swept over 146,000 miles of streets. our premiere program in educating residents and going out and building partnership with many of our city agencies, but also with the communities and the businesses is a program that we call the giant sweep. the giant sweep was launched last year. it is in its second year now. but last year we were able to log over 50,000 hours of volunteers who came out to help clean our streets, remove graffiti, plant shrubs, clean our medians. we were able to work with many of the schools in san francisco by doing outreach to them, but also offering opportunities for them to enter into creative

ideas of either poster competitions or videos in terms of how we can reach out to many of our young people. we are also -- have done quite an extensive campaign through social media through using many of our bus ads and many communities to make people aware. in addition, just going out to many of the community groups and educating people about the importance of how we can keep our city clean and green and through that process was actually generated more projects for us. and we have an aggressive plan again for the second year of the campaign and we are well off into this year in terms of comparing to how we have done last year. core values, in our department

is really what keeps us going is the pride to deliver many of the city's [speaker not understood] projects and many of the city's programs. we are actively involved in delivering the road, repaving street bond that was passed in 2011. our agency is involved in the earthquake safety and emergency response bond that was passed in 2010. we are in the final stages of completing the 24th library of the library improvement program bond, over 24, and the last one will be ribbon cutting this saturday. so, that will complete that. and then the clean and safe neighborhood park bonds, we have a very strong partnership with the department of recreation and parks where we are able to provide design construction management for

many of the projects that were in that bond. in terms of capital projects that we're involved in now, they are well underway and all of them are doing pretty much good. general hospital, veterans memorial building, the cruise ship terminal phase 2 which is the landscape piece of it, the moscone expansion center, which is a project that is beginning its schematic and just starting to move into a design phase. new public safety building which will hopefully be completed at the end of this year to house our new police [speaker not understood] and fire station and police station along with some community groups. and all the work that we are doing to improve market street are some of the capital projects. in terms of future projects [speaker not understood] this will be going before the voters in june. and quite a number of projects that are lined up there. and, of course, in november the

transportation bond that will be put before the voters and hopefully we'll be able to be successful with that bond and bring more work to the department. major overview of our budget itself for 14-15, the graph pretty much shows it. the budget is for about 230 million and 75% of the funding for the work that we do is for work orders, bonds, and grants along with special funds. to your right the -- how we use it, you can see a good chunk of it goes to our building design and infrastructure construction teams. they have over 40% of how those funds are spent. and then on the operation side,

the large chunk goes to the street and environmental services which is the street cleaning, graffiti clean up along with some of the enforcement that goes along with it. and you can see the smaller pieces, some of the funds go to building repair, some to street repair -- to street repair, and some to street mapping. in terms of meeting the mayor's cut target, we were given instructionseses several months ago and our department did meet the 1% target cut for 14-15 and for 15-16. the target for year one was met through increased street use public revenues and the target for year two was met through increased revenues and recoveries as well as reduction

in professional services. in this budget, some of the proposed changes. the budget has grown a little bit in 2014 to 2015. the major one is a 15.8 million dollar growth due to work order from other departments from capital and the newer programs. state gas -- state gas revenue type budget actually reduced due to the decline in fuel consumption. and 1.4 million in general fund growth from mainly permit fees and revenues. as you can see in the chart, you can see our 2013-14, 14-15

and proposed 14-15 to 14-16, not really that much change with the exception of the services that we perform for other city departments. other major changes in our budget, we obviously as we are planning to meet many of the [speaker not understood] being sent to us by other city departments, we will obviously be adding new positions to support the delivery of those projects and renewal programs. another highlight of our budget is quite a number of people have been on temporary salaries and we are moving to create more permanent positions for those people who have been on temporary salaries. as part of our strategic plan,

city has been growing quite a bit. we launched what we call the dpw university. it is a one-stop learning training and career development for specifically for public works employees and with the new changes in our streets and right-of-ways and many of the changes in the industry, we are having to reeducate much much our workforce as well as many of the staff that work down in the operations also. so, we've created a campus where we actually provide lessons and teaching and they are specific to public workers. finally, as part of our growth, we are in need of additional office space. so, as we deliver more capital projects, we are definitely

doing some projects looking forward. we will be adding space -- we will be moving into the third floor of 30 van ness to officially meet the growth and primarily our engineering and architecture divisions will be going in there. proposed uses for -- let me see what that slide is here. proposed uses, actually, that will conclude. this chapter shows the various years and exactly -- what did you that say? see if i can find the slide. proposed uses, pretty much -- i talked a little about it. it's the 16.5 expenditure increase, 8.7 of that was approved last year as part of the two-year budget. and the newly proposed changes

are to provide for designer construction services that is happening mostly in our capital [speaker not understood]. and then enhancements -- >> supervisor avalos? >> just a question. the current year change of $4.7 million, is that nongeneral fund money from our go bond, is that increase or a general fund increase? it's the first line infrastructure and building design. it's where we see the greatest change. >> yes, yes. >> is that based on -- >> mostly capital projects, bonds, as well as some of the other projects, the cruise ship terminal and some of the other projects. >> right, thank you. >> that's really the main change in our budget. other than that, everything is pretty much about the same, just a little bit low, a little bit high. finally, two projects that are

not included in this proposal is one proposal for landscape maintenance. as many of you know, we are still trying to get back to the 08-09 fiscal year. we have to maintain over 200,000 square feet of newly planted landscapes. in addition to many of the new streetscapes, over 20 that are in line to start construction this year, trying to make sure that we have a workforce that can begin to maintain those areas once the contractor is done and the warranty period is computed. and, so, we have a proposal put forth for 1.1 million. that's the landscape maintenance. and as we continue to clean our city, we are faced with many new challenges.

there is 1.6 million there to add 11 new positions to the street cleaning team and that would also bring us back to levels from the fiscal year 08-09 when we lost quite a number of people. this new team will focus on new areas like many of our bad not transes and many of our alley. >> supervisor wiener? >> thank you. so, thank you for -- first of all i want to say, mr. nuru, you and to the department of public works, just want to thank you and your department for its really incredible work. i think our department, despite some significant budget challenges, does a very admirable job in doing what needs to get done. whether it's the cleaning and greening or the work done around our libraries or san

francisco general. the explosion of road resurfacing and sewer water work and so forth has been tremendous and although infrastructure work is always disruptive, you know, it's incredibly important. we're finally seeing our average road scores, road condition scores go up for two years in a row and that's due to support of the voters, through proposition b, and also the work of dpw. and i know we want to keep that on track. and i also just want to -- in my district, the castro, sidewalk widening and streetscaping project has really been moving forward beautifully and ahead of schedule thanks to the work of the department and the contractor. so, thank you for all that. now, in terms of page 11, it's actually a useful slide. these are two item, enhanced

maintenance services and landscape totalling $2.7 million. that's not in the department's submittal, so, that won't be in the budget that comes to the board from the mayor? >> we are still working out with the mayor's office. >> your proposal is not included in the department's budget submittal? what does that mean? >> these are initials, yeah, these are initiatives that we are submitting to the [speaker not understood]. >> right, but it says it's not included in the department's budget submittal. what does that mean? >> so, what that means is they are not in the numbers that you are looking at. they're not included. >> i'm sorry? >> they were not in the numbers in the charts that i shared with you. >> is the department requesting that these go into the mayor's budget that come to the board? >> they are being submitted as initiatives [speaker not understood].

>> has the mayor's office given any indication whether these items will be included in the mayor's proposed budget? >> we are working with them and i think at this time they look favorable. >> favorable, okay. to the mayor's budget office, then, could you comment on the items on page 11 around landscape maintenance and enhanced cleaning services? >> [inaudible]. [speaker not understood], deputy budget director in the mayor's budget office. we're still working with dpw and all the departments on enhancement. first there is the balance and see if we can do enhancements. at the moment we're not balanced. >> okay. >> we're really supportive of all the things mohammed is proposing and if we have the money, i'm sure we'd want to do all of them. >> i think we'll be able to find the money and i will say if it doesn't come from the mayor's office -- it is my intention to try to seek it at the board level.

i think it's hard to overstate the shackleses that we've placed on dpw in maintaining a huge amount of public space. it's hard to visualize. what's 200,000 square feet, new plot of landscape, do you know how many acres of public space dpw is responsible pour maintaining? >> i can get that amount. it's in acres. ~ for >> it's more than acres. >> 30 or 40 acres. >> i would be interested in knowing that. i know in every neighborhood across the city, there are all of these things people might identify as parks, but they're really not parks. they're just generic green right-of-way that dpw is responsible for maintaining plus all the medians and a lot of other public spaces. and i know since -- since 2008, how many gardening and cleaning

positionseses have been eliminated at dpw? >> 20 to 25 positions, he yes. >> that's a lot of capacity. we see it all the time as we -- i mean, this is a green city and when you ask residents of the city, what are some of the things that are important to you, having greening and then having clean public spaces. it always rises to the top. people want greening but they want that greening to be maintained because we have ahab ith in this city of doing these projects and then not planning for their maintenance. and the only way we can plan for their maintenance is to have enough staffing at dpw to actually do it. and then in terms of the enhanced cleaning services, so when you talk about the alleys and the bart stations, i can probably be more blunt than you are. when we walk into a bart station or into an alley and it

smell like urine and feces, you're talking about that kind of situation. >> that's exactly what we're talking about. >> because it's really -- there are areas in the city that it is just -- it's unsanitary. it is just disgusting when you smell it. and, you know, to the extent that we can really have consistent thorough cleaning and not have puddles of urine everywhere and have feces all over the place, i think that that should be a core municipal function of making sure that that's cleaned. not only is it not pleasant for residents of the city, but it's not sanitary. so, i hope you'll continue to pursue this funding and i know i will be a strong ally in trying to get you funded at this level. >> thank you very much. >> supervisor mar. >> yes, thank you, mr. nuru for -- i know our office calls you often and you're always extremely responsive and you try to work out different conflicts with neighbors from, at least especially outer richmond over several different

projects. and i realize also the limitations of a lack of adequate staffing within your department. i wanted to give some feedback that i think the major changes of supporting a more permanent position and reducing temporary salaries. i think that's real guide and staff development and professional development from dpw university, i think those are really great items. and i'd like to urge the mayor's budget office to strongly consider the landscape maintenance and the enhanced cleaning service needs of the department. i know that for geary boulevard median to many other corridors throughout the city, it's really noticeable how that level of enhanced cleaning services and maintenance really helps. and i think maintaining it for the long run is really critical. one bit of suggestions for improvements. community outreach before hand, before project start is to me really critical and reaching out to neighbors a early as possible so that there is ownership and buy in so that there is not the conflicts that

we've seen in different times in the outer richmond. i know your arborists and staff work really hard. listening to residents who live in foggy areas like the outer richmond is really critical as projects move forward. but i just wanted to thank you. i appreciate your budget and the proposal for the enhanced services as well. >> thank you. >> thank you. and we'll continue to do our best to reach out to other residents and do better with outreach. >> okay, colleagues, any further questions? okay, mr. nuru, want to thank you. i have one comment and want to thank you for your presentation. all of you throughout the department worked throughout the year. at this time we will open it up to public comment. if there is anybody in the public that wishes to comment on dpw's budget please step forward. hello, i'm larry [speaker not understood]. i'm an activist, lgbt activist. and what i would like to say to mr. nuru is that i remember

when he took over -- he he came on staff, his first plant was flowers down at the powell street station. everyone said it was crazy, it wasn't going to work. you put them outside city hall and everyone liked trees and flowers. and recently i've learned that you have your staff members to even get the oranges that fall on people's yard that people throw away, their lemons and pass them on to someone. i spoke to people in sacramento and oakland about that the way people just let the fruit fall but everybody with use something. i want to say my most important moment is all the day or either earth day we planted a tree for mandela here at the lao hutch. what a great day that was for me to join you all and then [speaker not understood]. ~ can use it was a california ivory coast

tree. and thanks for planting more trees in this city so that we all have a healthy organic future, a lot like what sacramento does with all the trees and the oranges that fall. you can only eat the orangeseses in sacramento when they fall on the ground or else they'll give you a ticket if you knock it out the tree. thank you very much. and also young man out on mission and geneva, he said he's a sweet person. he he [speaker not understood]. he he wants a job with you. he he looks like you, too. he he said tell mr. nuru to get me a job. i hope he'll be a candidate. he's at the mission care [speaker not understood]. he he keeps that section clean saturday and sunday. check out the blogger. with that, obama say, are you brother's keeper, he does a good job out there. thank you. >> thank you. any other members of the public wish to comment on this item? okay, seeing none, public comment is closed.

[gavel] >> okay, colleagues. [speaker not understood]. could i have a motion to continue this item to the call of the chair? >> motion to move [speaker not understood]. >> okay, we have a motion and second, we can take it without objection. [gavel] >> okay. mr. clerk, can you please call items 2 and 3 together? >> item number 2, hearing to receive an update on the department of public health's budget for fiscal years 2014-2015 and 2015-2016. item number 3, hearing on the department of public health staffing levels, patient safety, and the city's readiness for healthcare reform. >> okay. before we start this item, actually, mr. wagoner just real quick. mr. clerk for 1:05 special, could you call item number 1? >> on special meeting scheduled for 1:05, item number 1,

hearing to discuss funding proposals for hiv services in the upcoming fiscal year 2014-2015 budget, including expected federal budget cuts for hiv care and prevention services; san francisco has experienced huge hiv funding cuts from the federal government in recent years and the federal budget cuts for hiv care (ryan white care act) and prevention (centers for disease control and prevention) services in the upcoming fiscal year are estimated to amount to $2,700,000; including reports from the department of public health, the mayor's budget office, and community organizations on what the projected funding shortfalls will be for hiv services, what the impacts of these shortfalls will be, and how the city can work to fill them. ~ >> okay. i'm going to make a motion to continue this item one more week. before we he do that want to open it up for public comment. if anybody wishes to comment on the special order, seeing none public comment is closed. [gavel] >> colleagues, can we have a motion -- we have a mowing, a second. we can continue this one week. [gavel] >> thank you. sorry, mr. wagoner. >> thank you, mr. chair, members of the committee. greg wagoner, chief financial officer of the department of public health. we have a presentation for you on the two item on your calendar which we'll do together. we'll give you an overview of

our budget proposal. it has been approved by the health commission. and then talk about some of the other issues identified including aca preparedness and staffing issues within the department of public health. and we have our team here to help answer questions. so, just a brief overview of our proposed budget. as you know, our mission is to protect and promote the health of all san franciscans for fiscal year 13-14 the current year, we have a $1.9 billion budget, [speaker not understood] laguna honda hospital primary care, [speaker not understood] behavioral health services and of course our county [speaker not understood] public health function. so, we have extensive operations within the department and we have the dual role of providing public health and also a direct safety net health services.

over the past year we have reorganized ourselves. this is part of our preparation for implementation of affordable care act. we identified a couple of years ago that we needed to become more of an integrated delivery system so that we can manage our care that we give to our clients across all of our divisions within the health department and we are aiming to accomplish that by the creation of the san francisco health network. that's a new reorganization of our clinical services which includes san francisco general and laguna honda hospital, our ambulatory care functions which are now organized together, primary care, behavioral health services, and jail health services. we have put a team -- team in place to lead this network and we're excited about this and thk that we're moving in the right direction to be able to be prepared for the changes

that we're going to sees as we move into health reform and into particularly into a managed health care intensive environment. as i said, we have been [speaker not understood] for the affordable care act several years and the budget we are proposing for the coming two fiscal years is really built directly off of those efforts. we've had several studies and assessments and internal processeses that we've engaged in at the department of public health and we've really tried to take the outcomes of those efforts and focus on those for implementation as we go into the affordable care act. so a lot of what you'll see in our budget is that analysis. we also have significancely the planned opening of the new san francisco general hospital which would occur in the second year of the two-year budget that is going to be in front of

this committee next month. that's a big milestone for our department and will require significant effort and has required significant planning. and then, of course, as we discussed at a prior hearing today, we continue to face changes in our state and federal funding. we have reductions to a number of our grants. we have the claw back of the state realignment dollars that are coming to the department under the affordable care act. so, our focus for this budget is on a number of things. one of our key priorities is to improve and expand access to our services. that's critical for obvious reasons, for the quality of care that we provide to our patients. it's also critical so that we can be a provider of choice and that we can retain our patient

population as we move into the affordable care act environment where they have an increasingly access to choice about where they receive their health care. we have a lot of great feedback about our services. one of the points that we do need to work on, though, is the amount of time that it take to get in to see a provider, access to our other services. so, that's a big focus of our efforts within the department. again, we're also focusing on getting the new sfgh building up and running. and then we also have a focus on a lot of our core infrastructure that has not been sufficiently kept up over the past several years, particularly on our it system. yes, supervisor. >> just on general hospital, december 2015, is that correct? >> that's correct. >> earlier ffne? >> in the current budget

proposal and included in the five-year financial projections is the appropriation for the ffne as was planned so that is included in the proposed budget for the hospital. >> and can you tell us what ffne is for the general public? >> yes. >> [speaker not understood]. >> furniture, fixtures, and equipment. so, that's a wide range of equipment that we'll need, much of which is not eligible to be funded through the geo bond, but none of less is necessary to operate the hospital. >> so, mostly general funds? >> mostly general fund and some of that will be done through lease financing which will allow us to spread the cost on some of the bigger capital items and then also we're seeking external source hees of funding to help assist with that. ~ sources >> we'll see it -- this coming