an outcome based framework for department leadership so we can roll up program data across the scenes. and the motto is to scale. t.l.c. is one example program, but the framework we leverage can scale across lots of different programs and services with a consistent feedback loop with the operating teams through recreation and park. leveraging demographic data of where the events take place, as well as a participant demographic data of home addresses and school partners pick the engagement hours that the services are tied to, the tennis, the rigourous academic tutoring, and the affordability. hamilton recreation growing up was 100% free, of those connections that i built with my friends and family carried through through high school and college. so having those affordable programs that are high-quality, critical, academic impact -- this was the leadership team saying these are the focus areas these are the services we are

delivering, so we will look at average daily attendance, as well as additional metrics around academic, math, pe, english language arts, test scores. we looked at development for returning students at betty and ong, and 11% increase from year one to year two. we focused on average daily attendance. in the world of education, these numbers are around seven additional days of classroom and are a really big deal, not only for the kids, performing school revenue perspective. having kids in seats is a really

important component. what t.l.c. has done, and our team is visiting the program sites, the t.l.c. operating program have great relationships with the tools. part of the approach is working with school leaders and outlining what is impacting success look like, between schools and service providers, and hamilton recreation, some example snapshots here relative to access -- where these participants -- where are these participants coming from? this ties to looking at data relative to logistics and travel , as well as -- how do we track it on a consistent basis over time. they are showing proficiency levels across different academic indicators. showing this is who we are serving. what is great is when you use a growth model around percentage,

if language arts test scores as part of the intervention and other program delivery, let's track that over time and map that to the engagement data, county sessions, company hours, and curriculum being provided so we can leverage this with the program staff, not only from a storytelling perspective, but making sure there are tweaks to the program and tracking those outcomes over time, and working with school leadership on a consistent basis. retention here, how do you leverage this data across recreation and parks programs? this is one example of a program collaborative approach of the team is bringing, the data should be leveraged internally from professional development as well as testing different program models and tweaks that take place over time. what is next, relative to our partnership, and specifically t.l.c., we are launching all of this data into available dashboards. that can be leveraged for

goalsetting. we will scale our partnership up so we have identified five additional programs that will be leveraging this data model as a partner in san francisco, and collective impact using this data to drive improved programs, but the philanthropic wing that is really interested in access, equity, education and health. leveraging information around impact collateral and marketing will be part of it, and that is what we are up to. >> public comment anyone? is there any public comment on this item? okay. >> thank you very much. >> public comment is closed. >> just a really quick question. you referenced the partnership with the schools. just a little more of what that looks like. i get is fantastic, but i am just curious. >> the alignment between service providers and school and district is absolutely critical, and so some of the challenges that we have seen on the program

services side is being able to access data. it is one thing to outline framework with the providers, but we need to make sure that data is available. engagement data, types of services of data is available. we can leverage relationships with the district and take these academic indicators, upload it, and leverage it into dashboards and map it back to service providers. they are aligning with what their goals are when service providers and it is critical for the kids and families in leveraging data. >> awesome. >> just share a little bit about the work you are doing about the school district. >> we are focused on athletics and in school music programming. we have multiple foundations where partners are focusing on access and equity for in school work -- programs. the funding sources are delivering resources to the districts, and we are leveraging data and base lining access and equity for music programs. athletics is also the quote court focus.

looking at dropout prevention rates and academic outcomes, kids involved with high-quality programs with mentors who care, where they're on a consistent basis, looking at that data is driving policy work, as well as philanthropic funding. those two examples are philadelphia-based. >> i really wanted to thank drew and his team. i want to make it very clear, this is very low bone no work that they're doing for us because this is their hometown and drew is so committed to the city and to our organization. this is a very, very powerful staff. other parks departments aren't doing this. we created this new program, t.l.c. as a feeder system into the new golden gate park tennis courts and we were trying to figure out how do we know whether it is working? and that is how we embarked on this relationship with metrics.

we are going to expand and measure other types of programs, and this is only the beginning, but we are now -- we have launched into the impact and outcome model of recreation. >> thank you very much. thank you for the presentation. >> as a reminder, that was discussion only. we are now in item 12, which is general public comment continued is there anyone who did not speak on item four that would like to make general public comment? okay, seeing then, this item is closed. we are now on item 13, closed session. is there anyone who would like to make public comment on closed session? being none, public comment is closed. commissioners, we do need a motion and a second to go into closed session. >> all those in favor? >> i'm asked. >> if we could ask everyone to

pleas leave, we will >> we are back from closed session. there is a motion on whether to report anything from closed session, and after that we will need a motion and a vote to disclose any or all discussions in closed session. there was a motion on whether you want to report the actions taken. >> motion to not report. is there a second? all those in favor? aye. >> the second is a motion on whether to disclose any or all discussions held in closed session. >> move not to disclose. >> second. >> moved and seconded. so moved. >> great. now we are on commissioner judge up matters. are there any matters?

>> did you want -- >> yeah. >> go ahead. just a question related to the public comment reader on jackson >> just as a reminder for those who will come up later, there cannot be discussion on that right now. if there is an item that you want to explore, this is what that time period is for. >> can i do it in new business. >> i will wait. anyone else who wants to do commissioner matters? >> you tell me where to put this not on the issue -- put on the issue of the bond. >> i'm not asking for a conversation now, button update on. >> that is perfect for now. that is what you are requesting.

do you want to conversation on the bond? do you want it back to commission? >> a conversation back on the bond. >> we gave you an update on the capital planning committee and we voted to move. you got an update in writing on the capital planning date to november of 20 for information about when we would begin outreach, but there are no new developments. >> okay. as a reminder, this is not for discussion. >> no update. anyone else? okay. so is there any public comment on this? public comment is closed. the next item is new business agenda setting. >> i had a question on the earlier public comment about the jackson playground and if that is on the rater or not or if there is any merit to the fact has it been upgraded since 1912. >> i'm happy to have a conversation with you, i'm very

much on the radar, that was community advocacy and there is a long history and story to it and it ties into our bond buying process that will take place in anticipation of the november 20 th bond. >> thank you. is there any public comment on this item? public comment is closed. we are now on item 16, communications. any public comment? next one is adjournment. >> moved to adjourn. >> second. >> so moved. >> thank you, commissioners. >> good job, everybody.

>> welcome. i am the general manager of the recreation and park department. welcome to our fixer-upper. in all seriousness, we are pleased to welcome you today to the future site of what is truly going to be an amazing space, a space of health, a space of equity, a space that connects neighborhoods, a space of place, a space that respects the cultural history of the bayview, india basin park.

i am thrilled to be able to introduce someone who is committed to equity, to environmental justice, to housing for everyone, to livable and healthy communities for everyone. it's been absolutely invaluable to our project. we thank her for her leadership. we thank you for being our parts champion. you're mayor, london breed. >> thank you. >> thank you. good afternoon, bayview hunter's point. i am so excited to be here. at this time, i also want to acknowledge some of our elected leaders who are joining us here today. our treasurer, thank you for being here. our new public defender, thank you so much for being here, and i know -- there you are. schumann in walton, supervisor is here. [cheers and applause]

>> i'm so excited about this project and what we are doing to support this community, because for so many years, many of you who live in this community, you have lived here, and often times , he probably felt as though you were being neglected, that this community was being neglected. it took us so long to get the work done at west point, but we got the work done -- joyce armstrong. it took us so long to really focus in on this particular area , and to address what we know has been environmental injustice in this community. we know that there is a lot of work that needs to be done, and we know it takes a lot of money to get that work done. the city and county of san francisco is committed to transforming unity, not for the people who are going to move here, before the people who live here. [applause]

back in november, i signed the legislation for the india basin development agreement, and part of that agreement is, yes, 1500 new units with 25% of those units below market rate. yes, it is 200 square feet of possible commercial space, transportation and infrastructure improvements so that our people who are walking the streets and biking in this community can feel safe, and of course, 14 acres of public open space along our waterfront. finally, the rest of the city is seeing what we know has existed for so long, the beautiful views of the bayview hunter's points community. but this project is more than just about building buildings. it is about creating a park, supporting and sustaining the

existing community. it is about a complete community , and as our city grows , we have to find more ways to make sure that all of our communities are equitable. that all of our communities are diverse, and that we don't continue to make many of the same mistakes that we had in the past with the western edition community where we lost the thriving african-american community. part of the restoring of this open area is to make sure that the neglected -- the neglect that has occurred for far too long is remedied, and doing so, we can ensure that all of our residents come together and to be part this amazing community. there are thousands of new homes that already exist that are planned within miles of this area. this open space will serve them first and foremost, along with the residents from across the city.

there are so many benefits, as we know, to have an incredible -- to have incredible spaces like this. safe spaces for residents to gather, to exercise, to enjoy one another's company, create better communities. we will restore our environment and protect our natural habitat in this area, and at the same time, plan for sealevel rise. this space will preserve the rich history of the bayview hunter's points community, which is one of san francisco's oldest and most culturally significant communities. it will provide job opportunities for the residents who live here, we are going to prepare them so that they have access to work on this site. [applause] >> to reach these goals, we need community involvement, which has been strong and supportive from the beginning, but we also need funding. so that's why today, i am so

thrilled to announce that we have secured $25 million as a result of a generous, generous contribution the john frisk or family foundation to kickstart this project. these funds will support the initial phases of this project, including design and remediation , as well as community engagement and a portion of construction that was chosen as a place to give one of the single largest gifts san francisco project is completed,

so we have to get started sooner rather than later, and there is still more work to be done, with a view hunter's points community , i have to tell you, i can't tell you how happy i am that the work that went into this a reality, it means so much , and i want to acknowledge the hard work of the san francisco creation and park department. thank you to the leadership of phil ginsburg. thank you to the president of the commission for his tireless work on behalf of the city and

the recreation and parks department i am just so thrilled so excited, now it is time that we get to work and make this the most incredible, beautiful waterfront anywhere in the city and county of the school. thank you all so much for being here today. [applause] >> that works for me, because i was going to say, we don't just want breed to be alive when this project is done, we want her to still be in office when this project is done. [laughter] >> i would next like to introduce someone who has been such a champion for open space and equity, even before he took office, he is actually a member, was a member of the india basin open space task that worked with us, and the india basin neighborhood association, and the myriad of community groups to help us design and think about this space.

his predecessor on the board, who is now the chair of the board of equalization, a former supervisor, malia cone was one of the chairs of the task force, and now supervisor walton is picking up the mantle and running with it. it is my pleasure to introduce supervisor shimon boulton -- supervisor walton. >> good afternoon. welcome to the southeast sector of san francisco, welcome to bayview, welcome to india basin where we have always known that the sun always shines. what you see here today is one of the most amazing gems that we have in district ten, and for the next four years, next eight years, next 20 years, next 13 years, we will continue to highlight the beauty of district ten, the beauty of the southeast sector of san francisco, not only because we know how amazing it is, but because we deserve it , and we deserve to make sure

that everyone knows that we are here. thank you for coming out today. [applause] >> i definitely want to acknowledge our board of education members. thank you for showing up. we also have commissioner richardson and i will be remiss if i did not mention a long-term resident geo- fox who worked hard to make sure that we highlighted india basin, highlighted its beauty, and thank you for being out here today. like mayor breed said, projects like this happen because we need the resources to get it done. of course, we want to thank our donor we want to say that donations like that allow us the opportunity to make sure we take care of all of our parks here in district ten. we will make sure that the beauty of the southeast sector that we all imagined, that we have already known for so many decades and so many decades is

realized, and we will do it quickly, and do it sooner rather than later, and i also have to, and i know she will come up and speak, but i want to thank jackie flynn for being a champion, not only for parks, but also for young people who have access to our parks. if you look around you, this is a connection to the water, and we don't do enough water activities here on this side of town because we haven't had the same level of access, even though we have the beautiful waterfront. is a lookout here is a seat more young folks here, this is a time for us to get excited about what is to come and what is here in the southeast sector. i want to thank director ginsburg for continuously pushing for this to happen, and i want to thank all of you for being here as we realize this dream together, a beautiful, amazing park right here in the southeast sector attached to the water. thank you. [applause]

>> thank you, supervisor walton. next i would like to introduce, a supervisor walton already acknowledged, an extraordinary advocate. not just for the bayview hunter 's points community, but for open space, for recreation, for health, for community, her organization ensures the neighborhood projects truly benefit neighborhood people. it is my pleasure to welcome jackie flynn, the executive director of the eight philip randolph institute. [cheers and applause] >> one of my fondest memories is this very shoreline. i was out here with my father. when i was a teenager, i was a little bit of a rebel, very independent, and a little stubborn at times, so to keep us out of trouble, me and and my brother does, he would wake us up early every saturday morning and make us come work for a

p.r.i. i had no idea how important our job was. i only knew that at the end of the day, he owed me $20 cash as soon as we were done. so one saturday morning, he took me up to northridge. if you drive across northridge, you guys will all see this view from above, so encourage you to go up there after this if you haven't gone. he asked me to look out and just see how beautiful the shoreline was, and imagine and dream about what this place could be in the future. at that time, i had no idea how much those moments would impact my life today, fast-forward 25 years, and i now serve as executive director of the fill randall institute. i'm very proud to stand alongside my mayor and my supervisor because we are the community leaders that you all dreamed of. this project will create opportunity we could have never imagined 25 years ago, from jobs

, to economy and local business ventures, to social and economic, as well as environmental justice that this community deserves. this project will give back what is way more than then past due in bayview. bayview wants space, beautiful, well-maintained parks and open space that allow all of our families to grow. this project is for all of our kids who dare to dream and all the families that may face challenges, but hold hope in their hearts. thank you mayor breed, thank you supervisor walton and phil ginsburg, special thank you to another true community leader that couldn't be here, but her team is here, and that his former supervisor malia cone. >> thank you, jackie. in closing, it is a wonderful gathering, it shows how much depth and how much excitement

and how much collaboration and community wants this project to happen. we can't thank each and every one of you, and we want to particularly knowledge some of the people who have been deeply involved in the project. we have a number of department heads here today. to all of my colleagues, thank you very much for your support. i want to acknowledge debbie, this is an environmental justice project. i want to acknowledge john around for being an executive champion, and the department of economic and workforce -- workforce development that has helped us every step of the way. a lot of electives have been acknowledged. and then of course, our park partners, the trust for public.

we will get this done. congratulations. to the india basin task force and all of the representatives who have participated in a. five years of planning, special shout out to hunter's point family, the neighborhood association, young community developers, literacy for environmental justice, project level, and morgan heights neighborhood. thank you very much. and no doubt, we are leaving folks out because this project has depth. finally, a very important thank you to the recreation and park team, a special shout out to stacy bradley who helped us acquire this piece of property. and to nicole who has taken this very challenging project and keeps driving it and driving it and driving it and won't let it

quit. and last but not least, we get direction from our mayor, from our board of supervisors, and from our commission. demark you will, tom harrison, cat tenders, anderson and the entire commission, thank you for your faith in us and your leadership. let's build a park. thank you very much. [applause]

>> good afternoon. the commission will please come order and the sshth -- secretary will call the roll. >> clerk: [roll call] . the second item is for the approval of the minutes. >> commissioner: move approval. >> second. >> commissioner: any correction to the minutes? seeing none all in favor say aye. all opposed. the minutes have been approved. next item. >> clerk: item three is the director's report.

>> good afternoon, commissioners, director of health. a few things to highlight in the director's report. i report on the three measles cases in the area. thankfully we haven't had more cases and it was a contained situation and it's a good reminder all are up to date on their vaccination. one of the key issues with the health department is employee engagement and responding to employee's needs. in order to do that we need to know what employees think about the department and what the challenges are. our employee engagement survey sup to 66% as of today, which is twice the response rate from the past. a nice job from h.r. in moving that piece forward. i also wanted to and will ask

i.t. to give an update on the server incident at the end of session and want to note the sad passing of a lieu -- laguna honda employee who was killed in an automobile accident leaving laguna honda. he was a reporter for the environmental services department and he was an exceptional performer. he joined laguna honda in 2017 and carried out his responsibilities well and earned respect from his peers throughout the hospital and unfortunately he leaves his family. there were services held at laguna honda and we mourn when the department loses one of its own. it also highlight the importance of the vision zero work has been

co-led by the health department and you'll hear more about that work in the presentation today. but i am pleased we'll be working with mta to install a speed radar device at the intersection where unfortunately this death occurred. again, one death is too much but we continue to make progress and our condolence to mr. carasco's family. and some highlights on breaking news with regard to regulation and control of e-scigarettes. sales and consumption in san francisco the city attorney announced potential legislation and legal action to basically

ban e-cigarette sales in san francisco spending s.t.a. oversight and approval of any e-cigarette devices. you recall f.d.a.'s been looking at e-cigarettes for years now and has not made a final decision on their acceptability. san francisco is once again leading in regard to the public health issue as you'll recall a generation of youth are being addicted to nicotine and it has harmful effects on brain development. micro particles are harmful through vaping alone and it's a gateway drug to tobacco addiction. excited in seeing how the legislation unfolds and i'll come back to the commission and report in more detail on that on another date. going back to the server incident summary. i've asked acting chief

information officer to give you a brief summary and answer any of your questions. >> good afternoon, commissioners. so i do have a vim -- summary that was written up and will give you more detail to any questions you have. march 2 we experienced a widespread outage when a room overheated it's more of a temperature incident that resulted in servers going down. the outage depended between three and six hours and it depended on the application in effect. the outage resulted from a chiller failure. the chiller did not fail over to a secondary. there are three and it should have failed over tie third if that didn't work. there's a series of alert systems that alert i.t. when adverse conditions happen such as temperature. that's only one of the

conditions. one alert is a horn that sounds in the engineering room. the second is an alarm on the facility's automated panel. a third is messaging and e-mailing alerts to i.t. and a fourth is an alert that just goes to i.t. the first three alerts failed, the fourth alert generated an alert to the server team manager who called the team on duty and notified i.t. and others of the issue at zuckerberg. they turned on the second chiller and at 7:00 a.m. the system cooled and they brought the system back up. systems did not fail at 3:00 a.m. they didn't just start going off. it took a while for the room to heat up. some of the rooms reached high temperatures so the system shut down.

the majority of systems within the room did stay up. nonetheless, critical systems were not available between two and a half and five and a half hours. one was not verified as functional until 5:30 p.m. and required repair the following monday. i.t. are in the process of updating alarm notifications and procedures and retrain teams and the alert will be brought to procedure by end of june. facilities is still working on why the chiller did not fail over as there's been ongoing issues with the same chiller. faciliti facilities and i.t. reviewed the time line and looked at practices an improvements that have surface and will be managed in upcoming planning.

we're meeting with the public health emergency preparedness group and will do an after-action report april 19 and then we will have a recommendation within 90 days. i do want to say that while no system downtime is opportune, there's issues from the initial data center rebuild three years ago. i.t. has spent hundreds of hours refreshing antiquated hardware but the data center has remained on a back burner. the seriousness of not only the alert failures but the urgency of a had the site for critical applications is necessary. we did this for epic. it's hot and redundant and will reprioritize plans nor systems. do you have questions for me? >> yes, was there any damage to the servers or data loss? >> we did not lose data but what

we think is damaged because we've had failures on boards and systems within the data center. >> will that require replacement or can it be repaired? >> we've been doing that and they're under maintenance agreements but we've been doing it as it occurs. it's difficult to determine what the stress did in terms of long get of the systems. >> thank you. -- longevity of the systems. >> thank you. >> were there any operational issues at the hospital they were prepared to put into action and therefore patient care itself was able to continue? in other words, during this information was or was not available and does the hospital itself have preparations because we never know what will finally

happen. there could be a major san andreas event and no matter how many servers and alerts we have and wonder if the hospital has contingencies when we don't have the availability of the system? >> we do and it's part of the peptic planning. when we go down critical things like medications are backed up and put on to local computers ran on a generator so nurses can no what medications were given previously and there's manual planning. there's a plan for downtime. they have downtime parentheses to follow and they activated a hospital incident command center, and we were in touch with an officer on duty during this time.

my understanding is there was nothing suffered in patient care during that time. >> commissioner: thank you. any other questions? thank you for that and we're looking forward to seeing that all get back into order and you get all the backups. >> i'll be back here april 16, i believe. i'll give you at least the status at this point in time. >> commissioner: thank you, very good. any further questions to the director, please? director, your very clear we'll go to the next report. >> clerk: there were no public comment comments and item four is public comment and i have not received general comment requests. we can move to item 5 a report back from today's community and public health committee.

>> >> very good. commissioner royce. >> we have two updates from the syringe exchange program and from substance abuse services and the syringe data program we learned three important issues. one, the can i -- kiosk collection increased and there are three navigation centers and nine disposable box and smaller for syringes out in the community. the san francisco aids foundation has created a pick up crew you can get through text messages and the crew began july 18 of 2018 and they have collected 90,000 syringes in the first six months of the program and the san francisco youth foundation pick up crew receives these messages via telephone and

through text. they usually arrive at the pick up site within 58 minutes. once they arrived on site, they take a picture and when they cleaned the area they take a picture and send it back to the person who texted them. commissioner brown do you have any comments? >> one thing i'd add to the presentation about the needle exchange is the number of new hiv infections from people who inject drugs dropped from 2010 to 2016. it's been an effective program. there may be other factors involved such as adherence to antiv antivet -- antiretrovirals but also i wanted to add the phone number you just mentioned for folks to send a text to if they should see a syringe, the number

is 415-810-1337 if you see a syringe on the street or anywhere else. text to that number and they'll send back a photo showing it's cleared and the response time has been less than an hour. >> commissioner: other questions of commissioners? >> when they commented on the fact that it was better to have the current syringe program without a 1 to 1 exchange, i wonder if they shared the additional information because it had been a contentious issue in the past about yes, we should have needle exchanges but they should be on a 1 to 1 basis. i thought that was a very

important point i didn't know if there was backup information people asking could site? >> what they stated at the meeting today opposed to a 1 on 1 which injection drug users if they're only doing 1 to 1 exchanges will typically not have enough to cover the use during a 24-hour period. many injecters inject four and five and six times a day. if they're 1 on 1, what will happen is they'll share needles and blood-born viruses can impact both the initial injecter and subsequent injecter if they don't have the opportunity to get new needles for every injection. they also do need-based exchanges. if i'm an injection drug use

earned come to an exchange site, i can tell them based on inquiries by the staff to know what i need between the course of today and next time i can get to a needle exchange site. >> commissioner: thank you very much. the second presentation? >> it was on the drug medi-cal program and the organized delivery system which looks at our substance abuse services and what it's qualifying for medi-cal reimbursement and i'll defer to my colleague to ad

anything he'd like. the highlights for the providers including residential treatment transitioning to drug medi-cal continuing care and if you're in drug treatment you don't just drop off. there's a referral to continuing services and there needs to be continuum of care for that population. because in the past particularly those in withdrawal programs just got dropped. they go through the withdrawal at a site and then they don't move to necessarily a residential trent -- treatment or longer-term facility. they're attempting to ensure people are moving from withdrawing to treatment programs. penetration rates compare favorably to state-wide ones which means these programs are getting involved in the

continuum of care and provider system available in san francisco and they have an external quality review operation which allows them to contact other folks to determine whether or not they're actually making inroads into this population and san francisco is greater than the statewide average. and we are are exceeding the time line to make it medi-cal eligible and i'll defer to my colleague for comments in relationship to this. >> they're setting a goal of

having medi-cal residential organization within 24 hours and then to have people authorized to be admitted in under 15 days. in both measures they had exceeded their goal significantly. the 24-hour authorization was a goal of 35% and the goal of 15-day admission was 75% and they have achieved 84%. >> commissioner: commissioners, any questions? i have one. when did this begin and hi'm looking forward to some sort of

a report like a year it had gone into existence to see how we've done. >> my recollection is 2017 by dr. martin so the data was a year and a half of data i believe around that. >> july 2017. >> commissioner: it sounds like a new way of working within a structure of payment because it began by saying this was a new model of withdrawal and i'm just wondering when it was felt we had put the new model in place. it could have been authorized in 2017. and there's some data here. is that sort of a year well not

really a year of data because it begins in july. is it july we began the program and it may be worthwhile to look at it in july and present to the full commission? >> i would agree that is true and would agree from start date to actual implementation, take some period of time and so we want to recognize it take some period of time and what they will do is if we asked them to come back, they will. i'm going defer to dr. colfax for additional comment. >> my question -- if there's a question when o.d.s. started in the department that was before i was here but there may be people who can answer to that and it's july the starting point was july of '18. i'm not sure if that's the start date or because we had enough data it was meaningful.

>> we can get the exact start date but there were certain metrics that had to be met by the largest providers initially so that took time. but we'll get the exact start date four and make sure every year we update. at the state level they're looking at o.d.s. and looking to incorporate that. >> excellent. i think as the report seems to show, this is really progress towards the continuity of care for the withdrawal patients and it would be really good to see how well this is coming along a year after it's been in operation. thank you. commissioner green. >> i wondered if you have projects about the outcome of adding almost double the number of residential step-down beds. is there anticipation of the

penetration rate and what outcomes you'll see and when? >> one thing we're noticing is it gets stuck because the lower levels of care are an issue and house. we're hoping to see more people take up the space but that's a data point we'll be able to track. >> commissioner: thank you. any other questions? if not we'll then move on to our -- thank you, commissioner loyce. sounds like you had an important meeting of very important topics and we'll move to the next -- >> clerk: there were no public comment requests for that item. item sex is the commissioner health elections. >> commissioner: several of our members are absent and i'd like a motion to request that we be the postpone the election

according to rules and regulations is supposed to be the second meeting in march to the first meeting of april. >> so moved. >> commissioner: is there a second? >> second. >> commissioner: all in favor say aye. the election will then be held april 2. thank you. >> clerk: thank you, commissioners. item seven is the second hearing. actually could ever turn off your phones whoever that is may be and the next is on the 20 budget. >> good afternoon, commissioners, greg wag ner, chief financial officer. i'll start with context and turn

it over to budget director jenny louie. as you know in the past this year as we have in the past during two hearings on the budget. the first occurred last month and so this is the second of the two. i would have normally have had this meeting in late february but of course the schedule due to some decision making and of course director colfax joining us and wanting to spend time on the budget before coming to the commission. we're requesting initiatives today we'll forward to the mayor's office and we'll enter into the next phase of the budget process for reviewing wa we submitted and having

conversations with the department about priorities for other potential initiatives added in the mayor's space. so we have a lot of things going on financially in the department. one of the things i just want to point out that came up in the prior conversation is that there are a set of initiatives in front of you today but there are also a lot of other things happening in terms of our budget and finances in the department and i just want to point those out and acknowledge the fact that there are a lot of these things happening since you'll be voting on some things today but that's not the entire context. the mayor and mayor's office have been active on behavioral health needs. a lot of those directed toward individuals experiencing homelessness in the city. the result has been significant

new funding for the department and a number of new initiatives in the areas. we talked about the o.d.s. waiver. there's funding that the mayor submitted to the board and the board has approved for 72 new substance abuse step-down recovery beds. those are appropriated mid year and the current year from the dollars san francisco paid to the state over the formula requirement and were returned to the state. so those dollars are being appropriated in a supplemental appropriation in the current year and will be bridge funding to get us to the point where the legal issues around prop c are resolved and we can have continuing funding for similar programs hopefully under prop c. so 72 new substance abuse residential step down recovery beds and new beds at st. mary's

healing center. we opened that facility a year and a half ago and due to budget constraints we only had funding to purchase about 40 of the 54 beds available in that facility. with this additional funding being appropriated midyear we'll have an additional 14 beds available for us to access for our highest priority patients. we also just recently -- and you had seen it in your director's report but have submitted to the board a resolution requesting to accept and appropriate about $3.1 million in state funds. these are funds that came in the governor's budget and the focus of those funds will be to improve our outreach capacity to individuals, expand homelessness and provide infrastructure to support the city's healthy streets operation center which is the collaboration between departments to respond to calls

from the public around homeless individuals and street behavior and give us capacity to engage patients who are in psychiatric service at the campus and connect them to follow-up care. lastly, as you know, we opened an additional 15 beds at the humming bird program at the campus of zuckerberg san francisco general. there's lots of things happening budget wise and lots of new investment we think will allow us to move the needle on some of these activities and i want to acknowledge for the commission and public though those aren't on the items you're approving today there's items you've been involved with and have been pushing programs on multiple fronts including the budget that will be before you today. i'm going turn this over to jenny louie to go through the initiatives on the agenda

explicitly for you for request to approval for today. >> good afternoon, commissioners i'm with the dpa budget. for the items before you in terms of the second set of proposals, the first set is around revenues. we have the projected 2011 realignment and the county is responsible for maintaining the mental health services and we get a portion of the dollars realigned from the state. we've seen it in prior years before and now we're projecting an additional $3 million for services. then the back fill of funding losses is a loss in revenue. we've seen similar reductions in io