comments. i want to appreciate a lot of the work that has been done around the mta budget. i know it is really hard to do this, but making the cuts in middle management and overtime is greatly appreciated but incredibly difficult to do. it is very important in the city government for it i appreciate those steps being made. it is something that has been talked about for years at the board of supervisors and it is amazing that it is going to happen. i know everybody -- every department is very different. i hope that other departments can learn from the work you have been able to do around that issue. i want to clarify something. there is concerns about operating expenses. my understanding is that some of it is the leftovers, roughly $1.2 million, that had not been used when we previously allocated funding for reduced

muni passes for sfusc to administer. you were not able to administer it for many reasons, but you continue to allocate money for the program that we were supposed to implement but never did writ of one and to clarify. there is some confusion. i know it is operating expenses, but this is something that had been allocated for another program that we were not able to utilize for it -- that we were not able to utilize. >> that is absolutely correct. it is arguable whether that was supposed to be an ongoing expenditure or not. but we supported it as such. it is the $1.4 million from this year that was not used as well as what continued in the baseline for the next two years. three years of roughly $1.4 million, which is roughly $4.2 million, part of the $9.4

million zoning plan. as i understand it from the start, we did not understand -- we did not communicate that clearly. supervisor kim: i will just say this about meters. i want to reiterate that it is important that we put our meters up to date so people can say it in advance for it i do not want to see meters and i understand why people want free parking. i understand it is a tough issue and you are balancing a budget that has many needs. if someone strongly supported free muni for youth, there is a strong need to balance our revenues. there are a lot of different groups that were shipped on different days, whether it is friday or saturday. i just want to make that point. there are a lot of good -- there

were a lot of good comments made today, but i think they could have been made for other days as well. i just want to acknowledge the challenge of what you're doing. and how difficult it can be to make that balance. i appreciate there has been some discussion. i am not sure what type of outreach has happened to those institutions which would be affected, whether small businesses or religious organizations. obviously, there have been town halls. there used to be more dedicated, smaller groups to try to figure out how we could make this work, if this is the plan that moves forward. i think that level of communication is always important and appreciated. supervisor wiener: just to follow up on supervisor kim's last comment, we have for the public comment on sunday meters and it was very church-focused.

by and large, the negative feedback i have been getting about meters come from small neighborhood merchants and merchants associations who are very concerned about it. just so that no one has the misimpression that this is just about the churches. churches are stakeholders in our community, just like everyone else. there are many other stakeholders, including many small businesses, who also have concerns. thank you. supervisor kim: just one last piece on the youth program. i understand that the money was leftover money that was not utilized. just as we are going forward, we do have a choice about how we spend that money. if it was not going towards this program, it could be used for other things, maintenance, other things. it is a choice we are making. i just want to make that point.

most people are aware of that and know that. colleagues, we do have the items before us. can we entertain a motion to continue these items? we have a motion and we will do that without objection. thank you. do we have any other items before us? >> there are no other items on the agenda. supervisor chu: thank you. we are adjourned.

supervisor campos: welcome to the may 24, 2012 meeting of the joint city and school districts elect committee. we are joined today by

supervisor olague, commissioner maufas, commissioner mendoza, president chiu is en route. he is actually at a different meeting today. he will be joining us as soon as the committee meeting ends. commissioner fewer is en route. the clerks are gail johnson and -- we want to thank the as of the staff for covering the meeting. madam secretary, if you could call item no. 1. >> it is a hearing about services provided to students and adults and organizations structure. supervisor campos: thank you.

i will turn the floor over to commissioner maufas, who requested this very important hearing. i know that we have a number of people here for different items on the agenda. first, i would like to recognize janet riley, the president of the golden gate bridge highway transportation authority, which is celebrating its 75th anniversary. madam president, it is a pleasure to have you here. commissioner maufas. commissioner maufas: thank you. i wanted to bring this item for were to our combination of school district and city committee, because it is something that is vital to both of our entities and the city of san francisco, particularly in the exiles your district -- the excelsior district.

in areas where health care is not provided in the way that most of us have access to it. the clinic by the bay, i think it is a godsend. i am so grateful it is in that location, serving the community and the neighboring communities. i would like to bring forward ms. riley, who is the president of their board of directors. and eliza gibson, the executive director of the clinic by the bay. we have some audience members that will tell us all about it. then we can ask some questions that will help to fill in the gaps of all of our understanding of this wonderful space that is on mission street. thank you and welcome. >> good afternoon. thank you so much for having us.

commissioners, especially commissioner maufas, thank you for bringing this item for and championing our beautiful clinic. my name is janet riley and i am the co-founder of clinic by the bay and board of directors -- and president of the board of directors. eliza has joined me. she is the executive director. a little bit of history. clinic by the bay opened in november of 2010 and we are part of a national network of health clinics called volunteers in medicine for a -- called volunteers in medicine. i think we have the presentation. there we go. thank you so much. we opened in november of 2010.

part of a national network of clinics called volunteers in madison. it is a basic model for these clinics, free health care for the working uninsured and it is run primarily by retired doctors and nurses. there are 90 clinics throughout the country and we are the only one in northern california. what makes us special, we have a pretty robust safety net in san francisco. a few things that make us particularly special, we are absolutely free. we do not take any money or insurance. we utilize primarily retired doctors and nurses so the doctors in our community do not have to go to doctors without borders. they can do it right in their own community, they can volunteer. we do not take any government money at all for it i know that in these tough fiscal times, that is absolutely a positive. we also do not just care for the

disease of the person, but the entire person. that is really evidenced by our patient visit times, which average about 45 minutes. our mission is pretty self- explanatory, to understand and serve with dignity and respect the health and wellness needs of the underserved in the san francisco bay area. our clinic is located in the fifth excelsior district on mission street. we are open 16 hours per week to see patients. we also do health education workshops that are open to the entire community. the other four days, when we are seeing patients for eligibility screenings, we are enrolling patients and working on the follow-up for the 16 patients we see every week.

we have a strict eligibility criteria. we are not a walk-in clinic and we do not operate on the honors system. who do we serve? we serve the uninsured and underinsured who lived in the excelsior and outer mission in visitation valley, 94134, and in daly city and colma, 93014. we do have a criteria. income of 250% poverty level or below. that is about $27,000 annually for a single individual or for a family of four, and income of about $55,000 per year. we do ask people, when they come to see us, if they are enrolled in health the san francisco -- healthy san francisco.

if they are, we send them back to their medical home, so we can -- so we do not duplicate any services. >> when we opened this clinic, we have been seeing patients for about 1.5 years. we did a comprehensive needs and resources assessment. we did a landscape survey, focus groups and individual service. everyone here knows the excelsior is a very underserved area. we wanted to open our doors there and serve the community. because we are so close to county lines, we are able to serve uninsured adults and alleviate some of the stress on the safety net for both counties. in terms of who we see currently, about 53% of our patients are from san francisco. 54% are over the age of 4375% of our patients are immigrants.

-- are over the age of 40. 75% of our patients are immigrants. it is a diverse area of our city. 49% of our patients are hispanic. 35% of our patients speak spanish and 13% speak cantonese. we do provide multilingual services and we have both bilingual volunteer providers and interpreters always available. in terms of our services, janet mentioned we are not a walk-in clinic or honor system clinic. we are a medical home model. which provide comprehensive care. each new visit, the patients received a medical health exam as well as a mental and dental exam. anything from additional employment support to being a

care provider for a relative. we have a very strict no show policy. we expect our patients to engage and invest in their health care. if someone does not communicate with us that they cannot make an appointment, they are at risk of being dismissed from the clinic. as a result, we have a very low no show rate, which is good. volunteers are coming in giving their time. as of today, we have almost 800 patients enrolled in our care. we have completed over 2200 medical visits and we have made almost 2000 referrals. when i say referrals, we have a broad network of medical partners, which danna will tell you a little bit about in a minute. it enables us to provide incredibly comprehensive care. all of the radiology lab work as well as a network of specialists. we also have a very robust

preventative care program. we began offering health education workshops for the community before we were ever open for primary care services. our philosophy is grounded in preventative care. monthly workshops are open to the committee, all zero -- all run by volunteers. we have a patient population that we are seeing more folks with chronic diseases. we do have monthly diabetes workshops and quarterly asthma workshops. janet will tell you about our volunteer program. >> volunteers are the lifeblood of our program. in some ways, this clinic and all of the clinics are built as much around the volunteer experience as they are around the patient is serious. we want to provide an excellent and meaningful volunteer experience for falls. currently, we of 100 volunteers engaged in clinic by the bay. 65 come to our clinic every

single month. that is 10,000 -- more than 10,000 hours contributed. we value that at nearly $400,000. that is why we can operate so well, the fact that we have such incredible volunteers. we need more non-medical volunteers than medical volunteers. receptionists and eligibility screeners, interpreters, computer experts. we look for volunteers from all different types of fields. medical partnerships are incredibly important to us, as you can imagine, so we can provide this comprehensive care. we rely on these medical partnerships extensively at clinic by the bakery for example, we get our lab work done by ucsf and labcorps.

mri's and ultrasounds, we have a relationship with operation access, who does our outpatient services -- outpatient surgeries. we have an excellent relationship with walgreen's, who do our medications. we were fortunate enough to be able to open our clinic using all electronic medical records. we currently are working on allowing our patients' access to their medical records so they can take them with them. we are piloting a text messaging program for disease management with our patients. we have always been very, very interested in technology. many times, this group of population we are seeing, they do not get to pilot these types of projects for it is very interesting to say we practice

medicine in a very modern environment, but the old fashioned way pri is a good mix of both. supervisor campos: for the record, let people know that we have been joined by president chiu, who just got out of the government audits and oversight committee. >> thank you. a quick snapshot of what we have accomplished since we opened in november of 2010. we have been rolled almost 800 patients, completed 2200 visits and 1900 referrals for needed specialty care and surgical care. 100% of our patients, once deemed eligible, are able to see a medical provider within two weeks. that is an important part of how we define access to care. one of the things we learned in our needs assessment was just how long people sometimes have to wait, even with our robust safety net for it -- with our

robust safety net. it can be a very, very long time, months, to see a primary care provider. we are always evaluating our services and care so we have already done a volunteer survey as well as a patient survey. 71% of our volunteers have been volunteering for six months or more. 90% of our patients are satisfied with the care they are receiving and 90% of our volunteers are very satisfied with their volunteer experience. in terms of our growth plan, we have been determined to grow incrementally, to make sure we have infrastructure we need to continue to provide high-quality care. our plan is to add a saturday clinic. our hours are tuesdays, 12:00- 8:00 p.m. as well as thursday, 10:00-6:00 p.m. a