commissioner mondejar. commissioner antonini. second item on the agenda it is the approval of the minutes >> can you hear a motion to approve the minutes. >> it's been moved and seconded all in favor. the item 3 the director's report >> good afternoon, commissioners i wanted to note some sad news we lost ron smith he passed away last night we got on e-mail this afternoon and i'm sure you're aware of ron has been really helped us lead our

respite center helped us through the process i wanted to honor him then on saturday a march 22 there will be a convention of lgbt suicide risk and prevention at the student center from 8:00 a.m. to 3:00 p.m. and the researchers and practitioners will present research and best practices to guide program and suicide prevention for care for lgbt youth. we did on incredible job with working with community advocates in looking at how to approve our healthy stores and the press

event focused on the young adult surveys and 6 zip codes tenderloin and the marine a it has the prescription at protect incomes and the agencies and coalitions youth advocates and policymakers and staff and city agencies have been working to promote community health and addressing tobacco and drink industries while working with small industries in strengthening the communities. and this month san francisco health commission celebrated the 25th slshgs o celebrations it on the lgbt program and the community supporters who have demonstrated an advocate success

are. they've helped with the lgbt especially seeking health care health care and safety community and in 1st 94 they led a grassroots efforts for the transgender folks to get health care. i want to congratulate tom with the work in our community. a sad note after 33 years with the health care elizabeth johnson is retiring and during her 10 years she dedicated herself and as you know holly hammer will be taking her place we look forward to haley's directorship. i'll leave it there for commissioners questions >> commissioners any questions. >> through the chair did you mention it was in the report the

fact it d h had a perfect score in mitigation. >> i mentioned it her but there was a are you surveyor from the california public health department that came here to tube the mitigation program and on the exit he reported no deficiency in the error reduction plan. this was the first medication error plan that we know of were there were no finding congratulations to san francisco general >> i think that's a significant note rewarding regarding how the fact of medication has paragraphed who've be spent time looking at units it was define at the ramming random and

established by the program we wanted to acknowledge that and i'm glad the director brought this up. >> item 4 is public comment i've not received any requests. >> any public comment. >> the text is a report back from the committee. >> we had two reports today in the community of public health community the first was a gentleman with the transgender program of public health it's excited there's a new program that kicks off on april 9th and it actually will be the first, if you will, education and preparation program. there are resources for that and the program will basically focus

on 4 major items education and preparation for surgery and what to equip for recovery and what will you do to have a successful outcome and assessment. that's very important, and, secondly, regarding the transgender surgery there is new criteria in line with the san francisco health plan and san francisco leads the country. the second report came from the vision zero task force and the public health department has been playing an important role around pedestrian safety and reducing the number of people who were killed and injured. just a couple of notes that are important one hundred people that are severely injured are killed every year in san francisco and 64 percent of

motorists are at of all the evidence. $15 million annually is spent at san francisco general for treatment. and the pedestrian safety task force formerly the pedestrian safety task force is the zero task force the goal by 20024 no more traffic dedicates in san francisco. there is a collaborative effort so other departments working with the department of public health and they will have the task force perpetrate to the full commission my invite other agencies in the collaborative efforts >> commissioners any other questions. >> yes. i'm particularly pleased are the transgender reports. i wanted to ask in terms of the pedestrian safety in violation zero i know that ann rightly we

have great emphasis on is traffic the other third relate to what i've been noticing although as i read there needs no be a great deal of education of the public who were or are walking often they don't cross at the crosswalks and their darting out it's not good for their safety i'm sure you're aware of your driving and you suddenly see something in your way. at night it's difficult to see people many of our crosswalks and street crossing are dark and people wear dark clothes. bicyclist now have learned to sort of highlight themselves for the people that are involved you

see a lot more floor rent clothes but i've noticed that, you know, even personally this becomes a problem we're seeing people in dark clothes driving. worse is the people that are inauspicious tentative on their mobile phones the ipod i've seen more people holding their phones it's almost like driving and the issue i shouldn't be walking people ignore you. so i think this have should be a greater sthifls not simply on motorists but i don't know if that came out to actually give the feedback i think it's important that pedestrians don't seem to realize the despair and

they needed to be alert to feel >> that was part of the decision it's a comprehensive program that will take place and director garcia. >> i was in attendance of the zero meeting and at that they're to have a comprehensive caption there will be media and other ways to educate people in riding bikes and so forth. >> we've had in the department a pedestrian safety initiative for awhile. >> 10 years. >> i'm wondering are we going to get further feedback and a presentation to get further results. >> absolutely and you can ask as many questions as you like with when the other agencies

come with our staff to discuss the citywide initiative they'll be happy to have your questions and we'll have that as quickly as possible. >> i am very worried about pedestrians and don't think they really know. >> yes. commissioners and through the chair i think that's an excellent prevention i know 311 has been a great access point for city response but the things that flare-up in different parts of the city i know a lot of sense the mission in particular they walk very early and you have young families and the dog-walkerers and there's no way you're going

to get across the light and everybody has to sort of run in order to safely cross. i mean so there are certainly target areas that flare-up because of construction or what have you that can be posted people saying can you please obvious this for a that while because of the go prevention mode. the report was clept excellent and we're going to refocus and do the educational training >> thank you. any public comment? >> i've not received any questions. >> item 6 is the consent calendar and we have no items on that so item 7. >> item 7. >> the officer election. >> the election of officer is open and i'd like to start with the president. do i hear a motion or a

nomination >> madam chair at this point i'd be honored to nominate for consideration of president dr. awarding cho knowing we have two colleagues not here july 4th e judicating and edward they've been in full sport of our names i want to set that for the record so we have a declaration of uniformity i nominates edward cho. >> i'd like to second the nomination. >> all right. >> i move the nomination be closed madam chair hallway are there any other nominations due to close therefore let's move all in favor, say i. >> i. >> against?

okay. the i's have it the next nomination is for vice president >> madam president i'd like to nominate you for vice president of the commission. >> did i hear a second and so second. >> are there any other nominations? okay hearing no one all in favor, say i. i >> against. >> all right. let's moved and just for expedientcy. >> thank you. >> congratulations new officers. >> thank you. i'll thank you for the opportunity to make a brief statement first of all, i think all our commissioners commissioner melara thank you but in my two years of learning

i'll be able to carry on our mission to support the commission of the department in the work we have to do. we're very fortunate to have your staff and its only apartment but we're going to ask him we ask each of our commissioners to tell us what they want to serve on we've built a strong team in our committee structures the structures have matured where we hear indebted and have at the commission level the highest i levels of information we've received i'd like to have it continued and obviously our two large hospitals have joint committees we have our external

committee so i'm going to ask mark to survey everyone to accommodate everyone. i'm hoping most commissioners will want to list their current assignments i believe they've gained in the information that we've been able to work with over the past two years and hoping especially our committee chairs a they'll continue to give us that expertise. so we are going to ask as traditionally for 3 areas that you're interested in and try not to over tax no one and try to make the assignments by the next meeting. lastly i'd certainly like to challenge our department that has given us such important information and the changes have made clearer the lines of

authority and the responsibility and help highlight the importance of both the i am congratulated system for our challenge in the chance of the entire country. we've made moves concerning that but this will be one of our most important challenges. the other parts that clearly speak to the importance of the public health to closings one of my favorite routines u restaurants to the issues of public health accreditation. i know that the commissioner wants to thank and i thank director garcia. i see that we have accountable

with 5 a's. that's where for this coming year we're going to conceive on items one is saenlt we know that ac a has increased that but at the same time has created a vision of affordability the second a we're dealing with that with a guideline that allows people in healthy san francisco to stay there in 2014 while we're able to see if we can make california affordable to that group of people. we'll be following through to see how we're going to make health care affordable for all our residents you using both healthy san francisco and cover california and encouraging people who are eligible to sign up for medi-cal so.

availability says we have to have geographically points of service with our clinic and consortium partners but they have to be valuable to the public and that is one of our challenges to make it available so it's not 6 weeks down the line to wait for a particular test. everyone is working on this we're not going to get to a end point but remain a goal. our services and programs have to be appropriate thus speaks to the issue of cultural competent. we've said it before for years. we need to continue to integrate cultural competency into all our

programs it's got to be part of everybody we've got a diversity that's greater than all it's not only racial and ethnic but a definition of income we have to fit all those people. and lastly we've got to be responsive to the public it's got to be acceptable to them. we have our challenges through the patient surveys we're required to undertake for both regulatory and accreditation purposes. i know with sf general has been working with the program to improve our acceptability the entire system will be doing similarly and i look forward to having that happen in our deliver system. so those are the challenges we

will be facing immediately. they're not things that happen in the coming several years were a lot of the whole host which things the commission has talked about from i t to pedestrian safety. and infect tuesday disease and asthma our african-american initiatives the need to face the tuberculous programs that we have here and make them more effective. as the major city with the greatest number of tuberculous cases. so i thank my colleagues for the conversation they've placed in both myself and commissioner melara again and we'll be at our service speaker we're also amongst equal partners here on the commission and i really look

forward to working with all of you there coming year >> thank you. we'll now go on to the next item. >> it's the long-term integration strategic plan. >> okay good afternoon and congratulations commissioner commissioner chow to our new office on the commission and good afternoon to commissioners and director garcia. i'm ann the director of the aging and adult services services.

i have my colleague here to share in the presentation i'm going to tube the who and why and i less than is going to get into the specification of the strategic plan that i believe all of you received both the copy itself and then i think i have a copy of appreciation we're doing today as well. the who. this work started under the long care council a 40 member body that's appointed by the mayor. both the public health department and the department of aging services has seats on that body. in addition to that there are 4 other city departments that sit on it the hospital and the community nonprofits and u.s. part of it and consumers and advocates on that body as well.

i be given the commission that i sit on you're all aware as any of us are that one of the things that older adults and younger adults with disables have in common is this real desire to live in communities and the institutional care but to live in the least recycle active environment san francisco has had a public policy when you look at the community living fund or the integration plan or programs westbound the health department you'll see there are at about all out effort in your community that's different from most communities across the country to implement that which people want to help people who are in institutions to live in the community successfully and

help people stay in their homes if at all possible. we also know and again, you as well our department and people across the community know that there's been this net to link health and social support sponsor those two things have to come together we're successful sometimes but not in the arena of long-term care. in the past 20 years there i was thinking under the 3 different mayors to link those together better and now we have this opportunity under the the affordable care act the department and adult staff and the long term council'l