by supervisor mar, but it was also co-sponsored by a number of other supervisors, including supervisor campos, olague and chiu. it's legislation that is very near and dear to heart. it would be requiring the installation of grab bars in existing single room occupancy hotel bathrooms. these are older buildings in the city that of course are such an incredible important affordable housing stock. and the background for how supervisor mar introduced this legislation, there were a series of hearings held here at city hall over the last 18 months or so, showing a spotlight on the issues that people with disabilities and seniors face living in single room occupancy hotels. this was very much grass roots

activism on the part of the sro collaborative, the mission sro collaborative, senior action network who of course now has merged with planning for elders and is senior and disability action. and these community groups really did the job of making the case that there are so many people in the city that are aging in place and older buildings and that there is a great need to have basic safety features to allow people to live with safety and with dignity and independence in the community in accordance with our civil rights, you know, as what's affirmed under the olmstead decision to support people living in the community. so this legislation that was introduced i think is a very important step towards supporting people here and you can expect to be hearing more about it over the next two

months and i would encourage everybody to come to the hearings as the legislation is actually discussed in committee and at the board and to voice your support. another piece of that legislation, too, would mandate the installation of telephone jacks in the units because of course communication sometimes is that life and death link to emergency services. i also wanted to bring to the attention of the council a new committee that will start meeting next week. it's called the accessible parking policy advisory committee. this is sponsored by the municipal transportation authority. the first meeting will be on tuesday, october 23, at 2:00 pm at 1 south van ness. the public is welcome. what the committee plans to do

is review existing state and local walls that govern placards in blue zones and make recommendations for either new policies or laws. some of the numbers that are behind this ert are that san francisco has 29,200 metered on street parking spaces and 53,500 disabled parking placards. now, a parking placard, of course, allows you to park in a blue zone but many people who use placards also use them to park on the street and they can legally park in a green zone or at a metered spot without feeding the meter. but there is a problem that has been at least broadcast in the media of late. so if we set placards aside for a moment, i think everybody who's tried to park in san francisco knows it's really hard to find a spot. we're all in competition. and this is one of the reasons why our city supports having

public transit and other modes of transportation like walking or biking. but for people who have a mobility disability, some of those other options aren't necessarily there for them. a car might be really their best transportation option. we might live in neighborhoods that aren't served well by transit. we might have difficulty waiting for transit. and we also economically might not be able to afford some of the other transit options like taxis as a good example. what we see is that there are perceptions out there that there are people who are abusing placards and i'm sure there are some people who are abusing placards. doesn't make much sense it me because the fines are pretty high. they are up to just about a thousand dollars now and there's also the penalty of having to forfeit your placard if you are not using it properly. we do

have enforcement mechanisms and i believe we need to use those enforcement mechanisms when there's placard abuse. my worry is when people with disabilities are demonized because people don't necessarily understand all disabilities and especially when the casual observer sees someone who has an invisible disability and they don't understand that a person with a respiratory or a heart condition may be fully ambulatory but they still have limitations on how far they can walk. so placards serve people with both obvious mobility disabilities as well as people with invisible disabilities. so there has to be a balance. we want parking to be available for the people who need it and this committee will be tasked with making recommendations to try and increase the turnover of spaces and to also have a city-wide policy on where and when we install blue zones.

i will be on the committee and i am also really pleased to know that roland wong, our council member, will also be on the committee. there are others including bob planthold, christine rupke and as i mentioned earlier, the meetings will be open to the public. again , the first meeting, as a reminder, october 23 from 2:00 until 4:00 at 1 south van ness on the 6th floor. there's a web site, that address is

http://sfpark.org/howitworksacce ssibleparkingpolicy i want to encourage member s of the public if they have stories of what they want to see use our office as a central distribution point and to send us your comments and we'll make sure the information gets sent up. last of all i wanted to give the council an update on the mayor's office on disability move and just confirm that we do have a new home. it will be 1155 market street on the first floor. we signed the lease, or our land lord signed the lease, and it's a good location with great proximity to transportation. space planning is in progress and we expect to be in our new home in may or june of 2013. with that, i would like to turn things over to heather kittle from our office and ask her to give us a brief report on the types of complaints that our office has heard in the

last month. >> good afternoon, council, this past month our office received a total of 122 inquiries. about 90 percent of these inquiries were from the public and the remainder were from city departments. 55 percent of the inquiries involved housing and homeless issues such as people looking for affordable housing, or people wanting to file a reasonable accommodation request in private housing. we also received reports of environmental health issues such as bedbug infestations and these reports were made by individuals who lived in public as well as private housing. about 40 percent of our contacts wanted to get information about service and support animals. clients wanted information about their rights to have one and wanted to learn how they could register their animal as a service or support animal. we also received calls from

business owners, landlords, as well as the general public to get information about their rights when it came to service and support animals who were behaving inappropriately in public places. the remainder of the inquiries involved questions about education and employment accommodations. people also called our office to dispute their disability placard citation and they were referred out appropriately. as far as ada complaints go, we received more ada complaints this past month than we usually do. it totaled in the amount of 18 complaints. we received no requests for accommodations and only one curb ramp request, however. the majority of the complaints involved the department of public works and the san francisco municipal transportation authority. there were reports of sidewalks needing to be repaired and the lack of a clear path of travel

in construction zones. there were also reports of muni employees not modifying their employees to accommodate individuals who use service or support animals on public transportation. finally, received complaints about city departments and contractors who do not modify their policy to permit people who use other power driven mobility devices to use their device in the facility and joanna will discuss one of the trends that we noticed this month in further detail and the policies related to that. >> thank you, heather. good afternoon, council members. last month i gave you a fairly thorough understanding of the whole concept of additional or alternative mobility assistive mobility devices. this trend continues. for two months in a row now we have been getting complaints about individuals

who use non-traditional assistive mobility devices, both powered and manual, and that is a result of the updated ada regulations that allow folks with those alternative mobility devices to be in public places. and the complaints cover both the private and public arena. as a result, our office is working on an assistive mobility device policy which will be updated on our web site, put on our web site, and sent to our ada support leaders so at least within our city facilities and contractors we can actually begin to address that issue. (inaudible) if you do experience these types of barriers please let our office know, we'd like to hear your story, we'd like to hear of the

situation. you can reach us at 415-554-6789 voice, 415-554-6799 tty, or you can send us an email at mod.sfgov.gov. thank you so much and we'll hear from you. >> thank you. moving on to the next item, no. 6, report from the department ofaging and adult services, the san francisco transitional care program, tcp, presentation by daas director of care transitions operations carri wong and tcp program manager dane that leavitt. >> my name is carrie wong, i work with the department of aging and adult services and i have with me dana leavitt,

she's the program manager at the san francisco transitional care program. i will start off with just a little bit of the background of how we got to where we're at, then dana is going to go into the program details. daas applied for the community-based transition care program, tcp program, currently 1 out of 47 participating nationwide. california has 3 of the participating cities, which includes marin county and san francisco. the tcp, which was created by section 3026 of the affordable care act tests for models for improving transitional care setings from hospitals to other setings and reducing readmissions for high risk medicare beneficiaries. care transition occurs when a patient moves from one health care provider to another setting. nearly 1 out of 5

medicare patients discharged from the hospital, which is approximately 2.6 million seniors, is readmitted within 30 days and costs over 26 billion every year. while hospitals have traditionally been the focal point for efforts it reduce readmissions it is clear there is a continuum of care that impact readmission. by encouraging xhuepts to come and work together, we can improve quality, reduce costs and improve the patient's experience. daas is working with the san francisco transitional care program to forward these goals and maximize independence of seniors and persons with disabilities living in the community to reduce readmissions and of course ultimately reducing institutionalization. the san francisco care program, transitional care program, has been in operation since 2000. it collaborates now with 8 hospitals and 8 community-based organizations. the hospitals that are included

in this are the california pacific medical center which includes the 3 campuses, the pacific, st. luke's and daly's, st. francis, ucsf and chinese hospital. the community-based organizations include of course the san francisco senior center, which is also part of ncphs, the institute on aging, catholic charities, self-help for the elderly, curry senior center, kimochi vernal heights senior care center. i'm going to turn it over to dana to explain about the program. >> so the san francisco transitional care program is a 4 to 6 week program that's going to be incorporating the coaching model of care. and in that they are going to be integrating self-care skills for the patients and by doing that we're going to utilize

skill transfer, role modeling, role playing, with the clients to try to improve their skills in these areas. in addition we will also be doing care coordination but it's going to be limited in what we're going to be providing for the individual. historically, as carrie had mentioned, the transitional care program here in san francisco has been in existence since 2000. the significant change to the program is adding the coaching model. historically we have provided the 4 to 6 week program but it's really been intensive case management programming and what we have realized through both research and also when we did our root cause analysis of how the program was going is that we really felt like if we came from the coaching perspective and were able it reach and try to help people develop skills so that they can help themselves beyond the 4 to 6

week intervention, that we would be a little bit ahead of the game. so what we have done is we've made the decision that in san francisco we would really benefit from both the coaching model and in addition to providing some care coordination as well if necessary. so once again so where we're coming from more the doer case management model. we're changing that and the philosophy now is letting an individual learn to help themselves. and having more success for that individual in the future. the areas of focus for the program are going to be working with the individual to set their own recovery goals. the goals that would be able to be accomplished in the 4 to 6 week period of time, securing and preparing one's self for the first doctor's appointment, understanding one's health issues and the role of

medications, securing -- recognizing symptoms and having a plan of action; developing or having the opportunity to develop a personal health record which is a way to kind of organize and kind of carry it with you so that you are able to have a clear understanding of medical issues and medications, and establishing necessary services with an emphasis on the areas of nutrition, transportation, home care and medications. as carrie has mentioned this program historically has been an organization that is a network of community-based organizations. and as a result we have been very successful in meeting the cultural and language capacities of san francisco. currently we have transition specialists in these 9 agencies in the language capacity is japanese, vietnamese, chinese, which is both mandarin and cantonese,

tagalog and spanish. council members, any questions? >> joanna >> thank you very much for your presentation. how would people be able to participate in that program? do they get assigned by their doctor, do they ask and advocate for it? >> i think it's going to be a little bit of both. historically the referrals come directly from the hospital so whether that's going to be a social worker, a nurse case manager, ideally the way the program is moving forward we're trying to did a lot of community outreach so everybody knows about the program and once they went into the hospital if it was not something that was brought to their attention they would already know about it and could ask for it. but the referral comes directly from the hospital to our agency. >> and you have started this

program already, correct? >> this program has been in existence since 2000. we are, like i said, making changes to the program to include the coaching model. but it has been in existence since 2000 and historically has served anywhere from 200 to 400 clients a year. and we're hoping to exponentially move that program forward to many, many more people in san francisco. and that's part of us getting the contract with cms, is to help assist with that. >> so basically we're serving a larger bredth of population we haven't reached out to before. traditionally it's been people with high psychosocial needs and a lot of complex things, but now it's expanding more with a lot of different diagnosis because the goal at the end of the day is to reduce readmissions. we're approaching not just seniors but persons with disabilities at any age. when you leave the

hospital there's a lot of medications, you are a little confused when you are at the hospital, you are heavily sedated or what not. it's a way to capture a wider bredth of people to secure, make sure. >> we can kind of look at what program is more about. i mean right after. >> yeah, we've --. >> there are some brochures. >> we have sent electronic copies of the brochure to council members, they are here today in print and braille. is that available online for people to see? >> there's going to be -- yes,

it's going to be. >> thank you. >> shortly. we're actually in the really smack dab in the middle of our own transition as a program itself, so we are still serving folks but the coaching model is coming on board probably this month or next. >> thank you. >> hi, i wanted to thank miss carrie wong and miss dana leavitt for coming out today. it's really interesting about how you mentioned self-care skills for patients from hospital to the department of aging and adult service. it made me think for a moment about the need for self-care skills for persons with disabilities. there's been a recent article about the age groups of the 22-year-olds to

approximately 50-year-olds. there is definitely a need there. my question today is do you also accept youth volunteers or youth interns for your department? >> our agency has had interns. usually they are social work interns. we're based out of the san francisco senior center so we're always looking for volunteers. there's a lot of opportunity, i think, but in regards to the transitional care, usually they are social work staff that are involved in that. >> okay, thank you. >> sarah? >> hi, thank you, i'm just curious what the individuals that are coming out of the hospitals, would they meet the level of care needs to qualify for the in home operations waiver and are you guys making the referral to medical for that or is that traditionally done by the hospital? >> i don't know if i know

exactly --. >> it's the home and community-based waiver program which would allow them access to case management, habilitation on-going through that. >> i am aware -- yeah, it's not at this level that we would make that kind of referral. i think as i understand it comes from the hospital or someone has to make a specific referral there and i know with daas we have our own in-house person that does that, but it's not necessarily a direct --. >> yeah, it's targeted case management that assists with those referrals. >> which is at the hospital level. that's my understanding, what you're talking about. we do a lot of referrals for just the kind of the focus areas that we were talking about, so transportation home care, ihhs, trying to hook them up with low cost care givers if they have just a little bit too much money, really trying to access

all the resources in the community to try to assist their situation. we're also, have a small portion of money that's been allocated to our program that can really assist with any particular items. we have actually bought blood pressure machines for people, we have bought actual beds because they have nothing to sleep on, all that kind of stuff the program has been involved and the program will continue to have. so those are the kind of services we provide for folks. the other thing i did not mention is the program is really, the way it's set up, we do the hospital first, then we do a home visit then going through the 4 to 6 weeks, based on what the client need is, we will either do home visits or we will do phone calls. >> so do you work with the collaborative --.

>> that's where that pot of money comes from. >> any more questions? i want to thank carrie and dana very much for your presentation. i know speak being as a senior with disability i would need training and i want to keep my independence as long as possible. thank you for your work. >> thank you very much. >> income item is no. 7, an overview of the san francisco department of public health's supportive housing programs, presented by marc trotz, director of housing and urban health, and dr. rag parekh, clinical director of hot,

homeless outreach team. today we're happy to be continuing on on-going series on meetings on supportive housing opportunities in the city of san francisco. as many of us here know, one of the biggest problems faced by people with disabilities is the lack of adequate affordable and accessible housing. absent these housing opportunities, many people with disabilities are forced into institutions or out on to the street. the supreme court in its olmstead decision of 1999 affirmed the right of individuals with disabilities to live in their community and ruled that a public entity's failure to provide housing and services in our local community violates the most important mandate of the americans with disability act, that is to say

providing housing and services for our most vulnerable citizens is not only a good idea, but a civil right. i will now turn the program over to our program administrator, ken stein. >> thank you very much, wendy. last month we had a program, swords to plowshares. today we will be hearing from marc trotz and dr. rag parekh. i want to thank dr. parekh, our first presenter who serves on the front lines of the most difficult to serve clients in the hardest economic times on a daily basis which, it me, is an incredible -- it's astounding

what you and ran parker and your team do is remarkable. i also really want to thank marc trotz for coming today. some of you know he's going to be leaving the city at the end of the month and with his travel schedule this month and the fact he's leaving in a few weeks, the fact he took time to come and be with us today is great. i think it speaks super for transition that margo antonetti, is here today, we're delighted he's going to be here. a couple years ago i had the great, great pleasure of taking a tour of one of the city's supportive programs led by marc and it was an hour and a half tour. we don't have that much time today but i was most struck by how once again san francisco is in a leadership role, not just in the bay area but