tv [untitled] March 22, 2015 1:00pm-1:31pm PDT
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000. >> okay. >> okay. >> i have a question. how is this different than the regular health? and are they going to be directly about the diabetes? i am just, and because it looks like it is just extra --. >> no. >> and so, what is different about this -- >> what is different in this, than in the staff has and, this one. >> correct. >> so, this particular diabetes self-management program that we are trying to pilot, has actually more strict requirements, and one of the specific and it is targeting for the people with diabetes, and part of the requirement is that there is a dietician who will be offering the counseling to the participants in helping them to better manage their diabetes and also, the participants will be required to provide authorizations and
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with their doctor, and providing lab results in terms of the monitoring and so, i know that the director of 30th street center is here and she has been very much involved in the planning stage, and she might be able to actually give a little bit more details of how this is different from the regular chronic disease, self-management class. >> yes, please. >> good morning, commissioners, this is really a clinical program. and the regular diabetes self-management program is not. and so, what we are doing with this funding, is exploding the opportunity to use the medicare benefit that sits and as i am under utilized throughout the united states, and when the administration on aging mcneill, during the, moneys that were made available, and many parts of the united states, are trying to see
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whether community programs like a center like 30th street would be able to set up a system in order to be able to actually at some point, draw down that medicare benefit. and so, the feasibility of what you are investing in right now, which has already begun in october is really good to term whether a good old fashioned senior center can put a system together that meets all of the hipa and the clinical and has the agreements with and is accredited diabetes program. and so this is also, going to be paying for us being reviewed by the american society of diabetes educators and so it is very different, the only similarity is that it is a classroom setting and it is the workshop and so it is the six weeks two and a half hours workshops, but the degree of the depth that we go with each of the participants is much, much, deeper.
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and we do need to have the critical information from the physician, that is also different than this standard healthier living and diabetes program. and so, we hope, that at the end, that we will have data, as well as being able to say, what would it cost, on an ongoing basis, to be able to do this kind of program in a community setting? >> right now, we don't know. and, i think that what we are doing as a community, is also trying to see, just like the transitional care program that you are aware of and it is now drawing down the medicare money in the past we used to call it coming home and homecoming which was totally funded by dos and so, the effort on a national basis is to see, whether now is the affordable care act, changing and the hospitals and the health plans all being more having to take more responsibility for the patients this might be an opportunity for the community programs to draw down another
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funding source. >> i have one more. and i am wondering how would you manage the clients if some are on the, and if i have diabetic who is not on a diet but on a special diet and those that are not coming into the program, how do you plan to manage. >> this is a real commitment on the part of people, because you have to go through a screening, to make sure that you are eligible, and then, it is a commitment, and it does not matter in terms of where the people are at in their diabetes management at this moment when they get into this program, the hope is from the beginning until the end there will be an improvement in how they are managing their glucose and etc. etc. and so the idea is that you, you basically have to have a diagnosis, of diabetes and not prediabetes and that is how specific this and we hope that we are doing it first on a small basis, sthaoe so
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that we can control the different factors including all of this clinical stuff that the physicians and the hospitals get nervous about how we are going to be sharing that and so we are developing all of the components and all of that review process. and so, if a person is on a special diet and they have diabetes and they are welcome to participate in this. but it is a commitment of 6 weeks, and we hope that the people who do it, not only see it as a benefit for them but possibly for a benefit for the community to begin to offer this kind of service. >> commissioner? >> well, i know that 30th street has a pace site there on the same campus, is there any inner face given the hipa complaints? >> there is no interaction, because pace has a strict compliance and licensing and what we will do though is that we will use the expertise of the on log government affairs person who
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actually sets up and has the, and has the compliance on medicare down like a science and so we will definitely draw from the organizations background and expertise. >> great. >> but it won't be directly connected to pace. >> commissioner loo? >> you said the program started in october. how many clients do you have now in the program? >> so the first part of the program was research and development. and we did not know exactly what was going to take so we have not served any specific clients yet. i really want and i hope that the people will look at this as a feasibility study and setting up the structure and getting the right players and the right positions, and developing the policy and procedures. and i mean that we have a whole, administrative piece of this that was starting way back in october and the pilot, where we are actually going to have the participants in a served is in april. >> and so, we are now in the process of recruiting, and we
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hope to get, maybe if we can, a 15 committed people and again, we are not doing the large numbers, because we really want to be able to manage it, and every single participant has a clinical session, with the rd, and both, at the beginning and sometimes, during, and even at the end. and so, it is going to and it is more intensive and it is more indepth and once we work out the bugs and we figure out how much that is cost and then dos and the community can decide whether this is something that is worth all of our while to go forward but it is really more of a development grant, not a lot of people who are going to be served in it at least initially. >> and all for your program. >> well, because i wanted to be a small, we are basically we have an out reach person that is going out to all of our active sites and all of our healthy coalition folks know about it as well as we
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have a valley voice in march and the article, or the flier is there and how to get involved. and we are conducting it in english the first time. again, because of issues of getting all of the people together at the right place, and again, we hope that afterwards, we will be able to offer it to the folks of a lot of a different language, you know that 30th street has a lot of spanish speaking diabetics but we are not prepared to serve all of them, we are promoting it and it is slow, and making the commitment in 6 weeks and even the standard healthier living is quite a challenge. >> thank you. >> commissioner ow. >> enlighten me, i am confused, i thought that you were using these standard wellness program. you know? it has been tested. and it works. now, you are telling me that
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you are doing a pilot program? >> okay, so commissioner, let me and hopefully i can be clear and i am happy to talk to you off line. >> there is a standard stanford model but they cannot draw down medicare money because they don't have the system set in place for the clinical piece and so the difference iss between the workshops and the curriculum, they are very similar. and the diabetes program that stand ford has created is similar. the difference is that the way that we conduct it, with the participants involvement in physicians and the healthcare involvement is much more clinical and the standard stanford model is not clinical, and it is very, peer driven and it is, and they follow a curriculum and this difference is that we litarilely get the record and the medical information from the physician to use as a pretest, to the efficacy of
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the program at the end. and then, have all of the systems in place, that we get accredited as an enty, and then, we are establishing a medicare number, which right now, most community programs don't have to be able to build, and so it is, and it is a lot of layers, and i am actually quite amazed at how much, energy is going into this. but the hope is that we will learn something that could be useful in the long run. >> i don't know if that clarifies, but the curriculum is the same and the delivery is different and the reimbursement in the long run will be different if we get those pieces together and get approved. >> the standard model do not have reimbursement. >> no, right now dos is the defender for the healthier living and thanks for linda and dos leadership we have health promotion programs that we never had before but they are it and if we could
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do something else and get it established by the reimbursement and other entities we will all benefit from that. all right, good luck and i hope that you have a successful. >> just a minute. i hope that you have a successful program. when you have the reimbursement and the dos recipient of the reimbursement. >> yeah, hopefully what that means is more for everybody at the end. >> yeah. >> and dos, the recipient. >> no at this point it will come through onwalk if we actually ever got medicare money it would come through our organization at this time. and we would just be able to expand more of what dos has already given us in terms of the seed money for health promotion programs. >> at least somebody is getting the money. >> thank you. >> any other questions? >> hearing none, i will call for the vote, all in favor? >> aye. >> opposed? >> ayes have it and so the
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motion is carried. >> announcements? >> >> announcements? >> hearing none. and okay. >> commissioners i want to i am very pleased to announce and we have to share this with our providers as well, there is a tichi and the fall prevention, and it is a certificated trainer workshop two days, and on march 28, 29, and this is one of the programs that we will be helping to sponsor with the snap funding and i have some fliers that i brought on the table. and you are welcome to share it with any interested in getting trained and our goal is to have these trainers being able to offer the simplified tichi program that is also evidence-based and it is another one that we wanted to be able to increase the type of activities that we
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can offer the seniors at the various senior centers. >> thank you. >> and could i ask a question. >> hello again, and i asked it, and, and we you set aside the money and the trainer to san francisco and is this the treatment. >> you have some good memories, and we will be actually bringing this information back at the april first, and commission meeting for contract modification, and the trainer is actually from the bay area, and you know, those will be shared, and but a discussion is still being going on and we don't have anything final yet but in order to expand and expend the grant, we need to get the workshop and advertise it in advance and this master trainer has actual agreed and she knows that she is not going to be paid until we have the grants approved and all of that. but, this is going and it is
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part of that money, yes. >> thank you. >> thank you. >> now, any other announcements. okay. public comment? >> public comment? >> >> president, james, and commissioners, and steven, the executive director to the senior center, and i wanted to respond commissioner loo because i do have that information that 5,000 dollar, off side contract is to our marketing. committee communication and contract and services for us to produce, our brochures or our information or our out reach and part that have is that the manuals are bilingual now and not just in english and we have to do for the clients, korean, and japanese and chinese and the other part of that is being competitive in this very
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competitive market and we have to have a website and the onlier founder, was morery and this year is the 45th year of coming in with a heart and a dream to do something for our senior and now we are the community service centers with our colleagues and this audience and it is a very, competitive difficult process, and the seniors are there, in san francisco, and the senior center just does not serve the japanese community, and we have korean and we have chinese and we have anybody that has a mobility to take a bus and come to our program and then come by the drills. and so i just wanted to be able to say that that 37 percent increase, and for us to try to do the services, and to do it right can only occur through the support of staff, and also the staff that is out here and our analyst monte and to you commissioner to approve that as well the telephone calls are part of the higher calls now for telecommunication and
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cell phones which are trying to be competitive and trying to change old school kinds of concepts without losing the heart of service and trying to meet the needs of our senior and so thank you so much commissioners and staff and monte for your support >> thank you for response. >> thank you. >> any other public comment? >> hearing none, i will entertain a motion to adjourn. >> so moved. >> second. >> okay, it has been moved and seconded that we adjourn, thank you.
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>> director heinicke director rem mel, director rubke, director nolan will not be at today's meeting. item 3, prohibition of sound devices, the use of pagers and sound producing electronic devices are prohibited alt the meeting. any person responsible for one going off in the room may be asked to leave the room. also please know that cell phones set on vibrate do cause microphone interference so the board respectfully requests they be turned off. item 4, approval of the minutes of the march 3rd meeting, you have a member of the public who wishes to address you on this? >> any board members first have any comments on the minutes from our last meeting? >> yes. i had a question about the
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motion on the second motion that was month rkts after we discussed the study and having looked at how things were going, doing the before and after survey, that we would -- we would have a chance -- that we would talk about in general, reconsider it but i didn't think we were asking for the exact project to be brought back to us 12 months after, and that's what i don't recall, and the way that we approved this motion. >> did you have a chance to
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review that case? >> yes, i went back and looked at it and because i was aware that a member of the public was also interested in this. the motion in the minutes is exactly as stated at the meeting that you all voted on. >> and my understanding is that it's -- and correct me, director kiez k*in, this would bring it back after the full completion, it is not a commitment to action or inaction, it simply is bringing that back to the board. >> that was my understanding, correct. >> more on informational -- >> because -- that sounds like -- >> it would be bringing back all of the data that we collect in those 12 months after
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implementation and the set of additional parking and traffic changes for the board's consideration. that's what i understood that motion to be. >> director borden, does that sound more in line with what you were thinking is that it comes back after the study? >> it is just an item for action or not action by the board, it's not -- because that was kind of -- you know, as much as -- >> we all discussed not wanting to have the same hearing all over again and i just remember that we had really talked about all that kind of other -- looking at now and into the future and the grand scheme of how we were achieving our goals and other things so i felt like the spirit of the motion didn't capture quite the dialogue. >> yeah, that's good, i'm glad you brought that up you know we have that feedback now and we know when that does come back, we have an idea of what we're all expecting and i think we have a member op of the public as well.
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>> and madam chair, just for the record, in the original staff in the resolution, there was a discussion about staff bringing back the study about the economic impact of construction and all of that, so that is -- that was separate -- that was in the main resolution, this was something very specific, so that study will come back at a future time. >> director borden, are you okay with that, or do you want to -- >> yeah, it's one of those things where you feel like you remember it differently, so it concerns me. >> it was a long meeting. >> but i think we should -- if members of the public want to -- >> why don't we hear from members of the public. >> dawn trenart. >> two minutes. >> thank you, commissioners, i also remember that conversation going a little bit differently in the essence of the
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conversation. the essence of the conversation as i had understand it as i read in the newspaper the following day was that after a 12 month period of understanding what the economic metrics and the modal shifts would be, there would be a grading of how well did we do what did we do well, what didn't we do well and then things, decisions would be made from that point but when i read back into the printed minutes, i see that it would be no longer than 12 months after the completion of the project from -- ms. boomer, 12 months after completion of the projects so it would be directing staff to come back to the board with traffic modify cases that were include ined the categorical exemption as described in the city and planning department to continue the bicycle improvements by either protected bike lanes or raised cycle track on the east
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side of polk street, the [inaudible] in order to reduce impacts on business and project costs within 12 months after the completion of the project, and you've got some differences in the way things are written, it's in time to coordinate with the public utilities project and it would be no longer than 12 months after the completion of the project but the motion is now recorded as within 12 months after completion of the project, which could mean one month, six months and anything less than 12 months and, again the spirit of the conversation as i heard it, as i understand it is let's see how we did and give ourselves a grade after the 12 month period, after the 12 month period, not let's race ahead and see how much more we can do within 12 months. thank you for your time. >> thank you, and thank you,
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director borden for bringing that up. i do agree that it was the intent was i think the discussions that we always had was in order to see how a project works you do need 12 months at least to see how it works so i believe that is the spirit of the motion. yes? >> and i would just say i agree with that. i think also a spirit of this motion and this whole process is we're not going to do anything without significant public input and that alone will require significant time, this is not something that's going to happen without us going back to the public the way we have. on a procedural point, i will say especially with this understanding and very much appreciating our fellow citizens coming in on this, on a procedural point if ms. boomer has gone back to the tape and that is what was said, i don't think we should be in the practice of rewriting minutes after the fact, it's enough to have minutes of what our understanding was, but if that's what was voted on i think we ought to respect the sbegtd of that and not change
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the minutes, but i think we're all on the same page as to where we're headed, so with that, i would move the minutes. >> let's have a vote, all in favor, aye? >> aye. >> opposed? >> no you're not opposed? >> i'm opposed. >> alright, thank you. >> item 5, communications, director, please be advised there will be no discussion of anticipated litigation in closed session today. any other -- >> introduction of new or unfinished business by board members. >> i have one thing, i would like to congratulate director ramos would was renominated by the office to continue his service on this board of director, i know you have many option of where you're willing to spend your time, we're happy you're continuing to spend it with us. >> anyone else with new or unfinished business?
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>> item 7, director's report. >> good afternoon, madam chair, members of the board staff and the public, just a cum of quick things to update you on, the first is that last week, the board of supervisors land use and transportation committee adopted a resolution which they have forward today the full board for their consideration next tuesday that urges the sfmta board or to this board to adopt a requirement that applicants or participants in the commuter shuttle pilot -- or the commuter pilot program, now a pilot, demonstrate that they have conditions of labor harmony as a part of their permit application, so we'll see, i presume that will go forward to the full board next week and likely be approved. i think it came out of land use unanimously.
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we will be working with the sponsors of the legislation and the city attorney's office as well as our own program staff in termser of what options we have with that regard and we'll be coming back to you once we have something developed in terms of following the spirit of what the board of supervisors is likely to be urging this body to do. >> can we have a moment on that one before you move on with the rest of your report while it's fresh in anyone's mind. i wanted to check to see if anybody has anything on that. >> yeah, i do have a question so in terms of the people who applies for the permit, is it the transportation company or is it the -- >> it's the -- so in almost all cases, the employers who are using the shuttles are doing so through transportation companies and it's the transportation companies that are the permit applicants, that currently that are the permit holders. >> and is there a definition of harmonious labor --
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>> there is not. >> so, director reiskin. >> i believe the board of supervisors was intentionally not trying to get too prescriptive in that definition to give us some discretion and leeway as to how we might define it. >> my point is even with contracts, people will come and there doesn't appear to be harmonious relations at the time as we hear it, i understand why they are trying not to be prescriptive, at the same time, they are, so i just feel like it really opens it up for the ambiguity opens it up for exploitation in some ways is my concern. >> understood, and i believe that, you know, the work that we have ahead to work again with members of the board of supervisors with the city attorney's office and our staff
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would be presuming the board will want to go forward with this to try to put some definition around it. it is, you know, it is a very vague term, but part of what i would be striving to do before bringing something to you would be to try to put some definition on -- around it something that our staff can actually work with and it's legally defensible. >> just to be clear the motion is directed at labor harmony at transportation companies, not jenentec, etc., right? >> i don't have it in front of me it was basically attach today the permittee which happens to be in almost all cases the transportation companies and that was the intent. >> thank you, so it sounds like there's no action that this board would be taking on this until there's a little bit more clarity and back and forth and the board of supervisors have -- >> right so i would
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