>> dr. a james. >> we're ableers there's no question about that so i believe to date 3 of our clinics have gloen the training it's a real clinic wide effort from the person answering the phone to you know the janitor everyone is on board we want to support women in those choices so and then the rest of the clinics we're hoping to bring that over time we have 3 pioneers it started this they've doubted their rates of ivs and the public awareness campaign and you know, i think the h pc are v is something we've been successful not only for the young women but young men as well. >> dr. would you like to -

>> dr. you wanted to say a couple of words. >> in terms of of the long acting we have a birth outcomes initiative that is going on right now it has two main strategies and one of them to improve the sergeant of lark and this is focused on the disparity and access to family planning and lark for young african-american women so we are working with the initiative that's a collaborative with many partners including the clinics and this pilot project but there's a workshop that is focusing on lark in particular and the public education piece of it is on their agenda this is one of the main strategies with the idea we have to really focus on the health of the young woman and that's going to lead towards

better birth outcomes for the family yeah, that's one thing i wanted to add. >> any other questions? >> i just want to make a couple of comments especially around those really personal stories that you all shared and it's really heart living and when i look at the way that the community oriented prim care 52 percent of those patients of women i think that those become important as we continue to move into the ac a era when we look at the patient retention and outreaching and 345shg9d the services we provide i think there will be more and more opportunity with those stories to be shared, you know, so it's

not necessarily the stories we hear about primary care (laughter) but 101 you've seen one of them it's important and i think that's part of what we haven't touched on how do we really educate those who are eligible for our services that you know the transfer of the services we actually especially in this case it looks like it will be more women a than men ceasing those questions. >> i wonder if the director of the health would like to respond to our strategy. >> good evening, commissioners i'm roland director of the health network in terms of respond to the community i'm

sure you're aware of the health network we're in the process of rolling out a marketing and branding campaign which you'll be hearing more about on the october 7th commissioner meeting but part thought is both an internal and external communications plan we worked for the last 6 months on the external and now moving into the face of the overall community part of that will be the development of a newsletter that will be administered by the network and distributed to the patient who are assigned to our network same we're part of the san francisco health plan that actually has a robust communications system already in play so we'll continue to strengthen our partnership with them in terms of getting out the information of the services we provide. >> thank you so the other questions i have is the do those

numbers include the other community clinics signatures martin and the free clinic and i see the deputy shaking his head and nate's that's our network by the way, u. >> because those are somewhat of a speciality clinic so serving the women in the community do we see any value in creating a medical home oh. >> oh, absolutely some of the clinic consortium have a contracts with us but did you say larkin. >> no, no lion martin. >> lion martin has been absorbed by h.r. 360 with a large contracted they're a primary care clinic they've been

providing speciality and hospitalizations so they're a vendor or contractor within our network. >> so in the future will we see their data included. >> probably through the health plan and so certainly we could share that information and get access to the health plan providers and translate that to our network and that's something we can certainly is provide you. >> absolutely ze we have a strong collaboration with the san francisco clinic consortium we meet with them and the medical directors work together again, we provide the hospital care so they are we consider them part of the family we plan together and implement together and share data together. >> at this rate they'll out grow us first

(laughter). >> i have one comment i think this goes to healthy san francisco when the date of the clients is important i notice it's mustard together with another organization i want to know if you can keep the data separate the highest rate of solicitation are in oakland i've been taking language classes at the college and taking mandarin they've wield i widow he would away a lot of the programs so if we don't keep the statistics of the languages we can't help our social workers that want to be medical interpreters.

>> we'll take that suggestion. >> we'll not received public comment requests but there are there any public comment. >> general public comment. >> no for this item. >> any other comments commissioners. >> so the item is concluded i'm wondering if the president would rodriguez want to make comments how she feels how i'm wondering some of the things we might want to look forward in working with you. >> i know the hour is getting late i will make my comments short and sweetie think this has been an and we'll productive

joint commission hearing i've found a lot of enlightening information and perhaps for further collaboration and i'm sure all of our commissioners will probably like to make comments but i would ask if the directors might like to make any comments about kind of a path forward for future moderation. >> i'll echo that a lot of us have discussed a lot of temptations and a new magnetically health system we ask our directors where it is to have the intersection and where it would be appropriate to report back to the commission to see the progress that's being made on the subject being made

her here and other subject i'll invite both the 0 decorators to ma make their comments. >> thank you very much i want to say that 9 leadership has been meeting are director garcia on a fairly regular basis by 24 reinforces i need to meet with director garcia a number of times we look forward to working with you. >> i was writing notes back and forth an organization closed and it's an appropriate comment we remember working on the human trafficking that organizations have difficulties so we'll be working closely with the director to look at how to continue to provide those services with one less community-based organization that's able to do that so we'll

commit to work and i've been taking notes on the areas we're talked about and create a report for the commission and continue to work on some of the areas i think this issue of trama and the impact of trauma i think the pictured it very well an entire impact on the health statutes and you, add many things and you talked about splitting. >> i'm on number 2 i think we certainly have common items to work and a on and learning our work as commissioners also as the directors we forward to working with you. >> i love the high-level reports they give a view of the whole city but i was laborer for maybe next time either by, you

know, health network service area or by zip code or something we might look at the issues in terms of the service programs or population issues like for example, the health relate breast cancer screen rates you can compare the clinics and rates and stuff. >> any further comments if comments otherwise we'll call the next item. >> general public comment we have one card submitted and son-in-law. >> i'll call the card submitted we have 2 minutes rubbing deny e benefit goldman. >> i'll hold the timer up when you're finished. >> president curtis and honored

commissioners i'm a dual diagnosed mental health consumer at mission that is part of the mission mental health services i'm under the excellent care of my psych social worker and my psychiatrist recently, i spoke out about a violation of the admission agreement between myself and the board and care i stay and mary in her house i've been living there for 4 years without incident my incident and stable illicit has been an important part of my wellness and recovery the violation of the admission agreement builds down to one sandwich the facility agrees to provide 3

meals and two snacks i was out all day working busily when i thought were good works and returned to the occur, if you will, if you time of 10:00 p.m. was given my lunch and requested my diaper the administrator is donya herself defenses refused me the sandwich i called the sfpd to be witnesses to her refusal and i mentioned i was going to state licensing following that a few days later i received an eviction notice regarding thirty days notice dear mr. goodman i give you thirty days eviction notice because our 52-year-old we can't

meet our needs. >> mr. goodman. >> they were quarterbacking this if anyone was expertise to share please do so thank you. >> thank you, mr. goodman that was one other public that wanted to speak also. >> reroberta and staying say our name. >> i'm the co-chair for a e w san francisco when is for the university of women i come to the commission meeting open a regular basis and it's been griffin to see the issues that the cross over between our commission and the women's commission items i just wanted to update that on the women's side we were very

interested in stem and getting women and girls into stem we weekday back our girdles if the math and science camp there were 15 of them and one story that stuck out one girl was working with a skid that competed on her and math and science is a very creative endeavor the other item oh, they were planning for 2015 so we sent 15 girls to science and math camp every year there's a 69th anniversary of the united nations signing felt declaration on october 19th a e w is is a co-sponsoring and telling them for human right if anyone wants

information i can turn this on send this along thank you for an insignificant full meeting. >> thank you next item. >> we're at adjournment commissioners. >> so we need to have a motion for adjournment did the health commission wish to stay or is there a motion for adjournment (laughter) all in favor if not the health commission is adjourned we have a tradition of egyptian in women we're lost i want to call for a motion and say that - >> i have 3 women to adjourn

first is john rivers she was the first hollywood women to come up in hiv aids and remove the stigma we lost lillian polling the k cf for asian pacific islanders and i was up in the san francisco when the population was 23 percent and a lot of public service announcements on health care and finally joanne garvey a a long time attorney who argued in front of the superior court but founded the california lawyers so it's a tremendous loss to our community as well. >> i'll second. >> all in favor. >> i okay. we are now both

adjourned. >> okay. we're now both adjourned so everybody

>> this lodge is home to some of the best fly casting pools in the world. these shallow concrete pools don't have fish. this is just a place where people come to practice their fly casting technique. ith was built in the 1930's and ever since, people have been coming here to get back to nature. every year, the world championship of fly casting is held in san francisco and visitors from all over the globe travel to be here. >> we are here with phil,

general manage of san francisco rec and parks department at the anglers lodge. what do you think about this? >> it is spectacular, travis from oregon, taught me a snake roll and a space cast. >> there are people from all over the world come to san francisco and say this is the place to be. >> yeah. it's amazing, we have teams from all over the world here today and they are thrilled. >> i flew from ireland to be here. and been practicing since for the competition. all the best casters in the world come here. my fellow countryman came in first place and james is on the current team and he is the head man. >> it's unique. will not see anything like it where you go to compete in the world. competitions in ireland,

scotland, norway, japan, russia each year, the facilities here in the park are second to none. there is no complex in the world that can touch it. >> i'm here with bob, and he has kindly agreed to tell me everything i need to know about casting. i'm going to suit up and next, we're in the water. >> what any gentleman should do. golden gate angling has free lessons the second saturday of every month. we have equipment show up on the 9:30 on the second saturday of every month and we'll teach them to fly cast. >> ok. we are in the water. >> let me acquaint you with the fly rod. >> nice to meet you. >> this is the lower grip and the upper grip. this is a reel and a fly line. we are going to use the flex of

this rod to fling away. exactly as you moved your hands. >> that's it? >> that's it. >> i'm a natural. >> push both arms forward and snap the lower hand into your tummy. push forward. >> i did gave it a try and had great time but i might need some more practice. i met someone else with real fly casting skills. her name is donna and she is an international fly casting champion. >> i have competed in the casting ponds in golden gate park in san francisco. i have been to japan and norway for fly casting competition. i spend my weekends here at the club and at the casting pond. it's a great place to learn and have fun. on a season day like this, it was the perfect spot to be.

i find fly casting very relaxing and also at the same time very challenging sport. takes me out into the nature. almost like drawing art in the air. and then i can make these beautiful loops out there. >> even though people from across the globe come here to compete, it's still a place where locals in the know relax and enjoy some rely unique scenery. until next time, get out and play!

welcome home, man. everyone welcome to the san francisco budget & finance committee for september 24, 2014, i'm mark farrell i'm joined by supervisor avalos and supervisor cowen and thank you jim smith and others amazement's as yes, please sloindz all dies and files sal