recently ruth learned she was suffering from kidney and heart failure and may not survive for long. on april 1, yesterday, as stated, mr. hen surrendered to

i.c.e. for deportation. he is currently detained. if he is deported he will be leaving his dying wife and a 3-year-old child. mr. hen is seeking a pardon from governor newsom and also asking the santa clara district attorney's office to join a motion to vacate his plea. either action will allow him to re-open his deportation or the and allow him to stay in the united states. the trump administration been breaking up families as a sanctuary city, we must stand up for the rights of our immigrant community and uphold our sanctuary city policy. i would also like to request to send a copy of this resolution to governor newsom and to the santa clara district attorney's office in support of pardoning mr. hen and others in a similar

situation as him. i only wish we could personally do more for the family in the southeast asian community. i wish we could reverse the order to deport. i wish i could personally remove trump from office and personally erase hate. we will stand with our immigrant community and stand against this injustice and hopefully we are successful in getting a pardon from the governor's office so we can re-open this and fight hard so mr. hen can remain in the united states as well as other southeast asian immigrants suffering from the same plight. >> thank you. supervisor peskin. >> thank you, supervisor yee. the reason i initially severed

this is to be added as a co-sponsor. in 1996 when this pass was and and subsequently questioned by the government of cambodia is the year i actually went to cambodia and went all around cambodia which is one of the most incredible countries in the world. a country we illegally bombed and created one of the largest humanitari humanitarian crises that happened at the hands of our nation. they are the kindest most wonderful people and when you break it, you buy it. and as a result we have many cambodian neighbors who are integral to our society and to members of mr. hen's family, my heart goes out to you. as technical matter, through the

president to supervisor walton, i think what you said is we need another further resolve this resolution should be communicated to the governor to the state of california. a former member of this body and former mayor of san francisco. we might even want to follow-up with a resolution which i think we have madame clerk, until noon tomorrow urging the governor to issue said pardon so the deportation case can be re-opened and i would be happy to work with supervisor walton to do that. i salutal -- salute all of you and you would like to be added as a co-sponsor. >> supervisor stefani. >> thank you, president yee. i'd also like to be added as a co-sponsor and so sorry to hear what your family is going through and a want to thank supervisor walton for bringing

this forward. >> i'd like to also be added as a co-sponsor. >> okay. with no objection, same house, same call. >> clerk: mr. president, i should call the item first for the record. item 35 is a resolution to respectfully urge the trump administration to stop the massive deportation of rehabilitation rehabilitationed formerly incarcerated asian national. >> same house, same call. the resolution is passed unanimously. madame clerk, call item 40. >> clerk: item 40.

supervisors convene in closed session on april 16, 2019, at 4:00 p.m., pursuant to california government code, section 54957.6, and san francisco administrative code, section 67.10(e), to confer with the mayor's office and the department of human resources regarding negotiations with labor unions representing city employees . >> we have a different house. supervisor pechgin has left tthe walton is absent. supervisor yee. >> aye. >> clerk: supervisor fewer. aye. supervisor haney. aye. m mendelman, aye. supervisor ronin. there are 10 ayes. the >> the motion is approved. can i ask we rescind the vote

for 41? is that any objection? seconded by supervisor peskin. with no objection, we'll rescind the vote. >> clerk: shall i read the item. >> was requested for closed session on labor negotiation april 16 to be scheduled for 4:00 p.m. can we have a motion to amend the motion to include the 4:00

p.m. time. >> so moved. >> motion made by supervisor peskin. is there a second? seconded by supervisor mandelman. let's are roll call because the house has changed. >> clerk: [roll call] >> commissioner: so we'll take a roll call. we're amending to include the 4:00 p.m. time for item 41 which

is the pg&e litigation. roll call, please. >> clerk: on the amendment to add -- >> i want clarification. i read out it would be april 16. is april 16 or april 9. >> clerk: april 9. >> i'm not talking about changing the day. i'm only talking about to include the 4:00 p.m. time. thank you. could i have a roll call on the amendment? >> clerk: on the amendment. [roll call]

there are 11 ayes. >> great. colleagues can we take this item as amended, same house, same call. without objection this resolution is adopted unanimously. >> clerk: closed session. >> commissioner: here we go. item 34. okay. colleagues, we are now not in closed session. >> clerk: i'll read item 34. scheduled to a motion approved march 5,2019. a motion which authorize the board of supervisors to convene a closed session for the purpose of conferring with or receiving advice regarding existing get

gation in the matters of the tax measures adopted by the voters in the june 5 municipal selection. public comment was satisfied in a previous meeting and today. >> members of the public. we ask you exit the chamber and sheriff please lock the dock behind them and >> we're back in open session. the board finds it's in the best interest that the board not disclose this closed session deliberations? motion made by fewer, and seconded by supervisor haney.

then without objection, we will not disclose our closed session deliberations. >> madame clerk, please read the in memoriams. >> today's meeting is you a adjourned on behalf of supervisor peskin for the late ray antonio, for president yee for the late calvert jang. on a motion made by president yee and on behalf of the entire board of supervisors for the late ms. madeleine co-tava. and are the made by president and the board of supervisors for the late mr. francisco shai. >> okay, that brings us to the end of the agenda. madame clerk, any further business >> that concludes our business

for today. >> we are adjourned. thank you.

good afternoon. the commission will please come to order. and the secretary will call the roll. >> commissioner guillermo? >> present. >> commissioner bernal? >> present. >> commissioner chow? >> present. >> i'm sorry. i missed commissioner loyce and

then commissioner chow. >> present. [laughter] >> i apologize. i can't see you. commissioner chung? >> present. >> commissioner green? >> present. >> actually the second item on the agenda is the approval of the march 19, 2019 minutes. >> the minutes before you, motion is in order. >> so moved. >> second. >> are there any questions to the minutes? if not, all in favor please say aye? >> aye. >> all those opposed? the minutes have been approved. >> thank you, commissioners. i'll note no public comment requests for that item. item 3 is a resolution honoring david sanchez. >> right. and clearly we got confused today, because dr. sanchez is no longer up here. >> yeah. [laughter] >> and we hope our secretary will get back in order. >> thank you, sir. i will. >> we would like to take a few

moments in order to recognize a colleague, who has been with us on the commission for over 22 years. and last meeting notified us that he was going to be leaving the commission. so we felt it was only proper that we have an opportunity to thank him for his many years of service with a resolution, which commissioners, is before you. and the resolution is one which i think warrants reading, because i think it speaks to who dr. sanchez is and what dr. sanchez meant to, not only the commission, but to the city. and so we've constructed a resolution, which says, and dr. sanchez is right there. would you like to stand, dr. sanchez, so we can recognize

you, please. dr. sanchez, thank you. [applause] and now you may sit, because recognizing that i'll have to read a number of things, because you were here for 22 years. and it says, during his long tenure on the health commission, he served as health commission vice president, the chair of laguna joint conference committee, the chair of the finance and planning committee, and as a member of zuckerberg san francisco general hospital joint conference and represented the health commission on the san francisco general hospital foundation. and, whereas, at each health commission meeting that he attended, dr. sanchez provided enthusiastic support for the san francisco department of public health, with particular interest around issues related to diversity, seniors and veterans.

and, whereas, he was a dedicated advocate and leader within san francisco for decades, even before joining the health commission, serving as president of the police commission and president of the board of education. and was also a member of the community college board, the san francisco foundation board of directors, and the california commission on aging. and, whereas, dr. sanchez devoted most of his professional career as a university of -- at the university of california as professor and a valued member of their administration, helping to connect the san francisco general hospital campus to the community, through development of vital programs, such as the child and adolescent support advocacy and resource center, known as kazar, urban health program and the latino assessment center. and whereas dr. sanchez is a produce proud, lifelong member of san francisco and a navy

veteran, be it resolved that the san francisco health commission honors dr. sanchez for his many years of dedicated public service, and for the impactful contributions he has made to the residents of the city and county of san francisco. this resolution i put before you, commissioners. is there a second? >> second. >> and at this time there are several people who would also like to speak on behalf of their -- for themselves and for their organizations. do we have that list? >> clerk: oh, how about if i call them. >> okay. why don't you please. >> dr. ehrlich. >> good afternoon, commissioners. i'm i'm the chief executive officer at zuckerberg hospital. on behalf of the s.f.c., i want to extend our deep gratitude for you for your years of service and to our community.

you served on the health commission for 22 years. and for much of that time, served on the sfgh and the zfgh joint commission at j.c.c. you've also served as a health commissions represent to the san francisco general hospital foundation board. and that's a really important spot there as well. you've been a tireless advocate for patients and for our community. i know you're informed about this, by being a lifelong resident of san francisco, a professor at ump cfc and having a deep history of advocacy that the resolution goes into so well. with that experience, you've always had a unique part of the j.c.c. in terms of how much you remind us of the history of all that we do, about the history we do and the perspective that that brings to where we are today. i just wanted to say how much i appreciate your deep respect for our team and the work we do and

what an advocate you've been for us. so please accept our deep thanks and gratitude for the incredible legacy that you have left with us. thank you very much. [applause] >> vick rosy. >> good afternoon, doctor, and president chow, vice president loyce and director and dr. colfax. on behalf of the laguna honda community, i have a gratitude note for you dr. sanchez, that i would like to read from our community. dear dr. sanchez, we are grateful for your time served on the health commission and on the laguna honda j.c.c. for the past 22 it years. we are grateful for being a proponent of laguna honda's work, as one of the supporting

san franciscans. we're grateful for your leadership in chairing the j.c.c., always with a welcoming demeanor for the members of the public, residents, patients, staff and volunteers. we are grateful for your support at the laguna honda rebuild project, starting with proposition a in 1999. and through our transition to the state-of-the-art hospital in 2010. we are grateful for always thinking about the community, as we celebrated laguna honda's 150-year celebration in 2016. your idea of having a flu vaccination station available for those attending the event could have an opportunity to also be ready for the flu season. i believe we provided over 80 flu shots on that day in octobe. we are grateful for reviewing

and approving thousands of policies and procedures, providing advice, guidance and feedback on strategic directions and tactical initiatives, to improve our services and quality for the residents we serve. we are grateful for the lasting impact you have made within the department, the network and especially on the laguna honda campus. thank you, dr. sanchez, for more than two decades of service and we appreciate the commitment you had in advocating for residents, staff, volunteers and partners on the laguna honda campus. we wish you much aloha from the laguna honda community. [applause] >> dr. critchfield. >> deputy commissioners and director, i'm president of u.c.f. and also the medical

director of risk mechanicment at zuckerberg san francisco medical and the chief cheer. i'm speaking with my experience, i have known dr. sanchez for 11 years now. he's on the j.c.c. i was the chief of staff for several years. and then i had the opportunity to bring the adverse events and root cause analysis cases to j.c.c. to present to dr. sanchez. i'm so pleased, first of all, that we had the opportunity to honor you in the way you deserve. thanks -- this was a gift to us, i want to thank you for that. you're a humble man, but thank you for that. in thinking about dr. sanchez, i was trying to imagine a couple of words. the words that came to mind for me were unwaverwavering convict, generosity, and in a world of today something so important, kindness. true kindness. and so i think we've heard about the unwavering commitment and conviction to patients and also in the course of when i

presented difficult case, he's always been how are the staff, how are the patients. he's been an important guide for us, you know, with the language part of this, how might race play a role in this. i want to acknowledge that. your generosity even in the difficult times, he also tried to see the good in what was going on. what could we learn in the good in each one of us. as i said, in a world filled fid with rancor, i appreciated your presence as a beacon of kindness. and so i thank you. and i want to thank you all. i thank you for the opportunity to talk today. may we all learn from your example. thank you. [applause] >> and dr. aragon. >> good afternoon. thank you for giving me this opportunity to speak.

i'm here actually representing myself, but also representing san francisco and representing people like myself, who grew up in san francisco. so i did not expect to actually get emotional. i think one of the challenges that we have is that we see very few latinos in public health. and so for me, having role

models like dr. sanchez has meant a lot to me growing up. i just want to say thank you. and if you look around, there's very few of us. so me today is a sad day, that's all i want to say. thank you. [applause] >> that concludes that. >> commissioners, comments from each one of our commissioners. vice president loyce. >> dr. sanchez, i have known you as an employee as the department of public health and also as a fellow commission. -- commissioner. i want to say to you, i always felt your genuine respect and care for us in the department and for the community, as you've

sat on the commission the last 22 years. when i think about the contributions you made and will continue to make, i know you're not going away. the thing that strikes me the most is that when we had a very profound policy decision to make around health care in san francisco, you were the one who put it in context. you are the one who gave us the history of why we should do what we're doing. and you are the one that pointed us in the future direction and for that i'm eternally grateful. and i have learned one hell of a lot for you. thank you, sir, for all of the things you have done for your community and san francisco. >> thank you. commissioner guillermo. >> dr. sanchez, i add my voice to everyone who has spoken today to honor you. i have had a short time to be your colleague here on the commission. but in that short time, i have learned -- i have learned a

tremendous amount. you know, we always hear that you should be constant learners. but you also have to have teachers alongside of you to be able to learn the right lessons. and you have definitely been one of those. i'm going to miss you. i have really enjoyed being on the joint committee with ufology. -- for laguna honda. i'm going to call your voice and your aspect to mind when i sit at that table from this point forward. and i again just want to thank you so much and congratulate you for the career and the contributions you've made to the city of san francisco, as a fellow san franciscan. it means a lot. >> thank you. commissioner bernal? >> dr. sanchez, david, i, of course, have known of your leadership for a very long time and the esteem in which you're held in the community. but it really wasn't until i

became a member of this commission about two years ago, where i really understood how connected you are to the communities we serve. and i'd like to associate myself with the remarks of commissioner loyce, that you really have provided context for the work that we do, deep and abiding sense of history, that will be sorely missed on this commission. i want to thank you for your many, many years of service and i'll miss serving with you on the commission very much. >> thank you. commissioner chung. >> commissioner sanchez, i'll call you commissioner sanchez forever. it has been an honor to serve with you for the last seven years. and i don't want to repeat what people have said so far. but i think that, you know, to have somebody who is like the uncle in the family, who can share, you know, stories and histories of how this started and continue to remind us how

far we've came and how much more we have to do to get to where we really wanting to -- want to go. you have been that voice and that spirit for us to remind us that this is all about community. and it shows in everything that you do. and for everything that you have spoken on. it means a lot. and i know that it's hard to say guillermo to any like fellow commissioners, but this is like saying guillermo to a -- good-bye to a family member leaving home. i hope we'll continue to see you every once in a while. i appreciate your mentorship and how you've been so kind since day one i got on the commission. and to your support. and all of your gentle nudges for me to speak up.

so i still got a lot to learn. so hopefully we're going to stay in touch. thank you so much. >> thank you. commissioner green. >> commissioner sanchez, as commissioner guillermo said, i'm relatively new to the commission. the way you taught us and mentored us, your generosity of spirit. i've learned so much in just how to express that by watching you in action. you know, as commissioner chung said, the way you represent these underrepresented communities are, the focus on equity and your voice in that topic has been so invaluable. and i hope we can reach out to you. we have your phone number. [laughter] and we have your address. [laughter] and we're not going to throw it away. it's just been a remarkable experience to to see you in actn and to be a part of an

organization that you have helped lead. it's just an incredible life experience for me and i'm sure for all of the other commissioners as well. >> yeah. director colfax. >> dr. sanchez, i really am so grateful for your commitment and contributions to the department. and, you know, one thing is we haven't been able to work together very long in this capacity, in this relationship. but i will say that i did come to the commission several times over the period of time when i was here in the department last time. and something that stood out to me, with you, was your kindness to people presenting at the commission. i think you also not only were kind, but you also taught us how to be better and how to do better. and i wish you could look -- you should look behind you, i've never seen so many people smiling at a health commission meeting. [laughter] it's not -- yeah. that joy and appreciation that they are showing to you today, it really reflects your

kindness, your wisdom and also the way you eliminated the history of the department, even for me in the short period of time. i'm really grateful for that. i hope that even though you won't be serving as a commissioner, i can still learn from you the history. because we need to go forward, we need to know where we've come from. and i think you've always been a bastion of that wisdom and guidance for the whole department and for the city. so thank you so much for your contributions. >> thank you. commissioners, after working with dr. sanchez, actually working with david for 20 some odd years, hard to believe nearly a whole generation. and it's so nice that you've also brought your son with you. and we want to also, you know, commend your work, of course, to your entire family. i know they know that you spent a lot of time here.

i think they need to know that this city, this commission is very grateful for the fact that the family gave that much of your time to us. and that you've already heard all of the ways that you have impacted all of us. and in the years that you've also been just stepping up when it was time to fill in a position, because somebody was missing or had to be vacant and we've gone through a number of vacancies on the commission here over these 20 some odd years together. you were always there to say, i will be there and do it. it's what everybody has said, your contributions can't really be measured in anything. although we did see the opening of laguna together, we saw the opening of san francisco general, we've seen the fact that the public health department has become accredited.

all of the things that i think -- when we all started, they were aspirations. but whether we'd get there. and working with what, four, five directors who have brought us through this journey and you were always there to continue to show us the way. so commissioners, we need to vote the resolution. then, you know, commissioner sanchez is used to handing out the plaques. [laughter] this time we are going to hand it to him. so commissioner, all in favor of the resolution, please say aye. >> aye. >> this resolution has been passed unanimously. please come up and accept your resolution. [applause]

>> let's come for a photo. come on. you're going to take a picture. come around this way. you want them to go all the way. >> one more. >> yes. [applause] [laughter]

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>> when the new mayor was elected, i was having to interact with some of the folks over there. and i was trying to explain how the health commission, the department of public health, our community, not just a business, and this is a great example of that. so thank you again all for witnesses that. we shall move on to next item. >> before we actually get to the next item, we should talk about the fact of continuity and to congratulate commissioner guillermo for having been sworn in this afternoon to a full-term of the commission. so thank you. [applause] >> now we'll go on to the next item again. >> yes, item 4 is the director's report. >> yes, director.

>> good afternoon, commission. you have the director's report in front of you. i'm just going to highlight a few items that i think would be of particular interest to you. so assembly member david chow have announced state legislation to treat substance use disorders by increasing -- for incarcerated populations. you'll recall, of course, there's a very high rate of substance use disorders in the prison population. one of the key challenges we have is being able to pay for medically assisted treatment. we have a great toolbox of medications now available to treat substance use disorders, particularly opiate disorders and alcohol disorders. the bill creates a pilot program and provide state funding for this type of work. so obviously the san francisco department of public health is supporting 1557 and it's going to be heard in assembly health committee in april.

second item is i'm very pleased, and probably already heard, that mayor london breed appointed bland to serve as mental health reform. in this new role, which was created by the mayor, dr. bland will be responsible for reviewing how san francisco provides mental health and substance use services to homeless individuals, people at risk for ending up on the street and other vulnerable populations. this will help us not to improve our system that already serves tens of thousands of people in our behavioral health system, but as you know, there's an ongoing question of how do we do better, how does the system adjust to meet the needs of homeless individuals and those most at risk for becoming homeless. dr. brand is a psychiatrist, he has firsthand experience in clinical care and in services in our system, being -- running the psyche emergency services at zuckerberg hospital. and he'll report to me and i'm really looking forward to working with him over the next

period of time, to figure out how do we really strengthen our system. in terms of the balance balancing issue at zuckerberg hospital, this has gotten a lot of attention. and we are working diligently across the network and with the hospital to improve our billing practices. and just to remind you, the recommendations will be brought to you on april 16th for your consideration. but i'm going to give you a little more detail on, at the request of the commission. so we're focusing on our efforts on patient protections and creating new policies that present patients from being caught in the middle of disputes between the hospital and the insurance industries -- and the insurance industry, when insurance companies do not pay adequately for the care that we provide their customers. patient protections will fall into three main categories. first, you'll recall that we have halted the practice of patient balance billing and collections during the development of these new

policies. second, we will present a plan to make discounts and bill reductions for patients available to more people by increasing the eligibility for charity care and sliding scale programs, based on income. third, we will propose to set an out-of-pocket maximum for patients at all income levels. meanwhile, our patient financial services team continues to resolve bills for patients and pursue insurance payments for services. above all i want to emphasize that we care about people. and the department's mission and the hospital's mission is to provide the highest quality care and trauma services with compassion and respect and that we care for our patients and always and continue to be proud of the critical role as the city's only trauma center and safety net hospital. i note that the hospital provided $61 million in charity care in 2017 alone. and i look forward to bringing our recommendations to the commission on the 16th, to

align our hospital billing practices with the department's values. so every member of the public feels welcome and cared for at zuckerberg san francisco general. and in closing, i will just note that this week is national public health week. and we are going to be telling stories on social media, focusing on some of the themes of the week, including healthy communities, violent prevention, urban health, technology and climate change. and for those of us who are social media mavens, we can be followed on facebook and on twitter. and i'm asked to remind you to please like, tweet and share our postings. thank you. >> thank you. commissioners, questions of the director at this point. >> i did have one on the dental

transformation. >> yeah. >> program. and while noting that in 2018, you cite the improvement in a number of areas, i think when the report was made here, we had a major deficit in chinatown. but i didn't see that it was noted to have any improvement. and my hope is that there would be outreach programs to really target that, because that was a very major area of concern. >> yeah. i can just -- i believe that effort is under way. but i can certainly confirm with staff to make sure that that is noted. and that work will be done. >> okay. thank you. i think the other is that the tuberculosis statistics in san francisco still are not good. i know that in the past, we have made sure that we were at least back filling a minimum that the

feds were de-commissioning, so to speak. i'm hoping that you would make sure that they have adequate resources, because it sounds like there is now an increasing number of cases within the city. >> yeah. so in some ways we are seeing some slight increases right now. i will say that compared to say ten years ago or 15 years ago, we have certainly improved the t.b. -- the dynamics of t.b. among homeless population. so that has vastly improved, compared to where we were 10 to 15 years ago. you are right, particularly in populations that are new to san francisco, we're seeing increase -- some increase in t.b. diagnosis. we're also improving our diagnostic capabilities. i was just up at our lab upstairs two days ago. it's pretty amazing in terms of the diagnostics we bring to the t.b. work.

but certainly with a back fill from the commission and the increased attention on screening people, i'm hoping that we'll be able to see these numbers go down over the next few years. so thank you for calling attention to that. that's one of the -- you're referring to the world tuberculosis day, that's occurring. and i think the point is to bring attention to the issues. so thank you for calling that out. >> yes. thank you. >> commissioners, any other questions of the director? seeing none, we will move on to the next item, please. >> sure. no public comment on that item. item 51 general public comment. i have not received any requests. we can move on to item 6, which is report back from today's finance and planning committee meeting. >> good afternoon, commissioners. the finance and planning committee met today, right before this commission meeting. and we went over the contracts reports and a few new contracts, which are all on the consent

calendars. we originally had another presentations for the charity care report, that unfortunately we have to reschedule that, due to some unforeseeable situations. the presenter had to go home because they didn't feel well. thank you. >> commissioners, any questions? the consent on the items of the consent calendar, otherwise we will go on to the items of the consent calendar for approval. yes? >> you have a public comment? >> i believe commissioner loyce has something to say? >> okay. >> california contract severed. independent vote. i have to recuse myself. i'd like to be able to do that, in separate of -- >> oh, okay. so you're working on the consent

calendar at this point and asking for the extraction of the memorandum of understanding, so the commission could agree and accept your recusal. >> yes. >> on that vote. are there any other potential extractions from the consent calendar? seeing none, is that not correct? >> item 6 is. >> it's before us for vote. and we have extracted the memorandum of understanding. all those in favor of the concept calendar, otherwise please say aye. >> aye. >> all those opposed? we'll now go back to the memorandum of understanding. understanding there's a potential conflict of interest. the commission must accept that. we will then, without objection accept that. commissioner loyce will not be voting. all in favor of the memorandum

of understanding, please say aye. >> aye. >> all those opposed? the memorandum of understanding is accepted. and noted that commissioner loyce has recused himself. >> all right. thank you, commissioners. i also note the charity care report will be presented at the next finance and planning committee meeting. >> okay. thank you. >> item 8 is the resolution of commitment to trauma care. >> good afternoon again, commissioners. susan ehrlich, c.e.o. at zuckerberg san francisco general hospital. you have in front of you a resolution of your commitment to trauma care. this is very similar, if not exactly the same to resolutions that you approved in 2016 and in 2013. this resolution simply states that you support us, the s.f.g. as a regional one level trauma center and maintains your

commitment to providing services in accordance with the rules. this comes in advance of an american college of surgeons' validation survey that we have every three years. this is a voluntary certification process that we go through. we are, of course, also approved by the e.m.s. agency and through cdph and title 22. what the a.c.s. survey does is it holds us to the highest standards of quality, around providing trauma services. so we do go through that every three years and this is upcoming in the next couple of months. this resolution is part of what they expect to see in that survey. >> and commissioners, the j.c.c. reviewed this and recommended this for approval at its march 26th meeting. >> yes. thank you. so the resolution is before us, commissioners.

it was brought by the j.c.c. it does not require a second. are there questions at this point, either to dr. ehrlich or in regards to the resolution? seeing none, we're preparing for the vote. all in favor of the resolution? >> aye. >> resolution is therefore adopted. thank you very much. >> thank you very much. >> item 10. i'm sorry. item 9 is the san francisco health network updates.

>> i'm sorry, everyone. >> good afternoon, commissioners. roland pickens, director of the san francisco health network. it's my privilege to bring you this semiannual update of the network. i was last here in october of 2018. so i'm back now in six months just to give you an update on where we are.

so just an overview of today's presentation. i'm going to start off by reviewing our strategic priorities for the network. then i'll be joined by my colleague, dr. alice chin, who is deputy director and chief medical officer for the network. and she'll review true north and where we are with our true north metrics and our journey looking at our true north experience over the last few years. and then, as always, whenever we come, we always highlight one section of the network. and today we'll be highlighting telehealth and language services. and it's really appropriate, because i remember when i first came to the department almost 20 years ago, i was at san francisco general and dr. sanchez was very interested in our language access services and making sure we had -- we maintained a connection with the mission language school, which we have always done.

and really they've been a major referral source for the interpreters we use within the network. it's amazing how things come full circle, so i'd like to point that out. we always show the department organizational chart. again today we'll be talking about the network, which you'll see on the left-hand side of this chart. and getting a little bit in more detail, this is the network organizational chart. in addition to the major divisions that you're most familiar with, laguna honda zuckerberg, ambulatory care, including jail health, primary care, maternal health and adolescent health, and behavioral health. there are also other nut units within the network. part of our journey was to centralize key aspects of our operations. so, for example, on the far left, at the bottom