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From YouTube: Community Vaccine Advisory Committee Meeting #10
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A
What
is
life
without
a
little
levity,
all
right,
the
10th
meeting
of
the
community
vaccine
advisory
committee
and
we're
once
again
we're
really
grateful
to
all
of
you
for
making
the
time
in
your
very
very
busy
schedules
to
participate
in
this
process,
and
I
think
we
have
a
great
meeting
ahead,
and
so
we
will
we
will
dive
into
it.
A
I
want
to
if,
if
we
can
jump
into
the
the
first
slide,
a
for
today's
meeting,
dr
erica
pond,
my
esteemed
co-chair
is
doing
some
very
well
needed
self-care
today,
so
she
is
out
with
her
family
on
a
little
vacation,
and
so
dr
tomas
aragon,
our
state
public
health
officer
and
director
of
the
california
department
of
public
health
will
be
my
co-chair
for
this
meeting
and
we're
very
grateful
for
dr
aragon
to
stepping
in
in
that
role
and
and
participating
throughout
the
meeting
representing
cdph
and
bobby.
A
If
we
can
have
you
do
the
logistics
and
walk
through
kind
of
the
meeting
basics.
I'd
be
wonderful.
Thank
you.
B
Great,
thank
you
hi
everyone
thanks
again
for
joining.
Instead
of
the
100th
meeting,
it's
maybe
the
100th
hour
and
the
10th
meeting
so
welcome
everyone
again,
just
as
a
reminder
to
the
members
of
the
community
vaccine
advisory
committee.
It's
great
if
you
can
leave
your
cameras
on
and
your
microphones
unmute
until
you're
ready
to
speak,
and
I
think
everyone
is
well
versed
in
the
hand,
raise
icon
to
make
comments
or
ask
questions.
B
So
thank
you
for
using
that
we're
pleased
to
welcome
again
our
asl
interpreters,
katie
sales
and
vicki
kennedy
who
you
can
see
spotlighted
on
your
screen
and
just
a
reminder
to
members
of
the
public.
We
have
listening
in
both
in
english
and
spanish,
on
a
listening,
only
phone
line
and
also
we
are
live
streaming.
B
The
entire
meeting
on
youtube.
Those
of
you
that
would
like
to
make
public
comment.
You
may
submit
public
comment
at
covid19
vaccine
outreach
at
cdphd,
which
you
can
see
here
on
the
screen.
If
anyone
has
any
technical
difficulties
during
the
zoom
any
of
the
members,
if
you
can
put
your
questions
that
are
of
technical
nature,
also
in
the
chat
we'll
be
happy
to
see.
If
we
can
help
you
during
the
meeting,
I
think
that
takes
care
of
the
meeting
logistics.
Dr
burke
harris.
A
Thank
you
bobby,
and
why
don't
we
go
ahead
and
hear
public
comments
from
the
last
since
the
last
meeting
great.
B
Thank
you
so,
just
as
a
reminder
to
all
the
members
and
the
members
of
the
public
that
are
listening
in
on
the
monday
evening
before
our
meeting,
we
close
off
the
public
comments,
so
it
can
be
compiled
and
it
is
sent
out
in
its
complete
form
to
the
members
of
the
community
vaccine
advisory
committee
so
that
they
can
review
the
public
comment
before
the
meeting.
So
the
public
comment
for
this
meeting
covers
the
period
february,
2nd
to
february
15th.
B
B
We
had
39
people
who
asked
that
the
whole
process
of
getting
a
vaccine
finding
out
where
to
get
a
vaccine,
the
tiers
and
phases
be
simplified
that
there
be
clarification
of
the
process
to
sign
up
for
a
vaccine,
including
how
to
use
the
my
turn
app.
That
cdph
and
the
governor's
office
have
created
a
way
to
understand
what
the
reliable
forecast
of
vaccines
would
be.
B
We
had
many
people
asking
to
be
prioritized
higher
in
the
process
than
they
currently
are,
including
comments
by
57
individuals
that
people
who
are
homeless
and
employees
who
work
with
the
homeless,
not
by
age,
be
categorized
in
tier
1a
that
frontline
workers
be
prioritized
and
given
vaccines
that
people
working
in
animal
shelters
in
zoos
be
lifted
up
higher
in
the
priority
list
that
school
staff
and
teachers
be
prioritized
and
also
that
appointments
be
made
available.
Not
during
school
hours,
cosmetologists
and
barbers
asked
to
be
prioritized
higher
up
public
transit
workers.
B
B
B
We
heard
from
an
acupuncturist
organization
offering
to
assist
giving
vaccines
since
they
use
needles.
So
often
we
heard
from
one
individual
asking
that
the
second
shots
of
the
vaccine.
The
second
doses
of
the
two
dose
vaccines
be
delayed
so
that
more
people
can
get
the
first
dose.
We
had
three
public
comments,
raising
questions
about
the
choice
of
blue
shield.
As
the
tpa
we
heard
from
two
individuals
identifying
that
community
health
centers
are
primary,
should
be
primary
vaccine
sites,
particularly
to
ensure
equity.
A
Thank
you
so
much
bobby
for
summarizing
the
public
comment
and
thank
you
to
the
members
of
the
public
who
took
the
time
to
share
their
important
perspectives
with
us.
The
public
comments
have
been
shared
with
all
of
the
members
of
the
cvac,
so
you
all
should
should
have
that,
and
I
want
to
encourage
you
to
to
read
all
of
the
public
comments
because
they
are
very
passionately
written
and
now
as
we
we
move
into
the
meeting.
A
I
I
want
to
you
know
with
every
meeting
I
feel
like
it's
important
to
again
ground
in
the
values
that
bring
us
to
this
work
of
safety,
equity
and
transparency
is
really
the
bed
bedrock
that
we
walk
into
that.
A
We
that
we
come
into
this
meeting
with,
and
I
also
want
to
remind
members
of
this
body
that,
as
we
as
we
think
about
the
purpose
of
this
committee,
you
know
we've
been
very
grateful
to
have
lots
of
excellent
feedback
from
all
of
you,
in
addition
to
the
feedback
that
we're
getting
from
the
members
of
the
public.
A
But
in
addition
I,
for
for
all
of
you,
we
hope
that
you
will
be
carrying
forward
the
information,
the
resources,
the
the
insights
and
to
deliberations
that
you
all
are
hearing
during
during
this
meeting
back
to
your
the
communities
that
you
represent,
and
so
we
we
want
to
just.
A
I
really
hold
that
bi-directionality
of
this
process,
where
you
we
as
an
administration,
are
sharing
with
all
of
you
and
then
hopefully,
and
and
certainly
we
are
hearing
all
of
the
the
wonderful
insights
and
information
that
you
have
to
share
with
us
from
your
constituencies
and
in
in
particular.
Today
I'll
talk
a
little
bit
about
the
agenda
in
a
moment.
A
But
today
we'll
be
talking
about
the
my
turn
system
and
we'll
have
the
opportunity
for
a
demonstration
of
the
my
turn
system
and
so
we're
hoping
at
the
you
know.
You
you'll
have
an
opportunity
to
to
have
lots
of
questions
answered.
A
You
know
ask
our
teams
and
then,
at
the
end
of
this
process,
you
you
know,
hopefully
talk
to
the
community
that
you
represent
about
going
on
to
my
turn
and
and
either
making
an
appointment
if
they're
eligible
or
registering
so
that
they
can
be
updated
and
informed
as
to
when
they
would
become
eligible
and
now
I'd.
I'd
love
to
invite
dr
aragon
to
make
a
few
remarks
before
we
dive
into
the
agenda.
C
Good
afternoon,
everyone
thank
you
for
spending
time
with
us
this
aft
this
afternoon.
I
I
want
to
just
give
a
little
bit
of
an
update
just
to
let
you
know
that,
in
terms
of
the
covent
infections
across
the
state
that
things
continue
to
get
better.
C
In
the
last
24
hour
period,
we
only
had
4090
new
cases
that
were
reported.
The
effective
reproductive
number
is
down
to
0.65
for
the
state.
That's
the
lowest,
I've
seen
it.
I
can't
remember
when
I've
seen
an
r
effective
down
that
that
low,
and
so
that
is
that
that's
really
good
news.
Our
seven
day
case
rate
is
down
to
20
and
our
percent
positivity
is
down
to
3.3,
so
we're
moving
in
the
right
direction.
C
Physical
distancing
wearing
your
face,
covering
moving
things
outdoors,
is
making
a
big
difference
and
you'll
see
the
the
state
health
department
and
the
state
in
general
is
going
to
be
emphasizing
reemphasizing
how
important
it
is
for
us
to
continue
to
do
this
as
we're
in
this
transition
period
to
eventually
come
into
community
immunity.
So
that's
all
I
want
to
say
and
I'll
turn
it
back
to
dr
burke
harris.
Thank
you.
A
A
When
dr
aragon
says
that
our
effective
is
down
to
0.65,
it
means
that
each
individual,
who
is
infected,
infects
x
many
people
right,
and
so,
if
the
r
effective
is
above
one,
it
means
that
more
and
more
people
are
getting
infected
and
the
idea
that
each
person
who's
infected
is
infecting
essentially
two-thirds
of
a
person
right.
That's
each
three
people
or
infected
only
in
fact,
two
people,
that's
really
good
news
in
terms
of
reducing
the
spread
and
and
and
stopping
the
search.
So
that's
a
that.
A
A
So
today,
for
today's
meeting,
we
are
going
to
talk
about
we're
going
to
start
by
hearing
next
steps
on
community
engagement,
equity
and
vaccine
acceptability
or
or
confidence
we're
going
to
continue
the
discussion
that
we've
been
having
with
the
governor's
office
and
the
department
of
social
services
and
the
department
of
public
health.
We'll
also
hear
an
update
on
vaccine
supply
and
distribution
from
dr
aragon
as
well.
A
As
many
of
you
know
that
our
third
party
administer
a
third-party
administrator
agreement
was
executed,
so
we
will
have
secretary
yolanda
richardson
who's.
The
secretary
of
government
operations
will
be,
will
join
us
today.
In
our
meeting
to
answer
your
questions
on
the
tpa.
All
of
you
should
have
received
a
link.
The
tpa
contract
is
out
there
on
on
open
gov,
so
all
of
the
members
of
the
committee
should
have
received
a
link
to
that
tpa
contract.
So
dr
secretary
richardson
is
here
to
answer
any
questions.
A
As
I
mentioned,
we
will
hear
we
will
have
a
demonstration
of
the
my
turn
system.
So
all
of
you
can
see
you
know
exactly.
How
does
it
work
to
sign
up
to
to,
on
my
turn,
to
know
to
be
notified
when
you're
eligible
for
vaccine
and
we'll
hope?
We
hope
you
share
we'll
share
that
information
with
your
constituents
and
then
finally,
we
will
hear
some
updates
on
the
recommendations
that
were
released
last
week
pertaining
to
individuals
with
underlying
medical
conditions
and
people
with
disabilities.
A
Thank
you
to
everyone
who
has
contributed
to
that
conversation
and
who
is
in
the
process
of
helping
us
be
more
effective
in
in
responding
to
the
needs
of
individuals
with
pre-existing
conditions
that
increase
their
risk
for
severe
covert
disease
as
well
as
certain
disabilities.
A
A
We
didn't
want
to
have
too
crowded
of
an
agenda,
and
the
first
is
one
that
we
heard
that
was
that
has
been
raised
by
this
body
and
also
has
been
a
question
in
the
public
comments,
and
that
is
the
question
about
about
federal,
about
how
individuals
in
federal,
immigrant
detention
centers
are,
are
being
vaccinated
or
what
is
the
plan
for
them,
and
this
question
was
raised
in
this
in
this
meeting
by
this
body,
and
so
as
as
is
our
commitment
to
you.
A
We
took
that
back
to
find
the
answer,
and
I
will
tell
you
very
transparently
right
now.
The
answer
right
now
is,
I
don't
know.
I
will
say
that
there
are
some.
I
I
now
understand
it's.
A
It's
been
a
little
bit
of
an
education
that
that,
while
we
recognize
very
much
that
you
all
want
to
know
the
answer
and
are
working
to
try
to
find
out,
there
are
some
real,
complex
jurisdictional
issues
that
are
at
play
and
so
for
today
I
don't
have
an
answer
for
you,
so
I
I
wanted
to
to
speak
to
that
and
be
very
transparent
about
that
issue.
A
The
second
question
that
I
wanted
to
speak
to
was
this
question
of:
are
we
using
hpi
or
are
we
using
sends?
A
I'm
sorry,
are
we
using
census
checks,
or
are
we
using
zip
codes
when
we
are
talking
about
applying
an
equity,
an
equity
tool
using
hpi
using
the
healthy
places
index,
and
the
answer
to
that
question
is
that
we
are
still
in
the
process
of
doing
the
modeling
to
assess
the
impact
of
doing
each
and
we're
also
trying
to
get
input
from
entities
that
and
particularly
vaccinators
on
how
that
would
impact
execution
right?
How
that
would
impact
implementation
if
we
were
using
zip
code
versus
census
tract
sure?
A
We'd
also
love
to
hear
from
you,
so
please
feel
free
to
to
share
in
the
chat
or-
or
you
know,
lots
folks
have
been
sending
us
resources
in
terms
of
any
impacts
or
concerns
that
you
have
in
terms
of
using
zip
code
versus
census
tract
and
now
with
that,
I
would
like
to
re-introduce
our
team,
who
is
leading
the
community
engagement
and
equity
part
of
the
agenda
that
is
maricela
rodriguez.
A
D
I'm
gonna
text
her
real
quick.
While
we
see
if
she
joins
us
in
a
second
okay.
D
That,
yes,
I
can't
sorry
I
was
trying
to
text
and
multitask.
At
the
same
time,
it's
okay,
I'm
happy
to
go
next.
While
we
wait
for
maricela,
if
you
don't
mind
scrolling
through
my
slides,
let's
go
to
slide.
D
Well,
good
afternoon
team
and
committee
members,
I
thank
you
for
allowing
me
to
be
here
again
wanted
to
kind
of
give
you
guys
an
update.
As
I
have
been
sharing
the
last
couple
of
meetings,
I've
been
sharing
some
research
findings.
D
I've
also
been
indicating
to
you
that
we
brought
on
a
new
team,
other
multicultural
media
agency
duncan
shannon,
along
with
some
other
key
partners,
baru
and
also
a
partnership
also
nuna
consulting
group
they're,
helping
us
to
ensure
that
you
know
our
messaging
reaches
our
communities
next
slide.
Please,
with
that
said,
I
wanted
to
give
you
guys
sort
of
next
steps
on
our
communication
strategy
based
on
the
research
that
we
have
done
in
the
last
month,
or
so.
D
D
We
have
a
paid
media
campaign
right
now
that
has
really
underscoring
some
key
messages
of
about
vaccine
safety
and
reminding
people
to
wear
a
mask,
etc,
but
as
of
march
15th,
we
will
be
launching
new
creative
and,
when
we
say
lunch
and
new
creative
meaning
derivatives
in
terms
of
our
research,
it's
creative
that
our
our
new
multicultural
media
agency
has
put
together
that
will
be
targeted
again
from
a
very
multicultural
buy,
reaching
our
diverse
communities.
D
We
will
also
be
building
a
public
relations
strategy
focus
on
key
audiences,
and
this
is
going
to
be
done
specifically
through
earned
media
and
also
through
social,
and
also
really
engaging
communities
on
the
ground
and
local
health
departments
at
the
local
level.
D
I
did
want
to
take
a
moment
and
really
share
with
you
guys
a
little
bit
more
specifically
on
our
messaging.
This
is
really
our
communication
strategy
and
this
messaging
is
really
four
pillars
that
are
intended
to
happen
all
at
once:
they're
not
intended
as
phases.
That's
because
together
they're
more
impactful
than
anyone
on
their
own,
the
pillars
are
not
mutually
exclusive.
D
Each
pillar
objective
is
meant
to
define
primary
objectives
for
anyone,
given
the
tactic
or
channel
at
the
same
time
that
we
are,
you
know,
releasing
information,
so
we
want
to
make
sure,
for
example,
if
a
tv
ads
primary
objective
is
to
connect
emotionally,
but
it
may
also
provide
some
additional
education.
D
So
that
is
the
strategic
approach
that
we
are
wanting
to
really
implement
as
we
move
forward
with
a
campaign
campaign,
another
example
would
be
having
an
influencer
engagement
like
on
social
media
or
digitally
primarily,
is
to
help
us
normalize
the
information
and
elongate
any
education,
but
may
also
connect
an
emotional
emotional
empathy
way
with
the
audience.
D
More
specifically,
we
have
the
connect,
educate,
normalize
and
activate.
These
are
very
strategically
put
together.
There's
also
intention
on
what
media
channels
or
platforms.
We
will
be
utilizing
to
ensure
that
we
elongate
the
messages,
so
we
wanted
to
be
very
transparent
on
our
communication
strategy
with
you
and
really
start
to
connect.
You
know
where
the
rubber
hits
the
road
in
terms
of
the
research
and
really
the
communication
strategy.
D
So
that's
really
at
a
really
high
level,
the
the
next
phases
of
our
campaign,
but
we
wanted
to
make
sure
that
we
shared
our
approach
as
we
move
forward
on
execution
of
the
campaign
with
that
said.
This
concludes
my
part,
but
I
am
happy
to
punt
it
over
to
marcela.
E
Think
bobby
I'll
go
next.
This
is
marcela,
we'll
close
this
out
today.
Thank
you
for
accommodating
and
good
afternoon.
Everyone,
it's
really
great,
it's
really
great
to
be
on
and
to
and
to
see
the
names
and
and
the
the
the
cameras
on
and
to
see
again.
So
many
of
you
next
slide
please.
E
E
So
just
by
way
of
update,
we
have
been
providing
you
with
information
about
the
timeline
for
the
campaign.
The
last
time
we
joined
you,
we
let
you
know
that
we
would
be
announcing
the
subcontractors
through
the
center
at
sierra
health.
That
list
of
contractors
is
now
available
and
I'll
show
you
in
just
a
moment
just
all
the
organizations
who
were
selected,
but
we
did
announce
awards
of
17.3
million
dollars
through
both
labor
workforce
development
agency
and
cdss
to
110
organizations
throughout
the
state.
E
Since
that
time,
all
the
selected
partners
have
been
engaged
in
a
very,
very
robust
schedule
of
onboarding,
where
they
are
receiving
information
and
training
from
different
state
partners
around
the
overall
public
health
situation
in
the
state
vaccine
updates
state
resources
available
for
people
who
may
have
economic
needs
as
a
result
of
of
covid,
as
well
as
opportunities
to
learn
from
their
peers.
There
there's
a
lot
of
best
practices
right
that
you
have
all
developed.
E
Our
cbo
partners
who
are
on
the
line
today
have
all
developed
during
these
times
of
covid,
and
it's
been
also
great
to
hear
those
experiences
from
partners
as
we
plan.
The
outreach
events
is
still
in
this
in
this
coved
world
that
onboarding
will
close
off
on
on
for
on
friday,
and
our
outreach
partners
through
the
center
at
zero
health
will
begin
their
outreach
next
week,
and
so
in
the
next
couple
of
weeks.
We
expect
to
come
back
and
share
with
you
a
little
bit
more
about
their
activities.
E
As
we
mentioned,
cdss
is
in
addition
to
working
with
the
center
at
sierra
health.
We
have
another
really
terrific
partner
in
the
california
community
foundation.
The
california
community
foundation,
like
the
center
at
sierra
health,
was
a
critical
partner
during
the
census
and,
as
we've
said
multiple
times,
we
are
using
a
lot
of
the
infrastructure
and
the
lessons
learned
from
the
very
effective
census
campaigns.
E
They
are
on
track
to
announce
their
partners
their
awardees
probably
next
week.
We
expect
that
our
philanthropic
partner
partners
will
also
announce
the
organizations
they
have
selected
through
the
administration
of
the
public
health
institute
to
conduct
the
outreach.
So
definitely
a
lot
more
to
come
in
the
in
the
coming
week
and
if
we
could
see
the
next
slide.
E
Please
what
you
are
seeing
right
now
on
the
on
the
screen
is
a
very,
very
tidy
print,
because
this
is
the
large
group
of
partners
who
are
part
of
the
cdss,
cohort
and
and
just
again
by
by
way
of
reminder.
We
cdss
is
working
collaboratively
with
labor
and
workforce
development
agency
to
administer
administer
this
funding.
We
have
a
lot
of
joint
infrastructure.
We
have
a
lot
of
joint
reporting.
E
We
wanted
to
do
that
in
order
to
reduce
the
administrative
burden
out
in
the
field
we
didn't
want
to
replicate
or
we
didn't
want.
We
wanted
to
be
aligned
around
some
of
the
some
of
the
reporting
and
some
of
the
requirements
right,
because
we
know
that
you
also
are
being
funded
by
other
sources
and
and
we
realize
the
administrative
burden
that
that
can
create.
So
what
you're
seeing
on
screen
right
now
are
the
partners
for
the
department
of
social
services.
E
The
department
of
social
services
campaign
is
primarily
focused
on
the
public
health
messages,
as
well
as
connecting
individuals
with
with
resources
to
address
economic
needs.
We
will
be
focused
on
on
referring
people
to
the
to
the
my
turn
platform.
We
will
be
focused
on
addressing
that
vaccine
hesitancy
and
we
will
be
focused
on
connecting
people
with
resources.
E
And
this
is
the
labor
workforce
development
agency
cohort.
Hopefully
many
of
you
can
see
the
names
of
your
organizations
up
on
the
screen
right
now.
The
labor
workforce
development
agency
cohort
is
a
little
bit
more
focused
on
the
labor
rights.
As
we
know,
there
have
been
new
protections
that
have
been
signed
into
law,
specifically
associated
with
with
covet,
in
addition
to
the
already
existing
labor
laws
that
protect
workers.
However,
as
as,
as
you
all
know,
we
expect
that
cdss,
funded
organizations
will
also
encounter
workers
right.
E
You
can't
you
can't
you
can't
separate
out
people
into
into
those
categories.
We
are
focused
on
vulnerable
populations,
including
black
african
american
latinx,
nhpi
native
american
populations,
but
many
of
those
populations
are
also
workers,
so
we
will
be
carrying
joint
messaging
across
both
of
those
campaigns
in
recognition
that
people
will
need
the
resources
that
cdss
and
lwda
are
both
able
to
provide,
and
with
that
I
will
hand
it
over
to
maricela,
and,
as
I
mentioned
in
a
couple
of
weeks,
we
will
have
more
information
from
some
partners
who
are
conducting
outreach.
G
So
just
wanted
to
give
you
a
quick
some
highlights
similar
as
we've
done
in
the
past,
just
giving
you
some
quick
highlights
of
what
we
have
going
on
for
the
first
one
I
mentioned
in
the
last
presentation.
We
do
have
some
activations
specifically
targeted
to
the
african-american
and
black
community
and
that
included
our
community
champions
efforts
focused
on
black
history
month.
We
do
have
work
happening
through
radio
print
and
social
media.
That's
going
to
run
for
a
couple
weeks.
G
I
wanted
to
highlight
the
hashtag
because
it
is
an
activation.
There
is
an
activation
component
to
this,
and
so,
if
you
have
a
community
champion,
you
would
like
to
highlight
that's
on
the
front
lines
of
our
cova
19
response
or
helping
to
get
out
a
vaccine
education
efforts.
You
know
you
can
nominate
yours,
it's
it's
a
it's
very
much.
A
social
media
activity
activation
so
use
a
hashtag
highlight
someone
that
you
care
about
and
want
to
give
credit
to,
and
then
we
do
have
a
a
town
hall.
G
That's
specifically
focused
on
engaging
community
and
we
have
our
surgeon
general
who's,
going
to
help
present
on
that
along
and
it's
being
done
with
in
partnership
with
charles
drew
university
and
having
a
couple
of
other
experts
interested
in
messengers
that
are
going
to
help
lead
the
conversation
covering
issues
around
misdis,
what's
sort
of
the
latest
with
the
state
and
providing
some
key
facts,
as
we've
talked
about
in
the
past
that
are
really
important
to
get
out
right
now
with
the
community
also
specifically
focus
on
the
black
and
african
american
community
and
then
had
mentioned
also
that
we
were
also
going
to
continue
to
do
a
second
round.
G
We
and
someone
may
not
be
on
mute
just
just
noting
that,
so
we
have
them
starting
february
22nd
through
the
first
week
of
march,
and
can
follow
up
in
our
next
meeting
with
some
updates
on
how
those
went
we
do
have,
as
you
can
see,
working
in
partnership
with
ethnic
media,
including
nuna,
california,
black
media
and
ethnic
media
services,
and
then
just
a
quick
update.
G
You
know,
along
with
our
ethnic
media,
briefings
we're
doing
direct
pitching
other
efforts
around
earned,
media
and
collectively,
and
I
think
we're
almost
at
a
daily
cadence
now
have
you
know
now
gathered
around
360
stories
in
multiple
languages
really
trying
to
be
very
consistent
with
providing
up-to-date
information
to
the
community
in
language
through
trusted
messengers,
so
really
happy
to
see
that
work
continue
and
working
alongside
our
ethnic
media
partners.
G
G
This
is,
and
I'll
have
bobby's
help
in
a
minute
to
help
play
it,
but
just
want
to
give
you
some
background
on
it
for
our
just
overall
efforts
around
coven,
19
and
encouraging
folks
on
especially
when
we
had
you
know
our
incredible
surge
in
december
had
a
psa
that
ran
having
mothers
encourage
their
children
to
stay
home.
G
You
know
waiting
to
see
loved
ones
just
because
that
keeps
folks
safe,
especially
in
the
moment
where
we
had
the
surge
and
now
we're
seeing
our
name.
Our
numbers
stabilize
through
the
many
efforts
that
folks
are
are
doing
collectively
and
this
is
take,
took
the
same
concept
and
now
applying
it
to
vaccines,
because
we
know
mothers
carry
a
very
important
role
in
family,
an
important
voice
in
community.
G
No
one
can
deliver
a
message
like
mothers
and
so,
whereas
before
we
were
giving
folks
a
reason
why
they
should
stay
home
to
keep
each
other
safe
and
protect
each
other,
now
they're
lending
their
voices
to
why
they
should
get
vaccinated
and
wanted
to
go
ahead
and
play
first.
The
english
and
then
the
spanish.
H
A
F
G
Great,
thank
you
bobby
and-
and
you
know
this
really
kind
of
covers
some
of
the
learnings
that
we've
shared
in
the
past-
that
martha
has
shared
the
use
of
you
know
real
people,
real
voices,
making
it
very
personal,
and
you
know
the
the
real
desire
for
families
to
return
to
normalcy,
which
includes
being
together.
So
I'm
really
happy
with
how
these
psas
came
out.
A
Well,
I
am
reading
the
chat
and
I
have
to
say
thank
you
to
our
committee
members
for
this
positive
feedback.
I'm
seeing
lots
of
great
job
well
done
beautiful
videos,
and
I
I
really
want
to
congratulate
our
teams
for
your
really
excellent
work
and-
and
it
sounds
like
that
is
appreciated
by
all.
I
I
want
to
open
up
to
see
if
there
are
any
questions.
B
Okay,
so
let's
get
started
here,
I
think
before
I
call
on
matt
and
denny
you'll
be
first,
but
I
want
to
ask
diana
put
a
question
in
the
chat
early
on
about
outreach
workers
getting
vaccinated
diana.
Why
don't
you
ask
your
question
and
make
sure
to
introduce
yourself
and
then
we'll
go
to
matt
and
then
denny.
I
Sure
thank
you
bobby
the
anatom
executive
director
of
the
ufw
foundation,
we're
getting
that
question
on
the
ground,
from
staff
for
sure
and
also
from
other
partner
organizations
asking
whether
those
organizations
who
are
directly
contracting
with
the
state
will
be
able,
and
the
intermediaries,
of
course
will
be
able
to
have
their
outreach
staff
vaccinated
and
how
that
process
could
look
like
on
the
ground.
I
I
know
that
we've
directly
asked
different
folks
on
the
ground,
and
I
know
the
question
has
come
up
from
maria
lemmon
regarding
promotoras
and
others
who
are
on
the
ground
being
able
to
get
this
protection
so
just
advocating
to
make
sure
that
that's
happening
on
the
ground.
So
we
can
also
feel
safer,
especially
since
many
folks
are
out
speaking
with
farmworkers
and
other
vulnerable
communities.
A
Thank
you,
then.
I
will
tell
you
that
my
short
answer
is,
I'm
not
sure
dr
aragon.
Do
you
happen
to
know
the
answer
to
that
question?.
C
Yeah,
I
only
if
it
meets
part
of
the
current
prioritization
guidelines
and
I
I
don't
think
that
that's
going
to
be
the
case
with
what
you
just
you
just
described,
but
I
you
know
what
I
actually
need
to
look
at
that
specific.
Actually
let
me
do
this.
Actually,
if
you
go
to
our
kovit19.ca.gov
website
and
when
you
roll
down
there
and
you
look
at
the
prioritization,
there
is
a
link.
There
is
a
link
to
a
more
specific
job
classification
list
that
was
built
off
the
essential
work
list.
C
E
And-
and
this
is
marcelo
with
social
services-
if
I
could
just
add
to
that
I'd
defer
to
doctor
otto
going
on
the
availability,
but
we
realized
that
the
also
the
county
by
county
situation
may
be
different,
and
so
this
is
why
the
the
the
project
is
is
arranged
in
a
way
that
allows
for
the
recognizes
that
the
outreach
may
be
remote
right
might
be
online
trainings
or
phone
banking
or
other
types
of
outreach
that
don't
require
that
in-person
communication.
E
We
also
realize
how
important
that
is
so
really
appreciate
the
community-based
organizations
all
of
your
efforts
and
and
looking
to
to
make
the
the
best
type
of
connection.
But
I
want
to
reinforce
that.
We
want
to
do
this
in
a
way
that
is
safe
for
you
and
your
teams
as
well
yeah.
I
And
I
should
add
that
we
also
don't
want
to
be
yeah
we're
going
to
be
interacting
with
a
lot
of
people
on
the
ground.
So
I
think
that
point
is
also
being
brought
about
by
different
partners
and
the
fear
of
also
being
individuals
who
are
potentially
spreading
concern.
So
we
we
just
want
to
be
as
careful
as
possible.
B
J
Thanks
bobby
matt
leger
with
siu
california
just
wanted
to
say
you
know
echo
the
comments
about
the
great
work
that
everyone's
doing
around
the
communications
tools
and
all
the
work
that
folks
are
doing
around
this
vaccine.
I
know
it's
a
huge
lift.
I
was
just
wondering
sort
of
on
that
point
to
the
extent
that
there
may
be
additional
grants
that
are
going
out
to
other
community-based
organizations.
Is
that
currently
in
the
plan?
Or
is
it
sort
of
like
we've
locked
in
the
community-based
organizations
that
we're
working
with
now.
B
I
think
that's
marcella
will,
I
think,
is
the
best
one
to
answer
that.
E
B
J
Yeah
happy
too
so
just
trying
to
figure
out
if
there's
going
to
be
another
round
of
grants
for
other
community-based
organizations.
That
may
be
doing
this
outreach
work
as
well
or
are
we
done
with
the
grants
on
this.
E
So
I
I
can,
I
can
tell
you
that
the
state
is
is
from
the
funding
that
the
cdss
is
administering.
We
are
through
the
center
at
sierra
health.
Looking
at
any
gaps
we
may
have,
and
and
potentially
there
will
be
some
more
awards
through
the
center
at
sierra
health,
but
it
will
be.
The
balance
is
small
at
this
point.
E
What
I
would
offer
is
that
we
have
partnerships
with
philanthropic
organizations
and
it
is
an
evolving
space
right,
and
so
I
cannot
say
with
certainty,
but
I
have
found
that
there
have
been
more
investments
from
from
philanthropy
and
and
they're
working
on
on
similar
types
of
outreach
projects
to
reach
vulnerable
populations.
E
K
Hi
everyone
thanks
bobby
denny
chan
from
justice
and
aging.
I
just
had
a
question.
B
K
K
And
we
are
happy
to
help
with
that.
My
question
is
about
the
communication
strategies
that
were
presented
earlier.
I
know
it
was
a
high
level
overview
but
wanted
to
know
in
particular,
when
you
say
65
plus.
What
does
that
mean?
How
are
you
thinking
about
it?
K
Obviously,
older
adults
are
not
a
monolith
and
older
adults,
you
know,
depending
on
who
they
are
have
different
risk
factors,
and
I
would
think
need
different
communication
messages
to
reach
them,
so
I
know
that
it
was
intended
to
be
a
high-level
review,
but
if
you
can
provide
more
details
about
how
you're
thinking
of
the
65
plus
group,
or
rather
the
groups
within
that
group,
I
would
really
appreciate
those
details.
Thank
you.
D
Go
ahead,
madison
I
can
follow
up
with
you.
I
can
respond
afterwards.
G
Great,
thank
you
denny,
that's
a
great
question
and
we're
just
we're
just
starting
on
on
this
particular
group.
We
plan
to
pull
from
a
lot
of
the
learnings
that
that
martha
has
touched
on
in
in
previous
presentations
with
some
of
the
formative
research
testing
that
she's
done.
There's
a
couple
of
different
groups
that
have
been
that
have
been
a
part
of
some
of
the
research
that
we've
done
today
that
we
can
pull
insights
from.
I
think,
if
there's
particular
populations
or
particular
recommendations
that
you
have.
G
We
welcome
the
thoughts
and
ideas
I
think
you
know.
Our
focus,
you
know
generally,
is
disproportionately
impacted
communities,
doing
work
and
language
trying
to
reach
folks
directly,
but
as
well
as
thinking
through
like
strategies
of
reaching
folks
through
you
know
family.
G
So
I
think
even
spots
like
this
will
indirectly
touch
some
of
those
folks,
but
want
to
think
about
that
both
for
our
communications
front,
but
also
as
we
look
at
our
on
the
ground
efforts
as
as
well
and
like
and
working
with
those
partners
that
reach
those
particular
communities
to
help,
inform
our
strategies
and,
knowing
you
know
their
particular
needs.
G
So,
for
instance,
you
know
you
know
using
online,
you
know
online
may
not
work,
and
so
how
do
we
ensure
that
they're
connected
to
the
phone
number
or
supported
through
other
sources
that
we
know
can
provide
them
better
support
so
being
very
aware
of
where
to
send
them
to
for
information
or
for
support
that
may
be
more
aligned
with
that
would
meet
their
needs
versus
you
know.
Just
generally
noting
my
turn.
D
D
We
realize
that
every
community
across
california
is
moving
at
different
speeds
in
terms
of
where
they're
accessing
information,
that's
also
something
that
we
will
be
have
a
close
pulse
on
our
research
to
ensure
that
we're
meeting
people
where
they
are
so,
if
that's,
if
they're,
going
to
social,
we're
going
to
meet
them
at
social,
if
they're
going
to
digital
we'll
meet
them
at
digital,
if
they're,
if
they're,
using
what
we
call
over-the-top
tv
like
netflixing
or
doing
hulu
all
these
different
types
of
programming,
that's
where
we're
going
to
meet
them.
D
Our
our
paid
campaign
will
be
very
nimble
in
terms
of
making
sure
that
we
meet
people
where
they're
at
we're,
even
thinking
about
doing
what
we
call
guerrilla
marketing,
which
is
like
the
wheat
postings
or
having
posters
in
grocery
stores.
You
know
places
where
people
are
are
going
and
and
and
there's
a
lot
of
foot
traffic.
So
we're
keeping
that
in
mind
and
that's
going
to
be
informed
based
on
data
but
also
reaching
out
to
our
partners.
So
any
ideas
are
welcome.
K
B
L
First
of
all,
congratulations!
Those
are
excellent,
psas
and
properly
used.
I
believe
within
churches,
quinceaneras
and
other
community
type
that
are
traditional
is
excellent.
As
a
former
literature
professor,
many
many
years
ago,
spanish
there's
a
synthetic
problem
on
one
of
the
the
spanish
version.
You
have
the
use
of
poners.
L
L
And
that's
really,
anyway,
I
appreciate
the
work
that's
been
done
and
if
it's
not
doable
or
feasible
to
change,
I
think
it's
important
and
as
soon
as
it's
available,
the
california
association
of
health
facilities
would
certainly
like
to
take
it
to
all
our
1400
facility
members.
We
have
many
many
multicultural
employees
and
residents.
So
thank
you.
B
Thanks
joe,
we
need
the
grammar
lesson
all
of
us
and
appreciate
your
offer
to
spread
the
word.
So
thank
you
so
nadine.
I
think
we're
ready
to
move
on
to
the
next
topic
on
our
agenda.
A
A
Similarly,
I
think
from
this
conversation
when
these
are
ready
to
go,
live
if
it's
okay
with
you
all
maricela,
marta
and
marcela,
if
we
could
send
it
all
out
to
this
group,
so
that
folks
can
embed
it
in
their
websites
and
do
all
of
that
kind
of
stuff,
and
we
can
leverage
this
wonderful
partnership.
A
And
I
I
see
a
question
in
the
chat
from
susan
about
my
turn.
We
are
going
to
hear
about
that
very
shortly,
but
right
now
we're
going
to
hear
an
update
on
vaccine
supply
and
distribution
from
tomas
aragon,
our
director
of
the
california
department
of
public
health
and
our
state
public
health
officer,
and
then
following
dr
aragon,
we
will
hear
from
secretary
yolanda
richardson
about
the
about
the
tpa,
dr
aragon,.
C
Okay,
thank
you.
So,
let's
move
to
the
first
slide.
C
So
what
I'm
going
to
do
is
I'm
going
to
go
through
a
few
slides
and
just
help
describe
it
for
you.
So
you,
when
you
go
to
these
sites,
you
can
get
some
of
the
numbers
and
help
related
to
what's
happening
in
california.
So
this
is,
if
you
go,
if
you
just
go
to
the
cdc
website
under
vaccines,
they
have
a
data,
they
have
a
data
dashboard,
so
you
can
get.
You
can
quickly
look
across
the
country
and
you
can
see
how
california
is
doing
to
compare
to
other
areas.
C
C
So
when
you
see
what's
reported
publicly,
that's
what
we're
doing
and
this
this
will
align
with
how
we're
calculating
it
in
california
and
and
how
you
can
use
these
two
numbers.
If
you
go
to
this,
the
federal
website
sometimes
you'll
see
a
little
bit
of
discrepancies
just
because
the
the
cdc
data
will
be
a
little
bit
behind.
C
So
when
we
divide
administered
by
delivered,
we
have
75.9
percent,
which
is
a
fantastic
number.
If
you
remember
early
on,
that
number
was
in
that
it
was
around
like
30
something
percent
and
that
a
lot
of
that
had
to
do
with
the
quality
of
the
data,
and
you
can
see
the
big
improvements
that
have
happened
in
terms
of
the
collecting
of
the
data.
The
next
slide.
C
C
C
Part
of
the
retail
program
also
has
what's
called
the
long-term
care
pharmacy
so
and
that's
separate
from
the
long-term
care
program,
so
the
term
long-term
care
pla.
That
appears
in
two
places
as
part
of
the
long-term
care
program
and
the
long-term
care
pharmacy,
which
you
will
find
under
the
retail
program
and
then
the
third
program.
That's
that's
new
is
the
program
with
the
federally
qualified
health,
centers
and
so
I'll
cover
a
little
bit
of
that
later.
This
specific
slide
right
now
on
the
cdc
dashboard.
They
only
have
it
for
the
long-term
care
program.
C
So
you
can
see
there
are
the
total
number
of
ministries
you
see
it's
over
560
thousand.
So
now,
let's
go
to
the
california
state
website,
which
is
the
next
slide.
C
So
when
you
go
to
covid19.ca.gov
and
you
you
do
slash
and
you
put
back
vaccines
or
vaccine,
I
can't
remember
what
it
is.
It
might
be
a
vaccine
with
an
s
but
basically
it'll.
Take
you
to
the
key
vaccine
site
as
you
go
down,
you'll
find
the
dashboard.
C
C
And
so
this
is
just
another
another
version,
another
version
of
the
of
the
data
and
what
you'll
see
here
if
you
go
to
the
very
bottom
you'll
see
administered
and
then
you
at
the
very
top
you
see
total
doses
allocated
so,
if
you're
trying
to
calculate
that
proportion
that
keeper
portion
that
we
look
at
what
you
don't
see
on
this
slide
is
the
total
delivered.
So
that's
missing
from
this
slide,
so
you'll
have
to
find
it
other
places,
but
it
does
give
you
this.
C
That
does
give
you
the
total
administered
and
it
doesn't
give
you
those
that
have
completed
one
dose
and
those
that
have
completed
two
doses.
So
you
can
see
that
we
have
over
1.4
million
persons
have
received,
have
completed
their
vaccination
series
either
with
the
pfizer
or
the
moderna
vaccine.
So
that's
that's
good
news
on
both
fronts
and
in
terms
of
total
total
doses
and
then
also
in
terms
of
the
number
of
people
have
completed
their
series
next
slide.
C
The
other
thing
that
you
will
find
is
you
will
also
find
the
data
broken
down
by
race,
ethnicity,
and
you
can
also
you
could
also
do
this
for
by
county
this
one
here
is
for
all
of
california
and
what
you
want
to
do
is
you
want
to
compare
that?
This
is
the
distribution
or
proportions
of
people
that
have
been
vaccinated
by
ra,
race,
ethnicity,
and
what
you
want
to
do
is
you
want
to
compare
it
to
what
the
population
is
either
for
all
of
california
or
for
a
specific
county
in
california?
C
So
I'll
I'll?
Take
you
through
this.
So,
for
example,
in
where
c
says,
american,
indian
or
alaska
native
you'll
see
0.3
percent
in
general.
That
number
in
california,
in
terms
of
population
general
pop,
the
population
estimate,
is
less
than
one
percent.
So
that's
it
it's
hard
to
it's
hard
to
really
make.
It
should
make
a
conclusion
from
that
one,
but
it's
prob,
I'm
sure
it
is
some
underrepresentation.
C
If
you
go
to
asian
american,
you
see,
13
percent
of
the
vaccines
have
been
have
been
given
to
asian
americans.
Their
population
in
california
is
about
15
percent.
So
it's
relatively
close
to
the
proportion
in
california
where
it
says
black.
You
see:
2.9
percent
in
california.
The
population
of
african
americans
is
6,
so
you
see
that
that's
an
under
representation
by
by
50
percent.
So
that
means
we
need
in
california.
We
need
to
do
a
better
job,
better
job
of
reaching
that
population.
C
The
third
area
here
you'll
see
for
latino,
you
see
16,
and
you
see
that
that's
the
population
of
california
latinos
is
39.
C
C
The
other
area,
that's
a
little
bit
confusing,
is
the
one
that
says.
Multi
multi-race
multi-race
here
says
13.9
that
may
have
to
do
with
the
way
people
answer.
The
survey
on
the
in
the
official
census,
most
people
who
who
in
the
official
sentence
multi-race,
is
about
three
percent.
C
So
we're
not
clear
that
that
we're
not
clear
what
other
people
are
in
that
specific
category
for
native
hawaiian
and
pacific
islanders.
That's
point
four
percent
and
we
know
the
population.
There
is
less
than
one
percent.
Probably
repre,
probably
under
representation,
it's
hard
to
tell
from
these
statistics
for
whites.
C
So
you
can.
You
can
get
a
better
idea
of
what's
happening
in
the
different
counties.
Taking
that
same
that
same
approach,
one
thing
I
think
we
probably
will
have
to
do
is
actually
make
those
population
proportions
available
to
folks.
So
you
can
get
a
better
you
can.
Actually
you
can
make
those
comparisons
yourself.
C
Next
slide,
it
is
going
to
be
age
and
you
can
see
that
54.7
percent
of
the
vaccine
has
been
given
to
people
above
60
65,
and
then
you
see
the
other
categories
as
well.
Remember
that
the
first
state,
the
first
phase
1a
was
primary,
was
primarily
healthcare
workers
and
then
skilled
nursing
facilities.
So
there's
going
to
be
a
representation
primarily
of
there
will
be
people
who
are
younger
represented
there.
C
C
So
I
had
mentioned
about
the
federal
pharmacy
partnership,
the
long-term
care
program
and,
and
that
was
based
based
on
cvs
and
wall
and
walgreens,
reaching
out
to
skilled
nursing
facilities
and
assisted
living
facilities,
and
there
they're.
Currently
they
should
be
wrapping
that
up
by
the
end
of
february,
where
they've
done
three
visits
to
all
the
locations,
and
here
you
see
the
first
visit
the
second
visit
and
the
the
third
visit,
and
I
did
present
some
of
the
a
little
bit
some
of
the
data
earlier
on
in
terms
of
the
total
numbers.
C
But
just
this
gives
you
an
idea
of
of
how
that
program
is,
is
going
and
my
understanding
is
from
the
last
time.
I've
heard
from
them
is
that
they
they
will
be
wrapping
up
that
program
at
the
end
of
february
and
we'll
have
accomplished
most
of
them.
C
It
won't
accomplish
all
because
not
everybody
not
everybody
chose
to
get
vaccinated,
and
this
was
especially
with
some
of
the
some
of
the
some
of
the
staff.
And
then
this
is
where
the
long-term
care
pharmacy
program
hopefully
will
pick
up
and
then
also
counties
will
be
picking
up
as
well
to
circle.
Back
and
to
finish,
anybody
that
needs
to
be
vaccinated
next
slide.
C
So
the
third,
the
third
program
for
the
federal
pharmacy
partnership
is
with
the
federally
qualified
health,
health
centers,
and
so
initially
there
were
five
in
california
that
I'm
sorry,
you
have
five
in
california
that
were
selected
and
then
there
is-
and
that
was
called
cohort.
One
cohort
two
has
been
has
been
added
and
will
be
starting
on
february.
C
22Nd
and
that's
that's
gonna,
be
eight
additional
fqhcs
and
then
cohort
three
is
going
to
be
starting
to
march.
First
and
that's
gonna
be
29
additional
fqhcs
across
calif
california.
Next
slide.
C
And
so
basically,
this
slide
just
describes
how
the
centers
were
selected
based
on
meeting
criteria,
for
example
the
number
of
people
that
they
serve,
that
from
specific
priority
groups
like
homelessness,
agricultural
workers,
residents
of
public
housing
and
those
with
limited
proficiency,
and
also
the
ability
to
have
to
handle
vaccine
storage
and
and
staffing
next
slide
at
one
of
the
questions
that
came
up
if
my
jurisdiction
doesn't
have
a
site
selected
yet
so
at
this.
At
this
point,
I've
already
mentioned
that
we've
had
it's
going
to
be.
C
We
have
five
plus
eight
plus
29
and
there
may
be
additional
ones
that
are
added,
but
I
I
don't.
I
don't
have
any
any.
I
don't
have
information
at
this
point.
If
that's
gonna
is
that
going
to
be
the
case,
but
that
that
may
very
well
may
very
well
happen
next
slide.
C
So
here
is
how
the
the
doses
the
current
plan-
it
says
here
a
minimum
of
doses
per
individual
service
site
per
week.
If,
if
there
happens
to
be
five
service
sites,
they
would
get
500
for
those
five
service
sites
and
whatever
they
initially
get,
they
will
be
getting.
That
will
be
considered
first
doses
and
they
will
and
then
they
will
be
getting
second
doses.
C
C
C
I
we
know
that
a
new
vac
vaccine
is
going
to
go,
is
going
to
be
considered
for
fda
approval
near
the
end
of
february,
so
we
look
forward
to
for
for
that
to
be
moving
forward
so
that
we
get
an
additional
vaccine
in
our
in
our
supply
chain.
Next
slide.
C
And
so
the
numbers
the
numbers
are
slightly
going
up,
and
so
that
that
is
that
is
all
good
news.
Let
me
make
sure
I
didn't
miss
anything.
I
think
I
covered
everything
I'm
I'm
I'm
supposed
to
cover.
I
want
to
turn
it
over
to
secretary
yolanda
richardson,
that's
going
to
tell
us
more
about
the
third
party
partnership
and
the
work
that
they're
doing
and
how
they're
really
going
to
help
to
administer
this
network.
That's
going
to
improve
the
efficiency
of
vaccine
delivery
and
administration
secretary.
M
M
Lots
of
work
to
do
just
started
rolling
up
our
sleeves.
Many
of
you
on
this
call.
We've
been
talking
to
you
about
how
we're
going
to
proceed
and
what
we're
going
to
do,
and
so
I
thought
we'd
do
something
a
little
different.
I
mean
we're
always
telling
you
stuff
and
telling
you
what
we're
doing,
and
I
think
it's
an
opportunity
to
really
hear
what
your
questions
are
about
the
gpa.
M
What
kind
of
suggestions
you
might
have
about
where
we
go
just
a
little
bit
about
kind
of
our
timelines
around
the
tpa
they've
started,
I'm
having
conversations
with
the
counties
about
the
provider
network
and,
as
you
know,
that's
the
the
primary
purpose
is
to
develop
a
network
that
can
reach
all
of
our
target
populations,
but
also
make
sure
that
we
have
coverage
throughout
the
state
right
now.
Our
conversation
has
been
about
the
low
supply,
but
we
know
that
someday.
M
That's
not
going
to
be
the
case,
and
so
we
want
to
make
sure
that
we
have
an
infrastructure,
that's
scalable.
We
want
to
be
the
state
that
gets
to
tell
the
feds
when
they
say
they
have
more
vaccine
available,
that
we
are
ready
to
take
all
that
they
have,
and
so
that
we
can
definitely
get
that
into
the
arms
of
californians.
M
M
We
want
to
know
about
who's
getting
vaccinated
where
they
are
and
making
sure
that
we
we
reach
the
people
we
need
to
reach,
and
so
this
will
be
one
of
the
primary
focus
of
of
the
tpa
and
the
last,
but
not
least,
is
to
also
make
sure
that
we
are
supporting
our
providers
and
for
boarding
and
supporting
our
provider
network.
M
You've
been
hearing
a
lot
about
my
turn
and
many
of
our
providers
are
transitioning
to
that
platform,
and
so
we
want
to
make
sure
that
we
do
no
harm
and
that
we
make
sure
that
all
the
great
work
that
the
counties
and
all
of
the
providers
that
have
been
doing
this
since
before
christmas,
that
we're
building
on
that
and
moving
forward
to
make
sure
that
we
can
continue
the
momentum
that
I
know
many
of
you
see
so
I'm
here
just
as
a
representative
of
so
many
people
at
the
state
with
great
work
and
really
focused
on
not
only
our
network
development
and
our
allocation,
but
really
our
next
steps
around
equity
and
taking
that
to
that
next
step
and
exactly.
M
How
are
we
going
to
get
this
done?
And
how
do
we
partner
with
all
of
you
so
with
that?
I
know
that's
really
brief,
but
I
really
would
like
to
spend
more
time
hearing
your
questions
and
making
sure
that
I
can
answer
and
then
certainly,
if
there's
anything
that
I
can
address
or
you
have
any
suggestions
or
things
that
we
should
focus
on
over
the
course
of
the
next
four
weeks
as
we
transition
to
this
new
statewide
vaccination
network
that
we
keep
in
mind.
B
Great
thank
you
yolanda
and
so
good
to
have
you
here.
So
you
know
we
have
a
bunch
of
hands
up.
I
want
to
make
sure
that
we
start
with
questions
for
yolanda
on
the
tpa
arrangements
and
then
we'll
go
back
to
questions
for
tomas
on
the
supply.
If
that's
okay,
so
let
me
just
check
in
gee
is
your
question
for
tomas
or
yolanda?
What
do
you
think
turtlemass,
aragon,
okay,
so
hold
on
and
we'll
come
back,
and
what
about
you?
Diana
for
tomas
or
for
yolanda.
I
I
just
had
a
general
comment
and
trying
to
better
understand,
as
the
third
party
administrator
is,
is
working
on
the
distribution
and
the
allocation
processes
on
the
ground.
What
we're
seeing
currently
is
that
many
of
the
guidelines,
for
instance,
for
each
county,
is
different.
It
varies
versus
what
we
saw
in
the
bulletin
that
was
provided
to
us
that
was
sent
on
friday
to
different
public
health
departments
and
vaccinators.
I
So
it's
just
how
we
ensure
that
we're.
We
continue
to
use
the
word
operationalizing
those
priorities
and
how
we
can
work
directly
with
blue
shield,
so
that
you
know
that
data
is
also
being
captured
on
the
ground
and
I'm
not
clear
on
whether
the
tpa
is
going
to
be
providing
the
fqhcs
with
direct
vaccine
allocation,
for
instance,
versus
going
through
the
public
health
departments.
That's
still
kind
of
unclear,
but
when
we're
talking
specifically
about
very
vulnerable,
uninsured,
undocumented
communities.
I
So,
there's
still
a
lot
of
unanswered
questions
based
on
conversations
that
are
currently
being
had
with
local
public
health
departments
and
just
honoring,
really
that
these
guidelines
are
now
the
the
now
word
that
I
saw
on
the
website
was
very
much
appreciated.
But
it's
not
what
I'm
seeing
on
county
websites
so
just
wanted
to
flag
that
diana.
M
I
think
that's
a
great
flag,
I
mean
we're
all
kind
of
moving
kind
of
quickly,
and
this
is
just
the
early
beginnings.
But
it's
important
to
understand
that
we
recognize
that
at
the
beginning
of
this
whole
process,
we
saw
a
lot
of
the
mega
sites,
go
up
right
and
that's
awesome
and
great,
and
we
know
that
that's
going
to
be
a
great
strategy
when
we
have
a
lot
of
vaccine
and
we
want
to
get
people
done
quickly,
but
we're
really
turning
our
attentions
to
partnering.
M
M
Those
are
some
of
the
conversations
that
we
need
to
pivot
to
and
with
the
process
of
the
tpa
setting
up
the
provider
network
having
that
direct
relationship
between
the
fqhc
or
a
public
hospital
or
any
provider
for
that
matter,
in
being
able
to
have
that
direct
relationship
to
make
sure
that
he
or
she
has
the
allocation
of
vaccine
that
they
need
to
reach
their
target
population.
I
think,
will
be
really
critical,
of
course,
wanting
to
continue
to
consult
with
the
counties
who
have
these
relationships
much
longer
than
we
have.
B
Great,
so
david
is
your
question
for
tomas
or
for
yolanda
and
don't
forget
to
introduce
yourself
when
you
ask
your
question.
N
Sure
I
have
questions
for
both
I'll
start
with
one
to
secretary
richard
richardson.
N
This
is
david
lang,
I'm
the
chief
medical
officer
for
the
california,
association
of
public
hospitals
and
health
systems
representing
the
12
county-affiliated
hospital
health
systems
and
the
five
university
of
california,
medical
centers,
key
partners
in
delivering
equitable
vaccine
to
vulnerable
populations.
N
So,
secretary
richardson's,
I'm
really
glad
you
mentioned
that
one
of
the
key
things
as
we
say
in
medicine
do
no
harm
as
we
roll
out.
N
I'm
curious
to
understand
what
problem
is
attempting
to
be
solved
by
requiring
my
turn
to
be
used
by
health
care
providers
and
systems.
I
looked
in
the
contract.
I'm
glad
bob.
You
included
that
in
the
email
between
the
tp
in
the
state
and
every
time
it
mentions
my
turn,
it
also
says,
or
other
electronic
health
system
interfaced
with
state
agencies.
So
just
just
trying
to
understand
what
is
the
problem?
That's
trying
to
be
solved
by
having
my
turn
be
used
by
healthcare
systems.
M
Glad
to
meet
you
david,
the
problem
that
we're
trying
to
solve
is
a
consistent
data.
I'm
sure
it
is
not
lost
on
you.
You've
seen
lots
of
headlines
around
the
fact
that
data
has
not
been
consistently
reported.
It's
been,
it's
been
different,
it's
been
absent.
We
have
not
had
the
right
or
have
consistent
definitions
of
data
having
one
system
to
do
that.
Helps
that
also
with
scheduling
what
my
turn
gives
us.
The
ability
to
do
is
make
sure
that
we
are
reserving
and
allocating
appointments
to
the
people
who
need
to
get
seen.
M
One
of
the
things
I
hear
constantly
across
the
state
in
terms
of
what's
been
happening
recently
is
when
you
look
at
those
who
are
in
line
to
get
vaccinated.
It's
not
the
people
we
want
to
be
in
line
to
get
vaccinated,
and
my
turn
allows
us
to
make
sure
that
the
allocation
of
vaccine
is
actually
going
to
the
people
that
need
it.
M
Now,
when
we
talk
about,
inter
when
we
talk
about
other
applications,
that's
exactly
what
we
mean
and
blue
shield
has
started
to
en
enter
into
discussions
with
various
providers
about
what
systems
do
you
use
and
maybe
that
system
actually
gets
us
to
the
outcome
we
seek
and
if
that's
the
case
great
for
all
of
us,
but
we
want
to
be
clear
that
if
it
doesn't
get
us
where
we
need
to
go,
then
my
turn
is
the
platform
that
we
will
use.
Is
that
helpful.
N
B
B
O
I
am
incredibly
skeptical
and
see
incentives
and
excuse
my
bluntness
as
in
as
an
insurance
industry
lingo
for
passing
the
buck,
and-
and
I
really
I
I
will
challenge
anyone
to
a
robust
discussion
on
the
evidence
for
successful
incentive
programs
in
health
care
and
I
think,
during
a
pandemic,
our
goal
is
to
get
people
vaccinated
and
I
I
really
just
want
to
make.
I
am
going
to
continue
to
be
a
very
loud
voice
on
this
issue.
So
that's
my
comment.
O
My
question
regarding
the
algorithm
is,
you
know
I
served
on
the
national
academy
committee
that
made
recommendations
on
allocation
honestly
as
I've
watched
this
flow.
I
wish
our
committee
continued
and
one
of
my
concerns,
and
I
really
want
to
know
who's
responsible
for
this
algorithm
and-
and
I
say
that,
because
I
am
very
concerned
from
for
the
last
year
that
clinical
experts
and
I
say
clinical
experts
in
geriatrics
chronic
disease
management,
underserved
communities.
O
Those
of
us
who
understand
both
the
clinical
because
we're
in
a
pandemic
but
also
have
an
understanding
of
workflow
issues
that
relate
and
integrate
with
with
the
clinical,
and
I
am
also
very
skeptical
that
any
it
people
are
going
to
come
up
with
effective
algorithms.
O
And
I
I
really
believe
that
there
needs
to
be
a
robust,
ongoing
interactive
engagement
with
experts
in
continuing
to
tweak
this.
Because
there's
one
thing:
we've
learned
in
a
year:
nothing
every
recommendation.
Any
of
us
make
is
good
for
about
a
day
and
and
that's
one
of
the
challenges
of
a
pandemic,
and
I
I
think
you
need
to
have
you
know
where
is
blue
cross
blue
shield
in
engaging
the
clinical
experts
in
older
adults
who
represent
80
percent
of
the
deaths
in
the
disabled
in
the
communities
of
color
that
also
have
higher
rates.
O
M
Mike,
I
really
appreciate
your
question
and
your
comment,
and,
and
your
skepticism,
you
know
I,
the
the
word
incentive
sometimes
is
is
really
does
have
some
connotations
that
I
think
make
all
of
us
a
little
concerned
and
when
this
first
started
and
we
talked
about
vaccinating
people,
one
of
the
things
I
said
was
this
is
our
humanitarian
effort
for
the
century.
Right.
M
This
is
our
responsibility,
and
that
is
the
state's
responsibility.
I
am
very
fortunate
to
have
dr
nadine
burke
harris
who's
on
this
call,
as
you
well
know,
and
dr
erica
pond
as
the
as
the
colleagues
who
are
both
passionate
and
committed
to
making
sure
that
we
are
reaching
the
populations
that
we
want
to
reach.
We
have
ever
we
have
every.
M
I
there's
just
no
doubt
in
my
mind
that
they're
going
to
keep
us
on
the
straight
and
narrow
and
making
sure
that
their
expertise
and
professionalism,
their
colleagues
and
others
have
input
on
what
we're
doing
and
then
there's
always
public
opinion.
Everything
that
we
want
to
do.
The
governor's
been
very
clear
about
making
it
public.
So
you'll
begin
to
see
more
and
more
of
this
information
available,
and
we
want
to
hear
from
people
regardless
to
whether
it's
from
cvac
or
you
as
an
individual.
M
B
P
P
We
have
pharmacists
in
every
setting,
but
I'm
here
to
ask
a
question
from
our
2000
independent
pharmacies
across
the
state
56
of
the
percent
of
them
serving
very
high
risk,
underserved
populations,
and
the
question
is:
when
will
they
be
included
in
the
network
as
part
of
the
plan?
P
And
then
I
just
had
a
follow-up
question
in
reading
the
contract
about
credentialing,
where
we
have
some,
we
would
like
some
clarification
and
we're
really
hoping
that
medi-cal
being
a
medi-cal
provider
is
going
to
count
as
as
vetting
them
as
credentialed,
because
we
just
don't
want
to
see
any
barriers
put
in
front
of
those
independent
pharmacies
and
the
needy
neighborhoods
that
they
serve.
M
Susan,
I
don't
it's
good
to
see
you
again
by
the
way,
I
don't
have
an
answer
in
terms
of
a
direct
timeline,
but
I
do
know
what
I
need
to
do
is
make
a
note
that
we
should
follow
up
with
you
and
making
sure
that
we
are
addressing
that,
because
I
think
you
have
been
a
very
consistent
voice
about
how
do
we
leverage?
M
B
Q
Hi,
thank
you
secretary
richardson,
I'm
ronnie
kelly,
I'm
representing
the
behavioral
health
directors,
association
of
california,
and
so
people
with
disabilities,
specifically
those
who
have
a
serious
mental
illness
or
an
addiction
are
usually
best
served
by
their
current
providers.
So
our
patients
who
have
schizophrenia,
who
might
be
very
afraid
that
people
are
implanting
thoughts
or
a
gps
device
in
them
already
or
folks
who
are
seeking
recovery
from
an
addiction
who
have
a
needle
fixation
or
an
otherwise
known
as
needle
aversion.
Q
Those
folks
would
be
best
served
to
receive
their
vaccine
through
their
current
providers,
and
so
in
looking
at
the
scope
of
work,
there
are
a
lot
of
requirements
to
get
re-credentialed
through
blue
shield,
and
I
was
just
wondering
if
you
knew
what
the
difference
is
between
the
new
system
and
calvex
or
our
current
system,
to
become
a
point
of
distribution.
Knowing
again
that
the
best
the
best
place
to
vaccinate
the
most
successful
vaccination
really
will
be
with
the
providers
that
our
most
vulnerable
patients
trust.
M
Ronnie,
I
don't
know
the
the
difference
between
the
two,
it's
a
great
question,
so
what
we'll
do
is
we'll
follow
up
with
bobby
who
can
make
sure
that
we
can
do
a
comparison
of
those
to
the
calvex
process
and
the
new
process
and
get
back
to
you
on
that.
I
think
it's
a
great
question.
Thank
you
very
much.
B
R
Hi
secretary
richardson,
anthony
wright
with
health
access,
california,
first
of
all,
I
just
want
to
say,
as
I've
communicated
communicated
you
before
there.
I
did
have
a
lot
of
confidence
when
you
were
named
in
this
role,
given
your
important
experience,
setting
up
covered
california,
and
even
though
this
is
let's
all
acknowledge-
that
this
is
a
much
more
urgent
task
in
a
much
shorter
time
frame,
and
so
that's
often
for
you
for
your
efforts
here.
I
guess
you
know
my
questions.
R
I
have
tons
of
questions,
but
just
to
prioritize
them,
and
just
even
the
logistical
ones
before
we
get
to
other
others
is
just
and
if
you
could
talk
a
little
bit
more
about
the
transition.
If,
if
you
could
talk
about
particularly
I
you
know,
I
think
blue
shield,
what
they
bring
in
terms
of
a
statewide
network,
I
think,
is
appropriate
for
the
commercial
side.
They
do
not
have
the
same
experience
with
medi-cal
or
the
uninsured
population,
which
is
more
than
a
third
of
our
state,
and
so
what
specifically
are?
R
Is
the
state
doing,
or
are
you
requiring
blue
shield
to
do
to
augment
what
what
they
do
because
of
of
their
own
experience
and
and
then
like?
How
does
that
work
technically
like
so
people
are?
Are
we
tracking
who
is
a
medical
patient
who
is
uninsured
and
are
we
also
making
sure
that
the
people
who,
if
you
people,
are
vaccinated
that
that
information
gets
back
into
their
health
records
in
our
medical
health
records,
so
that
you
know
this
is
actually
you
know
a
health
care
service
that
we
were
providing
to
folks
so
and
then?
R
Finally,
if
I
could
oversight
if
something
goes
wrong,
like
with
the
provider
directory,
what's
the
what's
the
mechanism
to
fix.
M
It
hi
anthony
it's
good
to
see
you,
they
always
a
pleasure
with
regard
to
the
network
development.
I
think
what
I
want
to
be
very
clear
is
that
blue
shield
is
doing
that
in
collaboration
with
the
counties,
to
make
sure
that
we're
reaching
that
we
have
the
providers
that
have
the
reach
that
they
need
to
have.
M
We
have
been
in
contact
early
on
with
lhpc,
making
sure
that
we're
getting
the
data
that
we
need
on
the
medi-cal
population
and
looking
how
do
we
overlay
that,
with
the
work
that
we're
doing
so
that
we
can
make
sure
our
strategies
are
targeting
that
population?
M
And
I
definitely
think
those
conversations
are
going
into
the
development
of
the
network
and
the
makeup
of
the
network,
and
I
think
I
saw
andy
a
little
while
ago,
and
certainly
lots
of
conversations
with
cpca
and
fqhc,
so
I
really
appreciate
their
partnership,
so
I
don't
want
this
to
be.
I
want
to
be
very
clear.
M
This
is
a
collaboration
of
a
lot
of
people
who
have
been
doing
this
work,
who
understand
how
to
reach
these
target
populations,
and
this
is
the
state
of
california,
taking
those
partnerships
and
taking
that
information
and
giving
that
to
blue
shield
and
asking
them
to
execute
on
our
behalf
and
then
that
oversight
is
the
responsibility
of
the
state
of
california
to
make
sure
it
gets
done.
The
way
that
we
want,
so
that
is
metrics
being
in
place
anthony.
You
know
this
very
well
about
me.
M
I
am
a
metrics
driven
woman
and
so
definitely
putting
metrics
into
place
so
that
we
can
measure
and
evaluate
our
success
against
those
metrics
and
doing
that
on
a
regular
and
consistent
basis,
so
that
if
we
need
to
make
changes
and
tweaks
we
can.
This
is
too
critical
and
too
important
for
us
to
let
this
get
out
of
our
hands
and
so
having
constant
conversations
with
our
colleagues,
definitely
working
and
partnering,
with
our
counties
reaching
out
to
our
medi-cal
plans
and
partnerships
and
definitely
across
the
state
of
california
dss
working
with
dhcs.
M
This
is
not
you
know.
I
know
where
the
faces
and
you're
always
hearing
my
voice
and
you're
hearing
blue
shield's
voice,
but
there
is
a
lot
of
people
behind
here
and
I
do
not
want
it
to
go
lost
on
anyone.
The
california
department
of
health
who
have
been
doing
this
way
before
I
was
even
thought
about
in
this
role,
has
always
been
thinking
about
the
populations
that
we
need
to
serve
and
they're
our
biggest
partners
in
making
sure
that
we
drive
that.
So
that's
our
piece
and
and
are
we
going
to
be
perfect?
M
R
M
Yeah,
I
think
you're
just
bringing
up
something
about.
You
know
one
of
the
things
that
people
have
really
been
asking
about
who
makes
decisions
anthony.
So
I
think
that's
a
that's
something
we
need
to
come
back
with
on.
You
know
where
do
people
go
to
when
they
don't
like
what's
happening,
so
I
will
take
that
back
as
an
action
item
for
myself
to
do.
B
Thanks
anthony
and
karen,
let's
go
to
you
and
then
we'll
go
to
maria
and
then
to
esther
we'll
see
where
we
have
time,
because
I
need
to
leave
a
few
minutes
for
g
to
ask
tomas
her
comment.
Karen.
S
Thanks
thanks
bobby
kieran,
savage
at
the
california
pan
ethnic
health
network,
and
I
wanted
to
first
say
I
know
this
is
a
little
bit
outside
of
the
tpa,
but
just
to
say
the
information
we've
gotten
this
week
about
the
fema
sites
and
the
ability
for
community-based
organizations
to
sign
up
to
be
able
to
register
people
for
appointments
and
to
suggest
mobile
vaccination
sites.
S
I
just
want
to
say
we're
really
excited
to
get
that
from
you
all,
and
I
hope
that's
something
that
blue
shield
can
also
replicate
with
some
of
the
other
mass
distribution
and
other
sites,
because
I
think
it's
exactly
what
we've
been
talking
about
in
terms
of
operationalizing
equity,
so
really
want
to
complement
that
and
hope
it
can
continue
to
be
scaled
up
and
then
my
question
is:
there
were
a
lot
of
things
that
are
very
specific
in
the
contract
about
you
know,
95
of
californians
being
within
30
minutes,
or
something
like
that.
M
I
mean
one
of
the
things
that
we
you
know
we've
been
doing.
Is
you
know
we
we
can
reach
the
people
through
allocation,
and
so
that's
what
we're
working
on
now
is
looking
at
zip
code
level,
information
and
data,
and
over
laying
that,
with
you
know
our
you
know,
hpi
work
that
I
know
you've
been
talking
to
dr
burkharis
about
and
making
sure
that
we're
reaching
those
in
those
lowest
quartiles
and
and
where
are
those
providers
located
and
and
and
and
are
they
in
the
certain
mile
rate?
Is
this
all
overlaps
right?
M
M
We
need
to
make
sure
that
they
have
the
doses
that
they
need
to
reach
those
communities,
and
then
we
need
to
make
sure
that
there's
access
to
that
so
you'll
see
some
more
information
around
that
and
that's
why
it
wasn't
so
clear
in
the
contract-
and
I
know
that
left
us
all
wanting,
but
I
can
assure
you
not
something
that
we
definitely
take
lightly,
but
we
want
to
be
very
thoughtful
and
we
need
to
do
that
in
collaboration
with
the
network
and
since
there's
no
network,
that's
why
that
hasn't
been
done
yet,
but
as
that
gets
developed,
then
we
can
be
very
specific
at
the
zip
code
level
about
what
our
targets
are
and
then
reporting
on
against
that
target
and
as
we
begin
to
vaccinate
those
people
changing
that
target.
S
H
H
Maria
lemos
will
visualize
on
our
network
and
committee
health
workers,
and
I
must
say
that
algo
algorithms
and
metrics
make
me
dizzy.
It's
not
something!
That's
in
my
payload.
No,
it's
it's!
I
hate
it
math.
I
don't
understand
it,
but
what
I
do
understand
really
clearly
is
this
statewide
network
of
promoters,
community
health
workers
and
outreach
workers
that
are
out
there
day
to
day
doing
the
work
of
reaching
our
community,
and
so
I'm
not
sure
how
we
fit
into
the
discussion
because
it
hasn't
gotten
to
that
point
yet.
H
H
You
just
don't
know
how
to
find
us,
and
so
I
think
that
has
been
typical
for
counties
and
for
the
state,
and
so
I
would
encourage
you
to
reach
out
to
us
and
to
really
put
us
as
part
of
that
initial
planning
discussion
with
blue
shield
so
that
we
can
get
it
right.
The
first
time.
M
So
I
really
appreciate
you
bringing
that
up,
but
want
you
to
know
that
is
on
our
list
of
things
to
do.
If
there's
other
ways
that
we
can
do
that
maria-
that's
not
math
related,
because
I
understand
sometimes
we
all
need
to
just
we
need
to
have
things
come
to
us
in
a
relevant
way.
Please
let
me
know
if
there's
another
way
that
we
can
engage
you
that's
just
not
metric
related.
I
totally
can
appreciate.
H
Images
thank
you,
and
we
actually
know
that
we
were
one
of
the
first
organizations
that
received
a
million-dollar
grant
from
covered
california,
so
I
understand
that
they
were
very
forward.
I
do
want
to
mention
one
other
thing,
though
I
was
it
you
can
tell
by
my
email
by
my
note
in
the
chat.
I
was
a
little
perturbed
by
the
discussion
about
community
health
workers
promoters
and
frontline
workers
and
the
discussion
of
whether
they
should
be
under
1a.
I
really
think
that
that
needs
to
be
lifted
up.
H
I
know
hundreds
of
organizations
whose
whose
staff
are
out
in
the
community
day-to-day
they're
infected,
they're
sick.
They
don't
have
resources
they're
being
laid
off.
These
community
workers
are
out
there
day
to
day
and
now
they're
dying.
I
know
of
many
who
are
dying,
who
you
don't
know
because
they're
not
lifted
up,
and
so
I
really
want
to
again
highlight
the
need
the
importance
for
the
state
to
say
something
to
the
counties
that
they
need
to
go
out
to
the
community-based
organizations
that
they
are
contracting
with.
H
That
is
who
the
state
and
everyone
all
the
everybody's
sending
money
out
to
cbos
and
still
our
people
are
going
out
there
and
they're
they're
going
to
the
fields
they're
going
to
the
neighborhoods
they're
essential
workers
like
everybody
else,
and
they
cannot
get
vaccinated
except
for
kim
bless.
Her
heart,
who
has
in
riverside
county,
has
vaccinated
a
lot
of
the
promoters,
they're
doing
it
in
some
in
la,
but
it's
because
we
have
relationships.
H
It
is
not
because
there
is
any
kind
of
a
statement
that
says
that
they
should
look
for
these
outreach
workers,
promoters,
community
health
workers
and
vaccinate
them.
So
I
think
that's
really
critical
and
if
somebody
could
move
that
forward-
and
that
would
be
great,
I
just
want
to
say
one
more
thing.
Today
the
governor
was
in
coachella,
he
was
talking
and
he
highlighted
the
the
work
that's
being
done
by
the
this
collective
and
also
by
promotoras
in
the
community
highlighted
them
said
they
all
said.
H
B
Thanks
maria
esther
you're
next
and
then
we're
going
to
go
to
g
and
if
we
have
time
to
david
to
ask
tomas
their
questions
before
we
have
to
end
this
session.
So
yolanda,
one
more
question
for
you:.
T
Yes,
I'd
like
to
add
to
maria
lemmons
esther,
introduce
yourself
esther.
T
Yes,
my
name
is
esther
bejarano,
I'm
with
committee
civico
del
valle,
community
based
organization
in
imperial
county
just
quickly,
adding
to
maria
demos,
our
county,
as
we
have
been
working
with
them
and
promotoras
have
been
on
that
list
for
receiving
vaccines.
So
I'm
happy
to
share
that
the
question
that
I
had
and
actually
was
a
conversation
that
resulted
today
with
our
local
health
hospital.
Ceo
larry
lewis
actually
asked
that
question
he
knew
I
was
gonna,
be
in
this
platform
on
on
my
visit
track.
T
Someone,
for
example,
a
farmworker
received
a
vaccine,
his
first
dose
in
imperial
county
now
in
the
next
few
months,
we'll
migrate
across
the
state,
and
so
will
that
be
tracked?
With
my
turn,
we
don't
know,
we
don't
have
the
johnson,
but
that
is
one
dose
that
would
have
been
ideally
right,
but
now,
how
do
we
make
sure
that
they
take
a
dose
here
and
they
don't
stay
and
stop
working
and
they
have
to
migrate,
and
then
they
now
need
the
second
dose
out
in
salinas,
for
example,.
M
The
the
good
news
esther
is:
yes,
we
do
track
it,
it's
what
we
do
with
it
is
the
question
right.
My
turn
will
collect
the
administration
data,
both
first
and
second
doses
and
then
how
we
we
share
that
I
know
many
of
you
are
very
familiar
with
secretary
karen
ross
and
she
this
is
something
she's
very
involved
in
and
very
engaged
with,
and
has
been
talking
to
us
about
what
strategies
are
best
to
reach
our
farm
workers.
M
I've
actually
had
an
opportunity
to
talk
to
some
those
who
own
some
farms
about
how
we
do
that,
and
I
know
we're
all
we're
hoping
for
the
one
dose,
but
that's
not
what
we
have,
but
you
know
we
want
to
make
sure
we
at
least
get
them
the
first
dose.
M
The
second
dose
is
a
is
another
pro
we
want
to
get
them
at
least
the
first,
and
so
that's
where
I'm
quite
focused
on
now
is
to
make
sure
that
we
get
on
to
you
know
get
to
those
farm
workers
get
the
shot,
but
definitely
something
that
we
need
to
talk
about
is
as
they
move
on.
Like
I've
been
hearing
about
a
lot
going
to
monterey
county
like
how
can
we
meet
them
there?
This
is
where
mobile
clinics
come
into
play.
M
You
know
I
had
this
whole
wonderful
ideal
that
we
were
going
to
go
to
the
work
sites
and
do
that
and
I'm
hearing
that
might
not
be
the
best
way
to
reach
that
population.
So
definitely
those
are
the
types
of
things
we
want
to
be
thoughtful
about,
but
I
do
appreciate
you
because
it
is.
It
is
an
issue
about
making
sure
that
we
get
that
second
dose,
but
let's
make
sure
at
least
we
get
the
first
one.
T
Most
definitely
thank
you,
and
I
do
want
to
add
that
imperial
county
is
very
unique
being
that
we
have
over
5000
individuals
that
cross
on
a
daily
basis
and
harvest
here
and
then,
due
to
the
very
low
income
wage,
have
to
go
back
and
reside
in
mexico,
and
so
that's
another.
I
think
hurdle
that
we
have
to
come
together,
and
so
we
are
meeting
together
with
local
health
departments
and
cbo
so
putting
a
plan
together
when
more
doses
come
into
our
community.
Thank
you,
perfect.
B
So
secretary
richardson
has
to
get
off
to
another
meeting.
So
you'll
want
to
thank
you
so
much
for
being
here
and
answering
all
the
questions
we'll
expect
to
have
you
back
for
a
return
engagement
at
our
next
meeting,
so
you
can
keep
us
up
to
date
on
everything
that's
going
on,
so
I'm.
B
Run
off
and
we're
going
to
take
a
question,
a
comment
from
g
to
dr
aragon.
Before
we
take
a
break
and
david
we'll
see
if
we
have
an
extra
minute
or
two
and
if
not
we'll
come
back
to
you
later,
hopefully,
jay.
V
V
You
know
how
you
get
a
vaccination
card
after
you
get
the
first
dose
and
then
allocating
and
vaccinating
inmates
over
healthcare
workers
by
shutting
down
a
full
day
of
vaccination
to
accommodate
inmates
over
front-line
healthcare
workers.
Denying
a
new
mother,
postpartum
mother,
who
is
on
maternity
leave
or
baby
bonding
leave,
who
qualifies
as
an
essential
health
care
worker
to
come
into
the
work
site.
So
she
can
get
her
first
dose
of
coffee.
V
This
is
only
the
way
that
we
could
actually
resolve
the
vaccination
hesitancy
and
the
distress
in
the
system,
but
as
I've
seen
it
in
the
ground,
the
second
shots
of
phase
1a
was
challenging
than
the
first
shot.
So
people
might
see
this
in
the
future.
Once
are
your
constituents
or
the
criteria
expands?
V
C
That's
how
it
should
happen,
that's
how
it
should
be
happening,
and
that's
actually
one
of
the
reasons
why
we
need
to
move
to
a
state
system
where
we
really
need
to
build
in
consistency
around
these
types
of
these
types
of
policies,
so
that
it's
uniform
it's
uniform
across
california.
So
thank
you
for
bringing
that
up.
That's
it's!
It's
a
it's
very
important.
B
Doc,
it
has
to
be
really
quick
g
because
we're
ready
for
a
break,
and
we
have
lots
more
to
go
today.
V
Very
quick,
so
the
process
would
be
cdph.
Local
city
ph,
has
the
guidelines
or
is
it
the
work
site
that
has
the
guidelines.
C
Well,
you're
bringing
up
you're
bringing
up
a
point
that
should
be
obvious
to
folks,
which
is
just
because
you're
moving
on
to
phase
1b
you're
still
going
to
continue
with
phase
1a,
because
there's
going
to
be
people
for
a
variety
of
reasons
have
changed
their
mind
coming
back
from
vacation.
Maybe
they
were
out
and
leave.
It
was
going
to
be
people
who
still
need
to
be
vaccinated,
and
so
you
have
to
continue
to
vac.
C
You
have
to
continue
to
vaccinate
them,
they
may
be
a
smaller
number,
but
so
that
that
would
you
describe
should
not
be
happening.
B
Okay,
thank
you,
dr
alagone,
and
dr
burkharis.
I
think
we're
ready
for
our
10
minute
break
before
our
my
turn.
Demonstration.
A
F
A
N
N
As
balancing
maria's
comment
that
I
only
understand
things
in
numbers
and
algorithms,
so
that's.
F
B
Yeah
now
I'm
just
I'm
glad
you
did
it
because
you
know
we
all
have
technology
phobia,
that
it
won't
work.
So
right.
C
B
C
When
they
discuss
my
turn,
it
might
be
good
to
just
to
let
them
know
the
difference
between
my
turn
public.
My
turn
clinic
my
ca,
vax
and
care
because.
C
Yeah,
okay,
fantastic
great,
because
that
that'll
really
help
people
because
it
it
gets
confusing.
Thank
you.
B
A
All
right
welcome
back
if
we
can
get
everyone
to
get
their
their
cameras
back
on,
and
we
hope
that
you
all
participated
in
a
little
wellness
stretch
or
helped
yourself
to
some
water
or
did
something
to
support
your
well-being,
maybe
hugged
a
loved
one,
and
and
now
we
have
a
an
opportunity
for
a
demonstration
of
the
my
turn
platform
from
eric
norton
at
cdph
and
with
that-
and
I
did
see
that
there
were
lots
of
there
were
a
number
of
questions
in
in
the
chat
earlier
related
to
my
turn,
and
so
I
think,
as
we're
heading
into
this
conversation
eric
some
of
the
some
of
the
questions
that
you
may
want
to
think
about
from
the
chat
one
was:
does
the
my
turn
system
have
the
ability
to
track,
for
example,
migrant
workers
right
that
we
heard
that
was
asked
previously?
A
I
think
there
were
questions
around
oh
gosh.
I
don't
have
all
of
it
just
right
in
front
of
me,
but
but
as
as
we
go
through
it
as
we
get
the
to
the
end
of
the
demonstration
I'll
try
to
to
keep
an
eye
out
and
raise
up
the
questions
that
are
in
the
chat.
So
with
that
eric
do
you
want
to
go
ahead?
Thank.
W
You,
dr
burke,
harris
so
just
yeah
again,
tomas
brought
up
a
really
great
question
at
the
beginning
and
that
is
kind
of
there's
a
there's
a
whole,
and
this
is
such
an
overused
word,
but
an
ecosystem
of
of
just
kind
of
systems
that
are
out
there
to
service
the
the
the
vaccination
needs
for
the
state
of
california.
W
The
you
know,
the
one
that
that
people
know
about
probably
is
is
my
ca.
Vax,
which
is
formerly
calvax.
My
ca
vax
is
is
kind
of
the
the
backbone
of
the
the
system.
It's
it's.
Actually
we
can
pull
up
actually.
So
it's
it's.
Basically
the
system
that
that
we're
using
for
you
for
for
ordering
and
vaccine
distribution
right
now,
and
then
there
was
also
discussion
of
my
turn
public
and
clinic.
So
what
we're
talking
about
today
is
my
turn
public.
W
What
we'll
be
demonstrating
for
you-
and
this
is
the
the
public
access
point
to
register
for
and
schedule
first,
a
second
dose
vaccines,
and
then
there
was
a
mention
of
care
and
care.
It's
called
care,
2
and
care.
2
is
is
one
of
the
iis
or
it's
the
immunization
information
systems.
W
There
are
three
in
california:
there
is
care
2,
which
is
the
the
main
one
for
california,
there's
sdir
for
san
diego
and
there's
ride
for
eight
central
valley,
local
health
jurisdictions,
and
so
what
happens
is
after
in
this
case
you
know,
working
with
my
my
turn.
After
the
injections,
a
person
gets
an
injection
that
information,
then
is
uploaded
to
the
iis,
which
is
then
the
repository
for
injection
and
vaccination
information
for
the
state
of
california.
W
W
So
looking
at
kind
of
the
successful
flow,
I
want
to
mention
that
it
is
currently
in
english
and
spanish.
It
is
a
super
super
high
priority
for
us
into
eight
languages.
The
eight
languages
from
the
covet
19
website,
which
is
english,
spanish,
chinese,
traditional
chinese,
simplified
korean
tagalog,
arabic
and
vietnamese.
So
our
goal
is
to
get
that
by
this
friday
on
the
site.
W
So
as
soon
as
we
have
that
available,
we're
gonna
breathe
a
big
sigh
of
relief
because
that's
a
high
priority
for
us
so
presently
I'll
take
the
english
flow
and
with
that
we
drop
into
just
a
couple
of
checks
for
just
you
know,
certifying
that
you're
18
years
old,
that
you
understand
the
information
you
provided
is
for
eligibility
determination
and
that's
it.
W
Some
required
information.
If
you
provide
that
you're
a
licensed
health,
healthcare
worker
and
then
just
again
a
privacy
statement,
it's
important
for
us
to
make
sure
we
put
that
up
front
after
selecting
those
items.
There's
just
a
few
simple
questions.
We
ask
to
determine
eligibility,
age
range
industry
and
we're
adding
a
couple
new
ones
this
week,
retired
and
unemployed,
but
I'll
pick
healthcare
worker
and
then
select
the
county.
W
So
after
entering
your
information
assistant
comes
back,
says,
congratulations
you're
eligible
find
a
location
near
you.
So
what
this
does
is
before
and
before
I
get
in
this
also,
if
you'll
see
at
the
bottom
there
we
have
the
ability
for
chat,
there's
a
automated
chat
that
goes
along
with
this.
W
For
that
links,
people
with
frequently
asked
questions,
we're
monitoring
the
use
of
that
and
always
continually
improving
that
and
there's
also
the
the
the
phone
number
for
the
california
coveted
hotline
which
people
can
access
to
either
have
questions,
get
a
walk
through
of
the
the
registration
process
or
also
have
people
on
the
call
center
register
for
them
if
they
don't
have
internet
access
or
otherwise
so
for
the
searches
I'm
going
to
start
typing
in
a
zip
code
and
as
you
can
see,
it
auto
completes
as
I'm
moving
through.
W
W
W
Shows
there
are
96
appointments
available
pick
one
at
a
reasonable
hour.
Go
9,
am
that's
the
first
dose
and
then
the
second
dose,
so
clinics
can
schedule
themselves
as
the
first
dose
or
only
as
a
single
dose
clinic
or
both
doses.
In
this
case,
this
is
a
two
dose
clinic.
Most
of
them
now
are
scheduling
this
too
those
clinics.
Some
of
the
single
dust
clinics
were
set
up
for
people
who
are
transitioning,
so
we
want
to
do
like
a
second
dose
only
clinic
or
a
clinic.
W
W
I've
filled
this
out
a
few
times.
We
have
gender
male
female
non-binary
prefer
not
to
say
we
have
race.
Let
me
see
if
I
can
pull
that
up,
so
I
can
see
all
that.
So
we
have
race
a
number
of
different
designations
and
some
designations
of
that,
and
then
hispanic
or
latino
origin.
W
W
And
then
we
ask
optional
question
for
healthcare
coverage.
If
you
answer
yes,
then
there's
some
simple
information
that
is
required.
If
you
say
no,
then
you
can
move
on.
Then
we
have
13
cdc
questions
that
are
asked.
These
don't
preclude
your
eligibility,
but
it
is
information
that
we
pre-send
to
the
the
clinic.
So
at
the
day
of
the
the
clinic,
if
you've
answered
yesterday's,
you
can
get
clinical.
W
W
W
W
If
I
something
happens,
I
can
resend
that
code
or
go
back
and
check
on
the
information
that
I
have
so
that
I
get
it
at
this
point
I
am
confirmed.
I
get
a
confirmation,
email
that
has
a
qr
code
on
it,
that
you
can
print
out
and
bring
with
you
or
you
can
have
on
your
phone.
I
get
a
also
an
sms
message
as
well,
and
then
I
can.
If
something
happens,
I
can
cancel
the
appointments
from
either
the
sms
or
from
the
the
email
that
I
get
as
well
and
that's
the
successful
flow.
W
It
shows,
based
on
your
results,
you're
not
eligible
the
current
phase,
and
it
asks
if
you'd
like
to
register
for
additional
notifications
about
it
and
again,
at
this
point,
same
information
as
before.
We
do
have
to
at
this
point,
re-enter
the
eligibility
criteria
and
we
go
for
the
year.
So
that
helps
us
kind
of
group
things
as
well
and
then
ask
a
couple
of
questions
about
you
know
we're.
W
We
have
a
lot
of
planning
ahead
for
comorbidity
activities,
but
at
least
the
very
interest
at
the
very
at
this
point
we're
at
least
asking
if
there's
any
underlying
health
conditions-
and
we
have
links
out
to
where
you
can
have
more
information
about
what
qualifies
as
an
underlying
health
condition.
W
W
The
email
address,
so
you
can
register
at
that
point
oops
and
I
did
zip
code.
We
have
validations
at
this
point
then,
as
as
I
become
eligible
and
vaccine
is
available.
We
work
with
the
local
health
jurisdictions
to
send
out
notifications
to
individuals
in
those
areas
so
that
then
they
can
come
back
on
and
register
and,
as
I
mentioned,
we
also
have
the
accessibility
code
route.
W
I
could
show
that,
if
you're
interested,
but
basically
what
that
enables
us
to
do
is
what
we
call
targeted
clinics
and
that
enables
us
to
what
happens
is
if
we're
looking
for
a
special
population,
medical,
you
know,
latino,
you
know
areas
heavily
densely
populated
areas,
any
type
of
that
approach.
W
What
we
can
do
is
we
set
up
clinics
that
link
to
those
codes,
and
then
we
have
the
ability
to
work
with
our
local
health
jurisdictions,
community-based
organizations
to
distribute
those
codes
so
that
individuals
can
use
them
to
register
what
this
does
for
you
as
well,
is
the
current
functionalities.
With
an
accessibility
code.
You
bypass
the
eligibility
criteria
because
again,
if
you're
receiving
this
there's
a
reason
for
that
we
want.
We
want
you
to
have
the
accessibility
to
the
vaccine.
W
You
know
densely
populated
areas
congregate
care
whatever
that
may
be,
so
we
you
enter
the
code
and
then
the
system
will
show
you
the
the
that
actual
clinic
itself
and
then,
if
you're
actually
eligible
as
well.
What
you
would
show
is
that
clinic
and
then
any
other
clinics
with
which
you
have
eligibility,
so
you
don't
necessarily
need
to
use
that
code
at
that
point,
and
that
concludes
our
demonstration
of
my
turn
public.
I
want
to
see
at
this
point
if
you
have
any
questions.
B
A
That
sounds
great
yes,
I've
been
I've,
been
noting
all
of
these
questions,
yeah.
A
Great
so
so
one
of
the
first
questions
that
was
actually
from
before
you
started
was
who
owns
my
turn.
A
W
A
Yeah,
so
I
think
the
question
is:
can
anyone
can
anyone
use
it?
You
know
any
age,
any
category
of
eligibility.
We
saw
that
you
tested
that
and
then
and
then
the
appointments
do
they
go
to
community
clinics
and
doctors
offices,
as
well
as
mega
sites.
W
So
the
current
we
have
we're
working
on
our
focus
to
deploy
this
obviously
there's
a
lot
of
pent-up
demand
and
also
you
know,
urgency
to
roll
on
board
with
this
we're
focusing
on
local
health
jurisdictions
right
now
and
the
number
of
providers,
and
so
we
have
a
subset
of
providers,
we're
working
with
and
then
also
we
just
recently
on
board
so
live
in
the
system
is
san.
Diego
los
angeles.
W
We've
got
a
number
of
central
valley.
We
have,
I
think,
nine
local
health
jurisdictions
that
are
on
board
right
now,
and
then
we
also
have
kaiser
permanente
opened
up
a
mega
clinic
in
san
francisco
and
also
in
pomona
los
angeles
and
then
finally,
we
have
dignity
actually,
two
more.
W
We
have
dignity
that
opened
up
a
mega
clinic
this
week
in
carson,
focusing
heavily
on
medical
patients,
and
then
we
also
have
fema
and
oes
that
have
jointly
opened
up
clinics
in
oakland
at
the
coliseum
and
then
in
southern
california
as
well.
So,
as
you
can
see,
we're
we're
really
trying
to
focus
on
getting
local
health
jurisdictions
on,
and
then
these
these
bigger
clinics
that
have
the
ability
to
you
know
really
get
vaccine
out
there
to
people
and
then
we're
trying
to
to
build
out
from
there.
W
The
the
state
of
california
has
a
third
party
administrator,
a
tpa
they've
recently
brought
on
board
and
that
tpa
is
also
working
with
us
to
make
some
of
the
decisions
about
priorities
and
capacity
to
deploy
the
system
so
we're
trying.
You
know
our
internal
goals
are
to
get
this
out
there
as
fast
as
possible,
but
we,
you
know,
we
are
constrained
by
you,
know,
throughput
by
capacity.
A
A
W
Yes,
we
have.
We
have
heard
some
of
those
questions
I
think.
Actually,
if
we
can
get
that
feedback
back
to
us,
that'll
help
us
with
our
prioritization.
You
know
we
have.
We
have
these
eight
languages
that
we
want
to
get
into
first,
and
then
you
know
we
are
also.
You
know
it's
there's
that
that
tired
phrase,
but
it's
so
true,
building
a
plane
while
it's
flying.
So
you
know
we
are
balancing
language
and
accessibility
with
also
just
you
know,
basic
functionality
for
the
system
as
well.
W
You
know,
as
was
mentioned,
there's
the
the
the
clinic
side,
my
turn
clinic,
so
we're
building
out
functionality
to
make
sure
that
when
people
do
arrive,
that
their
their
process
flows
smoothly
and
that
people
have
access
to
the
information
that
they
need
there
as
well.
So
there's
a
a
lot
we're
building
out.
I
we
would
certainly
take
additional
language
suggestions
into
in
for
consideration
so
that
we
can.
We
can
build
that
out
as
well.
A
Wonderful,
hey
several
questions:
what
happens
if
someone
doesn't
have
a
mobile
number
so.
W
Well,
so
if
you
have
an
email
address,
you
can
put
your
hard
phone
in
there
and
you'll
still
get
the
the
the
email
confirmations
as
well.
So
the
confirmations
and
the
notifications
go
out
via
email
and
sms.
So
if
you
have
an
email
address
and
you
don't
have
a
cell
phone,
you
can
use
your
email
address.
If
you
have
neither,
we
are
encouraging
people
to
contact
our
call
center
and
to
work
through
our
call
centers
to
book
those
those
sites
for
them.
W
Currently,
our
functionality
is
that
we
are
taking
the
you
know:
building
the
email
and
phone
number
into
the
the
call
center
numbers,
and
then
the
call
center
agent
is
sharing
the
booking
information
with
the
the
person
who
calls
the
call
center.
W
Technically,
when
you
show
up
to
a
your
appointment,
you
don't
need
any
booking,
or
you
know
the
qr
code
or
any
of
that
you
do
need.
Obviously,
if
your
healthcare
work,
you
need
to
prove
your
healthcare
worker,
but
you
know
id
would
be
nice,
but
it's
not
even
required
at
all.
You
just
have
to
give
them
your
name
and
if
your
name
matches,
then
you
know
you,
can
you
can
pretty
much
go
through
at
that
point,
so
yeah,
so
there's
no
need
for
a
phone
or
an
email.
W
Although
you
know
it
is
an
easier
experience,
if
you,
if
you
do
have
either
of
those.
A
Thank
you
some
other
questions.
There
were
several
questions
about:
can
10
family
members
or
someone
who's,
helping
someone
sign
up
for
my
turn
and
there
are
a
number
of
folks
who
actually
shared
positive
feedback
that
that
they
have
been
doing
that
and
have
found
it
very
simple
and
easy
to
do.
The
question
was:
does
the
family,
member
or
caregiver
need
to
be
explicit
that
they're
signing
up
for
someone
else
or
do
they
just
put
in
the
internet.
W
Yeah
I
I
I
registered
in
my
county
for
for
my
mom,
so
yeah
you
can.
You
can
register
on
behalf
of
someone,
although
we
do
have
the
ability
we
are
building
out
deduplication
so
that
you
can't
have
say
you
know
eric
norton
with
the
same
email
address
or
same
mobile
number
registering
six
times
right.
A
W
That's
a
great
question:
one
of
the
things
that
we
are
prioritizing
to
build
out
is
the
asking
of.
If
assistance
is
required,
if
assistance
is
needed,
so
then
the
clinic
will
know
in
advance
individuals
who
require
assistance
so
that
they
can
be
prepared
for
that.
A
And
and
speaking
of
accessibility,
I
know
that
you
mentioned
the
call
center,
but
the
the
notion
is
for
for
individuals
who
are
don't
have
access
to
or
not
comfortable
using
the
internet.
They
have
access
to.
Anyone
can
also
call
the
my
turn
call
center
and
and
register
that
way.
Correct,
good,
old-fashioned
telephone.
A
All
right,
fantastic.
W
The
system
also
does
do
walk-ups
as
well,
so
we
can
do
walk-ins,
we've
heard
from
a
couple
of
sources
that
you
know
in
some
instances,
people
who
are
uncertain-
or
you
know
insecure
about
their
citizenship.
You
know
they
they
can.
Just
you
know,
show
up
as
a
walk-up
and
you
know.
Obviously
they
have
to
have
the
eligibility,
but
they
can
show
up
as
a
walk
up
and
we
can
process
them
as
walking.
This
fall.
A
Great
and
then
a
couple
other
questions,
one
was
a
question
about
updating
eligibility,
as,
as
mentioned
the
cdph
just
released,
updated
guidelines
about
individuals
with
underlying
medical
conditions
and
or
disabilities,
and
do
is
there
a
sense
of
when
that
might
be
updated.
W
Yeah,
that's
so
the
system.
So
a
couple
things
about
the
system.
You
know
the
policy
that
gets
set.
We
execute
our
current
functionality
in
the
system
is
that
the
system
is
able
to
have
eligibility
set
by
the
local
health
jurisdictions.
So
let's
say
you
know
they
want
to
activate
a
tier
or
activate
an
industry.
We
can
activate
that
for
them,
but
but
we
don't
you
know
we
don't
we
don't
set
when
those
tiers
become
available.
We
we,
you
know
by
default,
go
with
the
state
eligibility.
W
I
asked
that
question
with
the
the
developers
the
system
they
said.
Yes,
it
does
it,
it
was
tested
when
it
went
live
and
I've
asked
them
to
run
a
follow-up
test
to
make
sure
that
any
enhancements
we
make
on
it
will
continue
to
operate
with
the
screen
readers
because
that
that
is
important
to
us.
So
we
are,
we
are.
That
is
something
we
we
check
with.
A
Thank
you
so
there's
a
there's,
a
question
that
I
want
to.
I
think
there's
two
parts
to
it,
but
in
any
case,
does
the
question
about
disability
or
underlying
health
condition,
make
it
a
self-certification
out
of
station
system
or
will
verification
be
required.
W
Again
with
regards
to
that
we're,
you
know
the
we're
building
that
out.
We
have.
We
have
several.
You
know
meetings
over
the
next
week
week
and
a
half
to
to
take
care
of
that.
A
So
so,
particularly
when
it
comes
to
the
my
turn
system,
we
want
to
make
it
as
easy
as
possible
for
folks
to
access
and
and
get
an
appointment,
the
the
the
the
the
separate
question
about
back.
How
vaccinators,
for
example,
verify
so,
for
example,
in
in
the
policy
that
was
set
on
friday.
The
verification
of
eligibility
of
the
assessment
of
eligibility,
of
a
pre-existing
condition
that
increases
the
risk
for
cover,
19
or
a
disability
has
to
be
made
by
a
health
care
provider
or
certain
entities.
W
So
yeah,
so
we
will
continue
with
with
the
system
itself
we're
trying
to
you
know.
We
know.
We've
actually
been
talking
with
local
health
jurisdictions
that
have
implemented
the
system,
and
there
is
some
gaming
of
the
system,
and
you
know
that's
up
to
the
local
health
jurisdictions
to
to
you,
know,
assess
you
know
when
we
first
went
live
that
was
a
little
higher,
but
now
that
we've
been
live
for
a
couple
of
weeks,
they're
seeing
it
decrease-
and
you
know
basically,
your
normal
populations.
W
Are
you
know
it's
it's
just
taking
care
of
itself
right,
and
so
you
know
the
our
goal
is
to
you
know
to
set
to
make
the
system
as
accessible
as
possible.
We
think
that
you
know
there's
acceptable
levels
that
people
are
going
if
we
make
the
system
so
ungamable
right
and
we
put
all
these
criteria
and
you
have
to
scan
you
have
to
upload.
You
have
to
always
different
things.
You
know
it
it
it.
It
makes
the
system
a
little.
W
W
We're
in
conversations
with
both
of
them
right
now.
We
yes
we're
in
conversations
with
both
of
them
to
try
and
work
that
out.
So
that's
you
saw
a
little
preview
of
that
on
the
the
user
acceptance
testing
screen
when
we
were
talking
about
an
outside
clinic,
that's
sent.
I
think
what
you
know.
W
If
I
look
in
my
crystal
ball,
what's
probably
going
to
happen
is
when
you
you
get
your
ver
after
you
go
through
eligibility,
you'll
get
a
link
to
their
site
to
go
through
the
process,
but
it
won't
won't
be
a
warm
hand
off
at
this
point.
A
W
We
have
well
the
there
has
not
been
consumer
testing.
The
the
consumer
testing
has
been
with
you
know
again,
a
little
bit
with
local
health
jurisdictions
that
have
gone
live
with
us.
You
know,
we've
worked
very
closely
with
them
and
we've
solicited
their
feedback
and
user
feedback.
We've
had
them
out
at
the
the
clinics.
You
know
informally
asking
individuals
about
their
experience.
W
With
my
turn
and
getting
their
reservation
and
and
through
that
process
we
are
looking
to
build
in
those
measures
to
the
system,
both
from
the
standpoint
of
booking
your
appointment
and
also
through
the
clinic
experience
as
well,
but
we
don't
have
that
in
yet.
B
Too,
so
eric
one
of
the
comments
is
because
you
asked
for
health
insurance.
Is
it
possible
for
the
information
about
getting
the
vaccine
to
be
linked
into
a
person's
medical
record?.
W
We've
been
working
with
are
so
with
kaiser.
Obviously
they
have
a
clinic
and
dignity
as
well,
because
they
have
a
clinic
we're
working
to
with
them
to
enable
them
to
extract
that
information
so
that
they
can
match
it
up
to
their
own
clients,
records
and
and
have
that
that
matching
on
their
end
as
well.
So
we
are
thinking
about
that.
We
are
looking
to.
You
know
again
make
improvements
over
the
future
on
that,
but
we
we
currently
have
the
ability
for
them
to
do
that.
B
Right
and
then
a
couple
of
questions
about
demographic
information
when
is
that
collected
about
the
individual
race.
W
So
it's
it's
not
collected
prior
to
eligibility
determination
but
after
eligibility
determination.
That's
the
point
where
we
make
those
those
questions
available
and
you
could
that
those
questions
again
follow
both
paths.
The
path
of
I
am
eligible
and
I
have
there's
there's
vaccine
available
and
I
have
an
appointment.
Then
we
capture
that
information
and
then
there's
the
second
path
which
is
I'm
eligible,
but
there
is
no
vaccine
available
or
no
appointments
available
at
this
current
time.
B
Right
and
then
there's
a
an
important
question
about
is
the
healthy
places
index
able
to
be
accounted
for
through
my
turn,.
W
I
don't
have
an
answer
for
that.
I
can
follow
up
with
dr
burke
harris
on
that
one.
A
A
One
of
the
things
that
we're
working
on
is
understanding
if
there's
a
way
to
build
into
my
turn,
a
way
for
certain
a
cert,
a
certain
number
of
appointments
to
be
reserved
for
certain
groups.
So,
for
example,
if
a
cbo
has
is
is
doing
outreach
to
a
particular
community
is,
if
there's
a
way
to
you,
know,
reserve
appointments
for
folks
living
in
a
particular
zip
code
or
census
tract
or
something
along
those
lines.
A
So
that's
that's
one
of
the
things
that
we're
looking
into
as
we're
working
to
operationalize
some
of
our
equity
strategies
with
the
my
turn
system.
Yes,.
B
Right
so
another
question
was
asked
several
times:
if
and
you
did
it
eric,
so
you
can
tell
us
about
your
experience.
You
enrolled
your
one
of
your
parents,
correct.
B
W
100,
I
could
use
my
email
for
both
of
my
parents,
my
neighbor.
I
could
use
it
for
all
those,
then,
at
the
time
that
I
want
to
register
myself.
The
duplicate
check
would
be
looking
for
my
name
and
and
as
well
as
the
so
name
and
the
birth
information
and
the
phone
number
as
well.
So
there's
multiple
criteria.
You
have
to
tick
before
you
get
flagged
as
a
duplicate.
B
Right
and
then
maybe
one
last
question
and
then
we'll
have
to
move
on
to
our
next
agenda
item:
how
are
the
accessibility
codes
shared
or
distributed?
How
does
that
part
of
the
process
work.
W
We're
still
working
through
that
we
we've
been
the
the
current
approach
that
we're
using
with
that.
Is
that
we're
working
with
the
clinics
that
actually
use
the
accessibility
codes
to
enable
them
to
distribute
that
to
the
the
populations
they
seek.
So
with
cal
oes,
they
were
working
with
a
number
of
community-based
organizations
in
the
areas
where
they
opened
up
their
clinics.
So
we
worked
with
them
to
determine
how
many
codes
they
wanted,
and
then
we
generated
those
codes
and
sent
them
out
so
that
they
could
have
they
could
use
them.
B
B
B
B
A
A
A
And
and
now
we're
gonna
move
forward
with
the
recommendations
regarding
underlying
medical
conditions
and
people
with
disabilities
and
an
update
on
access
strategies
as
well.
So
I
will
turn
it
over
to
tomas
aragon,
the
director
of
our
cdph
and
the
state
public
health
officer.
C
So
let
me
start
off
by
just
giving
you
a
little
bit
of
a
history.
C
You
know
during
during
this
during
the
surge,
the
health
department
became
very
focused
on
what
was
happening
in
the
surge
and
who
was
being
impacted.
People
who
are
older
people,
people
of
color,
primarily
the
latino
community,
and
we
really
started.
We
really
started
working
thinking
about
age
and
how
we
can
prioritize
age
age
had
already
been
in
the
in
the
in
the
already
set
as
a
priority
of
phase
one
b
tier
one
where
we
were
75
and
older.
C
As
we
looked
as
we
were,
focusing
on
that
the
administration,
the
prior
administration
came
out
with
guidelines,
expanding
the
criteria
over
65,
first
persons
with
medical
conditions
from
16
to
64.,
and
so
all
that
all
that
happened
very
fast,
and
so
we
spent
time
both
getting
input
and
also
looking
at
the
criteria
to
see
how
can
we
really
do
prioritization
that
takes
into
account?
The
idea
was:
is
that
how
can
we
save
lives
achieve
equity?
C
Given
the
sh,
given
the
supply
shortage
that
we
have
supply
shortage
that
we
had,
and
so
the
other
thing
that
we
had
to
focus
on
was
actually
how
can
we
do?
How
can
we
incorporate
speed
and
simplicity
because
it
was
we
recognized
we
really
needed
to
vaccinate
people
as
as
fast
as
we
can
and
as
you
can
see,
as
you
can
begin
to
see.
Just
from
the
my
turn
discussion,
you
can
see
the
complexities
of
implementing
systems
about
verification
codes
and
just
that
whole
process
of
how.
C
How
do
we
do
that
and
and
it's
it's
a
real
challenge
and
one
of
the
things
I
just
want
to
share
with
you
one
sort
of
a
principle
that
just
comes
up
in
in
decision
making,
and
everybody
knows
this
principle,
but
it's
kind
of
just
it.
It
sort
of
reminds
us
how
hard
it
is
to
do
this
work,
and
that
is
there
are
no
absolute
right
answers.
C
There
are
only
trade-offs,
and
so
in
decision
making,
regardless
of
what
we
decide,
there's
always
going
to
be
trade-offs,
and
so
it's
never
going
to
be.
It's
never
going
to
be.
It's
never
going
to
be
perfect,
but
anyway,
starting
off
with
saving
lives,
achieving
equity.
We
have
vaccine
supply
shortage,
so
we
need.
We
want
to
focus
on
speed
and
simplicity,
and
we
want
to.
We
want
to
reach
the
most
where
we
think
we're
going
to
have
the
most
the
most
impact.
C
So
on
february
12th
we
did
publish
for
starting
on
march
15th
expanding
the
criteria
criteria
with
people
with
chronic
severe
chronic
medical
conditions
and
disabilities.
C
We
recognize
that
if
we
started
with
the
we
started
with
the
cdc
framework,
the
cdc
framework
has
two
different
categories:
one
is
people
at
increased
risk
for
complications
from
covid
and
those
that
have
expan
that
might
be
at
increased
risk.
That
has
a
different
conditions
and
we
recognize
that,
even
if
we
were
to
implement
the
first
list
that
there
would
not
be
enough
vaccines,
so
we
had
to
we
had
to
narrow
that
list
even
further
and
the
drafting
guidelines
grouped
helped
us
with
that.
C
We've
been
working
with
disability
groups,
associations
that
represent
disability
groups
to
help
us
define
disabilities
and
there's
still
work
going
on
in
in
that
area.
Sort
of
really
fine-tuning
fine-tuning.
That
definition,
so
that
it
can
be
operationalized
in
a
practical
way,
recognizing
that
we're
never
going
to
be
we're
not
going
to
be
able
to
there's
not
going
to
be
a
definition.
That's
going
to
be
completely
inclusive
of
of
everybody,
so
there's
always
going
to
be
there's
always
going
to
be.
C
There
is
going
to
be
a
gap,
as
vaccine
supplies
improves,
we'll
be
able
to
broaden
that
I'm
just
going
to
read
to
you.
For
example,
it
says
here,
beginning
march,
15th
health
care
providers
may
use
their
clinical
judgment
to
vaccinate
individuals
60
to
64,
who
are
deemed
to
be
at
very
high
risk
for
mobility
mortality
from
covet
19
as
a
direct
result
of
one
or
more
of
the
false
severe
health
conditions
or
if,
as
a
result
of
developmental
or
other
severe
high
risk
disability,
one
or
more
of
the
following
apply.
C
C
Acquiring
kova
19
will
limit
the
individual's
ability
to
receive
ongoing
care
or
services
vital
to
their
well-being
and
survival,
and
providing
adequate
and
timely
coveted
care
will
be
particularly
challenging
as
a
result
of
an
individual's
disability
and
so
we're
in
the
process
of
that
you're
going
to
hear
a
little
bit
of
the
implementation
later.
I
just
want
to
sort
of
give
you
a
a
concrete
example
how
this
might
apply
and
I'm
going
to
use
me
as
a
personal
example.
C
C
I
work,
although
I
work
in
public
health,
but
I'm
not
a
frontline
healthcare
worker.
So
even
though
I'm
a
physician,
I'm
not
I'm,
not
a
frontline
healthcare
worker
actively
seeing
patients
patients
who
might
be
infected
with
covid
or
providing
care
for
patients
who
are
coveted.
So
under
that
category
I
have
not.
I
have
not
been
vaccinated.
C
C
C
my
22
year
old,
who
recently
graduated
from
college,
has
asthma,
and
so
his
condition
fits
under
this.
What
might
be
increased
medical
risk
and
would
currently
not
qualify
because
of
his
his
at
his
asthma,
and
he
actually
that
that
asthma
is
not
part
of
that
first
list,
so
all
of
us,
so
my
wife
will
be
qualifying
so
all
of
us
until
until
it's
our
turn,
we've
we've
registered
on
my
turn
and
wait
for
our
turn
to
be
vaccinated.
C
In
the
meantime,
we
have
to
continue
to
practice
what
we
know,
which
is
masking
physical
distancing,
doing
things
outdoor
doing
trying
to
minimize
risk
of
getting
infected.
I
should
just
mention
my
other
son
works
in
retail.
He
gets
exposed
to
persons
every
every
day,
working
in
retail
and
then
my
daughter,
who's
is
doing.
Virtual
learning
isn't
is
in
college
right
now
and
it's
just
living
at
home
doing
ever
virtual
learning.
C
So
I
just
gave
you
sort
of
a
practical
give
you
a
concrete
example
using
myself,
my
family,
my
children,
to
sort
of
help.
You
understand
this,
so
the
conditions
that
are
there
hang
on
for
one
second,
so
I
gave
you
a
little
bit
of
background
how
that
works,
and
so
what
I'm
going
to
do
is
so
a
lot.
A
lot
of
thought
went
into
this.
We
recognize
it's
not
going
to
be
perfect.
We
recognize
that
there
are
going
to
be
gaps.
C
There
are
other
gap,
areas
that
we're
going
to
have
to
address
and
we're
going
to
we're
going
to
try
to
find
ways.
Cdph
is
going
to
try
four
ways:
ways
of
really
closing
that
gap
working
with
our
county
public
health,
our
public
hospitals,
persons
who
focus
on,
for
example,
on
the
homeless.
We
know
that
there's
a
there's
a
gap
with
behavioral
health
and
mental
health
issues
and
substance,
sub
persons
who
have
substance
use
those
are
gaba
areas
that
we're
gonna
we
will
have
to
address.
C
I
I
do
want
to
call
that.
I
call
that
out
as
an
important
area
in
terms
of
equity
that
we
will
have
to
close,
we
will
have
to
close
that
gap.
This
specific
list
doesn't
address
those
explicitly
and
we
hope,
as
we
address
working
with
the
locals
around
the
issues
of
equity,
that
we
address
those
in
a
more
systematic
way.
C
So
that's
all
I
want
to
say
for
those
two
slides.
I
want
to
go
ahead.
I
believe
we
have
another
presenter,
that's
going
to
go
ahead.
C
Y
Yes,
thank
you,
dr
aragon.
I
would
only
add
that
the
drafting.
I
Y
Y
Y
C
Thank
you.
Thank
you,
dr
brooks
kim.
Do
you
have
any
any
comments
for
the
I
think
you
were
going
to
cover
the
next
slide?
Yes,.
X
Thank
you,
dr
aragon.
Thank
you,
dr
brooks
I'm
kim
mccoy
wade,
director
of
the
department
of
aging
and
with
dr
aragon
and
nancy
bargeman
from
the
department
of
developmental
services.
The
three
of
us
are
convening
a
group
at
the
request
of
secretary
galley
from
health
and
human
services
and
secretary
richardson
from
gov
ops,
about
the
how
we've
been
talking
about
the
who
the?
X
Why
the
when,
but
how-
and
I
know
that
I
want
to
give
you
a
quick
report
back
on
the
work
of
that
group
and
then
I'm
going
to
hand
it
to
vance
taylor,
to
talk
about
what's
happening
right
now
on
the
ground
in
some
areas.
So,
very
briefly,
this
was
a
group
that
was
convened.
X
It's
about
it's
a
small
working
group
of
11
folks
about
half
of
them
are
members
of
the
seaback
representing
disability
and
aging
and
labor,
and
we
also
have
dr
larry
ian
and
dr
alyssa
burkhardt
in
the
group
as
well
and
california,
medical
association.
So
thank
you
to
those
of
you
for
jumping
in
on
yet
another
work
group.
You
see
here
some
of
the
topics
in
our
first
two
meetings
that
we
have
begun
to
dive
into,
and
many
of
them
were
just
covered
in
the
my
turn
demo.
X
X
A
third
is
in-home
options
very
important,
and
a
fourth
is
what
I
would
call
kind
of
outbound
registration,
not
just
the
inbound,
letting
the
public
make
phone
calls
or
to
my
turn,
or
sign
up
on
a
website.
But
how
can
partners
book
appointments
on
behalf
of
clients
or
participants
in
certain
programs
and
services
so
kind
of
that
we,
I
heard
that
come
up
with
a
demo
as
well
that
kind
of
navigator
concept
that
some
of
us
are
familiar
with
other
program,
outreach
and
enrollment
efforts.
X
So
those
are
the
areas
where
we
have
been
discussing
in
our
first
two
meetings.
Our
next
step
is
really
a
deeper
dive
working
meeting
with
the
third
party
administrator,
which
of
course
folks
know,
came
on
board
this
week
and
I
hope
have
seen
the
overview
and
the
contract
of
their
work,
and
so
we
will
be
doing
that
more
at
our
next
meeting
next
week.
X
But
but
didn't
want
to
leave
you
hanging,
and
there
is
incredible
work
already
happening
on
the
ground
on
a
couple
fronts
on
mobile
and
home.
We
are
really
seeing
great
work
happen
again.
Many
of
the
issues
that
people
with
high-risk
medical
and
disabilities
have
are
also
present
in
the
aging
community,
so
older
adults
already
are
needing
mobile
sites
at
home
sites,
transportation,
options
etc.
X
But
I
also
wanted
to
give
vance
a
chance
to
talk
about
what's
happening
on
the
ground
at
the
oes
sites,
in
terms
of
accessibility,
so
vance.
If
you're
here
can
I
hand
the
mic
to
you.
F
F
Is
president
biden
has
chosen
california
to
be
able
to
stand
up
some
mega
vaccination
sites
and
they're
using
the
word
mega?
F
I
guess
because
it
sounds
cool
but
they're
very
large
sites,
and
one
is
in
oakland
at
the
coliseum
and
the
other
ones
at
cal
state
l.a,
and
the
idea
is
to
set
these
up
and
run
them.
We
had
a
soft
opening
yesterday,
I'm
sorry
yesterday
was
the
first
day
it
was
a
hard
opening,
but
the
goal
is
by
the
end
of
the
week
that
we'll
be
vaccinating
6
000
people
a
day
at
each
site
to
ensure
that
those
sites
are
physically
and
programmatically
accessible.
F
F
We've
got
things
like
a
designated
lane
for
paratransit
we're
also
working
with
partners
like
bart
and
ac
transit
and
access
services
la
to
provide
free,
paratransit
services
to
and
from
the
vaccination
sites
and
free,
accessible
shuttles
to
and
from
bus
stops
and
train
stations,
and
we've
got
a
whole
host
of
other
resources.
There
like
wheelchairs
isolation
rooms
and
people,
have
sensory
issues
or
can't
wear
masks.
F
F
F
So
I
can
tell
you
that
so
far,
for
example,
we've
worked
with
three
ilcs
to
schedule:
those
those
mobile
units
we're
working
with
two
agencies
that
work
with
people
who
are
deaf
and
hard
of
hearing
and
a
multitude
of
other
cbos
to
get
those
sites
calendared,
so
they'll,
deploy
and
go
out
to
the
community,
and
each
of
those
mobile
sites
can
vaccinate
250
people
a
day,
so
good
work
going
on
a
lot
of
it,
but,
of
course,
in
direct
result
of
the
input
received
from
this
group.
B
Thank
you,
vance
and
kim
a
great
update,
and
I
hope
that
we
can
keep
getting
updates
from
the
access
work
group,
but
also
from
all
the
accessibility
efforts
that
you're
involved
in
advance.
Thank
you
so
much.
We
have
time
for
a
couple
of
questions.
I
think
andy.
Let's
start
with
you
and
then
susan,
let's
go
to
you
susan
tomorrow,
so
andy
make
sure
to
introduce
yourself.
AA
Sure
hi,
I'm
andy
imperato
with
disability
rights,
california,
I
just
want
to
acknowledge
and
thank
secretary
golly,
governor
newsom
and
all
the
folks
who
came
together
to
make
the
announcement
last
friday,
but
I
do
want
to
clarify
the
recommendations
that
came
from
all
the
disability
representatives
on
the
c-vac
and
lots
of
other
folks
around
the
state
has
not
been
to
go
with
the
cdc
list.
So
I
just
want
to
correct
to
the
extent
that
dr
brooks
thinks
that
we
recommended
that
they
use
the
cdc
list
to
figure
out
who
are
the
high-risk
people
with
disabilities.
AA
That
should
be
prioritized.
We
did.
We
did
not
recommend
that
we
recommended
that
the
state
prioritize
regional
center
clients,
ihss
recipients
and
others
who
can
show
on
an
individual
basis
that
they're
at
high
risk
of
dying
from
covet,
which
is
a
broad,
diverse
category.
The
cdc
list
was
never
intended
to
be
used
for
this
purpose
and
we
think
it's
a
mistake
to
use
it
for
this
purpose.
Thank
you.
Y
U
There
are
some
articles
out
of
san
diego
that
are
reporting
that
family
caregivers
are
eligible
and
there
are
actually
circumstances
where
the
caregiver
is
eligible
and
the
care
recipient
is
not,
and
in
looking
at
the
guidance
at
cdph,
I
don't
see
where
that
fits
in
the
tiers
as
they
exist.
Currently.
So
I
wonder
if
we
have
a
response
to
that
or
if
I
might
be
missing
something.
B
Tomas,
could
you
speak
to
susan's
question?
I
know
a
number
of
members
of
the
cvec
have
had
this
question
over
many.
M
P
C
I
know
there
was
there
was
some
confusion
about
that,
and
I
know
this
was
written
down
somewhere.
We're
gonna
have
to
just
track
down
what
we.
What
we
wrote
about
this-
because
I
know
erica-
did
create
some
language
to
clarify
this,
about
family
members,
who
are
caregivers
and
are
very
very
and
there
is
a
verification
process
that
they're
an
official
caregiver
that
they
would
be
vaccinated.
C
So
we
have
to
we
have
we
have
we
have
to
fi.
We
have
to
find
it.
I
know
that
this
was
written
down.
I
don't
have
it
in
front
of
me
right
now,
but
this
is
something
we
should
follow
up
on.
B
B
We'll
put
it
on
the
follow-up
list
and
we'll
make
sure
we
find
this
before
the
next
meeting.
Let's
go
to
david,
lound
and
that'll
be
the
end
of
our
questions,
because
we're
going
to
run
out
of
time
so
david
introduce
yourself
again.
N
Thanks
hi
bobby
so
david
lowand,
california
associates
of
public
hospitals,
health
systems,
doctor
arnold
I've
got
a
number
of
number
of
questions
for
you.
So
in
this
new.
N
Run
out
of
time,
it's
so
difficult.
Okay,
first
question:
do
we
have
total
population
numbers
on
this
new
tiering
group.
C
We
do,
I
don't
have
it
I
do.
I
do
not
have
it
in
front
of
me.
I
know
that
erica.
I
know
that
we
did
calculations
to
get
it
to
to
get
it,
get
it
down.
I
I
don't
have
it
in
front
of
me
right
now.
Sorry,
okay,
we'll.
B
Get
it
we'll
get
it
for
you
after
the
meeting,
but.
N
Okay,
I'll
stick
with
pure
number
of
questions
for
my
second
one,
which
goes
back
to
somebody
asked
earlier,
given
the
feds,
noting
that
they
are
increasing
allocations
by
23
percent
two
states
they
just
announced
yesterday
and
previously
the
allocations
to
the
state
that
cdph
on
this
college
said
we're
going
to
be
increasing
by
about
20
plus
percentage
anyway.
So
and
your
numbers
show
a
23
increase,
I'm
just
trying
to
figure
out.
Have
you
already
included
the
23
increase
in
allocation
in
the
numbers
you've
shown,
or
is
what
the
fed's
saying?
C
Other
vaccines
are
coming
to
california,
that's
not
part
of
quote-unquote
or
allocation,
which
is
the
fema
and
the
pharmacy
and
the
pharmacy
program
back
in
washington
when
they're
making
these
decisions.
I
don't
know
how
they're
thinking
about
it
right
from
their
perspective.
They
may
just
be
thinking
that
this
is.
C
This
is
total
california's
allocation,
but
so
it
it,
but
in
general,
in
general,
it
has
been
increasing
and-
and
we
anticipate
at
least
what
we're
we're
getting
assurances
is
that
it
will
continue
to
increase,
but
until
we
actually,
we
are
seeing
some
of
it
because
we
are
getting
the
fema.
We
are
getting
the
farm,
we
are
beginning
beginning
to
get
the
pharmacy
and
then
the
the
quote
quote-unquote
the
dedicated
allocation.
It
seems
to
be
increasing
and
just
keep
your
fingers
crossed
that
that
continues
to
go
in
in
that
direction.
C
I
do
want
to
just
sort
of
circle
back
on
with
working
with
the
representatives
that
represent
that
represent
the
disability
group,
and
we
are
going
to
be
working
closely
with
a
regional
center
and
really
making
sure
we
reach
out
to
people
are
impacted
by
disabilities
and
helping
us
with
that
process
of
outreach,
verification
and
making
sure
that
we
reach
the
people
who
are
in
biggest
need.
So
I
do
want
to
acknowledge
andy
imperato
who's
been
a
key
leader
in
that
area.
Y
And
if
tomas,
if
I
may
make
a
quick
statement
about
the
aragon
as
related
to
disability
down
syndrome
was
listed
by
the
cdc,
but
nothing
that
we
showed
the
developmental
disabilities
was
cdc.
Z
Working
on
the
the
detail-
yes,
we
we
do
know
that
this
is
an
important.
B
Okay,
thank
you
everyone.
Unfortunately,
we've
come
to
the
end
of
our
time
together
and
dr
burkaris
is
going
to
say
a
few
words
as
we
close
the
meeting.
A
Thank
you
so
much
bobby,
and
I
want
to
I-
I
want
to
quickly
make
a
a
comment
related
to
something
that
had
several
questions
in
the
chat
around
whether
the
guidelines
that
were
put
out
friday
now
negate
or
supersede
the
the
guidelines
that
were
put
out
before,
and
I
just
want
to
clarify
that
as
the
state
has
so.
The
the
statement
that
we
made,
which
is
which
is,
is
consistent
that
as
a
state
moves
from
a
sector
and
age-based
strategy
to
a
more
age-based
strategy.
A
So
when
we're
com,
when
we
complete
tier
one
of
phase
one
b
right.
So
when
we're
when
we're
done
with
phase
one
tier
one
of
phase
one
b,
that's
when
we'll
move
to
the
more
age-based
strategy,
and
in
part
because
of
the
input
of
this
group
and
looking
at
the
the
data
we,
it
was
important
to
find
a
way
to
be
to
be
responsive
to
those
who
are
at
high
risk
because
of
health
conditions
that
that
put
them
at
high
risk
of
covet
or
disabilities.
A
That
can
put
them
at
higher
risk.
And-
and
so
we
wanted
to.
It,
was
important
to
be
responsive
to
that.
And
so
that
was
what
was
announced
on
on
friday
to
begin
on
march
15th,
but
we
are
continuing
to
make
our
way
through
tier
one
of
phase
one
b,
and
then
we
will
move
to
a
more
age-based
implementation.
A
So
I
just
wanted
to
make
sure
to
clarify
that,
because
there
were
a
few
questions
there.
A
I
want
to
thank
every
all
the
members,
all
the
folks
who
presented
today-
and
I
want
to
thank
all
of
you,
because
the
agenda
for
today
and
the
and
the
invitation
of
for
all
of
these
folks
to
come
and
present
is
really
based,
as
I
mentioned
at
the
outset,
on
your
questions
so
having
secretary
richardson
having
you
know
eric
and
the
team
from
my
turn,
are
our
wonderful
teams
in
in
cdss
and
the
governor's
office
and
in
cdph
about
our
outreach
and
engagement.
A
All
of
these
different
pieces
are
are
really
in
response
to
the
questions
and
the
concerns
and
the
suggestions
that
you
all
are
sharing
in
today's
meeting.
Some
of
the
things
that
I
heard
and
a
few
questions
that
didn't
quite
get
answered,
but
we
we
do
plan
to
take
it
back.
Is
this
question
of,
for
example,
does
the
data
does
the
race
and
ethnicity
data
include
the
long-term
care
partnership?
A
What
is
the
role
of
kaiser
in
the
tpa?
What's
the
difference
between
the
cvs,
rite
aid,
pharmacy
partnership
and
and
the
the
other
part,
the
long-term
care
partnership
and
and
a
great
question?
So
where
should
the
public
start?
So
if
we,
if
we
are
asking,
if
someone
is
trying
to
find
their
way
to
a
vaccine,
where
do
they
start?
Do
they
start
with
my
turn?
Do
they
start
with
their
doctor?
Do
they
start
with
their
county,
and
so
all
of
these
are
are
really
excellent
questions.
A
We
you,
you
have
our
continued
commitment
to
try
to
bring
you
the
best
answers
from
all
of
our
teams
across
the
administration,
our
partners
at
at
the
county
level,
at
the
community
level
to
be
able
to
inform
this
process.
I
I
want
to
again
you
know
today
we
had
all,
except
for
four
members
attending,
so
thank
you
in
our
10th
meeting
for
continuing
to
make
the
time
in
your
very
busy
schedules
to
improve
california's
vaccine
distribution
allocation
and
implementation
process.
A
Our
next
meeting
will
be
on
march
3rd
and
all
right
we're
going
to
be
moving
to
two
hour
meetings.
I
know
you
all
enjoy
spending
so
much
time
with
us,
but
we're
going
to
be
moving
to
two
hour
meetings,
so
the
next
two
meetings
will
be
march
3rd
and
march
17th
and
they
will
be
from
three
to
five
p.m.
A
So
there
will
be
one
hour
shorter
and
and
then
following
that,
we
hope
to
go
to
one
meeting
a
month
in
april
may
and
june,
and
with
that
I
want
to
thank
you
all
again
for
your
robust
participation
for
making
this
process
better
and
look
forward
to
seeing
you
at
the
next
meeting.