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 submittedthe

official time according to my phone is 1003 so at any rate would the secretary call the roll >> commissioner buell, here. commissioner low, here. commissioner buneea, here, commissioner harrison, here. commissioner levten, here and commissionermic dawnal has a excused absence. item 8 the jeffson square shadow impact at 9 fifen 0 golf street is off calendar and will not be heard today, it will be heard oat the july 3rd commission meeting. just as a note if you can turn off sound producing items that can go off during the meeting and ask you take secondary

conversations to go outside. if you would like to speak on a item today we request you complete a blue card, you do not have to. i will call names in the order received. you will have 3 minutes to comment on each item. if you would like to comabout rant on a item that is under recreation and park division not on the calendar today you can comment on item 4 which is public comnlt and that is continued on item 10. if you comment on 4 you cannot comment again on item 10. when you address your public comments please address the commission and note the commission will not be answering any questions to allow equal time for all they may ask questions of staff after public comment is closed.

so with that we are on titem 2, the presidents report. mrs. prosedant >> just one item and think this is preliminary announcement the july 16 meeting will start at 9 a.m. those interested in the july meeting, 9 o'clock >> is there public comment on this item? being none public comsent closed. item 3 general managers report. thank you. >> good mornic commissioner. summer is aus and the nba season is over and the warriors are the champs. camp maither is in session and have a fon of great things in the parks over the months. including pride [inaudible] the scurn grove fest vltvilles and out door

lands in august. we also have the sentenial celebration at sieving center plaza tomorrow night. here are other highlights. today that thiss very moment the fences are coming down at the deloris park after much needed ren ovation of the northern half thmpt renovation includes new restrooms, ren ovateive tennis and basical ball court [inaudible] new dog play areas, [inaudible] improvedire gaelgz park communities from munch tonight community groups stepped up up to help change it culture of behavior at the park. we love the excitement a sunny at deloris brins we don't love what is left after park users leechb t. cost taxpayers

750,000 theres every year to help clean up trash. we urge people to by composting recycle and take out the trash using restrooms and leaving no trash. you can learn more about going 250 love deloris.com or take a personal pledge >> student love deloris park. i hope to see you this afternoon to look at the new amenities and show your dance moves. today includes a silence disd'errico. the second phase of the ren ovation project on the south side of the park will immediately begin. 2 weeks from now is pride and the annual women on women dodge ball is a hit and

this years event is tomorrow at 7:30 p.m. it is fun filled evening featureing fast pace hard hitting actions and the sisters of perpetual indullgence. last week in partner shb with maerb scores bay area we [inaudible] we'll also broadcast the semy finals on the 30 and final july 5. on the screen people can get their faces painted scrimmage on soccer courts and take part in the soccer skills activities. the u.s.womanen who won their match last-tuesday against nigeria and i have the prevolog to be there will face columbia

monday. it is a big day a at the commission for womens sports as the girls in orange attest. as lookal hops fans celtbrate the warriors 36 season of the san francisco proamsummer basical ball league kicks off this week. for the past 35 years basical ball fans enjoyed watching pro's in a entertaining brand of basical ball. the league run is from june threw august and features evening games monday through thursday for men and saturday afternoon for the women. the best part is emission price t is free. flock to the games to see high flying dunk pas and maybe a nba expert. i do recall nob nub par ticipated in

a cezar proammatch a couple years ago, correct? thank you. >> could you hold up. can we get everyone to please take a seat? thank you. >> back to the sf proam, you check out the schedule and roster at san francisco proamdot com. save the date for annual william hamened hall award. we we'll cohost the 7th [inaudible] wenss day july 15 at 3:30 the annual awards voig the men and women who work day and in and to make the parks beautiful. we'll have more information in the next few weeks. now, for the recognition portion of the gm

report. i'm so incredbly proud to introduce to coach rocky and sf bay socks. coach if you can bring yourp players. this is a very special group of athletes and want you to meet them. a few weeks ago this group of 12 young women-can you queue up the laep top. there we go. these 12 amazing young women base ball players traveled across the country to orlando florida to compete in the first ever base ball for all national girls base ball. featuring the tougherest athletes 10 to 13. the san francisco bay socks

competed against 11 teams compiled a record of 6 and 1 make tg to the semy final game against the florida rays and finishing 3rd place in the country. this event brought together the past and present and promoted the future with female base ball pioneers includingmy bell bear and [inaudible] chelsy baker [inaudible] served as captain of the base ball team. we are so proud of these young women. so proud of coach rockgy alex and also to all the parents who gave us your kids, trusted us with your kids for this incredible journey. i had the honor of watching them play. i flew to orlando and saw their

first match and it was inspiring. commissioners these kids can flat out play and derve every opportunity compete on a base ball diened not soft ball but base ball with everyone else. 100 thousand girls play unsome form of coed little league icross the country, by the time they get to high school less than a thousand are still playing. these women proved they earned a pot on the diamond to complete with anyone who is willing foopick up a base ball glove and bat and i'm so incredbly proud of you guys. come on up rock and say a few words. >> thank you phil. i get emotional also. thank you for having us this morning. this is a special day for me. i

work frd the city of san francisco for over fwun years and this is my second time being here so this is a special day for me. thank you for having us and thank you so much for your support and your love and caringness for the girls. we each have a base ball for you. girls if you have a base ball can you hand it to a supervisor please. >> are they autographed? >> they are autographed. >> thank you. >> on behalf of the san francisco bay socks i would like to say thank you for phil. you have such is innovative forward thinker for giving the okay to do this and not everyone would be okay with it but you said go for it from day one without batting a eye. you just said we got to do this and

really applaud you for your efforts and how much it meant to me for you to say yes, so thank you so much. on behalf of the bay socks we have a base ball for all americans inaugural international tournament bat. i would like to say thank you to had parents. they really put their trust in letting their players and their daughters for not just one-it was interesting, the very first practice a couple parents didn't know how this was going to go. was it legit. what type of coaching was it going to be and the parents really saw that we were there for the right reasons and

let their child go to to florida and gave their child that sense of independent. i think the girls along the way really learned a lut. i also cht to say thank you for the players for accepting this responsibility and the commitment of the last 4 months of coming to practice and being not only just coming to practice but trying their all and giving 100 percent and through our coaching and leadership the girls have created many friendships here and think they will be life long friends. not only that but they got to learn a lot about base ball. i'm hoping that this base ball program will continue and encourage more girls from san francisco to participate. not only that but especially the underserved communities recollect we would like to welcome all the girls from san francisco to

participate. thank you again for having us, so much >> they think very much >> rock do you want to introduce the coaching staff and player squz we have certificate for all of them and then we'll take a picture >> great, thank you yes. okay thank you. we'll start with abbey claudios. great. loren cacro. let me tell you, there are people clapping, abbey pitched for us and played first base and she was onef thobest player frz the bay sock batting the third position. loren was a pitcher, center fielder,

first baseman and our second batter in the line up and she moved the runners forward so we can score. the next on the list is megan grant. megern is one oaf our youngest on the team, she just turned laechb in january and we call her mega tron. she catches, pitches and plays first base and she is our 4th, 5th hital so she is a great player. they are all great. layla hen see. laylx s was the stud second baseman and didn't let anything get by lur. bionca higa. bionca was a second baseman and also a pitcher and our big game, the

third place game she put 3-she pitched 3 scoreless inens with a jammed finger from the game before. great job bionca. dee monteverde. dee is the stud third baseman and i played third baseman as well so i'm hard on her. mar lynny is a 5th bet batter and she hit a double that scored in a couple big games. jacquie snideer. jacquie snideer is our right fielder and was a great player in the right field. over time the last 3 months she improved from the big inning of the

practice to the last game. she came up big for us and she is a really sweet kid. thank you jacquie, it was a pleasure having you on the bay socks. leah kate roger. leah did everything for us. she was the pitcher, lefty pitcher, first baseman and out fielder and she battled on some great bats so it was a pleasure to have leah on the team too. ellie van deezen. ellie is a short stop and forth 5th hitter and she gave it her all every game in 95 degree heat and didn't miss

a inning. great job. kirby wong. kirby is also a outfielder and she is from the saulf ball world about transferred into base ball and it was a pleasure to see her perform over the months and weeks we had her and she has done so well over the time and kirby helped lot not only the field but in the dug out. she kept everyone focused on and par. great job kirby. i have 2 unfortunately-cia bizony isn't feeling well today and odd reburn and cia was our catcher stud and first pitcher and short stop and she gave it her all 100 percent. sorry you couldn't meet her today. oddry burn is another special outfielder left fielder and i