and what are the priorities for the campus, so it's a procedural question so when we do this it's outside of their purview and they don't have responsibility for it or how does this work? >> proceed. >> [inaudible] >> yeah, it's a little confusing because this is sort of a statutory -- it was developed to let people understand what was happening on campuses which is separate and apart of a more detailed effort when we did the rebuild when we met with each of the department heads at the hospital and work through programsing. we're going to do that again. we're trying to get a green light from city hall on the 2015 bond, what is included. there is fierce competition currently with other departments because we have

limited bond capacity for a piece of that pie, so we have been a little reluctant starting that more detailed process because we're getting mixed messages about the level of money that we can actually obtain in the bond and what those projects are, so we're trying to get a clearer picture so we don't go down a track and have to stop and change gears if we don't get enough money for the things we want to do. the whole process of the bond is a completely separate thing that will come to the commission, reviewed and approved and sent to the city and the mayor's office and the controller's. >> so let me give a for instance and you tell me, so for instance we wrote on this resolution and it includes some things in this plan that you guys would like to do at the hospital, and say for instance we say "you know what actually

we completely need the parking garage if we do the new usf research building which we need and that park not as important as the medical records and if we don't have that we won't have patients and out of business and the joint inspection and the commission inferred to us and we know it already so are we basically saying well that discussion is over and this is what you guys are going to the mayor's office with that's going to be in the bond, or are these place holders and up for discussion in the future? >> they're all place holders. this is more of a high level document. anything that comes subsequently to it will trump it because it's further planning, further analysis and if there

are things that don't appear in the plan now or change we have the ability to update this again in the next update. >> if i may commissioners. this is a requirement for a city requirement for any -- sorry, hospital so in patient facility or post secondary educational facility so it is a planning department requirement for large facilities and it's required 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 so 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. . >> hey entices neiman here and this week is no expectation that is the weekly buzz pr this wednesday checkout people in the placing the 24 market street music festive puts on sdmerntsdz from july to october and this 13

join us from high waters at 12:00 p.m. shatter and this week is the summer exams and think about this is the adults camps and learn are about the great outdoors and plus settle into our camping bags for a scene of the crime of the movie and the festival is a outdoor based on the stories feature original songs and colorful screeny this musical is definitely one for the whole family. and that's the weekly buzz invest it is sfgovtv.org and click on. >> good afternoon, everyone.

this is a pretty thrilling day that for us it's another milestone in the progress of connecting the great city of san francisco from one end to another about economics development and about clean environment, pittsburgh that's about building consensus i'm sure the mayor will agree he served as the che administration officer it to took years to get this to a third street rail of central subway thousands even if hours of volunteers coming together to make their point of view known. we've been here 5 wants on the total of this project but making progress again and every step of the way all along i'll say whoever we were appealing to our

hopes are riding on the third street rail and our hopes on the street subway for all to be a model to the country of economic development while we improve the quality of life and sflrs customers and create good paying jobs that's today is a sad day because of the loss of robin williams i was oncoming over mayor we were together in 2012 with another phase we are that altogether with ray la hood the secretary of transportation and while we were listening to each other's speeches we were on our i preponderance watching the last of the games to dorm who would be in the playoffs and while we were celebrating the; correct construction we were cheering the victory of the giants that day to go on to the

world series and robin williams was a great giant fan my daughter christine right-minded me in after 2001 that was by and large the first time god bless america took place some may have done is but a tradition across our country and robin williams was a great giants fan but in 2004 he sank god bless america urging the 7th ending stretch we've lost a genius and san francisco has lost a great friend we made contributions to life. two weeks ago on the steps of the k358 the democrats launched

the jump start to create good paying jobs in our country a rock the entrepreneurship begins in the classroom to make college affordable and early child onsite hood evaluation affordable and in some ways when with yes, ma'am succeeds america succeeds a version of growing the economy by this each week this week is make that on america where we say we want american made companies invest in good paying jobs here in america by removing tax credits to send jobs overseas what is what the law is now, it's ridiculous we want to over turn that with the savings we want to

invest in building america and building the infrastructure and that means roads and brigades and cr=certainly mass transit and water supply and broad band the infrastructure of the future so this the the job the parlor we're sthifls all over the country what better place to start where the innovation has begun it's begun with the consensus over time with the community involvement i've said to the city i want to give you every option but if we allocate the sources we need the dirt to underlie this consensus building over time has been very, very central to our success and, of course, the recovery act that president obama took the lead on made a difference in getting

hundreds and hundreds of million dollars nearly a billion dollars for the completion of the project while it started local it was local and state funding under the leadership of the leaders today, i'm honored to be here with the mayor how important this jump start for the class is and how important building infrastructure is to the jump start. roadway there's a installing felt be middle-class because of the stalling of those kinds of initiatives h initiates we want it to be non-barn we know the american people overwhelmingly support an nishlt that improves the quality of life and to get the products to and from work and employees to and from home and again to clean and protect the virnlt as we create jobs we have have to build consensus i

salute the people in san francisco for the rolls they've played over the years really decades to make many of the projects that are emerging now projects so that's consecutively the quail valley and hunters point and the transbay terminal with the enter connections with the parkway and the longtime in the planning and consensus building many of them possible because of president obama recognition this buildings infrastructure of america is essential to growing our economy with that, i'm pleased to give this podium oh, by the way, did i introduce thomas and paling their construction is they're game they know about machinery i don't know about their teaching me and wanted to see how it's

going my grandchildren from new york. they've ridden on the subway they wanted to see how one is built in california had a they're my special vip pits i've said his role as mayor and the chevy administration officer knows how to get the job done an operational manager it's not mystery i continued the great work of the previous mayors but he was effective working with the mayors before so thank you that mayor for honoring us with your leadership i yield to the that distinguished mayor >> (clapping) >> thank you leader pelosi and it's a delight