know the even just more online diagnosis so people don't have to come in directly but within the master plan was there a look at with technology change how that's impacting our healthcare service delivery system? >> sure. the health systems assessment and embedded in that assessment you will find a section on technology and there's a couple of different ways this is going to impact going forward. under affordable care act providers need to be using electronic records so providers can easily share information across jurisdictions a as appropriate so that's one change that's certainly going to be happening and in addition to that so for

example remote appointments with providers if you are not able to get there whether it's web based or phone based or something like that and to be honest i don't know about plans for current plans for expansion but that's something we address in the plan and seen as a promising opportunity really to increase access to vulnerable populations to make sure they get the care they need. >> great. colleagues any other questions? i think that there's so much information here i think it's just really impress ive and incredible and i want to thank you for all the work you have done and for the outreach and the reason why we had a 41 member task force is because we wanted to have every possible group and segment of the population represented in

some way and i think you know we managed to do that but that also made it a lot more difficult to move this forward so -- >> thank you for the exciting opportunity. >> on the question of the incentives i don't know if the board has an appetite for pursuing something like fee deferral -- >> great thank you very much and just a final question in terms of you know the two agencies that have a key role here the department of public health and planning commission -- have there been presentations to those commissions and i'm sure they are aware of the key findings and recommendations that were

made. why don't we open it up to public comment. seeing none public comment is closed. >> colleagues do you have any other comments or thoughts? supervisor mar. >> thank you for making the $200,000 page document and 3 year process digestible and even the changes that you are making -- it just really is helpful and i'm really impressed i know it takes a lot of time to do that too but i really appreciate that thank you so much. >> what i've heard from everyone including people who are not necessarily so thrilled about this legislation is that a lot has been learned about san francisco and the healthcare needs of the city of the individual groups and individual neighborhoods and i certainly would encourage my colleagues to go through the report because you can learn a

lot about how your individual neighborhoods are served and populations are served and when you look at the national picture, there is no jurisdiction in this country that has this level of analysis that we have so this really provides a road map in a way that no one else has so i'm very proud of that and again wouldn't have happened without the incredible work of the planning department and department of public health so colleagues can we have a motion to file this hearing? hold on sorrow y, it's actually a resolution adopting the master plan and running and so can we have a motion to approve the

resolution so motioned by supervisor yee if we can take that without objection thank you very much. >> mr. clerk if you can please call the third item. >> the resolution of the city and county of the city of san francisco's plan for 20 three. >> great and here we have a presentation from bill widimyer from hsa. >> good morning supervisors. the item before you is a resolution approving san francisco's fiscal year 2012 and 2013 refugee services plan this plan is submitted to the board annually as a requirement

for funding. the allocation totalled 186 thousand and 235 dollars the services provided under the plan are targeted to single adults or married couples without children who are not eligible for other programs. the refugees social services funds will be used for refugee cash assistance and achieving economic self sufficiency. and offered for 12 months maximum. the funds would support services that would aid refugees and maintaining employment developing work related skills and earning a wage with benefits where possible the employment services funds will be used to provide skills training and english language

training and job readiness embedded in the language training. second, the older refugee discretionary grant these funds will provide supportive social services for up to 44 disadvantaged seniors aged sixty and above to access existing mainstream resources and or obtain citizen ship services to increase their level of self sufficiency and independence and integration into the community and third targeted assistance discretionary grant funds to subsidized employment for 4 refugees for 4 to 6 months learning basic job skills following instructions critical thinking adapt ability and judgment and decision-making

and will be performed at a san francisco non profit agency that provides clients with basic job skills for 15 hours a week these services are for refugee participants who have difficulty in obtaining employment due to at least one of the following criteria experiences social or psychological conditions suffering medical conditions that impede the ability to find employment. i'm available to answer questions and the refugee coordinator is here as well. >> colleagues do we have any questions? >> supervisor yee. >> just a quick question. what's the refugee population

look like now these days? >> the refugees in san francisco are about 15 families and they are settled through a catholic charities agency and the reason it increased in the past 2 years is because of housing and the office of resettlement determines how many are coming to san francisco but eighty percent of the population we serve is a asylums. >> i'm sorry where again? >> they are coming from 26 different nationalities but we're serving the main ones in san francisco are from five different countries. >> which are what? >> we have some russian,

mongolians and china, and ethiopians and some. >> i've been out of this picture for a while it seems like the numbers have really shrunk from -- >> yes used to be managed by the private industry counsel and in $200,0006 we took over because they dissolved and the reason it was transferred to us is because of the limited funding and we were not considered one of the counties that were settling most of the refugees so we're one of the 10 impacted counties and not receiving as much money as in the past so decreases from 2 million dollars to 156 per

year. >> okay thank you. >> thank you very much. is there any member of the public who wishes to speak? seeing none we'll close public comment. >> without objection the resolution is approved. thank you very much to the entire staff for the work they do thank you very much. >> mr. clerk do we have any other business before this committee. >> we have no other items. >> thank you very much the meeting is adjourned. thank you very much and enjoy your day.

. >> we are running a womens' volleyball program here at richmond rec center. it's progressing really nice. the ladies here really enjoy the exercise and the play and it's a lot of fun want this program is not for the faint at heart. it's really intense. the ladies come out. they are really going after it. they just love to play and compete. anyone can sign up. we're looking for more players. the women come from all over the city. we enjoy the program and we are getting people out to have fun in this beautiful city. >> rec and parks womens' volleyball program is available at richmond rec center. please

visit u >> i tried to think about this room as the dream room, where we dream and bring some of those dreams to life. i feel very blessed that i have been able to spend the last 31 years of my life doing it my way, thinking about things better interesting to me, and then pursuing them. there are a lot of different artists that come here to work, mostly doing aerial work. kindred spirits, so to speak. there is a circus company that i have been fortunate enough to work with the last couple of years. i use elements of dance and choreography and combine that with theater techniques. a lot of the work is content- based, has a strong narrative.

the dancers have more of a theatrical feel. i think we are best known for our specific work. in the last 15 years, spending a lot of time focusing on issues that affect us and are related to the african-american experience, here in the united states. i had heard of marcus shelby and had been in join his work but never had the opportunity to meet him. we were brought together by the equal justice society specifically for this project. we were charged with beginning work. marquez and i spent a lot of time addressing our own position on the death penalty, our experiences with people who

had been incarcerated, family members, friends of friends. pulling our information. beyond that, we did our own research. to create a picture that resonated with humanity. it is the shape of a house. in this context, it is also small and acts like a cell. i thought that was an interesting play on how these people make these adjustments, half to create home. what is home for these people? the home is their cell. people talk a lot about noise -- very noisy in prisons. that is interesting to me. looking at the communication level, the rise of frustration

of being caged, wondering, where does redemption fit into the equation here? [singing] i think both of us really believe the death penalty is wrong, and is flawed for many reasons. the list is as long as my arm -- about several others. we feel this is important for both of us, personally, to participate in the debate of this issue in a way that we can

help people frame it for a conversation.