Cybersecurity have risen, how much theyve risen and how much we need to Pay Attention to them relative to the implementation of epic if we could get information how that is affecting us, that would be helpful. We would be happy to do that. Thank you. Commissioner tung, youre up. Thank you for the presentation. Its exciting to see this whole vision that, you know, the whole team has come up with and only took shape but its taking off. And you mentioned about some of the positive feedback from patients and epic. Is there an estimate that the percentage of patients actually are neutralizing epic to help manage their own health. That is a super question, commissioner chung. I looked at a figure earlier and its embarrassing to say that the chief Information Officers computer crashed, but it did. I can tell you that 7 of our active patients are signed up for my chart, which is the epic mobile app that allows folks to manage their own care. And im happy to get back this touch with you when i have the data pulled up on my screen or i can send it to you, as well, and the rest of the commission to share with you, where we are with the implementation of my chart, which puts a Patients Health information in their own hands. Yes, thank you. I think thats really part of what is exciting about epic, is that patients get to be a part of a team, to plan their own healthcare. And you know, i look forward to learning more from the data that you can share with us. This might be good to be able to reference that with your Implementation Scheme for the wave 2 and that also tells us where we are in wave 3. My real question is how well you think were going to survive the need for, first of all, the implementation with the budget issues and what we might need to do without disrupting the patient care side and yet realizing that a good part of the system actually is revenue generating. So i dont know what kind of conversations youre having. Do you feel confident that we can get through the phase two and not as confident as phase 3 or not each confident about phase 2. I would say im confident about both, but pinning down the start date for 3 is definitely a challenge until we know, for instance, what percentage of our workforce will be telecommuting versus working in an office. It sounds straightforward but making sure folks who might be using components of the tool in a remote setting will be important for us to know. In wave 2 wer 2, for instance,e jail health, to make it work this a jail, theres physical it work that needs to happen. Im confident and its how long it will take us to move ahead and we are starting the coordination with all of the components of wave 2 so that we can figure out when we will be at a place specifically with regard to our covid19 response that there will be enough bandwidth to take it on. Its important to have enough leaders and folks who will be leaders to be able to have the time to do the work to build and use the solutions. Theres not a lot of Software Development work that gets done, a lot of persontoperson work and some of the work will likely be delayed longer. But i will keep all of you apprized. So this is a followup more towards mr. Wagner that as we hear the budget presented, that we understand what will happen to our epic project because we all know that its taking a long time and different funding to get there and i think it would be important not to lose the advantages of epic and yet, we need to meet with some fiscal responsibilities. Thank you, commissioner chow. I see mr. Wagner, his microphone is muted and im not sure if he was at the meeting, but i will pass that along to him. Its something we would like to hears hears a hears hears t presentation. Any other questions . Commissioner green. Congratulations on your continued success with epic. Mr. Wagner spoke of how important optimizing revenue with epic as a tool would be as we face our future deficits and you mentioned that there was, maybe, some issues in stabilizing the optimization and so im wondering if maybe you can either elaborate a little or tell us in your future update, you know, how that is being approached in the context, also, the anticipated increase in the medicale enrollment and inpatient versus outpatient billing, youll approach that, because it sounds like a great source of revenue for the department and it pivots on all of the aspects on what youre doing in so many ways. To bring together a shared perspective because a lot of the work thats going on already has been about, you know, the tools that we had prior to epic were a lot older and they didnt have a lot of the features that we have today that actually help both providers, as well as the staff that are supporting those providers, making the best choices when it comes to Something Like clinical coding. As well as making sure all of the is are dotted and ts are crossed before a set of charges can be released and move into the claims, the Revenue Cycle engine where the claims get generated and i think it would probably be we included this our nest quarterly update, if thats soon enough. Yeah, absolutely. We really appreciate it. Great. Any other questions, commissioners . It looks like we can move on to the next item. I just want to thank remind the commissioners that eric has been an incredible member of the goc. Im not sure how he managed this overview, managing many data requests, Building Systems and you saw the jo geomapping and hs been a champion of data and information in the Pandemic Response and hes doing the work offing of epic overall and ensuring that our information around covid19 is going as well as possible to the department and public. So thank you. Thank you, grant. Thank you, dr. Kolfax. Item 10 is a services update. We have dr. Pratt. Do we have you on audio or visual . I think you have me on both. Can you hear me . I can hear you but i cant see you yet. Can you make sure your camera is turned on. It says its turned on. Its all possible. [ laughter ] i will sort through this while were sorry, my last call i was visible and im not sure whats happened. Well, i set up the slide so that your slides are there, maybe while youre doing the slides if you want toking tole h the camera. Thank you to everyone. Its a pleasure to be here. And so i know that there are a lot of particular questions that people have or at leas i will gy through the background to orient everyone to jail health and we can talk about some of the things on your minds about whats currently happening. Next slide, please, mark. Just an overview of Jail Health Services and the way that the particular disciplines work with each other and jailhouse medical, which includes nursing and the providers, Behavioral Health and reentry lead by tonya mira who many of you know. Our hiv services and the Prevention Team who are in charge of our std testing and education, all of our point of Care Education and testing. Our dental team and pharmacies. Next slide, please. Just a quick overview of our budget for 1920. The majority of that is nursing and salaries, we have contracted positions with ucsf for highrisk ob and psychiatry, as well as our radiologics which is plain film in the jail and thats almost 37 million budget. Next slide. So this is the jail population in the last two years and well talk a little bit more about this year, which is much more complicated, but its typically been around, you know, 18,000 incarcerations and that represents 12 and 11. 5000 unique patients. The distribution between male and female and percent male is green and thats been pretty stable. Although, nationally the percentage of women in jail has increased relative to many and we dont really see that or havent seen that