have all those programs going we'll have all the money out the door and flowing i took a little bit of time to look at how to allocate all those funds and you know with us we take a lot of time to work with the community providers to strategy allergies the best way to get the money out the don't worry about we've deny that we haven't had time to analyze the effectiveness to see if we get more funding. >> last week, i was with the coalition of agencies on the rally are as on city hall not only planning for the senior and disability action on third street and many of the centers they're saying that in san francisco we're only serve half

of the seminars that need the home delivered meals and fraction that needs accident home delivered groceries we're starting to address more of the population in need in the rest of this fiscal year and leading into negotiation. >> yeah. we'll looked at the effectiveness of the program we have a strong planning unit they're looking at this issue we're mindful we have limited dollars and the network serving the aging of folks is a credible balance and nutrition is an important part but without the services it is hard to keep folks adams home safely we have to look at that as a system. >> and i asked trent a moment ago about the large number of 20

thousand statement that are medi-cal participant eligible for cal fresh and how the outreach team and the new hires will address that population. >> right >> is that in a one year period what is our yeah. what's the plan so we're insuring that as much of the 20 thousand can be enrolled as quickly as possible. >> into cal fresh i can think about that from a dos prospective one of the things our staff do we're hussein thirty this process to look at every person is a person for the plan so when we get a referral both our in take system the first one is ask about the cal fresh first to see if that individual qualifies for cal fresh and start looking at other programs sometimes, people

qualify for more than one and sometimes only one but they're trained to look at all the programs to see the best fit and our in take manager works with the cal fresh manager and figuring out how to get people own cal fresh if they qualify. >> and the last question you mentioned the community living fund that is important i know the aging housed the sf village we have the next village a model of bruno heights that no longer exists but serves the my mind and other populations on a neighborhood level but the community living fund is an important part of that in addition to other institutions and i know that as senior groups rallied the demand was to add

$2 million to the funding for the community living fund with 62 percent to support board and care facilities and adhering transitions and 36 for home care for people that can't access h s and 20 two percent for home modification to make home for assessable how much is the huge needs for the senior population will be involved with this budget. >> which of the $2 million with the community money the folks are asking for this is not a current request. >> okay given the boom of elderly we're seeing roadway for the next 20 over and over thirty years in san francisco as our population will grow to be 1/3rd of all our city being seniors of

people about 60 do you think we're an age friendly city and what can we do to call ourselves that. >> we're an age friendly city a couple i guess of groups have said that we can certainly do a much better job we put a lot more resources into the services than many cities do but seeing an increase in the population it is hard to keep up with the demand. >> thank you. >> colleagues if there's not other questions i appreciate your hanging around here we're going to turnover to the department of public health barbara hale and others have been waiting for awhile thank you. we look forward to our

our conversation. >> good afternoon, supervisors barbara garcia director of health what we wanted to focus on the key issues for our 2015-2016 and 2016-2017 budget years you've heard a lot in the previous hearing about the affordable health care act presentation and we and our response to the affordable health care act does focus on vulnerable population and health disparities we've respond to that through the san francisco

health network the integrated system we've developed in the department that delivery system from primary care to long term care at laguna honda we also have focused on the population health program that works on communicable health disease in our affordable health care act prelims we've increased enrollment in thetions for all individuals in san francisco working with the h f a and expanded the access to care to thousands of individuals in the city and one of the things if the affordable health care act is that we have to show health outcomes and proved quality of life so we put a lot of effort into those areas this year we had the great opportunity with having a good revenue based to restore health

care programs from prior budget initiative and you've heard a bit from the director of h f a about the citywide programs we've worked with with human resources i mean the human services department which is the navigation center we've provided all the homeless outreach teams and identify people in the street and bring them in and responded to the behavior health program and services program 5 hundred is another initiative to work with 5 hundred families and work with identifying families that are working who are part of client basis in our department to work with the families who we are already being case managed is a good way to sdwrath h f a we've

had an expansion to a recontracting toga new organization we've increased new medical outreach teams and we're pretty much 85 percent staffed in the area of our dispatch area we've also this year be able to invest into the public the federal government between cdc and hertz have lowered our financial dollars in those areas and so we really want to build our ability abatement in health response particularly around commemorative disease today, the mayor announced the expansion of our medical respite we have a medical respite open ace and mission dollars that will be receiving

from the mayors will add thirty additional beds and targeting to those in our shelter system not doing well mel and psychologically the medical respite had been attend to the needs of homeless and vulnerable population and we believe that will lead to better health oungz while avoiding health cost there's are a lot of 9-1-1 calls to the shelter we've added nurses to the shelter to help with the begin of this process the nurses had been part of the referral system was we build upon the medical respite it takes 6 to 8 months for restoration and we look forward to the terrifies services to start as h f s or a we have a

permanent direct housing presently 7 by 7 hundred units over 37 sites over the last 5 yrlgz years we've began a laguna honda rental preamble and providing hundred and 50 units to people that can do better in the community for the many years providing over 6 hundred and 90 units for individuals ill living living with hiv we've talked about the medical respite and the green center was a program we started over 10 years ago in looking at how to manage those with alcoholicism and provided them an opportunity for deintoxicating and trying to get them into other levels of care and treatment and part of the

homeless outreach team is successful to provide them with emergency stabilization beds inform gaining their benefits and stable listing while we wait for permanent housing with over 2 hundred and 87 units a lot of the discussion i've heard it today as well in terms of working with diversities and our ability to bring diverse populations into our workforce and we began this last year with had over a year of working internally to work on black african-american health inches initiative one is health and humiliate train we've trained over hundred and 50 staff and we'll continue to provide the ability to have a conversation been race and it's impact on health, i have a mandate to take

trauma informed training particular the patient clients we serve have had impacted trauma workforce development is one of the important parts of our work in terms of the diversities we have an internal workforce that is very diverse but we want to provide opportunity for our staff to succeed from a career lard we are working with the schools throughout the system including pipelines now if you think about the fact we had a train center at san francisco general we're trying to set up those pipelines through internship and training with san francisco state and the colleagues and many of the therapy programs throughout the city we building that helping

our staff going back to school is one of the important things on human development and schools for individuals that are city or department employees to, ever go back to get their master or finish our bachelors and worked in a significant way to look at how we're providing care to african-americans 80 throughout the departments and with the data shows we really have to address african-american health in the department and so we're working throughout to create standards and quality of life for african-american and others ethnicities over the last several years the community is working towards zero hiv infection and hiv city government ma we're working closely there's 3 areas one to insure we get people immediately to care we know that when people

start taking medication and treatment their eliminations of transition we know that if individuals are not caring for themselves and fall out of treatment is impacts they're going health and causes death and to track them into care through your outreach ability and ongoing work around the hiv stigma you'll hear more about that when we go into our budget process i am sorry to our cfo to finish off the presentation and prepared for any questions you have. >> good afternoon, supervisors greg cfo i'll go through those quickly eave touched on this with the prior hearing today

global warming speaking san francisco has done an incredible job getting people enrolled in insurance under the ac a we've preceded our projections and seeing the data indicate there are a lot of people on insurance that were previously uninsured 41 thousand enrolled in covered cal and 51 thousand in the expand medi-cal and that brings our level of urban insurance to bro below 50 percent that was prior to ac organization so in terms of our own department's role in preparation for ac a we are a big player in actually executing and implementing ac a we've talked about this we currently have 36 - thirty thousand individuals that are enrolled in the san francisco

health network they're receiving care at the time did you want people on expanded medicaid and bic definition newly eligible under the affordable health care act that's a big expansion the next phase will try to move to the covered cal area to expand our outreach to the populations eligible for the programs but not eligible for medi-cal medicaid so the up fluctuation of insurance is a very good thing we have a lot infrastructure to put in place to be able to accommodate that population and make sure we're being pro-active and effective in deliver care i'm sure you're aware of we have over the past year banished or launched the san francisco health network it is historically our department had been a san francisco san

francisco general a laguna honda a primary care system and pay system we're bringing those together into one umbrella networked organizations and try to network the care across the system and allows us to have better health outcomes and prospective care but a big change in infrastructure so we have the new organizational infrastructure we have the next phase kind of the critical is the i p systems now we have the infrastructure in place we need the technology to make sure when our a patient and go the san francisco general the providers can see what your attempt was to make sure all the medical data is coordinated and the treatment

so our big focus one of the big focuses on rebuilding our electronic record system the system that documents clinical care we have many electronic health systems and not all of them talk to each other permanently or at all it is really a coordinating and cutting-edge modern health care for people that are going to be hitting united states in a lot of different areas within the network our goal over the next several years to replace that fragmented i p m structure with the unified electronic system that enhanced the sharing the data and easier for the providers to make sure the loan is talking about to the right

hand so trying to get the i p infrastructure in place to support our structure into better patient care we'll leave it at that and i'll be happy to answer any questions. >> thank you, mr. wagner colleagues, any questions for mr. wagner or ms. garcia that's correct thank you very much and for your continued hard work and last up the mayor's office of housing thank you mr. lee. >> but colleagues, we did ask mr. lee to come back given the housing portfolio deals with homeless certainly not only exist but in the pipeline i want to include that as part of the conversation. >> good afternoon olsen lee

director of the mayor's office of housing in terms of the most cd mission wanted to clarify how our mission fits within the subject matter of that particular hearing in terms of the the providing the financing and facility the purpose of affordable homes in san francisco one of the decision this were made n many years ago the decision to create permanently supportive housing rather than lease hotels or other housing and this is define in part by creating permanently affordable housing we could leverage or leverage outside resources to pay for the cost confident housing in some cases the operating costs of housing is

lower than the lease housing and ♪ cases the hours is built to current standards in terms of of accessibility and other important issues of people with disabilities the people has a dual track in providing the housing for the disabled and seniors and others in terms of 0 both the master lease hotels and the permanent affordable in terms of our work and in terms of creating affordable housing what both the directors of h and dph have articulated is one of the basic things for the welfare of all the clients is having a home that's our primary mission and our department is to create affordable housing assumes we can and as quickly as

possible and leveraging outdoor resources from all levels of government so that we can stretch the local affordable housing funds as much as possible and in that process we community with our partners at dph and s f s to think about the types of housing we types of supportive housing we create on behalf of the city trying to meet the needs of city overall and through this participating it is a very great partnership with an occ and the services agrees we've been able to create permanently supportive housing our expertise is the creation of the capital the expertise of the other two departments is the creation of the services and the funding and management of those services and together we create

a permanently affordable supportive housing and the best examples of that reasonable include 1045 la could not supportive housing for families that opened up this year and 1184 street in mission bay the grand opening a couple of weeks ago 1/3rd of all the occupants were for formally homeless families and that's possible in part because the - in the case of 1184 street the h s a provides an operating agency for the development and service contract to a service provider to insure those families will be successful in addition to those two examples as we spoke yesterday

in the mayor's office of housing is deep in our work on public housing many of those extremely low income people identified them as statistics both of h s a and dph are residents of public housing in some reasons they can afford to stay overall i'm sure you're aware of the need to rehab and preserve that affordable housing is a major initiative of the administration and in addition our work in hope sf basically rebuilding 4 family developments that were so delipidated we shouldn't be rebuilding and we should be not rehabilitating but rebuilding a large part of our work in terms of providing affordable housing how that- those units because their they will be sauptd by the

federal governments rent subsidies will be able to serve individuals, families without income; right? the thirty percent of the income whatever their income might be on g a or cal works they'll be 38 percent of that number or nothing as the case might be that allows generations of families and individuals to stay housed 90 in san francisco in addition to the our work in terms of the brick and mortar we work in the neighborhoods and strengthen the physical and infrastructure of the neighborhood this is where some of the homeless and safety net services are provided out of the community development division at this time i'm going to turn it over to deputy director to talk about our budget and sort of the details of our budget and

brighten chiu and benjamin and i will be here to answer any questions the board any have >> thanks mr. lee and benjamin from the mayor's office of housing and community development i'm going to go through the first few slides quickly you saw them last week our budget is a little bit less than half from the general fund about 25 percent from the federalist grants and quarter from the development impact fees if i drill down into the general fund portion for 2014-2015 our anniversary operating budget delores out the door $21 million from the housing trust fund the boards authorized $20 million from the moogsz and we've not taken that action yet but expect to utilize it authority for the housing

department the loss program two work orders to fund subsidies at the housing facilities and then what we're calling the services i'll drill down duo 0 to about $7 million a year here on that slide you'll see a brief bullet list of safety net services your department focuses on i'll run through those the loss program it started in 2007 and curling with the fund from dph and h f a there are approximately 15 not quite 15 heed hundred those households don't have itch income paying

rent we need to help support the units in those buildings and killer within our mshgd housing portfolios are several units set aside in our that i'm another 6 hundred unites set aside for homeless individuals and families and 20 percent of all the affordable units in our family developments are referred for homeless families and those are by h f a access points. >> when you talk about the pipelines what's the timeline open that 5 or 10 years. >> shorn that. >> yeah. yeah in the 5 years or less range. >> perfect. >> we mentioned this briefly last week as well as the ellis act preference program that the

board 3r5u68d a year ago a key way to issue it is basically a safety net for people living in san francisco that have faced ellis act evictions in the last year since the inception of the year we've processed hundred and 34 households being housed in affordable housing in san francisco. >> we're calling safety net services on this slide is about $7 million of general fund commitments that goes out the door to support the services see of the san franciscans on the slide a few of the key areas those grants go towards eviction and legal services a variety of services for immigrants we our office is one of the main offices in the city that focuses