we could accommodate. the decrease you're seeing this in budge there are really two things. last year's budget we included an initiative to -- we were speculating that we maybe opening an additional site leasing and opening an additional site to provide primary care. the business planfj didn't pencil out. we end up pulling that back out

of the budget. that was $2 million expenditure that didn't happen. the rest is about 3.5 million is really on the issue of how fast we're able to staff up in primary care. because we've added a large number of positions and we historically had a large number of vacancies we're moving much more slowly than we had hoped on filling those primary care vacancies. part of that is due to our5ç'nbcb hr focus on photographing up -- we pulled the dollars back

out on one time basis but put them back in for the second year. it's really savings to reflect what we anticipate will be the actual staffing up the rate in which we're able to staff up and spend those salary dollars. >> thank you. >> any further questions? commissioner chung. >> question for me is where do our housing program -- [inaudible]. i assume it's within public health. >> it is within public health. on this chart expenditures by division it does fall within the dm)public h >> because we have soealth many. housing components including subsidized housing and supportive health --

>> stabilization. >> that one wouldn't change as much. currently worried about with the rent fluctuations and subsidized housing programs. how would that look three years out? i don't have an answer but i think there are some things we need to look at. >> it's a good question. barbara might want to weigh inbkj on that. >> you're talking citywide? the department policies -- portfolios are pretty strong. we have a pretty long lease requirements that are required by the city so they're using five with another five year extension. i think we're pretty safe for the next year that we're here.

it's a good question for us to look at those lease and those master leases and see when we may have an increase in in those costs. right now we're pretty steady. we are still -- because the ones weç÷ñ?ñ?ñ? 0ó( increase, increase in the service systems thathave we're providing. we're also looking at that in terms of the supportive part. that may increase. we just heard that conversation not long ago. i have had conversations withc our housing, staff that are concerned about that as our residents age. their staffing needs maybe different. >> there is one more thing that i fail to point out, which i should for the record. because of the size of it, if

you look at the i.t. initiatives in your packet, there is a significant amount of revenue about $25 million worth of revenue that's budgeted with a corresponding transfer out expenditure. we've been working with the mayor's office and the controllers office on what the multiyear strategy is for funding the ehr program. they agreed to allow us to budget essentially $25 million worth of revenue over and above what we had previously anticipated with the transfer of that revenue into the ehr project. what that really does for us is it allows us to -- if we do better than anticipated on our revenue, it allows us to capture some of those revenues into the project rather than going through the normal close out process that you would have if we did not budget those

revenues. that gives us another point of reflect that we have not had in the pass. if the city can afford to do so, we have the option of capturing those funds for the project. >> any public comment? >> i have not received any request. >> i wanted to make several observations which are important. to bring also the question of as i understood it the responsibility of the commission for the last 20 something odd years. commission is responsible to have fiscal oversight and once we get the budget, as you know we're responsible to work together to work the administration and if there are -- as we have had in the past deficits where we're required to make additional cuts, commission

is first off in those types of activities. the mayor, our current mayor has taken a different approach towards budgets also. it has been a much more collaborative approach. we had the opportunity to submit a budget to the mayor. previously there was a hard deadline but the items that went towards the mayor were those in which the administration and the commission would then agree to. at times he would work that out. then of course it became the mayor's budget and at that point, the mayor often the mayor whoever the mayor was, would massage the budget as the mayor chose. mr.wagner is quite well acquainted with in process coming from that side of the house. i'm sure he would agree this is really a much more collaborative effort in which the commission and the department and the mayor

are working for a budget that becomes the mayor's budget as it's submitted to the supervisors. who then of course takes their shot at various components. they either add or subtract different things and then we start the cycle again monitoring the budget we get and then working on next year's budget. that's kind of -- i thought you had a pretty good snapshot. it's kind of a little bureaucratic but it does allow for input. in this case, i watched a number of budgets -- as a matter of fact when the commission started, one of the very important aspects of the commission was to be sure that we had credibility over at city hall. both in the mayor's office and the board of supervisors. it's taken many years. then we were able to develop that and we've been building on

it. this is probably the best iteration with mr. wagner here and the relationship with a mayor in which we've had. now the ability to create even essentially an enterprise fund for a particular enterprise. barbara has been able to get the mayor to agree to fully fund [inaudible]. gvhj now this last iteration -- the summary you've given, i have to commend you. i think part of it was driven from my request to look at trends and look at it in larger segments than just simply line items. which are necessary.

then, also you've taken now each by the various activities and we've now been able to see the significant changes in the two year budget process. i think you saw the questions from the commission being much more meaningful. not just on specific programs but the overall trend of where we're going. i think your department your division there, your leadership that needs to be commended. i took an extra three minutes to thank our department for really putting this together and gaining the credibility of both the mayor's office and what we hope will also be the board of supervisors. jn? as our last function today then, we need to actually pass these last initiatives over to the mayor'si5f >> if i could thank you for those comments. i want to recognize all our

management within the department. they held from asking from things knowing that the electronic health record i got that correct, to really focus on that. they really changed directions of what they thought they were going to do in the budget to really have a big focus. i do want to commend our managers of all of our areas who have been through financial discipline. that's one of the goals i've had as director, to ensure that we have financial discipline to ensure that we have the basic foundation of what we need as a delivery system. i do want to thank all the managers for all their work. >> well said. that certainly is the commission also. we now have the ability to make a motion to pass this last iteration of the budget to the mayor's office.

somebody wishes to make a motion. i see a motion. and a second. any further discussion? if not,u pkú all of those in favor please say aye. all of those opposed. so the mayor's budget, if final budget proposal is unanimously approved to go to the mayor's office. thank you very much. >> thank you. >> commissioners move on to item 11 has other business -- which is other business. updated version of committee assignments. >> the commissioners assignment is before you before the coming

years. we thank our commissioner taylor-mcghee on the community and public health committee. dr.pating will lead that at this time. all the remaining assignments are as noted. >> only thing for the commissioners, the time of that meeting changed from 1:00 to 4:00. in case you want to drop in. >> okay thank you. >> that started this month's meeting? >> i'm sorry? >> will that start at this month's meeting? >> that starts now. correct. as of this announcement. is there any other business anybody like to bring under this item? if not we go on to the next item. >> next item is the joint conference committee report. commissioner chow is in front of

you as a note for the april 28 2015 meeting. >> i think you saw the agenda and we did discuss all the items on the agenda. ??ñ?ñ?ñ? also =rñ?ñ?reviewed the medicine rules and closed session.ílñ?ñ?ñ? if any of our commissioners also want tobeñ?ñ? add anything, that would be fine. any other joint conference? >> no i have(÷ñ?ñ?ñ?ñ not received public comment for a request for that item. >> next itembxñ?ñ? please. >> we're at adjournment vote. >> a motion for adjournment is in order. i see a motion!cñ?ñ?%k< g!l@gvag

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