>> okay. let's call item 7 as well. >> item 8 is future agenda items. >> thank you. first all i wanted to start off by saying in january there will be the chair and vice chair will be up for reelection again so keep that in mind as we move to the january meeting that the elections are coming as we always traditionally do in the first meeting of the year have the elections for chair and vice chair for the 2015 year. >> just a question. >> yeah. >> can chairs -- do they have to be members -- any commissioner could be a chair? >> any commissioner could be a chair. the alternate cannot be chair. although i would have to talk with legal counsel, with supervisor mar not having anyone in the regular seat he fills in as a alternate seat member until that is filled in but the alternates from my understanding shouldn't be elected as chair or vice chair but any of the other

seats can be chair or vice chair. >> so in the meantime we will poll the commission to see what desires people have to be alternates or not. i think it's important to rotate a lot of the positions so we will come back before january with a sense of that. >> all right. perfect and the other thing i wanted to mention that melds into the future agenda items since our last meeting the supervisor scott wiener has introduced legislation that made its way through the board process of asking lafco if would work on a new study to look at open source elections so that is something that the board is asking lafco to look at. i believe it's not on our agenda today because when that process was still going through it hadn't passed the board yet when doing our agenda and that's why it's not on there but in the future we will get a request to do this new study. what my recommendation is at this point on that is instruct me to do more research. find out exactly

what it is, how much time it would take and come back in january with a report to what we would do and coordinate with the other work we're doing because we have the cca which is a major part of my time and the supervisor tang's request on undergrounding that we're working on and how this potentially mixes into ti had a distinction. >> >> with supervisor wiener's staff and we might not get to it later until 2015 but if the commission decides to it could be an item looked at and discussed so that's the end of my report and potential future agenda items. >> thank you. i appreciate the request. i think it's something work looking at. in fact we have been with the same system almost a decade i believe and there has been discussion over the years about going to an open source system. mr. bradon turner has been a lot to urge us to look at this system and i appreciate that and i know

commissioner mar as well. commissioner mar. >> yeah, i was just going to make the motion that we conduct that study at the urging of the full board of supervisors and i wanted to thank supervisor wiener and i was a co-author with supervisor kim and we supported this so my hope is we move it forwardar a open and transparent voting system in the city and thank the work by the task force and many of the activists in the community that urged us to look at open source and other alternatives to what some call a monopoly system by the dominant voting systems. >> so we have a motion on the floor and have public comment too. >> >> and commissioner crews wants to add something. >> i just wanted to thank supervisor -- i'm sorry commissioner mar for bringing this forward as an item for

lafco to look at. i would just make one suggestion in terms of timing to mr. fried is that as we think about 2015 and your involvement with the department of elections and perhaps we will want to do a pause on the undergrounding report if necessary just to engage department of elections as it pertains to the open source voting job. do you have any thoughts on that? >> yeah, i actually thought about that and i agree with you there is a need to work with the department of elections. i was watching the hearings in the board process and closer to november they have an election and their time is spent on that. i will figure out to get the information from them earlier in the year but hold off doing the work and the writing and the stuff that takes more time to put together the report until

after we finish the undergrounding so that is the first request that we got and i have been thinking how to engage with them and they have their schedule and important things to do and getting that out of them and getting the information. sticking it in a file for a while and then finishing undergrounding coming back and finishing up this report after that is done. that's my current thought but i need to talk to more people and see how realistic that is. >> that's great. i also want to say i am really happy to see supervisors wiener and tang engage lafco. while we are certain focused on cleanpowersf i think the value of lafco and the work that you do mr. fried as staff is incredible to see and to see san francisco really utilize lafco in the way it can be as an agency. thanks. >> and i would tend to agree with making sure that we have

the proper prioritization of our projects as well. although i do see value in the projects being asked of us or of your staff. there was something i wanted to add. oh the contract with election system is i believe with secoy a i think it's important that you go forward and tell you about the urgency and the contract lasts until a certain date so we can't act on changes until that contract is over unless we null that contract so that is important to look at so we have a sense how we might want to proceed because we could actually -- it's possible to vote to kill the contract and move forward with a new system but given that might be challenging i think it's important to know when that actual contract is finalized. >> i agree with you completely. when i was watching the hearings sounds like there are one and two year extensions

that get done. the report won't create the system. here's the pathway for the city and county and work that needs to be done to create the open source system itself so i wouldn't assume that we do it's not something you get within the next few years but perhaps outside of that contract with what is left with sequoyah. >> right if our contract isn't going to expire for a couple of years the urgency isn't that great even for lafco so the focus is on clean power first and foremost. >> yeah. >> let's open this up for public comment. any member of the public that would like to comment. >> yes bruce wolf speaking for myself. on the elections and open source software. i suggest that the city become a member of cavo and association of elect officials and do work on open source and security is correct

and there is consistency across these types of softwares. i think it's important. it gives you a breath of information and substance for that. i believe it was originally contained in the original language of the legislation and then subsequently later was pulled. thank you. >> good afternoon. one more time commissioners, eric brooks local green party, our city. first i would reiterate what bruce wolf said and that should be included in the legislation and then for on future agenda items when you do have your next joint meeting with the sf puc this is just kind of a point of information -- especially i think the supervisors might be clued in on this but the public members i want to make sure you know about it. in the scott

wiener london breed legislation that cleared authorizes the puc to sell express hetch hetchy power in the city to make money and bring clean energy to the city. >> >> originally when that legislation was drafted in july it did not include making cleanpowersf a priority customer of that power, and thankfully advocates approached supervisor wiener's aid and they graciously included an amendment that makes it clear that yes cleanpowersf is in the queue by that power and that is very important. even if cleanpowersf buys that power at full retail rate there are benefits from that because it helps -- we were discussing

the wind power, solar power doesn't happen to be working and you have hydro power there as well in the mix and balances the resources out and help lower load curves on peak load and save money on the whole system as a whole so i want to tip you off that is what is in what passed on tuesday and that's important. thanks. >> thank you. any other member ever the public to comment? seeing no member come forward we will close public comment and we can go on to the next item. >> you have a motion on the floor i believe. >> i'm sorry. we have a motion on the floor. can we take that colleagues without objection? okay. very good. do you want to restate the motion so we're clear about it? >> just that we follow the board of supervisors' urging to do the study on open and transparent voaght system in san francisco. >> great. and that was seconded by commissioner campos and take that colleagues without objection. and our next item

please. >> item number 7 public. >> public is open for any item related to lafco and seeing no one come forward we will close public comment and before we adjourn i want to thank sfgtv staff for the work broadcasting. madam clerk our next item. >> item 9 adjournment. >> colleagues we are adjourned. have a great weekend. take care. bye.ng. cg

>> way of your >> commissioner singer >> commissioner chow commissioner john >> ms. sanchez is just arriving. >> welcome ms. sanchez. on the ureter >> the second item on the agenda is the approval of the meetings of november 18, 2014. >> we are preparing for a motion for the approval of the minutes motion to approve >> is there a second? is there a second? is there further comment, corrections are there any public comments? >> note >> all those in favor of the minutes of november 18 please say aye. opposed? the minutes have been accepted >> item 3 is the reference report >> good afternoon commissioners. on the ebola

update i have dr. [inaudible] here and i wanted to do an update and see if you have questions for him he is available. we have a great job of planning and also preparing for ebola. our staff, we have been looking at this as a major preparedness activity and so we have already have identified over 15 individuals who could be utilized if [inaudible] any other significant response to e bola issue. i think that's a good practice for us. also, cdc has sent out a document on the 35 treatments centers throughout the country and we are monitoring some individuals as they come back at most at low risk, and so, i just want to acknowledge dr. cardigan [sp?] an office app and this has been a full department response including san francisco general hospital and

all the hospitals all the clinics are pairing with protective equipment so if you want to give a important message to all of you is that the department is in preparation and also the fact that i think our staff has really stepped up to be prepared for any incident they may have. tom o'dell street, please as you know tom o'dell our clinic is the largest clinic for homeless individuals and we still have a portion here in the department and the street behind us is called [inaudible]. supervisor tim change the name to tom o'dell place. so i had the opportunity to make mrs. o'dell and tom o'dell's daughter, along with other activists in the community. we just wanted to acknowledge that our street behind us has been changed and, o'dell to mike as you know was

a physician. he was a position at tom o'dell could i started my career at toronto and my first day there was to read the book about of the [inaudible] olympics he would i just wanted to acknowledge that tom o'dell memory is still alive in this department and we know the street named after him. we had a documentary on our [inaudible] task force which aired on november 23 on ms nbc. it's looking at the issues of some of our work by our environmental technicians and they coordinated the [inaudible] task force with other departments. the document lends considerable time on the issue of human trafficking at these facilities. hhs has announced its new regional director which is ms. stafford

jones, who was the chief ceo of the california association of public hospitals. she is based in san francisco and represents california, arizona hawaii and separate territories in the pacific. so we welcome her to the region. my [inaudible] portal was launched and so this is the portal for our san francisco health network patients. it's a new website that will allow patients to be part of their inpatient outpatient health records at one site. hospitalizations will be able to view their discharge documents to the portal website in addition to receiving a physical copy at the time of discharge. they will find their discharge instructions, discharge medication list and a list of vital signs and lab results. this is the beginning of the work that we have to do with our electronic medical records to ensure our patients have access to the records so we are happy about this new opportunity to further empower patients in their own healthcare. i'm proud to announce throughout the department we

provided $67,000 to combine charities campaign. these are donations to community-based nonprofit organizations throughout the city and throughout the state. so that -- we are very happy with that. also just about and one who is a manager chinatown public health [inaudible] she was invited to speak at the academy of the dietitian and [inaudible] she spoke on the topic of [inaudible]. included inducted into the chinese-american dietetics association hall of fame getting its annual meeting so we want to congratulate tackling. we reported that and if there's any questions i'll be happy to answer them. commissioner >> thank you dir. garcia. i think that the my sf health portal being launched is a great first step in where we are trying to get in terms of

integrated data access both for providers and our clients. is there a way where we can take a virtual -- the commissioners could get a log and take a virtual tour of this tool. >> absolutely we can arrange for any commissioners i would like to deduct it on the that and get back to all of you about that. thank you. >> any further >> commissioner pating >> dir. garcia you're very modest. i didn't hear the you mentioned the war that dr. aragon one in the minutes. >> it's actually a leadership program toby will be attending and we don't know all the full details but we will be working on disparities for latinos and chronic diseases and african-americans so thank you both dr. aragon and i look forward to working with the crusty foundation on it. >> thank you and congratulations. >> i think we also did want to hear from dr. aragon concerning the latest update, which is

constantly changing as were aware. on the ebola program here in the city >> yes. so now that cdc were now: at the [inaudible] program is the best way when trying to not use the word quarantine because gets people concerned. we have not been quarantining people but really monitoring them because most of the people i've been at low risk. probably the biggest thing is that today hhs and also the white house put out a press release. identifying 35 current hospitals there called a bowling ebola treatment centers. three of them are in the bay area which is kaiser, open kaiser sacramento not bay area but closed in nus your cfs and the other hospitals will come on board we know that you have [inaudible] in california will become ebola treatment centers. they also denied a second category of hospital that the calling ebola assessment centers. the idea

there is that the truth is that the only people who are really concerned about coming down with ebola are the people we are monitoring. basically were capturing every. coming back. so we know who's been potentially exposed and the people who would become sick would come out of that group of people. so the idea is that if they develop any symptoms and some of them will, they would go to and ebola assessment center, and if they test positive they would go to a treatment center. that's the general plan for the us. the way they would are going to do it in california, would probably go to use the ebola treatment centers for both those categories. just because a number of people that were following is small enough that it just makes sense to send everybody to one place where they can really develop the proficiency and quality of care for those patients. so that's really the only real news. i would say in general things

seem to be turning around and west africa. there's little more optimism that were making impact globally that's it. >> questions >> first of all i want to thank the director for now sending report and update. the selection of centers [inaudible] i just wondered if in fact because san francisco is always been and -- we've always had our eyes open pertaining to not only situations. nationally but even internationally. there is been a group of many of us have known as young doctors who have gone always above and beyond in order to not only respond but to sustain that commitment when in fact an epidemic is way past that stage. the reason i bring this up is because there has been a great deal of scuttlebutt and concern going to national from some of the

academic health science centers where [inaudible] drs. without borders and others have been in these areas for years and years and they really have reached a point of diminishing returns almost. one of the major bones of their having, of course, as they set up in these different programs and try to sustain what is being done, many of their staff have had to-four rotations back and forth because the pool of professionals has not been what has been before because another critical problem is that many of the supplies that have been sent from the us are no longer available because the us has said ebola is a big priority and therefore we've got to make sure all our regions have adequate supplies. this is like a game where all the sudden the ship goes out to sea and all of a sudden everybody aboard says we need to import the

government patient and patient is left without any supplies. the same is thing is happening. we've been getting a lot of pr pertaining to those people from every country's going in and really make any significant difference. [inaudible]. many of the cuban physicians go and i'll provide arrived without any supplies, training, or anything other than just what in fact they left cuba with. resulting not just other supportive groups that have been involved continuously since this began are now being required an order to train and provide assistance and provide supplies and training for these different cohorts but all of a sudden you're seeing a small group of really exceptional committee people sort of lost under the weight [inaudible]. i

know that at least through here in san francisco to our communities i know us cfs we've had many many folks over the years from drs. without borders and public health groups from berkeley and many of the positions and [inaudible] and there's a real urgency for us to take a look at maybe internally through our networks and share some of these concerns with some of the folks back in washington and the regional commission. and say here is something were concerned about because these folks to come out and they are [inaudible] they don't have supplies into something we could do maybe as a nation to make sure they're being [inaudible]. i hate to be long-winded on this but this is been going on on and on and it's getting worse rather than better. i certainly [inaudible] and bring it up of department of public health as we've always been very much involved in many many first responders etc. tom you always been very

active in these >> we been the in very close contact especially ucsf because anybody who goes over to monitor them when they come back and you csf has been an incredibly collaborative and cooperative in working really closely with us. one thing i do want to call attention to the white house press release is many pages is actually very detailed that is actually a really good document because it was actually addresses a lot of the issues that you brought up including the international response the other countries that are getting involved. so it's actually has a lot of detail congested and some some of the things you're mentioned. one other thing i do want to mention that i forgot to mention, they're doing the journal of medicine came out i think the last issue is that there was there is a vaccine that is been tested and is producing an antibody response and now can go onto the next phase of clinical trials in africa. so that's fantastic news i want to share. >> if i could

>> yes >> is it possible the commission grabbed copies of the white house commission errors this >> no until 12 noon today it is now available. we will make sure you get it. it's an excellent document and covers very detailed. >> thank you. >> the only one i have has embargo on it will try to get you one >> [inaudible] >> dr. aragon thank you because i cannot ask you one more question because i want to bring it down to international. that is the work you are doing to be sure that the hospitals and physicians are informed on a fairly regular basis >> we speak to the hospitals to my ceos every single week and their support calls with the managers of infection control and we've started our site assessment so we have a team of people going to each of the hospitals making sure that they have core level of her

paired [inaudible] >> that's screening level >> correct >> will be coming even before they get to the treatment level >> correct but ideally what will probably happen is that anybody who becomes symptomatic worm understand it would go to ucsf. everybody needs to be prepared in case somebody slips through the cracks but that's going to be unlikely. >> okay. >> one more question. just from a data perspective, so those are patients you just described that you will know are in the city and in the system. if a patient goes to ucsf who does not come from your surveillance network but another one, we do know that? >> absolute. what happen california is been split up into [inaudible] areas. ucsf will be -- i'm not sure how big it is. includes the bay area may be bigger but the people from outside our county. and us. >> [inaudible]

>> absolutely. in communicable diseases the counties, the states and the cdc we communicate all the time around medical diseases is a very good communication network. >> start about the question. the incident command center, it has been activated to meyerson is that correct >> the incident command center? or the >> the city command center >> ics yes. were currently activated. >> how long will that stay activated? the media certainly [inaudible] >> what am beasley towing the staff is that we need to be prepared for this for the next year. that's how we are responding to is because if we stop activating and then react it's not a vision. for the health of our witness a activated until further notice. >> great. >> thank you. >> any further questions? if not then -- is there any public

comment comment there's no public comment or question. it will go on to the next item >> next item is general public comment and i've received "request does anyone have any request? >> then we'll move on to report from the finance and planning commission to it >> commissioner chong >> yes good evening commissioner. the finance and planning committee met today before the commission meeting and we had a really pretty long discussion around a few different topics including looking at rising the contract policy and one of the reasons to really look at revising the contract review policy is that the committee doesn't believe that we need to review every single contract and we also want to give a enough flexibility and [inaudible] to

the staff who probably have more experience overseeing these contracts. at the same time we also want to look at where we can place bigger role in managing the risk of some of these contracts. so, currently, it stands we are going to revise the policy so that any contract that is $500,000 or more will come to the committee for approval and then to the commission. and while doing that we also want to really be more focused, not just about unit of services being delivered, but to really look at impact and outcomes of these dollars that we and best in these community partners and organizations. so, that will come to the commin