pb. technology can help to reap more people so in essence making the process even more representative. right now it's just a little past 3:00 p.m. on a wednesday and if we look around the room we can sense that the people at this meeting might not constitute all the folks who want to be here. it describes those kind of gap for the opportunity for those who have the time to come out and those don't. through mobile and other forms of technology we can streamline the technology so it, fit into the public's schedule.

another area where teenage can make technology inclusionary any people lack competency in los angeles so the mobile would allow people to participate without knowing english. in fact, one of the delegates said it allowed folks who know spanish could flush out the words in other form. this would be particularly important in san francisco where language is spoken in 44 percent of household. the second way technology is to enhance pb allow people to collaborate more ways that

compliments calculation. it can help to organize a thought. imagine for example a pb proposal in which the wisdom can allow people to build off other knowledge. so 15 i would like to add when i think of san francisco i think of innovation. we're already wired citizens and we have the opportunity to leverage our technology to innovative in democracy. this is something that really only san francisco, california do. as a constituent i would be exist to know that san francisco

can be an example to the world about how democracy cabaret vithd. lastly, i want to thank you for inviting me out >> thank you much. mr. chair if he could go to public comment. i want to thank folks who he know came as participants in this process. can i call up folks (calling names) and then other who may wish to commit on that >> i'm bypassing i'm a renter. i've olden on district 3 for more than thirty years. i want to compliment president

chiu that was working on that part to his talented aid. i attended the neighborhood meeting that were used to gather suggestions i was greatly compressed by what i saw. having lived in the district for 20 plus years i saw that the people who attended those meters were broadly representative of district 3. there were interpreters to allow people to have varies a translations into cantonese. i heard suggestions i would not have in and out of myself. there were scores of participants.

lucky there was a knowledgeable person from the staff and her services were invaluable. the folks who were at those meters where in my mind broadlyly representative of the residents of district 3 and i think the same can be true of other districts. this is a creativity and worthwhile process and i urge the other supervisors applying similar projects in their districts. i think the public clock is 10 minutes. okay >> peter executive director of library yourselves orchestras. i hope you'll join us in looking for proper emphasis on the book budgets since one of the

projects was adding more non-english chinese book collection. the book budget has been frozen. it's not clear to me with what the permeates are and who sets the perimeters on what kinds of areas of decision are available to be made and we started out with the presentation making a difference and how little difference apparently supervisor chu thought this body was

>> good afternoon supervisors i

appreciate the light and thank you david for bringing this process to light. it very, very inclusive process i think that the group have set up a framework of ibm exclusiveness of ability. i didn't have the experience and background but hearing the things that my neighbors heard helped to create a tight bond and tie to the rest of the community. it's a very important process and brings the industry together it creates a tighter fabric to have a voice in to improve things to make an impact on the

quality of life. thank you >> good afternoon supervisors i'm james representing community housing partnership. we're piloting this month our residents and in all 11 of our buildings. the community projects that will happen. we'll so excited we couldn't decide to take it citywide. we see in the very beginning of this process where residents are actually getting a better sense of what goes on no keeping their buildings running so a lot of the accusations disappear because they're taking the time to educate us and we them and

the buildings should evolve. i want to say something i work as a large non-profit i spoke for agencies that ideally should have some kinds of conflicts of interest so they do not get the participation and we'll be happy to help flush out those policies. thank you >> next speaker >> bean a long time that about been a long time. been a long, long long time. good luck with item 9. been a long, long long time.

make it budget you summer budget you shine. been a long time been a long time that the needs the city time. and it's been a long time been a long time loopholes be nice and kind. and i heard you were downtown working driving all the city crazy. the budgets back in town the budget is back in town. and you it's the budget you want to fight over the budget i'm going to let you. and you know that place it city hall in districts 3 is there

was an unbelievable amount of outreach to people who are

generally attached and they were brought into the process. we're aver competitive and dynamic county. it was interesting at the meetings the initial meetings that not only were the usual suspects there the people you see walking popping up your halls but people you don't traditionally he see and this was the credit to the disengaged population. so far as we were concerned the community involvement and working with the supervisors staff and developing the balance the whole concept gets an a. where we have much to learn is

in the prelims. you have to avoid pitting one neighborhood against each other it shouldn't be russian and chinatown. expectations go needs to be managed. we have very partiality residents who believe passionately in their projects and i need to explain why their projects didn't win so results needs to be transparent. we looked to working with supervisors and staff to do a better job next time >> mr. chair i think that is the end of public comment. >> so let's close public climate.

seeing no other public comments >> first of all, i want to thank all of the partners we worked with and all the folks who come out today. one of the things as an supervisor in district 3 i work with a lot of deprives people all up and down the neighborhood exist and what was so special about the pilot was because our constituents met each other. you see them and try to merge them together. i want to take a moment and thank the controllers office and for this lady's direct participation. i want to thank mayor lee and their commitment to working with

the board and how to sharp the participatey budget. i look forward to having this discussion with you further. i want to thank you for the time this afternoon and educating the public. i want to ask a couple questions. i know that the hundred thousand dollars discretionary amount was a one-time thing. i'm curious what is the thing for further allegations. i know you have to have a significant amount of money looks like new york city had $1 million per district and chicago had significantly more and va la it had $3.2 million.

it has to be a significant amount of money. i want to ask supervisor chu it sounds like amy provided a lot of the support but is there any dollar amount about how much it cost your district to do this and on the city level. i'm throwing different questions in my head. i know in brazil they were addressing the whole municipal budget of 4.5 million people and allocating $2.3 million of fund it seems the empowerment how

much of that gets trooldz when we bring it to new york or chicago. i think it's a wonderful project. i'm looking forward to decisions how we can bring this to my district >> last year, we decided as a board to include millions for other buckets. it could be something this board of 11 could put into our budget. secondly it's absolutely true that a hundred thousand dollars is just a penny. that being said it was interesting enough for my constituents to engage as i think you heard. we had constituents that were

dreaming big and a $20,000 goes a long way for the first step to a particular neighborhood or need. i would advocate for a bigger pot of money and to spend a 1 and $26,000. but to answer your question around staffing this year my staff amy she's spent nearly half are two-thirds of her time working on this. i want to thank the controllers office they have offered to devote at least a portion of a staffer and we want to see what

the project will look like. i do think it's very important that as was recommended by participatey budget process maybe 10 percent of the funds be used with orchestras that are doing out reap and as to supervisor wieners suggestion by make sure we have a keep and a meaningful grassroots community. so hopefully, this answers part of your questions. >> so colleagues if there are no other questions president chiu will table the item. we'll have this decision as we decide what to do. can we do this without objection >> without objection thank you.

mr. young any other business before us? >> thank you meeting adjourned

when a resident of san francisco is looking for health care, you look in your neighborhood first. what is closest to you? if you come to a neighborhood health center or a clinic, you then have access it a system of care in the community health network. we are a system of care that was probably based on the family practice model, but it was really clear that there are special populations with special needs. the cole street clinic is a youth clinic in the heart of the haight ashbury and they target youth. tom woodell takes care of many of the central city residents and they have great expertise in providing services for many of the homeless. potrero hill and southeast

health centers are health centers in those particular communities that are family health centers, so they provide health care to patients across the age span. . >> many of our clients are working poor. they pay their taxes. they may run into a rough patch now and then and what we're able to provide is a bridge towards getting them back on their feet. the center averages about 14,000 visits a year in the health clinic alone. one of the areas that we specialize in is family medicine, but the additional focus of that is is to provide care to women and children. women find out they're pregnant, we talk to them about the importance of getting good prenatal care which takes many visits. we initially will see them for their full physical to determine their base line health, and then enroll them in prenatal care which occurs over the next 9 months.

group prenatal care is designed to give women the opportunity to bond during their pregnancy with other women that have similar due dates. our doctors here are family doctors. they are able to help these women deliver their babies at the hospital, at general hospital. we also have the wic program, which is a program that provides food vouchers for our families after they have their children, up to age 5 they are able to receive food vouchers to get milk and cereal for their children. >> it's for the city, not only our clinic, but the city. we have all our children in san francisco should have insurance now because if they are low income enough, they get medical. if they actually have a little more assets, a little more income, they can get happy family. we do have family who come outside of our neighborhood to come on our clinic.

one thing i learn from our clients, no matter how old they are, no matter how little english they know, they know how to get to chinatown, meaning they know how to get to our clinic. 85 percent of our staff is bilingual because we are serving many monolingual chinese patients. they can be child care providers so our clients can go out and work. >> we found more and more women of child bearing age come down with cancer and they have kids and the kids were having a horrible time and parents were having a horrible time. how do parents tell their kids they may not be here? what we do is provide a place and the material and support and then they figure out their own truth, what it means to them. i see the behavior change in

front of my eyes. maybe they have never been able to go out of boundaries, their lives have been so rigid to sort of expressing that makes tremendous changes. because we did what we did, it is now sort of a nationwide model. >> i think you would be surprised if you come to these clinics. many of them i think would be your neighbors if you knew that. often times we just don't discuss that. we treat husband and wife and they bring in their kids or we treat the grandparents and then the next generation. there are people who come in who need treatment for their heart disease or for their diabetes or their high blood pressure or their cholesterol or their hepatitis b. we actually provide group medical visits and group education classes and meeting people who have similar chronic illnesses as you do really helps you understand that you

are not alone in dealing with this. and it validates the experiences that you have and so you learn from each other. >> i think it's very important to try to be in tune with the needs of the community and a lot of our patients have -- a lot of our patients are actually immigrants who have a lot of competing priorities, family issues, child care issues, maybe not being able to find work or finding work and not being insured and health care sometimes isn't the top priority for them. we need to understand that so that we can help them take care of themselves physically and emotionally to deal with all these other things. they also have to be working through with people living longer and living with more chronic conditions i think we're going to see more patients coming through. >> starting next year, every day 10,000 people will hit the

age of 60 until 2020. . >> the needs of the patients that we see at kerr senior center often have to do with the consequences of long standing substance abuse and mental illness, linked to their chronic diseases. heart failure, hypertension, diabetes, cancer, stroke, those kinds of chronic illnesses. when you get them in your 30's and 40's and you have them into your aging process, you are not going to have a comfortable old age. you are also seeing in terms of epidemics, an increase in alzheimer's and it is going to increase as the population increases. there are quite a few seniors who have mental health problems but they are also, the majority of seniors, who are hard-working, who had minimum

wage jobs their whole lives, who paid social security. think about living on $889 a month in the city of san francisco needing to buy medication, one meal a day, hopefully, and health care. if we could provide health care early on we might prevent (inaudible) and people would be less likely to end up in the emergency room with a drastic outcome. we could actually provide prevention and health care to people who had no other way of getting health care, those without insurance, it might be more cost effective

>> roll call >> vice-president brandon: here. >> item 2, approval of minutes alof all those in favor? alop opposed? aye. >> motion, item 3.