dr. pating. we have recorded that and see if we can structure around that. commissioner should voice >> i support your voice that we are 1/2 cup are due to mold the solar over the next month. two, that mark's secretary more without does have the information in the request made by the commissioners in terms of formatting and the language. then when we get all that we mull over again and vote up or down and it's done. >> thank you, sir. with your permission then there having been no public comment we will move on to the next item >> yes. items in his other business commissioners. >> other business? any of the commissioners have other business they wish to present under this items. otherwise we can go to item 11 >> is no public comment request on that item and item 11 is the joint conference committee report >> the laguna honda hospital gcc met on august 9. the meet was primarily a closed session with the report and credentialing report are reviewed and approved. >> personal public comment on that item either. >> okay. >> item as well as agenda committee agenda

dr. pating. we have recorded that and see if we can structure around that.commissioner should voice >> i support your voice that we are 1/2 cup are due to mold the solar over the next month. two, that mark's secretary more without does have the information in the request made by the commissioners in terms of formatting and the language. then when we get all that we mull over again and vote up or down and it's done. >> thank you, sir. with your permission then there having been no public comment we will move on to the next item >> yes. items in his other business commissioners. >> other business? any of the commissioners have other business they wish to present under this items. otherwise we can go to item 11 >> is no public comment request on that item and item 11 is the joint conference committee report >> the laguna honda hospital gcc met on august 9. the meet was primarily a closed session with the report and credentialing report are reviewed and approved. >> personal public comment on that item either. >> okay. >> item as well as agenda committee agendas

dr. pating. we have recorded that and see if we can structure around that.commissioner should voice >> i support your voice that we are 1/2 cup are due to mold the solar over the next month. two, that mark's secretary more without does have the information in the request made by the commissioners in terms of formatting and the language. then when we get all that we mull over again and vote up or down and it's done. >> thank you, sir. with your permission then there having been no public comment we will move on to the next item >> yes. items in his other business commissioners. >> other business? any of the commissioners have other business they wish to present under this items. otherwise we can go to item 11 >> is no public comment request on that item and item 11 is the joint conference committee report >> the laguna honda hospital gcc met on august 9. the meet was primarily a closed session with the report and credentialing report are reviewed and approved. >> personal public comment on that item either. >> okay. >> item as well as agenda committee agendas

dr. pating that we can learn from this program and see how this that applicable to other programs >> i likehe idea of learning from the extension of services and wraparound but actually think there may be some subtle lessons in terms of the balance and care to encourage people to use the services so in terms of as much as the aot has some judicial force behind it, you know, what is it about how that's expressed that helps people to engage that previously with the same services and the same outreach maybe did not get engaged? i didn't i hope you will learn lessons how to balance those two ends of the pope >>> absolutely. one program somewhat like that is our collaborative court when individuals needing jail and has an opportunity to come into our collaborative crooked as you know proposition 47 has taken that part of it from us in terms of people being arrested for drug use and so it is making a little bit more difficult in our court system but we do have sections for individuals that they come to our court system. it does play out in that manner as well. i had an opportunity to go and spend

dr. pating that we can learn from this program and see how this that applicable to other programs >> i like the idea of learning from the extension of services and wraparound but actually think there may be some subtle lessons in terms of the balance and care to encourage people to use the services so in terms of as much as the aot has some judicial force behind it, you know, what is it about how that's expressed that helps people to engage that previously with the same services and the same outreach maybe did not get engaged? i didn't i hope you will learn lessons how to balance those two ends of the pope >>> absolutely. one program somewhat like that is our collaborative court when individuals needing jail and has an opportunity to come into our collaborative crooked as you know proposition 47 has taken that part of it from us in terms of people being arrested for drug use and so it is making a little bit more difficult in our court system but we do have sections for individuals that they come to our court system. it does play out in that manner as well. i had an opportunity to go and spe

dr. pating question, why now, what is real and is a good one to get an answer to. from the department.i do think the challenge of this is that the extreme of both if you will, both points of view archaeological. it makes no sense to have an operating environments where commissioners are calling people all the time in that apartment. it's confusing, inefficient etc. as noted at this income, makes no logical sense to say every conversation we have on any issue i'm thinking of it is going to, as doing our work as commissioners, is to understand issues, to bring thought, in this form, it's the same thing is the same sort of governance thinking that leads to thirtysomething propositions on a ballot. at some point, you have to ask yourself, like the spirit of it was good but the governance of makes no sense because no one's citizens can be thoughtful about 30 propositions. some point you have to say,-it doesn't really work. so, my point is the arguments about are equally powerful that the logical extremes are awful in terms of behavior could you can't have a commission run amok and you just

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. >> commissioner pating >> were honored at the community and population health subcommittee. to have our new commissioner dryce join us and commissioner chung. we are to reports. one from ms. mary ann zell was the director of the maternal child and adolescent health division. the maternal and child adolescent health division has 25,000 individual clients under care of which 82% are under medi-cal. we reviewed the metrics for this division. two of the tumor metrics i'd like to share with you were the desire to increase prenatal home visits and the desire to increase fluoride varnish so the department has set as its true north quality metric increasing home visits for families and mothers that are at risk for preterm or had preterm labors. this would be include african-american women, the first term pregnancies and particularly, those that made would be living in public housing and at risk for preterm labor. the department outlines three approaches that they're using good one is visiting nurse family partnership's with user nursing that's pacific we work with high-risk moms to both before and during and after