>> the meeting will commence. good morning, and welcome to the aging and adult service commission, could we have the roll call? president james? >> present. >> vice president seruna

>> commissioner itani. >> present. >> loo. >> here. >> ow. >> here. >> roy. >> here. >> and please note that commissioner ann is present. >> thank you, could we have the approval of the agenda. >> moved. >> it has been moved and seconded. we have approved the agenda as circulating, all in favor? >> oppose? s ayes have it and so the motion is carried. could i have approval for the consent agenda. >> moved. >> second. >> all in favor. >> opposed? >> aye. >> ayes have it and the motion carries, item four, approval of

the commission meeting minutes of the september third. >> could i have an approval. nso moved. >> and seconded. >> it has been moved and seconded that we approve the september third, commission meeting minutes, all in favor say aye. >> aye. >> we have employee recognition of the month, with the department of aging and would like to recognize the transitional care and hospital out reach team, diana.5. dana leavitt, kelly bryant, judy chiang, jesus diaz, mui fung, kelechi ihenacho, mary ann roeurth, andrea salfiti, mary cabarles, kelvin xu and jane chang

>> would you please come forward? [ applause ] >> congratulations. >> okay. >> thank you. >> congratulations. >> thank you. >> and so we are going to, that is exactly right. if everybody can just so kelley, judy, all of you, this is president james, i am thinking that you and i have not had a change to meet her

before and if you have it might have been out in the community. welcome to the commission meeting. and before we go any farther, i know that you have folks that you work with every day who provide incredible support, for you to do the jobs that you are being honored for today, and so could everybody that works with this wonderful group of people, stand up please? all of you. >> all of you [ applause ] now i want the rest of you to look around, because these are the people, these people need people, and the folks that you are talking to whenever you call in, or if you make a referral for someone else and they call in, these are the folks who are the hub, the center point of the department of aging and adult services. so, really, i think that a gift

to our community and certainly an important piece of how people get probably the most critical piece of how people find services in this community, and so i am going to go on and on a little bit this morning, because this is my pride and joy. and so, i have to say, there is nothing better than living in a community like san francisco where there is all kinds of services, right? and all kinds of services for people, to use to stay at home. but, there are other side of that is that there is nothing worse if you can't find it. right? and so, it does not do much good if it is all there but you are the daughter, the mother, or the person themselves who is really looking for those services and can't find them, or, they find somebody who kind of knows about services, but they lead them down the path and so they get lost on the wrong path, maybe have someone turn them to the right services

at some point. and so that is what these folks do. thanks to jason, ask the supervisors in this unit, and all of the experience and training and gifts that you all bring. folks who come to us who actually have that opportunity to go down the right road. now, the reason that we are honoring this particular group of folks out of our intake and information unit this morning, is that and the commission will appreciate it because we have been talking about this now for quite some time and we have a contract, with the cms, the center for medicare and medicare, and medicare and medicaid and this contract, is to help people leave hospitals and not come back. and the idea is to reverse those lower readmission rates and have people be healthy when they are at home, right? and so they don't have to go back and so that the life goes

on for them in a much better way. so, we were one of about 100 sites across the country that cms contracted with and we have partnered with nhphs who also has six other community partners that we work with, and this is a big, big deal, four hospital systems, 7 campuses. and we have the beauty of this program for us, has been and it has been a lot, but the beauty has been that we have had the flexibility to try to do the different things, right? over time and this did not work and we tried something else and this worked and we kept doing it, so this group goes bed side, into the hospitals into those seven hospitals. and they work with that consumer, that patient, one on one, to help them use the tools that we put in place to go home, be successful at home, to the coaches, that are out of

the contract, and not go back. and we have had a reduction in those readmissions which we are enormously proud of and so i can't thank you enough and i have to say, this has been, i would say one of the biggest struggles in all of my years that i have been and i am 66, and i have been doing this for 40-plus years and these systems are so big. they are just so big that they are hard to penetrate and just when you have a contract in place and everything is going smoothly, and something has to pop up and we have to have more shots or this background test or have this or that and this team, of their own volition has agreed to do things because they wanted the program to succeed. and so i cannot thank you enough. we are really thanks to you, we believe that we will have at

least going into the spring with a new contract with cms and all of the people are being cut off but we are still moving for ward and it really is because of all of this enormously hard work and dedication and you are being willing to go beyond, what is job, really is required, maria you did not hear that. okay. >> and thank you to jason and the team and thank you to all of the folks who work in this unit because the truth is, you all can't do what you do, unless the folks that are here and part of your team, do the pieces that they do as well, and so, thank you, and i think jason... [ applause ] and so i can't say it any better, but i do want to echo, what director said about the staff here, and doing the hospital out reach work, and they are going bed side, and really earning every single one

of those referrals, they are not a passive recipient of these referrals so this month, 547 referrals meant, 547 face-to-face contacts with individuals in hospitals offering transitional care services and all of the other services that we provide and it has been an incredible part of our program doing this hospital out reach, and i just also want to acknowledge everyone in the intake, because the people up here, there are a portion of our larger staff, and there is about 25 or so, individuals that really keep the unit humming and with the increase that we have seen over 50 percent, in just the last few months, we have not had additional staffing. and the people who are doing the transitional care, work in house, processing referrals and processing all of the other referrals and providing information assistance, we have been able to provide that at

the same level and the quality that we are providing before this massive increase and so it is congratulations to everyone and i also as you said, i want to acknowledge all of the struggles that we have been phased with in the hospital, and really just the per severe and just continue to get more referrals and see more people with all of those struggles. so thank you. >> i misspoke, i said seven campuses but we are now in nursing facility and more campuses than before and i would just share with you that i happen to be at a function where nancy pilosi and i made a pitch for our program if we had to appeal with cms we would be back in contact with her for her assistance, but given the new numbers this month this looks like we are forgo writing a letter of appeal, thank you.

i think that we need a picture. i don't know how we are going to do th. but somebody has got to get a picture and i don't know if i always end up on the end. and there is a lot of short people in this group today. okay come on. >> and i just want to say, while they are getting together on this picture, that last week, i attended three days of cms training. and i tell you, it was gruesome, but you did look at all of the policies and everything and what is happening with people and i can't remember everything, but i kind of know where things should go, you should go here or go to this person over there and i did go and see one of my clients out in the neighborhood, and they are at a home and i am so glad, i am a nurse, and i know what you are doing. and i used to do the inspections with them in the hospitals and i know how important it is and i want to

thank you, you guys look so young. and you are too young, but any way, great job. great job, thank you. >> are you going to pass out the... >> yes, i got so busy. okay. they are in order according to the agenda.

>> thank you, that is always the fun part of the commission meeting. next on at genda, we have reports could we have director's anne hinton's report? >> good morning, commissioners. president, james. and i just, i think that one thing that i want to highlight this morning, the white house has announced that there is going to be a white house conference in 2015. and it is going to be different than the past ones have been and i think that the last one was in... actually ten years ago. and i was still, and i believe that chuck from central latino was one of the delegates to that conference. so in the past, delegates have been elected from all of the states and chosen, and sent to washington it has been a very, very big event, and there were caucuses looking at platforms and discussion of policy, and

things that they might want to go in to the older (inaudible) and so on, and because congress has not and we are under a continued resolution and we don't have a budget, at this point, or a significant or a regular budget, no money has been set aside for a white house conference and so the white house itself has pulled together, about 3 million dollars, to go ahead and host something in 2015. and national association of associations on aging was briefed on what information is available at this point, by the lead person from the white house. and so this is the information that we have. and some time between now and april, there will be ten listening sessions held in different parts of the country. and assistant secretary, greenly will be at those listening sessions and we are not sure, if other folks from

the federal government will be there or not, but she will be there and at this point, we don't know the dates and we don't know the cities, but clearly, california, where she will be chosen and we are such a big city and frankly, and when we had the older american act hearings and we had one right here in san francisco with the assistant secretary and so the regional office is here and so we have a lot of reason to think that we might be chosen, but really what we want is one held in california, for sure. the white house has picked four topic areas that they will be focusing on and they are broad and we believe that the things that we are most interested in will fall within these four areas. and so the first one is elder justice. the second one is long term care services and supports, the third is economic and retirement issues, things that helped people to retire

successfully. and i am just blanking on the fourth one, but... oh, livable communities and so you can see that pretty much, anything is going to fall within those four areas. we believe that the listening sessions although we don't have a lot of detail will cover all of those so they will not have one for each topic and they will be and we are already in our state, organizing ourselves around the four issues to have the testimony and present. the california association on aging is talking about doing more than the ten sessions and maybe holding a local events, and where we could gather information, especially if we are not one of the listening sites, and especially gathering the information that we might send them on to washington. and there is going to be once, those sessions have taken place, and there will be

smaller groups brought together on each of those four topics to discuss, and i think, more in depth, what has come out of those listening sessions and also, with those other comments, and other pieces of information that belong in those documents, the president has determined that there will be four federal agencies involved in this process, so there will be hud, labor, and health and human services and justice. and so, all four of those agencies will be looking at the input that comes in to determine whether there will be any policy issues that kill be addressed immediately or for the long term and we have a white house conference and not only are there delegates but congress and the white house are involved. so, you know, the picking up of pieces of legislation and moving those forward, and the

white house doing its work, you know, there is a joint commitment to that. but at this point, we are not saying that. because again, congress has not weighed in on this and they have not supplied the money for it and we are not sure where that will go. if there is talk now that the white house conference itself, will be in the fall or maybe as late as december. and they were originally talking about maybe having 200 people from all over the country come to washington, and in a celebration as well as a i guess, probably looking at the recommendations and so on. but, they have informed us that you know, the folks that they have talked to about this are saying, that 200 people from across the country is not enough, you can't have this big of a deal going on, and you can't have a white house conference and only have 200 people come to washington for it. i mean that more people come to

washington for the alzheimer's work and for a policy briefing and so on. and so i think that there is going to be an effort now to look at a larger venue, with more people, but it is not clear, again, how those people will be chosen, to be part of that, so, it is a pretty exciting time, again the last one was in 199..., so ten years ago and it has been a long time everybody has been wondering given that there is an early america's act and authorized that there will be a conference itself, and we are going to be using technology and san francisco is positioned well and we have computer labs and we need to figure out a way to help the older adults weigh in on where the country is going and what are the issues of facing older adults and so an exciting time and so when we have more information, we will make sure that all of you hear about it. so, and that is all that i have for today. >> thank you. >> and any questions from the

commissioners? i have one, did you say 2016 or 15? >> 15. >> okay. >> and it is short time. okay, as the advisory board? mr. leon schmidt? >> good morning, president james, commissioners, executive director hinton, the advisory council met on september 17th, we welcomed two new advisory council members benny wong who was voted in by the commission and madeleine brigham who was appointed by supervisor london breed from district five. the report forms were finalized and we had a council person who went to do a site visit to the western addition, and the report came back that

everything was okay and all of the needs ever being met there. >> and the advisory council sent a letter to brown for the care giver bill and we are awaiting for the signature, and they have a new director, kelley dear man and will be invited to the october, advisory council meeting to present a short six month update. and the nominating committee has a full body and we now are in process of of finding a nominating chair person by november. and the advisory council is still looking for a volunteer to complete the (inaudible) four-year, california senior legislative term, and we have some possible candidates but we will know this coming advisory

council for october. the lgbt als hiemer care giver committee has reached out to certain county and they were all enthusiastic in joining san francisco and doing an education and awareness campaign targeted to the lgbt community, and the alzheimer's has decided to partner and started to write a grant to do the preliminary surveys to obtain the hard data on the lgbt senior care giver with dementia. the age and disability friendly work group now have rose johnson who is a staff person at san francisco planning commission, and planning department to help them pull together the reports and do the hard data, and get the hard data information, and do some planning on their own.

and finally, the education committee, will have a program of october 24th, and on long care, long term care, at the center and that starts at 1:30 p.m. and that is on a friday. and that is my report. >> commissioner? >> thank you. >> do you find a co-chair for the legislative community? yet? >> we are still in the process for that, so we have two possible candidates, and we will know at the october meeting. >> i hope that we will meet this soon. >> hopefully that will happen and we will let you know and in october we hope to have that finalized. >> thank you. >> any other questions? >> thank you. >> thank you, ma'am. >> thank you. >> the advisory council joint legislative report commissioner ow?

>> yes, good news. governor brown three days ago signed ten bills governing the residential care in california. that is the residential care facility for the elderly, what this is, is a home supposed to be assistance leaving home for the seniors. and for the last sense its established, about 200 years ago, and it deteriorating. and there was a report saying that the patient in it, with the book (inaudible) and deadly (inaudible) and sexual assaults, and 28 deaths, and this is cities (inaudible) valley, there is a nursing home

with 19 patients and they were (inaudible) in the employees just left. so, we saw with this, and there is a lot of new legislation, you know, how to take care of this problem. and take care of all of the seniors in this nursing home. as we saw at that, the governor signed about ten bills. and not all the bills that is planning he signed and we will continue to put on these improvements in our coming days. and the (inaudible) is none, and at the beginning all of these nursing facility were inspected once a year. and later on, every two years, now, it is one, and inspected by five years, but that has not

been changed. and right now, we do have a patient bill right, and that is if the patient or family or their friends are not getting the right care, and the patient can go to court and sue for that. and and the judges find those and the nursing home not giving the good care to the patient and they find them and the big summer money. that is good news and that is the beginning and there will be more improvements and our best and mr. benson, and he is the one of those inspectors of the homes and unfortunately, he is not here otherwise, he will give us more insight of this problem. thank you. >> he has any questions,

anybody have any questions and i said for this report? i just want to clear something to two people have approached us about the legislative committee in the quorum. and there are three people from the commission, and five people from the advisory board, and that is the committee, five-plus three equals eight. and you have to have half of eight people is four plus one. and that is your quorum and makes five and we had five people and we had three legislative people and two from the advisory board. and that is five people, that makes up the committee. and that is the quorum. >> okay? i ruling on that today, that was a quorum. do you understand that? i will go over it again. we have the committee consists of 8 people.

five from the advisory board, and three from the commission. five plus three is eight. eight people make-up a committee. and you need 4 plus one for a quorum, which is five. we had five people there. and that is the quorum. okay? that is... there was a quorum. the long term care council committing, any other questions? >> good morning. >> >> and if it is... that is..., and now that i can't see you 5u8, this is jessica lehman and we are going to have a different member of the long term care council gi