trying to do our job today, we're not as many in my estimation reviving aggressively enough in the next generation the medical records sgrathdz across and the challenge with that it's numerously expensive and we tend to look at it as a cost issue and shy away from it but given the intensify to remain favorite? an increasing competitive world and not be pencils in terms of front seat programs once we do this in the future we're pitting our revenue at risk unless we embark we're jeopardizing our revenue and increasing our costs and the unfortunate consequences we've spend more money on poor care

for our patients. it's a huge challenge for the city that's a lot of money to do that right we don't have an answer but pits our collective responsibility to keep trooib trying to you said how we can aggressively push forward on this it goes to the heart of our solvency of the health care future. and so i imemphasize with you because you and director gary is are in a situation we have under investing we'll pay for the care we deliver to our population will suffer >> thank you. any further discussion this is the third hearing we've had on the budget. >> i have a question about the

additional ftes. the issue that's been before the commission before to fill up the ftes and the whole process how does it play into that that and asking is there a discussion so that's not another year >> it plays into it many multi ways and as you've heard a you couple of times and continue to hear that's a critical priority for us because not only do we need to fill what we have now but ramp up into the transition period for the new hospital and we're going to have to be bringing on staffing to get up and running. so it's a heavy focus for the department and our h.r. director has been running sometimes, it

feels he's running on a treadmill but running hard to barbara has been derivative in making this a priority so our efforts and energy are focused on how to speed up up the pipeline particularly at the san francisco general hospital and get ourselves up to where we need to be today to not fill as many shifts with needed positions and get this going. it's a challenge but we're very focuses on this as a priority for being able to be in a position where we are xhofb comfortable with our level of operations >> the other part about the call center that was the presentation about t 5 or 3 year plan this is a transitional

position where pits rolled into the it infrastructure that's correct. >> i'm having trouble remembering what the conversation was it looks like barbara does. >> it would be part thought i t system but f this is a call interest to help with the access into our care and we've looked at different model eased the staff has looked at this this is one of the recommendation the consultants say we need to centralize those to control the productivity of our providers but a component of our future. just to note i really appreciate diminishes singerers comments on it one the changes i think goals we need to set for the department very soon and will be

having to relook now we have the budget done in the future budget we have to make a priority for i t as you saw bill kim making emphasis presentation at the last meeting is he's building the infrastructure to be prepared for the electronic medical records but again, there's a process of how many people can i possibly hire in a year that's one of the challenges and when you see part of the monies that we're putting ♪ the infrastructure and that includes h.r. we've had a thinner h.r. we've lost a lot of people so our h.r. director has to rebuild his area we've got structural pieces to reorganize

our future so i appreciate all our support for the budget but i think i would be remiss if i didn't say our goal has to be in it and bill has worked with the leveraging of the system and we're one of the few departments that work closely as the largest department we have to look at the servesers and that's an area we're radioactive to put our future in. >> commissioner sanchez. i want to thank staff for a listening and spending a graechlt and years too half

years but whether you look at the chart and the history of the ftes and the cuts we having that had the painful kits we lost key personnel that really almost mandated and required to provide the quality of care that we have pledged to uphold. and at this time we can see we've made significant headway but not where we could be and will be in the future. in the sense we're standing with pride and with all the changes but the fact is the leadership and the quality of inclusion on focusing on dph and sharing with this over time are different

units and different programs that we feel both from the commission and those involved in the day to day programs make a difference and it's really a excellent overly site for this commission i want to aggravated assault congratulate our folks and we've had many challenges and we'll continue to collaborate to encourage and work with you to insure we maintain the highest level of excellence in patient care so thank you >> thank you. >> well done. >> other comments thank you for the breakdown especially our ftes it often comes into criticism it ignoring

goods and services goes back to commissioner singer and the remainder really for better public health and access to care and half of that is because we all passed and wanted a san francisco general so that's going to be much more private and allowing people that have better care it takes more people that's the explanations for the increase of ftes everybody also worries about so 37 nicely done. commissioners, i would entertain a motion to accept the budget and move it to the mayor's office >> so moved. >> second. >> all in favor, say i. opposed? thank you it's been unanimously passed. >> if i could i want to

particularly thank jenny luger i didn't this has been a tough season is navigate and she's pit a lot into this. we all thank you. the clarity is one we want to thank you very much for. thank you >> the next item commissioners is other business i'd like to remind you i put down on the pilot paper a memo that relates to the discussion around the beds and i believe it is calendar at prop 2 at the next meeting but i'll talk to the other commissioners. >> thank you that's for information. my other discussion of any other business. anybody wants to bring up >> the next is the joint

committee reports we have two, that were presented on the same day and alleyway guardian was first. the laguna jc c met at the 1 o'clock and we reviewed and depraved the minutes in open session and in closed session he the credentials were recommended therefore we completed our task >> thank you san francisco general met later that afternoon and we had a presentation regarding the care presentation and task force update that was alluded to today and an update regarding the san francisco psychic we heard in regards to

some personnel issues that we are continuing to work with in the emergency department and other parts of hospital and heard an improvement in terms of the human resources to the hiring at this point. and in closed session reviewed the general credentials for the medical staff and various reports if you have any questions, i'll be happy to answer them or any of my members wish to add anything. okay. if not then was there any public comment any public comment on that item? no public comment requested on any comment >> next agenda is 11 i want to note that august 19th is the date accessed for your calendars you all confirmed that date was

available from 2 to 6 we'll hear more about that later. >> right i also ask the members to look at the tentative calendar to make sure everybody is aware of other meetings that should be on your claurndz. okay >> is driver's license missing any other items in regards to agenda if not, we're ready for a motion for adjournment. is there a second >> second. >> without further decision all in favor, say i. offense this meeting is now adjourned.

thank you (clapping.) ♪ ♪ ♪ ♪ ♪ i think we have more companies anywhere in the united states it's at the amazing statement we're not trying to be flashy or shocking just trying to create something new and original were >> one of the things about the conduct our you enter and turn your your back and just so the orchestra. the most contrary composer of this time if you accountability his music you would think he's a

camera come important he become ill and it was crazy he at the end of his life and pushed the boundary to think we're not acceptable at this point for sure it had a great influence he was a great influence on the harmonic language on the contemporary up to now. i thought it would be interesting because they have e he was contemporary we use him on this and his life was you kill our wife you get poisons all those things are great stories for on opera. i was leaving behind a little bit which those collaborative dancers i was really trying to focus on

opera. a friend of mine said well, what would you really want to do i said opera what is it not opera parallel. why isn't it are that i have the support now we can do that. i realized that was something that wasn't being done in san francisco no other organization was doing this as opposed to contemporary we are very blessed in san francisco to have organizations well, i thought that was going to be our speciality >> you create a conceptual idea for setting the opera and you spear ahead and work with the other sdierndz to create an

overview vision that's the final product felt opera. ♪ ♪ ♪ ♪ >> i was very inspired to work with him because the way he looked at the key is the way i looked at sports looking at the daily. >> so much our mandate is to try to enter disis particular work there's great dancers and theatre actresses and choirs we've worked with and great video artists is a great place to collect and collaborate. i had a model they have a professionally music yes, ma'am assemble and as a student i benefited from being around this professional on and on soccer ball and as a conductor i'd be

able to work with them and it's helped my growth i had a dream of having a professional residential on and on soccer ball to be an imperial >> it operates as a laboratory we germ a national the ideas technically and work with activity artists and designers and video all over the on any given project to further the way we tell stories to improve our ability to tell stories on stage. that's part of the opera lab >> i was to investigate that aspect of renaissance and new work so that's why this piece it is important it was a renaissance composer. >> there were young people that

are not interested in seeing traditional opera and like the quality and it's different it has a story telling quality every little detail is integrated and helps to capture the imagination and that's part of the opera how we can use those colors into the language of today. >> so one of the great things of the stories of opera and story combined with opera music it allows people to let go and be entertained and enjoy the music instead of putting on headphones. >> that's what is great about art sometimes everyone loves it

because you have to, you know, really great you have to have both some people don't like it and some people do we're concerned about that. >> it's about thirty something out there that's risky. you know, disliked by someone torn apart and that's the whole point of what we're drying to do >> you never take this for granted you make sure it is the best if you can. >> ♪ ♪ ♪ ♪ ♪

leaders. >> hi everyone i'm patrick the director of earthquake safety forever for the stoifbl and we have the ryan white fair to teach people about the made sure soft story ordinance and connect them with the services they need you can save thousands of lives and if those buildings are rooiftd people will be allowed to sleep in their own beds while the city is recovering. >> we're here at the earthquake ryan white center for people to

comply with the ryan white or do a ryan white on their property to connect with the resources they need. i came here wondering what to do as a owner of an apartment building moderate to comply with the must rules that went into effect last year >> we don't want to go to 10 different events people said so we advise people of the event. so we try to be incentive not everyone is going to be able to come 0 so this fans the afternoon and the einstein >> i've decided to be here it's amazing to see all those

people's here it's critical to be prepared and to recover from disasters as finishing as possible. >> i've been to a lot of shows and this one was a trufk turnout a. >> since the structure the building represents the super structure the lower part of this particle on the buildings on the corner they shack quite a bit. >> so for the floors above as shaking that top floor is fog go-go have no more mass and we saw in 1984 more structure destruction where we're ryan white this by adding a steel frame typically you want to brass in both directions and see

how strong the building is. >> we've adapted a thirty year implementation program i worry about that was a retrofit requirement this is what we do to mitigate the shom and have's evacuation for the people and our partners. i had questions about what kind of professionals are involved in this i want to start to put together a team of people to help me get through this. i'm a structural engineer and i'm thrilled at the quality of the contractors and engineers >> we've taken one civic awesome and put all the vendors in one place. >> you have financing and engineers and contractor and

they come here and every we're rebuilding are that the office of the city of administer and the depth thought i environment and other partners. >> all those things one little piece of a resilient piece of - >> and i felt more positive about things i thought about how to pay for this. >> we didn't want to have one financing option it didn't work. >> we found information about financing they are different options for different types property owners. >> we've seen them offering

financially and a pool of styles for a complicated way of saying they'll be able to pay back their loans over the next two years. >> we have 3 options and secondly, to get a loan for the ryan white and the third becoming in the past program participants in that. it is encouraged along coastal easier where we have set time like sand and a high water table to a cause the sand to shake i'm going to get this visitation on the same bridge you'll see the water come to the surface this knocks the foundation over and

pushes out the ruptured pipeline >> it is intimidating i'm talking to people as a layman who needs help. >> this is a difficult process for people to navigate we're only focused on outreach so we've got the informational and we've spoken to many different owner groups and community groups all across the city. >> outreach is critical for the retrofitting program the city has to get out to the community and help people said what they have to do and do it and raise finances so this program is an advocate and resource for the

community. >> so why not skip to the theme. foremost and most to come we've been presenting community meetings and going face to face with community owners and helping people understand what to do >> you may be wanting to know about the sf green but this will allow you to have is a loan for the property so if you have the property the loan will be summoned by the new owner and this is pay back for your property taxes and the low rates this is a fantastic option. >> i'm in favor of the program obviously we're going to have a earthquake this is from an investment stewardship. >> after a few minutes with

folks even if you don't agree you understand the concept. >> we've talked about being able to do this now we're going to be forced to do this it's a good thing but to pay for it. >> it's not only protecting their property but every dollar is for mitigation it truly is protecting our investment overall the city. >> it's the right thing to do. you can look at the soft story building and theirs like the buildings that collapsed in the earthquake and your shufrtdz to see this >> people are getting caught to get this done and if people can

find a place in our homes of shelter it will keep people in their homes. >> together we'll work out of getting out of 0 disaster and making the community bringing back to what we love. >> as a level of folks we've talked about we make recommendations to make everyone mitigated their soft story problems no other jurisdiction has tried to tackle this ordinance and we're set to have our program complete by 20/20. >> the quality of the people are here because of the leadership. >> it's a great c