leading the applications in juvenile hall and shared with me is that the applications they received for medi-cal the vast majority finds the plans they have medi-cal so up stream that is not recognized earlier think in the process but that results is that seem to agree and the plans not having medi-cal um, are special programs for the team and agencies team shared that unfortunate they're finding that the plans that the parents are not responding very much to their efforts to help the client get on medi-cal. so - i'll also share that, you know, this work is that set up to provide the entry services in juvenile hall

and the jails to have the outcomes. and jail health together with the sheriff's department plans to go live to the services and help in 2025 and the juvenile health will go live in fourdz twooif and 26 and touch on how the calaim is helping to offset the federal funds by bringing in medi-cal revenue. (clearing throat) there are multiple calaim initiatives two i have currently launched the revenues generating community supports the enhanced care management and launched this justice that will bring in medi-cal and as you can see since our beginning of calaim have gotten close to $8 million

for the services provided d c m and additionally building on what the opportunities for calaim d h c s offers opportunity to leverage from the state through the management care plans and through those planning opportunity we have brought in addition $7 million to direct to dph like providing the work with the access to conclude the care coordination or the entire tiers on the neighborhood team and we also supported the other cities agencies and their ability to drive down those funding tints as well as and service million dollars next slide, please. and so finally to share some highlights moving forward we we move from

the third year the medi-cal have 2 and a half more years. we are currently planning a citywide calaim strategy violation goal of strategies so like other cities one way a strong coordinated effort and engaging in the studies that are finding the hospitalization that help the programs we will have this by many factors and take that data to improve on the programs to address and improve the whole that person health in a manner and finally, continue to launch the additional initiatives required and shared as a screen shot we'll be engaging the services and monitoring the initiatives and other things in

2025 and health initiatives that. >> no public comment all right. commissioner questions or comments start on that end vice president guillermo. >> thank you for the presentation it is informative and exciting to learn about what happened to date and what the more challenging but i think - i sense a lot of optimism. in our comments and presentations and hope was not just for us to hear but truthful. thank you very much. and i did have one quick question about the team. as can you describe for what type of workforce in those teams and for the case managers the level of training that is required?

>> so the fun part one has been difficulty in completing those teams and then expanding them as is programs continue on successfully? >> thank you for that. >> so d c m works with the three services social workers and behavorial health clinicians and the health workers don't need to be licensed and, of course, the other other three the case managers need to be licensed the health workers have that team supervisory model that is a licensed background and directive for unalso staff providing the d c m services and in terms of - again a strong supervisor model for services. the case managers the essential

team managing this and in terms of like how our workforce is functioning and what that expansion in the summer of if we had about 70 percent staff vacancies across the team and has improved so determined this improvements in our hiring and probably our retention i can look at that as well. such this, of course, helps with the enrollment we're trying to meet our goal that is 80 percent of capacity across all teams and then expanding to additional care teams with the d c m team and identified more teams and we need to make sure we have

central progressing skills available. that's really great improvements indeed you mentioned that are the reasons for the gap from 70 to 23 percent vacancy has to do with with more efficiency progressing on the h.r. side is that a big part of it. we are leading one with the hiring and the team leading the efforts i'm not sure yet i haven't gone to better understand like exactly what the options about that but and something we have to top of the mind to bring our minds together with a higher percent. >> to note just we're aware how difficult it is to bring people to work - to the

workforce particularly in this area of work in the san francisco and retain them and so the more efficiency we can retain them over time. the programs will be so again, huh? . thank you very much. ferry the work and, you know, it is a monumental effort to consider an offer hall, you know, the medi-cal program and it appears we have took advantage of the infrastructure that we have and the knowledge about the inefficiencies and how to be addressed across the departments and have the collaboration and the um, all the administrative work has to happen behind us. thank you. >> thank you. >> commissioner giraudo. >> i want to thank you for answering all the questions and

we can process it was super helpful and especially the data that your able to present. i wanted to say thank you for that presentation but you dig into the questions so - thank you. >> thank you for reading through that and providing the questions. >> (laughter.) >> appreciate it (laughter). >> commissioner christian. >> commissioner giraudo helps us thank you. i'm a beginner about calaim and medi-cal. and so here is a question that reflects that can you kind of give an overview of the my understanding that the difference between our medi-cal in san francisco and here speaking specifically to the jail situation and clients in the jail if someone is as often

the day in custody in san francisco and they have medi-cal outside of san francisco. and we're trying to get them services how much of that can - i know you're working on it - how much of that falls under calaim. >> that's a great question. >> a lot of conundrums and calaim so if we find that a client has out of the county while they're experiencing characterization hsa sends over an assessment needed to the other county um, a goal to make sure they're medi-cal is active and upon their release and, you know, for sure the client will be residing in san francisco that on their release rather than the original county and an

escalation process for the residents they can get the aide in san francisco medi-cal. >> but how long does that if they're any support for the state to shorten the times? >> and um, what i do know is that to - it is the actual out of the county i don't know. >> i don't know if the jail (unintelligible) about three months with an emergency transfer and a large population is a big issue that the state and they're aware of share that (unintelligible) shared this a few times and the things they're going going to tackle. >> well, i'm sure not but

anything anyone can evaluate for that timeline for shortened and objective so many things you can - we can help you with please let us know. >> and with the data sharing to get someone on the phone we're getting there. thank you. >> thank you for your work. >> dr. colfax. >> i wanted to thank you for this incredibly challenging work. in transient to shift it's been um, really amazing when it gets down to u v and not and i think we're starting so see transformative changes for people in the room and many people in the department working towards or now starting so thank

you, both and for your executive sponsorship and with the entire department that is um, ushering health network and dph presenting together in this an indication how things are coming together and changing. >> thank you so much. and we all are soshtd ourselves with all comments made by our presentation. thank you very much. >> thank you very much. all right. next other committee reports i'll start with the report from the jcc a wonderful presentation and about the psychiatric entering services and just expanded day room by 3

hundred percent and also adding clear kit entrances and exits will be for patients and staff and then heard the usual reports the vacancy report and other reports and um, in ceo we continue to get great news the people from the health team are so important to workplace violence and psychiatric and emergency room and report in the closed session and then the day after that commissioner christian and dr. colfax had the privilege of representing the department at the annual staff meeting of zsfg with the major residents honored the most it's been a long time coming. and

with specialities and then the rops is imprisoning to the clinician that has contribute the moose and went to mark berry and incredible pictures when he was in diapers and i got year before and jeff got it and the diapers working i don't know eleanor know she's the person until they went 6 slides into it is inspirational and makes you confident the next generation of individuals will take care of us will be clinicians and leaders so that is about one of the best parts of being part of j.c. c and does much in support of the work and a shot in the arsenal for healthcare and all the

frustrations and things you hear about in the meetings and hear about those individuals and just kickoff renews the optimism that is my report and i ask for public comment. >> no public comment. >> and any commissioners questions or comments. >> great. and move on to the next report it is commissioner chung with the finance updates. >> thank you, president green so the finance committee metabolic commission meeting and it was a short meeting so exciting so the contract we worked with and one new contract with the san francisco aids foundation and also list of providers. so i want to go to

first contract report first and those are actually contracts approved in 2022 by the city attorney's office is asking the department to really separate the contracts by contract team authority. so because of that like the original contracts were three programs it is breakdown into separate two. the first one is so both through the agencies so the first one is the um, community youth center of san francisco and it is - the amount of con city is $9 million

$9 million plus dollars so this amount will will energy the contracts to um, continue though the entire term. um, and the other two programs um, being have drafted a new agreement and that is contracts authority that is different from the other one they all continuing. and um, then have the san francisco aids foundation contract and it today is the day we are doing

everything we can around behavorial health and so this is for the overdose prevention welcome to the distribution at high risk of overdose so pretty promising program as well so great work and then last but not least on the consent agenda the new providers that um, we do this to approve there is one small change um, for the contractor for the - fort health mission it is bryan instead of for the health mission is closed

other than that - no other changes. >> may i interject i received an e-mail from michelle for minor changes and something she's not imagination in the meeting she moved the indian contractor continuation potential they'll be and added the has to not current contractor maybe in the upcoming year two, that minor changes will show up on the final list. >> so both on the list already just different; is that right? >> the second one is not on the list at all the sierra vista hospital. >> oh, that's a new one that i'm not sure. >> she said they've been a

vendor but a long time ago and provide the chemical adolescent and that is a service they may need have not future we used that before but assuming a source in the upcoming year put it on for safety. >> okay. i kind of not comfortable weighing not. >> reviewed that - >> reviewed that that. >> (multiple voices.) >> in the subcommittee and i think that and two don't have an existing contract maybe this can be separating and in our next meeting. >> is the indian-americans - >> (multiple voices.) >> okay. thank you. >> and apologize excuse me - and so that's the changes. >> any public comment? >> no public comment.

>> any questions or comments. okay. so we're at level of clean energy the next item i'm going to ask if you can make a motion to approve but extract that one sierra. >> what is for the on the current list. >> (multiple voices.) >> so no need to mention perfect. >> all right. a motion to approve the consent calendar? >> so moved. >> and no public comment. >> no public comment. >> all in favor, say "aye." >> aye. >> wonderful and any other business? >> anyone wanted to adjourn this meeting. >> (laughter.) >> (multiple voices.) >> move to adjourn the meeting. >> (laughter.) >> sorry. >> a second from someone.

>> all in favor, say "aye." >> aye. >> thanks everyone. >> and happy pride month everyone >> are you looking for a rewarding career and eager to acquire skills that can unlock new job opportunities? what if quou can receive training for

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okay. good afternoon, and welcome to the san francisco planning commission hearing for thursday, june 6th, 2024. when we reach the item you are interested in speaking to, we ask that you line up on the screen side of the room or to your right. each speaker will be allowed up to three minutes, and when you have 30s remaining, you will hear a chime indicating your time is almost up. when your allotted time is reached, i will announce that your time is up and take the next person queued to speak. please speak clearly and slowly and if you care to state your name for the record, i will remind members of the public that the co