consistently medical record for each patient whatever they are in the city of san francisco. it's an idea on the drawing board with you it could go a long way to not have sf have medical records. so other people i supposed to be - >> okay. great. so for recommendation 3 which gets at the culturely and linkly bins the planning council initialing put in funding and we supported a number of trainings and then dph a new participating in the chinese community health

plan and increases a letter of if not and people are moving forward to get the people are hiv to get the same contingent of area. lots of training happening. a part of this it happening with the state and again, we operator with them. on a local level we've trite tried to be responsible. we'll continue to offer them and we have thirty plus enrollment its and the job of those people is to enroll people. a lot of the agrees have asked about the benefits consulting. in terms of language capacitate i think that san francisco anyone in terms of a bilingual

or beyond a shadow of a doubt linoleum we've had a number of people the amount of spanish can in the cause and russian there's a phenomenal amount of that. i know with with the chinese translation has become an issue. do you have a map of the enrollment sites >> i don't we can get it. >> 3 would be great. >> so recommendation number 4 excelsior the insurance coverage affordability. we're in favor of that. the chinese community health plan is the cheapest for the patient to be able to participate it's based on age and a gender so far as your financial plan. it's the most affordable for

patients it is a state program but increase county workers to do the enrollment and we spent a lot of time insisting they go thereto ranks. the hiv organizations have useful information about implementation. we respond by training and most particle through the health program those are the first folks we offer training to. and one training we did a mass training. and asking if that's enough? probably not. the challenge is we're laying the tracks as we drive on them.

i'm calling courtney so i think we're going to do a catch up. particularly as we unrainfall the difference not so much as the expanded medi-cal but it reminds me of a time many years ago we used to fund a program called aids counselors. we maybey inviting it in the future. so on to recommendation number 6. again as courtney mentioned at state level and we participate in the activities that are happening with the state. the state has dedicated a person

ryan white fund called part b funds they have the person tell caffeine into our meeting and hopeful that will he help us get mostly updates which prier intents funding. >> can i request ask you a quick question. is there a requirement that all providers receive that assistants - assistance >> we offer a number of different kinds of training everything from cult competence and we're adding this. we don't necessarily require it

but people are separate for the information. people are knocking on our doors what does this mean and in terms of recommendation number 7 there are a couple of different players in the manage care system itself first t is the san francisco dph they're a community member and i had some conversations with their medical director and their choosing to sign up with the other markets and we're going to start to a lot into that to see what's not covered. both san francisco and a.m. them whether you cross are in meetings.

and so we do meet on a mostly basis to improve the access and financial services they're the folks who do the eligibility and last week they got folks for the chinese health plan exchange. and to get the continuous improvement health outcomes. so we produce for all ryan white primary care on a semiannual basis to see how the catsors are coming on the national thresholds. that said this is not a new game for folks who have been doing

this for 20 years were many of which have to do with more the technical data rather than the quality of care and courtney mentioned the an hiv waiver we used the money to develop the registery system so all the data is dumped into one system a new and improved threshold. that's one more recommendation coming here. i'm sorry. i'm talking fast a lot of information. i think about this is how does this work well in terms of addressing the gaps and improve health outcomes it's about partnerships. we need to kind of come together to make this happen.

the task force is a great example of dph and consumers and the planning councils and i think what we plan to do now is actually, i was talking with one of the coaches the next council meeting we're going to get ahead of the curve to think about what's not fund but also what's under funded that you are we're going to look at the creative ways to make sure that the hiv doesn't get stripped down in terms of fund. i'll stop here if you very specific questions >> thank you very much that was a thorough presentation. colleagues, any questions? i just have a sort of a general question what do you think is the most different challenge in

this >> the fact we're laying the tracks as the train is happening at break fast speed. i'm the i i'm going to opinion national it's an oversight not to include the consumers as well as the advocates their racing so fast. it would be nice to have a 10 to 12 months process to being catch up to reflect on what happened and catch up and we're going to be this way until the dust settles >> why do we open it up to public comment. if there's any member of the public who wants to speak. seeing none, public comment is closed. and i don't know if there's

anything to add from the task force or from the department of health? yes, please come forward >> i was reflecting on recommendation number 7. i again want to highlight it's critical that the department reach out to non-department providers i appreciate the work that's going on so to make sure that the dph if they which i see i want to make sure people know they have a choice and they can choose non-dph clinics. ryan white and also the provider the dot choose can get lost and i want to make sure that that is

stated here as well >> that's a great point and in question any comments on that? i knew i wasn't going to get out of here with this much love. everyone we talk about this is a 20 thousand new lives to stay financially viable but i will say that is control for the health care exchanges. there's stringent rules on information you have to provide and boundary. i also think that clients for the most part are going to go where they go for the best service and they talk to each.

even if we gnashly are not able to keep up with kaiser they're to go where they can. i appreciate the safeguards in place. and i imagine if this concern is, you know, something where we actually see is it being played out we've hear about that but that's an important consideration. i think that i certainly appreciate all the work that's been done by the task force and to the department. at the as well. a lot of thought has gone into that i think that san francisco is ahead of the curve and the rest of the country. it's something i think we're going to have to continue to

keep an eye on and maybe adjust as the implementation progresses. and i certainly will be, you know, working and following this very closely and hope we'll stay in touch. so workplace, colleagues why don't we file this item so we have a motion inform file. thank you. again i appreciate our patience and enjoy the day >> item 3 the the ordinance to protect water quality and preventing erosion due to construction activities and so we go from the area of health care to now construction sites.

>> turn it over to the department of public works. and we have here from the storm water regulatory the f spc >> good afternoon thank you for having me. i'm from the san francisco public utilities commission. i'm here to talk about the construction site control ordinance. i want to start by saying we have the non ordinance in the package today >> he want us to adopt those. >> harm that full materials like concrete and debris can wash

into the storm system. containments can clog pipes and create local (off the record.). this ordinance will help reduce the frequency of flooding. this other damage leads to increased maintenance and costs. this ordinance will help protect our its vulnerable water system. also, we are to implement ordinances inform protect the water site. this is to amend the construction codes concluding filling and other sediments out of our site and receiving water.

if this legislation is adopted all project we're going to - in order to help contractors meet the are requirements the f pc has the best practices handbook that helps to manage construction sites. that's the manual in front of you now. the community that are impacted other private utilizes and other communities the feedback is positive. in conclusion this ordinance will help protect our infrastructure and help us to be in line with the local and state laws. if you have any questions, we'll be happy to answer them. just for purposes of clarification for the record the

amendments we have been handed to technical >> joy for formatting. >> okay wonderful. >> i want to thank the lady for the presentation. what was some prior constricts projects that were not controlled that led to did the 40 for the puc or the city or the upcoming wunz ones >> most recently there was a separate incident where one of the contractors working on the public safety building punched storm drain lines and discharged sewer into our system for the whole thing has been rectified but we had the potential to discharge this material out to the bay.

it's important we have stockpiles covered because this a debris can get into our system that pickup metals and others debris that could create flooding >> and this applies to all construction that happens in the city. >> it's important we role it out citywide. the state and a federal regulations are in all sewer areas. the consistency and apply it citywide to both our systems >> thank you great presentation and thank you for your patience in having this item heard. any public comment? seeing none, public comment is closed. so colleagues supervisor we have a set of amendments

>> so i'd like to move the amendments. >> we have a motion to move forward this forward without objection and greatly appreciate the work of the public utilities commission for this item that make sense a great deal of sense. workplace, mr. clerk, do we have any other business before the committee >> thank you. the meeting is adjourned. thank you, everyone have a wonderful

>> the most ribbon cutting and most ribbon cuttings, we keep everybody off limits and then we cut the ribbon and then stuff happens. you can't stop them. you can only hope to contain them in there so we're going to let everybody continue to play. so, it's been said that, that success has many, many, many parents and there are many parents, many people who have contributed to this outstanding, outstanding effort. we are so, so proud of this

project and so thrilled to be able to give a new face to lafayette park. this park has tremendous history, from a city attorney who claimed ownership of 12 acres in the 1860s, holiday hill, how many know about holiday hill? right? where the city attorney actually thought he owned a piece of this. to a professor who set up the first astronomical observatory on the west coast here in 1879. to the hundreds of people who call this park home after the 1906 earthquake, to controversial mind troops. to controversial park renovations. lafayette park has many stories to tell. but its views, locations and one of the city's most desirable neighborhoods in the city, it has -- this park has a way of igniting people's passions about green space. and we've got the permit appeals to prove it. yea!

>> it is this passion that made la fay it park what it is today. and i want to talk about the community and partnership involved. so, in 2008 san francisco voter displayed their passion for this park by approving an $185 million bond to improve parks, rec centers and play grounds like this one all across the city. more than $10 million of that bond were invested here in lafayette park and you're going to see even more improvements around the city as we start implementing the 2012 parks bond. yeah. (applause) >> by the way, if you're wearing a rec and park sticker today, raise your hand. yeah, woo, look at that. but government can't do it alone, we know that, right? and it's the passion of groups like the friends of lafayette park and the friends of lafayette park playground (applause) >> which has been with us every step of the way offering leadership, guidance, and support throughout the process. the friends group stepped up to

help us make this beautiful, beautiful playground a reality and other you're going to be hearing more about that in a little bit. but it's also people like jeff miller who contributed all of the architectural services for this gem pro bono. [cheering and applauding] >> but it's also the passion of our elected officials on the state and local level who you're going to hear from in a little bit including senator leno, assemblyman phil king, our mayor. (applause) >> our recreation and park commissioners megan levitt son is here. our district 2 supervisor mark farrell. [cheering and applauding] >> our district 8 supervisor and park champion, tallest park champion in the city, scott wiener. (applause) >> our district 11 supervisor and another park champion extraordinary narc, john avalos. (applause) >> our city treasurer who does

his work to make sure we've actually got the funds to pull this off, jose cisneros. (applause) ~ >> but it's the passion of all of us. and i also want to give a big shout out to the entire city family for their role, mohammed nuru and folks at department of public works had a role, lindsay hirsch. (applause) >> with all due respect to dpw and everybody else who is here, the hardest working staff in government is rec and park. gk, construction manager, mary hobson, project manager. [cheering and applauding] >> director of capital planning, don. our great operations staff, zach taylor, judy auberry who is here, and everyone else who has contributed to this incredible project. so, at rec and park, we're encoloneling people to get out

and play. that's our tag line, get ready, 1, 2, 3. >> get out and play. >> we say that because of the importance of keeping our families active and healthy. this is a real serious issue. according to the center for disease control, childhood obesity has more than doubled in our children and tripled in adolescents in the past 30 years. in 2010 more than one-third of our children were overweight or obese. it is important that we get our kids outside. our children today average over 7-1/2 hours behind a screen. listen to that. 7-1/2 hours behind a screen, less than 30 minutes a day outside. that has to change. and this playground helps get it done. and i wanted to just offer a quick quote from richard lu who is the author of a book called the nature principle which encourage uz us to reconnect with nature and create a balance between nature and the ever evolving world of technology.

~ he says imagine a world in which all children grow up with a deep understanding of the life around them, where obesity is reduced through nature play, where children experience the joy of being in nature before they learn of its loss. where they can lie on the grass on a hillside for hours, and watch clouds become the faces of the future. where every child and every adult has a human right to a connection to the natural world and shares the responsibility for caring for it. that's the community, that's the world, that's the park that all of you have created today. and i want to say that while we're here looking at this amazing playground which, by the way, has the world's -- i'm not kidding -- the world's longest monkey bars. >> woo-hoo! >> and as the father of a daughter who has broken not one, but two arms on monkey bars, i'm extremely fired up about that. (applause) >> but this park is more