is why we hope you value the services we provide to the underserved in our community. thank you. >> good afternoon, supervisors. thank you for this opportunity to speak in support of the spotlight on the arts internship program. my name is malia jenkins, and i'm 17 years old and will be attending university of san francisco in the fall, majoring in arts and sciences. i've always wanted to pursue graphic design, so art focus rnshi programs in san francisco are surprisingly small in number. at school, i felt over shadowed by this focus on development in stem careers and trug willed to find a program that educated in the arts like spotlight does. i gained experience in my field by working with clients in the organizations. but spotlight wasn't just about the internship, alongside the professional development workshops allows me to network and build further skills. without spotlight, i would have been completely unprepared to

pursue college. i have found very few programs that provide arts education for youth, particularly people of color and youth who are lgbt in the city. built changed my life, and i wish -- spotlight changed my life, and i only hope that other students will have the wonderful opportunities it -- >> supervisor cohen: next speaker, please. >> thank you, supervisors. we're here on behalf of la para trans latina. we're here in support for the $1.2 million increase towards the seven agencies that fund specific transgender services. we're asking for the 1.2 million because it's only -- it's only 0.0109% of the city budget, and these funds would really help us with the output of services we can give to some of the most marginalized folks, including folks that are looking for political asylum.

thank you very much. >> good afternoon, supervisors. my name is rachel, and i'm the housing program manager at homeless prenatal program. every day in my work, i hear stories of people in shelter that are experiencing homelessness that need affordable housing immediately and affordable rent in san francisco. i'm here today to advocate for the hspa budget proposal and for more subsidy that are similar to the shared subsidy program that strives to keep low-income families housed as well as families of color housed in san francisco. with the allotment of $900208 over the next two years, it will allow us to help 208 families and help them out of homelessness. >> hello, supervisors. i'm a resident in district six, and i'm a children and family social worker and speaking in support of the coalition on homelessness. in 2017, they found 7,409

homeless individuals in san francisco. 31% were chronically homeless and 71% lacked shelter, however it costs more not to address this. each chronically homeless person who isn't in supportive housing costs taxpayers $81,000 each year. if these individuals were in supportive housing it would only cost 20,000 perperson peryear. this proves it is more ethically and financially responsible to commit them to housing. there's a strong causal relationship between homelessness, drug use and traumatic childhood experiences. i would also like to advocate for more prechbstive measures, such as family and child services, foster and family support services. thank you. >> supervisor cohen: thank you. next speaker. >> hi. my name is francis colins, and

i want to reiterate what the last speaker says. it costs more not to address the homelessness issue. it costs taxpayers 80,000 a year for every chronically homeless person in jail expenses and other band-aid solutions. it's ethically and physically more responsible to go towards supportive housing, which would only cost 20,000 a person. i remember the 80's, when ronald reagan refused to fund the mentally ill and turned them out on the street, and this issue is still with us. thanks. >> supervisor cohen: thank you. >> good afternoon, i'm karen fleshman, cofounder san franciscans for police accountability. i want to thank you for the two new police commissioners who are awesome. the board of supervisors

convened a hearing on sfpd in 2016 when judge cordell spoke about 80 years of sfpd thwarting every reform attempt, and unfortunately i believe we are reliving that history. i urge all of you to withheld ensuring sfpd's budget and demand accountability. supervisor yee, you passed a resolution calling for a citizen commission to conduct a study of what sfpd needs to be, what size sfpd needs to be. this commission is urgently needed. there's a fundamental miss match between what our community needs and what sfpd does that results in police murder. we have high rates of homeless people, intoxicated people and mentally ill people. we all agree sfpd is the wrong interface. we need a team of mental health -- >> supervisor cohen: thank you. thank you, karen. next speaker. >> i'm jackie barshak with san

franciscans for police accountability. i want to talk about the taser budget, which is $3 million, and i'm asking the supervisors to revisit that budget based on several factors. the -- there are two open seats now on the police commission. let those seats be filled, and then bring the entire vote to be revoted on for appropriations for tasers. also, the sunshine task force voted last week that -- came to the conclusion that the brown act had been violated in the police commission's vote for tasers, so i would like to factor that in to your reconsideration of the taser vote. and lastly, the measure h, the police officer's association

measure on the last ballot was voted -- >> good afternoon. first of all, thank you, supervisors for listening to us my name is alejandra, and i'm with hospitality house, and i'm here to ask you for the support of the hspa budget of $14.8 million to reduce the police budget, and increase money to protect our most vulnerable population, specifically the homeless and immigrants. please restore the 250 k for two years of the mental health service budget and provide the necessary support for our youth, homeless and family adults. furthermore i urge you to restore the 280 k for two years for workforce and employment services. this funding is crucial to get homeless folks jobs and back on their feet.

work helps people become self-sufficient, and it is more cost efficient to invest in self-sufficiency than tasers, so please stop the hypocrisy and make san francisco a city that is accessible for all, and not just the wealthy. we have a responsibility to help our homeless population. thank you for listening. >> supervisor cohen: thank you. next speaker. >> good afternoon, supervisors. my name is bij reyes. [inaudible] >> -- with social services. i can tell you without a doubt that i am most proud of my work with the bayview opera house. their a dream with the children's opera house --

[inaudible] >> -- a couple programs that come to mind. in these times of turmoil and negativity it's important to be the cornerstone that connected all the different programs in the city. the city's funding will enable us to be the cultural point of bayview. thank you for your time. >> supervisor cohen: thank you. next speaker. >> supervisors, tony robles, senior and disability action. seniors and people with disabilities are really hit hard in this city. there hasn't been an increase in the cost of living or cola in -- in social security in the last three years. our organization is senior and disability action. seniors and people with disabilities are in need of housing subsidies, and we'd like you to make this a priority and fund the $3 million for subsidies.

we do support the hspa ask. i know seniors who are personally paying their rent. the subsidy can allow them a cushion, which is a security in situations that are precarious th individuals who can barely afford food and other necessities. these subsidies will provide housing stab housing sta housing stablity, and one-third of the housing in san francisco are seniors. and we need to provide for that. >> supervisor cohen: thank you. next speaker. >> my name is jessie johnson. we recognize that many of the people who live in the streets ago were just our neighbors, people who have been thrown out of their houses by landlords eager to make a profit off of the housing crisis. tonight, people in the tenderloin will sleep on the bare friends of their friend's s.r.o. rooms, they'll sleep in bathtubs, they'll sleep in closets.

i've seen people in the tonederloin lend their best shirts for a job interview, i've seen them lend their last cigarette. please give us back the 14.8 in budget cuts. fund something positive. fund employment services for homeless people, fund transgender services. forget tasers. tasers only mean heartache and death. thank you. >> supervisor cohen: thank you very much. next speaker. >> good afternoon, supervisors. my name is tess davis. i'm here today to urge you to fully fund the hspa budget ask of $14.8 million, including $280,000 over two years to restore cuts to the employment services and another 240,000 for low threshold adult services. as a former case worker working with this population, i find the budget unacceptable. in a city that prides itself on

being socially conscious, how can we justify this? san francisco is having its largest housing shortage, a constantly growing number of individuals on the streets, and completelynacceptable and life threatening housing and shelter wait lists. it is a moral obligation. no more death on the streets. thank you. >> supervisor cohen: thank you. next speaker. >> hello, supervisors. my name is moses thompson with hospitality house. san francisco's budget is $11 million, and less than 3% is spent on solutions to homelessness. we urge the board of supervisors to fully fund the hspa budget ask of 14.8 million. a budget is a moral document. restore and expand funding for mental health services for transitional aged youth, families, and low threshold services for homeless people in

neighborhoods like the tenderloin. help vulnerable san franciscans get the support they need, mental health services, save money, and save lives. thank you. >> supervisor cohen: thank you. next speaker, please. >> good afternoon, supervisors. nme is alan sampson minello. i'm the development director at hospital ill house, and i stand before you on my 23rd wedding anniversary on behalf of me and my wife with because we feel the issues are very important. i am urging you to please fully fund the hspa budget of 14.8 million. please restore the funding for mental health services for transitional families and in high need neighborhoods like the tenderloin that is 250,000 over the course of two years. also, i'm asking if you can

please restore the cuts to workforce and employment services for the vulnerable folks of our neighborhoods. that's 280,000 over two years. remember, budgets tell a story, and let -- let the story of our city resonate, that we still believe in our shared humanity. thank you. >> supervisor cohen: thank you. next speaker. >> good afternoon, supervisors. my name's emily davis, and i'm reading this on behalf of an artist at the hospitality house, community program. in our country, we treat our cats and dogs better than we treat our people. you'll see strays getting shelter and medical attention, and other care. i live on market street, and every day i see people bundled in blankets with a smattering

of their approximapossessions. we can put a few more resources to getting people off the street is and getting people working again. we are people, not the homeless. thank you. >> good afternoon. i'm wendy click. i'm from hospitality house. i want to just ask for funding in restoring the mental health services. this is an assess to the program that i work for at hospitality house. each week when i see an individual come in for individual or group wellness groups, they come out lighter on their feet. those that are in our community receive the same case managers for various support, and with those case managers there's over 100 maintained housing once they're off the street. we have one community members who was homeless for three years, and he had a approach the bench staying in, but confidence his wellness and community managers that have supported him, he has may i approa approach -- maintained housing for a year.

so i'm asking you to fund the housing and community support services. thank you. >> supervisor cohen: thank you. next speakers. >> hi. my name is becky, and i'm here to support and ask for funding for our youth organizing. purchase our youth are here. one of them spoke. we have currently summer youth programs where our youth get to understand the issues that are affecting them are systemic, and this really empowers them to do their information. they're able to , you know, inform and then pass this onto, like, their neighbors and such, and really, we know that -- we often talk about youth being the future, but they are now, they are experiencing what we are experiencing. they are part of this community,nd we know that it's really important to work together, so we are working with others asking for $300,000 for youth funding, particularly or specifically 100,000 for

casa de just cause. >> supervisor cohen: thank you. next speaker. >> my name is marie job for the community living campaign. i'm here to talk employment, particularly employment of seniors and people are -- with disabilities. 61% of the people in san francisco lack basic economic security. the unemployment rate for people with disabilities is five times the rate for others, so among the employment asks, there were two of particular interest to us. one is the s.f. reserve program, which was 317,000, and the other was for the senior community employment services program, which was 250,000, both providing subsidized employment for nonprofits. we want to be part of the solution to issues you heard today, so please put us to work. when you go back to your office, you'll find a flock of worker ducks have left more about this message in your office. thank you. >> supervisor cohen: thank you. next speaker.

>> good afternoon, board of supervisors. my name is judy young. i'm the executive director at the vietnamese you suport center. we're asking to support a mental health program supporting vulnerable vietnamese youth and families who are experiencing depression and trauma that go untreated, and when they ask to see a therapist, they have to wait two to three months to see a culturally competenterapist. so with the grant, we would be able to serve youth at our community site with an on-site therapist. and the second ask is a $160,000 facilities renovation. this will allow us to serve over 500 youth in our community with bathrooms and a.d.a. compliant. we currently only have one bathroom, so we hope you'll

consider this request as part of your budget appropriation. thank you. >> supervisor cohen: thank you. next speaker. >> thank you. how you doing. hi, supervisors? we're all nonprofit. i just need help -- we're going to walk the streets in the bayview, we're working with parents, single parents, mentors, we're going to mess with kids with behavior problems, we're going with y.g.c. i ain't on calendar, i just want walking through it. i wanted to put you on notice, and we are a 501(c)3. we'll be working the bayview district, mission district, chinatown. we need to address the kids that don't have food, not having breakfast in the morning. you know, we need to get in their face and kill them with literature. we should be up and running

real soon, so we need you all support. you'll see me again. and you all doing a great job, and you all look nice in here. nice staff. take care. >> supervisor cohen: thank you. next speaker. >> hi, supervisors. debbie lerman from the human services network. first i want to thank the mayor's office for supporting our nonprofits by doing a cost of doing business increase in each year, and renewing our nonprofit displacement founding. we ask the board to do what you can to grow the pot and to prioritize the budget justice coalition ask and will assist our vulnerable and low-income communities who have been left out of the city's wealth explosion. i want to touch on the process. we want to ensure that this body achieves its goals of transparency and community engagement. i w i am concerned about the limit of public comment time to one

minute which limits speakers to broad generalized comments without time to discuss policy. we ask that you also do not delay any of the add backs, make your add backs as specific as possible because it takes a lot of time to r.f.p. and contract things, get the money out to the community as quickly as possible. thank you. >> supervisor cohen: thank you. thank you. next speaker. >> hello. my name is deanna. i'm here to ask you to please consider parents for public schools and keeping them in the budget. they do an incredible service for the community, particularly for marginalized parents, mostly parents of color and immigrant parents in bridging the gap of understanding from maybe the public education systems that they're used to and being able to choose the school appropriate for their

child and also in facilitating that intimidating process of make even not knowing the language and parents for public schools does a great job of empowering parents to want to become increasingly engaged in their students' education, and also to bring community with fellow parents of their parents schools and to be able to make a positive impact on the educational futures, and as we all know, the overall out comes of that child. is that telling me -- >> supervisor cohen: yes, it is. next speaker. okay. >>. [speaking spanish] [voice of interpreter]

>> my name is guadalupe, and i live in bayview. and i want to please -- oh . and i want to please ask you to support p.t.s., which is through parents for public schools in your budget because they really help us develop our engagement as parents and our knowledge of -- so that we can better help our child's educational future. they give us information about everything we don't know, and they help us better support our children, and we need to have parents for public schools. we're all latino parents because we don't necessarily understand everything that the district provides us with, language gaps. and they really help us with

that support. thank you. [end of translation] >> supervisor cohen: thank you. next speaker, please. >> good afternoon. thank you for this opportunity. my name's daisy hernandez, i am latino outreach coordinator. i am working in bayview area and mission and visitacion area, too, and i would like please include p.p.s. in your budget because we really do great support for the family, and if this is not happen, the family is going to be affected. please remember p.p.s. i think we're doing great job. thank you. >> supervisor cohen: thank you. are there any other members of the public -- please come up. >> jean adams, lifelong san franciscan, long time member from the days of old son mary's

housing community, there's a new wave of homelessness coming to san francisco. there are only grandmas raising grand kids, reference mayor london breed raised by grandma, reference mayor willie brown raised by grandma, but for how long canrandma continue raising grand kids? there's been no cola raise in three years, and yet the cola increased imposed on rent stablized apartments year offer year. that means rents going up and will soon exceed income for these old people. ten cities will soon become wheelchair cities --

[inaudible] >> supervisor cohen: miss adams, thank you for your document. your time -- you've exceeded your time. is there any other member of the public that would like to speak in public comment? okay. seeing none, public comment is closed. thank you very much. thank you to the men and women that came to public comment. we heard and took copious note oz wh s on what we heard. what i'd like to do is continue items 1 and 2 to the june 21 meeting. do i have a second? seconded by supervisor stefani, and madam clerk, do we have any other business? >> clerk: that concludes our business. >> supervisor cohen: thank you. we're adjourned.

>> self-planning works to preserve and enhance the city what kind hispanic the environment in a variety of ways overhead plans to fwied other departments to open space and land use an urban design and a variety of other matters related to the physical urban environment planning projects include implementing code change or designing plaza or parks

projects can be broad as proipd on overhead neighborhood planning effort typically include public involvement depending on the subject a new lot or effect or be active in the final process lots of people are troubled by they're moving loss of they're of what we preserve to be they're moving mid block or rear yard open space. >> one way to be involved attend a meeting to go it gives us and the neighbors to learn and participate dribble in future improvements meetings often take the form of open houses or focus groups or other stinks that allows you or your neighbors to provide feedback and ask questions the best way to insure you'll be

alerted the community meetings sign up for the notification on the website byigni s up using you'll receive the notifications of existing request the specific neighborhood or project type if you're language is a disability accomodation please call us 72 hours before the event over the events staff will receive the input and publish the results on the website the notifications bans feedback from the public for example, the feedback you provide may change how a street corridors looks at or the web policy the get started in planning for our neighborhood or learner more mr. the upcoming visit the plans and programs package of our we are talking about with our feedback and participation that is important to us not everyone

takes this so be proud of taking ann >> president chow: the commission will come to order and the secretary will call the roll. >> [roll being called] >> second item on the agenda. before you for approval. a motion is in order. >> so moved. >> second. >> president chow: there's a motion and second. are there any corrections to the minutes? seeing none we'll vote on them. all in favor? opposed? the minutes have been approved. next item, please. >> item 3 is the director's report. >> president chow: great. >> good afternoon, commissioners. i have three important items to share with you and then any other items you would like on my director's report. the first is we wanted to make sure that all of you knew that

the department of public health are supporting the rescanning of the retesting of hunters point shipyard land to answer community health and safety concerns. the hunters point shipyard development has been the subject of recent media reports and community concern due to two major issues. the first is the rescanning of parcel a to insure residents of the hill top area are safe and free from exposure. the second is retesting a portion of the shipyard development that was effected by the fraudulent testing oh of -- of a navy subcontractor. the department of public health supporting plans to rescan and retest the land. it would be conducted by the california department of public health and parcel g by the navy and it's a first step in the retesting of areas. defactions are necessary in the

response raised by the community about whether this is a risk to the health and safety of current and future residents and workers. the health department encouraging people who are interested to participate in the comment period for the navy's work land on the parcel g retesting. it's essential to have a critical process that the community can trust. as you know, the hunter's point shipyard is a federal project of a clean up by the navy to prepare the site for an ambitious new development that will add approximately 12,000 housing units in san francisco. the navy is a lead agency for the clean up and the environmental protection agency is providing regulatory oversight. the department has been involved in this project for many years. i would say over two decades. reviewing documents and working with the navy and the epa. we have also -- i met -- talked to the epa with several of our staff members this week and we are going to be having two

meetings with them over the phone on a monthly basis to ensure that we are coordinating as well as the regulatory agency. we've had our staff member, amy, who has been our engineer in this area and i've also asked our environmental health director, stephanie kushing who will be supporting amy in the future around all of these needs and issues that we have to work closely with the epa and the navy on this. that is one of the items i wanted to ensure that the department is -- will be supporting the retesting and rescanning of this whole entire area of the shipyard. we also -- many of you have seen in the news an issue that i know has been very shocking to all of you, which is the separating of immigrant families and we believe this is inhumane and posing health risks.

the department of health joins the mayor, the mayor elect, our california senators harris and feinstein, public health and child welfare and many others in condemning the practice of separating children from families along the united states border with mexico as an anti-immigration enforcement policy. more than 2300 children have been separated from their families since early may. from the public health standpoint this practice is inhumane and they have the possibility to lead to short and long term problems for the parents and the children. it demonstrates the broad and detrimental impacts of child separation, abuse and neglect on the health and well being of children into their adulthood. san francisco is a sanctuary city and we have reaffirmed a commitment to protecting the rights of our immigrant community and the department of health will continue to care for all san francisco residents including immigrants and to

support our patients and clients and caregivers during this traumatic event. i know there would be families in san francisco who have immigrants from this immigration issue. we also encourage our san francisco residents to call the members of congress to voice their opinion. we have given the phone number for that. we have a very large way of impacting and advising our a tigs -- practitioners in our communities whenever we find a health concern. we try to be very careful about these because physicians give a lot of health advisories and we don't want to get them insensitive to these but we do want to list the conversation about when we are finding issues like fentanyl overdoses and one of the things that the drug cartels are doing is that they are very smart in the way they are providing fentanyl.

we have recently had a fentanyl overdose from suspected counterfeit oxycodone tablets in san francisco. an individual experienced a near overdose after getting a pill stamped with m30 on june 11th. no pill was available for testing however such tablets are readily available in san francisco. similar events have been reported in arizona. fentanyl has been an increasingly present in street purchased drugs in san francisco including as a white powder and contaminating methamphetamine, cocaine and counterfeit benzos. fentanyl test strips provided by syringe access programs have identified the presence of fentanyl in many of our street purchased drugs. what we do when we find this, we first and foremost work closely with drug users and we have an

organization that does this out reach for us. we wanted to lift the conversation to make sure that physicians and hospitals are well aware of this. many times some hospitals will not test for this kind of a drug and we want to make sure -- we are trying to make sure if we see a theme coming so we are good i think about getting to the drug using community but we also wanted to give to our practi practitioners. some of the actions is to refer patients with opioid use disorder to treatment. san francisco has treatment available on demand which can be accessed at methadone programs or triage center. we just funded $6 million, 3 million per year to expand our access and we have a street medicine chain that we will be work, out of the syringe access centers and also on the streets of san francisco. those will also be available for practitioners and ensure any patients who purchase any street purchased streets have noloxon,

either or direct them to the pharmacies. the pharmacies also carry it or to send to syringe access sites. patients who are using drugs should be encouraged to keep the medication with them at all times. those are the three important messages and then of course we have other items in our director's report and happy to answer any questions. >> president chow: commissioners, questions to the director either in her written report or the added verbal report that she gave us today? >> i have one other item i wanted to ask our cfo to come up and give an announcement regarding the new restructuring in the department concerning our i.t. >> thank you, commissioners. greg wagner, chief financial officer. we have had a number of changes in our i.t. division and most recent of those is as of last week that departure of our chief

information officer, bill kim. so as a result of his departure we will be making some changes in the i.t. division, really important time for i.t. in our department as all of you know as we are continuing to go through the electronic health records project as well as build out our infrastructure department wide. so with bill's departure we named the acting chief information officer for the department. we are at the phase now where on our ehr project wionna has been overseeing the project for a number of years so she's very close to it, very knowledgeable about that so we'll have a lot of continuity there. she's been with the department for a number of years and so knows the operations. we are moving into a phase with the ehr project where we have gone from planning and building up the

team to actually the build phase. so we are now in the build phase in the project management team, the staff is really in place. i was over there a couple of days ago at the offices and it's great for people working on the project. so we've really got the ball rolling. wionna will be reporting to me as we go through the search for a new director. we are going to do a national search for the new cio and we will be reporting to you on that periodically over time as we do our i.t. updates. we've also sat down and developed a plan for other gaps in the organization and some other changes that we need to make just to respond to the change in leadership. we have appointed a chief operating officer and we are close to hiring a new ethic program director, that's a

position that we've had but that has been vacant for a few months. that ethic program director will help a lot with the project development of the epic project to free wionna for more time on operations. we are also recruiting a chief information security officer to back fill a departure recently. i think that we are at a point where we have a lot going on. i think that we are actually in a point of time if we are going to have a change in leadership now is the time that we can take it. we are at a point where the project is really moving along. we are not making any changes to schedule. it will take some adapting but i'm prosecute -- i'm pretty confident that we are well to do it and we'll get the pieces moving in place. we'll be reporting to you periodically as we do on the ehr proje project and our i.t. operations and let you know how things are

going and if there are any issues. just want to let you know that those changes are going on and will start to have some new leadership in the i.t. division. >> also just to let you know, on our calendar july 17th is the next i.t. update. >> president chow: thank you. questions? commissioner guillermo? >> commissioner guillermo: thank you. either for greg or barbara, you mentioned that there were at least three seemingly key positions that are open. do you have a timeline for each of those? i'm just thinking about how difficult in this, you know, area it is to recruit and given that we've got a pretty strict timeline for our implementation what the -- just knowledge about what the potential disruption might be. first of all i wanted to thank you and barbara for making sure that all of those gaps are filled in the interim.

those are three key positions. >> yeah, that's definitely a great question given some of our processes with hiring, which you're eluding to. so for -- aside from the cio position, the other two, the epic program manager and the chief information security officer, those are two that had been vacant previously and so are already in process. i think our cio had reported those hiring plans in place at the last i.t. update. so i wanted to just kind of flag those for you as in process. but the fact that they are already in process means they will be on board relatively soon. i don't know what the exact timeline is. we are interviewing candidates for the epic program director right now so that should be a pretty quick hire. on the information security position, we are working with the department of technology who

has recently gone through recruitment for that position for the city department of technology and they have some resources they are sharing with us to support us in that recruitment. so i believe that that will move on a timeline that is faster than the standard timeline that we would be if we were starting from scratch. so we'll be able to jump a couple of hurdles. so i would hope that we would have those positions within a matter of a couple or a few months. >> commissioner guillermo: and do you have constants given the demand for talent at this high level, particularly the cio, that we are in a position to compete for that talent? >> i think that we are in a position to compete. i mean, it's absolutely a fair question. it's a tight market. i think one of the things that gives me confidence is number one for people that are

healthcare i.t. professionals, we are an exciting place to be because we are doing a lot of things that are not happening elsewhere. but just given the fact that we are in this implementation and the scope and range of things we do within this organization and our focus on community aspects of health, but the second thing is having gone through the last several months of ramping up our organization for the ehr project, that was one of the questions that we kind of flagged as we were going into hiring for the ehr project is given the market out there would we be able to attract and recruit enough in this market to fill that program. we have been really successful at that. so we found ourselves to be competitive and an attractive place to come work. it will take an active

recruitment and we are going to do that. we are not just going to be able to put out the posting on our website but we are going to have to be very proactive and going out and recruiting nationally and then also tapping into networks from the people within the department. we'll work hard at it but i'm optimistic that we are a competitive and attractive place. >> i want to add two things. ehr has a streamlining process to hire i.t. because of the exact things that you just talked about and also epic is a major event for anyone to want to come in and help us with. it is very attractive in that way. the first issue is the fact that ehr has seen the issue of the department of human resources. mark is wondering what ehr is. the first issue is there's a streamlining process for us to hire so they have a special recruitment process and i think that's going to help us

tremendously on this. >> commissioner guillermo: great. that's good to know. thank you. >> president chow: did that answer your questions? thank you. further questions at this point? i have several comments. one is that mr. wagner in fact will be as we heard and that gives me the confidence of being basically the acting cio at this point in time, managing the project and as we know much of the management is really related to also all the things that still need to do through. while we watch in the future the rebuilding of building five in all those contracts were handled and are handled by over people, in this case as you know, the finance committee is handling all -- millions of dollars worth of contracts. i think that we can take confidence that mr. wagner being

our contract and finance person will actually be able to make sure that those are being done appropriately. without that then we don't have the tools to even have our -- to be new cio to have the ability to carry out the programs. i think that was one where we already saw that pie last time where less than perhaps a quarter of the contracts have been totally led and we've got a long ways to go. so to have that not only remain under his supervision but he will now be directly involved until he gets the new cio will be helpful for us. i think there has been a lot also done up to this point with the changes of our i.t. system here for the last, what, maybe five or six years in which we've actually moved it into the 21st

century. it was probably somewhere in the 19th century for many years here. even though we still have multiple systems, at least we had systems. they were all getting put together and i think it's with the work that has been done and will continue to be carried out. i think the department has a good blueprint to carry it out and we've all seen that and we expect that on our quarterly reports. i'm understanding from mr. wagner that there is no real delay in the roll out of our programs and the continuation of the infrastructure. so i think that was very good. it is going to be good for us. the other aspect i will point out, especially to our new commissioners is that the

hunter's point issue, the shipyard, and the shipyard clean up has been going on for many, many, many, many, many years and just to even see residents down in hunter's point at this point has been quite an accomplishm t accomplishment. it's probably taken as long as even building out the whole mission bay thing if not even longer to actually get to development at hunter's point. i think the department's position that of course we need to build the confidence of our residents and to be sure that they are safe over there by retesting the land to be able to show that it is safe and if there are areas that need remediation then those are the things that need to be brought forth so that the residents there and future residents will have confidence in the development, probably the last large development in san francisco for quite some time. so i appreciate that and i'm

sure the remaining of the commissioners appreciate the position that the department is in to help support that which will be done by the navy and by the california department of public health. so we would expect to hear back the results as the director said once those reports are completed. so our role is to be sure that the public is protected and that the studies are appropriate and that is what we are going to be carrying out. if there are no further questions then we'll move onto our next item, please. >> there was no public comment requests for that item. item 4 is general public comment. i have not received any requests. so we can move onto item 5, which is a report back from today's community and public health meeting. >> good afternoon, colleagues and members of the audience. i'm going to give a report in the community public health

meeting. we had two presentations today. one from the in for learning an innovation. they have specific activities which i'll articulate at this point. they do internal capacity building, needs assessment training and technical assistance, workforce development and they have a ummer hiv/aids research program which recruiting college students from around the country, particularly college students of colors and introduces them to a model of research so they can make decisions about whether or not they want to engage in there. they have a future program, which is a program designed to deal with people of color and help them develop skills around research and activities as it relates to public health. they have an external program which is cdc funded which is capacity building assistance for

high impact hiv and they do that nationally as well as locally. they have an innovations program which is california preterm birth initiative, it's a community-based par tis -- participation resource program. they have digital story telling. they shared with us digital story telling with regard to their research for young minority students who are interested in engaging in public health research and the practices that they engage in. that program is called shark. -- called sharp. i had the opportunity to be a sharp adviser many years ago. i'm glad that's still going on around hiv and aids. i'll stop there with that particular report. if there's any questions i'll make my best effort to answer them. >> president chow: thank you. commissioners, questions?

since you indicated and i think that's correct, right, the center is actually one that assists different areas to do training and it's not actually out there creating health programs. >> it is not creating health programs. it provides training both in san francisco and nationally in cdc funded programs. >> president chow: okay. thank you. commissioner, did you have a question here? >> commissioner bernal: no, just underscore what commissioner loyce scahared, i think it's important that it's provided services in more than half of the states in the country and it's really showcasing the excellent work that's being done here in san francisco in terms of hiv prevention and getting to zero. >> president chow: wonderful. >> vice president loyce: i would also add to that that one of the thing that is this group does is it recognizes that we can learn from other communities and it's willing and receptive

to hearing from other communities. i know that san francisco has a reputation of being all that and a bag of chips but in fact we can't learn. >> president chow: do you want to proceed with the second presentation? >> vice president loyce: the second presentation today was from the primary care unit of the san francisco health network. we've presented some very specific work that they are engaged in. they talked about their 3-year relationship with lane and in the lane process they developed and implemented a daily management system that allows for managers to work with the staff around lean objectives and take their staff and give them the information to allow them to respond and develop lean objecti objectives. one of the goals and the out comes they expect from this is it improves staff moral and

ability to manage the services they are providing for the population and it also most importantly gives patients the opportunity to feel connected to and involved i the work of our organization, of primary care particularly. one of the things they are focused on in this report is they wanted to have 70% of the clinics in san francisco do a 7-day post hospitalization follow up with those patients. one of the things they talked about in the tenderloin, urban health hit a 68.2% which is very close to the 70% goal that they had for that center and they gave us a list of all the centers and where they are in relationship to meeting that 7-day goal and some are closer to it than othe brs everybody has a plan for addressing it. and with that, that concludes

that portion of the report unless commissioner burnel has something to add i'm open to questions. >> president chow: so on the report it seems to indicate that several of the clinics have not or in the schedule will not get to a lean process until 2019. >> vice president loyce: that is correct. they are doing them in cohorts so they have done cohort one and cohort two and cohort three and four will begin in august. cohort three will begin in august and cohort four will begin in october of 2018 with a completion date expected in jany of 2019 and cohort 3 finishing in february of 2019. it is a lengthy process and not

something that one can do in short order. training is done primarily by our executive staff in both the networks and in primary care. >> president chow: so in the meantime these other cohorts, are they participating in some sort of a score card or base score card program even though they don't have a lean process? >> vice president loyce: what happens is that dr. hammer hosts on a monthly basis all of the senior managers involved and providing services so they get an opportunity to hear from those cohorts that are actively engaged in the lean process and they also can begin to apply some of the tools that are being utilized even though they may not have the specific training that cohort one and cohort two

has. so once a month 90 people get together to walk through this process. >> president chow: any other questions? yes. >> commissioner guillermo: just a comment. i'm very pleased to see the progress or the process that's been put in place, particularly focused on primary care within the network because i think -- i don't know for sure but it appears very unique to me for this to be in place. i'm althoug also really excited the lean process and i'm looking forward to the reports that will be coming forward for us to review and ultimately the difference is going to be making in the lives of our patients here in the county, particularly those the most vulnerable and i just hope we are at a point

where other counties and other cities are going to be able to look at us and see what we are doing and really sort of maybe model or collaborate on the processes that areeingut into place. >> thank you, commissioners. we have also just to note are taking the lean process all the way north for the entire department so it is a leadership issue that we are all very supportive of and we find that we have focus on quality and it also focuses on our patients and consumers and residential individu individuals. it will do well as we are putting our ethics together because we are using that same methodology. we found the alignment within the department is pretty easy and part of it was because we really did begin with some of the major entities and want to just make sure tt