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From YouTube: Board Workshop - February 15, 2022
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C
And
to
the
republic
for
which
it
stands,
one
nation,
under
god,
indivisible
with
liberty
and
justice
for
all
okay.
So
we
have
a
workshop
today.
I
know
some
of
our
hey,
commissioner.
Some
of
our
members
are
calling
in.
We
don't
need
to
have
a
full
physical
quorum
just
because
it's
a
workshop,
we're
going
to
start
and
try
and
keep
this
to
about
11
25,
and
then
we
have
to
switch
over
and
we're
going
in
the
room
with
the
constitutional
officers
at
11
30.
C
For
the
other
workshop
that
we
have
they're
all
coming
down
and
we're
going
to
try
and
be
respectful
of
their
time
because
they
had
all
called
me
and
said-
please
be
respectful
of
my
time
tomorrow.
So
I'm
going
to
try
and
do
that
we
have
with
us
today,
members
of
the
hospital
community
and
they've
been
invited
by
the
county
and
they
will
normally
in
a
in
a
workshop.
We
don't
have
public
testimony
type
of
thing,
but
this
isn't
that
they're
they're
invited
because
we
wanted
to
have
their
expertise
on
this.
C
C
Okay,
I
hear
commissioner
moskowitz
on
the
phone
and
I
think
that's
all
we're
waiting
for
on
the
phone
right
now.
Okay,
if
anybody
else
calls
in
announce
that
you're
here,
okay,
commissioner
bogan,
you
have
the
floor,
sir.
E
Okay,
you
want
me
to
start,
you
want
to
start
you're
going
to
start
okay,
all
right
good
morning.
Everybody
and
thank
you
for
coming
mayor.
I
want
to
thank
you.
Thank
you
always
for
being
amenable
to
this,
and
I
can't
thank
you
enough
and
I'd
like
to
thank
our
guests
for
coming,
and
I
see
shane
strum
sitting
there,
my
eyesight's
very
busy.
E
Recording
you,
okay,
and
is
that
mr
fernandez
and
I'm
sorry,
I
can't
see
who's
next
to
you.
E
Welcome
I
want
to
welcome
everybody
and
and
introduce
everybody
as
time
goes
on,
I'm
going
to
make
this
really
try
to
make
this
real
brief.
I
want
to
do.
We've
had
two
long
meetings
on
this
topic.
I
want
to
try
to
summarize
it
in
five
to
ten
minutes
and
that's
number
one
and
second,
my
goal
here
today
is
to
come
up
with
a
proposal
that,
before
you
leave
you'll,
say
hey.
We.
We
think
this
is
workable
and
we'd
like
to
work
with
the
county
on
this
project.
E
E
If
you're
lucky
enough
to
get
behind
beyond
the
heart
attack,
you
got
to
worry
then
about
cancer.
Second,
leading
cause
of
death
and
articles.
If
you
go
on
and
look
at
all
these
different,
I
looked
last
night
even
on
these
medical
articles.
They
they
just
differ.
Is
it
one?
Every
two
people
will
get
cancer
or
one,
and
every
three
people
will
get
cancer
in
their
lifetime.
The
the
numbers
are
staggering.
E
So
today
I
want
to
talk
about
preventative
health
care,
I'm
not
talking
about
health
care
when
someone
comes
to
your
facility
and
is
sick,
but
basically
opening
a
whole
new
door
before
they
come
there
of
preventative
in
in
getting
the
community
and
patients
treated
and
treated
before
before
anything
happens.
E
We
talked
earlier
in
the
other
meetings
about
a
scott
study.
How
does
I've
been
proposing
about
getting
this
cardiac?
The
ct
machine
is
a
preventative
use,
and
so
the
question
was:
how
do
you
know
that's
going
to
be
successful?
Well,
there
was
a
scott
study,
hello
there.
There
was
a
scott
study
that
from
scotland
that
showed
they
used
a
community
in
scotland,
I
believe
of
5
000
people.
E
It
cut
cardiac
death
between
40
and
50
percent.
It's
amazing
with
the
numbers.
What
that
did
here.
We
have
broward
right.
We
have
two
million
broader
residents.
I
believe.
If
we
implement
this
program,
we
could
save
hundreds
of
thousands
of
lives
because
that's
all
this
is
about
is
saving
lives.
That's
what
I
believe,
being
the
medical
field.
You
want
to
save
lives,
but
I'm
not
asking
you
to
save
lives.
E
When
someone
already
has
the
heart
attack,
or
somebody
already
has
stage
four
cancer,
I
want
to
get
it
before
it
happens
and
besides
the
scott's
study,
we
had
videos
one
of
our
prominent
residents,
austin
foreman,
who
went
to
holy
cross
just
for
the
heck
of
it
of
getting
a
test.
He
felt
fine.
He
had
no
symptoms
and
it
found
a
98
or
99
blockage.
He
says
that
machine
saved
his
life.
We
saw
videos
of
other
people
who
had
other
blockages.
E
I
went
through
the
test
just
for
the
heck
of
it
and
found
a
60
blockage,
which
means
I'm
being
treated
now
and
they
say
the
good
news
is
I'm
being
treated
where
18
years
ago,
my
mother
didn't
know
a
thing
and
she
went
probably
from
60
to
70
to
90
hunting
them.
She
died
of
a
heart
attack
like
millions
of
other
people,.
E
Also
during
the
past
year
and
a
half
you
need
to
understand,
I've
been
asking
many
elected
officials
in
broward
county
to
go
through
this
test
and
they
have
many
prominent
business.
People
have
gone
through
this
test
and
many
of
them
found
issues
and
many
of
them
being
treated
right
now
because
they
went
through
the
test,
our
county.
The
issue
that
came
up
also
was:
should
our
county
be
involved
with
health
care?
Well,
our
county.
E
I
counted
at
least
10
different
areas
of
health
care
that
we're
currently
involved
in
whether
it
be
mental
health,
whether
it
be
many
other
types
of
health
care,
so
our
county
has
a
history
and
precedent
for
getting
involved
in
health
care.
Based
on
the
comments
of
our
previous
commissioners,
I
believe
it
was
from
last
meeting
commissioner
moskowitz.
The
mayor
has
said
repeatedly
several
times
and
other
of
our
commissioners.
E
They
proposed
something
a
little
different
than
what
I
was
proposing,
and
so
today
I
want
to
change
my
proposal
and
get
rid
of
the
sales
tax
proposal
and
propose
a
pilot
program.
The
pilot
program
would
focus
on
three
groups.
Seniors
number
one
number
two:
when
I
said
one
in
every
two
men
will
get
a
heart
attack
in
their
lifetime.
I
believe
that
was
focused
on
the
white
male
population,
because
the
black
population
has
a
great
propensity
for
getting
heart
disease,
it's
even
greater
than
one
and
two.
E
A
mixed
group
of
population
between
45
and
65..
My
pilot
program
would
also
be
similar
to
what
I
was
proposing
before
and
instead
of
having
we
called
an
oversight
board.
We
would
have
what
we
call
an
advisory
committee
and
I'd
ask
the
professional
people
today
who
are
here
to
to
be
on
that
advisory
committee
advising
us
step
by
step
as
we
move
along.
E
My
goal
is
simple.
My
goal
is
that
there's
nothing
more
valuable
than
a
person's
life
without
your
health,
you
have
nothing,
and
this
is
demonstrated
repeatedly
whether
you
talk
about
the
scot
study
people
here
in
broward
county,
no
matter
what
you
talk
about.
This
preventative
test
will
definitely
save
lives,
and
so,
with
that
said,
I'd
like
to
get
the
input.
E
I
don't
know
if
you
want
to
start.
I
spoke
yesterday
appreciate
your
time.
Shane
I've
met
with
you
and
appreciate
all
your
time
and
love
to
get
your
input.
If
you
want
to
start,
I
don't
know
if
I
could
pick
on
you.
First
yeah.
G
I'm
happy
for
you
to
pick
on
me.
This
is
great.
No
actually
one
mayor
commissioners,
thank
you
for
having
us
today,
but
commissioner
bogan
for
actually
hosting
this
and
having
us
here
after
you
know
the
recent
conversations
that
you've
had
one.
I
appreciate
the
personal
story
and
learning
about
more
about
you
and
about
your
mother
and
what
you've
gone
through
preventative
medicine
is
absolutely
key.
You're.
G
Looking
at
the
healthcare
leaders
here
in
your
own
backyard
and
your
community,
we
absolutely
try
to
make
a
difference
every
single
day
and
I
think
that's
what
your
intent
was
on
this
and
you
focused
on
heart
mark
doyle,
with
holy
cross.
As
the
ceo
has
a
team
of
folks
that
have
been
looking
and
working
on
these
issues
for
quite
some
time
and
has
a
lot
of
other
thoughts
and
ideas
on
it.
My
my
thing
is
one.
G
I
think
the
first
part
is
that
you're
gonna
put
the
half
penny
sales
tax
on
the
back
burner.
It
sounds
like
that's
done
for
now
and
what
you're
looking
for
from
correct
and
hearing
you
is
a
pilot
project,
and
how
do
we
imagine
this
pilot
project?
Where
do
we
take
it?
How
do
you
have
the
involvement
of
all
the
health
care
systems
here
in
broward
county,
so
it
could
be
as
big
and
robust
as
possible
so
that
you
can
include
everybody.
It
sounds
to
me
like
you've,
broken
it
out
into
three
good
buckets.
G
G
Where,
where
would
this
pilot
project
take
place?
How
quickly
would
it
take
place?
I
sounded
like
you
had
thought
about
having
some
advisory
opinion.
How
long
would
the
pilot
project
go?
What
type
of
data
are
you
looking
for,
because
I
think
you
know
we
measure
what
matters
and
data
is
extremely
critical.
I
think
we
would
need
a
robust
large
number
of
people
to
really
qualify
and
help
us
understand.
You
know
at
the
end
of
the
day,
what
are
we
really
looking
for,
so
the
key
would
be.
E
G
In
a
minor
way
right,
and
since
we
don't
have
an
agenda,
it
seems
like
this
would
actually
be
a
great
opportunity
to
roundtable.
I
I'd
love
to
hear
what
the
other
executives
have
to
say,
but
I
think
most
of
us
would
be
in
agreement
that
a
pilot
project
would
be
the
the
first
best
step
moving
forward
and
then
kind
of
assembling.
Whatever
your
advisory
team
would
look
like
a
kind
of
launch
dates,
and
then
I'm
also
not
familiar.
But
how
is
that
funded
is
that
is
that
a
partnership
with
the
health
care
is
that
through.
E
The
county,
so
so,
after
doing
all
the
costing
on
on
what
I
believe
this
would
cost
I
I
was
aiming
for
a
10
million
dollar
pilot.
I
asked
bertha
bertha.
If
we
don't
touch
any
other
program,
it's
not
going
to
interfere
or
name
the
program.
Do
we
have
that
money
on
a
non-reoccurring
basis
and
bertha
said
yes,
so.
G
We
we
would
fund
it.
Okay,
that's
perfect,
all
right,
so
it
sounds
like
the
basics
are
in
place.
I
think
now
the
the
biggest
thing
would
be,
what
type
of
data
do
we
want
to
collect
and
how
do
we
kick
it
off
and
where
are
the
others
in
this
room
that
you've
assembled
today?
You
know
where
what
we
start
on
first
to
actually
start
moving
this.
You
know
what
what
are
your
key
interest
is
you've
outlined
where
and
when
and
how
and
the
financing
behind
it.
G
I
think
that
listening
to
other
ceos
here
and
then
some
of
the
subject
matter,
experts
in
the
back
of
them
and
we've
brought
our
chief
medical
officers,
physicians
and
many
others
that
actually
understand
some
of
these
topics.
So
if
you
had
any
additional
questions
and
you
wanted
to
dive
in
a
little
deeper
such
as
what
would
be
the
first
project,
where
would
it
be
located?
How
would
it
be
done?
I
mean:
are
you
talking
about
using
the
hospital
facilities?
Would
there
be
consideration
of
using
outpost
facilities?
G
You'd
mention
certain
buckets,
maybe
with
some
of
the
communities
that
aren't
as
mobile
all
of
us.
I
know
have
mobile
vans
and
rvs
that
could
get
out
and
go
into
the
community
to
touch
on
some
of
these
communities.
So,
however,
you'd
envision
that,
I
think
today's
kind
of
a
nice
way
to
level
set
and
figure
out
what's
the
best
way
to
help
get
your
program
off
the
ground.
I.
E
I
also
want
to
emphasize
two
things:
if
I
can,
one
is
so:
I've
been
working
at
one
location,
the
past
year
and
a
half
and
that's
holy
cross,
so
I
wanted
to
make
sure
everybody
understood
that
I
want
to
work
with
all
the
hospitals.
I
want
to
work
with
everybody
and
really
what
brought
me
to
holy
cross
was
dr
claudio
schmuke.
I
just
want
to
really
let
you
understand
why
I
feel
very
comfortable
working
with
him.
E
This
is
a
doctor,
who's
triple
board,
certified
radiology
nuclear
medicine
and
cardiovascular
ct,
he's
authored
two
books
on
cardiac
ct.
He
started
the
first
worldwide
course
for
phillips
that
makes
the
machine
teaching,
cardio,
cardiology
and
radiologist
on
this
machine.
He's
a
former
professor
at
the
university
of
miami
medical
school,
one
of
the
founding
members
of
the
society
of
cardiovascular
ct
and
conducts
courses
in
the
us
and
abroad
on
this
topic.
E
So
I
I
really
felt
I
had
was
working
with
a
person
that
had
expertise
in
this
area
and
I
really
but
I
want
to
make
sure,
because
I
think
when
you
first
heard
about
it,
you
may
have
thought.
Oh
I'm
trying
to
do
just
something
solely
with
holy
cross
and
as
much
as
I
appreciate
in
the
great
work
holy
cross,
I've
done
work
with
for
the
past
year
year
and
a
half
I
want
to
work
with
everybody.
I
want
to
work
with
all
the
facilities
clinics.
G
And
I
like
it,
that's
a
collaborative
effort.
First,
the
gentleman
you
speak
of
has
tremendous
credentials
much
more
so
than
ceo
doyle
from
holy
cross,
but
maybe
doyle
hired
him
no,
but
but
I
think
what
you're
really
speaking
to
is
opening
the
door
and
making
sure
that
all
of
us
have
a
seat
at
the
table.
I
think
the
advisory
committee
sounds
extremely
well
on
it.
I
think
also,
we
all
have
our
own
demographics,
our
own
patients,
we're
all
located
in
different
parts.
G
So
I
think
you'd
get
a
greater
depth
and
breadth
of
people
that
you're
looking
for
to
fill
those
buckets
from
all
of
us
and
we
could
come
up
with
some
type
of
way
that
you'd
actually
not
only
figure
out
where
they're
coming
from
but
measure
it.
I
mean
we're.
Gonna,
have
to
create
databases,
so
we'd
be
able
to
report
the
findings
back
to
you
and
know
what
what
it
looks
like
a
year
out
and
there'd
be
a
lot
of
other
questions.
So
what
happens?
G
H
I'll
do
it
elio
fernandez,
president,
ceo
of
memorial,
healthcare
system,
you
know
we
in
broward
county
are
very
fortunate
to
have
two
healthcare
safety
net
facilities
that
is
made
up
of
10
hospitals
and
over
25
clinics
throughout
the
county,
especially
placed
in
underserved
areas.
So
our
mission
is
to
provide
healthcare,
regardless
of
the
ability
to
pay
and
access
to
our
facilities
is
ongoing
in
our
clinics,
along
with
over
a
hundred
thousand
residents
of
broward
county,
take
their
health
care.
The
tests
that
are
being
proposed
are
currently
being
done
in
each
one
of
our
facilities.
H
You
have
the
chief
medical
officer
here
for
cleveland
clinic
dr
blandon
and
I'm
sure
the
chief
medical
officer
at
holy
cross,
and
I
know
that
the
chief
medical
officer
of
broward
health
and
memorial
here
as
well.
We
feel
that
the
infrastructure
that
we
have
in
providing
this
service
to
the
communities
there
and
duplication
of
those
services-
I
just
personally
see
it
as
something
that
maybe
what
we
need
to
do,
as
has
been
suggested
to
a
pilot
and
see
how
we
can
improve
access,
but
the
technology's
there.
H
H
We're
not
advocating
at
least
not
memorial,
definitely
not
using
the
emergency
department
as
an
entryway,
but
we
have
adequate
clinics
that
provide
that
entry
to
the
healthcare
environment,
the
we
are
both
taxing
authorities.
In
other
words,
we
do
tax
the
residents
of
broward
county
to
have
access
to
our
health
care
to
the
health
care
needs.
So
there
is
a
structure
already
in
place,
inviting
the
other
facilities
in.
I
think
it's
the
right
thing
to
do.
The
collaboration
that
we
experienced
during
the
covet
pandemic
over
the
last
two
years
in
my
45
years
in
healthcare.
H
I've
never
seen
before,
and
that's
you
know,
working
with
dr
blandon
and
and
and
with
mark
doyle,
routinely
to
make
sure
that
we
provide
the
resources
necessary
so
that
we
wouldn't
have
any
shortfalls
in
sorry,
and
I
think
I
projected
loud
enough
didn't
I
you
were
great
okay,
so
I
I
you're
gonna
find
that
the
health
there's
16
hospitals
in
broward
county
and
what
we
have
found
is
that
since
we
started
this
pandemic
two
years
ago,
there's
been
more
collaboration
than
in
the
history
of
the
hospital
industry,
but
we
got
to
go
beyond
the
hospitals.
H
We
got
to
go
to
the
clinics
that
are
out
there
in
places
that
are
underserved
to
reach
out
to
the
name
to
the
residents
so
that
they
find
it
easy
to
have
access
the
technology
we
have.
I
cannot
talk
to
the
medical
validity
of
this
test.
I
do
have
their
chief
medical
officer
here,
we've
spoken
to
cardiologists
and
there
is
it's
not
black
and
white.
H
I
can
tell
you
right
now:
it's
a
gray
area
and
I
would
not
find
that
a
calcium
heart
score
test
is
conclusive
as
to
whether
or
not
you
are
in
a
situation
where
you
have
a
potential
of
experiencing
a
heart
failure,
but
I'm
not
an
md.
I
elect
dr
bland
don
speak
to
the
medical
terms.
I
can
only
say
that
again,
I
don't
want
to
repeat
myself.
You
have
two
taxing
authorities
in
the
county.
Additional
tax
in
our
opinion
and
the
opinion
of
our
border
commissioners
is
not
necessarily
needed
at
this
time.
E
If
I
could
just
interject
before
our
next
speaker,
I
want
to
just
make
sure
that
you
know
I'm
I'm
not
I'm
not
in
the
medical
field,
I'm
not
a
doctor.
However,
there's
two
types
of
tests,
I
would
make
sure
we
are
all
on
the
same
page,
there's
the
calcium
score,
which,
if
we
had
to
go
gold,
silver
bronze.
E
It's
the
bronze
test.
The
gold
test
is
the
ct
angiogram
cta
that
to
me,
based
on
everything
I've
learned
from
the
chief
cardiologist
at
mayo,
clinic
in
rochester.
I
spoke
to
to
every
cardiologist
in
the
past
year
and
a
half,
probably
50
of
them
all
told
me
that
the
cta
there's
no
there's
no
mixed.
That
shows
that
that's
the
top
tier
test,
and
I
believe
that
and-
and
I
could
ask
dr
schmisky
there's
one
of
your
prominent
medical
publications
that
recently
came
out
discussing
that
as
well
anyway.
With
that.
I
Good
morning
I'm
rodolfo
blandon,
I'm
the
hospital
president
of
cleveland
clinic
and
by
coincidence
I
also
happen
to
be
a
practicing
radiologist.
So
I'm
very
familiar
with
with
everything
that
we're
discussing
here
today
and
and
thanks
for
the
clarification,
because
that's
very
important,
they're
two
separate
tests,
but
when
you
do
a
cardiac
cta,
a
calcium
score
is
also
done
before
it
and
the
reason
is
if
a
person
has
very
calcified
arteries
which
are
white,
calcium
is
white
on
a
ct
scan
when
you
give
it
the
dye.
I
The
dye
also
is
white,
so
it
can
lead
to
false
positives,
and
so
that's
why
they're
both
done
and
but
I
definitely
agree
a
commissioner
with
everything
that
has
been
said
here
today.
I'm
very
excited
about
your
passion.
In
doing
this,
I
have
to
tell
you
that
also
as
a
physician,
I
have
seen
too
many
patients
that
would
have
benefit
from
this
exam,
because
the
problem
is
historically
the
way
we
had
screened.
I
These
patients
has
been
with
an
echocardiogram
stressing
them
or
a
nuclear
medicine
exam
which
is
also
done
in
radiology,
but
the
problem
is
that
by
the
time
those
tests
are
abnormal.
You
got
to
have
a
blockage
of
greater
than
60
to
70
percent,
so
you
can
prevent
disease
because
by
that
point,
when
you
pick
them
up
they're
already
very
advanced,
and
at
that
moment
you
probably
need
intervention,
so
that
is
the
grain
of
great
advantage
of
the
cardiac
cta.
I
You
know,
and
I
think
that
you
know
with
time
we
will
see
more
adoption
of
it,
because
it's
just
such
a
good
examination.
You
need
specific
scanners
to
do
that
in
order
to
get
you
know
a
pretty
good
scan,
but
in
all
our
facilities
you
don't
have
those
top-notch
ct
scans.
D
Sure
my
name
is
mark
doyle,
I'm
the
ceo
of
holy
cross
health,
I'm
honored
to
be
here
today.
So
let
me
do
my
disclaimer,
I'm
not
a
doctor
or
even
an
executive
at
times,
but
you
know
I
had
the
opportunity
to
work
with
commissioner
bogan
over
the
past
year
and
a
half
to
provide
access
for
the
cta
scan
to
him
and
a
few
other
people.
D
You
know
I'm
here.
Having
worked
both
worked
for
both
broward
health
and
memorial,
I
can
tell
you
they
are
fantastic
organizations
and
very
qualified
to
take
care
of
these
types
of
patients.
With
that
being
said,
you
know
we're
a
not
a
tax
entity,
but
we
holy
cross
has
been
around
for
66
years
to
provide
care
to
the
underserved
in
the
community.
D
So
our
goal
today
is
to
you
know,
collaborate,
observe,
listen
and
determine
how
we
can
best
serve
the
needs,
the
community
and
provide
access
and
preventative
maintenance
for
the
patients
in
this
community.
So
that's
our
goal
today
and
I'm
happy
part
of
the
this
solution.
Thank
you
thank
you
mark
and
thank
you
for
all
your
help.
C
K
Just
go
right
around
okay,
great
thanks!
First
of
all,
thank
you
all
very
much
for
being
here.
I
think
this
is
very
helpful.
Commissioner
bogan.
I
think
this
is
a
good
step
that
you're
taking
here.
I
think
this,
I
think
the
idea
of
doing
pilot
studies
prior
to
such
a
an
ambitious
program
really
gives.
K
Of
data
that
on
on
a
later
date,
if
if
it
looks
like,
maybe
we
should
do
something
like
that,
it
gives
us
the
foundation
for
it.
I
do
want
to
talk
with
about
one
thing
and
I'm
sorry:
I
didn't
catch
your
name
on
the
right,
brandon
blandon,
yes,
okay,
dr
blandon.
Yes,
sir
dr
button,
it
sounds
like
what
you
just
said
is
you're,
confirming
much
of
what
commissioner
bogan
has
been
talking
about,
and
the
fact
that
that
particular
technique,
the
ct
angiogram,
is
the
the
most
the.
K
K
Okay,
that's
pretty
simple,
then
what
then,
what
worse
than
what
I'm
hearing
is
that
you're?
Probably
there
are
probably
a
lot
of
people
in
this
county
that
are
not
having
access
to
it,
correct,
correct
based
on
that
and
which
means
there's
an
inequity
in
in
health
health
benefits
to
many
people
in
this
county.
K
So
I
think
what
what
is
being
proposed
here
is
to
find
out.
First
of
all,
let's
make
sure
that
this
is
something
that
that
is
going
to
be
beneficial
to
people
in
this
county.
A
pilot
project
that
would
target
like
you're
saying
is
going
to
confirm.
It
sounds
like
that
that
treatment
is
is
better
and
that,
if
there's
and
if
that's
the
kind
of
treatment
really
that
everybody
should
have
access
to,
then
then
we
might
have
to
find
a
way
to
make
sure
everybody
gets
it,
because
it's
not
it.
It
really
isn't
fair.
K
K
The
you
know
I
wanted
this
to
go
to
a
workshop,
because
I
wanted
to
hear
from
both
districts.
At
some
point,
I
I
don't
I
didn't.
I
also
don't
want
to
duplicate
infrastructure.
I
think
you're,
absolutely
right,
you
already
got
it.
You've
got
it.
You
both
got
it
we,
you
know,
we
don't
need
to
be
buying
a
bunch
of
new
machines
and
you've
got
that
dot.
You've
got
all
that.
You've
got
all
that's
needed.
K
D
K
I
and
I
I
guess,
I'm
asking
you
all
this:
do
you
have
you
know
it
requires
a
lot
of
upfront
work
and
determining
what
your
metrics
are
and
all
those
kind
of
things
who
would
do
you
have
people
on
your
staff
that
are
that
can
pull
that
kind
of
thing
together,
in
other
words,
we're
gonna
we're
gonna
need
to
look
to
somebody
to
pull
that
part
together.
I
don't
think
you
and
I
are
gonna.
K
Okay,
okay,
but
but
I
think
this
is
something
that
needs
to
be
done
on
a
very
professional
level.
I'm
asking
do
you
all
have
the
people
that
could
help
write
the
parameters
of
that
kind
of
a
project
so
that
in
the
end
we
have
the
kind
of
data
that
we
need.
Do
you
all
have
that
people.
K
E
Mayor
can
I
just
interject
before
there's
only
two
preventative
and
please
correct
me
if
I'm
wrong,
there's
only
two
preventative
tests
that
are
provided
to
the
public
today
mammograms
in
a
preventative
sense
and
colonoscopies
in
a
foreign
sense,
I'm
not
aware
of
any
other
preventative
ongoing
tests
that
are
provided
to
the
public.
Even
though
mammogra
you
know,
breast
cancer
is
obviously
very
high
in
colonoscopy
and
colon
cancer
is
very
high,
but
the
leading
cause
of
death.
My
point
is
it's
not
get
psas
well
psas,
but
but
any
psas,
you
know
it's
blood
work.
I
Thank
you
there's
a
specific
criteria
to
get
that
you
have
to
see
your
physician
and
if
you
qualify,
you
can
get
that
as
well.
F
Oh
thank
you
mayor.
First
of
all,
I
am
thank
you
again
for
the
panel
to
be
here.
It
is
so
enlightening
for
us
to
really
have
a
chance
to
dialogue
with
you
and
to
get
your
thoughts,
and
thank
you
personally
take
care
of
my
family
members
throughout
the
hospital
districts.
F
Okay,
perfect.
Thank
you,
miss
henry
for
finding
the
dollars
to
be
able
to
do
the
program.
This
is
exciting
that
we
do
have
that
ability
to
do
so.
M
F
Very
good,
so
I
heard
mr
storm
talk
about
data
collection,
where
I
think
it's
very
important,
because
once
we
do
the
pilot
program,
if
we
do
it,
we
want
to
make
sure
that
that
is
there
for
us
to
continue
on
to
the
next
step.
F
I
guess
the
budget
of
the
funds
need
to
be
how
we're
going
to
allocate
those
funds
to
either
each
district
or
how
we're
going
to
do
that.
I
would
like
to
see,
but
more
importantly,
is
I'm
kind
of
a
checklist
kind
of
a
guy.
So,
mr
myers,
you
know
what
is
the
next
step
to
taking
the
commission
to
prepare,
obviously
the
documents
to
be
able
to
do
the
pilot
program.
F
Okay,
my
point
is:
I,
I
think
that
what
commissioner
bogan
and
what
I'm
hearing
from
him
is
the
advisory
committee
kind
of
were
made
up
of
the
professionals
we
here
have
today,
which
will
allow
us
to
prepare
that
checklist
on
with
step
by
step.
We
need
to
get
there
and
the
timeline,
because
I
think
timing.
F
Obviously,
every
day
we
go
by
we're
losing
folks,
you
know
to
cardiac
arrest
and
cardiac
disease,
so
I'm
just
looking
just
trying
to
find
out
how
soon
we
can
create
this
advisory
committee
and
then
how
obviously
looking
for
youth
professionals
to
create
that
timeline
for
us,
as
a
body
of
electives,
to
be
able
to
move
it
forward,
and
I
know
there's
a
lot
of
details
that
have
to
be
worked
out.
I
get
that,
but
let's
not
waste
too
much
time.
Let's
get
to
the
end
result.
Thank
you.
C
E
I
I
You
will
see
parts
of
the
lung,
but
it's
not
intended
for
that
purpose,
because
the
heart
you
know
you
you
need
to
have
a
some
patients
will
require
a
medicine
to
slow
down
the
heart
rate,
to
get
better
images,
some
beta
blocking
to
get
better
images-
and
you
know
the
field
has
to
be
narrowed
to
the
area
of
the
coronary
arteries
to
get
better
energy.
C
So,
thank
you
yeah.
So
I'm,
okay
with
I
like
the
pilot
program
concept,
I
I
would
need
to
see
the
details,
but
I
think
that
in
concept
is
to
me
something
that's
much
more
first
step
and
palatable
that
we
can
do.
C
I
would
I
was
thinking
about
it
because
we're
not
allowed
to
talk
about
any
of
this
outside
of
here,
but
one
of
the
things
that
intrigued
me
is
in
looking
at
this
is
when
this
started
off
with
the
with
the
with
the
idea
of
doing
this.
C
I
think
that
we
should,
when
we
meet
every
year,
and
we
have
our
budget
workshop
and
we
look
at
our
insurance
component-
and
I
know
mr
kelleher
and
mr
khan
bring
us
a
and
our
insurance,
because
we're
we're
a
large
employer
and
a
large
self-insured
retention
type
of
employer.
We
pay
all
our
own
health
care
for
our
employees.
I
was
thinking
that
we
could
step
up
and
actually
off
you
know
the
same
way.
We
have
a
line
item
for
all
this.
C
What
it's
going
to
take
if
you
have
a
high
deductible
plan,
what
your
deductible
is
going
to
be.
Do
you
want
vision
coverage?
Do
you
want
dental
coverage?
I
was
thinking
that
this
could
be
something
that
could
be
offered
to
our
employees,
which
would
then-
and
so
let's
say
we
did-
that
broward
county
with
our
six
or
seven
thousand
employees.
I
never
know
what
the
exact
number
is.
C
The
way
you
guys
do,
all
I
know
is:
go
in
and
and
get
a
shot
or
whatever,
when
I
need
something
done,
but
I
know
that
there's
got
to
be
some
level
of
buy-in
from
the
patient
and
just
rounding
up
numbers
of
people
to
say
you're
going
to
be
in
our
health
care
study.
For
this
thing
that
we're
going
to
do
may
not
be
the
most
optimal
way
to
do
that,
we
may
be
getting
this
be
able
to
get
the
same
level
of
data
along
an
entirely
different
field
of
of
participants.
C
I
don't
care
if
it's
twenty
dollars,
just
something
so
that
there's
some
buy-in
by
the
patient
and
we
say
to
them
just
like
we
all
did
if
you
want
to
go
in
and
do
this,
you
go
in
and
do
this
and
then
we
have
the
ages
and
all
that
information
we
come
in
through
a
through
a
through
a
process
like
that.
Has
that
been
looked
at
through?
Could
that
be
looked
at.
E
Mayor
what
I've
looked
at
just
so,
you
know
all
the
studies
that
I've
seen
done
and
that's
written
been
written
about
in
the
medical
journals.
The
reason
why
that
doesn't
work
is
because
you
need
a
certain
population
number
of
people
for
each
bucket,
as
shane
was
talking
about
you
know,
and,
and
so
like.
The
scots
study
had
5
000
people
of
a
certain.
So
you
know
our
employees
range
in
age.
They
range
in.
You
know
whether
they're
white
black
hispanic,
whether
they're
age,
you
really,
if
you
really
get.
E
I
think-
and
you
can
correct
me
if
I'm
wrong-
please
correct
me
from
wrong,
but
you
really
get
your
your
best
data
by
having
separate
buckets
and
by
being
able
to
identify
okay,
the
you
know
this
was
effective.
We
saw
what
happened
on
seniors,
we
don't
have
we.
I
don't
think
we
have
enough
seniors.
Working
for
the
county
might
be
wrong.
That
would
show
enough
data
and
then
then
you
know,
but
the
45
to
65
bucket
might
qualify
for
what
you're
talking
about
so.
C
C
The
the
the
life
insurance
companies
know
what
those
answers
are
they
have
these
somewhere.
So
I
to
do
this.
I
agree
with
doing
the
study,
but
I'd
rather
just
do
more
of
the
tests
just
to
get
people
more
of
the
tests,
and
if
we
could
get
this
by
rolling
it
out
by
people
doing
it,
we
could
actually
start
saving
lives.
C
You
know
right
away,
I
mean,
if
I'm
an
employee
of
broward
county,
I
would
like
to
have
the
op
or
the
school
board,
or
memorial
health
care
or
the
north
broward
hospital
district
or
you're.
You
have
large
groups
of
employees.
Do
you
offer
this
in
your
health
care
alternatives?
If
I
don't
know
if
you're
self-insured
or
if
you
use.
H
Insurance,
well,
you
need
a
physician's
order
and
then
we'll
do
the
test.
Yeah
it's
offered.
The
insurance
plan
is
covered,
but
the
challenge
that
you're
referring
to
is:
how
do
we
populate
the
cohorts?
How
do
you
select
that
bucket
of
65
and
over?
How
do
you
populate
the
african-american
bucket
and
that's
the
challenge
that
I
see,
but
it's
the
it's
a
good
way
to
do
the
pilot
now
actually
you're,
absolutely
right.
We
come
back
into
the
numbers.
H
The
insurance
companies
have
exactly
how
many
65
year
olds
and
older,
who
have
a
cta
or
a
certain
age
or
certain
pre-existing
conditions,
will
come
out
with
a
positive
test.
All
that
data
is
there,
but
my
the
challenge
here
is:
how
do
you
get
that
cohort
to
be
populated
with
the
right
group
of
people,
but
I
think
the
three
buckets
are
right
on
point:
okay,.
E
Mayor,
that's
why
I
agree
with,
I
believe
I
know
the
data
from
the
scot
study.
That's
why
I
wanted
to
go
into
a
full-blown.
Let's
do
this
half
penny
quarter
penny
because
it's
there,
but
we
haven't
done
it
here.
It
hasn't
been
done.
So
I
think
the
first
step
is
pile
of
program
data
here,
not
in
scotland
data
here
and
take
one
step
at
a
time
and-
and
I
could
we
can
populate
that
pretty
easily-
I'm
very
involved
in
the
community
good.
I
can
populate
those
buckets
very
easily
good.
N
Commissioner
austin,
thank
you
mayor
typically,
when
you're
last
is
hard
because
you're
repeating
everyone,
so
I'm
gonna
try
not
to
do
that.
So
again,
thank
you
to
all
of
our
esteemed
healthcare
leaders
for
being
here
this
morning.
This
esteemed
group.
Let
me
also
say,
commissioner
bogan.
Thank
you
also
for
bringing
this
item.
I
know
we've
had
some
robust
conversation
up
here
on
the
dais,
the
good
news.
It
sounds
like
there's
agreement
on
no
new
taxes.
I
think
we've
kind
of
heard
that
collectively
from
this
board.
N
Mr
vice
mayor,
you
don't
know
this,
but
I'm
looking
at
my
notes
and
I
think
again,
you've
been
looking
at
them,
because
that
was
kind
of
my
next
comments.
You
know
next
steps
timeline
and
then,
of
course,
the
agenda
item
that
will
come
back,
hopefully
from
you,
commissioner
bogan,
but
before
we
do
that,
I
know
mr
attorney,
you
may
opine
on
this
my
question
for
you,
commissioner
bogan.
I
know,
there's
been
a
lot
of
conversation
around
public
engagement
and
communication
with
the
underserved
and
the
black
community.
N
I'm
curious
to
know
kind
of
what
is
your
framework
around
reaching
the
black
press,
even
mass
media
and,
of
course,
getting
that
voice
out.
You
know,
as
we
talk
about
these
different
buckets,
so
just
you
know
maybe
just
general
response.
I
know
that
you'll
bring
the
item
back,
but
we'll
love
to
hear
your
thoughts.
E
E
I
would
be
going
out
to
the
local
publications,
the
newspaper
publications,
that
service
those
areas-
and
I
I
you
know
I've
already
been
speaking
so
many
of
the
communities
and
I've
been,
as
you
saw
in
our
last
meeting.
We
had
videos
of
several
pastors
who
talked
about
their
support
for
what
I
was
trying
to
do,
and
so
I
I
so
to
me
just
off
the
top
of
my
head.
I
would
be
going
to
the
churches.
I'd
be
going
to
the
local
publications
that
service
that
area
and
start
there.
N
Great
and
then
my
other
question
is
around
commissioner
bogan
slash
attorney
around
the
appointing
authority,
so
good
news
sounds,
like
all
of
the
ceos
are
on
board
what
those
stakeholders
will
look
like
on
whatever
this
advisory
board
or
advisory
council
looks
like
as
well
so
I'll
wait
for.
You
know
your
feedback
on
next
steps,
but
I'm
supportive
of
the
pilot
so
great
to
see
all
of
you
and
thank
you
for
your
input.
M
Thank
you
mayor,
first
of
all,
again
a
job
well
done
by
commissioner
bogan.
I
think
it's
a
an
excellent
issue.
I
do
think
the
pilot
program,
as
I
suggested
the
first
meeting
is
a
good
way
to
go.
I
think
it's
it's
a
way
to
get
the
data
to
look
at
it,
examine
it
see
how
we
can
run
a
program
will
learn
a
lot,
not
just
in
results,
but
in
process
and
as
well.
M
M
In
in
broward
would
be
another
good
way
to
try
to
reach
the
underserved
community
in
broward
county,
so
I'm
supportive.
A
E
E
You
know
that
we
could
have.
We
could
have
20
people
10
people
on
this
five,
but
you
know
you
as
the
leaders
of
our
health
care
system
here
in
broward.
I
you
know
you're
vital
to
this
and
and
so
okay
great
appreciate
that.
N
E
I'm
open
to
I'm
open
to
anybody's
input.
I
think
that
the
more
input
we
get
the
better.
So
if
you
have
somebody
that
you'd
like
to
have,
but
it
really
the
advisory
committee
really
is,
for
you
know
to
provide
medical,
professional,
medical
and
diagnostic
advice,
you
know,
so
you
know
that's
what
I
I
believe,
but
we
could
have
you
know
community
advisory
committee,
for
you
know,
community
outreach,
I'm
happy
to
you
know
to
do
that.
E
I'll,
come
back
with
a
proposal
to
all
the
commissioners
here
to
fill
in
all
the
questions
that
that
shane
brought
up,
which
are
excellent,
questions
that
need
to
be
answered.
Those
holes
need
to
be
filled
and
and
come
back
with
it
to
all
of
you,
commissioner,.
K
K
E
So
so
the
advisory
committee
really
would
be
me
reaching
out
to
these
gentlemen
and
the
professionals
on
this
advisory
committee
on
putting
this
together
and,
and
so
I
would
be
kind
of
the
for
better
words-
the
lackey
I
will
be
the
one
that
will
be
making
sure
that
things
are
distributed,
making
sure
things
hey.
This
was
suggested
by
this
individual,
it's
emailing,
just
making
coordinating
it
and
taking
the
time.
These
gentlemen
are
very
busy,
and
so
you
know.
K
C
Yeah
and
that's
fine
and
that's
fine,
so
so
maybe
just
an
an
idea.
Do
you
think
we
could
maybe
like
continue
this
workshop
for
45
60
days
and
come
back
with
a
blueprint
of
what
this
would
look
like?
That
can
be
done.
Internally,
I
mean
is
60
days.
I
mean
you,
you
guys
are
the
experts
here,
you
kind
of
see
what
we
want
to
do.
C
We
want
to
put
a
bucket
together
of
15
000
diverse,
but
based
on
certain
categories
that
we
can,
then
you
know
go
with
and
and
come
up
with
some
ideas
about
bringing
better
preventative
health
care
to
the
residents
of
broward
county.
That's
what
this
really
is
all
about
at
the
end
of
the
day,
and
you
guys
are
the
experts
doing
that,
and
I
I
have
no
problem
with
you,
commissioner:
bogan
working
with
them
and
he'll
buy
you
lunch
every
time
you
want
to
do
it
and
you
guys
go.
C
E
Mayor,
that's
great,
I
would
suggest
letting
letting
me
you
know
see
if
I
can.
You
know
unless
you
want
to
suggest
something
different.
I
would
let
me
try
to
figure
a
way
of
outreaching
to
these
gentlemen,
putting
something
together,
sharing
it
with
you
and
then,
if
you
feel
that
at
that
time,
yeah
there's
just
too
much
here,
I
need
more
than
was
either
a
have
a
workshop
or
b
okay,
we're
ready
to
vote
on
this.
I
Could
make
a
suggestion?
Perhaps
you
know
a
good
way
would
be
if
each
of
our
health
systems
comes
up
with
you
know
one
physician,
a
cardiologist
or
a
radiologist.
That
then
can
work
together
and
then
put
the
whole
proposal.
I
think
that
will
make
what
will
make
the
most
sense
to
me.
What
do
you
guys
think.
B
H
C
So
I'm
in
100
agreement
with
what
you
said
I
want
this
to
be
as
totally
sunshiny
as
possible.
I
don't.
I
want
to
make
sure
that
the
county
attorney
can
discuss
if
we
appoint
somebody
or
if
it's
informal,
that's
why
I'm
saying
if
there's
a
something
that
you're
going
to
bring
us
back
in
the
future.
The
way
commissioner
bogan
suggested
if
it
has
to
come
for
for
an
agenda
so
that
we
can
then
hash
that
out
in
public
if
it
has
to
come
whatever
it
is.
C
I
just
want
this
to
be
smooth
relatively
efficient
and
quick
and
come
back
to
us
for
some
action.
I
don't
know
if
it's
45
30
45
60
days,
if
it's
done
just
by
memo
and
then
we
look
at
it
or
if
it
has
to
be
a
workshop
or
a
vote.
I
don't
think
we
need
to
get
those
details
of
this
level
right
here,
because
once
we
do
that,
I
think
we
kick
in
different
things
through
the
attorney's
office
that
we
may
not
be
need
to
even
get
in
that
level
of
detail
right
now,.
E
Okay,
so
so
what
to
where
we
start
today,
can
I
email
each
one
of
you
and
then
get
your
input
as
to
you
know?
Do
you
want
to
be
on
this
advising
community?
Do
you
want
to
point
somebody
as
well?
We
could
have
two
three
people
from
each
system
and
and
then
and
then
go
from
there
and
then
take
one
each
step
is
that
a
good
first
stop.
L
You
mayor,
yes,
I
just
want
to
make
sure
and
it's
along
the
lines
of
what
you
were
saying
that
we're
not
forming
an
advisory
committee
right
now
at
some
point,
it'll
come
back
before
the
board,
theoretically
to
form
an
advisory
committee.
The
reason
I
say
that
is,
we
get
into
sunshine
law
implications
and
I
don't
know
operationally
how
much
they
may
be
coordinating.
L
If
they're
going
to
be
on
an
advisory
committee,
a
formal
advisory
committee
created
by
the
by
the
board,
then
two
members
of
the
advisory
committee
would
have
to
sunshine
it.
So
at
this
point
there
are
ways
to
structure
it
without
forming
a
committee.
Okay,
maybe
you'll
have
to
form
a
committee
at
some
point,
but
right
now,
if
you
look
at
it
as
due
diligence,
you're
speaking
with
them
individually,
you
can
even
meet
with
them.
You
know.
E
I
use
the
committee
council.
Are
you
saying
that
if
mark
doyle
calls
dr
blandon
privately,
that's
a
sunshine?
That's
essentially.
E
C
E
Shane
did
you
like
my
suggestion
on
on
emailing,
you
know
sending
an
email
out
where
you
can.
Everybody
can
propose
a
a
professional
in
this
field.
As
dr
blandin
said,
yeah.
G
I
think
it's
a
great
recommendation.
It
gives
everybody
an
opportunity
to
weigh
in
and
report
back
to
you
I
think
the
attorney's
correct.
I
don't
know
if
you
want
to
call
it
exploratory,
but
I
think
I
understand
the
takeaways
in
the
homework
assignment
as
the
mayor
has
outlined
it,
because
we
do
have
several
things.
I
know
that
aurelia
fernandez's
key
concern
is:
how
do
we
actually
find
and
identify
these
people.
E
And
let
me
just
expound
on
one
thing
that
you
you
you
brought
up.
For
example,
I
I
spoke
at
at
some
of
the
largest
senior
communities
already
about
this.
I
spoke
at
the
two
century:
villages,
the
deerfield
beach
and
pembroke
pines.
I
spoke
to
the
leadership
at
kings
point.
I
spoke
to
the
leadership
at
winmore
all
senior
communities.
E
Each
community
has
over
10
000
residents
alone,
I'm
talking
about
filling
up
5
000
bucket
of
seniors,
I'm
not
going
to
have
a
problem
with
getting
seniors.
So
now
we're
talking
about
going
out
to
the
other
populations.
I'm
not
we're
not
going
to
have
a
problem
at
all,
getting
identifying
those
people
and
getting
those
people
all
right.
G
That
sounds.
That
sounds
great.
I
mean
we
can
come
back
to
you
relatively
in
a
short
period
of
time.
I
guess
the
key
question
for
all
of
us
would
be
is
how
nitty-gritty
into
the
details?
Do
you
want?
Do
you
want
us
to
kind
of
give
you
a
high-level
overview
of
where
we
have
this
equipment
and
how
we
think
we'd
create
the
access,
because
you
have
the
population
for
this
study
already
handled
and
then
what
would
be
the
next
best
steps
to
launch?
I
mean
it
sounds
like
it's
already
funded
through
the
county.
G
Administrator
county
attorney
seems
like
he's,
given
us
permission
to
move
forward
as
a
collective
here,
just
to
start
working
on
putting
the
pieces
together
and
making
a
recommendation
to
what
we
think
would
be
in
the
best
interest
of
full
access
for
the
community
and
kind
of.
However,
you
imagine
it
from
there.
K
E
I'm
happy,
I
will
email
you
detail
with
you
and
okay
and
and
get
the
process
moved
perfect.
Okay,
good!
Thank
you!
So
much
is
there
anything
else.
C
I
think
can.
E
And
take
a
picture
with
all
of
you
appreciate
that
come
on
up
awesome,
you
guys
want
to
come
down.
Let's
go
down.