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tv   Government Access Programming  SFGTV  October 15, 2018 10:00pm-11:01pm PDT

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disappointed with the situation we have, six weeks after the ribbon cutting to find this, as well as frustration of our riders. at the same time, safety of the public is number one, safety of our transit operators, and safety of our transit riders are all equally important. we begin the forensic work, i think i said it last time, is just to be cautious, because we don't know yet where this is going to take us. and so while there is a sense of urgency on reopening, we do need to take the right amount of time to make sure we do the right homework to find the right cause and to have the fix and make it peer reviewed and to make sure we do open it next time, it is safe for everyone, and we don't have to do this again. and so while, again, everyone wants a date when it's going to happen, i just put out caution until we know, we really don't know. so i like what you're doing. i appreciate what you're doing.
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i like the members of the first panel, seismic review panel will find out the members of the second panel that m.t.c. is putting together. as the engineer said last time, it is -- engineer of record said last time, it's unfortunate, but steel does crack, and it does happen luckily often, not too often, but it does, and until we do peer review test and other things, that will determine how we fix it. i always say, there's plenty of time to place blame. thank you. i do believe we have a couple public comments. >>clerk: yes. we have roland lebrun followed by bruce?
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bruce. >> thank you, directors. so four things. first of all, on the brown act, i think some clarification's required, and to your point, director harper, i'll be writing to you as to what can be done to put this peer review to the public. now with regard to the peer reviews, i don't know if somebody can show it up on the screen, this hanger beam is key to what happened here. my advice is we focus moving forward, and find out what load of the bus deck is. the bus deck is moving up and down, which means that beam is pushing or pulling on the park,
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which is the beam that failed. specifically, whether there was a scenario of a fully loaded muni bus in an emergency braking situation whether it was on top of fremont or first and what happened. in closing, i'd like to mention a couple of monitoring system permanent to your point, director chang. it says, three dimensional services of high-rises while they are in service are becoming more common. the surveys allow owners to monitor the rate of deterioration, create analysis report, and limit the possible of catastrophic failure. at the end, it says ageing, deformation and movement are inevitable. 3-d laser scanning is the most cost effective manner to lower
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cause structures and remediating costs. now, the last thing i want to touch on is something a little bit more complicated, but it has to do specifically with bridges. and it was first -- so on the prior point, i believe you're familiar well with what i'm talking about. so in closing, 3d laser scanning -- [inaudible] >> 3 dimension -- oh -- basically, what it does, steel does not just fail. it starts making sounds, and if you monitor it, you can also hear it. also, if you've got something like a crack, and you use -- i forgot what the terms were, you
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can determine exactly when the crack happened, so i'm writing to you with the specifics of how this happened. >> vice chair gee: thank you, mr. lebrun. >> thank you very much. >>clerk: bruce? >> thank you for listening. i was here last week, and i made a statement. mr. peskin, i think that's your name, if i could hear it correctly. >> director reiskin: reiskin. peskin is a totally different person. >> i apologize. so of course, you made some very interesting points that i'd like to get back into depth. you said you weren't here last week. i can't remember if you were or not, and that is that these major girders are the principle members that held up everything below and above, and the notion is one cracked all the way through, and another one cracked partially through.
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so you can moment that the 2k3w girder had no movement capacity. therefore, others bore a secondary load, so there's been no specific announcement beyond the girder that anyone is going to look into the secondary load path, the possible yielding, the possibly loading problems, so i just wanted to say because of your investigateative minds, it's not going to be the girder, it should be the secondary load that should be published. the idea is right now, you could determine to some degree the secondary load path
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overloadings. >> director reiskin: thank you. >>clerk: that concludes the public comments. >> vice chair gee: could the director speak to that? right now we know there's load being distributed to places that it hadn't been designed to carry. >> yeah. part of the peer review, i mentioned before, part of the recommendation is to let us know what other members to look at, including any over stressed members that are adjacent to the two members that cracked. >> vice chair gee: so we've not yet done that in terms of the analysis that's being carried. >> no, we have not. our priority is to find out what happened, get the solutions, and then get that corrected. m.t.a. was designed for dead load, live load, and seismic
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load. the park has been dry. it hasn't rained, so that really gives you that dead load. live load, we haven't had the whole number of buses that we need yet, and the park is not full of people, along with saturated soil, and we haven't had seismic loading yet. so in theory, the building's designed for quite a bit of loading capacity, that's right. so -- but we will be looking at all aspects of where the load transferred, what other secondary members took up that load, and if there are any issues there, we would rectify that. as well as are there any members in the transit center itself that we need to evaluate as a result of the test results, welding and everything else. >> rather than have a conversation, can you just ask the m.t.c. panel what are the things that need to be looked at? that would be a great start consistent with the comments that the public speaker made.
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no, please, but thank you. [inaudible] >>clerk: the mic is off. >> vice chair gee: executive director just because of the urgency and sensitivity, if there needs to be a special board meeting, please do not hesitate to call it and keep the board and the public informed. i know we don't want to get in the way of what's going on, but having a special abort immediating is appropriate. if we need to meet every week, every other week, we need to do what we need to do to make sure everyone knows what's going on. >> thank you, director. i appreciate the board's supports. >> vice chair gee: next item, please. >>clerk: all right. next item is item nine, the retail leasing update. >> good morning, drarirectors,
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mart martha velez. with regard to deals in the pipeline, the numbers in the top row do not reflect a slow down in interest or activity. rather, they reflect a slowing in the amount of time in decision making. a primary factor is an increase in the out-of-pocket costs for the process peculiarti-- prospe anns. confidence remains high in fully leasing the center in a reasonable amount of time. i should also note here that the temporary closing of the transit center is not a factor.
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collier's has not seen a corresponding reduction with regard to inquiries. with regard to the next row, store opening targets as indicated, the current sign deals represent over 40% of the transit center, so the 39% target for occupancy in the second calendar of quarter 2019 remains -- remains a good target. this slide is slightly different than last month's in that we wanted to be clearer about what was approved versus what was executed, so the orange shaded areas indicate what is fully signed. last month, the orange shaded areas indicated what was approved, and i will further explain on the next slide. to walk you through the map, the orange shade, tlehese are lease
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that are fully signed and in the design process. these are five leases representing eight spaces, which is 42% of the center. space 103 was approved in july, however, did not come to fruition. this was an early deal while the transit center was under construction with some of the base building elements of the space not in place until later, specifically, some mechanical units. so when in place, the configuration of the space did not work for the tenant's concept. as such, it is shown in green, back on the market to be leased. with space 131, this was approved in september, however it was not fully signed. the final lease document is with the prospective tenant, and they are expected to sign it next week. similarly, it is shown in green.
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to mitigate this with other early interested parties, collier's and the lincoln construction team are rewalking the spaces with the prospective tenants to make sure the current space configurations work. to close, in general, interest continues to be strong with many of the spaces having multiple parties interested in them. that's my leasing update. any questions? >> vice chair gee: thank you for your update. any questions? director harper? >> representative harper: given the flexibility we're now encountering, let's make sure the leases that -- we've executed one or two, right? >> actually, we've executed eight. >> eight. they may need to be looked at or amended in some respect for this. i don't know what the details
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are in dates and things like that. and the ones that we are going to execute, we'll have to -- maybe have to be looked at in terms of the flexibility we need. so -- and i'm sure that's going to be done. but any way, that's -- i just -- let's not let that -- let's not forget that -- that's what? [inaudible] >> representative harper: the other thing is if there's anything that i hope that could be conducted between the temporary and the permanent fix period, however long it is, i would hope that it would be to allow tenant improvements to take place because that just makes it all the much worse if all of a sudden we end up with worst case, three, four months there in which tenants did want to get in and get started and really had contracted setup and
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things like that. so my encouragement, if there's anything we should be a limited opening for, it would be the construction crews. there's going to be more people working on our fix, any way, than what there'll probably be in there, but i think that should be seriously considered. >> director zabaneh, did you want to make a comment? >> yeah. director, we have five concepts open for lease. our discussions with them is that hurry up so we can start the tenant improvements right now so the transit center is closed so they have maximum access. especially for the areas above the muni bus plaza, we have our offices and we have offices for lincoln, property asset manager. we want to take the opportunity while the muni bus center is closed to do as much as we can.
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also, sf fitness is doing their design right now. we're having discussions right now if they want to hurry up, we can give them more access. we're taking the opportunity right now to let them know that they have more access to the building than when the building is operational, and if they hurry up, we can expedite tenant improvements. we don't intend to amend the leases. i think everybody realizes it's a matter of time before we open the transit center and gain the interest that we had before. >> representative harper: so if i could just clarify, the current situation is not impacting interest to the spaces we're showing tenants when we're starting work? >> the transit center is three distinct buildings. you've got the east building parked which is where fremont street, central building, which is west of first, and then, the
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west building, which is the -- by second street. the center and west building are not affected. >> so hare the food trucks stil out? >> no, the food trucks aren't still out. so when we decide that we can redeploy, we'll do that. >> 'cause they're over to the end of the west building. >> they are, but we haven't activated the building for the public. we're using it for construction work, basically. once we open the park, we can activate the food trucks and so forth. >> okay. my sense was most people using the food trucks are from the surrounding ground level neighborhood, not necessarily coming from the park. >> actually, a lot of them just took their food to the park. >> that was a pattern that we
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saw very early. yes, they grabbed their food and went up to the park. >> they stood in line and went up to the park and enjoyed their foods. >> it was a decision not to have the food trucks operate during this time made by the tjpa or private vendors. >> we closed it this entire time -- >> i'm just trying to decide. you said theed are stand-alone buildings, we can show tenants, and improve tenant work, this is the very southwest end of the building, so i'm just not really understanding why that area would be impacted at all by what's happening here? >> because the main interest in the transit center was the park, and we've closed the park. then, there's no other areas -- we can put back the food trucks, but we can look at that, but, you know, we decided to close the whole -- >> if there's not a safety reason for them not to be there,
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i would at least see if the food truck vendors are interested in being there. >> we can look into that. >> we can certainly follow up on that. >> we'll look into it. >> all right. thank you. any other questions from the directors? all right. >> thank you. >> i believe that concludes our agenda today. thank you for all being here. we'll see you at our next meeting. meeting adjourned. thank you.
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>> when i open up the paper every day i'm just amazed at how many different environmental issues keep popping up. when i think about the planet i want to leave for my children and other generation, i think of what contribution i can make on a personal level to the environment. ♪ clean power sf is san francisco's key way of fighting
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climate change by renewable energy and offering it to san francisco customers. i'm from the san francisco public utilities commission. the program came about with state wide legislation in 2002 to enable people to take more control over supplies. i first heard of the program when the organization was advocating to launch clean power sf. what i'm most excited about, it's going to bring 100% renewable energy to my home and reinvest into renewable energy infrastructure and jobs. i had gone to a lot of street fairs and heard from the staff at the san francisco public utilities commission to sign up for clean power sf even before it launched. >> we learned about clean power sf because our sustainability
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team is always looking for clean operations. linkedin is the largest online network. there are about 530 million members using our site. in this san francisco office there's about 1400 employees working in roughly 400,000 square feet. >> after signing up for the program we heard about the san francisco program and learned they had commercial rates and signed up for that. i'm the co-owner of the new wheel electric bike shop. we opened this store in 2012 and the new wheel sells and services electric bikes. 11 people work here in san francisco and our store is about 2,000 square feet. electric bikes are fantastic for transportation in the city, they're clean and green and you get places faster than any other form of transportation.
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it amplifies the power, it doesn't replace it. it makes it easier to get places by bicycle and it's so enjoyable and environmentally friendly way to go and more convenient in san francisco. >> clean power sf requires two products, green, 40% renewable and competitively priced with pg and e. for those who want to fight climate change more, 100% renewable at $0.02 per kilawatt. >> i decided to go with the super greens, after finding it only to cost about $5 more a month to have super green, that's a no-brainer, i can do that. >> we were pleased that clean
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power sf offers the super green 100% for commercial entities like ours and residents for the city of san francisco. we were pleased with the package of services for linkedin and now encouraging our employees who have a residence in san francisco to sign on as well. >> clean power sf buys its power from renewable plants that feed the energy directly into the grid. >> there's a commitment to sustainability throughout the entire organization and this clean power opportunity reflects that. >> one of the wind farms we use is the shilo wind farm and that is large enough to be able to provide energy for up to 200,000 homes. >> our mission is sustainability, even though our bikes are minimal energy use, it still matters where the energy
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comes from and part of our mission in sustainability is how we run everything -- run our business. having the lights come on with clean energy is very important. >> the sunset reservoir has solar panels that take up about four city blocks covering the reservoir and the solar power generates energy for city resources and clean power sf for residents participating in the program. >> it was easy to sign up for the program, i went online to cleanpowersf.org and i started getting pieces in the mail letting me know i was going to be switched over and it just happened. when i pay my bill, i still go to pg and e and i don't see any difference between now and a year ago. >> sign up online, just have your account number ready and it takes about two minutes and there's nothing to install.
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no lines are getting connected to your home. all the power goes through the existed power grid. >> we haven't had any problems with the switch over to clean power. >> it's super easy to sign up. our book keeper signed up online, it took about 15 minutes. nothing changed but now we have cleaner energy. >> we see clean power sf as a key strategy to meet renewable energy goal, we have a goal of 50% renewable energy by 2020. currently we have enrolled about 86,000 customers across the city. about 20% of what we hope to serve in the future and in the next two years we'll offer service to all san francisco electricity customers. >> an easy way to align your environmental responsibilities and goals around climate change and it's so easy that it's hard to not want to do it and it
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doesn't really add anything to the bill. >> joining clean power sf is one of the easiest ways to fight climate change, receiving cleaner energy at low and stable rates, you're helping to support a not for profit that helps influence the energy grid and produce more production. >> i would encourage any business to seriously convert to the clean sf service. it's good for environment, business and the community. >> you can sign up online our call and the great thing is, you'll have the peace of mind that you're doing your part in your household to help the environment. ♪ ♪
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>> health services board will now come to order. please stand for the pledge of allegiance. [pledge of allegiance]
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>> madam secretary, roll call. >>clerk: roll call. [roll call] >> action item number one, please. >> action item number one, approval with possible modifications of the minutes of the meeting set forth, regular meeting of september 13, 2018. >> are there any corrections to the minutes? >> i would like to offer one or two. i would strongly recommend that we put page numbers on the minutes in the future and with that in mind, i'm going to refer to what i believe would be page 3, at the top of the page, above
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your first bullet. there are two audits in process with k.m.p. -- kpmg that will be reported at the december 2018, i presume, meeting, and an update on the gatsby. it's general accounting standards board. so meeting and correction on s gasb, along with page numbers. >> thank you. any other corrections? i submitted some corrections earlier that will be reflected in future minutes. is there a motion? >> i move we adopt the september 13 minutes as edited. >> i move. >> second. >> all right.
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any public comment on this item? no public comment. all right. all those in favor? [voting] >> opposed? all right. item number two, please. >>clerk: item number two, discussion item, public comment on matters within the board's jurisdiction not appearing on today's agenda. >> my name's richard rothman. i've been in health services since i started with the city in 1983, and i've just run across some things that are quite disturbing, but first, i want to thank kaiser for saving my wife's life. she's still in the system, but i oh, a big gratitude for them.
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but the not so good part. i just got an e-mail yesterday, kaiser listing their standards of service, and that they're supposed to answer telephone calls within ten minutes. well, the two times that i've called the resource center, it's been over ten minutes, and once i got them, they're very nice. and the other is the durable equipment, and my doctor ordered some for me. i waited two weeks, i left a voice message, called. so the first time, i decided to wait on the phone. i waited 45 minutes, and when i got a human being, they didn't even open my doctor's e-mail for the equipment that i wanted. they didn't have the right one, but still -- and then, when i called the second time for my wife, it was about 25 minutes. and i've complained, but i think
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if it came from you, i think we're still the second largest group in kaiser that you could make some changes. and i did call, and the first person i called told me that mitchell wasn't there. he didn't know who he was, but i'm going to talk to him tomorrow about it. but the other thing is i put in a sunshine request and never got an answer to the e-mails or phone calls. i guess they're working on it after i have to call the sunshine task force. so i would recommend maybe the staff and the commissioners get a briefing on -- about the sunshine ordinance and how to implement it. and thank you.
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>> diane ehrlich, retired uesf division. in the book that we got for open enrollment, it said about that smile away open dental plan, see pages 25 and 26, but there's nothing on it, no explanation of what you have to do. and i was told by my friend that i need to get a letter from the doctor, the dentist, take it to delta dental. i just wanted to verify that that was the correct procedure. >> is that -- can anybody answer that right now? mitchell, delta dental, would you like to come up quickly? >> good afternoon. i'm iliana desoto with delta
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dental. basically, they just need to log into the system, indicate what conditions they have. there's a set of five different conditions, and once they indicate that, they won't -- you'll need to indicate on there your physician information -- name, telephone number -- but after that, you're enrolled in the smile away program. >> so you do this on-line? >> correct, it's all -- [inaudible] >> may i have, diane, would you come back to the microphone so that everybody can hear you? thanks. >> if you don't have kaiser, you don't -- most people don't have a phone number for your physician because you just get the call center. >> right, and that's -- that's perfectly fine. you can certainly just put on there that your physician's name -- >> can you come forward to the microphone? >> yeah, so you don't need to --
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if you don't have their phone number, that's fine. you can use kaiser's just toll free number, as long as you indicate the physician's name on-line. if you don't have access to the on-line, you can contact our customer service line, and they can do the enrollment for you. >> okay. this has been said here today. my concern would be how do we communicate this more broadly to others that are going to be dealing with this in open enrollment? >> yeah. we'll take this back and add some information to our processes. >> thank you. >> i'm a temporary helping out sharon who's your account manager, so i'll make sure she knows and she can reach out to the appropriate people. >> thank you very much. >> thank you. >> okay. >> good afternoon, commissioners, claire zavonsky, retired workers of the city and
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county, zcsf. i just wanted to thank lisa o'campo and all of the staff that really worked hard at helping us put together a really incredible fair yesterday at the scottish rite rcsf. i actually saw a few active employees coming in because they were in the appropriate uniforms of their positions. so i don't know how many flu shots we gave out, but i think that just about everybody got them. and it was really a well put together and very well organized health fair, and i just want to thank the health service staff, mitchell, abby, lisa, and everybody from well-being that participated yesterday. it was wonderful, and we even got some exercises in. so it was a perfect day, and we thank you all very much and look forward to next year, doing even better. thanks. >> okay. any public -- public comment?
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public comment closed. item number three, please. >> item three, discussion item. president's report, president breslin. >> i have nothing to report. is there any public comment on this item? all right. item number four, please. >> item four, discussion item, director's report, executive director jand. >> good afternoon. it is open enrollment month, and i am informed as of today, we've had 3,757 calls, 1,068 applications have been received. over 400 of those are already processed. we had good news, too, early on, about the self-service. folks were using it, and that seems to be going very well. haven't had any major glitches with the self-service, so that's very promising, and we'll keep
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you posted on that. we will, today, be talking about the strategic plans and i'll skip over that. and what i would like to jump to, though, however, is the november education forum. we did receive feedback from -- on a survey that we sent tot board members about what topics would be of interest to this board, and about 70 to 100% of the ratings vary from interested to extremely interested in. one is under the rubrick of care navigation, health care navigation. the second is primary care medical homes is the second topic, and the third is pavement reform, so we're working on getting subject matter experts to help us with our presentations on november 8th. and so that's -- and the other
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subjects, there really wasn't a -- they were all pretty tight across the board. so we have many other topics to learn, and we'll look for ways to integrate that into future board meetings throughout the year. t the -- and also in your packet was the list of all the farirs and the outreach that the department is doing. there's events daily throughout the month, so the staff is super busy, and i have to say that they seem like they're enjoying it, and i stopped by. our beautiful lobby is quite full very often these days, so -- and we've got some of the newer staff that are on board or acting as receptionists, and we've gotten some really great comments about their ability to make people feel welcome and
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comfortable even though they come in and do the math and figure out how long they're going to need to wait, they seem very satisfied about what's going on there. so we're still wrapping up the dependant eligibility verification audit, and we did bring that in house, and are working on the -- on the final appeals process that we're in sort of a second appeal stage. we are also considering how -- what we do with the folks that have not responded to the audit. we have had concerns about people who have found out about it very late or found out about the fact that their dependent has been dropped after getting a bill and used services. that's always unpleasant and disconcerting, so we're taking all that into consideration and intend on providing a full
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report to this board in december on the whole process and the lessons learned and what our recommendations will be to address this concern on a going-forward basis. and i think that's it for the director's report for today. any questions? >> any questions? >> yes. so the report in december will also include the resolution -- how those issues were resolved, when people missed the deadline for including the dependent and got bills and all that, so there'll be a full report on that, as well? >> yeah. and to date, correct me if i am wrong, mitchell, but when those things have been brought to our attention and we've been able to receive adequate verification documentation, there have been reinstated back to the july 28
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date. >> good. >> all right. any public comment on this item? this is the director's report. come forward. >> yes. i thought that was a very good report. i thought it was really good to have a chance to talk to -- >> could you identify yourself? >> my name is mike delaine. retired fireman, fireman for 36 years, wife kicked off the health care. i also want to give credit to mr. riggs. those are the only two living people to contact me. now, i understand, there's a problem in trying to get the people who have done bad on health care to try to weed them out, but the people who have done good, myself being one for 36 years, i think it's a tragedy, even if you affect one person out. hundreds of thousands of people -- out of the hundreds of
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thousands of people that are affected by health care. you guys have a member statement that say we are committed to members, we treat members with respect. we are responsible for our work. i'd like to know who was responsible, but i really like the last bullet point, where it says we have fun and we maintain our sense of humor. it's not fun for me to maintain my sense of humor when my wife it taken off the health care. abby, i know you have a tough job, but if you affect 100,000 of the people doing something wrong, that's something. i've run into eight people in the last month who have been kicked off of health care. not trying to find them. as she mentioned earlier, one of them was a person that broke their hand, wife didn't know she was kicked off until he received a bill. so please take a look at this, hopefully, this won't happen in the future. thank you for having the
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patience to listen to my pain in the butt self. thank you. >> thank you. next public comment? >> nice new cell phone. this is my week. found a laptop yesterday, and a credit card, and a cell phone today, hey, hey, hey. got a new job. i just want to -- claire zonsky. i just wanted to mention that one of the problems that i had when i was on the board was a lot of times, members don't open their packets, and they don't open their mail, even when it comes -- says it comes from health service. we send out those notices,
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letters, and it's clearly identified from us, but people put it aside. they'll get to it later, and later is when they get the bill for services. but the reason i really came up here was that little brain farther here, i forgot to also -- brain fart here, i forgot to also say for all the vendors that were there yesterday, we had u.h.c. and kaiser, we had both health service open enrollment, and well-being, we had delta dental, v.s.p. best doctors showed up, and that's always interesting. then, we always have something with regard to retirement. all the vendors, everybody had a very full day, and i just want to thank everyone for coming to our open enrollment, and also remind us that whatever it takes, i don't know. we've made the envelopes flashier, we've put notices onto open immediately. i think health service has done all it could to attract attention of our members to open those envelopes when they arrive, and we'll just keep on doing what we do, but thank you all. i know it's difficult and trying for the staff, as well, but we appreciate all the efforts. thank you. >> all right.
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item number five, please. >> item number five, action item. san francisco health service systems strategic plan, plan years 2020, 20 -- technically 2022, my typo, executive director yant. >> good afternoon, again, commissioners. thank you for having us here today and meeting in october. i know this is not usual, and appreciate your attention, and allowing us to come forward with final recommendations for our strategic plan for the next several years. this has been a -- a really terrific process that we have gone through, and we acknowledge in the front of the report that, you know, it's really taken a village and really helped us out kicking off with the blue sky date back in june when our heads were filled on subject matter experts, all the new innovations that are taking place on health care. we -- also, then, we took that and our leadership term at sfhss met many times over the ensuing months to consider all of that information and the work that we had before so that we could design this strategic plan. and then, also, towards the end of the process, we also took the time to have all staff meetings on the strategic plan to ensure their input and that staff can see their role in the input plan and also did a number of stakeholder sessions with some of our members to get their input. and that is very informative and very well received, that people were being invited in to talk about what is important to them. so the process has been very comprehensive and has taken a
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bit of time, but i think it always yields a stronger product when we all work together, so i do appreciate the board helping us kick that off last june. and so we'll -- i'll just walk-through the plan. there's -- that we changed the format rather dramatically since you last saw this, but the content is essentially the same with some edits here and there, so i'll just walk-through it at a high level and give you the highlights. and then, subsequent to me talking, laticia here at our side will talk a little bit about the work that we've taken this into sort of the next phase of implementation and developed a work plan with our team on how we'll carry out the developments in the strategic plan, and then, also, subsequent to our presentation, you will also hear from pamela on revisions to our sustainability fund budget
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midyear that we are -- and this was very much a surprise to me. i come from a rather austere environments where i'm used to doing strategic plans without a budget, so it was really sweet as we got through this to realize we had some funds that we could reallocate and use it to realize some other objectives in the plan, and i look forward to hearing about that, as well. so in the plan, we did restate the mission vision and values that -- the mission and vision is a restated from prior strategic plans, and then, we revisited or values and restated them as the way we're feeling them today. respect value, inclusivity, and collaboration. if you go to page four of the strategic plan, we have our -- our graphic design has been very
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helpful to sort of take a snapshot of how we take the strategic plan, the mission cores being in the center, peace, the strategic goals in very short form read affordable and sustainable, reduce fragmentity and collaboration, our membership, recognizing that choice and flexibility is very important and really taking a look at the whole person in health and well-being. this is a big shift in the way that we do our work of looking at people solely when they're ill or injured. we look at them across their life course. as the health system really takes care of people from early days of active employment and well into their senior years. it's very important to take that life course consideration 'cause our needs change over time. and then, we've wrapped -- we wrapped around all of us the organizational excellence of the
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health service system staff itself, that we're very committed to carrying out the objectives and stepping up the game and already well -- very well run operation that was just -- i consider myself blessed every day that it's as strong as it is, and i hope to just continue to strengthen the organization as we move forward. one of the areas that i -- we did spend quite a bit of time on developing that may seem like a lot of words on a page, but i think this, again, is where process is very important is these guiding principles on page six. this is the type of document that i think that we will find ours referring to as we develop designs and plans and recommendations to bring to the board because we want to operate within these guardrails, and so we've had a lot of discussion internally about what those guardrails are in each of these categories, and i won't read them to you again, but when we come back, and we start wandering, you know, i think we need to hold each other in check
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that we're -- really, in order to get through the strategic plan, we're going to try to stay within the guardrails that we've designed here, because it's very easy to lose focus in this complex world that we live in with all the external pressures, so i think the guard rails will be very helpful in that regard. page seven of the plan, again, takes that life cycle, that health cycle view of things. i think all of us can see where we fit in this. one place one day and another place another day, quite frankly, so it's important that we recognize that, you know, we're living, changing organisms for sure, and the way that we interact with health delivery needs to reflect that, as well. and then, just again, we go through the goals at -- on pages 8 -- 8 through 12, really taking this -- this hard look at
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retaining affordable and sustainable health care and some of the educational areas that we mentioned are going to be important for us to really look at how we pay for health care, so payment reform is very alive and well. that whole discussion will be important for us to all understand what options are out there and being developed, and how health care is being paid for in different arenas, and what's working and not working. much of this is experimental, but c.m.s. is making a lot of exchanges, and what c.m.s. does eventually rolls down in the commercial world, so we need to be staying on top of that game. reducing complexity and flamt -- fragmentation is also important
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to the health care system and getting through the right place at the right time. the educational topic that we'll be doing around care coordination is important. there's a lot of pilot programs that are going on, trying to determine, really, what is -- what is best ways to do this, and there certainly is not going to be a silver bullet of any one way. it goes back to the fact that we are all so different at different points in our lives and what is the best way to keep us engaged in our health care and in getting the right kind of support. which folds nicely into the next strategic goal on engagement and support and learning different ways of doing that. and we've talked here today already about different ways, traditional ways that we've engaged our members, whether it's mailing an e-mail, etc. [please stand by]
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-- and perhaps even a shorter life. so i think it's really important, an important value, that we learn how to do that and the city and county is certainly not a single employer. we have many different departments and many jobs and there's no one way to do that either. moving into the initiatives that we have in the plan year, we've condensed them on a couple of pitches here. what we'll be looking here in the very near future, i wanted to draw to your attention that, you will not be seeing here today the request for proposal for our medical plans.
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we considered bringing that forward at this point in time but have had to recognize that that is such a volumeness job to do that we can do a better job if we postpone it until the spring. so we will be doing that. and so it will not -- if we -- depending on the comprehensiveness of that initiative will not affect 2020 year but will affect 2021. that does put the pressure on us to address the city plan issue. we know that. we recognize that. and so that's part of our near future initiatives, addressing the city plan now and perhaps a larger r.f.p. for the 2021 year. what we will be doing shortly, and i will let michael talk to this more specifically, we will do an r.f.i. to look at the different tools in the marketplace that we will