transbay tour? >> primary up on the roof top let's say they have a fire how will the ttc individuals who are responsible for that deal with that? we've got connections in place now we're working with those at this point to establish we'll have connectivity we'll have information exchange so you need a response on the side of the on the side of the ttc as well as a response on the side of the towers fremont or 181 so we'll have to coordinate with them we'll have to deal with which evacuation route we don't want all of their individuals coming onto our roof top parks so also there's how do you transit information is it going

to be on a screen like this how will you send people which way are you going to go there's a lot of linkages that need to be dealt with but if you can think of trying to move people from sfo out quickly they have already done some of this so you are in good hands. >> do they do wave finding. >> it includes that as well so signage anything you can think of and a major component of it very important is a staffing plan that will need to be done fairly soon that impacts the cost all covered within your current budget and i think you are getting a very good value for your dollar. >> what will the process be in terms of from here when we see this developing?

>> you mean what are the deliverables due? >> yeah when do we see. >> we're looking at about an 18-year period for everything to be done you have emergency operations plan you have a staffing plan you have the concept of operations that will need all the stakeholder involvement and agreement and they will need to coordinate closely with ac transit you have their patrons coming into the transit center so an enormous amount of work that has to be done up front. >> is part of the scope what happens after an earthquake in the bart tube goes down and we're trying to surge on the bay bridge -- and deal with ac transit -- >> yes because we are connected to a critical lifeline structure the oakland bay

bridge that's part of what we're looking at what happens if everything shuts down what happens if the fifth street off ramp is no longer operable. >> or the next bart strike. >> the strikes are important anything to do with civil unrest at all. >> okay. >> any other questions? >> i don't see any thank you very much. >> thank you. >> i've not received any indication that a member of the public -- >> we have mr. patrick. >> i was concerned with one thing she said and that's with the transit tower and the park if you have a crowd control problem you have to be prepared to handle it from wherever they come from and it's kind of narrow to say we'll put up a barrier so i think that needs to be rethought a little bit.

>> thank you. >> thank you. so at this time is there a motion on this item? >> so moved. >> a first and a second we'll go ahead and roll call vote director beall aye director metcalf aye director ris aye harper aye kim aye as well that's five ayes and item 11 is approved. >> thank you can we move on to item number 12. >> approving the recommended applicants to the citizen's committee. >> i'm not sure we need a presentation we're looking at reappointing five existing members and i believe most of

us reviewed the resumes one has applied several times i'm glad we're able to appoint here are there any more questions on this item? >> no public comment on this item. . >> can we take a motion on this item? >> so moved a motion and second. >> director beall aye vice chair harper aye that's five ayes and item 12 is approved. >> item 13 is approving the minutes of the march meeting and members of the public indicated they want to address you on this item. >> approval of the minutes. >> so moved a first and second director beall. >> . >> may i have a comment first? i have read the minutes and the

representative for cal train that was here talked to me about that meeting so therefore i'm comfortable with it and therefore i'm going to vote aye. >> chair kim? >> aye. . >> that's five ayes and the minutes are approved. >> a resolution of appreciation. >> directors i want to thank mr. lloyd he was always courteo u.s. and i want to express my appreciation. >> any other comments? >> i'll just add and you know i've only been on this board for 3 years but really appreciated director lloyd's dedication and his credible

long career and i don't know how he had 60 years of experience unless he started very very young a very very well deserved retirement. >> agreed move approval. >> so we have a motion and second. is there any public comment on this item? >> seeing none we'll have a roll call on this item. >> that's five ayes and item 14 is approved. >> thank you so at this time we'll recess the regular meeting to go into closed session but before we do so is there any comment on this item? >> no members of t the commissi

to come to order.

>> commissioner low. is second item on the agenda is for the san francisco health commission for wednesday, may 7, 2014. the minutes are for approval i'm accepting our motion for approval is there a second any corrections to the minutes. hearing none we'll precede all in favor, say i. opposed? the minutes are paragraphed. next item, please. >> item 3 it is director's report. >> good afternoon, commissioners ac a had it's first open endorsement and california closed on april 15th during the six months one $.4 million people signed up and

other number went to medi-cal it is on the 1/3rd under the athens it is a success to dpw and the network who partnered with covered california and open enforcement for the 20017th century 15 plan did you say to special kishgsz brown the state health and human resources coverage loss and comboerm in the medi-cal is available all year round p will receive $100,000,000,000,000 discolors from the bill gates project.

this larked award is a robust project there is no the exams and key partners including our health commission oar under jonathan for the center of leaning innovation and curtis chalking from our adolescent health that has reduced the ethnic and racial disparities in preterm birth it is the sector partners for the innovative seclusions for complex health issues he it will help with the strong outreach with the community partners were focusing on in wraech to other agencies to turn the curb on preturn birth in vulnerable community.

dph nurses the 2014 the nurses week is this week and the dpw will recognize and celebrate the dpw furriers staff within an award ceremony on may 8th at san francisco general hospital please join us for them and we've also have the honor to have the nation's first library social worker that gives hope to the homeless and we have an allen f p with the psychic public library was interviewed twice about the social services she provide at the library and interviewed empty be k go library and it was a wonderful social worker she tries to engage with people in the local

libraries to get the resources and they need and the fact she helps with the insuring the safety of the folks if the library on april 24th we opened with opening day at the treasure island nurse clinic and the community response has been positive and we have ages from 8 to 60 and dedicated worker will help to staff it on wednesday and fridays. we work closely with treasure island agencies to insure that there was some medical presence at treasure island's this is a furrier referral incline and many of the people that are on the i'm doing have preliminary care of providers so having our presence there during the week is positive for the residents.

this is a clinic we'll see how it does in the future. that's in oar report commissioners >> questions commissioners? let me starting with the last one. on the nurse clinic who does the in your report to therefore under >> - and it reports that to our nursing director in sfort of the nursing program. >> good one other question what the preterm birth initiative because it's a very large and long lasting one 10 year initiative what would be an appropriate follow-up we understand through our community or subcommittee first and here to be able to track how well, we're doing.

>> we could ask the partners the doctor chang and others to talk about the history of it and have ever 6 so give an update and booked for our public health committee the chair will appreciate i'm hoping the commissioners agree a hundred million dollars grant should be of interest to us i think. >> thank you. we'll do that. any further questions if not the next item and the the general public comment i've received one request >> mr. moody my you have 3 minutes. >> mr. vice president and members of the commission i'm

jacob moody the director of the community improvement. over three weeks either as a representative of the community member i mean, i'll operate in the two cbs focus group for the affordable health care and the department of the environment issues of importance to the black community in the south east and an interview with american people consultant working with with the cbs to the follow-up even if interviews 40 in treasure island and the interviews with the hope ucsf that w the folks in the site and a meeting with the puc an supporting the food guardians of the food access working groups a meeting of the congress of

african-american on issues of importance to the black community including the violence response and reauthorization of the children's fund and a meeting to plan an impact funding for bayview hunters point with colleagues from dpw. the point that to say even though the african-american population in san francisco will dwindling some say forced out there's a growing interest on some of the departments and the issues faekz aechlts in san francisco not all of them are diagnose well, and the failure of the destroying to move systematically from the recommendations from 920092009 african-american report makes the responses less than optimal. having said that, i want to encourage the commission to

support of the robust and cost cutting efforts on please be advised that the chair may order the removal from the meeting room of the project sponsors partners to develop and implement a board program on behalf of the african-american health and well-being. senior leadership and i at dpw is supporting excellent population and work in the southeast an update we hope to breaking and entering to the committee with pious african-american program. i encourage you to ask the african-american ask. for i'm had your that dpw and senior leadership and all of us who are community participates will be able to provide meaningful what's-her-name to programs with measurable results thank you >> mr. moody thank you for your work. we have one more public speaker

deanna from the 70 clinic >> we should make everyone perspective autopsy i'm the president of the clinic consortium i wanted to raise an issue related to the prenatal initiative of the goals conditioning on continuing to talk about the prenatal care in the governors proposed budget he released in january we got it a proposal killed to move a certain percentage of women who right now get pregnancy only on medi-cal and were left out of full scope medi-cal into the exchange instead of leaving them in medi-cal the reason it's important and hesitate pro tem is state will pay their premiums

in the exchange so one hand it is for women to get the full scope vs. on pregnancy in medi-cal the problem is the con ceremonies i'm assuming the clinics use some time something called the comprehensive prenatal services program to provide supportive services to woman particularly focused on women in protecting community for example, this is the mission neighborhood has muni illogical support groups for women to stay healthy during their pregnancy and dealing with smoke and weight control in a culture comfortable setting so far as those women this program has produced great result but if you

move the women so what an challenge we'll lose the program the governor said she can e, go through the challenge ensue it is ingratiated so a woman might be getting her prenatal care now they're saying he is qualified i left my heart in san francisco provides the same care by the health providers that have not had the experience may not have the experience and again, the culture linguistic capacity and history of providing those services i'm you're going i think we're in this together it's dpw and the consortium clinics that was let's open in the first round of the budget

committees i've spoke up to mark leno but the last they know is to get rid of the c p f program when it's shown success in renewing the birthing rate. >> thank you very much for alerting us i'm sure our department will make sure that the services will be provided. the next templeton the agenda is the report back from the finance and budget planning committee earlier today >> good afternoon the finance and planning committee met today at 8 o'clock and went through a responsibility agenda that includes the discussions on how the finance and planning committee review contracted. we also have approved the contract report from may and 3 new contracts which are all list

on the consent calendar for the commissioners to approve we also have heard from kim and her fabulous team on the healthy san francisco annual report draft that will be presented to the full commission in the first meeting no june. and latest we heard from ms. jackie the contract the rfp report the updated rfp report. any questions? >> what mr. the gentleman discussed in terms of what you may be reviewing contracts in

the future the attempt at looking at the global pictures and trying to place the contracts in the context. >> so to put that in the context is that the finance and planning committee has their discussions with mr. wagner to really look at the big picture and also the transactional approval of the contracts so we can really look at the bigger policy directions that we're moving into for instance, because of the ac a and the changes in, you know, other federal and state mandate like a lot of the contracts were changed you know from term to temperature and we are trying to really grapple with an way that's meaningful to us as well

being translate to our constituents in how and approve the contracts and mr. wagner is going to come back with additional suggestions for us to look at later on and actually, one of the things i fekt forgot to mention during the whole contract report there were a whole list of contracts that lifted to ryan white funding you know part b has been eliminated so we're going to have a discussion agendized later on in the latter part of the year to really look at how some of the funding changes effects our long term budget and finance planning. >> thank you. any other questions through the

chair? all right. if not we've proceeded to the next item, please. >> the next item is the consent calendar. okay. the consent calendar is before you are there any extractions from the consent calendar otherwise the consent calendar is placed by the committee for approval >> so moved. it's been moved forward already and actually here by the committee we can precede onto the vote if not any distraction and all in favor, say i. opposed? the consent calendar has been approved thank you purify item 7 is the pedestrian safety and vision presentation

>> good afternoon, commissioners i'm megan i'm an epididymis lost and co-chair of the city's task force it's my honor to be here to present on pedestrian safety in our initiatives in san francisco thank you for your consideration of the health care resolution in support of vision zero i'm excited to be here with my co-chairs including the department of public department of transportation and dr. rochelle with the general hospitals trauma center and injury center and julian from the mayor's office and ms. hernandez and our key sister

agencies including timothy and don of the san francisco mull transmission agency and a gentleman from the police department and from the transportation authority and more detailed information regarding our co- presenter are in your paths and given we have a lot of information to share i'd like to starter our presentation and look forward to your feedback. so san francisco is a walkable city with approximately a fifth of the trips walking and ending in walking but we have work to do with respect to having safety in walking. every year that one hundred people are seriously injured or killed and an average of 8 hundred people human right those are pedestrians and seniors have

a higher injury rate theirs 5 times more likely to be killed as pedestrians and the injury daylight approximately 2/3rd's of the time moistures are krietsd and the risk of death is 5 times when a vehicle is traveling 40 miles per hour vs. 20 missiles m miles an hour that is created to help educate ourself and the public what is the data on pedestrian safety in collaboration with our agencies. and the last of our next slide we see the pedestrian network that's the 6 percent of streets

that account for 50 periods of time of injuries injuries are concentrated in san francisco that's important if a prevention prospective. the map at the right we see when are looking the facility and serious injuries there's in district 6 and 3 south of market and chinatown and the tenderloin. and importantly those are community where we have the highest transmissions e concentrations they walk a lot and people in those communities are reliant on public transportation but important susceptible to people with disables disabled and the department of public health is really involved fro