continue, president breslin's tenure in terms of continuing and expanding on her tradition of very crisply run meetings and it is great that we have so many people attend our meetings but we want to be sure that we use your time as well as our time and our staff's time because these meetings do take away from the time that they can be spending serving our members. and so, i am looking forward to making sure that we make these meetings as interesting, and engaging as possible, but also, make sure that we make them as healthy as possible, in part, by having wellness breaks, so we will strive and may not always make t we will take a break every hour for five minutes, i do encourage you to get up, if you take one loop, around the floor, and usually it is if you are able to, it is a great way of improving your health, as well as making all of us feel a little bit more up beat, especially in the afternoon and so we will be striving to do that. and i also wanted to make sure

that i took the time to thank each and every member of the staff of the health service system. it has been a consider challenging time in the past with many changes, the people, which i think continues to be challenging. and really, put will bring us great benefits but, the transition was very hard. and we have had some other challenges and i just wanted to say on behalf of the entire board, how much we appreciate the work of the staff in always being focused on what matters the most and that is the service to the members. in particular, i want to thank, lisa for her service, during the time when katherine had to be out, and she did the work, in doing two jobs, again through the contentious, but the very important work that needed to be done and we are so very grateful for the work that you did and grateful for your dedication, to all of our members, and to supporting the board through that time as well. and of course, we need to

express, once again our happiness in having katherine back, back in action, and you have been such a great force for innovation, and we are really excited to have you back and to see all of the great work that you will lead us in the coming years so welcome back. >> all right. so down to the business at hand. before i do, the committee chairs i wanted to call out that mayor lee did provide a communication which is in your packet. regarding his hopes for commissioners in terms of attendance, and i don't think that it is an issue here, we have a dedicated board, but it was asked that we communicate that. finally, let me view the committees, i appreciate the members to serve on the commission and also on the committee and so for the fiscal year, 2014, 15, i am recommending the follow committees and membership. for rates and benefits we will continue to meet as a committee

of the whole and so that means, every board member, every commissioner is a member of the rates and benefits committee and commissioner scott has agreed to continue in the service as chair. and so that is the rates and benefits committee. finance and budget committee, supervisor ferrill did not say no, he is not here to object. so i am recommending that he continue as chair of finance budget committee, with lance and scott as the additional members. i am recommending breslin and shlain and myself and it is my recommendation that we eliminate at least for this period, the membership rules committee, all membership rules have to be voted on by the entire commission, the staff has indicated that we are not having a big, heavy package of rule changes, this year, they don't expect them and it seems

more efficient to eliminate the committee to bring it to the board, and those are my recommendations for the committee. and so i will move that recommendation, and if there is a second? >> i will second. >> and any comments from the commissioners? >> good, no one declined. >> and any public comment? >> again, i just wanted to add to all of your thank yous that the commission secretary, has done a phenomenal job, under some of the most difficult circumstances and i think that in addition to including her with staff, that we need to single her out and recognize her for all of the hard work she did and thank you, i think that we look forward to working with everyone, and on all of the committees for the future work, and we had to mention that she has done exceptional work. >> thank you for that.

>> any other public comment? >> seeing none, it has been moved and seconded. all in favor? please say aye? >> aye. >> any nays i wanted to make an announcement that i have agreed to serve on a california wide health information exchange that is being formed right now called cal index. this is to be a very exciting opportunity for the state, to take a real step forward, blue cross and blue shield have come together, and recognized the importance of being able to share information, not just between their own members, but between and among allpro vieders within california. with the goals of improving the safety, the quality and the effectiveness, that is provided and also, trying to improve the cost effectiveness of the care

that is provided, all while insuring that we maintain the privacy of patient information. i am pleased to have been asked to serve and i look forward to further the goals >> director's report? >> okay. >> my report is before you, and

i wanted to point out, that in personnel, we are working closely with dhr and we are hoping to have filled the four members positions by the end of next month. fingerprinting and background checks slows things down, we are going to ourself and i wanted to point out that rose mary, and continues and she went out, i think before our last board meeting and will be out for some additional time and so, i need to do a shout out to the team. lisa pamela, and david, and mitchell. and some of the benefit an lasts who are going through line by line and the member

guides and were working with the consultant through aon. and making sure that all of our open enrollment materials are in the mail by september 29th, but that is to be put to bed to the printer to be printed and collated by august 25th. so we are on kind of a time crunch, but the team has come together and is working really hard. and i want to thank them. also in july, we had a huge influx in person visit and we think that it is largely because of the new life insurance benefit that was negotiated for sciu so the people had questions, but they also wanted to come in and turn their beneficiary form in, in person but if you actually look at the bar graph it shows that we had as many people that we had in the previous open enrollments and while it is usually a slow month, august, ended up being pretty busy for

member services. i wanted to call on with your permission, stephanie fisher who is our wellness manager. because she has had a significant accomplishment. we kind of technically launched the wellness program. you heard about our opening of the wellness center. but in july, or was it august? it was july, july, 29th. the mayor pulled or had a department head meeting. and all but, i think that 14 of the departments came, and stephanie and her staff put together an incredible most interesting department head meetings that i have been to, and i have not been to that many, they don't have a lot. but at any rate, it was set up cafe style and there was healthy food in the center of it and challenges on the table and i wanted stephanie to come up and brief us on the wellness plan which is really our baby.

stephanie? >> stephanie, the manager, and thanks for having me. and so, yes, incredibly went well and, we had representation of the 41 of the 74 departments or subdepartments. the first steps, the leaders were asked to take was to recruit the champion and so the folks at their departments at the different buildings. and we have received a lot of response. and the health, but the human agency has had us come and speak to all of the executive leaders and then that is trickling down and so the message that it can't just be at the department head level, it has to be at the manager and supervisor level was at least one department and so that was exciting news to see. and i have been calling a get from a lots of police officers who are interested in being champion and so they are hoping to have, from the different

shift at the different stations and so we expect to have the coverage there and so it will be interesting to see how it turns out and the deadline is august 20th, so i look forward to having the great stats for you next month, and if not i will call them to get them to happen. and then the champion training will be led by margaret, sullivan, and shears in september. and so, we are working very hard, to get the well-being, assessment all finalized, and the website that will support that, their website that is the first line to us and our website to after the people have taken it to make sure that they will know all of the resources that are offered through the health service system and all of the different health plans and so we are working on that rewrite as well and along with the open enrollment guides we are including a wellness insert and it is a special, specific guide and all of the active guides for all of the four employers and so it will have a call to action that we are launching

this program. the one for the city and county of san francisco, has a letter from the mayor. and talking about the city's commitment to wellness. so, lots of exciting things to come. and you will also see from the wellness board sides, in the director's report that a lot has happened with the wellness center and there is a lot of new statistics and we have included a glossary and if you have questions or if you like to see something different, it is the time to start reporting, so that we can start recording additional information, if there is anything, or if you have questions, i am happy to answer them. >> thank you. >> yes, please? >> hello, can you hear me? >> yeah. >> just as an aspect of the reporting, i think that it would be useful, in the future board meeting even though this stuff is on-line, and we get it

in our binders and it is on the tables here that you actually walk through one of your reports, so that it becomes part of the public visual record, of what we are doing. and i am not suggesting that it has got to be in particular, after any particular event and i think that it will be a useful, educational point, about how we are trying to track and trend these issues around wellness. so, i would just ask that that be done, during a director's report in the future. >> okay, i am prepared to do it today, so we have time and i can do it in the future as well. >> all right. >> i think that we have time. >> yeah. >> that would be great. >> okay. >> i didn't mean to put you on the spot. >> no. >> she was prepared. >> okay. >> i thought that this was a really good report and so i thought that we should highlight it. >> thank you, for this segway. >> okay. >> i have slides, there is a presentation, here. >> and what are the magic words.

>> okay. >> and maybe it is on television. >> so that first slide, is very exciting, and we have officially hired the last approved position, from before, the last budget, so that we have a full team of six. they offered classes that had 854 different, or, which just depends, not unique participants and a person could have come ten times.

we added classes that you will see started out with 25 participants on the first day and so they are all doing really well and there is not a whole lot of momentum gaining, they are hitting the ground running and so we are excited about that relationship. it is nice to have that resource. >> i also included the quotes that we received from the comment cards, and our survey and things that we at the end

of each seminar we have a satisfaction survey where we can make the comments and it talked about the value and the diversity of the programming and i heard that when i go to present places that this program, people sometimes think that it is all about fitness and we are excited that it is not just about fitness, they like that component of it, but like that we are looking at it holistically and so i like that comment for that reason. >> so this gives you total participation by month. and well, we will continue to include the last couple of months. the blue in the seminars and the red in coaching, you can see that what is driving, it is definitely the group exercise, the point is that we have a total of 9 classes a week. and so as opposed to the seminar we have one or two a week. >> stephanie, does this include the city hall numbers?

>> no. >> this is exclusively at the wellness center, we have a slide specific to city hall. >> okay. >> it is in addition. >> yes, in addition to. >> yes. >> all right. >> so this, this could be an idea of the actual number of activities so that you can see part of the reason that we had so many more people in seminars in july is that because we had more seminars in july and so it gives you that sense as well and it is broken up similarly. who is doing it, is it the staff, our staff do amazing brown bag launches or blue shield who brought in a speaker for us? and is it the deferred vendor and so a lot of folks who are providing them as well as providing the group exercise classes. >> this gives you the difference between, and this hones in on that unique

participation, so we like to see the big numbers that we had 700, visits to the wellness center, but how many of them are different people, how many people are we actually touching? and so the idea behind this slide is how many unique individuals are coming and what are they coming for? you will see that by the role it is not unique, so the group exercise there were 126 different individuals in june, and 150 in july but they might have also gone to a seminar so we are not looking at unique across the different ones but we were able to actually total up, over all, we have had 255 different people, come in, june and july and we had about 500 come during wellness week. and but we are doing pretty well with the 255 different people over the course of two months, and summer months, and so we are certainly feeling full sometimes. and i think that is a good number for us.

this gives you an idea of the class to class and, this is how to determine if the class is to continue and if we promote one more than another, and you will see that there are three classes in july, the body conditioning and the yoga and the class at the end there. and so this, this is where we identify challenges and you will see, the walk-in group really decreased and that is because we started to offer the total body conditions and people wanted to do that as well. and they happen to be the in walk in folks and it is valuable to keep walking on the schedule because it is a small group because it attracts people who may not be ready to come into the gym and even if it stays small we might leave them on there and the same thing with the early morning class, it does not attract a lot of people. but the people who are morning people, it is valuable. so we are trying to balance, lots of participation. >> stephanie? i know that i have a couple of

commissioners with questions. would you pause there for a second? >> commissioner breslin? >> shlain. >> you mentioned that some of these classes are full, what happens when more people want to come and you have the capacity to handle? i mean a good problem to have, but how do you think about that, if that happens. >> i am going to let a large cat out of the bag that i was going to tell you next month, the city hall classes will be free effective september first. so we think that part of our overflow will be solved by the fact that very close by, there are other classes going on that will now be free and the deterrent of them having a cost will not be there any more. so that is one of our solutions. we are also encouraging other local resources so mta has classes and the library puts on a lot of great, free opportunities and we did have to limit the total body conditioning class because of

the equipment involved in lunchtime that was getting unsafe to have it be larger. so we chose to keep the walk on the same day, because that way, if there is overflow, there is still another opportunity. so right now, we are creatively handling those solutions and have not had to give up yet. >> okay. >> and the other thing is, what, you know, as a physician who spends a lot of time speaking to people on a one on one basis and looking around, exercise is a fantastic way to get the body fit, it is good for the brain health and a lot of things. but, it is one part of the equation, what goes in, is a huge part in what goes out as an exercise is the other part. so the question is as the comment is, what food, drinks, if any, do you bring present to these events? and do you bring up each time people show up, exercise is

good, and important, food is more important? i mean if that is not a refrain that you are beating into their heads all of the time, a lot of people are lured into the false sense that if i exercise i will drink the coke and eat the crap and it is really, you will not get that over all health benefit of lowering cost and improving life quality of life, if you don't do the input side of the equation, so i am just wondering do you serve the drinks and food or what are they? >> we only serve water, we encourage people to bring their own water bottles we don't have any of that. in general, city events don't have a lot of food at them. so, it does not happen as much. although we will be doing education and there are departments that have food. as a leadership kick off we did have a snack and a hand out that talked about the value of snacking what a good snack is, how many calories the fact that calories count toward your day and so part of it is how big is your snack, in proportion to everything else and actually outlined the nutrition, content

of the food. so, this is actually what you are eating, if you choose to, and we had small, very, snack pack, and nuts to drive home the message of portion control. and even if you are eating healthy foods you have to think about portion control, the few opportunities that we have had food, we have driven home the education at messages and we have not done the announcement in classes and i teach tonight and so i will consider putting that in total body conditioning class but i do think that we encourage the folks to come, and the table that has things going, they get the message this is the place where you come for health and the brown bag and for the health coach that we have on site one day where you can get that nutrition advice and we are having some of that additional information, there, but we will have to think about how to incorporate it into the group exercise. >> thank you. >> thank you. >> and you also had we had lunch and learns with one was on eating well, after, cancer,

and you had four or five lunch and learn on nutrition. >> so we try to address, nutrition each month in a different way and in july, we focus on cancer, so we were looking at cancer, preventing foods and food is medicine and nutrition after x cancer, this month there is a lot about motivation and staying motivated with whatever your challenge is. so, it is there, but, always, i would say, you can't out run the bad nutrition. so, the more that we can put that message in, definitely worth while. >> all right. >> and i had a very nice segway to the interactive seminar break down, this gives you an idea of what were offered and how many people came and the satisfaction score and out of five and then that turned into a percentage for you. and then, what group presented it. and so you get a sense of who

is giving a talk as well. and we did see a pretty dramatic drop in attendance to the seminars. with the expansion of the group, exercise classes and so at lunch we had 20 to 30 people in the exercise room and at the same time in the conference room we have about ten. we were getting closer to that 15 mark on the average when they did not have and we were not completing with ourselves and it was funny, last week, i watched people go, they don't know what to do, and the good news is that they are interested in both even if they can't be in two places at the same time. >> so those give you an idea of over all participation, as well as unique participation, which is a theme that you will see from us as wherever able to collect that individual level data. and it is a good time to give a shout out to our new management assistant who is entering in

all of these e-mail addresses to give us the data and the shares that put together the charts for you and who figured out how to auto mate it and type it into the computer and so we will not be manualing entering things and so it will be much better in the future. >> the same thing with the health coaching. health coaching, we love having it, and people love that we have it, but they are not, knocking down our doors, and the big reason that we think for that, is that there isn't, that city-wide announcement yet, there is not, a challenge to be participating in. and they have not just gotten their result and not just taken a health risk assessment and so there is not that nudge that compliments the coaching well, it is a great service, but it isn't driving the way that you would expect it to, had come a little bit later in our program. >> eap, you will continue to see these statistics, and so, you had lots of interesting in eap and a lot of new

appointments and so we break that down for you as well. >> and then at the end, you will start to see work site wellness and we are going out to the department and doing things on site, we were busy kicking off the wellness center and but you will see this grow as time goes on and especially with the launch of the champion program. and as well as the city wide wellness kick off. >> and the glossary and, hopefully it makes sense, and if it doesn't, help us to improve it. >> i want to compliment with the rec and park. and the better off we are all are, any questions, or comments? >> i have one question, the single sessions. how often are they repeated?

>> we don't have a consistent cycle, at this time, if it is a single session, it is happening once, this month for the first time, we are doing a single session at lunchtime and in the evening to see if that helps to expand and we have terrible participation in the evening, but part is that in july and june, happening to us. so at point, we don't have the draw to be able to repeat it to get a lot of people, when we are struggling with the eight, but i agree as the time goes on, we are repeating a seminar that we did a few months ago that had poor participation because we had not opened the wellness center yet. this month, we repeated it yesterday. and so, we probably need to get on a schedule, where the people get used to seeing, talks at certain times, but at this point, they are typically just

offered once. >> i like the looks of these first three, especially, cancer preventing foods, and fueling your body, and the kitchen medicine, i think that these all sound interesting. >> they were. >> and they should really be and see if you can get them promoted somehow, i think. but creating happiness, i don't know if that is possible. >> that is a fun talk. i encourage you all to attend and the calendar is on-line and you can get the calendar in advance and we can send you one as well. >> and stephanie, will you just do a shout out to the vendor whose have been helpful in all of this? >> president has been a lot of talks and our health coach is from kaiser but services provided to all members, and blue shield has been fantastic in helping us to get to the aco partners in to give talks as well and the healthcare, never says no to anything that we ask for and so we appreciate that as well. so also, they will be helping

at the champion training, they have sponsored our breaks. >> wonderful. >> and any other questions, comments from commissioners? >> just a quick comment, thank you for doing the report. that and more public venue. i would recommend that we do it quarterly. >> yes it will be in the kit and we will read it. but i think that having you stand up, and highlight, and under score some of these activities and interventions will help to add to our collective understanding of what is possible, here. >> i would appreciate the opportunity, thank you. >> all right, thank you. >> any public comment? >> i am going to comment. and retirees have asked when will there be some classs for retirees and we understand completely that the priority is