lity affairs reports and the vacancy report along with the hospital administrator's report and the patient care services report all of which he can read now and we're providing directly on paper the minutes from each of our meetings. in addition the committee gave feedback on a draft resolution that will come before the commission in regards to parking and the sfgh parking garage and improved revisions of the medical forms and to rules and resolutions for various departments and we approved the credential reports and reports on quality care. i don't know if any of my fellow commissioners would like to add to our meeting? otherwise i am open to other questions. >> i have one question. >> yes, go ahead. >> in regard to the in patient

documentation project ask the committee if you have comments on the status or your kfts that is moving forward and the direction you would like to see? >> [inaudible] >> yeah, psychiatry. >> oh in regards to psychiatry. the reporting that we have received indicates that the issues that were at hand which is the appropriate documentation were at this point seemingly in order and that in fact they have moved the monitoring to a quarterly session or quarterly report. in regards to the management of additional services to the different component -- i should say the different patients as they move through the process this is in progress, and the director of the unit assured us they were moving forward on these. >> in the discussions you had with the subcommittee were

there any specific targets or timelines framed in regards to meeting deliverables? >> yes. there is a continuation of monitoring of these deliverables and in fact our internal staff have been appointed including dr. alice chin and i believe rolan to be looking at the points that our consultant recommended, the reviewed, and we should be receiving also -- was it quarterly reports that we will be getting in terms of their progress? >> the audits were moved from monthly to quarterly because of progress and therefore the jcc will receive quarterly updates. >> my last question because this is a financial question with coding. do you think it needs to be heard at the full commission at a later point or

the joint committee level is -- >> they're monitoring at the department level had already indicated this had been corrected at this point and that there were less than 4% errors. >> oh really? >> that's the information they're using so they came a long way from where they began -- >> [inaudible] >> 2%. thank you sue. it's down to 2% error rate so we feel that has moved the reporting to quarterly because that appears that is definitely in order and we wanted to be sure that the points that our consultant made were being followed and that is also being done. >> thank you. >> i would add as you know this is a decades long challenge that we had on this one issue and it definitely feels as the leadership at the general has taken this extremely seriously,

mustarded the resources against it both internally and externally and making progress so i think there was a sense of real sort of satisfaction that we really are tackling this problem finally. >> moving to a 2% denial rate i think that is very significant. >> we thought so too but we don't want see it slide back so we will continue to monitor that and add additional services as requested from the state as you know in terms of a different statuses that our patients have, and dr. dilly was explaining how all of this was going to be carried out and we will be monitoring how well it's working. >> thank you very much. >> thank you. >> thank you. item 12 is the committee agenda setting. >> okay. so committee members are reminded -- commission members that we having -- we're anticipating having our meeting in the mission and continuing to

seek an appropriate venue but please continue to hold that date because we will have that neighborhood meeting. >> april 7. >> april 7. thank you. >> and the planning session is [inaudible] >> the planning session is march 17 and so those are dates that i believe the commission will be reminded of again. thank you. >> [inaudible] >> so next item adjournment is in order if we can have a motion for that? >> motion to adjourn. >> [inaudible] >> and i heard a second. all in favor of adjournment say aye. >> aye. >> this meeting is adjourned. [gavel] welcome to north beach.

sunny day. thank you everybody for coming out. especially if i if i may special thanks to all of our board of supervisor who are here today. elected officials, our commissioners, police and fire department. people. the city are recreational about our libraries, all of this is is better up here. many of whom i've engaged in many dialogues around the last month. i want to say thank you everyone for getting your input to me. you know, i want to say that this is an exciting day. while my little tired because of all the activities of the last 30 years, i had to do a marathon i know that this isn't, district

3, is a very, dated, very diverse, and one of the most exciting districts in all of san francisco. >>, >> >> i recognize that because i spent a good part of my adult professional career indecision degree in chinatown and i know that chinatown, north beach told rafael, russian hill, nabil, both lower and upper and middle, middle upper, lower you know, fisherman's wharf, the financial adjuster, the waterfront, it's incredible diversity that makes up this district. that's why when i had a many many chats with david chiu before he successfully left his position to kind of

understand what he had gone through as a supervisor for this district, it's no less important that every other district in san francisco. i say to you with great gratitude to the members of the board because i know that for the last 30 days i spent some great time here and i kind of put myself a little bit in what a supervisor would do on a daily basis. i was down there at lombard street on the backside making sure that cliff wasn't going to be following when we got those heavy rains. i reordered myself for what i did many years ago i'm just walking the streets as i had copied with different people of different interests. to talk about what this district needed. and quickly came to the conclusion, after so much great input by people, that they wanted someone who recognized the strength of this diverse community in this gesture. was willing to spend hours understanding the issues, glistening before acting, but then acting to make sure things got done. and when whether it

was potholes, transportation, housing, safety, all these things, cultural, art, playgrounds, families, seniors, renters, property owners as well, all of that came in to play and was all the diverse topics that had to be covered. i also came to the conclusion that i needed to find someone who had the experience as well as the commitment to do this job and you know, i even had a chance to talk with several members of the current board of supervisors to kind of see what they go through on a daily basis and i've been with them as i've gone through different core doors of the city. i have shared with them the things that come my way along with things that come their way and will more we've gotten together closer with the board of

supervisors. and i hope that's been reflected in the kind of conversations we had have had on a citywide basis. but getting back to the station, it gave me a really good sense of what it needed and the characteristics of a person, they are compassion as well as their advocacy for this district become very important. well you know, i want to say that i found somebody that reflected that. someone who spent a good 20+ years living in this district. a business owner. a small business owner, but also somebody that has been also out here putting together campaign after campaign to improve parks, preserve open space, improve that open space . i've known julie since my city administrator days when she and so many others told me here to make sure we got those

library done. isn't this a fantastic library, jeff [applause] >> i wouldn't say it's no longer your grandfather's grandmothers library. this is an interactive library with so many generations of people. same things that happened with this joe dimaggio part with julie's leadership and leadership of this board and relationships that are being built. >> [applause] >> i also want to say this. that i know you should know, this is been a very, dated decision-making. i've had to talk -- the way i make a decision was to write was the right way. it somebody that i did before and that is talk to the people. make sure that you make a connection to the people live here who work here every day. get their input because that's going to ground this decision. i did that and i got grounded very quickly and i'm confident that worked on have a lot of shared stories, a lot of

shared history, but a lot of shared accomplishments of julie christiansen. you know, i've seen in her the spark, the innovative spirit mike the dynamism that this district needs. i know that she will be as much a advocate for this area of the city as she will be for chinatown, for polk street, for venice, cover all parts of the entire district. i know she will do that because she's got that spirit and that commitment. i know that she will also reach across to all the members of the board of supervisors and be a good compatriot i'm at a good supervisor that works with the others. as she clearly has a support. and so, i'm excited to introduce to you someone who has been a very good figure here, but also an active person, capers district but

also someone who is now going to be in the public round representing all of this district neighborhood and supervisor. please, let me present to you the next supervisor for district 3, julie christiansen. >> [applause] >> okay let's take this moment and just take a breath. i'm usually hounding the past to talk to them. it's kind of interesting to go the other way around. people asked how far i'd be willing to go to look after district 3 and i hope this answers the question. i want to thank mayor lee. when a person puts this kind of trust in you it's kind of awe-inspiring and i am truly humbled by the confidence that he has in my ability to take on this important district especially because i know how important this district is to him traditionally. i'm very

grateful for that. it's interesting to me that mayor lee started out as a community activist and as a civil servant and only entered politics when he felt that was the way to do more. i know were all grateful for that and i take it to heart because although it was not my original intention to come into politics, i decided that the way that i can get done some of the things we need to get done in district 3. and so i am honored to put myself in the service of the city. district 3 , interesting place. i know just ask arlette showed everybody thinks there's a special. ours is special. we are the cradle of san francisco. it's where the city started in our neighborhoods were the first neighborhoods of the city. consequently, we are exceptionally dense compact area. we supply a lot of housing to the city of san francisco and so while the city's attention is a lot on

the shiny baubles to the south and to the west of us, we are doing our bit to provide housing for thousands and thousands of people. and that -- we traded we've traded our parking, our spacious apartments, even our backyards. we've traded that for a coziness and a compactness. we've traded it for a community and for affordability. i think for all of us who love the charm of north beach imac we also recognize the fact that it's affordability is what keeps it covers and keeps it interesting and what makes it district 3 and so surely, one of the main goals for anyone in my office needs to be to keep our neighborhoods are affordable to keep the families and the seniors that i work a lot with, to make sure that they can stay here to keep the wide variety of people that we have, the

aetna ethnicities the economic levels, the professional pursuits, we are proudly diverse neighborhood. we want to stay that way. affordability also means accessibility and some of you know, i've been involved in transportation efforts to try to make our residences at our jobs more accessible. we supply a lot of jobs in this neighborhood, especially lower and medium skill levels and we want to make sure people can get to work. we want make sure that workers that within our neighborhoods can get to their jobs elsewhere. it's not a good thing to the 30 on not being the emblem of stalled transit across the city. so, we need to work on the infrastructure in our neighborhood. we love our streets. we love their walk ability and their charm and we want to find a way to keep our street safe and fun to be on. a joy for visitors as well as residents. so we need to work on the infrastructure that will allow us to remain mobile in the district. because we are so

dense, we don't have a lot of open space so our parks have been a passion of mine. we are grateful to bill ginsburg and his department for working with us on the joe dimaggio playground. is he is luis here? in the library who helped us this beautiful new library and did many of the people that stand behind me. and so, we need to take extra care to provide services to the people that live in this neighborhood. that is a passion of mine that's surely not going to change. we are the golden goose for the city. we have the shopping, we have the business centers, we have the tors and centers. i think surely every visitor to san francisco comes

to district 3. we welcome them. we do our bed best to provide for that but making sure we can do that and was that's pleasurable for both visitors and for residents is another important task. so, all of these things by before us. i think those of you who know me, i hope no me as an honest and fair and passionate person. always willing to have a chat. that surely is not going to change. it's kind of fun being waged here. i feel like my neighborhood family in front of me and my city family behind me. the supervisors and the department personnel mayor's office, they have worked with us so well in the past on important neighborhood projects and i surely hope that will only improve. and i am grateful to all of you. a special shout out to my husband, greg smith. there is quite? there in the back and my sister, eileen a christiansen who got very early to fly in from portland to fly in today to be here today. who represents a loving family elsewhere. but, this is a pretty major decision and

having greg's support in all this is key. i certainly could not have even consider this without him. so, it's that the medic 28 suffragette and these have lots of years of practice i'm afraid. but, but also to all of you. really guys, this is our date this is your day. a lot of us have worked together for a couple -- >> [applause] georgia signed sealed delivered. >> signed sealed delivered. so we work together. some whispers long as 20 years. i think that's -- nothings going to change about the way we do things. we have search for opportunities. we have solved problems. we have, in a civil and respectful and progressive manner dived into the really tough questions for our district and whether it's making clay tower accessible or providing adequate levees services with or whether it's creating the kind of open space we want to keeping our streets safe, keeping lombard from

being crushed by falling ficus trees we know how to work together and we done it well and the victories of our efforts are all around us. my hope is we have many many more to come. because of a powerful lever in city hall now and you know all worked very hard for you. so, thank you all very much for your support in the past. i'm going to need it in the future and thank you to the mayor into the city family for their support. thank you all. >> [applause] >> thank you so i think julie is to get some well-deserved congratulations and kisses from her friends family. and if there's other questions i can take them to decide. thank you very much for being your ticket by day in san francisco. thank you. >> so, welcome to the third

counsel everyone and those of you were not seated yet, please grab a seat. i'm joe letterman on the president and ceo of the their account so it is nice to have you all here today. born excitement and some exciting news that we have. you may be a little anticipatory as to what it is based on the nature of the invitation, were not supposed to give it away. i was a we invited gov. rick perry to come and he seems to have declined. so that may make more a story about this. as where mating the us olympic committee is about to be meeting or maybe meeting already to determine

who is their pick for the us big-city and of course san francisco is among those good one without giving again anything away, once we do get this weight we should probably quickly get him some notice what happens here this morning because it should weigh heavily in our favor. so i want to thank very busy fellow mayor ed lee are coming here today. and being with s&ls began a moment. i want to thank the milken institute for asking me to convene this. i was actually down at their summit calorie florida and los angeles last month speaking about innovation in cities and giving some examples actually in san francisco's something this thing he has done amazingly well that is resulted in transition to becoming one of the absolutely top model economies not only in the country but in the world. so, after they heard my pitch they asked if they told me was going on and asked if i'd be willing

to can being with them and reach out to mayor lee and his team and they said they be light delighted to do this. milken institute is apparent spastic asset to have them here in california. they are leaders in leading-edge innovative thinking a whole number of topics and one of the things they delightfully focus on is innovation in cities. what that means to economies and what it means to our country, and we are really proud to be able to partner with the milken institute on this event here today. the bear was the counsel and our job was to sell this work with our cities and our entire region to support its economy and quality of life for everybody who lives and works in this great place we call home and were very very fortunate to have such great city that make up the bay area

and here we are in san francisco not only a leading-edge economy in the world but certainly one of the most iconic places on our planet . it just i work for the city for a number of years in the mayor's office and is just a minute amazing and amazing place. san jose, and amazing city the capital of silicon valley. oakland, right across the bay with the new mayor just starting out her term [inaudible] in san jose. these are exciting times in the bay area. mayor lee, of course running for reelection who will announce here today. i believe may even help why then help that he needs to get more credibility to the story of what is happening in the city and the transformation that's taken place. so, i want to thank everybody for coming for joining us in making this announcement. my next job is to introduce [inaudible] from the milken institute who will talk a little bit about the project and the process that the milken

institute has for looking at the quality of cities here in our country and then he in turn will introduce our honored guest of mayor ed lee. so let me turn it over to ross and after the comments we should have a little time for questions and conversation. ross. >> well thank you very much, jim. it's a pleasure to be here. we have been performing this budget since 1899. it was originally published in forbes but we decided to take it in house and publish ourselves about four or five years after that. the index is really an outcome based measure of economic performance. it is a look at traditional business cost warehousing costs were quality of life such as crime rates. we believe that both static measures are certainly important, but they don't cover the true dynamics and they can be very subjective. so, we believe communities that can

create jobs and attract human capital are the best performance cities over the long haul. the goal to help businesses investors, industry associations economic development agencies, academics, public policy groups, monitor and evaluate performance in where they work, and where they live, relative to the rest of the country. and as we've already noted, it's no surprise were releasing this today in san francisco, so san francisco is number one this year. yes. >> [applause] >> in a moment you're going to see what a remarkable accomplishment that is as i go through some of these metrics. what i would like to do is acknowledge my co-authors who are with us today. minority rights and whose here. could you please stand. she's here back in the waiting. she did our work of putting the metrics together and a lot of the analysis and also join us as

armand petrosian's, is an adjunct fellow with the institute. he projected two years ago that san francisco would move to number one so he decided to change careers away from being an economist and move back to san francisco to run the family business which is a sub center at in the west portal area. armand, carrier somewhere. there he is in the back as i do note that soap unitas, a 20 in the west [inaudible] area and armand cannot only sell you a sub he can also be be some economic advice. so, in the 2014 index there are really two top stories and they are technology and shale oil. they are the overarching factors by ms. performance. these metrics on this list possess a variety of other positive traits than the ones i just mentioned, but those are the factors that really determining the top 25. several metrics on the list all the way even down the top 25

are really have innovation advantage. they are able to offset high cost sometimes higher tax rates and a burdensome regulatory environment by clustering talent and technology together in an entrepreneurial ecosystem and that is really what the leaders in this list will demonstrate. also, technological advances in horizontal drilling and hydraulic fracturing are altering the energy landscape of the united states energy investment claim the larger share of gdp last year since the early 1980s and the us is producing 4 million barrels of oil more per day than it did just five years ago. now going forward we so were prices decline because they change that dynamic such that further investments in oil exploration may not be at the same rate as they happen but many people believe that oil prices are covered $70 a barrel there still be a shale oil revolution underway in the united states. so, as i mentioned, san

francisco was number one. but you know rick perry has counted performance in texas metrics for many years. he was a number one this year. could not claim it but he did have five out of the top 10. on this list. so, texas has a unique combination of tech, energy strength in a very favorable business climate. california had four metros in the top 25 as well as colorado did. there were seven metros my top 25 that are really there because of the energy explosion in the united states. and another depiction of that is that we have our small best-performing cities. they are roughly 8179 smallest metros and fargo north dakota minnesota was number one among that group was related to [inaudible] and the positive spillover effects. in another

one common area, west palm beach was the biggest improver for the year-to-year moving up 93 spots from last year. that has to do with the end in housing bust in that area of the country. so these are some the metrics that we used in evaluating metros. we look at job growth, wages, technology growth, over the most recent five years and over the most recent one year. that smooth things out over the business cycle is of what anyone year determine the rankings because that can be very volatile. so, we also include your over your job growth in the most recent month which is in this case, prior to publication was august of last year. so, employment and wages are more highly rated because they are critical to community vitality. wages and salary signal the quality of the jobs being created a metropolitan area and also