>> good morning, everyone with. to the san francisco budget & finance committee for wednesday, march 19, 2014. my name is supervisor mark farrell i'll be chairing this committee and joined by supervisor avalos and thank you to clerk linda wong and billing and the other staff. madam clerk, any announcements? >> phones, devices please be advised that the chair may order the removal from the meeting room responsible for the ringing or use of a cell phone, pager, or other similar sound-producing electronic devices. >> thank you call item 1. >> a resolution to modernize

and replace 23 or 3 slartsz with 80 and 90 with a extract needing 2 hundred thousand. >> okay. thank you. >> good morning chairman and councilmembers i'm carla i'm the director at the mayor's office on disability thank you for the opportunity for talking about this resolution for the emergency contract for the building 80 and 90 elevator project it is near and dear to my heart and we're the clients with you we're the advocate for the patients and the staff at the san francisco general hospital. an emergency declaration neat to be made in december of this year we ran into the problem with the

contractor who was to do the contract it has been in the works for three or four years and to suffer other details may cause us problem. in the about preventing the denial of service and the elevator service that serves those 5 clinics have been getting worse. i have edgar our city architect and do edgar can talk about the circumstances that led up to this emergency declaration. the department of public works is our project management team overseeing the bid and construction to keep this project on track. at this point i'd like to i'm going to turn it over to edgar

lopez and thank you >> thanks. >> good morning, supervisors edith lopez from the department of public works dwp declared an emergency and after the contractor had been awarded the contract refused to comply with basic contract requirements and in other words, to meet the requirement to have this elevator repaired we be awarded the contract to the second low bidder. the second low bidder was able to how were you their original bid and that allows us to minimize the scheduled delays and meet the obligations for the access to general hospital and

take care of this project if you have any questions, i'll be happy to answer them >> thank you. >> okay. i think we're good mr. rose to our report please. thanks yes mr. chair and supervisor avalos on the bottom of page 5 the title of the resolution specifics that the proposed contract will modernize and replace elevators in building 80 and 90, however, 22 is only be replaced so the 20 other two are being modernized. that on page 6 under table 3 the $2.5 million represents an increases of 2 hundred and 80 thousand or 89.2 percent more marathon contract from the contractor who was terminated.

so we recommend supervisors on page 7 that you amended the title to a substitute the phrase quote replace elevator 26 and modernize elevators 26 and 28 for quote replace 3 elevators on page 1 line 4 and recommend you approve this resolution as amended >> thank you, mr. rose any questions. okay anybody in the public wish to comment seeing none, public comment is closed. >> motion to approve the recommendations. >> motion to approve the budget analyst report recommendation and move forward with the underlying ordinance. >> take that to approve the amendments by mr. rose without objection and the underlined item without objection as well. madam clerk, call items two and

three together >> it is amending the codes for the hiring for the permits for commercial or residential permits to the city and anticipated entry and position for the anticipated local hires and for the apprentice level positions. item 3 it is ordinance amending the code for the prevailing wages apply to the construction projects owned by the city and county of san francisco >> thank you supervisor avalos. >> thank you these items to be continued until april 27th to the morning meeting we're not ready for the public comment. >> sounds good anyone in the public worries about to comment scenes. do we have a motion to continue

items two and three 20r9 meeting for march 26 can we take those without objection? >> madam clerk, is there any other business before us. >> no madam chair. >> okay. we're

good afternoon, everyone. welcome to the san francisco board of supervisors budget and finance committee meeting for wednesday march 19, 2014. we are at 1:15 right now and we'll continue this meeting until 230 :30 to allow people to continue to an arrive. can we take this > welcome back t

budget and finance committee. my name is supervisor mark farrell. i will be charg this committee. i'm joining by supervisor avalos and breed and we'll be joined by scott wiener and i would like to thank sfgtv committee. >> madam clerk, any items. >> yes, please submit speaker cards to the clerk. the action will be submitted to the board of supervisors agenda. >>supervisor mark farrell: please call item no. 1.

>> item -- item >> this is item 140121. >> this will put more homeless members and provide additional housing for homeless. our homeless outreach is critical to reducing our homeless population. current funding levels facilitates 2-4 people on the streets. for people sleeping on the streets isn't enough. this will increase the outreach to enhance the team and provide greater levels of service. as we start to dive deeper into our homeless situation in san francisco. realize there will be

contentious issues and in in supplemental in our early discussions with both inside and outside of city hall that our staff was under funded even though they will provide a crucial result. this will take a step to solving this issue. as a bit of background on the homeless outreach team otherwise known as our hot team is the public outreach team consisting of city civil service. they perform outreach to bring persons to dpa and emergency stabilization rooms and provide management and treatment and housing opportunities. the team will be better poised to address the most critically homeless. this is the area of the city which that is highest need

and highest concentration with individuals living on our streets. many have high clinical and management experience and some are homeless and all share and compel treatment services and housing opportunities to better their lives. i see marie here, i want to thank all the members of the homeless outreach team for all of their hard work and thank you for your continued service. we are allowed to do four things. first to increase the number of things they do direct outreach on the street, they will get more individuals into services and housing opportunities. >> second, dph will be able to include more in the levels of backgrounds and third, the capacity to allow 160 new

managed clients meaning new individuals will have more to work with to better their situations and lastly a new funding and stabilization beds which will better stabilize themselves in homelessness. over all if we are going to be serious about significantly addressing our homeless population in city hall, we need target investment and programs that are proven to work and services for individuals within our streets. greater targeted investment will drive a positive impact for a homeless population and start pulling people off the streets into services and shelter wechlt all -- we all know there is no silver bullet to reducing homelessness but we continue the dedication to continue to move this forward. colleagues, i will ask you to support to the full board with full recommendation. i would like to ask barbara garcia who runs our department of public

health and involved in the supplemental barnard -- barbara i want to thank you for your hard work. >> thank you. barbara garcia department of public health. we are glad to be here and share with you the work that we have done and looking at how we can improve the services. a bit of background, we've been developing the hot team for over ten 10 years and it has a history of outreach and case management and has a large component of transportation and we've transported thousands of people throughout the city in terms of interpretations. services. we have improved that as well. throughout the history we have tried to improve as we've gone along. today i will share my presentation with maria who has been a lead to get into more details of the center you are that we are going to be

creating. just as an overview, the hot team members who are looking at case management and engagement look at those with critical homelessness and substance issues and high users of urgent and emergency care services and those that may not be able to navigate systems on their own. on the case management side, we served over 3,000 individuals with case management. one of the things that i have watched with the hot team over the years is they really do a great job of ensuring there are outcomes when it comes to work for individuals. 40 percent of them are security with financial benefits. that's one of the important parts of having the stabilization bids and 20 percent are qualified and

secured ssi entitlement. >>supervisor mark farrell: supervisor avalos? >> there is a lot of terms that we are familiar with. can you describe what stabilization bed is. and can you tell the difference from a shelter and sro bed that might be more permanent. >> the stabilization beds are temporary housing. >>supervisor john avalos: temporary because there is a limit about how long they can stay in it? >> yes. it's part of the concern we had frs exit situation with the beds that allow some to stay longer. as an example those who are having difficult times to try to connect to permanent beds. what we found out as we put up stabilization beds, the history of our outreach is we go out and engage, but no

where to take an individual. shelters are full and then we kind of lost the momentum that we were trying to work with individuals to ensure they got those benefits. knowing where the individual was was one of the most important parts we came up with. so the stabilization beds provided us the opportunity to provide housing for the individual as we look for benefits and try to connect them to permanent services. >>supervisor john avalos: so stabilization beds is one room, 1 unit. >> it's one. >> over the track period over the years it's fluctuated, but how long are we able to move someone from stabilization bed to housing? >> 60 percent are moved to housing. and the others are moved to shelter services and

that's one of the reasons they have stayed so long at our stabilization beds. it's one of the 10 years experience that we found we lift the schedule of our staff to ensure we are able to provide the kind of services the individual needs. but 50 percent into trying to get permanent housing is a statistic. before we never had that stick because we didn't have the connection to permanent housing and the fact that the funds manage a type of housing, we are able to provide the housing because of that connection. many of these people are very sick and they do qualify for adult housing. >> thank you for your response. how many stabilization beds are there? >> over 300. >> thank you. >> and again, a big component

to our work is to ensure the affordable care act that there are treatment care providers and through our treatment and health providers. as you see, many of them as we spoke to supervisor avalos many are engaged in housing as part of stabilization and many are secured into permanent housing. one of the things we recognized was to increase capacity for medicine and address significant medical conditions and prioritize these individuals. we also needed to look how to coordinate some services on the street to ensure they have homes and pro medical services to our team and also just capacity itself to reach more individuals in our process.

if there are no other questions for myself, i'm going to bring up maria martinez who will go through a very detailed process of how this team works. >> hello, i'm maria martinez and the director of the program and i will talk about what we do. the homeless outreach was created as a housing first program. everyone who gets into home management get a street to home plan. usually that entails being in a stabilization room. which how that is different from sro room is that there is no fee. they are able to stay there while we are stabilizing them and also giving them benefits for permanent housing. we have two lines of service. one is

our first response and targeted outreach. we have a number of staff who are in vans and go around the city looking for people we call man down, people who are in need. we also respond to phone calls from ed, from the police, 311 saying there is somebody on my stoop or look if they are in harms way or we need to have this person transported between san francisco general hospital or the engagement center. the investigate teams do both of those things. one of the things that barbara mentioned that we wanted to increase is our ability to have currency on the street and that is to be able to provide health care services on the street and having someone licensed as appropriate on the street. do we need to prioritize someone

into supporting housing and having the skills to assess them. and right now if there is anyway the compromise sand we would like to bridge those more efficiently and effectively for folks living on the streets. so we have the transparent where carving out where we do our transparent where we have many more people in vans being able to go to hot spots targeted areas and respond to need from various people throughout the city. that's our first responders. the second piece barbara mentioned was about our case management. the whole focus is to remove barriers from individuals who are very sick, been homeless for a long time. the barriers to getting and keeping permit housing. that takes a lot of work. it takes a lot of work to get someone comfortable to being inside and takes a lot of work to be

stabilized in hotels with neighbors and also requires them getting financial benefits. many of our priorities is to get them on ssi if possible if they qualify. we have a very high rate of ssi, some on food stamps and some are felons and they are disorganized to do that on their own. the case managers, the whole thing, the street to home plan addresses each one of those things. everyone has a unique street to home plan. what is happening that is new for you now is there is a lot of people in the affordable care act that need to be coordinated. these folks often travel to saint mary's and

saint frances and getting sporadic care in a fashion and not able to connect well to a home. the team will act as a health home on the street and will begin to take a lot more responsibility for coordinating care and making sure that folks stay within our managed care system. that requires a level of expertise to be able to be a care coordinator. so we are as part of the enhancement looking to increase the skill level of some of our care managers and to bring in more health services. we are recommending , this is a lot to take in here. but the yellow ones are the additional positions. it's 27 additional positions for moving from 3 teams to 5 teams. and you will see the blue area where we are

enhancing the skill requirement and the skill level needed in the care team. at the bottom you can see where we are bringing in a program coordinator, a temporary housing coordinator. we are going to have almost 600 stabilization units, a tremendous amount of units to take care of. two rpe's a person that helps individuals manage their funds. if they get ssi check or income, we'll help them to be able to bank and that and be able to move onto permanent housing and we are bringing in a public health nurse. we have 640 clients. we have a lot of sick people we are trying to keep stable in the room, not got to the ed and not go into other urgent care services and we need more health capacity. we'll also be expanding the

number of people we have on the street doing targeted outreach. these folks are going to have to find people to follow up with. we use the emergency use which is about $20 million a year on those folks. they get lots to follow up. we are going to use the outreach folks to go find the folks and bring them back and reconnect into system. also the nurse practitioner is one we are utilizing to do the street medicine. all that boils down to moving from 480 cases being managed to 800 to a total cost of $3 million. >> annually? >> annually. >> so the $1.3 million before

us today, i'm sorry chair farrell, is just for today. >> it's pro rated. >> we prorated through the end of this fiscal year when the department could actually use the funds themselves and dph is in the middle of doing a quick new rfp for some of the homeless outreach. for those individuals that want to make sure the money was being spent, being spent this fiscal year, we can talk about the process. >> happy to answer any questions you might have. farrell >>supervisor mark farrell: maria, we basically have three teams that we allocate as you administer the program. what this supplemental will do is