every 10 years and updated every two years or as changes are made to the plan, so it's meant to be a projection of where we're going, but it's not amend to be a commitment that is absolutely the case. >> and it's irrelevant that the jcc hasn't talked about this and looked it over? >> well no. in fact there was a discussion whether it should be brought here or to the jcc. it was thought to be appropriate to bring it here first because it was to be seen within the context of what else was at a health commission level -- with similar questions that you are now requesting. i think it's appropriate at this point since we do have the time to actually bring it down to the jcc for further discussion about the questions you have asked, more specific question about any prioritization if it's needed.

usually the imp doesn't do that. they list things that people would like to place in different geographic sites on a campus, but it certainly would not be in -- out of order for us to ask the jcc to look at this and give input at the time we then will take this up for a final vote. >> [inaudible] >> no. and as a matter of fact that's where we will remand this to the jcc to report also to us as we prepare to vote and the implications of the master plan. would that make sense director? >> i think that would be fine. >> okay. thank you. so we will ask then if there's no further comments on this that this be reviewed by the jcc also as topic prior to us looking at the resolution in the coming

next business meeting in the beginning of september. okay. thank you very much. >> next item please. >> next item is the golden gate bridge suicide barrier approval and just to be clear you're not voting on this. this is on the approval approved by other bodies. this is just information report. >> thank you. >> mark, could you put the slides on for me? thank you. good afternoon commissioners. jill robinson behavioral health

director for the san francisco health network and i have been asked to come this afternoon to give you a briefing on the suicide prevention barrier on the golden gate bridge. it was approved in june of this year. i have with me eve myer who is -- i am sure most of you know and she's the executive director of our suicide prevention and eve has very much been an advocate of the suicide prevention barrier on the bridge and worked very hard to get this approved. just to give you a quick overview and background, so our hot line is the oldest suicide prevention hot line in the united states. there are approximately 38,000 suicides in the united states annually and that's compared to 18,000

homicides and 31,000 traffic deaths so that's just to give you some information about how many people do take their own lives each year and what a tragedy it is when on the news we hear about the homicides and we hear about the traffic deaths when more folks choose to take their own lives. in san francisco there is approximately 100 or 110 suicides annually, and about 10% are related to bridge deaths. most suicides are skewed towards older male and the bridge although it is a destination place to take one's own life it's also one of the most lethal means to take one's life. the bridge opened in 1937

and somewhere between 1600 and 2,000 people have taken their own lives onlet bridge. 1600 of these bodies were recovered. there are survivors who jump. one of the concerns about putting a barrier was the fact -- or the non fact that people held the belief that if people don't jump from the bridge because there's a barrier that they will find another means to take their own lives and this is not true. there was a study of 500 individuals that had jumped . >> >> in the 70's that survived and it was determined that the

majority were still alive or died of natural causes. in may 2014 our mental health board passed a unanimously a resolution of the barrier and one of the concerns was the cost and we will go to the budget in a bit but millions are spent annually controlling the bridge helping make sure people don't jump so here's the budget of the project total is projected to be around $83 million. you will see that the funding came from various sources. $7 million came from california's prop 63. those were state dollars, not dollars designated to san francisco. so some of the

opposition -- some people thought it wouldn't be attractive to have a suicide prevention barrier on the bridge. others believed as i said earlier that people that are suicidal will go elsewhere to take their over lives, and studies are showing that indeed is not true. it is also not true that someone who opts jump from a bridge will go to another bridge. a bridge in washington, the duke ellington bridge and a visible bridge and when a suicide prevention barrier was placed there there were no transfers of jump to the neighboring bridge, so here's an artist's rendition of what the project will look like when it's completed in 2014. and we're

both here to answer any questions. >> commissioners. commissioner singer. >> so congratulations on getting this done. this is 10% of the suicides in san francisco. what's next on your list? >> the two most sail yenlt things you can to do is removing lethal means and educating primary care physicians so we would like to move into linkages with health care and institutions and emergency facilities, so that there is an educational cross fertilization there and people can recognize

the signs of suicide. of people that tried suicide 75% saw a physician three months prior to their death. >> thank you. >> commissioner sanchez. >> again along with my colleagues i would just like to complement you for your sustained and critical efforts over the years in really addressing and providing a focus on this illness, and your commitment has paid off as you hoped it would and paid off in the context it was approved by the board. they are putting money into the golden gate and we want to commend you on it. i think you were steadfast here and consistent and focused, and a prime mover and thank you very much. >> thank you commissioner sanchez. i actually cannot take total credit for this. there were a lot of other people involved. starting 50 years ago

with our founder bernard mays who founded kqmd and in the 1970's he held a demonstration which reverend jim jones of all people participated on a march on the bridge to get a barrier and those efforts continued over the years. in the last three or four years the dominant force became parents of children who had been lost, mostly teenagers, on the bridge who came before the bridge directors over and over again, and that really turned the corner. >> great. thank you. >> thank you. definitely it's nice to hear an important outcome like this after all the discussion about what we can do and our commission congratulates you for your persistence and

your success. is there any further comment at this point? thank you very much. and we will move on to the next item. >> yes and i will note that haven't received any public comment for that item. the next item 10 is a resolution honoring sonia melara and commissioners i placed in front of you a slightly revised version. i took out the "e" misspelling of former mayor gavin newsom's name and added words reappointment to give a schedule of the appointment as a health commissioner. >> commissioners we have before us a resolution to commend commissioner melara's service here on the commission. is there a motion to accept? >> so moved. >> so moved. >> okay. moved and acceptance. a second already. any further

discussion? we definitely will be missing commissioner melara and we are wishing her well of course at the police commission. i look forward to improved relationship with the police commission that serves us so well already so if we're prepared for the vote. all those in favor please say aye. >> aye. >> all those opposed. the resolution is passed and we hope to present it to her at our planting meeting at our next meeting. >> item 11 is other business. >> okay. we're at other business, and commissioners i would note though that with commissioner melara leaving the position of vice president is vacant and we will then be entertaining nominations and a vote for that on september 2 our next regular meeting date and we will let the other commissioners who are unable to be here also

notified of that. >> yes. we will make sure that happens commissioner. >> thank you. so that is an agenda item on september 2. >> the next item 12 is a report back from the joint conference committee and committees and the only committee that met was laguna honda on july 29. >> okay. i noted the typo here and looks like laguna honda will report on the sfgh. >> yeah, i apologize. >>i was wondering how we're going to do this. okay. yes. >> through the chair. she had to leave -- >> yes. >> for the graduation of master students but we had a full committee at laguna honda meeting with our commissioners there and we reviewed the reporting of compliance report. we also heard the quality

measures for 2014 and what is reported here is what was the last result of the visits namely five stars for nursing staff, five for quality measure and four overall and two stars for health inspection so we were anticipating hoping this visit this year will result in elevating back to the five stars again across all sectors. we approved the 2014-15 budget and had discussions -- comments and good community input pertaining to hospital wide policies and procedures of that. as a follow up from the request of the commission the discharge rate from 2013 to 2014 was 10%. the total discharges were 292 and

again the chart shows we're in fact -- in county, out county, et cetera. it was actually stated in our full board meeting there and committed to the laguna honda joint conference committee. we had a closed session pertaining to medical approvals and credentials and a vote taken, and closed after a two hour session. >> i guess we have to approve the credential report. >> no -- [inaudible] >> okay. >> all right. >> okay. questions to commissioner sanchez? we should note here i think also that san francisco general did undergo its cal survey process with the joint commission and we were informed that the hospital will

remain fully accredited and a number of items recorded for corrective action like normally there is, but the surveyor at the conference did announce we will have full accreditation so congratulations to sf general for that work. do we have -- oh next item. >> yes. item 13 is the committee agenda setting. >> okay. any further items for this except to remind you the next meeting is the planning meeting and we have a number of items we hope that will be worth while for discussion. that will be at -- mark, do you want to announce where it is. >> 25 van ness, the third floor conference room. i will email that out. >> i think we were there last year. >> same location as last year. >> and begin at 2:00 o'clock. >> 2:00 o'clock. i will send out a suggestion about menus and

i will do that again so i accommodate your needs. >> question. do we still park here and it's a block down? >> yeah, you can park here and walk down. okay. any other items for committee agenda setting? if not then we're prepared for the next item which say motion for adjournment is in order. >> so moved. >> i will second. >> okay. no further discussion. all those in favor please say aye. all right. opposed. this meeting is adjourned. [gavel] . thank you. food in san franc

just about expensive eat but food for everyone and there's organizations in the city that

are doing really good work making sure that healthy food it assessable to everyone. more and more as follows are are becoming interested in upper arlthd they want to joy the open green pace sea know where their food it coming from we'll look at 3 programs talking ushering agricultural and garden to new heights. so what exactly it, your honor agricultural >> it the growing food or flowers within city limits traditionally we've been referring to communities gardener that is a raised bed over and over upper argument has

a more a farming way of farming. >> so tell me 0 what's growing in this garden. >> a really at all plant. in the one of the rare places, you know, people have access to green space 24 is one of the places to grow things like the purple floor. it is sort of recognizing that the more diversity in given space the better not to just have one thing by everything supported each another >> it provides the community with an opportunity to get their hands dirty and reach 0 out and congressmen with the community in ways they might have not

otherwise to engage with one other. >> now the dpw urban planning program so see how the garden community. >> so i grew up on a farm in air force base we picked the foods open the trees and share with other families and as i drive around san francisco i see any trees with apples or mrumdz and lemon trees i can see the food going to waste and brought that idea back to the department many of the trees where the fruit would go to waste we origin or crop and pick other fruits and delivery this to food banks or shelters to people who need them. >> i'm here with nang wong hello nang. >> hello.

>> i need to understand house this gleaning work. >> we come and harvest like for example, we'll come over here this is the lemon and plug it like this. >> (laughter). >> made that good, good and ease. >> the trick is how not to hurt the branches. >> like the thing. >> i'm so excited about this. the people are so passionate about where the food goes to the private property owners give us the food they're happy that no of a t is going to waste >> oh.

thank you. thank you. again job aura natural >> (laughter). >> from backyards to back lots let's take a look at the food and community bonding at the free farm. >> my idea was to start growing food and giving it away. and getting my neighbors to who had space and having a kind of event that brings people together not to run our food program this time around but to share the wealth of the abundance of our welfare. we were all divorce and as part of our philosophy of working together and working together. >> what's the most rewarding aspect of volunteering for the

free farm stand. >> well, we could is a generalic satisfaction but something about giving food away it's giving something i brought that in and sort it and gave it to you it's primitive to be able to give something some basically to someone else. >> now serving number to 49 come on down. >> we have the capability of producing this food and in san francisco you can grow food all year round so the idea we're capable of prougdz food in our own backyards we're here to demonstrate an bans of food and i think that giving it away for free we show individuals it in have to be a comedy.

>> we build time together and it's the strength of any ideas of the connections we'll turn that connection and the more connections you make no mistake about it the more you can have a stronger power and not have to rely on money that's the people power. >> in this episode we've seen the urban farms and gardens provide more in fruits and vegetation people can have the special produce available it can be a place to give back by donating food to others and teach our children the connection to the earth and

environment it's truly