>> welcomed to the regular meeting of the budget and finance subcommittee.

are there any announcements for us? >> please silence all cell phones and electronic devices. complete any documents to be included in the file and they should be submitted to the clerk. >> would you call item number 1? >> item number one, resolution authorizing the san francisco department of public health to retroactively except and expend a federal state grant and the amount of $650,000 from the california department of health to participate in a program entitled "the nurse a family partnership" -- "nurse family partnership."

>> what we would like to see is the department to provide a presentation about what is before us. we have information but just for the general public to understand the issue. can i ask you to go through what the grant is about, what it will do for the department of public health? >> i am happy to explain this to you. this is a home visiting program where public health nurses will be visiting first-time mothers did. we will be seeing 100 new mothers in the first one-two years. we are targeting mothers who are low income, may have been exposed to violence. we are including teenage mothers, african american women,

and non english-speaking women. the women are enrolled by the 28th week of gestation and their pregnancy and will receive one on one home visits through the first two years of the child's life. the curriculum is assessments, goal setting and behavior change which is integrated into each of the visits. the clients focus on short and long term goals and to achieve the healthy pregnancy outcome, growth and development, and self-sufficiency. this program has been in existence for 30 years and is a research-based, evidence-based program. some of the improvements that have been seeing and study it through randomized trials have included a unmarried mothers,

improvements in economic self- sufficiency and health benefits, including a reduction and use of welfare and other government assistance, greater employment for the mothers, a break in the cycle of violence, improved school readiness, and less subsequent pregnancies. >> you said that this program has been in existence for 30 years? this has been a program that the dph has had or has been in existence for 30 years? >> 9 there. this is a national program throughout the united states. -- neither. the program has been in existence for 30 years but it is a new grant fund through the affordable care act and federal funds. this is a new grand opportunity. >> it looks like there are no matching funds that are required and that you are not

hiring additional folks, correct? >> no matching funds are required but we are hiring five public health nurses and one clerk, all of whom will be 100% grant funded. >> you said that you are enrolling people as early as a 26 week, will that be through our help the san francisco program. how do you plan to do that work? >> we have an existing model where we are providing home visits to all mothers giving birth in san francisco. our primary referral source is san francisco. this will be targeting first- time mothers. we have a very good base. we have estimated that we have close to 1000 mothers annually who could potentially be

referred to this program. >> thank you. this looks like a new resolution but it looks like they will be hiring additional nursing staff. i am assuming they will be using existing requisitions and pay for it with a grant. >> thank you. that was my question. the other one was, we have had similar programs like this in the past that do neonatal care like this in san francisco. >> we have been doing home visiting for several years. this is the first evidence-based program that is being provided. >> if you can go deeper explaining how that works, how that will be different from what we are currently doing. >> there will be benchmarks. there are benchmarks within this program where we will be able to measure outcomes for both the

mother and for the children. this is in the specific areas of prenatal care and also school readiness for children. this is decrease in injuries and reported injuries and decreases in the utilization government programs. the benefit of this program is for every dollar spent or invest it into the program there is a $5 return. >> the benchmarks, do they come from the grantor or were those agreed upon between the city, the dph, and the grantor. >> we have not seen the new benchmarks as of yet but those should be coming soon.

>> great. thank-you. i would be very supportive of the resolution. >> thank you. >> i think it is great that we will be able to find work like this. i want to suggest in case this is not on the list and reach out to our public school, for teenage parents. >> thank you very much. we have a direct referral process to target those teens. >> i believe that this does not have a budget analyst report. why don't we open this up for public comment? >> supervisors, i am the director of environmental justice.

given two minutes the least you can do is to give us three minutes. if you choose to give us two minutes, that is fine. what i see here is that you're getting a grant. we have at three or 4000 women, mostly teenagers who are pregnant who could use this grant so what i am encouraging the people who gave the presentation is to have a website where the empirical data is posted said that we can see exactly what is done. normally what happens is even though the presenters don't look like anybody who lives in the community, we need people who look like the people who live in the community who sympathize with them and understand the

conditions to be part of this program. these type of grants do not benefit and there is a lot of dictation. you will see 650,000 that are there trying to employ three or four people from this grant. maybe they should employ one or two people from this grant and put more money to serve more women in the disadvantaged areas. this is a very very deep issue that cannot be addressed in two minutes but this is what happens. people come here, speak arbitrarily in general terms. some questions were asked, not a very deep questions. i would encourage you, supervisors. if there is one person here during public comment to give us

three minutes. thank you. >> are there other members of the public who wish to speak? seeing none, public comment is closed. colleagues, the item is before us. >> a motion to move forward with recommendations. >> we will do that without objection. item two, please. >> a resolution authorizing the san francisco department of public health to retroactively except and expand a state grant in the amount of $135,600 from the department of rehabilitation to participate in a program entitled "state vocational rehabilitation services program ." >> good morning, supervisors. i am here to present this very important resolution.

what it does is that we have been working with the department of rehabilitation for a number of years and as has been stated in the documentation, we have worked with them to pull out a funded position. this is a position that will essentially oversee the collaboration that we have with the department of rehab. we can have a more comprehensive way of being able to identify consumers that are in our system that can be sent in for training, vocational opportunities, and hopefully end up in some kind of vocational

position, jobs, real jobs. that is what this position will be doing. >> if there are no questions, i believe there is no budget analyst report. why don't we open this up for public comment? are there members of the public that wish to speak on item number two? >> from time to time, i'd to send you all articles addressing issues like this said that when we visit the jails -- which we do, at our own expense -- we see very little rehabilitation. unless you are blind and cannot hear, you know that the governor and the state policies have now released thousands of prisoners who are out there hanging here, there, everywhere.

with 135,000, you can do very little with what you have stated here. we're spending millions of dollars and nobody gets rear to -- gets real jobs. most of you that are in the chamber, you have career jobs and make over $100,000. if you read the paper, you will see that it takes a lot of money. what i'm saying is this, rehabilitation, restored of justice, these are the terms that are deep. -- restoriti --

we want a quarterly report and the supervisors did not demand. it you are looking into this method so that we get quarterly reports on the grants of this nature. thank you very much. >> are there other members of the public that wish to speak on this item? >> i am a rehabilitation supervisor and i was asked to come here by my boss who could not make it today but basically wanted to give support to this program. this will increase federal dollars to providing services with -- services to people with disabilities. and to focus on developing more substantial and successful employment out comes, increase

the referrals to this program, and consistency of the outreach to the health clinics in san francisco. basically, i am here to support this service. thank you. >> are there and other members of the public that wish to speak on item number two? seeing none, this item is closed. we have a motion to move this item forward and we will do this without objection. item three. >> item 3, resolution authorizing the department of emergency management to enter into the night amendment of an agreement between the city and county of san francisco and stratus technologies inc. to increase the contract amount and extend the term of agreement through june 30th, 2014.

>> for this item, we have a representative from the department of emergency management. i'm joined by our colleagues and our i.t. manager. this would extend the contract with the vendor that would help with the computer aided dispatch system. we are seeking additional funds to be able to pay this vendor on her. when you have been dialing 911 in san francisco, your call goes to our call center. deacon start entering information into a computer and into the system based on what the caller tells them. does the caller need to the police. -- you can start entering the information into a computer.

this the assailant still on the scene and this kind of information helps us to send the right kind of help as well as to keep our first responders safe so they know what to expect. once they have enough information, they literally hit in tehran on the computer and this gets sent to the appropriate fire or police system on the floor. this connects the call taker to the right dispatcher and the dispatcher can begin sending out a fire engine. this is still on the phone taking additional information to the person who is on the line. they also record all of these actions and this is often used as evidence to answer questions like and what time was 911 call, what kind of first responders were dispatched, what time did they get there, what did they do? this is helpful for our first responders in court proceedings.

the system that we have right now was first installed in 1999 when the emergency to medications department -- when the emergency communications department -- be to keep this current and up and running. -- we need to keep this current and up and running. we would like to keep it running until the new one is ready. this amendment would give us contract authority through june of 2014. this is an additional six months beyond what we will be able to cut over to the new system. we want to be sure that we have seamless coverage in 911 coverage in case there are any unanticipated delays. we can do this earlynd