on march 9, 2017. at that time we were one of nine health departments in california to hold that crediting, and that demonstrates our -- to the community. the next story is around the whole person care pilot. so the city was awarded additional funds for a total of 161 million for whole person care, which is a medi-cal waiver for california. the pilot for dph is a collaborative interagency effort, with an aim to establish a human centered and seamless system of care for our homeless san franciscans. and the last feature story that we've included this focuses on our enterprise for an electronic health record.

our ehrrfp was issued, and it will not an essential tool to continuously improving our patient experience and ensuring the highest quality of care for all san franciscans. then, moving forward past those three major accomplishments, we also have included 27 shorter highlights this year, showcasing dph's commitment to our mission. there are nine highlights around promoting health, which include our bayview health zone, sf quits. there are 12 on protecting health, including reenvisioning jail replacement, vision zero, and we've included six on our infant structure and ourlene,lene being the key priority for the department. highlights were collected across our services, our programs, and they showcase our key programmatic work across our division. so following the highlights, we

do include a major part of the report on data and numbers. first we have our dph budget. we include the revenue, expenditures, and we highlight investments that were made for fiscal year '16-'17, including the 2.8 million that we invested in specialty mental health services for youth, and the 1.5 in ongoing human resources efforts for the department. the next is our san francisco health net work data. it incorporates encounters across different visits and patient demographics across our hospitals, primary care of mental health, substance abuse and jail health. there's been a lot of effort this year across the network to create a standard data methodology to ensure more accurate, clean data moving forward and the aalignment with sfgph's annual report as well. the next report is the public

health data. it focuses on the six areas of the strategic plan with key programmatic activities and impact metrics within each. we've also included an additional metric on black african american health based on the feedbacks from the commissioners in planning. that was based on hypertension control. and lastly, we include the 13 health resolutions to showcase the major policy actions of the commission, as well. the last section of the report, you'll notice, includes our service sites and our contractors. the maps that we've included for service sites have been updated, and they follow our new branding for the san francisco health net work. we've included one on primary care, and one for our city's behavioral health site, and we've included a note now that all of our contracted sites for behavioral health couldn't be included due to the number. we then end with our community

contractors to acknowledge their contributions to the work that we do here at dph. so moving forward, we'll finalize the report after your -- if you have any additional feedback, and then, the final report will be posted on our website, and you will all get copies -- printed copies, funding provided by the public health foundation, and with that, i'll conclude. i thank you all, and if you have any questions or feedback, i'd be happy to take it. >> commissioners, questions. the staff has taken the comments very well and has i think produced a marvelous report which balances the enormous work that this department has done via -- i didn't count the number of highlights, but you said 27. >> there are 27 and then three major additional ones, for 30

total. >> for those who want to read about the programs and those who are more data driven, can see the numbers, so it's a very fine balance of both, and i think within the highlights, there are also numbers, those of us who like to know how many people are really touched by these programs. and i think the staff has done a marvelous job in presenting a report that demonstrates that our $2 billion organization's done. although it suddenly dawned on me, we probably didn't actually discuss any of our research this time, did we, in this? >> i don't think there's too much on that. >> and a portion that this department does -- and maybe that is for the future in terms of adding that as a component because that certainly is a very important part of what we do. and i think you've captures,d,

think, both the programmat particulprogrammatic problems and individuals in our entire city, and i think maybe research is what we're missing. >> sure. >> but i -- and the reason i gave this comment was that i needed to have found a copy of this to read within the past hour and are i was overwhelmed within that period of time that you could just feel the energy that you put into and that the department does. just know it's out there, almost every second of every day, doing something in some part of the city, and for

somebody. that was the impression i got just reading the document this morning. >> thank you. >> so commissioner cavekarshme? >> yeah. i just wanted to thank you for the work. it's pretty impressive? >> yes. >> im want to thank you for yor work on this report. i agree with my colleagues. this is very easy to read. sometimes these things are hard to read, and it's laborius, you put it beside your bed, on your night stand, but not this. >> you look at this, whole section by the numbers. how many things -- [ inaudible ] -- there it is. where are the sights? what's our mission? and you've done it. our staff -- it's really a useful document. i mean, it isn't just something

to look at and say oh, wow, it really shares the heart and soul of what we're doing, and our partners that are involved in this total process of public health in san francisco. well done. thank you. >> thank you. >> and i'm wondering, as you're finishing a draft and just to, you know, go back to that thought of research, you think we should put maybe one page, and the amount of research that we are doing, and then, we could expand that next year a little bit more? 'cause this does go to the mayor and the supervisors, and it would be really nice to be able to have them understand that not only are we also delivering services and keeping the health of the city in check here and improving it, but that we're also creating research and informing the world. >> i -- dr. aragon is probably

the person you could work with for his section. >> i don't want to delay much more when we need to move it forward. >> i think we can do that very easy, yes. >> and then, as we have in the past, we can forward this with a letter to each of our board of supervisors and the mayor's office. does that sound reasonable, that we could perhaps add one more page, and then, we would expand on that in the following year? >> i can work on that. >> okay. thank you very much. >> thank you. >> was there any other public comment? >> no public comment requests for this item. >> okay. thank you. >> item nine, commissioners, is other public business. and you have the calendar before you. there's nothing noted in terms of special meeting notes, as we move forward. >> were there any items from the prior year that we had not completely covered or -- ain

calendar. >> i took the past two years' calendar and forwarded all the items that we had calendared in the previous years, and any items that we haven't done, i put it forth on this calendar, so right now, the answer would be no. there's nothing undone from the previous years. >> so we begin with a clean slate. >> at least trying to. >> okay. thank you. commissioners, any items you would like to place on the calendar at this point? i think we already placed one, which was the food program. >> right. >> i should say food security, right? >> which i think will probably go in the fall after director garcia -- there's more work to be done on that in the department before that comes forth. >> right. >> shall we move onto item ten, the jcc report back? >> okay. item ten, and i've lost my agenda. >> commissioner sanchez? commissioner sanchez?

a report back on the jcc meeting from february 13th? >> yes, commissioner sanchez? >> the joint conference committee for laguna honda met on february 6th. we approved the minutes of the previous meetings. it was primarily closed session, reviewing both the quality reports and the medical credentialing reports, so that ends our meeting for -- on that. any additional comments? >> okay. our next item, then. >> a consideration for adjournment. >> so a motion for adjournment is in order. >> so moved. >> and a second? >> second. >> all in favor, please say aye. this meeting is now adjourned. thank you.

♪ >> welcome to hamilton recreation and aquatics center. it is the only facility that has an integrated swimming pool and recreation center combined. we have to pools, the city's water slide, for little kids and those of you that are more daring and want to try the rockslide, we have a drop slide. >> exercises for everybody. hi have a great time. the ladies and guys that come,

it is for the community and we really make it fun. people think it is only for those that play basketball or swim. >> i have been coming to the pool for a long time now. it is nice, they are sweet. >> in the aquatics center, they are very committed to combining for people in san francisco. and also ensuring that they have public safety. >> there are a lot of different personalities that come through here and it makes it very exciting all the time. they, their family or teach their kids have a swim.

>> of the gem is fantastic, there is an incredible program going on there, both of my girls have learned to swim there. it is a fantastic place, check it out. it is an incredible indication of what bonn dollars can do with our hearts and facilities. it is as good as anything you will find out why mca. parents come from all over. >> there are not too many pools that are still around, and this is one-stop shopping for kids. you can bring your kid here and have a cool summer. >> if you want to see some of the youth and young men throughout san francisco play some great pickup games, come wednesday night for midnight

basketball. on saturdays, we have a senior lyons dance that has a great time getting exercise and a movement. we have all the music going, the generally have a good time. whether it is awkward camp or junior guard. >> from more information, visit >> mayor farrell: first i want to start off on this amazing san francisco day by thanking phil tinge in securing the $10 million funding allocation for the state and overall support for the homelessness

initiatives. i want to thank seniors ronen, cohen and kim. and their willingness to open these crucial centers in their districts and be part of the vote to accept and expend the $10 million of funding. i want to acknowledge david chu for his commitment to tackling california's issues up in sacramento and homeless issues as well. we're honored to have great leaders just as tinge and chu up in sacramento representing the members of san francisco. we're all here because we understand that our city like our cities across the state of california, is undergoing a homelessness crisis. our streets and sidewalks are filled with people who are struggling with mental health challenge, drug addiction and poverty. this cannot be the status quo. it cannot be the new normal and

it is not something we're going to accept here in san francisco. homelessness is a complex issue that requires a full gamut of solutions. we have to prevent people from losing their homes and we're doing such great work as a city, when you think about the move assistance programs, the eviction prevention programs and the grants we have that remove barriers to housing. we're doing that work here in san francisco. in the unfortunate circumstances where people do lose their homes, we have to pursue measures that are successful and proven here in the city of san francisco. such as our homeward bound and navigation centers, truly working to save the lives of people on the streets every day. these centers are a crucial part of the program in san francisco, compassion. but commonsense in addressing homelessness. we cannot allow our residents,

those that are living on our streets to live in unsanitary, inhumane tent encampments. nobody is getting better sleeping in a tent at night. we have to do everything we can to get people off the streets and into better lives. since our first navigation center opened, we have taken 2000 people off the streets. with the help of this funding, we're going to open two new navigation centers that will provide 250 new beds, helping our goal as a city to move one thousand people off the streets this winter. these are impressive numbers, but our navigation centers and our efforts as city are not about numbers, they're about individuals, about helping those individuals on the streets. as i said before, these are our mothers and fathers, brothers and sisters, we need to do

everything we can to help get them onto better lives. we're lucky to be joined today and i'm honored to have standing by me,up. i want to tell you about john's story. john was served here at the dog patch and this morning got amazing news, since moving in the bay area 19 years old, john has experienced homelessness and drug abuse challenges, but last year he was put in touch with the navigation center and his life has turned arndouincluding fresh benefits. he kept all his scheduled points with his case manager and complied with all scheduled mental health meetings.

i agree with the mayor, we cannot accept this as the new normal. l.a. has a homeless population around 40-50,000 people. that would be a medium-sized city here in the bay area. we know this is not just a city problem, it's no a county problem, this is not a state problem, it's a federal problem and we know in california we have to do our part and step up to the plate. that's why i was so proud to work with the supervisors, the mayors office in making sure we got $10 million for navigation centers, for housing tied to

services, for housing that is meant not just to be temporary shelter, but shelter that is going to move people like john onto more permanent solutions, so they don't have to choose where to sleep tonight. they can have a life moving forward. and that's why i'm so excited to work with the city that really gets it. this is something that is not just happening in san francisco. we had a number of colleagues. we funded navigation centers in elk grove, in modeso county. people are popping up on their doors steps, in their streets, in their parks. they're looking for help. we hear that message in sacramento. we're going to be working hard this year to tackle this issue, which is a statewide and national issue and we cannot accept we have people on the

streets every single night, counting that as their bedroom. we have to do something about it. we cannot accept that as an alternative or as something that is ok to happen in san francisco or really anywhere in california. so, with that, let me turn it offense -- over to my colleague, david chu, who has been a real partner in this effort. [applause] >> i had a san francisco experience this morning, my first interview with my son, 2 years old, for nursery school, i'm sorry about that. but i know today is in part a celebration for john. and i want to congratulate you for what we just learned, but we're here because there are still thousands of san franciscans, men, women, children, families.

there are hundreds of thousands of californians who are suffering every day on the streets of our golden state. there is so much more that we need to do to address this. phil referred to the fact this is not just a crisis in san francisco, it's a crisis in california. when i went to the legislature in 2014, we had the highest rates of homelessness in the country here in california. 20% of america's homeless here in our state. today, that statistic is 25%. in 2014, one out of three, chronically homeless americans live in california. today that statistic is 42%. the crisis that has been here in our city is now all over the state. we read about hepatitis a outbreaks in san diego, but e. coli in the american river, near the sacramento delta. we read about the pain and suffering that we're seeing everywhere, every corner of our

state. i want to take a moment and thank all of the men and women behind us who have come together with this, starting with phil ting. it's been amazing partnership working with him, trying move forward an agenda that addresses not just our houses crisis but homelessness crisis. as well as all the supervisors, the mayor, the department heads, the leaders moving this forward. san francisco is leading the way when it comes to pioneering this model of navigation centers and that is incredibly important. we know the work is not going to end here. last year, we were fortunate to move forward a historic housing package that creates a permanent source of funding for housing. this year, half of that money is going to address homelessness around the state of california. i want to thank governor brown for signing a bill, housing for

california which pilots the idea that supportive housing after navigation centers is the most effective way to take care and take folks off the street. that being said, the work is not ending. i know every elected official here is continuing to strive to make sure that some day we don't have anyone who is homeless on our streets. phil and i have more things we're going to say on the topic, but i want to thank all of you for being part of the compassion that is the city of st. francis. thank you very much. >> good afternoon, everyone. my name is hillary ronen, i'm the supervisor of district 9, which includes the mission district which has been plagued by tent encampments in many years. as in john's case, the only thing that really solves homelessness is housing. but the thing that solves street homelessness, people living in

tent encampments on our street, dangerous conditions and squalor are navigation centers. i'm so proud of the work i did with phil ting. when i got into officer a year ago and was able to security the temporary navigation sent which allowed us to reduce the number of tents in the mission from at a high before the navigation center opened, of 246 tents, to today, or actually yesterday, of 40 tents in the mission. that work was only possible because we opened that temporary navigation center. i did that together with noou ryu and jeff co-sin ski. we opened that center to solve the crisis in the mission, but

we know we only have that center for a certain amount of time. i wasn't to phil ting, the chair of the budget committee and i said, please help us get the funds to find a replacement navigation center for wen this one closes. he said absolutely, we cannot only have temporary solutions, we need permanent solutions and he went and was able to obtain a record amount of money for san francisco to deal with our homelessness crisis, $10 million. which is now allowing us to open not just one navigation center when 1515 south closes down, but two. one will be on bay shore and the other at division circle. so i just wanted to thank the assembly member for really stepping up to the plate in unprecedented ways. i want to thank my two colleagues on the board,

supervisor cohen who had to go to another appointment, who is the supervisor of district 10. where we are, the dog patch navigation sent. and supervisor kim, the supervisor of district 6 who hosts the majority of homelessness services and other types of intervention in her district. districts 6, 9 and 10 take the bulk of this problem and offer up the solutions in our city. we do want to see more geo graphic equity and we'll be looking at that as we all work together to achieve our former mayor ed lee's dream of adding one thousand new navigation center beds in our city. so we can truly once and for all end the street encampment crisis that plagues san francisco.

with that, i turn it over to supervisor kim. thank you. [applause] >> thank you, supervisor ronen. many of the comments have been made, but i want to thank assembly member ting and chu for their leadership in sacramento. homelessness is a statewide issue, it is not just a san francisco issue. we will never solve homelessness if we treat it just as a regional issue. we absolutely must have a statewide solution. and as was mentioned previously, we host close to 20-25% of the entire nation homeless count in this state. i want to thank both of them for leading the first grant ever for navigation centers here in san francisco, which will get us a quarter, 25% of the way there, to mayor ed lee's goal of getting one thousand people off the streets into navigation centers. i want to thank the residents in

districts 6, 9 and 10 who have been generous, understanding, that in order to get people off the street, we need to place navigation centers in their neighborhoods by their home. the district where i represent, where supervisor ronen mentioned, we see 50% of the homeless count and the vast majority of our homeless services and shelter beds. i want to thank our residents for being open-minded and saying yes to more navigation centers and shelters, instead of saying no we don't want to be part of the solution. i also want to recognize the staff that do this work on the front lines every day. this work is incredibly difficult and i know we have some of the members of the episcopal community services behind us here today. i was reminded by two of the staff members that the night that i stayed at next door

shelter, they were staffing the night i was there. and i have to say that everybody treated we with dignity and respect. that i was a member of the board of supervisors. and how important it is to create an environment that creates more trust and respect and not less. because people won't accept services if we don't do it the right way. finally, as supervisor ronen mentioned, i want to thank my two sister colleagues in 9 and 10 who are accepting more shelters and services. not just accepting it, but fighting for it and asking for it. we cannot solve this issue if the entire city isn't a part of that. and we have to make sure we're addressing homelessness both as an economic issue, but also a public health issue as well. we have to continue to serve our population, providing medically appropriate services, so that we can help more folks end up in

supportive housing like john here today. thank you very much to everyone. this is a really major effort and this is going to go a long way toward us meeting our goals. thank you. [applause] >> good morning, everyone, jeff can the department of homelessness and supportive housing. thank you for being here today. and i just wanted to point how difficult it is to get these centers open and how difficult it is to operate them. and it really does take this entire city coming together to make this happen. i want to thank the neighbors of the dog patch. i don't know if anybody is here. the dog patch community neighborhood association has been incredible and helpful and i want to thank the staff of ecs and providence foundation. providence is here on site providing service, cooperating the site, along with ecs, as well as the partners from the human services agency, and the

department of public health, who i believe are here today. they're also providing services, enrolling people in benefits and providing them with medical care. i want to thank the port. this is on porlt property and the port was gracious to work with us to make sure we were able to secure the property for the next three years to operate the navigation centre and the folks standing up here, the department of public works, helped identify the site, made sure it was going to work, designed it and this is a beautiful facility. really, really well thought out and then built the site and made sure it got built fast. probably in record time despite multiple challenges we had with utilities and other things. they did an amazing job and also their ongoing work lepping to keep the -- helping to keep the streets clean.

supervisor ronen has been just a fierce champion for navigation centers in her district and city-wide and helped make this funding possible by working with assemblyman ting and to make sure it got used in the best way possible. in terms of the size of the sites. i don't know how to thank you, 250 new beds, going serve thousands of people a year. thanks to you and your advocacy. we would not have had the funds to do this without your advocacy, that's a thousand people we're going to be able to help thanks to you and your leadership and muhammad and supervisor ronen. mayor farrell has picked up the torch from mayor lee.

normally, we serve about 7,000 people in shelter every year. we're housing 2000 people a year and now we're going to assist an additional thousand above that thanks to mayor lee's vision and mayor farrell's support. and pushing us to move this forward. assemblyman chu is also really doing the important work as homelessness is about housing. and he has taken incredible leadership at the state level to building affordable housing and housing at all levels, because tend of the day, navigation centers don't solve homelessness, housing solves homelessness. we have del up here, he is the head of the local coordinating board that oversees the funding that we have in the city for homelessness and director and formerly homeless himself.

and supervisor kim i believe had to leave. she has been supportive and really amazing around the issue of women experiencing homelessness and have had us expand for women who are homeless. that nav center will have a special section for women, and a new program that are serving women who are homeless and pregnant. and certainly not least, supervisor cohen who is the chair of the budget committee and has been supportive of facility opening in her district. this one and another one opening up. has been working with our department to ensure we have the funding we need to move forward and achieve our goals as a city. thank you all very much for being here tonight. today. we appreciate you all being here. i think we can, folks want to take a look at the nav center, a few at a time, we can do a walk

through if you want to see the site. [applause] . >> working for the city and county of san francisco will immerse you in a vibrate and dynamic city on sfroert of the art and social change we've been on the edge after all we're at the meeting of land and sea world-class style it is the burn of blew jeans where the rock

holds court over the harbor the city's information technology xoflz work on the rulers project for free wifi and developing projects and insuring patient state of at san francisco general hospital our it professionals make guilty or innocent available and support the house/senate regional wear-out system your our employees joy excessive salaries but working for the city and county of san francisco give us employees the unities to contribute their ideas and energy and commitment to shape the city's future but for considering a career with the city and county of san francisc

>> they tend to come up here and drive right up to the vehicle and in and out of their car and into the victim's vehicle, i would say from 10-15 seconds is all it takes to break into a car and they're gone. yeah, we get a lot of break-ins in the area. we try to -- >> i just want to say goodbye. thank you. >> sometimes that's all it takes. >> i never leave anything in my car. >> we let them know there's been a lot of vehicle break-ins in this area specifically, they target this area, rental cars or vehicles with visible items. >> this is just warning about vehicle break-ins. take a look at it. >> if we can get them to take it with them, take it out of the cars, it helps.

the meeting will come to order. welcome to the february 28, 2018 regular meeting of the public safety and neighborhood services committee. i'm supervisor jeff sheehy, chair of the committee,