chow mentioned the development agreement requires the c p m is required to work on the issue of the subcutaneous beds and the therefore, be it resolved c p m to work with the agencies to address this citywide beds short term >> so commissioners - yes commissioner singh. >> one of the issues which is we're studying and come back to you will say independent of how we get through to particular sniff issue today because if other institutions feel the way that c pmc do today, this is not going to be an issue that goes away i would like to have a

deeper understanding of the policy frameworks that drive reimbursement that are son this item okay look there's less need for sniff beds to understand that and how to think through that as we face what i'm predicting you increasing the discussions we have a changing demographic and changing health care policy and being asked to be really thought full they're moving around i feel what we can do go deeper into what is going on into sniff that causes an actor to manage things this is the appropriate way to manage it that may well be we should

understand the principleal forces. >> are you moving the resolution. >> i wasn't i was asking. >> i will make a motion that we - i will make a motion that we passed this resolution as written. and that indicate it will have a detrimental quack that on this health care services within the community >> thank you and a second please. and i'll second it. thank you. and so commissioner singh as you've had decision i take it interesting another institution is taking a position so it's obviously an important question so i think the question is still to be clear it is not just sniff

beds it's really the question of short term sniff beds versus a long term sniff best evidence bed another issue so issues are so multi lard >> we as a city within the city there are micro demographic problems that drives people so we would be better stewards of our responsibility. >> i took that is as recommendation for commissioner singh to work on. >> right and within the resolve in the encouragement of c pmc to work with the department and stakeholders we expect progress before on this as i think director garcia noted that's within the context.

is there further comment on the resolution which now t is moved to having a detrimental effect and ask for further coordination in terms of resolving this >> if not are we prepared all in favor, say i. opposed? therefore the resolution has passed with a 4 to zero vote. thank you (clapping) our next item, please. >> the next item is the 2 year dph update. >> as we go on to the next item thank you to the staff for the background work including some

of the original documents that i'm sure it was great i found no one had the documents we could, in fact, find so again, this was very helpful in the discussion. >> good afternoon, commissioners greg cfo a brief report on the budget. we have a budget that was as of this afternoon approved unanimously by the board of supervisors so we have one that final are hearing with that the second hearing performer a larger than the budget that similar to the budget we've discuss in the past so a few minor changes we're close to the end of the process. as we do every year we go through the process with the board of supervisors where the

budget analyst depositions o comics through our budget and sees things to be reprogrammed we have a process worked with the board of supervisors budget analyst to identify savings of about 1 point about $2 million i million dollars in the first year and 2 pointed plus in the second year we're under agreement with those restrictions and put back into the pot of fined to be relooked at by the board of supervisors for their priorities. in addition, we have a reserve placed on and general fund salaries of $8.4 million based on the budget analyst of our salary spend we explicit agree with their analysis but we'll demonstrate that this is funding

we'll use >> so i'm not sure i follow they think we're going to spend less or more. >> they think we're going to spend less yeah. >> they are willing to put all the reserve rather than not having that. >> they're projecting it out their projection showed they were going to spend less is that money to be reprogrammed we said no our projects take into account other things we'll place the money on reserve and if we don't need it it will go back to the general fund unless we need it. >> so when you populate the budgets for the different parts of department do they get their salary budgets targeted with

this not in them or is this in them. >> they will be with this in them we'll not be asking our diversification's to religious $8 million of salaries from what we planned and then - and exactly we'll say work within our budget if this savings materialized if we were is too sequesterer than that will be surpassed to the general fund but we're not protively asking it to be reduced for the salaries. >> so the results in many years we've identified savings that go to the pot to be relooked at and many of the reallocations come back to the department there were a number of reallocations

in the process we have $100,000 in every year program to continue a service we've started in t in the fiscal year 2013-2014 and this helps with job outcomes $250,000 this is larger than related to the transition costs to place clients associated with the university women's home closer so that allows us funding through that one hundred and 25 thousand for a breakfast scar support services and $125,000 for a continuation of funding for our supporting of the streets program and the grants to the administrators of that

program. homeless services in the mission that's an additional position for our hot team in the mission and continuation of the funding for our 0 prior year add back. and lastly $75,000 which is planning if you believed that will louse allow us to do the plans for the facility with the idea we'll develop a medical shelter to allow us to do some of the drawings in the facility. so on the ad back those are vamgd by us so the board of supervisors can say they go into the programs and those are not being because we're working on this actually >> the board wards the contract and that's right the board fwufs

the intent of the appropriation and the board talks about the general intent so we administer the execution of it. >> just before greg finishes i want to acknowledge all the staff work he's done and jenny particularly as well as we move into the next year budget so looking at the budget initiatives in terms of what we've funded and recorded requirement of each sections we have initiatives and we'll be having the report to us and eventually have the reports the implementation of the brand new initiatives we've spending millions of dollars on i want to

hold the accountability for our budget for the next two years you get an update address don't forget when a about what happened and we're bringing you updates along with the initiatives. >> i want to congratulate you both on that when you start to do that you begin to be able to look resources so the 1771 are getting the best health care for what we spend which is a hard thing to do hard for you and the commission there's not been a single thing that comes to us it's not a totally liability i need for health care but we live

in reality. everyone else in the country thinks about us (laughter) so congratulations >> thank you. >> it's a long huge process. so and so that basically wraps up we have again one more hearing at the full board that is essentially a foefrment and the mayors signature of the budget happens in early july and then we move on and do it again in a few months >> yes. commissioner. >> we need a copy of this that is readable. >> that will be useful. >> i think the last time i asked i didn't get it. >> commissioners that's my faulty, forward that to you. >> thank you to our department

and finance for the good work. >> it's on and on online too. >> it's online. >> yeah. the package. >> that's right. it is online. >> to read on and on online. >> but if you want a hardcopy. okay. well it's very nice to actually put our salaries on reserve so i think that's a sign of confidence ♪ vice president; right? they could well have eliminated it and we'd have to go back a ask for that >> that's right then we'd start at paying attention position of asking for that. >> next item and next item is the joint conference off ramp

business and i did want to take it up under 9 consent calendar not to cause for confusion by i noted that we don't seem to be following the protocol we used to have the prop i hearing how we were going to communicate with the neighbors and then also how were you going to get the reports of what were the records from the minutes in terms of we didn't get a list of the attendees until lacerate when we had 74 i thought i'd ask director garcia we need to understand why or the protocol needs to be better misunderstand. >> one of the reasons this came

back to the commission great from the previous committee i did not feel a they've had followed the procedure so many of the programs don't move caring considering the high rents we getting get out of the practice so i spoke today with the director of the processing process and talk about u haubd u talked to to run state the educational process we have the last history when people leave so we're going to be working on that i've asked joe robinson or whoever to insure they will have met the policy requirements so i've asked for a quality assurance review so we don't have to send it back to them and

have the regulations and a so we'll be working on that and give you an update probably about a month is thank you, commissioner. >> i actually forgot on the previous item there was a comment because i didn't have no slips. >> there was one. >> i wanted to recognize that our own vice president this is her last regular meeting as she moves on to the police commission but certainly the police commission gain we'll look forward to having you there as someone that understands and consider that a value to an important department and the

work they do. thank you very much and - and it's been a pleasure working with all of you >> congratulations. >> are there other items under business that you would like to bring up and commissioner chow i want to at the last meeting i requested an update on the local enterprise firms i'm wailing e wasting for that. >> we'll be providing that in our calendar for the commission i've spoken to our commission in terms of bringing a report to you, we have it listed thank you. >> thank you. thank you >> any other business at this point and the next point there's no public comment on this item. >> no public comment. >> the next is the joint committee report. >> i'll quickly read the report

it met on july 8th at the san francisco general hospital and we received the operational redesign and transition update that continued to look at service sclens and safety and collaboration across services. at the same time, we also did receive from mr. many khan the person for the update is that her title she's been hiring consultants to do the transition planning and we the how the planning was going to occur as it's first draft timeline and the commission will hear that and the joint kwefrj will get reports nupgs with that so it goes without saying this is a

significant move i mean they're to have to move the acute patients over 2 hundred on the day and at the same time the entire configuration of the hospital stations are quite indemnify that is a complete different type of how one takes care of of painters because the even though up is different there are single rooms and visibility changes from the traditional nursing stations and also, we will be tracking that to make sure it is a work in progress at this point. like wise we've looked at the different levels and zones and it is quite complex they see one hundred and 60 patients per average per day and 60 thousand

visits in a year and their triaging through through four different zones and treatment areas along with the transitional and medical and screening there's 27 bays because not everything is is room some people there are 8 treatment station in designated hallways you may wonder why in fact we're in is sense capacity wise fortunate this is the reason for diversion at one time we were taking all those corridors and having more than 8 and this was not feasible and good care so this was one of the reasons the defying versions rates remain above the point and more capacity this is also

optional care we were down and it is staying within our legal capacity we need to do that. and trama semi care for the treatment of strokes and walk ins those are not part of the defying versions so the commission is should be aware defying versions does not happen for those two have trauma and walk in and lastly we reviewed the regulatory update for the correction plans and in closed session rectified the credentials we reviewed the staffing for it and how there were limitations to the staffing or who was being down by the hospital to over come shortages

including the are per diems and expedite the hiring process i think we've heard the human resources report on their process to get the candidates for the positions that end my report san francisco historic preservation commission was there. i don't know if you have anything to add to 0 busy week. so thank you. next item, please. >> number 11 committee agenda. >> we'll have our planning session in august are there other items to be added. >> a couple that were on my listed which is not a spice to mop we've heard about this out of county discharge and request for information and i just think

we owe it here a response to that. and the second is to get a better understanding of the department from the department what their perspective is on the ambulance emergency response issue. you know how real is it if it's real what can we do as a department it's pretty central what we worry about and it doesn't fall under our purview by to express an that much >> we can work on it. >> we can work on it the integer response. >> accident second item fails under our purview we're are not

only to monitor how well, our emergency system is doing this is part of my request from the past of reviewing the entire, you know, performance of the system and they brought up some good points and gentleman has been quite active in the field and i think not only the response time but he then criticized the question of accuracy of equipment and it added to what we should be doing i'd like to add to that. >> i got that thank you. >> anyone else for additional items we have not agendized or placed on the to do list yet? you're not going to add anything? it's your meeting and i don't. no no, i want to see

if i have items to add, you know, as a christmas forum or what (laughter) we're looking forward to our invitations >> next item. >> i move we go into closed session. >> there's no public comment. >> okay. a motion is in order all in favor, say i. opposed? we will now okay. >> the content of our closed session. >> i second thank you. >> okay all in favor, say i. opposed? we have concluded our session is

there any further business. >> motion for adjournment is in order all in favor say i. we're adjourned thank looks ver.

you know i am glad to come here today and i thought that i would introduce myself. >> and you can do that too, later thank you. >> and okay, is there any other public comment on items again, related to the business of the entertainment commission, not just to introduce yourself? all right, seeing none i will close public comment. we will move on to item two which is the review and approval of the minutes from july, 15th, 2014, are there any changes, i do have one myself. i was present at that meeting and it was