long time mission. and to that end we've also had delays and the intent and delays have been reported over the years to this board. in september of 2012, we had started to pick up traction and that was related to committee on health and wellness on accountability and transparency we had a few milestones come out of it. we had released a joint statement in support of accountability and transparency in may of last year that was signed by the mayor. it was signed by the controller, by the department of hr, health services and aciu and they wanted us to establish a

multi-clarity base and there was a transparency resolution passed by the board of supervisors and that claims be moved to all payer's claims data base and in june the health service board approved the wellness plan and a key component of that wellness strategy of the wellness plan is the database. some of the work we've been doing in items now coming in together. as we look at our milestones, i have already just called out some of the first few ones dating back in 2012 to 2013 and really we have spent all this year trying to realize that goal out of those resolutions, to that end we did in january of this year bring to the board our recommendation on the 205 budget which included the claims data base. in february of this year we included the blackout notice

for the rfp and did release that in march. in june the wellness plan which is an integral part for our going forward strategy and also in june the rfp process wrapped up and we noted our notice of intent and we have spent direction negotiations with our vendor with being ready to bring that to you today. just an overview, what we are proposing here in our apcd overview is that our data sources we bring in will be our medical claims, pharmaceutical claims, from all three of our health plans we'll be including the well being assessment data and the benchmark data. the characteristics and i cannot stress this enough is that all data will be identified. we will not be seeing any

employee level data of identifying any employee at all. it will be confidential. and the well being assessment data annually. as far as the robust analytics we'll be able to do our analysis on the wellness of the diseases and programs and certainly not only cost and utilization importance to us but the quality of care our members receive is very important to us and we'll be able to use database guidelines for those gaps of care and we'll be using our ad hoc analyses for audits and clinical procedures for ncqa and we'll be able to integrate our plans to

provide those integrated dash boards. at this point i would like to turn the presentation to my colleague david flores. >> i get the short part of this presentation and i'm very very pleased about that. president fraser, commissioners, we've given you the background for our clearance data base and now we are at the nuts and bolts of where we are and extensive period of negotiations we believe we can present to you at this time what we consider to be a fair and equitable deal on this department on the contract. i want to point out through our negotiations we were able to bring to year one cost under budget by $15-20,000 from what we originally forecast and our

analyzed cost which is approximately a three 1/2 year contract achieved savings there as well. it's a testament to the commitment of truth analytics and our team that we were able to get to this point where we are proud to bring this recommendation to you. as marina has indicated m march of 2014, we did complete a comprehensive review, comprehensive rvm for this service and 13 vendors were invited to participate. at the end of that process which was about four 4 months the only one left standing was analytics. we ask you to approve to enter into a contract with analytics to june 2018. the purpose again of the contract is to develop, implement and maintain an all

payers claim data base and to train staff to operate it. upon your approval, staff will continue to procurement process to bring the contract to full execution under city standards. outline slides following some scope of particulars related to this contract. i will be very very appreciative of your time and not read them to you. if you want us to call out any of them, we have a representative, the accounting director, lisa sanchez who can answer any questions you might have about the execution of the services under this contract. i want to bring to your attention the breakdown in cost. these are two phases where the actual data base is implemented and developed and the second part is services and maintenance

related to the end product. the cost for the implementation or the development implementation of the data base is $85,000 which is well below budget we had forecast and service fees and license fees the remaining balance for the three 1/2 year term beginning on february 15 th and ending on june 30th, '18. if you have any questions, we are willing to answer any questions you might have. >> thank you very much. any questions? >> >> is this coming out of trust? >> >> it's a combination of sources. i believe the majority is coming from the trust because it is appropriate according to one of the services covered there. >> it's oit of the 205 which

is part of the trust. >> why only part in >> because the trust only has $92 million in it. >> the $2.05 is the only eligible that makes the fund in the trust. >> it comes out of the $2.05 cents and you approved it at the january meeting. >> how much is in it now? >> >> i can't tell you. there she is. >> pamela levin, deputy director. we have about approximately over $1 million that is already received and

not expended and then we have an on going amount that will come in each fiscal year and honestly i'm sorry, but i don't remember exactly those numbers. so we have a the easiest way to say is we have built up a balance that we are spending down that balance and making sure that the on going activities that we are doing in communication, wellness, analytics, are all covered on an on going basis. so what this does is it fits within

exactly, the amount that we have in the bank if you will and the on going cost of this contract are built into going cost, i mean the on going revenues that we are getting for the 205. so we are not exceeding. >> i'm going to ask you to pause and see if you have answered the question. >> all i need to know is this money coming out of the trust, out of that money of the 205. >> it is coming out of the 205, correct. >> the total amount? >> it's completely out of the trust. okay. >> any other questions? >> i have some process questions and i recognize this board took action on a budget and we've had monthly reporting on the analytics

regarding the various stages that you have gone through to get to this point, however unless i missed it, i was never made aware of the criteria that we are going to be used either publically or privately to select the vendor. so now that the process is concluded i am requesting that those criteria be incorporated as an addendum to this meeting. i know you don't have them with you today, so we can have them fully on the record what were the criteria for you to select among these 14 vendors to come through. i would also like to have as a part of this record a bit about the company history, who they are, where they come from, are they an american company, is it's subsidy of somebody overseas. i would like to know more about them, the type of

experiences they have had with working with large employers, etc, and then lastly i would like to know who served on the panel who selected. i'm sure we have a full team of confident intellectuals who would have brought this process. that would provide a futsdz context to this recommendation. >> i have got a process question, are you requesting that this item be deferred to receive that information or are you requesting that information be provided to the board subsequent to the meeting? >> >> it can be provided subsequent to the meeting. i know these guys have work very hard but in the future any future time of project in this

scope of importance, those thing should be a part of what you are bringing to us to make a final record. >> what happened if you are talking after we approve or after -- >> i don't want to make a recommendation, someone else can. >> to which point my question what happens if we disapprove with the process or we have a public that didn't agree. >> we just need to be clear. it is not my experience that when contracts are brute to -- brought to the city information that all the information in the rfp process is included. this is a change in process. so what i'm hearing you say and i want to say it out loud to make it clear that when there are contracts of this magnitude

you would like the board to consider that the full information is provided. >> that is specifically the type of information that i would like to have it per my request to have it. >> are any of the commissioners requesting this item be postponed pending this information? >> no. >> pamela levin, chief financial officer. this is the first time that we come with such a big contract. there are things that we can provide to the public and there are things that we can't provide to the public based on the process that occurred, the process set by the city and county of san francisco. >> i want to be clear. i'm not asking for the actual

bids. i was with a public candidate for a substantial part of my career, i know that we had vendors provide a public response and one for proprietary. i'm not down to that detail, i'm just suggesting that upon conclusion of a project of this nature it would be helpful to know who the panel was and what the criteria were used to make this selection. it's very simple. i went on the website trying to find this document and spent couple of hours trying to do so and i couldn't find anything say all claims data base. >> i think we get kicked out of here at 4:00. >> i'm sure we can do this in the future. i think it's a great idea. i think we need to think about before we bring contracts to you because

there are many, that we provide all the information to make it so that you are informed, and i totally agree with that. i don't mean to be argumentative. i think it's great and being over the contract area we can provide the information that you want. >> great. thank you. any other questions or comments by commissioners? >> seeing none, can we approve. >> i move that we move this contract and any major models to include the process. >> second. >> it's been moved and second issed. is there any public comment on this item? >> good afternoon commissioners, bob muss scat

public employers committee. we see that as a big step forward, appreciate the hard work from staff and bringing this to its conclusion and would urge your adoption today. it's another area where we all get to work together. benefits both the taxpayers and active and retired employees. it's a very smart thing to do. we appreciate the effort and follow through here. thank you very much. >> thank you and to be clear i don't think anyone is expressing concern about the process, we just want to make sure the process is transparent within the extent of the law. all right. the item has been moved and second ed. all in favor say, "aye". >> aye. >> any opposed? all right. item is approved. next item.

city clerk: item 136789 roort on the 2014 siiu collective bargaining agreement. deputy city attorney. >> this is was relative to low cost with labor on those issues. this is in response to that request and you can see from the current mou specifically paragraph 477 which discusses who comprises the committee with 4 city appoint easy two of which can be hs appointees. i will

refer this to catherine day dod. >> there is supposed to be a meeting. to date there is no meeting. we will participate in the labor management wellness committee which include all of labor, not just seiu local 21. we do that without even being petitioned willingly, so i think it's a wait and see. but there is no obligation on our part. >> is this just seiu that we would be meeting with? >> yes. >> is this open to the public? >> i think dhr meeting

doesn't fall within the brown act. i think they are not open to the public but i can check on that. >> i think that applies in the face of the sunshine rules especially when meeting with one vendor. we are supposed to apply with one meeting and we are to include the public. >> i said on the community on wellness that i would not bring information to them before it had gone to the board so that if they want a separate update to ask specific questions, that's fine, but i'm not, if i have an award presentation i'm going to make in two 2 weeks and i have a management meeting, it will go before you before it goes before any other body. it's still behind

closed doors. >> since i raised the question, thank you for bringing the legislation to my attention and thank you for the update. i just wanted to raise a broader question about staff resource, time to engage in these kinds of processes and it's a question mark. it was a question mark when it was done and it was a question mark when it was reported by the director and it still remains a question mark today. the fact that we have not expended on it to date doesn't worry me. i think i very much align with commissioner breslin in terms of the appearance of this when there is a wide range of constituencies supported by this system. i recognize the

labor negotiations are what they are and we maybe called to execute under this but it would be with great reluctance from this commission if we actually do it. >> it does say maybe hss appointees. >> i think that's the point. this is discretionary to hhs. i'm assuming hhs gets invited to all sorts of meetings and labor unions are not vendors as i think we generally conceive them as contracting. >> my emphasis on this before we can have labor issues involved in this and i would recommend that you do this instead of swaushing squashing this effort. is there any other questions or comments by commissioners?

>> any public comment on this item? >> >> good afternoon, rebecca ryan municipal executive. just to be clear the union back in 2012 negotiated the joint labor management committee on health and wellness. that committee has met on multiple occasions since it's inception and continues to meet. it isn't as if with all do respect that only one union has concern with this issue regardless of what happens with their contractual obligation, the joint labor management committee on health and wellness will continue to meet with the participation with many of the unions throughout the city and we look forward to a continued collaboration with this board as we move forward to try and as always protect the benefits and keep

cost down and make sure that we keep our promises to our retired and active employees. thanks. >> this you for that reminder. then i would comment that making hhs going to multiple meetings seems like a waste of their time. >> we pointed that out to seiu. >> any discussion on this item? >> seeing none, next item. city clerk: follow up from the united health care on urgent care facilities. >> good afternoon, my name is jennifer ma goon with united health care, we are here to follow up on urgent care

resource board meetings. specifically we wanted to talk to you about implementation about some new process we have put m place with our customer service center. i brought with me today michelle, our vp of account management in addition erica, the business manager of our chico service center and she's here to let you know how those new process has resulted in some test calls and procedures that we've done. >> erica barlson. we have implemented in the packet before you. once implemented we started doing testing. so we've been testing for the

last week and we also provided some review over the accounts as well. with that, what we did find was that there was a call with human error and based on that we are going to continue to identify ways to train the individuals to continue to focus on training as well as coaching individually one on one. >> thank you. questions, comments from commissioners? >> yeah, i made a couple of phone calls again and had a couple people make phone calls. the anybody that's on the back of the card, one of the numbers should probably be eliminated in my opinion because it was so aggravating and actually the nurse hotline is the best number but that is not in the back of the cards.

the 866-210, they turned me to the emergency room. i couldn't get passed that at all. i couldn't get passed another prompt to snd me someplace else. that's not a good number to be on the back of your card. the 888 number on the back of the card too, that is okay, that worked okay after a couple of attempts. the first time the person gave me a place in sacramento, but the second time that person got it right. so somebody was working on that one. but this other number is i'm not sure why. have you sent out your cards yet for the new year? okay, i would be looking at the back of your cards to make sure you have appropriate contacts because that's where people will be contacting, and i saw the other day the emergency room is one of the

biggest cost drivers and i want to make sure people don't get the run around when they have a bloody finger and i had a referral to ocean avenue which was another error. you realize there is an error and you are going to be working on this. okay. i would like to have you report back maybe not next month but the following month for sure. as soon as possible to get this done, maybe next month on the agenda to have this on again oovment i think your point about the numbers on the back of the card you can report to us what you will put on the card before january. >> before you do it so we can test them. >> every annual open enrollment is part of our process for the staff to approve it. well definitely do that.

>> okay. thank you. >> any other questions, comments from commissioners? >> any public comment on this item? >> no. thank you very much. appreciate your work on this. i very much appreciate commissioner breslin to continue to work on this. you are making changes, good on you. it's exactly what we need. next item. city clerk: item 15. report on network and health plan issues if any. >> good evening, cindy, kaiser permanente. i wanted to introduce an additional team member that i have added to the hhs team. indicate kate is joining my department with strategic accounts along with your case representative, kate will be a regular attendee and i will be filling a director

role so if you have any candidates for director of i will be hiring them as well. >> all right. any public comment? >> we are so close. next item. city clerk: item 16. opportunity to place items on future agenda. >> i heard the request for uhc. >> it's better for next month. >> all right. any other items? >> any public comment on this item? >> seeing none. next item. city clerk: item 16. opportunity for the public to comment on any matters within the board's jurisdiction. >> thank