covering much more than children's services including housing. >> transportation job creation and so forth have you done the sense of what will it take. >> yeah. so based on our review of others similar bodies in terms of size and scope working bodies like thirty to 50 members having the supporting staff definitely more than 2 but closer to 10 to 15 to support the data analysis and is scrape all the mandate and requirement that the department is asking for right now, we're hoping to be able to have 3 people support the council two people if the city side and one from the school district side.

>> i will be existed as you get started. >> me, too. >> with the children's fund there was a spike in or increase in the budget and when we were putting the proposition together there was a lot of discussion about why we needed to increase the fund and wasn't just expansion of that but a lot of the needs that were expressed came from the early education world seeing this is not enough resources to tackle you know some of the issues they want to tackle confusing the resources four infant and childcare so i

was surprised to see most of the increase or the increasing dollars in spending some went to after-school programs and then some of it was for the summer programs but there was nothing no indication that any of those dollars were directed towards the zero to 5 is there a reason for that i mean is there angle explanation. >> i have two one that the mayor during his budget announcement had said already he he was working with the office of early care and education to work with the dcwf for a four-year roll on the child stakeholder eligibility list

and has prioritized budget the second part we've submitted working with the office of early care and first 5 to support the fiscal year analysis that o e.c. will be implementing this year we've submitted hoping by october they'll be done and let us 94 know how the federal and state and local dollars will port our system those are precious dollars and we wanted to make sure we've submitted moving the dollars to the biggest needs that is how we are working i understand there's a priority to make sure that the programs and services are continued for the families and i know that in working with any city sister departments we're going to make that a happy it is going to take a little bit more

time. >> there's quite a few people coming to my office and asked this question about work orders i sort of understand is semi understand it try to explain maybe that would be helpful to myself 0 fully understand the general public comment what do you mean by work order and how do work orders what's the benefit. >> sure so i have a slide it is up on the screen right now it shows our 3 largest work orders in the city through the department of public health this is primarily for health and mental health recommended services we send our money to the department of public health within our department we don't have experts in managing the mental health program it would be nice to have

social workers on site but we don't we the evidence will then show that work case and leverage the ability to draw down state dollars that's the biggest bang for your buck most of time for every i think they have $0.10 we put into the pot we can draw up to $0.90 from stat dollars that's why we send the money over p there the second largest work ordered it is primary to the office of early care and education we send over $9.3 million to oecd we work together to implement their streams to support early care and education because the city made the decision to create this office it didn't make sense for us to

manage and monitor the first to 5 k services the third largest work order to the first 5 san francisco this is primarily for the family resource center work and primarily because of over the years those expertise in managing and operating programs they've work hard to teach and train nonprofit agencies around parent curriculum and support i have to say of the f r.c. the family model the majority of the families necessary serve are families with youngest children up to 5 so we do so us as having a significant problematic roll in those work orders but want to leverage our sister department expertise that's why we do the

work orders. >> thank you very much i hope we can continue having your office continue to solve that issue of zero to 5. >> okay. colleagues questions or comments but mr. rose your report please. yes mr. chairman and members of the committee an page 4 of the report our recommend reductions for the proposed budget are 4 hundred plus in 2015-2016 and of that amount hundred $50,000 are ongoing savings and one time savings those reductions will still allow an increase of 3146 or 2.4 percent in the 2014 our recommended reductions in 2016-2017 and of that amount or ongoing savings reductions allow the increase of $7 million plus or 4.5 percent of 2016-2017

we've submitted working with the department. >> thank you, mr. rose any further questions for the department or mr. rose for item 8 we'll take public comment do you want to speak separately director sue. >> to direct and spend and we have the children for the families i'll speak briefly about the spend item we've submitted requesting that the board allow the fund of $600,000 from the city empowerment funds to support our summer jobs program we have a hundred and 55 youth employment opportunities and increase our financial education for all youth in dcwf we are excited to have the support of this foundation and they're either going to get the

summer continuing. >> thank you leo is there anyone from the public that wishes to speak to comment on item 8. >> hello supervisors supervisor tang and supervisor norman yee. >> upon a matter of concern of early care for teenagers teenager age office education and chinatown there is a golden elementary school and then - two set of school education for - >> sir, do you have anything to comment on item 8 thank you public comment is closed. >> this item we want to do it send to the full board i want to

entertain a recommendation for the next meeting july 7th. >> motion pie supervisor tang and seconded by supervisor wiener we'll take that without objection. >> thank you okay county education office rotten field. >> briefly the county education in front of you is a state law that the county fund a certain arrangement this is a mandatory requirement a function of state law for counties to fund almost a act for the board of supervisors to continue.

>> we'll not have a budget analyst report so colleagues, any questions we'll raise that going forward we've submitted consider that heard last but not least we have the department of public health. >> mr. wagner and mr. garcia here. >> good afternoon, supervisors barbara garcia director of

health we want to give you a highlight of the major focuses for our budget for fiscal year 15 through 17 first, the proposition and the second mregs completion of the opening of the san francisco general hospital funding and implementing a new health record. >> we have several issues and programs we have been be able to bring forgot for the budget the service act over $3 million over all this year increased by $2.2 million positions mental health positions to inhabits enhance our existing system an important piece to restore $8.8 million of reductions that we have to put up in the last

couple of years that will be back funded to the department as part of hope sf woke up open up 4 wellness centers at the housing areas that include earthquake early warning system alice griffith and potrero hill and hunters point those will have nurses and mental health staff in the hiv area we've submitted providing one million dollars for 2016-2017 as it annual listed to make sure that people are reconnected to treatment and reduce the number of deaths with hiv and reduce stigma in working with many community groups including vision zero and the world to peace we've added one million dollars to provide safety initiatives for the city and county of san francisco as part of a mutilate year how to improve our services in the

shelters last year we provides water nurses and this year we'll be providing employees to help those personnel we've found there are several individuals in our shelters who are not thriving well and there will be expanding our medical respite by thirty beds to insure those who need the expand support in the shelters get the kind of support with the medical respite this is an expansion of the existing programs we'll be opening up the stabilization beds by the investment which we'll complete in the last several years reductions in the public health system we've submitted trying to build that back this year we've had several areas of we have to

manage ebola travelers we've had several others outbreaks, etc. we've had to manage and we also, this is also included that the black african-american initiative internally to make sure we have the standard system for meeting the disparities in the african-american health community and it is reflective of the individuals we serve in opening of the new san francisco general hospital this will maple this fiscal year of 2015-2016 and most of the costs that are included in the budget cycle the one time costs for fortune and we got a large donation in the jushgz and in the offset by the 9 revenue

growth as part of overall opening of the new san francisco general hospital we be adding approximately 1 hundred and 18 now ftes we've submitted on the way to hiring them now as part of opening the hospital we have to train 4 thousand hospital workers to work if a new fats with $18 million a one-time transition costs we're working on that now and an important part of providing health care for the future for the department to implement enterprise the electronic health records as you can see over 9 areas that have individualized electronic medical records this year we've submitted investing a large portion of our dollars into developing a new record system this will include the infrastructure upgrade our

systems have been mostly focused on revenue and not on clinical services we'll have to build up our infrastructure with the applications and operations we need improved training and management programs increased the federal government is rigging us to report on outcome we have 9 separate ways to collect the data the federal government will take money from us if we are not clear and to assess that we are pressured by the need to move off our legacy system that will no longer r be supported by 2019 we have 2 hundred and 25 millions over the next 5 years and doing an assessment review

over the next 6 months to get the right vend and we'll be returning to the board of supervisors for this contract with a lot more detail with the health electronic records we'll talk about the overall budget and the roll. >> good afternoon supervisors greg cfo just a couple of brief high levels overall slides decoration garcia hit the highlights to put it into context we've submitted budgeted to grow by $50 million into 2015-2016 and another 3 of the following year so that puts us over $2 billion beginning in

2015-2016 and those are growth rates of 2 and a half percent in the first year and one .8 percent in the second year our share is subsidized by 2 and a half percentage that remains flat compared to the current years budget. >> as you can see it is hard to read but you can see the changes by division you see a decline in san francisco general hospital what that is an artifact as director barbara garcia we have a large expenditure in the 2015-2016 budgeted with the fixtures at the new hospital that leaves our budget it decreases but our operating budget is growing as and have to staff the new hospital you'll see a growth in the

public health and primary care division and those are part of our effort to stressing our ambulatory care as we meet the affordable health care with the preservation and some of the q investments to the electronic record in terms of our fte count there is a similar shatter on the following slide showing we've submitted growing by about 3 hundred and 25 ftes in the first year and hundred and 59 in the second again a large portion is due to the staffing for the new san francisco san francisco general hospital we'll be operating a larger facility footprint between the two buildings and we'll have certain staffing increases associated with the expansion of some of the services including the

emergency operating rooms and some of the functions that the new hospital - so i will leave it at that and happy to take questions we have 3 pieces of legislation on the claurnld ethic to go through those quickly now or your preference. >> colleagues questions or comments supervisor yee. >> i wanted to clarification the staffing increase in our presentation talk about the budget increase and the bulk of it being in - where am i reading

this? for the there in the budget there's a lot of staffing increases i assume this is at the hospital to staff up? yeah. a significant portion of the staffing is for the hospital that is about hundred and 18 ftes that are associated with the operation of the new hospital and then in addition we have growth in our primary care staffing and the public health department that is our function and it infrastructure associated

with the electronic health records budgeted under the height division the 3 major budgets for the san francisco general hospital for information technology projects and in primary care and okay. thank you >> you're welcome. >> colleagues, any further questions mr. rose can we go to our report. >> mr. chairman should i comment on a couple of the items. >> i'm sorry madam clerk. >> the resolution authorizing the sense and expenditures of reoccurring state grant for the 2015-2016 years and item 5 ordinance amending the health care for other services provides water toy the distributing effective july 1st through

june 1st, 2017, and item six the administrative code for the public health to participate in group participation for the commodity information technology products and related services and general and professional services related to operation of the facilities. >> okay thanks mr. rose before your report do you want to comment separately. >> i'll comment briefly item 4 an item you see at this committee every year a number of grants that require approval by the board of supervisors those grants reoccur ero multi years rather than having them individually we bring you this piece of legislation to accept and spend those fund o those are included in the budget proposal. >> item 5 is something you see every year at this committee

that is our patient rate our official rate for the health care system really there are two buckets on our physical health side to the hospital and primary care billing those are railway paid the rates in this ordinance by the president of the united states paid by other than medal and medicare we pay a rate schedule and have a sliding rate foes for others this is to make sure that we've submitted drawing a sufficient level of the reimbursement for commercialships at the surface. >> the last item is number 6 we have we purchase a lot of our materials and supplies and equipment through a group purchasing organization that is an organization that allows probation officers hospitals to pool their purchasing power and

negotiate favorable prices scott wiener we have a controllers prices that recommended changes how we do that including adding second with purchasing organizations as an option to look at pricing and clarify the language in the administrative code based on the fact that a lot of the items that we purchase those those are technology and information for the third piece of legislation is cleaning the administrative code to clarify our authority for purchase under those builds. >> thank you very much mr. wagner and mr. rose our report on the budget. >> yes. mr. chairman and members of the committee we commented on both items 4 and 4 item 4 we recommend you approve that and item 5 we consider that approval to be a policy matter for the board regarding the

polyp recommendations on page 50 of the report our recommended reductions for the prold proposed budget are 4 hundred plus million dollars of the ongoing savings those reductions allow an increasing ever $500 million plus or 2 percent of the 2015-2016 budget our recommendations are recommended reductions to the proposed budget are $5 million plus in 2015-2016 of that amount some are ongoing and one time savings with the reductions will allow increase of $33 million plus or 1.6 in the 2015-2016 we've submitted working with the department and will report back next week to the committee. >> thank you, mr. rose colleagues, any last questions thanks for being here we'll see you on monday

colleagues items 1 through 4 is there anyone from the public that wishes to speak on items 1 through 4 seeing none, public comment is closed. >> colleagues we would like to entertain a motion for the board meeting. >> we'll take that without objection. >> at this point colleagues, we're at the end of our budget hearing want to entertain first of all we'll take public comment on items 1 through 4 is there anyone from the public that wishes to speak seeing none public comment is closed. >> madam clerk at that point i'd like to entertain a motion forces the next committee meeting. >> mr. chair number one is agendized for mondays meeting. >> the motion two and three for tomorrow. >> supervisor mar and commissioner tang

that without objection. madam clerk, is there any additional business to come before this body? >> no, mr. chair thank you, thank you we've submitted