At agenda item 11 staff presented enforcement data and noted that counts can change between quarterly materials and the annual report because of coding corrections and lifecycle changes in open complaints.

Board member Mr. Watkins presented a statistical critique: he said combining administrative outcomes (discipline generated by new accusations in a single fiscal year) with probation-violation outcomes (discipline arising from earlier cases) creates a misleading blended metric that can overstate current-year discipline by an estimated 1215 percent in recent years. He urged that quarterly executive reports present the same separated categories that appear in the annual report.

"When you mix them up, what you find is you inflate the current year," Watkins said, arguing that the blended figure obscures declines in accusation-based discipline and masks growing probation-monitoring failures.

Mr. Varghese, who presented the data, acknowledged the concern and said the annual report already breaks out those categories; he said staff would examine whether quarterly materials can be adjusted to match the annual reporting format. "That's definitely something I took note of to see if we can make sure those data sync," he told the board.

Consumer groups and patient advocates used the agenda item to reiterate requests made at earlier meetings. Michelle Montserrat Ramos of Consumer Watchdog and Tracy Dominguez of the same group said the board had promised a maternal mortality report after a Bakersfield meeting in August 2023 and asked why that analysis has not been released. "We expect the maternal mortality report to be offered and present at the next board meeting," Dominguez said.

Staff did not provide a firm delivery date during the meeting; board members suggested the request could be included in upcoming planning or the sunset report process and asked staff to pursue ways to surface the requested analyses more quickly.