[16:04] supervisor kim: think you for joining us, coming back from the recess of yesterday's meeting. i would like to entertain a recess until 6:00 today. we will do that without objection. we are in recess until 6:00 today.

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