we really took on the challenge to try to reflect not just the folks who can come find us and want to engage on transportation but every day people who experience it. it's part of their life but it's not top of mind. we obviously used online surveys to try to reach volumes of people. we took on a couple of new techniques focus groups and we sat down for a couple hours with small groups in communities, in language, across using different demographics to be able to unpack the conversation a little bit further from what you get from a quick-touch conversation. we also went out and spoke with the stake holder groups and essentially anybody that was interested or that would take us in, we sat down and wanted to be a one-on-one conversation or with small community groups to help them understand the questions we're grappling with. this nature where this wasn't usually a one stop shop but we

came back a couple times throughout this process. when i mentioned this process, it was built around changing how we think about future planning and not thinking that we can aspire to a point in the future and then straight line proceed in that direction but there are outside factors of our transportation and land use planning that actually have a very significant level of influence on what the city, the shape the city takes in the future. so during these two and a half-day workshops, we went through what we call drivers of change, things we know are out there and likely like earthquakes, aging populations and things that we see as fourth coming but perhaps don't quite understand what the potential impacts could be. automated vehicles, something that wasn't brought up in lots of discussions but is here today is electric scooter sharing. there's things we can't predict. we need to plan and build

capacities to react to some of these unknowns in terms of what they are in their magnitude of influence. ultimately, this group of task force members identified inequality in polarization as a huge determining factor of what our future of san francisco looks like. and also, our ability to come together and make decisions and address issues from a governance perspective is really going to determine where we head as a city. using these two drivers of change or uncertainty, we were able to develop future scenarios, glimpse into what san francisco may be under a range of conditions and outcomes. again, the two uncertain tease in the vertical direction, social and political will. the perspective on how we can come together in self govern and then across the horizontal, is changes in the economic system meaning how are we integrating equality into the over arching

economic system of the city. working around starting in the upper left in a clock wise manner, it's one of the first scenarios we labeled mine the gap. this is where san francisco is desirable and elite enclave with services that work well for residents but only those who can afford to live here. moving to the upper right, building bridges is a scenario where san francisco's come together and a regional-minded nature with effective governmental institutions and engage citizens. the lower right mosaic it's a collection of unique but disconnected san francisco neighborhoods, some more self-sufficient with different identities and then in the lower left wild west inc where san francisco is a neo company town, corporations and the market forces are really what drive decision-making and outcomes for the city. so with these four scenarios, we went back to our stakeholders,

the general community to try to understand what people preferred and the trade offs they found they're in and along the top, we clearly saw a preference for building bridges. they were distinct points that focused on unacceptable and building bridges the most pallet able within the focus groups we saw a very similar message. overwhelming support for this building bridges future and similarly at our task force the same message came through across the spectrum, there was future for san francisco that everybody aspired to see, which was this building bridges which we've entitled connect sf vision diving into that that vision. it encompasses five goal areas. the first economic vitality, environmental sustainability and safely and liveability.

these are typical or what are often expected from long range planning processes but the fiscal area about accountability engagement was one that we added through the middle of the process. recognizing that we heard consistently not just from task force members but public and focus groups that the ability of government to get stuff done and to come together to progress the city was really important. we've added that fiscal area around the vision. to hit the high level of what this vision is about, and then just some quick snips, it's a high-growth city that is in the pursuit of equitable and affordable outcomes for its residents and visitors. it has robust transportation option and faster project delivery resulting from strong civic and government engagement. i mentioned the numerous transportation options. these are also affordable and so the need to own your own private automobile is dramatically decreased. integration with regional

transit is also significantly enhanced, not just at key notes but across the city so that where you live doesn't pre determine where you can travel. the streets are dedicated in prioritized for fishing and sustainable modes, walking, biking, transit are taking priority physically in the right of way. and there's construction. the city is look to go accommodate a rising population in increasing workforce and in doing that we can provide a more affordable and equitable city for future residents. and that infrastructure projects are built and delivered more quickly and in turn more cost effectively. that means transportation but it also means housing and other services that san francisco needs and that neighborhoods are safe and clean and it's a vibrant enjoyable for people to reside.

these are quick glimpse. if you haven't take a closer look. these are foundational elements in perspectives of where we want san francisco to go and where we want it to be. and that high level look at very important for what is coming next in the second phase, which is we move from the vision statements and the goals into what are the projects and policies particularly taz pertains to transit within the city and how our streets and our freeze function and serve as the circulation system and then that is part phase 2. where we'll work in a manner with the city to identify what those projects and policies are and then through the county wide transportation plan, and in update to our transportation element, we would actually prioritize funding towards what those projects are investments might be and cod a fie the policy between the county wide

plan and our transportation element so we then have a clear path to start processing towards that vision while remaining on this long-term outlook and regularring we may need to continually reiterate on those projects and policies. >> thank you. i know it's pretty monumental task what you all went through. putting together the task force and gathering people together. getting input is hard for people to understand what a big project that was looking at the end result here, which of course seems very logical and very well thought out and put together. i think for me, when we have something like this come to us to the board and we do need to, if we chose to we vote to approve this today, i think for me sort of the biggest take away is that the connect sf work is going to inform spending not only in the city but in the

region. it's going to inform what policies we embrace and push going forward. is that a correct statement how the work on this is going to inform the work that we do here on this board? >> yeah, this initial phase is that foundation which that work will be built. there's lots of details to workout but yes, the incentive is to move towards the projects and policies we need as a city to adopt and embrace to move us towards that future. >> if any director have any clarifying questions or comments, i'd like to hear them now. it looks like we have a member of the public who wishes to comment. do i have any questions. >> the graphic design work is amazing. >> gorgeous, isn't it. >> i have to give credit to the planning department on that one. they always do good graphic design work. we knew our team skill set and we asked them. >> i think there's a market for t-shirts and notebooks and tote bags with those graphics on it. they're gorgeous. >> any other questions. >> let's go to public comment.

thank you. >> first one ted olsen. followed by cruta singa. >> chairwoman, director riskin and board members, my name is ed olsen. as a third generation san francisco i'm a member of citizen policy committees including connect sf and vision zero. and i am here to urge your support for connect sf vision report. as we approved a similar resolution last night at the market cac. i com the staff for their outreach in training of our committee as well as of the public and the stakeholders to understand the multifaceted issues surrounding this effort. however, since this is a 50 year plan with commitment to review and update i ever five years, i urge as a matter of civic

education, during the plan's life, we engage our community's either through extra sessions at our local libraries or schools to educate our citizens in these multiple issues and the process of scenario planning which could help all planning agencies such as yours in our city. i am very grateful that our connect sf plan is regionally oriented and ex 'em police car of such thinking but particularly that it compliments and implements the strategies of vision zero now that at least the three largest urban areas in the bay area have made a similar commitment to this decade-long effort which i shown such impressive results reducing our traffic incidents by 41%. i urge you as i urge connect sf to support its implementation, senator wiener's city wide policy when he was supervisor of assuring our transit base keeps pace with our residential density and it is continuation of his new proposal for

developing along our major transit corridors exemplary transit paired with high-rise housing density with appropriate on side bmr ratios, thank you for why attention. >> thank you. >> good afternoon. i am a planner at the metropolitan transportation commission. the metropolitan transportation commission and association of bay area government support the san francisco municipal transportation agency, the planning department, county transportation agency and the office of economic workforce developments vision in moving san francisco into the future. you are invited to be part of the task force and we applaud the over all community and stakeholders engagement and collaboration undertaken in developing division throughs the connect assess process.

the goal is identified are consistent with the core principles of sustainability, mobility, and equity included in plan bay area 2040. the bay area current regional plan and sustainable community strategy. we encourage approval of the connect sf vision and we look forward to collaborating with our san francisco partners on the second phase of connect sf to identify and incorporate major transportation investments into our horizon long range regional planning process and initiative and also our next regional plan, plan b area 2050. >> thank you. >> thank you. >> the last person to turn in a speaker card. >> herbert winard. you know, 40 years ago san francisco had an excellent transportation plan farce muni was concerned. it represented the density of

the city, the plan was comprehensive, it covered most of the city. and now it is being picked clean with these new bus routes and changes. what's happening is it doesn't represent the density of the city.

>> putting bike rings all the way out on certain streets and pet projects putting in stands for corporations and we don't see enough projects focused on the public's needs. that is the links, the loops, the creation of new public transit that going to solve the traffic problems we have. with all the density and po posals for bart and everything else, we don't see the money being reinvested adequately in our existing infrastructure. whether it's an existing station like the balboa park station whether it's another station like daily city. changes that have to occur. over on the high speed rail line where all the developments in d10, d7 and d11. the population growth needs

transit infrastructure we have to have the dollars for it and have projects ready to go. we talked about the perfect example of where we can really make very short, quick change, it's only 1.8 miles to link them back up to saint francis circle back downtown. makes perfect sense. and i don't think it's a big jump to make that decision and get the money forward for that type of projects. you create a loop. you create a secondary system that a louse you to run more trains and run things more frequently. that's the type of solution we need at balboa park station and i think it has to be jumped up in the cue. we'll never catch up at this rate with all the housing go up and mr. wiener is right, we'll be in a real serious situation. >> thank you, very much. do i have anymore public comments. no, seeing none.

public comment is closed. directors, does anyone have anymore questions or comments or do i have a motion to approve? >> i will say this is exactly the direction we need to go in the transit land use connections are really important. having been to hong kong and singapore, which are much more dense cities they still feel livable and walkable and they have a combination of a lot of, from the time you land in the airport you see nothing but highrises but at the same time you still see trees and greenery and in singapore there's a sense of calm. we have to be realistic about the future and we always complain about traffic congestion but if people can live here, right, if we can actually build enough housing where people to live here you would take cars off the road like in those cities. surprisingly traffic isn't as bad as you think it would be. it's actually rush hour in singapore, it didn't bad. which was surprising considering

how dense it is. we have to be creative and we have to think about a vision and we often think that we're only san francisco is in the situation that we're in and you could be other areas in the world where they've done it effectively. we know it can be done we have to believe it can be done and not let old thinking limit us from reaching the potential of our future. >> thank you. >> do i have a second. >> i will provide a second with comment if i might. >> i deeply want to -- i really want to appreciate the effort that went into this process. i was able to participate in some of it and got to see some of the extra efforts, the extraordinary efforts the folks that worked on this went through to make sure they had a very inclusive representation of public opinion. it was really refreshing and someone has been working on plans and planning for over 15 years now. i deeply appreciated this idea of getting us all on the same page and making sure that we all

have the same vision. we might not all agree yet on how to get there but we all know where we want to go and i think that that was -- it's going to really help move these opportunities ahead that we've got in the future. my one complaint would have been that it would have happened sooner and we would be in less of a mess we're in but we've got it now and i deeply appreciate it and i'm super happy to support this. >> thank you, very much. >> i have a motion and a second. >> does anyone have any further feedback or comment? we'll go ahead and take a vote. >> all in favor aye. >> it is approved and thank you again for the presentation and for the team and we look forward to those amazing graphics popping up on some things. >> madam chair. item 14 is discussion and vote as to whether to envoke conducted a closed session. >> do i have a motion. >> second. >> all in favor of going to closed session, aye. >>

adjourned. >> shop & dine in the 49 promotes local businesses and challenges residents to do their shop & dine in the 49 with within the 49 square miles of san francisco by supporting local services within the neighborhood we help san francisco remain unique successful and vibrant so where will you shop & dine in the 49 my name is jim woods i'm the founder of woods beer company and the proprietor of woods copy k open 2 henry adams what makes us unique is that we're reintegrated brooeg the beer and serving that cross the table people are sitting next to the xurpz drinking alongside we're

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the meeting will come to order. the meeting will come to

order. welcome to the april 18th, 2018, special meeting oh of the public safety and neighborhood services committee. i'm supervisor jeff sheehy. to my left is katherine stefani in for ronan and the clerk is john carol. i was like to thank leo, ceilna and sf gov tv for staffing this meeting. do we go to your announcements or excuse supervisor peskin. can i beat a motion? >> stefani: i move to excuse him. >> peskin >> sheehy: do you have any announcements? >> silence all phones. items

acted upon today will appear on the april 24th, 2018 board of supervisors agenda unless other wise stated. >> sheehy: thank you. read the first item. >> the ordnance to prohibit the police code. >> sheehy: we will hear from supervisor stefani. >> superwiser stefani: thank you for hearing this today. i would like to recognize everyone in the audience today. my friends, thank you for being here. on february 13th i introduced this ordnance to make it clear that when you are in san francisco you are free to exercise your first amendment rights without intimidation or fear from those carries concealed firearms. last august a proposed demonstration in my district on chrissy field by a far right wing group wreaked

havoc throughout this entire city. coming off the hills of charlest charlottesville, virginia there was fear. many officials went on the record at that time expressing thundershoweir conce the potential for violence then mayor lee and now mayor farrell. the u.s. has a gun homicide rate 25 times higher than other developed nations. other 90 americans are shot dead in this country every day and hundreds more are injured. just one day after i introduced this legislation the tragic events at marjory stoneman douglas high school happened. 17 lost their lives and 17 were wounded changing their lives forever. sadly this isn't the only mass shooting to have happened since its introduction. closer to home we saw the terrible events at the you tube headquarters just a few weeks ago. it's no

secret to anyone that public safety is one of my top priorities as supervisor. over many decades san francisco has led the charge on many issues like the right to marry whomever you love. our first amendment right, the freedom of speech and the right to peacefully assemble and protest should not be infringed, chilled or suppressed. there can be no peace when the threat of concealed weapons are present. to make matters worse, why this is so important, why i'm so concerned about this, the house of representatives approved the concealed carry reciprocity act. the nra's bill to allow people without a state permit to carry a concealed gun in san francisco which could dramatically increase the number of people carrying concealed guns in san francisco at any time. imagine the chilling effect that would have on events like the rally we had in the castro after the

pulse nightclub shooting, the women's march or the student-led march for our lives rally and march down market street. not only did they propose patriot prayer rallies send our city into chaos it cost us millions of dollars. it struck the fear of violence in many and that must end. museums were closed, my son's 7th grade camping trip was canceled and kids sporting leagues had to cancel games. it is time for san francisco to continue to lead the way and protect our represesidents and visitors from the threat of gun violence at public gathering and our first amendment related events in our beautiful city. the legislation before you today, chair sheehy will amend the police code and prohibit concealed weapons at certain public gatherings. i have circulated amendments that highlight one change in the ordnance under section 361, subsection c and i can go

through it later. i'm proposing oh change from the minimum number of attendees from 20 to 50. i want to thank john gibner and brad hufney for this and all those who have come out to speak today. chair sheehy, i'll turn it back over to you at this time. >> sheehy: great. just one thing, could we also have a motion to excuse vice chair ronay as well? >> supervisor stefani: yes. >> sheehy: do you have anyone to call up? >> supervisor stefani: yes and then we can provide to public comment. >> i'm alison andrewman at the

law center to prevent gun violence, the gun safety organization led by gun violence and former congresswoman gabby giffords. for 25 years we have been providing legal and policy expertise to legislatures nationwide. on behalf of our organization i urge you to support the ordnance introintdu. where there's guns there's gun incidents whether intentional or accidental. at rallies, protests and other types of public demonstrations these types of guns incidents are a particular threat to public safety due to the large number of people in attendance. guns discharge accidentally and in a crowd filled with parents, children, elderly attendees and others an accident gun discharge could be deadly. also protests, r rallies and demonstrations are filled with high emotion. they occasional attract counter protesters. the presence of a gun in an intense and emotional

situation makes it more likely the gun will be used. research has shown that people tend to perceive their gun perceives a threat whether that's in reality or not. guns in public especially at large events also present grave risks to law enforcement. as noted in the findings to this ordnance the white supremacist rally in charlottesville was one example. they were out gunned by the participants. that should never be the case. further more, the present of guns at first amendme amendment activities is likely to chill speak and intimidate participants from attending or counter protesting out of gear of -- fear of gun violence. the city will help except the shared expectation that public spaces be free of gun and gun violence. for these reasons i respectfully

request you vote in favor of the proposed ordnance. thank you. >> sheehy: so now we'll go to public comment but before we go to public comment -- well, no. sorry. i'm not reading my script right. any members of the public who wish to testify? speakers will have two minutes. state your first and last name clearly and speak into the microphone. those who have written states are encouraged to leave them with the clerk. no applause or booing is permitted. in the interest of time, reputation of previous statements so not encouraged. so if any of these speakers would like to come up now. any public comment? >> my name is claire sensina.

my only child was killed by a stranger's gun in san francisco in 2014. i now advocate for sensible gun laws. this particular law will not stop all shootings but if one person's life is saved in san francisco, if it is your loved one's life, then it is worth your consideration. thank you. >> sheehy: thank you. is there a next speaker? someone else? that would be great. >> hi, hi name is ellen ginsberg. i'm a san francisco resident and i'm a local group lead for mom's demand action. mom's demand action is a nationwide organization with 4.5 million supporters nationwide and chapters in every state. we support common sense gun laws and we are very honored

that supervisor stefini's contribution to our organization over many years. there is no greater person and she's worked tirelessly on this issue for years and we are grateful for all that you've done and all your efforts. it's a great privilege to live in a city that takes gun violence prevention seriously and doesn't wait to be reactive to gun violence and to respond to tragedy but looks to prevent tragedy from happening. consideration of supervisor steste stefaini's ordnance is that measure. we believe that a public rally is not the time or the place. we thank you supervisor and the board for leading the discussion on this important measure. thank you. >> sheehy: thank you. are there any additional speakers for public comments? please.

>> my name is celeste and i'm a member of mom's demand action for gun sense in san francisco. i just wanted to share an experience i had similar to supervisor when the white supremacist rally was happening -- proposed to happen at chrissy field. i got an e-mail from my son's soccer coach saying due to the rally we have to move our soccer game away from fort scott field to someplace outside the city. i couldn't believe that in san francisco we couldn't do something about it, we couldn't prevent this potentially violent rally from happening in our city. also i just wanted to add that i enjoy taking my children to public free speech events, to the pride ma -- parade, the women's march, the march for science and i would hate to think there's concealed weapons at this event even if people don't intend to use them. fights can escalate and fights

can happen. it's something that shouldn't be happening here in san francisco. thank you for introducing this important law. >> sheehy: thank you. next speaker, please. >> hi. my name is amy rosen, i'm a citizen of san francisco and a mother of two children, therapist and a person who is practicing mental health professional in san francisco. i'm here today because i was actually astonished to learn in august when the patriots prayer act rallies were happening in san francisco that it was actually legal and permissible for people to have open carry weapons in san francisco. one of the reasons i choose to live in this amazing city is because i found it to be a place that honored safety and well being of all people first and foremost. in choosing to raise my family here i was saddened to learn

that on that day i wasn't going to be able to safely feel that i could bring them to speak about their first amendment preference to be in a safe community and to share their voices in a forum that honored first amendment rights of public speech. on that day, which actually to be my birthday, instead decided to avoid at all costs any environment where people were going to potentially be available or permitted to have open carry guns. so i'm definitely very, very grateful for this legislative act or this writing in trying to support not having guns open carry. thank you. >> sheehy: thank you. next speaker, please. >> supervisor max from the san

francisco district attorney's office. we are happy to support this and glad we are doing as much as we can to limit the number of guns out there in public and especially at gathering such as these. thank you for bringing this matter. >> sheehy: thank you. yes, please. >> hi. just two items to comment on. i definitely believe for some of the reasons that people mentioned earlier that the presence of guns at gatherings chills free speech. i also choose -- i attend a lot of gathering and protests but i choose that day to not go to chrissy field because i did feel some threat to my safety just based on what was going to happen there. the other thing is i think it's just widely recognized that there are certain situations where the presence of guns just is inadvisable for safety reasons. you know, we go to baseball games and obviously we are not allowed to bring them there. i would also like to point out that the nra at their national

convention didn't allow guns. people were not allowed to bring guns there. i think it should be widely recognized by anybody with a brain that there are certain situations where having weapons present present a security risk to everybody there. so thank you. >> sheehy: thank you. next speaker, please. >> my name is crystal opalado. i'm a residence -- resident here in san francisco. from the perspective of a new parent to a toddler i'm proud to be raising her in san francisco, the heart of free speech productiotectiop did experience in the last year feeling unsafe with the rally at chrissy field. i left town that weekend. then with the recent student demand action, march for our lives, i did not bring her to that event out of concern that perhaps there might be

people carrying concealed weapons and the threat of violence there. so i think this ordnance is a fantastic idea and would certainly make me feel safer in our community. thank you. >> sheehy: thank you. are there additional persons interested in testifying? public comment on this item? seeing no more public testimony, public comment is now closed. >> supervisor stefani: i would like to move my amendment that changes the number from 50 to 20. that change is reflected on page -- let's see. page number 3, lines 12 through 13 and 14, 17 and 19. so that's the only amendment. >> sheehy: sure. without

objection those amendments are accepted. >> supervisor stefani: i want to thank everybody who came out today to express your support for this proposed ordinanance. i've done gun violence prevention for two decades now and i've been able to do it alongside many of you in the audience and to that it's been one of my greatest pleasures in life and working on something that is so meaningful, especially as a mother to a 13-year-old son and an 8-year-old daughter, i was in my son's classroom the day that sandy hook happened. he was 8 years old. the kids that were killed at sandy hook were in 1st grade, my son was in 2nd grade. it's very real. it's a very real feeling for mothers when we drop off our children at school and don't know sometimes if they are going to come home to us for many reasons. gun violence in this country is absolutely out of control. i've had these

conversations with my children. you know, they hear things. we said, you know, it doesn't feel like a free country sometimes when our children and loved ones can be shot dead at a concert, in church, at a movie theater, a nightclub or a rally. it doesn't feel like a free country when we know that our gun homicide rate is 25 times higher than that of developed nations. it is a uniquely american crisis. it's one of the reasons why i put this forward today. san francisco has led the way on so many issues. we have the chance to lead the way on this today with concealed carry so that people feel safe at first amendment rights. another thing, you know, my daughter said to me, she's 8 years old, it doesn't feel like a free country, mom, because they have lock down drills. when children huddle beneath their desks as they practice lock down drills for mass shootings. she's right. we need to do better by our children. i look forward to

moving this to the pull board. i know the amendment has to sit in committee for one more week but i would like to express my complete gratitude for those doing this important work every single day. i will keep going with all of you for as long as i possibly can. so thank you and thank you, chair sheehy, for hearing this item today. >> sheehy: thank you, supervisor for your leadership on this issue. i think that we are all recognizing really that gun violence has gotten out of control. i have a 13-year-old daughter. i think a lot of us are here as parents. our children are facing a world that we ourselves did not experience. the level of gun violence in our communities across the country and the fact that it's actually coming to our schools, i was at the school of the arts when the -- everyone marched out. i took my daughter who by the way was very unhappy that her school didn't -- her middle school didn't allow them to join the

high school kids in the district in march, they did a little action within the school on the school grounds. when i look at my daughter and i talk to her friends and you've had this similar experience and i think other parents have as well, the fear of gun violence is tangible. it's real. they think about this all the time. they think about it when they go to school. when i went to school i'm sure for you as well, we didn't have to think about it. you know, then you couple that which i'm so grateful that you're trying to address this, i was here when the white supremacist and the neo nazis came last summer. when i took this position i never dreamed that in san francisco that these were the forces that i would immediately be faced with, withstanding in opposition to. i will say for the city we came together and we came together in love and we stood up to these forces and all the city

agencies, the way they worked, we didn't have the incidents like in charlottesville and other places and i want to give a shout out to the san francisco police department for their effectiveness and mayor lee for his leadership at the time. this one gap is huge. we were frustrated that it wasn't going to be possible to keep people from bringing weapons to free speech rallies. again, i want to commend supervisor stefani not just now but over many years and how proud i am to have her as a colleague. i think our next thing is to take a motion to continue to next week. is that right? >> the next scheduled meeting is april 25th, next wednesday. >> sheehy: i thought it was next week. without objection. so mr. clerk, can we call item number 2? >> agenda item number 2, a

hearing ohhen the sta -- on the status of radiology and ultrasound staffing at the hospital. >> sheehy: great. i'll wait until everyone kind of clears. so the purpose of this hearing is really to look at staffing levels in the radiology and ultrasound technical staffing levels at san francisco general. i just note that this is an issue that involves patient safety, this is an issue that frankly as we dig into it we have to recognize that these types of services are profit

centers so a lot of times when we start to look at how these services provided they're in the context of net cost. the reality is within the hospital setting these are reimbursed and they the reimbursements should be adequate the cover the cost of being adequately staffed. so we have three presentations. we have ron from the department of public health. >> good afternoon, supervisors. my name is ron, i'm the human resources director for the health department. i want to stress first that our mission is

to provide safe and outstanding medical support to the public. we do that through our staff at zuckerberg at san francisco general in the network. many of the people who came to speak on this are staff members at the hospitals who do this great work. we have over 8,000 staff. we have hundreds of units. of course they all advocate for themselves for more money and more staffing. everybody wants to do the most they can possibly do. in this particular case in radiology this has been an on going issue for several years which we talked about in negotiations. from 2015 until now we had a 35% physician growth in radiology. that is that we went from 68 permanent positions to 92 permanent positions. we currently have five vacant permanent positions and we are just now publishing the list that people can select off of to hire those five

permanent positions. eight months ago we hired a new manager in that university. her name is andrea turner. i'll have her stand for just a moment. so this is andrea. if we have a moment i'll let her speak. she took over eight months ago. some of the things she's done to improve this situation is she's created a new staffing model. that staffing model makes better use of staff time. she's also worked with karen hill, our personnel manager out there who has developed a leaves team to reduce v reduce vacancies due to leave. we want people to use protected leave but manage leaves so we don't have such a high vacancy rate. this has resulted in less over time use and we continue to work to reduce registry. the hospitals generally can't operate without registry because they are needed to fill in in certain circumstances. we submitted a proposal which susan guard will talk about and which

we would encourage the union to accept and adopt but that's another process. with that i'll just say that we have a proposal to increase pay for those modalities that we truly need and that we have reduced vacancies and we've added staffing and reduced over time and we strive to reduce regis r registries. that will conclude my presentation. thank you. >> sheehy: you have someone else? >> andrea, would you like to come up for a moment? >> good afternoon, board. my name is andrea turner. the reason that i wanted to speak is to speak on behalf of my team as well as the hospital. the team that you'll hear from today are superior. they are one of the greatest teams that i've ever worked with. well, quite

frankly we've been working hard to figure things out as a matter of how do we staff correctly and how do we ensure that our patients get the right treatment that they need. we started with staff, a staff grid which when i started that wasn't there. previous to me coming here, the leader that was in charge at the time, actively worked on reducing registry. we engaged it from a team management approach which others do have a voice. we've been moving that along. so with a staffing grid we can tell how many employees need to be there at what time. there are other things that do play a huge role in how we staff. so i ask that you listen to this team that will speak today and then of course look at the information that is presented.

>> sheehy: okay. so i do have a series of questions but i think i might hear from all three department presenters first. do we have someone -- do we have -- we have -- i'm sorry, susan guard from the department of human resources. >> good afternoon, supervisors. thank you so much for the opportunity to be here today. i want to start out by echoing i'm susan guard with the department of human resources. i'd like to start by echoing the sentiments that both ron and andrea spoke to today. this is vital work that's being done by the team who are here today. we really count on them. it's an important part of the healing process. having experienced being a person who continues to engage in sports that perhaps i might not be the right age to

participate in time as my orthopedic would say to me, i know how important it is to get the right images, the right diagnosis so you can get the right treatment and get back to your life. the work they do is really important. we pay them accordingly. these are very well paid positions. the diagnostic imaging tech pays $122,000 at the top end of the scale. when you go up to 2470 the pay there is $137,000 a year. so we believe that -- we believe in the work they do and we support that with the salaries that we offer. we don't have a problem at the entry level. we are at or above market rate for salaries and we don't have a problem recruiting there. what as ron said we need people with the stills to do the more complex images which we call modalitiemodalities. to d want to encourage the folks already here to develop their careers and advan i