community
meetings.
And
so
so
it
makes
sense
to
me
that
we
would
continue
with
the
mental
and
behavioral
health,
but
in
terms
of
looking
at
other
issue
areas
that
might
become
priorities.
F
F
F
Year
detailed
program
planning
strategic
planning
on
each
one
of
those
and
how
to
embed
those
programs
and
how
to
pull
out
metrics
with
those
priorities
across
your
agency.
So
I'll
give
you
an
example
to
help
clarify
that.
So
if
we
choose
climate
action,
if
climate
action
is
chosen
as
a
priority,
an
additional
priority
going
forward,
how
is
that
work
embedded
in
some
of
our
current
program
work?
How
do
we
measure
that?
How
do
we
pull
that
out?
How
do
we
work
with
staff
in
order
to
do
that?
F
F
H
A
Yeah,
you
know,
I
think,
obviously
mental
health
continues
on
as
a
priority
in
this
plan
right
and
a
lot
of
things
have
changed
since
that
last
assessment
was
done
and
you
think
about
mental
health
and
okay.
Yes,
we
have
covet
and
all
of
the
disruptions
to
our
normal
lives
that
occurred
as
a
result
of
that
that
contributes
to
our
mental
health.
F
Right-
and
on
top
of
that,
you
know,
the
the
county
has
mental
health
as
one
of
their
priorities,
so
they
have
a
team
working
on
a
county
road
lab
in
mental
health.
We're
part
of
that
right.
So
it's!
Where
does?
Where
does
public
health
best
fit?
Where
is
our
best
lanes?
You
know:
where
do
we
need
to
put
more
effort
into
maybe
back
out
to
some
other
things?
We
have
really
great
mental
behavior
health
work
going
on
now
right.
F
We
have
lots
of
great
projects,
and
particularly
the
community
health
program,
but
also
across
sedum
and
family
health
as
well.
How
do
we
build
a
coordinated
strategy?
It's
not
taking
those
projects
out
and
building
another
silo.
It's
coordinating
that
into
a
comprehensive
program
that
allows
us
to
really
have
a
good
take
on
what
we're
going
forward
in
that
space.
A
M
Heather,
thank
you
lexi
good
evening
board.
I
am
excited
to
be
here
to
share
a
little
bit
about
our
project
as
far
as
our
approach,
it's
broader
than
a
project
really,
but
our
approach
to
engaging
youth
voice
in
the
work
that
we
do.
If
you
move
forward
jordan,
so
first
I
wanted
to
share
with
you
all
the
community
engagement
continuum
that
is
put
out
by
the
cdc.
M
So
as
an
agency,
as
many
of
you
might
be
aware,
from
previous
discussions
or
directors
reports,
we're
working
toward
increasing
our
level
of
community
engagement
and
power
sharing.
So
if
you
look
at
this
continuum,
on
the
left
hand,
side
is
the
outreach
level
sort
of
all
the
way
to
the
right
hand,
side
of
shared
leadership.
M
We
have
many
programs
currently
across
the
agency
that
engage
with
a
community
at
a
variety
of
levels
on
this
continuum
and
really
we're
trying
to
work
toward
more
of
the
right
side
of
the
model.
You
see
in
front
of
you
so
collaboration
shared
leadership
really
having
community
members
and
participants
at
the
table
and
making
the
decisions
so
in
the
community
health
division,
we
have
a
long
history
of
collaboration
and
shared
leadership
with
our
community.
M
M
M
M
We
currently
have
youth
advisors,
employed
in
our
community
substance,
abuse
prevention,
program,
inspire
youth
connections,
program,
oasis
generations
and
tepe
our
tobacco
education
prevention
partnership
program
and,
in
addition
to
paid
youth
advisors,
we
also
have
youth
who
participate
in
many
other
leadership
opportunities.
They
often
do
receive
stipends
and
compensation,
but
maybe
just
need
a
commitment.
That's
more
once
a
week
versus
maybe
the
four
to
six
hours
that
other
advisors
are
putting
in
per
week
and
for
us
this
is
really
a
true
example
of
what
it
looks
like
to
live
out
and
practice.
M
Those
values
of
positive
youth
development,
the
wheel
sort
of
puzzle,
piece
wheel
on
your
screen,
looks
at
the
different
components
of
the
positive
youth
development
approach,
so
making
sure
that
we
have
practices
and
services
that
are
inclusive
of
young
people.
That
youth
are
truly
partners
at
the
table,
that
we
have
a
collaborative
approach
and
that
we're
not
just
bringing
in
youth
every
once
in
a
while.
But
we
created
this
sustainable
approach
to
engaging
young
people
in
an
ongoing
manner
and
we
did
start
in
2016
with
just
one
young
person
from
boulder
high.
M
I
believe-
and
they
have
now
since
gone
on
to
to
college.
And
now
we
have
several
youth
advisors
and
we
always
approach
and
have
always,
I
think,
approached
our
work
with
young
people
in
a
strengths-based
approach.
But
now
we
engage
youth
employees
based
on
their
strengths
based
on
their
interests,
the
type
of
work
that
they
would
like
to
engage
in
in
within
our
programs.
M
So
this
picture
here
is
some
of
our
youth
advisors
and
youth
advisor
supervisors,
presenting
about
empowering
youth
voices.
This
was
at
the
shared
risk
and
protective
factors
conference,
so
youth
advisors.
Over
the
past
five
years
now
almost
six
years
have
participated
in
a
number
of
projects
led
a
number
of
projects,
so
they
have
led
many
many
presentations
to
adults
on
what
it
means
to
work
with
young
people.
M
M
M
Our
tep
youth
advisor
is
actually
currently
getting
ready
to
launch,
along
with
staff,
a
peer-to-peer
youth,
vape
cessation
program
that
they've
been
working
to
build
out,
which
is
really
cool.
They
run
a
youth
events
calendar.
They
help
facilitate
coalitions
and
really
present
at
public
health
conferences.
M
M
A
M
Yeah-
and
that
was
in
our
environmental
health,
so
as
we've
brought
young
people
into
the
agency
as
employees,
you
can
imagine
that
we've
learned
some
lessons
about
how
our
agency
is
or
isn't
set
up
for
having
youth
employees.
What
it's
like
to
work
with
youth
and
what
types
of
impacts
young
people
can
have
when
they're
at
the
table.
M
M
Another
learning
is
just
that
we
have
to
be
ready
to
work
with
youth.
We
have
to
shift
some
of
the
times
that
we're
holding
our
meetings.
We
have
to
shift
some
of
our
approaches.
We
have
to
be
trained,
you
know
working
and
engaging
with
youth,
and
I
think
with
any
community
member.
You
can't
just
bring
them
into
your
already
standing
meeting
with
your
culture
and
your
team
approach
and
expect
to
plop
them
in
and
and
that
there's
comfort
and
ease
in
that.
M
As
far
as
change
and
that's
the
community
impact
piece
we've
had,
I
should
have
mentioned:
we've
had
young
people,
who've
been
able
to
speak
at
school
board
meetings,
talk
about
how
things
like
vaping
or
substance,
use
or
pregnancy
have
impacted
their
lives
or
their
friends
or
their
community,
and
to
really
advocate
for
truly
the
needs
of
their
community
versus
us,
as
public
health
professionals
coming
in
and
letting
them
know
what
their
needs
are.
I'm
hearing
directly
from
them
has
had
a
major
impact
in
our
community.
M
Usually
sorry,
usually
the
approach
with
young
people
is
just
them
truly
having
a
seat
at
the
table.
So
through
our
hiring
of
staff,
we
always
have
young
people
as
part
of
the
committees
as
far
as
decision
making,
if
it's
a
youth-based
process
or
project
youth
voice
carries
a
lot
of
weight
in
those
spaces,
and
this
is
a
picture
from
a
pumpkin
carving
evening
that
they
had
next
slide.
This
is
the
final
slide.
M
So
as
far
as
what
this
means,
why
am
I
presenting
to
the
board
this
evening
about
this
other
than
to
tell
you
about
this
really
great
thing
that
we're
doing?
We
really
want
to
build
additional
opportunities
for
youth
leadership
within
our
agency
within
our
decision
making,
even
maybe
at
the
board
level,
at
some
point
and
thinking
additionally,
beyond
youth
community
members.
More
broadly,
what
does
it
look
like
to
employ
and
hire
people
in
the
community
doing
the
work
beyond
just
that
partnering
layer?
M
We
are
working
toward
having
youth
advisors
in
every
program.
We
at
least
have
youth
boards
and
youth
decision
makers
they're,
just
not
all
quite
advisors.
At
this
point,
we
have
been
sharing
our
approach
with
public
health
partners,
so,
like
I
shared
the
young
people
had
presented
at
shared
risk
and
protective
factors.
M
We
have
some
young
folks
presenting
with
the
oasis
program
at
public
health
in
the
rockies
to
talk
about
this
approach.
There
are
several
well
I
don't
know
about
several.
There
are
some
other
public
health
departments
who
have
paid
youth
advisors
and
there's
some
really
great
modeling
of
what
this
looks
like
from
some
guidance
that
colorado
department
of
public
health
put
together
a
few
years
ago,
the
colorado
9-25
project-
I
don't
know
if
anyone
remembers
that
but
alison
bailey
from
our
team
was
really
heavily
involved
and
then
really
thinking
about.
M
H
Yeah
thanks
heather
for
walking
us
through
this.
This
is
really
cool
that
that
you
and
public
health
have
done
so
much
to
try
to
engage
youth
and
really
involve
them
in
all
the
different
levels,
and
I
think
naturally,
it
sort
of
brings
up
questions
about
the
board
of
health
and
youth
perspective,
and-
and
I
don't
know
actually
what
the
requirements
are.
You
know.
H
I
know
that
there's
a
bunch
in
statute
around
how
the
commissioners
appoint
boards
of
health,
but
it
might
be
sort
of
interesting
at
some
point
to
explore
what
it
might
look
like
to
have
a
youth
member
that
might
not
have
the
same
voting
opportunities
because
again
of
the
statute
limits.
I
don't
know,
I
don't
know
if
there's
an
age
requirement.
M
A
Well,
I
appreciated
learning
seeing
that
chart
on
outreach
because
you
know
trained
as
a
scientist.
You
know
we
don't
get
a
lot
of
that.
Oh
well,
outreach
is
you
just
go
out
and
you
talk
and
you
take
questions
and
you
give
answers
it's
like
what
I'm
thinking
about
reaches
all
the
way
on
the
left
spectrum,
and
then
you
know
trying
to
move
to
that
collaboration
and
phase
and
beyond
obviously
gives
me
some
homework
to
do
for
my
own
work,
but
I
really
appreciated
seeing
that.
So.
Thank
you.
M
Yeah
you're
welcome
and
I
think
that
continuum
helps
people
see
that
we
are
doing
community
engagement
even
with
outreach,
some
folks
say.
Well,
we
don't
do
community
engagement,
some
of
the
programs
or
some
of
the
maybe
more
regulatory
pieces,
and
I
think
really
in
public
health.
We
all
we
all
do
it.
It's
just
maybe
at
a
different
level.
M
I
And
what
do
you
think
is
the
place
that
you
would
want
to
get
to
for
this
particular
program,
because
it
may
be
different
for
different
situations,
but
that
was
a
really
eye-opening
exercise
for
us,
because
it
really
highlighted
how
much
work
we
have
in
this
space
generally,
not
not
specifically
in
relation
to
youth
voice
but
broadly
related
to
community
engagement,
and
I
think
it
also
really
helped.
Staff
to
you
know
put
some
words
to
some
ideas
that
they
had
and
become
a
little
bit
more
specific
about
what
their
thinking
was.
M
And
if
I
could
just
add
really
quickly
to
a
little
bit
tangentially
to
our
division,
but
we
also
have
one
of
our
tech
staff
currently
working
in
sedum,
around
teen
and
young
adult
work
as
far
as
developing
immunization
campaigns,
so
some
paid
youth
employees
and
youth
advisors
in
that
setting
a
little
more
term
limited.
But
one
of
our
community
health
staff
is
helping
the
cdm.
Folks
with
that
piece
too,
and
that's
been
really
great.
I
Our
fourth
presentation
tonight
is
about
the
fourth
trimester.
It
is
the
culmination
of
several
years
of
work
at
bcph
and
with
local
hospitals
that
was
started
under
jeff
zach's
leadership,
and
he
has
continued
to
support
the
planning
in
this
space.
The
implementation
of
the
family
connects
model
is
useful,
both
for
its
potential
community
impact
and
also
for
our
agency.
I
Daphne
mccabe
will
talk
mostly
about
the
community
impact
tonight,
but
I
want
to
let
you
also
know
that
it's
helped.
This
initiative
has
helped
knit
together
our
bcph
home
visitation
program
specifically
and
also
create
a
more
integrated
approach
to
how
we
support
families
more
broadly
in
boulder
county,
such
as
providing
an
entry
point
to
support
our
emerging
healthy
homes
program
with
more
to
come.
I
Three
takeaways.
We
hope
you
gain
from
tonight's
presentation
are
that
family
connects
provides
a
new
standard
of
care
instead
of
waiting
six
weeks
after
birth
for
an
office
visit,
every
new
mom
will
be
offered
a
three-week
at-home
visit
to
assess
a
wide
variety
of
needs
and
support,
and
provide
support
to
ensure
a
strong
start
for
babies
as
well
as
two
more
family
connects
visits
and
referral.
To
other
home
visitation
programs
as
needed,
all
of
the
services
are
free
to
families,
from
a
focus
on
developing
healthy
baby
brains.
All
the
way
to
connection
to
social
services.
I
Family
connects
takes
us
from
our
current
reach
of
around
15
percent
of
birthing
moms
to
a
hundred
percent
within
18
months
or
so
number
two.
We
have
three
years
of
bridge
funding
awarded
by
the
boulder
office
of
county
commissioners,
which
will
carry
the
program
as
we
work
with
state
partners
to
develop
sustainable
funding
sources.
The
state
is
particularly
interested
in
this
model,
given
the
documented
return
on
investment
communities
realize
by
investing
in
early
childhood
and
number
three.
This
initiative
aligns
with
the
strategic
direction.
D
So
as
lexi
alluded,
family
connects
basically
transforms
the
current
system
and
increases
the
level
of
care
by
empowering
parents
and
connecting
them
to
resources
at
the
beginning
of
their
child's
life.
So
the
nurse
connects
with
the
family
and
identifies
the
needs
and
they're
in
the
comfort
of
their
home,
and
the
nurse
connects
the
family
to
community
resources
that
the
family
might
need
or
want
in
the
other,
similar
communities
that
this
is
launched.
D
D
D
D
D
C
D
B
H
D
I
Well,
and
just
to
give
you
the
gist
of
the
video
that
the
parents
were
really
talking
about
the
peace
of
mind
that
it
provided
about
the
the
guidance
that
they
got
in
those
early
days.
They
just
gave
them
a
lot
more
confidence
about
being
new
parents,
and
the
stress
that
that
comes
with
that
that
was
provided
by
the
program.
B
C
B
D
D
Then
you
can
just
advance
okay,
so,
basically
the
way
the
family
connects
visit
works.
It's
a
new
standard
of
care
where,
right
now,
when
it
comes
to
maternal
care,
leading
up
to
the
birth,
there's
prenatal
visits
every
four
weeks
and
then,
as
the
birth
gets
closer.
The
due
date
gets
closer,
it's
every
two
weeks
and
then
every
week
and
then
24
7
care
in
the
hospital
for
the
one
to
three
days
during
birth.
D
And
then
at
this
point
it's
six
weeks
for
the
postpartum
visit
for
that's
focused
on
the
mom
and
so
family
connects
and
press.
You
can
press
a
button
button.
Jordan
thinks
fills
the
gap
with
a
three-week
visit
where
they
can
connect
on
with
the
mom
and
check
on
the
mom's
health
and
well-being.
Okay.
D
So
how
can
family
connect
support
other
public
health
programs
and
priorities?
Well,
while
that
home
visit's
happening
and
then
it's
an
evidence-based
model
and
it's
been
deployed
in
eight
other
states?
It's
in
general.
The
the
model
when
followed
to
fidelity,
reduces
emergency
room
visits,
which
is
of
course,
really
important
for
public
health
to
make
sure
emergency
rooms
aren't
overwhelmed
by
anything,
reduces
maternal
depression.
D
There's
an
increase
in
screening
and
referral
for
substance
abuse,
there's
an
increase
in
the
healthy
homes
because
you
can
do
lead
testing,
while
the
nurse
is
there.
If
families
want
it
and
again,
this
is
a
voluntary
program.
People
can
choose
whether
or
not
to
accept
the
home.
Visit
connections
to
smoking
and
vaping
cessation
programs
are
also
offered
in
the
visit,
and
the
nurse
helps
educate
families
on
childhood
vaccines,
often
giving
them
good
information
that
helps
increase
the
vaccine
rates
locally.
D
The
well
child
follow-up
visits
are
often
scheduled
in
the
nurse
home
visit,
and
so
you
see
an
uptick
in
that.
You
also
see
an
uptick
in
having
a
health
home
for
both
the
mom
and
the
baby.
You
see
increased
access
to
healthy
food
through
referrals
of
wick
and
snap,
and
you
see
increased
access
to
child
care
resources.
So
these
are
the
types
of
things
that
we
care
about
already
as
a
public
health
program.
D
D
D
So
all
of
those
exist
today
and
serve
approximately
12
of
the
population.
So
that's
88
of
population,
that's
not
being
served
by
anything
in
these.
In
this
continuum,
the
family
connects
service
is
up
to
three
home
visits,
most
were
just
one
home
visit
and
it's
really
for
the
postpartum
period
with
a
nurse,
a
trained
nurse
who
checks
on
mental
health,
physical
health
and
well-being
of
the
family.
H
N
Hi
everyone,
I'm
jeff
zack,
I'm
the
strategic
advisor
working
part
time
for
boulder
county
public
health
to
support
the
launch
of
family
connects.
So
during
the
time
that
I
was
executive
director
for
boulder
county
public
health,
I
witnessed
multiple
times
the
gap
in
need
for
primary
prevention
in
early
childhood.
N
This
was
clearly
highlighted
even
more
during
2017,
when
we
were
working
in
partnership
with
early
childhood
council
of
boulder
county
to
complete
an
early
childhood
mental
health
assessment
and
thanks
to
you,
heather
matthews,
for
helping
lead
that
work.
That
was
critical
and,
as
we
all
know,
the
the
most
important
time
in
a
child's
life
is
that
first
five
years
significant
impact
to
life
lots
of
brain
development.
That's
when
the
vast
majority
of
brain
development
occurs,
and
this
is
where
family
connects
for
me-
really
comes
in
key.
It's
an
evidence-based
program.
It's
universal!
N
It's
available
to
all
new
parents,
there's
no
eligibility
requirements,
there's
no
cost
appearance.
One
of
the
things
I
love
about
family
connects
is
that
it
requires
heavy
integration
of
family
voice
into
the
program,
and
we
all
know
how
much
that's
needed.
I
mean
that
ends
up
reducing
stigma
and
closing
the
equity
gap
from
your
parents.
That's
existed
in
our
county
for
some
time,
and
this
is
I
see
this
is
now
it's
the
opportunity
to
launch
this
program
statewide.
We
have
really
good
support
from
the
governor's
office,
multiple
state
departments.
N
We
have
illuminate
as
a
statewide
intermediary
to
administer
the
program.
We
have
two
counties,
including
boulder
launching
as
pilots,
this
fall
and
then
two
other
counties
are
following
with
the
launch
in
early
2023
so
and
all
five
of
our
hospitals
are
fully
engaged
and
supportive
of
this
work.
So
this
is
the
time
to
get
it
done.
I
I've
wanted
to
see
this
happen
for
some
time.
B
Hi,
my
name
is
jay
piccar
and
I'm
a
nurse
with
a
family
connects
program
and
there's
a
lot
of
things
that
I'm
excited
about,
but
one
of
the
main
things
is
really
supporting
and
encouraging
that
infant
and
parent
relationship
and
telling
parents
how
important
that
connection
is
and
supporting
the
mom's
mental
health,
but
also,
I
don't
know
just
making
sure
that
parents
don't
miss
out
on
that
first
year,
a
lot
of
times,
it's
easy
to
think.
Well,
the
baby's
just
sleeping
there.
B
K
Hi,
I'm
heather
matthews
and
I'm
a
consultant
working
on
the
project
supporting
the
boulder
county
team
to
stand
up
family
trust
in
boulder
county
and
what
I'm
excited
about
with
family
connects
is
really
number
one.
Seeing
this
moment
come
to
fruition
after
watching
the
community
agree
that
universal
home
visitation
was
really
the
direction
that
we
needed
to
go
to
support
best
support
families.
B
B
Stuff
there
about
you,
don't
know:
hi,
I'm
danielle
zaitsu
and
I'm
a
registered
nurse,
I'm
also
a
supervisor
of
the
current
educational
organization
department
and
I'm
foreign
to
be
working
with
the
county
on
this
project.
It's
been
a
dream
of
mine
to
get
into
the
home
to
be
able
to
provide
universal
care
to
all
of
our
families.
B
Bringing
nurses
in
the
home
can
really
impact
how
babies,
growth
and
development
takes
place,
as
well
as
maternal
health
and
well-being
and
mental
health,
so
I
think
just
being
able
to
do
that,
regardless
of
socioeconomic
status,
but
regardless
of
insurance
to
have
that
ability
to
see
all
families
in
our
area
is
something
that
is
long
overdue
and
I
am
just
again
excited
to
be
working
with
the
county
and
having
this
great
opportunity.
So
thank
you.
B
Hi,
my
name
is
natasha
stewart
and
I
am
a
registered
nurse
for
boulder
county
public
health.
Children
with
special
needs
program-
I
am
super
excited
to
become
a
family
connects
nurse
being
able
to
visit.
All
family
place
is
so
critical.
The
postpartum
period
is
a
very
vulnerable
time
for
parents
and
babies
and
doing
your
home
visit.
You
just
get
to
see
so
much
in
terms
of
what's
happening
with
mom
and
baby.
The
family
dynamics.
B
B
Hi,
I'm
tina
cartelli,
also
a
registered
nurse
with
boulder
community
health
and
super
excited
to
be
a
part
of
family
connects
and
boulder
county
and
thing
I'm
most
excited
about.
Is
we
all
know
that
having
a
baby
is
super
exciting?
It's
not
rainbows
and
unicorns.
So
a
few
weeks
down
the
road
things
come
up.
Parents
get
stressed,
a
lot
of
things
can
happen
in
those
first
few
weeks.
I'm
so
excited
that
we'll
be
able
to
go
in
and
to
support
these
families
and
provide
those
resources
they
may
need.
Thank
you.
B
Hi
there,
my
name
is
susie
berman,
I'm
also
a
registered
nurse
that
works
here
at
boulder
community
hospital,
I'm
also
a
lactation
specialist.
So
I'm
really
excited
to
join
this
group
being
in
the
home.
As
one
of
my
other
colleagues
have
mentioned,
it's
new
standard
of
care
and
we've
in
the
past
had
you
know
a
person
give
birth
to
a
baby
and
then
it's
six
weeks
later
that
we're
actually
checking
in
with
them.
So
this
is
an
opportunity
for
nurses
to
go
and
see
them
in
their
house.
B
Do
a
full
assessment
of
mom
and
baby
just
to
see
if
we
can
help
before
they
get
to
their
six-week
visit.
So
it's
kind
of
bridging
that
gap
of
when
they're
going
to
get
here
already
but
kind
of
going
into
the
home
and
really
assessing
how
are
they
doing
in
real
life
in
their
own
home
with
this
new
baby?
So
it's
providing
support
resources,
anything
that
we
would
be
able
to
do
to
help
that
transition
of
having
a
new
baby
in
the
home,
helping
that
family
through
that
transition.
It's
an
honor
to
help!
Thank
you.
B
So
thank
you
hi.
My
name
is
aurora
ramirez
and
I'm
the
program
assistant
for
the
children
with
special
needs
program,
and
I
will
be
the
program
support
for
family
finex
and
I
am
very
excited
to
see
how
this
will
impact
the
community
and
support
not
only
our
families,
but
also
support
our
nurses
and
our
team.
So
I
am
very
grateful
to
be
here.
Thank
you.
D
D
D
Okay,
great
no
problem
and
then
just
a
couple
more
slides
and
then
we'll
open
up
to
q.
A
all
we
want
to
do
here
is
just
emphasize
again
the
level
of
statewide
support
that
we
have
for
this
program.
We
are
the
pilot
program
where
the
lead
county
across
the
state,
the
state,
does
hope
to
roll
this
out
statewide
because
of
the
positive
effects
overall.
D
So
we've
got
all
of
these
office
of
early
childhood,
eliminate
colorado,
colorado,
health
institute,
colorado,
partnership
for
thriving
families,
the
evaluation
lab
and
denver
county
and
jefferson
county
as
well
as
eagle
county.
So
it's
a
pretty
large
infrastructure
at
the
planning
level
with
the
local
hospitals.
D
So
our
roadmap
is
to
launch
to
fidelity
with
the
evidence-based
model
and
kick
off
the
implementation
team.
This
fall
with
inclusion
and
amplification
of
family
voice.
We
have
a
whole
plan
and
infrastructure
similar
to
heather's,
where
we're
paying
family
voice
to
participate
and
reaching
out
to
many
community
members
and
agencies
to
help
guide.
This
we'll
learn
a
lot.
This
fall
and
then
that'll
help
us
inform
our
long's
peak
training
and
our
continual
process.
D
D
Were
they
connected
with
resources,
so
there's
a
closed
loop
referral,
which
is
another
piece
of
why
it's
a
powerful
model,
because,
if
anybody's
starting
to
fall
through
the
cracks
they
don't
anymore
so
anyway,
and
that's
our
resource
partner.
So
thank
you
very
much
for
your
time,
really
appreciate
it
and
open
up
to
questions.
If
you
want
to
move
it
to
the
next
slide,.
D
So
the
visit
is
scheduled
before
ideally
scheduled
before
the
family
leaves
the
hospital.
If
it's
not
scheduled
at
that
point,
it's
they
opt
in
and
again
they
have
to
sign
a
lease
of
information.
This
is
a
total
opt-in
model,
but
they
signed
the
release
of
information
and
then
the
nurse
that
they've
been
kind
of
introduced
to
virtually
reaches
out
to
them
to
schedule
the
appointment
and.
E
D
Absolutely
that
happens,
then,
in
communities
where
it's
fully
launched
the
ob
gyns
start
to
talk
up
the
visit
from
the
moment.
They
first
meet
the
family
so
but
right
now
we're
just
at
like
the
first
bite
of
the
apple.
So
we're
not
we're
not
integrated
throughout
the
whole
life
cycle
of
the
pregnancy
yet,
but
we
will
be
eventually
over
time
with
family
voice.
Again,
we
want
to
make
sure
that
we're
outreaching
to
them
and
the
way
they
want
to
be
outreach
to
et
cetera.
E
D
No,
the
first
visits
won't
happen
until
mid-october.
We
have
to
get
approval
from
the
feds
for
one
of
our
grants
to
all
for
the
implementation
plan
that
we've
submitted.
That's
all
just
paperwork
stuff,
but
there's
just
some
boxes
that
have
to
be
checked
off
before
we
do
our
first
home
visit,
but
we're
all
trained
up
and
ready
to
go.
D
Great
question
nurse,
my
partnership
and
sip
are
both
two-year
programs.
This
is
a
one-visit
program.
Okay,
if,
if
families
are
already
connected
with
sip
nurse
family
partnership
during
the
pilot
phase,
they
will
not
be
offered
family
connects
because
it's
a
duplicative.
So
it's
really
for
that.
88
of
families
who
aren't
already
at
sip
or.
E
D
D
H
H
D
Assuming
that
the
family
has
signed
off
that
it
can
be
shared,
then
yes
and
it's
right
now
we're
tapping
into
career
and
we're
also
working
on
there's
a
fc.
A
family
connects
international
database
where
you
track
all
those
referrals
and
then
not
only
do
you
track
the
referral,
but
you
also
track
four
weeks
later,
whether
or
not
connection
was
made
and
whether
or
not
the
service
was
provided
and
those
details
are
all
given
back
into
the
career.
H
Yeah
right
and
good
luck-
and
I
wish
you
luck
with
that,
because
it
is,
I
feel,
like
it's
always
so
much
more
complex
than
they
tell
you.
It's
gonna
be,
but
that's
great
that
you
guys
are
thinking
about
it,
working
on
it
and
and
then
my
other
question
is
around.
I
mean
it
sounds
like
there's
nurses
that
are
employed
by
the
hospital
nurses
that
are
employed
by
the
county,
I'm
just
thinking
about
how
is
this
being
paid
for
and
if
a
family
has
private
insurance
is
insurance
paying.
D
Great
question:
right
now:
it's
a
blending
and
braiding
of
a
lot
of
funding,
but
the
large
majority
of,
what's
going
to
sustain
us
over
the
next
three
years,
is
a
very
generous
arpa
grant
from
the
commissioners
to
support
the
launch
and
all
of
those
state
agencies
that
you
saw
in
the
pink
are
all
working
on
the
fiscal
sustainability
plan.
It
is
absolutely
imperative
that
no
family
is
ever
charged
for
the
home
visit.
D
That's
a
big
piece
of
it
and
I
use
as
an
analogy
hospice
when
a
family
goes
into
hospice
at
that
transition
time,
they're
not
charged
it's
a
similar.
It's
got
to
be
a
similar
sense
of
good
will
standard
of
care
health
investment
by
our
society
to
make
it
universal
and
just
know
that
this
is
a
very
unique
transition.
So
those
are
the
things
we're
working
on
other
communities.
Yes,
you
can
blend
medicaid,
you
can
and
we're
working
on
that.
D
We've
got
gretchen
hammer
at
the
medicaid
billing
level,
working
on
it
and
we've
there's
other.
Like
probably
five
other
ways-
that's
probably
an
entire
other
session,
so
I
won't
keep
going
into
it,
but
I'm
happy
to
either
take
it
offline
or
forward
you
all
of
the
work.
That's
been
done
on
that
because
it's
it's
a
heavyweight.
H
D
That's
kind
of
what
we
have
to
prove
over
the
next
few
years
is
show
them
the
cost
savings
and
show
them
the
increase
in
health
metrics,
and
that's
what
that's:
how
you're
absolutely
right!
That's
how
you
get
that
investment
to
happen.
The
puzzle
is
when
you've
got
the
high
deductible
insurance
cut,
so.
A
Thank
you,
daphne,
okay,
we
are
on
to
item
six
directors
report.
We
didn't
have
any
time
to
discuss
it
in
august,
but
I
really
do
like
the
new
format.
You
know.
I
there's
I
like
the
conversational
aspect
of
it.
Instead
of
the
bulleted
aspect
of
it
so
good
job,
there
leadership
team,
the
I
did
have
just
just
kind
of
more
information.
I
guess
on
the
opioid
settlement.
I
I
I
The
the
current
strategy
right
now
is
we're
working
on
seating,
the
regional
governance
council,
which
will
be
seated
in
the
next
couple
of
weeks
to
review
some
early
kind
of
shovel,
ready,
shorter
term
initiatives
that
are
deemed
to
make
an
important
impact
that
will
come
before
the
regional
governance
group
for
approval
or
comment.
And
then
the
team
will
start
moving
into
a
process
of
longer
term
strategic
planning
to
bring
kind
of
more
vetted
multi-year
investments
forward
to
the
regional
governance
council.
C
I
No,
those
that
amount
was
prior
yeah
dating
back
to
even
maybe
last
year,
once
that
first
bolus
of
money
came
through
and
states
started
to
be
able
to
see
that
there
was
actually
going
to
be
some
money
coming.
They
began
to
move
into
state
and
regional
structures
for
how
to
disperse
the
funding.
Okay,.
A
I
It
is,
it
does
signal
kind
of
the
complexity
of
the
mbh
space
right
now,
because
there
are
so
many
different
funding
streams
that
are
coming
to
state
governments,
county
governments,
ranging
from
you
know,
services
to
treatment,
primary
prevention,
harm
reduction,
all
kinds
of
different
spaces
and
part
of
our
challenge.
Right
now
is
really
just
staying
coordinated
enough
as
a
county
and
also
making
sure
we're
not
stepping
on
each
other's
toes
as
we
move
forward
with
the
work.
I
The
covet
19
food
delivery
program
in
the
area
of
innovation
and
the
boko
beans
program
in
the
area
of
sustainability
also
wanted
to
note
that
we
had
three
staff
members
who
were
recognized
in
the
circle
of
honor,
which
recognizes
staff
who've
worked
for
boulder
county
for
18
years
or
more.
Those
were
lane,
drager,
carol,
mcinnis
and
patty
horta
garcia.
I
I
I
We
did
an
example
of
that
tonight,
including
more
time
for
discussion
and
making
sure
that,
if
something
is
really
just
about
updates-
and
we
don't
expect
it
to
have
many
questions-
that
that
would
really
be
either
in
the
director's
report
or
you
would
receive
those
through
a
regular
listserv
that
we're
circulating
such
as
our
covet
updates.
So
I'm
very
happy
to
to
get
other
impressions
of
of
how
that
director's
report
felt
or
how
the
agenda
this
evening
felt.
We
really
want
to
make
these
resources
something
that
meet
the
needs
of
the
board
of
health.
H
I
Yeah
and
just
serious
kudos
to
to
jordan
and
to
the
staff
for
for
pivoting
in
this
space
quickly,
jordan's
also
working
really
hard
on
getting
that
package
down
in
terms
of
pages.
So
it's
a
little
bit
easier
to
wade
through
for
you
all.
So
thank
you
for
that
feedback
and
staff
thanks.
You
too,
and
I
think
I
think,
steph
hey
great
and
that's
it
for
that's
it
for
the
director's
report,
unless
others
have
other
board
members
have
any
questions
about
what
was
contained.
A
Okay
item
seven
hold
the
new
business,
joe
you're,
still
on
the
phone,
so
I
just
wanted
to
just
kind
of
let
people
know
that
colorado
environmental
health
association
annual
conference
begins
tomorrow.
Most
people
will
be
there
wednesday,
through
friday,
half
day,
encrusted
butte,
pretty
high
registration
numbers,
probably
not
surprising.
A
So
one
of
the
things
that
I
just
wanted
you
guys
to
know
was
that
I
did
nominate
the
team
for
one
of
the
seahawk
awards.
I
think
it
was
the
I
think
it
was
the
innovation
award.
It
might
might
be
a
different
one,
but
I
shared
that
with
joe.
I
have
no
idea
if
I
will
win
or
not,
but
really
proud
of
the
work,
and
it
was
like
25
people
that
we
listed
in
that
nomination,
so
good
work,
joe
and
team.
L
I
really
appreciate
that
nomination.
I
know
the
team,
you
know
really
worked
hard
for
the
community
on
that
event,
so
I
know
they're
really
going
to
be
appreciative
if
they
actually
get
the
award,
and
I
think
they
probably
will,
but
I
just
want
to
thank
you
for
submitting
that
it's
much
appreciated.