Modeling around the next few weeks and what we are anticipating based on the good work that has been done by millions of californians to bend the curve and what the modeling foretells in terms of the future and how we continue to navigate the shortterm, and some of the strategies and thinking in the medium and long term. I will start by asking doctor galli to come up and share some of this open sourced mobility data that we have been receiving on a daily basis that really tracks the tracks in a very private way the aggregated data around movement wrought the state of california and it gives us a good sense of how effective our stayathome order has been and how to store nearly impactful all of you have been in terms of practicing physical distancing and youll see from the mobility data that is shared with you county by county how that is impacting our larger trendlines and how it is impacting our modeling and very positive ways. It is also a cautionary tale because if we pull back from that effort, you can see numbers that will change radically and quickly. I just want to caution everybody through this presentation to consider again the success of your actions to date, and the imperative to maintain that status and continue to stay the course but first let me bring up doctor galli and we will begin the presentation on some of the Interesting Data we are now collecting in realtime county by county. Thank you governor. It is a real privilege to be here again to share with you some of the really strong work that californians are doing together. It is really a privilege to be a part of california and knowing that 40 million strong that we are coming together to fight covid 19 and we are making great progress. As the governor said i share the information with you with the caveat that it really does depend on us continuing to do what we have been doing which is staying at home, or doing what we have been doing, which is staying at home and when we are not at home, practicing strong physical distancing. I am going to first walk you through some of the data that we get every single day that really guides our model and they guys what we are seeing in our actual numbers. This slide shows you each one of these counties which you each live in and they show generally the same thing and i do not want to get bogged down by the movement up and down but the graphs do show that movement is going down all across california, county by county you see the similar trendline to up top to down low as it moves to the right. That tells us we were moving around us and staying home more, compared to this time in february, and the comparison is really to when we did not have things like the stayathome orders and where we did not emphasize physical distancing and we knew that people were moving around their day as they normally did. As we zoom in to this and move into a specific county where i am at the moment you see that over the course of weeks starting at the beginning of march and looking how it compared to the end of february we see it was about the same and over time and as we implemented different stayat home efforts and orders, we see it has generally gone down and this is exactly the kind of data that helps inform us as to whether we need to do Something Different with our expectations and our directions, to our counties and all across california, or whether we stay the course. I want to show you los angeles where my family is and our biggest county in california, you generally see the same trendlines and even some consistency here with what we are getting and people are not just staying home on the weekends, but even more so during the week. These are the trends we want to continue to see across the state which reinforces what we have been doing and how we think about the next couple of slides and what we are experiencing in our hospitals today. I want to remind you and bring back this slide will recognize from last week when i was here with you and telling you that look, we put some of these orders and directions in place around physical distancing and staying at home because this is what we wanted to avoid. Remember this low line of 50,000 were the additional beds were working to add as part of the Surge Capacity planning. But unmitigated, meaning without any intervention, we were worried that we would see something that got close to 700,000 hospitalizations across the state, well exceeding existing capacity and facilities and hospitals, even as we added 50,000 beds and this represents this part under the curve which is representational of many californians who had become quite sick and maybe even had the worst outcomes from covid 19. So this slide shows where we are now. And with the expected impact of the stayathome orders and physical distancing efforts across california we see here on this white line this is just a reminder from the prior slide that this is what it would have looked like if we did nothing. This blue line here is sort of the midrange expectation of what we would have seen and as it carries out it would have crossed this line comes this horizontal line that shows our Surge Capacity and what we have been working hard at the state, local level and throughout all hospitals to build capacity. And what these show, i was zoom in, is what we are exchanging and if its within the model. Any line within this light blue shaded area fits within our model and we see we are holding onto the bottom part of the model which is the better case scenario, what we had always hoped for and we have course plan for Something Different. This is a point of pride with californians and we have done so well with what we have been doing. But i caution you this line could easily start to see an upward slope, not like this but much more similar to something that rises quickly, if we lose the focus on physical distancing and staying home. I also want to remind you that we have been hearing about and reviewing many, many models from across the country, from across the state and across the globe. Some of the models suggest california and other parts of the country will have a week earlier than our projection which was sometime in the month of may or even later. What i want to show you is this. Sorry. We will get it right. Here at the bottom part of this, the very beginning where we have our actual data it was tracking almost identical and on the line we were planning around. Here as we get further out we see a trend of even better improvement in the number of hospitalizations we have in california and this is actually signaling to us that our peak may not end up being as high as we planned around and expected, and the difference between what we are seeing today in our hospitals may not be that much different than where we are going to peek in the many weeks to come. That tells us if we continue doing the wonderful things californians have banded together to do we may actually continue on this trend and avoid a higher sloped line that we have been planning around. I want to remind you it is contingent on us continuing to do what we have been doing very well across california and this is an important weekend to many families. Being home over this coming weekend is of vital importance for all of us and a way to protect our communities, protect our neighbors and families. I also want to caution that what this data does depend on as well as we continue to be focused on some of our communities or institutions and Skilled Nursing facilities as an example and we know that if we do not continue to be vigilant and focused on protecting the residents and the staff those institutions that we may actually see an upward tick and the curve, a number of very Vulnerable People who become sick and need to be hospitalized and they began to challenge our current Surge Capacity. With that i want to kick it back to the governor so we can talk more about the efforts that we are having to support Skilled Nursing facilities across the state. Thank you doctor galli, so Skilled Nursing facilitys will continue to be a top priority of our efforts and in fact some of the first guidance we put out as a state focused on changing the visitation and focused on making sure that we were not just monitoring passively the regulatory system that currently supports our Skilled Nursing facilities around the state but providing more Technical Assistance and Technical Support to make sure that we keep ours patients safe but let me give you a perspective of what i mean by that. We have 1224 Skilled Nursing facilities in the state of california, 1224, what others refer to as Nursing Homes in the state. Currently we have 191 facilities that we are monitoring because we have patients and staff that have come down with the infection, that have tested positive for covid 19, that represents 1266 individuals within those 1224 facilities. That is a focused area of this administration and of doctor gallis work. That is not the entire picture. Skilled nursing facilities, these Nursing Homes are one part of the overall strategy to take care of our seniors and adults in the state of california. There is an additional 7461 facilities that we also like the department of social services and these are small homes, mostly medical patients, all throughout the state of california. There is a census capacity in those homes of upwards 100 of 88,000 or if shes 180,000 individuals currently licensed to be supported throughout that network that exists in every part of the state of california. We are currently monitoring 94 facilities in that portfolio some of which 370 individuals, patients and staff are currently infected. You may consider those numbers and say that sounds relatively modest. You have hundreds of thousands of patients throughout the entire system and there are 1266 patients and staff in the snf system and 370 in the larger system but it does not give you the entire picture. There have been appropriate headlines about certain areas in the state of california and in specific facilities that have become hot spots where we have seen a disproportionate number of people that have contracted the disease and the number of people that have tragically passed away so what we have done in addition to broadening the supports over the last number of weeks as we have put out specific new guidelines and strategies that have been backed up by what i would refer to as swat teams. Individuals, infectious control professionals that are working with the cdc and others to saturate those areas of concern and focus. A few weeks back i highlighted the concerns we had done in San Bernardino county is one specific example and there are a number of other counties we are monitoring as well by providing more Technical Support. We have also trained 600 nurses that were supporting the regulatory system and now are focusing more on technical guidance, not just a broader regulatory support of the entire delivery system. We have basically put more personnel and more Technical Assistance focusing on Infectious Disease control and really doing what we can to decompress that entire system. What i mean by that is when someone has tested positive or a cohort of patients in these facilities and the staff test positive, we can quickly identify those individuals, isolate, quarantine, and ultimately trace and track the pattern of the infection. Clearly they her have had examples where patients were sent to different hospitals, that was not a recommendation unless it was acute care needs, these hospitals for many of our seniors have its own challenges as it relates to infection. So what we have now is a different strategy and a different protocol where we have identified facilities that we can now place individuals that have either been exposed, or come have tested positive for covid 19 and that includes the usns mercy. Just today working with the navy we were very pleased and i want to thank the president and his entire team for affording us the opportunity to utilize usns mercy differently, and specific to the challenges within our nursing facilities and Nursing Homes. They are affording us the opportunity to prioritize that population by using the incredible asset that the mercy provides us. This will help decompress the system and these will be for noncovid 19 positive patients and i want to make that clear. It will allow us to concentrate those that are positive and decompress those that are not into these other sites. In addition to that weve identified seven specific sites that allows hundreds and hundreds of beds which will further the cause outside of the us and has mercy or the usns mercy but i want to protect our most vulnerable, our seniors in the state of 400, state of california and as some of you have followed the state of california and some of our efforts this is one of the Top Priorities for the state and that is preparing for what some have referred to as the golden wave in the state of california this state has a disproportionate number of aging individuals and have a unique responsibility to take care of them and take care of their caregivers. We have put together a master plan for aging him an incredible task force including a subset of the with former first Lady Maria Shriver to focus on Dementia Care and alzheimer care and reports will be coming out shortly guiding our larger efforts. That is encouraging that beyond that we have to obviously address situationally, dealing with the needs of those who are doing with the unique challenges of covid 19. I just want people to know we have shortterm strategies but we also have a longerterm vision that is being prepared in advance. I also want to make a point that we again not only have individual patients that are tested positive but as i have said staff, and to that end i want folks to know what we are doing for our staff. We are doing more as it relates to accommodations, we talked yesterday about a new site we put together where we are providing free hotel rooms, or deeply discounted hotel rooms for healthcare workers and by the way we had over 150 calls within the first few minutes of that announcement yesterday. We in particular are focusing on our lvns and our cnas and we want to go beyond the hotel accommodations, we are also providing stipends and making available 500 stipends for our workforce. Many that are struggling to feel comfortable or confident going home even to take care of their own families because they feel like they can infect their families. Many staying not just in hotel rooms on their own dime, though no longer, but also many that feel they have no other place to go but in their car where theyre spending the night. This is part of the facebook money, the 25 million that Mark Zuckerberg announced and were really honing in on focusing those dollars specifically to the lvn and cna population to really help support them. They are the backbone of our nursing facilities. They are among the most highly competent of our workforce but not highly compensated and they deserve an enormous amount of gratitude and also supported this critical time. In addition to that we are making calls in an unprecedented way. 15 field offices every single day or calling every single nursing facility in the state of california. Let me give you a proof point. I was handed information they had conversations with 1030 Skilled Nursing facilities, two way conversations, making the calls for those who have not returned the phone calls and they are not just checking the calls were asking how many positive patients or Staff Members is about support and what you need. Including the creation of not only as i said of this task force or the specialty swat team, but also temporary staffing agencies which we are now engaged with the help with the crisis of staff that are not able to come to work because they feel they have been exposed or have tested positive for covid 19 and we read headlines about that we now have these temporary staffing agencies that can help support those efforts and we do not want to react to that. These phone calls allow us to be proactive and anticipate this staffing needs in real time. We have also developed new partnerships with our hospitals. Again in the snf area, in the Nursing Homes, there are already strong linkages to the Hospital System but we have strengthened them further in terms of making sure that we are doing more televisits and more onsite visits, working with our partners in the Hospital System as well. Forgive me for being long winded but this is a point of passion as it should be for all of us to care for our elderly and care for the people that literally raise us and took care of us. This is the greatest generation this is the generation that not only one wars but built the Worlds Largest and most vibrant middle class that we need to protect and we need to be there for them at their time of need. That is an update, very good news with the mercy, proud of the team and their incredible work as it relates to reaching out to these facilities. One positive is too much and certainly these hotspots of concentration are points of concern but also points of emphasis in terms of how we are responding and how we are approaching i want to make one additional point and then update you on our Daily Briefing of numbers and of course bring back doctor galli to talk more about the modeling, i imagine there will be more questions about that and more questions about our efforts for our seniors. But here is really good news come in addition to the usns mercy taking seniors on board and helping us decompress our Nursing Homes in the state of california we also got word with our partners at fema, i cannot speak highly enough of gaynor and bob fenton. We were inspired by the work of cat taylor and steph curry and his wife in oakland california, a few days ago got attention, deservedly got attention, for trying to two things at once, meet the needs of seniors but also address the crisis with our restaurants that are s