line from unlock or other agencies, that's great. they are feeding them and they will continue to come back for a meal until they are not there any longer. that's okay for a program. we don't know how much this city pays, how much of the $500 million is spent on mental health and what metrics have changed and how many people treated after treatment are better or someway affected in a positive fashion by this treatment? bill gates said, measurement is a big part of mobilizing for impact. you set a goal and use that to make sure you are

making progress towards it. it's just as important in the fight against poverty and disease and other government programs. i will provide the copy of the article to use. we thank you for your attention. we this i if we are going to spend all this money, somebody ought to look into whether it's having any effect. >> thank you. thanks for the article. i have a question for you. finding no. 3 you found that the department of public health has not been able to take advantage of the "avatar" electronic information management system. it's curious to know if this is a similar, first can you describe to us what is the "avatar" system? >> it's a system used in the department of public health to view in all of their activities and able to manage their total resources as it affects specific aspects of their

activities. jerry drad ler is here with me and he was able to look at the department of public health. i would let him address that specifically to give you that answer. >> bvr -- before you go, is this the same "avatar" system you found in dbi? >> no. >> yes, please, bring jerry. john anderson. >> "avatar" for our purpose was a system collecting medical and some cost data. it's a current state of the art system for managing these very complicated matters. what interest us in particular is a system will generate metrics to evaluate the efficiency and the good performance of all of appointments of medical

treatment being provided by the city. that's very important because looking at the non-profit entities, these are mainly concerned with memo health issues, substance health abuse. it seemed to us based on our discussions that you can track the various performance techniques. that's why we wanted to ensure that "avatar" got in the service. >> the "avatar" system is it in existence? >> it's in existence and has been used at some level and the report we got that it's very difficult and contractors are having problems of the system of the data entry problems. in that sense it's like any system starting up, but there was certainly complaint and concern that the contractors didn't

have enough help in working the system and that impaired the over all "avatar" system. >> if i'm a service provider and i have access to the "avatar" system, does that mean i'm in my office and i upload information. how exactly, do i need to go down to the public office? how does that work? >> it's a marvelous system. many aspects of treatment can go into that. there are criteria for reimbursement and compensation of the contractor which is necessary to have a good way for entering your data, and that was the main problem the contractors had because they weren't able to get their bills paid and other techniques had to develop to

get the money flowing. the system isn't fully implemented is from my understanding. but what you can do is pretty impressive to be able to track mental health treatment and being able to select bond methodology is going to help. >> thank you very much. we have another speaker. >> hi, my name is dr. kelly hong, i'm the manager for cbhs, it's the mental health and substance abuse component. "avatar" is the electronic medical record for cbhs. it tracks, it's where we track the information for medi-cal standards. it will be in compliance for all the use

measures which are federal measures coming in the next few years. it has already started for san francisco general. so for the purposes of the committee is that there are other electronic health records that are being utilized in san francisco general at amongst primary care. "avatar" is specific to mental health and substance abuse services. within that, there are measures that we are required to provide to the state as well as to the feds regarding outcomes. so they are correct in saying that it's robust in what it has available to it. at the time of the review it was implemented, we are fully implemented at this point. what i mean is that everyone is using it.

>> how long have you had the system? >> we started in july of 2010. >> 3 years? to get fully implemented? it's a long time. >> yes. >> why did it take so long? >> it's been implemented. the first year of implementation, we were given access to the people who need it. basically your question, how does it work, where do you get the information? this is a web based service, it's available online and you have to be online and available for practitioners to have access to the information. we have customized so the product allows for a vast amount of

customization. we were meeting with our stake holders and non-profits and city representative as to what do we want to collect on our forms, what is necessary, what is valuable. >> was that tool used during the homeless count? the homeless use ccms which is different. no. >> no problem. >> supervisor tang? i had a separate question in response to the civil grand jury. it's in response to your closing remarks. i want to acknowledge that it's very important to be measuring performance and outcomes especially when the city is providing funding to our non-profit agencies. we commend that and appreciate the controllers office to open the

information and make it available to access it. most people didn't know they can go to access the information and perhaps didn't read it cover to cover. i want to commend them for making it very easy as mentioned there can't be the

one for all. i thought that was very important. with that, those are all the comments i have. >> can i make one more comment? >> of course. >> your question was absolutely perfect. our grand jury work was completed in june. the work done by the department of public health on the "avatar" system is admirable. when we started our work and during the majority of our work during the year that we served, the "avatar" system was not up and operating. as a result of the work of our members of the subcommittee with the department of public health they added additional assets and additional personnel and have in fact implemented and have been up and operating our system. the effect of the grand jury is not always making findings and recommendation but sometimes as the interaction they have from the public in

our community and focus is on areas where improvements can be made. the grand jury jury has the opportunity to take citizens to whom have qualifications to what they are doing and provide information and perhaps have not seen and some specific improvements to be made. >> thank you very much. >> let's take some public comment on this item. if there is any member of the public who would like to speak on item 4 and 5, please come forward. you have 2 minutes. >> there is a city that shows all that glitters as gold and she's measuring the outcome to heaven. when she gets there she knows that the programs doors

are all closed and she's measuring the outcome to to heaven. it makes you wonder. we need a program that does not fold. we are going to make it all the way i'm told. and she's making it all the way. heaven. it's coming. measuring is coming. there is a report coming. a report coming out. i want the city to see we are going to make it free. and thanks to mayor lee, it's coming. measuring is coming. the outcomes coming. the new outcome coming out. i have to live. i just want to shout.

measuring outcome is coming. it's coming out. >> thank you very much. next speaker, please. >> thank you supervisors. so, this is very important. civil grand jury report, but i feel the fact that it's opened up a bunch of other buckets specifically with the department of public health, maybe another interesting civil grand jury report to do. i actually am a grants and financial analyst for medical research and a former employee of northern california institute for research at the

bay and nc sf and better health affiliate. it would be interesting to see how much of that non-profit funding was looked at. the "avatar" program -- are you listening? it's very distracting. it tracks patience and allows them to pull information if you are in their system. the report that the grand jury is speaking of measures outcome but it's not information on the true stake holders who are the patients who are denied their medical

records whoever feel, getting a copy of your own medical record is a problem. the true stake holders are again being ignored. and also garbage in, garbage out. >> okay. thank you. >> are there any other members of the public that would like to comment on these two items? seeing none, public comment is closed now. thank you. supervisor tang? >> all right. i would like to make a motion on our residue -- resolution for grand jury report. for finding no. 2 that cbo for grants have great value in helping under served group

but there is no monitoring. i want to say that we disagree in part. >> i agree with that. >> for finding no. 3, which is that -- if you disagree all or in part you need to give an explanation. >> because individual departments monitor the effect iveness based on the needs of the contract and services. >> for finding no. 3 that d partly ph has not monitored the system, i would like to say that we agree. for recommendation 2.1, the mayor and board of supervisors

should take a step in strategy for long-term effective services by dbo's and use the results for programs. i would like to say already implemented. >> i will need a summary of how it's implemented. >> so there is a citywide joint fiscal and compliance protocol in place already whenever they produce active policies and formal processes forren insuring the city utilizes the most effective providers. >> thank you. >> okay. 2.2 recommendation. the mayor and the board should consider taking percentage of

the total monies devoted to the provisions for monies by cbo, we would like to say will not be implemented because the professional staff continue to monitor the community based organizations already. >> and recommendation 3. department should provide additional resources to bring the "avatar" system to a level that justifies the full performance. we would like to say already implemented. dph, within last year, dph has hired an additional is manager and additional business analyst and senior business analyst. >> okay, thank you. >> one more thing, additionally dph is in the process of hiring an is program analyst.

>> i have a question. supervisor tang for the board's response to be already implemented. is there someway we can come back in six 6 months to ensure that it's moving forward. i'm concerned that it took 3 years to become up and operational and as a result of the civil grand jury inquiry. >> could it require further analysis in six months.6 months. >> was that for recommendation 3? >> yes. okay. so i would like to make a motion to make all of those changes to the resolution. >> okay. i would like to second

that motion. >> and make a motion to, i guess we would have to continue the hearing based on that 6-month analysis and send the resolution to the full board with recommendations. >> fantastic. it's been seconded and this motion passes. okay. do we need madam clerk, are there any other items that we need to address? >> just to clarify we are going to continue to the college chair for the hearing? >> that's correct. >> there is no further business, madam chair. >> thank you, this meeting is adjourned, everyone. have a nice day. >> >> >>

>> hi. welcome to san francisco. stay safe and exploring how you can stay in your home safely after an earthquake. let's look at common earthquake myths. >> we are here at the urban center on mission street in san francisco. we have 3 guest today. we have david

constructional engineer and bill harvey. i want to talk about urban myths. what do you think about earthquakes, can you tell if they are coming in advance? >> he's sleeping during those earthquakes? >> have you noticed him take any special? >> no. he sleeps right through them. there is no truth that i'm aware of with harvey that dogs are aware of an impending earthquake. >> you hear the myth all the time. suppose the dog helps you get up, is it going to help you do something >> i hear they are aware of small vibrations. but yes, i read extensively that dogs cannot realize earthquakes. >> today is a spectacular day in san francisco and sometimes people would say this is

earthquake weather. is this earthquake weather? >> no. not that i have heard of. no such thing. >> there is no such thing. >> we are talking about the weather in a daily or weekly cycle. there is no relationship. i have heard it's hot or cold weather or rain. i'm not sure which is the myth. >> how about time of day? >> yes. it happens when it's least convenient. when it happens people say we were lucky and when they don't. it's terrible timing. it's never a good time for an earthquake. >> but we are going to have one. >> how about the ground swallowing people into the ground? >> like the earth that

collapsed? it's not like the tv shows. >> the earth does move and it bumps up and you get a ground fracture but it's not something that opens up and sucks you up into haddes. >> it's not going anywhere. we are going to have a lot of damage, but this myth that california is going to the ocean is not real. >> southern california is moving north. it's coming up from the south to the north. >> you would have to invest the million year cycle, not weeks or years. maybe millions of

years from now, part of los angeles will be in the bay area. >> for better or worse. >> yes. >> this is a tough question. >> those other ones weren't tough. >> this is a really easy challenge. are the smaller ones less stress? >> yes. the amount released in small earthquakes is that they are so small in you need many of those. >> i think would you probably have to have maybe hundreds of magnitude earthquakes of 4.7. >> so small earthquakes are not making our lives better in the future? >> not anyway that you can count on. >> i have heard that buildings

in san francisco are on rollers and isolated? >> it's not true. it's a conventional foundation like almost all the circumstances buildings in san francisco. >> the trans-america was built way before. it's a pretty conventional foundation design. >> i have heard about this thing called the triangle of life and up you are supposed to go to the edge of your bed to save yourself. is there anything of value to that ? >> yes, if you are in your room. you should drop, cover and hold onto something. if you are in school, same thing, kitchen same thing. if you happen to be in your bed, and you rollover your bed, it's not a bad place to be. >> the reality is when we have

a major earthquake the ground shaking so pronounced that you are not going to be able to get up and go anywhere. you are pretty much staying where you are when that earthquake hits. you are not going to be able to stand up and run with gravity. >> you want to get under the door frame but you are not moving to great distances. >> where can i buy a richter scale? >> mr. richter is selling it. we are going to put a plug in for cold hardware. they are not available. it's a rather complex. >> in fact we don't even use the richter scale anymore. we use a moment magnitude. the richter scale was early technology. >> probably a myth that i hear most often is my building is just fine in the loma prieta

earthquake so everything is fine. is that true ? >> loma prieta was different. the ground acceleration here was quite moderate and the duration was moderate. so anyone that believes they survived a big earthquake and their building has been tested is sadly mistaken. >> we are planning for the bigger earthquake closer to san francisco and a fault totally independent. >> much stronger than the loma prieta earthquake. >> so people who were here in '89 they should say 3 times as strong and twice as long and that will give them more of an

occasion of the earthquake we would have. 10 percent isn't really the threshold of damage. when you triple it you cross that line. it's much more damage in earthquake. >> i want to thank you, harvey, >> i want to thank you, harvey, thanks pat for >> i want to thank you, harvey, thanks pat for tick. tick. tick. tick. tick. tick. tick. tick. heat waves. massive heat waves. tick. severe droughts. tick. tick. tick. tick. tick. tick. devastating... devastating hurricanes. tick. tick. tick. tick. tick! tick! tick! tick! tick! tick! our future... tick! tick! is up... to you. tick. go to fightglobalwarming.com while there's still time.

announcer: b dreams and good grades aren't enough to get into college. there are actual steps you need to take. finding someone who can help is the first and most important. for the next steps, go to knowhow2go.org. >> good morning and welcome to the thursday october 17th regular meeting of the neighborhood and services and safety committee, and my name is david camp os, we are joined by mar, and yee is not able to