2026 10 13 CAB Meeting

Let's move on to action item D, the HHS Community Health Officer, Officer Report.

Dr. Frank, thank you so much.

Uh, because it's pulling up my slides.

Um, I just wanted to start off talking about the capital budget, um, actually, since we're not gonna approve it today.

So I wanted to just talk about where we are with it.

So you can go to the next slide.

So we're starting a new-- And the point is not for you to read all these small, um, words, so don't worry about that.

But just the structure I wanted you to see.

A new process called the Integrated Strategic and Financial Plan, which is gonna allow us to do planning for initiatives, planning for our capital spending, and then planning for our budgeting.

budgeting.All in a concurrent way that helps us stay organized.

So, you know, one thing we do here with our reporting, for example, is we report, like, new projects.

Um, so we've done Frick Academy, for example.

You'll see that as an initiative, right? And then you'll see it roll over eventually onto our low-barrier care report, and it becomes part of our regular process, right? So similarly, if we spend capital on something that's gonna then become a new project, that needs to be aligned with how we're thinking about budgeting, right? We're building a new clinic, we have to budget for that clinic once it's done being built, and we have to do all the initiative planning, all the project management, the task management, all that stuff along with it.

So we haven't, we haven't had a process this coordinated, I think, in the past, and I think this is gonna lead us, um, to be able, on an annual cycle, to bring projects up for review, to then be able to put them out, you know, not just this year, but for the next two years.

Um, so things like the proposal we have to do a low-barrier primary care clinic in East Oakland can go into this process.

And then that red circle at the bottom corner is June.

You know, that's where we would approve the budget that would be related to that and approve the capital budget also, um, that would be related to that.

So this process is gonna be a three-year plan that we approve every year.

So even though we haven't gotten to that year, we're gonna update it 'cause we might know more information about whether that money's gonna come through or not, or whether the legislature changed something about HR1, et cetera.

Mm-hmm.

So it's gonna help us look further and then update more frequently than what we've been able to do in the past.

Um, so you can go to the next slide now.

So that, that process is just getting started, and there's-- we haven't really done meaningful planning around the projects that we care about as a board, um, particularly low-barrier care expansion.

But I think in some other areas also, what's happening with FQHC facilities.

Um, you know, we have leases that are expiring.