any company, any agency, to make a transformative change such as we have. all of our consumers as users of epic are getting accustomed to the system and day by day are getting proficient with its use. it takes a little bit of time and we're not even three months in yet. i do want to assure you that we have a systematic process in place, a good-governance program, so we can monitor and improve based on the information we glean from epic. what i mean by that is epic is not just a system we put things in, we're seeing a return on information and not just in the form of reports, but information about how we're using epic, some of this in near-real time, so we can understand how we're making best use of this very large investment. so a handful of cocktail party

starters. i maybe lead you to the fourth ring, next to the last on the right, and that 21 systems were consolidated that bring wave one of epic to life. that's important because that's a really large number of systems. it's also important because it speaks to our readiness in the coming year to decommission those systems, which has been part of our financing plan. so what did we implement? i think you have all sat through several briefings. across the top row of items is our traditional electronic charting infrastructure, the support systems like lab, pharmacy, radiology, how we handle the revenue cycle, as well as scheduling. the first one on the bottom is health information exchange which may not have come to mind. that's the bi-directional

sharing from and to our organizations and others. as a result of epic, we are now part of an industry consortium of two or three dozen other organizations that make electronic health records. we all agree we are able to share information with one another. i will show you some statistics for that in a few minutes. i also mentioned briefly that there's a lot of information we're getting out of epic, and it's beyond the standard analytical tools. it is striking the progress that electronic health record systems have made in my 20-plus years of working with them. where we are today is that we are really starting to learn not just about how we can improve in real time by giving managers dashboards to use, but as i mentioned in my opening remarks, how we're actually using the

software. it tells us how well we're doing and it provides areas where we can say focus enhanced training and other learning experiences to help our teams become as expert with epic as they can. i'll keep saying it, we've given access to our clients and patien patients access to their own health records. i'm glad to say we're off to a good start. where did we implement? no real surprises. i draw your attention to the lasting point and that we have gone mobile. we have gone into is is a new place with being able to access the capabilities that epic provides for us. i mentioned that over 1,500 of our clients are now using the mychart application. if any of you are getting your health care in the bay area, you are likely using epic mychart. that is the same tools our

clients are using. for the providers, they can chart on a mobile device using hayku. for business partners and many others, you can log into epic and share in the care experience that we're providing. we're letting a lot of business partners in to have and to share in the experience that we have launched. we have, for a number of years, have been able to do the same thing the other way. so i mentioned how we know how we're doing. i wanted to just take one moment to share a slide with you. the numbers in the slide aren't terribly important at this time. this was a first cut at an epic leader dashboard. this one is for primary care, but i wanted to share with you that we don't have to do anything special to create a

dashboard like this. it's something that we get more or less out of the box, and all we have to do is tune it to our needs. in the past we've had to make a significant investment to deploy a dashboard like this. the nice thing about epic is that there are about five or six dozens of these dashboards that are available for us to use. they are very straightforward, and we are able to customize them to an extent to reflect the kinds of outcome measures and key performance indicators that are relevant to us to represent our true north strategic goals. nothing is perfect. going live with an electronic health record that is now in use by more than -- well, nearly 9,000 people, there are going be issues. we have closed thousands of them since august 3. where we are now is dealing with some of our more complex concerns. they deal a little bit more with

software, but we really deal more with workflow, people, process, technology, that intersection. as an example, we've always been spending a lot of time at sgfg tackling the topic of patient movement. how do they move from the emergency department to the intensive care department. in the past we had people and process and the technology didn't tell us much. today the technology can tell us a lot. epic can share a lot of information about what's going on and how to effectively manage that transition from one venue to another. when we first saw it, and i'm in this camp too, i didn't really believe what i was looking at. for the last month or so, there's been a really intense effort to understand how we can get utilize the information that the information system gives back to us to inform our process and a lot of strides have been

made there. there's a handful of other workflow examples where we're diving in deep. it's not about epic, but epic is forcing us to have the conversations and focus on problem solving. the second issue that we're having, and this was more or less expected, is our ability to deliver against many types of reports and outcomes measures that we have for regulatory purposes that are in support of value-based care. when you move from one information system to another, you are reporting all the way up to the last day that you had that tool. when you start in a new information system such as we did on august 3, we didn't go into it with a fully populated database. we did it with a mostly new database. so we prepared how we would begin to use the new data as folks come in our doors after august 3.

but we have to go through a validation process in order to ensure what we're looking at and that all of the pre-work we did to produce all of these measures is going to be valid and stand up to our data integrity checklist. we are close. hoping in the next 30 to 60 days to be completely back on course. it was expected that we would have a delay, and we had a bit of a delay. i want to be up front about that. the nice thing is epic is friendly about us taking the data out. that has been a real struggle with our electronic platforms, and that's not the case with what we have today. we've talked about benefits realizations before. i mentioned decommissions systems. that work is beginning in earnest at the beginning of the calendar year and will take us to july, where we expect to spin

down, which is something i.t. people don't like to do. we like to keep old systems on as heaters. but we plan to demission our legacy health record system by the end of the fiscal year. the great news about that is we don't need them anymore. the second piece of good news is we won't be paying for them anymore. that's been part of the budget and financial plan for epic since the beginning. i'd like to take a few moments, and i know we're getting towards the end of our time today, to talk about the our in our records, patient record exchange, something i mentioned at the beginning. since august 3 up through october 1, we have exchanged health information with 215 other healthcare organizations across the united states. it's possible there are some international ones in there. i didn't dive deep enough to double-check. if you look on the bottom left, you will see who our

highest-volume information exchange partners are. i don't think there are any surprises there. what's really powerful is in basically just shy of two months of being live with epic, 43,000 of our clients have had their records appended by healthcare information from other healthcare organizations. this is pretty powerful stuff. in addition to that, nearly 14,000 of our patients, their information has been requested and sent across this trust framework that i mentioned before with this industry consortium that epic is a member of to augment the records of our clients in other places. so really very powerful. we don't have to do anything special for this to happen, it just happens. so our epic journey, we spent a number of years in what i would call a get-ready phase. we're definitely past that. we're coming up to the tail end of our get-going phase, where there's been a strong focus on

having a really good governance program for epic, for having a great go live, which we did. now we're in this period of time which we call stabilization and we'll be there for the next few months. during this time of stabilization is where we process people, process, and technology, the couple of examples i shared with you before. what's really exciting is as we march into the new calendar year, we're getting ready to get better. getting better means tuning our governance process even more so we can do two activities in parallel. one of them is beginning the optimization of the epic environment so it can do things it's not doing today. we have a straightforward implementation and without violating our principles of sticking to that, we can still make it better. so we're going to begin that process. in parallel, we will be locking in the scope and schedule for wave two and three of epic. when we're done with that in a

few years, we'll be in a continuous improvement environment, where we will bank on everything that we learned and all of the good governance that's in place so we can keep getting better. so epic is both hard and it has been very rewarding. i just want to share with you the message that we're sharing with all of our staff because not every day is a great day with epic. it's okay to feel frustrated. this is the first message that we're sharing with our staff because we have really changed a lot. more than a thousand changes were made in order to get ready and learn epic. sometimes you look at the screen and you're like i'm not sure i remember how to do this, which is a reminder that we're all in this together. when i go in front of epic, i look at the screen and i'm befuddl

befuddl befuddled. the good information is we continue to help and train and build tip sheets which are in the epic user's first pane when you log in. you go to a place called "my learning home." that's where you go when you log into epic. we are an organization of helpers. i think during go live this was really evident and a lot of people could see how well everyone reached out and was supporting everyone, and that's the environment that we need to continue to maintain as we move forward with more change in epic. so we've asked staff to be there for one another because some day you're going to need some support as well. with that, i'm happy to take your questions. >> i have not received public comment request for this item. >> my question is -- i'm an epic user and a frustrated epic user

at times -- >> we're all in this together. >> yes. what is your i.t. or your help line for an epic provider? what is the response time for someone to be on the line to be able to help one walk through whatever the issue is? i mean, is it five minutes? is it ten minutes? i mean -- and what is -- do you have the adequate staff to be able to help those that are a bit befuddled, especially with epic going live? >> so we have a lot of support across the board. a program that we set up for the go live was to establish a super user program, where we could have people much closer to where the value is being generated and the work is being done who are actually super users.

we have team of infomaticists who can dive in. with regard to actually calling on the phone, when you call on the phone to our service desk, you're calling the general i.t. service desk, and the pickup times are less than two minutes now to get you in there and get your issue noted. many of the items that are coming in are being redirected to analysts on my team who are resolving these items in just a day or two. that's not all of the items, but we've reached that point where the number of items coming into our service during the day and the number of items we're resolving, we've worked down a significant amount of the go live backlog. >> okay. thank you. >> thank you. >> thank you so much. i don't think we can overstate the significance of this

accomplishment, having been through the same epic process, and the potential to improve patient compliance and care coordination. i've had about six patients almost that i've shared with doctors of the county and at u.c. and being able to reach into these records and really do a much better job for the patient, it's astonishing, how having these systems that used to be siloed and vulcanized be all one. it makes such a difference in a great outcome. i want to congratulate everyone involved and say as the few epic go lives that i've seen have been -- your team is spectacular and awesome. i think there's a show where there's a gold buzzer or something -- i think you deserve a gold buzzer. >> thank you. i'll happily try and accept that

comment, having only been here myself only 90 or 100 days. but it's obvious what a full court press there was by every part of this organization to be ready for epic and it totally paid off. >> if i may add to that, i do think it's important that we recognize the people who aren't in the room and worked on this for many years and no longer with d.p.h. i want to acknowledge director garcia's leadership. alice chen who was committed to this and made a lot of this happen. and also wynona medolovich who was acting c.e.o. for many months. i think it's important that as we move forward and go into the next stage that was spoken about, that we recognize the reason we're at this point today is the incredibly hard work of

literally hundreds, i think in some cases thousands of people to make this work. it was really that leadership, including the leaders i just mentioned, that helped us get to where we are today. >> thank you [ indiscernible ] -- >> my question was from the patient perspective, when patients come in and they're told they are able to access their records on their mobile device, for example, is there any kind of orientation offered to them or a guide they might receive, or are they more figuring it out on their own? >> i can't totally answer your question. i'm not sure if anyone is out in the audience who may be able to assist. doctor, i think you can address this better than i can. >> in terms of signing up for the patient portal, we have

information support for the patients to get into the portal. once they get onto the portal and they have access navigating through the site or submitting a quarterback with he have a contract with an outside vendor that specializing in providing the first-tier support. obviously if they need to ask about lab results, that would be routed back to our desk. >> is it an in-app chat function or a phone call? >> it is a phone call to the service, person to person. they would help the patient navigate real time because they know how to access the portal. >> thank you. >> thank you. i'm just going to ask if presumably the app is better than the ucsf?

[ laughter ]. >> that app is really a problem. [ overlapping speakers ] -- >> is there a language capability? >> yeah, that's a great question. right now it is limited in terms of other languages. so no to answer your question. >> that could be one of the -- whether they -- in wave two, three, four, or five, in this community it would be useful with the diverse languages we have. >> no doubt, as well as other epic communities where they serve large communities of multiple languages. that certainly is a push that all of these epic users is going to be pushing. especially with my chart and the patient portal piece of the technology is being so readily available and enabling to the patient and client, we have to push that. there's no ifs, ands, or buts

about that. >> no, you're correct. it's a nation-wide issue that really would make sense for epic. more towards our own problems and within the time frame and i forget on schedules -- could you remind us because you've done a great job getting this all together and having the basic epic work. now in terms of the optimization so to speak, we know that laguna is a challenge. do you have some time frame upon which you would be able to i guess enhance it and optimize laguna's use on a long-term basis, trying to close the chart out -- when they talk about in terms of years versus days, right.

secondly, our mental health programs and avatar and the timing in terms of trying to unify those records. >> maybe i'll go backwards. we'll start with the behavioural health. so behavioural health is slated for wave three which is -- i don't want to commit to a firm schedule. it's after wave two which will likely go live in 2021. so it's in late 2022 or 2023 before we're fully in place with the replacement to the community behavioural health function -- i mean the electronic health record. to your first question about optimizations for laguna honda, part of the process is to be inclusive. we had a domain structure presented several months ago. the idea with that domain structure is it's a place that has almost no i.t. people

engaged, which is probably a great thing, and it's all about the line of business being able to bring items together that can be prioritized that are based on how do we not just get better against our performance outcomes, how are we getting better for how folks are engaging in the system. that is the process that we've been using so far. i'd be happy to take more information about the laguna honda concerns and make sure that we get that roped into our governance process, so that as we approach making epic better for all of us, that we can address those. >> yeah, the thing i raise there is mostly because it is sort of different from most epic acute care, that there seems to be an issue of having it flow in as

seamlessly as it does at the hospital. i don't know where all the priorities are. i do think laguna or its joint conference should understand what is happening there so we can understand the challenges staff had in terms of trying to optimize the use of an electronic record over there. >> sure. laguna honda is the largest long-term care facility in epic's customer base. sonch >> so i think a report back to there would be quite useful. >> commissioners, other questions? thank you very much. congratulations again. >> thank you. >> commissioners, item 10 is other business and we have several public comment requests for this item. just so you know making comments, i have a timer. when the buzz -- buzz ergos off

that's time for you to end your sentence. >> good evening, commissioners. my name is nathan dang, this is holly and kyle. we have pharmacy students from san francisco joined by some of our classmates in the back. we are here to bring attention to a current pharmacy related issue, pertaining to reimbursement rates authorized by the 2013 california senate bill 493. so the services affect patients all over california, but especially in san francisco.

so sb-419 had expanded the practice for pharmacists that authorized them to perform additional services such as nicotine replacement therapy, as well as participating with other providers in the evaluation and management of various disease states. this bill, however, didn't address payment or reimbursement for these services. >> my name is kyle merchant. really what we're just advocating for is support in implementing additional codes so that pharmacists can be reimbursed appropriately for services, because not every patient is as straightforward as come in, let's have a discussion, and here is what you're looking for. sometimes we have more complex situations and medical histories that need to be taken, discussions that need to be had with patients.

i think this will be especially important as we move towards the implementation of prep being made available in pharmacies. >> so as you know, people [ indiscernible ] -- this is to expand the ability for pharmacists to furnish prep which is proflax sis for h.i.v. we can give a 60-day supply in our practice. in the spirit of getting zero, i believe -- i also have -- >> we'll give you a 30-second extension. >> thank you so much. i think it's paramount that we include reimbursement for the pharmacist counselling because the adherence to these medications is critical and the only way this will be happening is counselling in the scope of the community.

>> thank you. hello, my name is manuel and i'm a pharmacist student as well. this is my first time at this hearing. thank you for this opportunity. i just want to start by addressing that i know we're trying to understand and address mental health issues, specifically those that may be untreated, it's dr. hammer and ms. martinez mentioned in the presentation a while back. i want to bring to light the implicit biases in the government and also officials, the sfpd as well as local security guards, their attitudes they may have towards a subset of our population and those afflicted with mental health conditions. i'm wondering what kind of steps the condition plans to take in order to mold the attitudes of our city to humanize attitudes to be more empathetic when interacting with the subset of

homeless individuals, perhaps less likely to incarcerate them and more so aiding them and escorting them to hospitals, social support systems, as well as shelters. if we start with the city employees, we can expand on that towards the population of our residents. so they will no longer see someone on the streets and think they are crazy, because that's really not the case. but it's just that they're not intentionally being disruptive. it's just some underlying mental illness that's not been resolved. >> thank you. >> hello. my name is jane. i'm also a pharmacy student from ucsf. currently i also intern at the santa clara hospital down in south bay.

i have a lot of counselling sessions with the patients there. a lot of them are homeless and they end up being discharged back to the streets. beyond the counselling sessions, we also talk about -- go on tangents and about their personal lives. what i hear from patients they're struggling to access public washroom facilities, they're not clean or not accessible. a lot of them travel around the city as well. this is something i wanted to bring up because i wanted to bring attention to how feasible it is to increase access public washrooms in the city, that we're helping the homeless population to improve their health hygiene, but also to increase the cleanliness. i wanted to bring it up and see

if it is feasible in the city budget. >> good evening, commissioners. my name is franceska okala and i am also a second-year pharmacy student at ucsf but also expressing some of my concerns. there was a bill signed into law that allows h.i.v. post-exposure proflax sis and pre-exposure proflax sis to be in pharmacies. my comment today is this access to medication is extremely important to several of the vulnerable populations we've been discussing all throughout the session today, including homeless patients who might be

using injectable drugs of abuse. my concern i wanted to bring up to the commission is how exactly the department of public health wants to implement these services in the coming year and how it's going to be advertised to these vulnerable populations to make sure they get access to these resources. >> good evening, commissioners. i am also a second-year pharmacy student at ucsf and a pharmacy intern. i am also here representing just my own self and concerns and beliefs. as was just mentioned the bill was recently passed, but beyond promoting this new accessibility of two of the most vulnerable populations, i also wanted to ask the commissioners to explore potential ways to help promote training for our pharmacists as well. under sb-159 in order to make

pre-exposure and post-exposure proflax sis available, pharmacists are meant to attend training. i would ask that we provide this training in san francisco department of health as well as make resources available to ensure that we have enough resources for that. thank you. >> seeing no other new business, do we have a motion to adjourn? >> i had one quick comment. >> are you sure? do we have a motion to adjourn? >> so moved. >> do we have a second. >> second. >> all in favour. >> aye. >> we're adjourned. [♪]

[♪] ♪ homelessness in san francisco is considered the number 1 issue by most people who live here, and it doesn't just affect

neighbors without a home, it affects all of us. is real way to combat that is to work together. it will take city departments and nonprofit providers and volunteers and companies and community members all coming together. [♪] >> the product homeless connect community day of service began about 15 years ago, and we have had 73 of them. what we do is we host and expo-style event, and we were the very force organization to do this but it worked so well that 250 other cities across the globe host their own. there's over 120 service providers at the event today, and they range anywhere from hygiene kits provided by the basics, 5% -- to prescription glasses and reading glasses, hearing tests, pet sitting, showers, medical services, flu

shots, dental care, groceries, so many phenomenal service providers, and what makes it so unique is we ask that they provide that service today here it is an actual, tangible service people can leave with it. >> i am with the hearing and speech center of northern california, and we provide a variety of services including audiology, counselling, outreach, education, today we actually just do screening to see if someone has hearing loss. to follow updates when they come into the speech center and we do a full diagnostic hearing test, and we start the process of taking an impression of their year, deciding on which hearing aid will work best for them. if they have a smart phone, we make sure we get a smart phone that can connect to it, so they can stream phone calls, or use it for any other services that they need. >> san francisco has phenomenal social services to support people at risk of becoming homeless, are already experience and homelessness, but it is confusing, and there is a lot of waste. bringing everyone into the same space not only saves an average

of 20 hours a week in navigating the system and waiting in line for different areas, it helps them talk, so if you need to sign up for medi-cal, what you need identification, you don't have to go to sacramento or wait in line at a d.m.v., you go across the hall to the d.m.v. to get your i.d. ♪ today we will probably see around 30 people, and averaging about 20 of this people coming to cs for follow-up service. >> for a participant to qualify for services, all they need to do is come to the event. we have a lot of people who are at risk of homelessness but not yet experiencing it, that today's event can ensure they stay house. many people coming to the event are here to receive one specific need such as signing up for medi-cal or learning about d.m.v. services, and then of course, most of the people who are tender people experiencing homelessness today. >> i am the representative for the volunteer central. we are the group that checks and all the volunteers that comment participate each day.

on a typical day of service, we have anywhere between 40500 volunteers that we, back in, they get t-shirts, nametags, maps, and all the information they need to have a successful event. our participant escorts are a core part of our group, and they are the ones who help participants flow from the different service areas and help them find the different services that they needs. >> one of the ways we work closely with the department of homelessness and supportive housing is by working with homeless outreach teams. they come here, and these are the people that help you get into navigation centers, help you get into short-term shelter, and talk about housing-1st policies. we also work very closely with the department of public health to provide a lot of our services. >> we have all types of things that volunteers deal do on a day of service. we have folks that help give out lunches in the café, we have folks who help with the check in, getting people when they arrive, making sure that they find the services that they need to, we have folks who help in

the check out process, to make sure they get their food bag, bag of groceries, together hygiene kit, and whatever they need to. volunteers, i think of them as the secret sauce that just makes the whole process works smoothly. >> participants are encouraged and welcomed to come with their pets. we do have a pet daycare, so if they want to have their pets stay in the daycare area while they navigate the event, they are welcome to do that, will we also understand some people are more comfortable having their pets with them. they can bring them into the event as well. we also typically offer veterinary services, and it can be a real detriment to coming into an event like this. we also have a bag check. you don't have to worry about your belongings getting lost, especially when that is all that you have with you. >> we get connected with people who knew they had hearing loss, but they didn't know they could get services to help them with their hearing loss picks and we are getting connected with each other to make sure they are

getting supported. >> our next event will be in march, we don't yet have a date set. we typically sap set it six weeks out. the way to volunteer is to follow our newsletter, follow us on social media, or just visit our website. we always announce it right away, and you can register very easily online. >> a lot of people see folks experience a homelessness in the city, and they don't know how they can help, and defence like this gives a whole bunch of people a lot of good opportunities to give back and be supported. [♪].

>> good afternoon, everyone, and thank you so much for joining for the grand opening of our public lobby. it has been a long process. we're so honored to have you all here today. first, before we get into our short speaking program, i first want to acknowledge a few parties that have worked really hard to make this all possible. i'd first like to thank our budget analyst and project management team that have worked really hard to make this run smoothly. thank you very much for that. [ applause ]. >> they've also worked very closely hand in hand with the mayor's budget office. i'd like to thank kelly kirkpatrick for coming here today. thank you. [ applause ]. >> next i would like to thank

our public facing team who provides excellent public service. our public service team and our recorder division. thank you very much. [ applause ]. >> they provided excellent customer service even throughout a lot of -- yay. they provided a lot of excellent service even throughout a lot of construction. thank you for keeping the office running. we also are joined by some neighborhood friends. so thank you to them for coming. we have some people from the women's building here. yay, thank you. [ applause ]. >> and we also have people from the dog patch northwestern petril hill green benefits district. it's a little bit of a mouthful. thank you for coming. of course thank you to our neighborhood historians who have

joined and helped us go through a lot of historic photos that we have and we have been able to create a little wall. thank you for that. we have the western neighborhoods project, s.f. heritage, glen park history project and sunny side history project. thank you. [ applause ]. >> so now i would like to introduce our beloved assessor carmen chu who is newly back from maternity leave and later we will be hearing from our director of public works and also our city librarian. thank you. [ applause ]. >> i have to say that it's rare that i ever hear the word "beloved" and "assessor" in the same sentence, but here we are. i want to thank isabella from my team. they've done quite a lot of work to help and partner with our

public-facing folks in order to make sure that our lobby is well thought out and we have a great plan to help improve service. thank you to isabella and vivian. [ applause ]. >> so when i first started as assessor years ago, i think when i first came in, i think i walked into this office and probably like a lot of taxpayers i came in through different doors at different points in time and at the time it was confusing. how do you get into the office and where do you go for service. and if i couldn't speak the language, which luckily i could, where do you go for help and who could assist? it was with that eye that we started to take a look at our front lobby area to see how is it that we are able to improve customer service and access and be cognizant of the different people coming to our city every single day, whether you are an immigrant who can't speak the language well like my own parents or someone with a

disability who needs assistance or people who don't know how to find documents in our system. how is it that we as a public service and government serve our public in the best way possible. we started on this process to say, well, the first thing they do is come into our office and try to figure out way-finding signs and the way forward. we need to make sure that when people come into our office they feel welcomed and they feel that we have an abundant amount of services available here. with that, we really started to say let's do a few things. i think today when we're doing our big unveiling along with the blue angels out there cheering us on that we're showing our good faith. a few things that we want to point out to you here, and this is something we couldn't have done without the partnership of our dpw is that we've done a few things to reconfigure our lobby

area to improve public access. we've transformed the physical space. we have a wonderful and lovely seating area for people to come here and wait comfortably, to be able to get their documentation and information. we actually have implemented a kiosk system so when people first come into our office they can directly find and get tickets, that they're served in an expeditious way. we have implemented a lobby navigator, someone who is greeting people when they come in to make sure they're in the right place to make sure they're not wasting valuable times waiting in the wrong lines. that does happen at city hall. we want to make sure we're preventing that. if you look around our office, you will see many of our kiosks and information are in multiple languages. we're cognizant of the fact that san francisco is a universal city with universal languages that we want to access and share with people. this is also something that is part of our lobby system. of course we're doing a lot more to make sure that it's a welcoming environment here.

so we hope that some of these improvements are really going to show that government is open to everyone, it's accessible, transparent, and we welcome you here. we're here to serve you. with that, i want to say thank you. we hope you're going to take a look at around. we have more spaces for people to be served. we know this is going to be a public improvement for the public as a whole. we couldn't do this without the partnership of wonderful people. i know some of our folks behind the scenes that were helping. i want to thank the mayor's office for helping us fund this, but of course i want to say if we bring in the money, help us serve the public better. thank you for all of your assistance and your partnership. no further ado to bring someone forward who i've known for quite a long time, who most of the time is doing work outside on the streets, picking up litter

or cleaning up graffiti, but one of the lesser known things he does is help our buildings function better and stay in a state of good repair. with that i want to introduce mohamed nuru and thank him and his team for the fantastic work helping us make these improvements in a historic building. thank you, mohamed. >> thank you, carmen. yes, kelly and carmen bring in the money. i get to spend the money. [ laughter ]. >> i think a few years ago when carmen brought up the idea of doing the project, we were very excited. it had a lot of different work that needed to be done. it is a historic building. so trying to match things and to really make a place that really works with all the things we heard from carmen was something that we were excited about. what's great about this project is it involved many parts of our

building of bureau repair, carpenters, glazers, locksmith, laborers were all involved -- well in fact, every shop in public works was involved in one way or another in making this happen. it's a very unique project because we have a lot of staff that actually custom-built many of the shelves over here, matching the doors, all the things that we had to work with. all of those were built at public works at our shop. it was really an exciting project for the team. i think we delivered. i think you're very happy about that. just so you know, we do a lot of these type of services for all over the city departments. city hall was very special, trying to match the wood, the different glass and just making the rails, building all the cabinets, painting and sprucing it up. you know, the paint was actually

peeling in some cases. so doing all the scraping and going through all the processes making the space happen. i'm excited and our teams are excited. we'll continue to serve you or any of the city departments that want us to do work for them. we actually do many of the jobs in many of the city offices. thank you very much. we'll enjoy it. thank you. [ applause ]. >> mohamed's nickname is mr. clean. now that extends to cleaning up our city buildings as well. thank you, mohamed. when we talked about the services here, again, city hall is very special and unique to all of us because of its historic nature, but also because it is an essential place people go when they want to access government and the people who represent them. it's important to make sure that these doors are open and accessible to everyone who comes

in. i think there's no other patron group that feels that same way than our public libraries. we know that no matter which branch library it is that we go to across the city, we have an open door where people can find a safe space and learn and get educated and borrow materials and really explore. we have worked in great partnership with our city librarian michael lambert who is also working with us. you might seen behind me is a wall of 15 different curated historic photos. one of the things you may not know is in order for this to be accomplished, we had to clear out many of our old property files. we went through this intensive process to digitize over a million files. when we went through that process, we found many, many historic photos we thought was

not only worth preserving but sharing and putting out to the public space. something that is important to our history, buildings that used to look a different way but are important of our fabric, it is important to share that with san franciscans to come, not to put the away in a box never to be seen. we worked with the library to make sure we cataloged and got those photos to them to be accessible. we're proud to announce we have over 92,000 photo images that are available at our san francisco public library in order for people to see our history and our shared buildings and resources. these photos here are just a small set of the photos that are now available in our public library. we couldn't have done that without our city librarian's staff and time. i want to invite michael up to say a few words. >> thank you. it is so wonderful to be here

with my esteemed city colleagues and so many members of the public. this lobby is magnificent and sparkling. i want to congratulate assessor chu and all of her staff. what a remarkable job you've done with public works to transform this space. i admire the commitment to service excellence with all the tenant improvements and significance enhancements. what a warm, friendly atmosphere you've created here. i appreciated the office of the assessor-recorder, not only for providing the library the biggest book budget in the country, but also for the partnership we enjoy. earlier this year, assessor chu and her team transferred over 92,000 photographs to the public library. you see a sampling here on this wall. it really makes history come alive for all the visitors to this space. these photographs are priceless.

they are an invaluable snapshot in time of san francisco and some places that don't exist anymore. these photographs are now accessible to any member of the public that wants to view them. they can come into the library to the san francisco history center and they can take a walk down memory lane and reminisce and relive some treasured memories of their past. it's so wonderful to have this partnership. i want to congratulate assessor chu and her team again. thank you so much for the partnership. [ applause ]. >> all right. so now i'd like to ask evelyn and amy from glen park and sunny side to come up and woody and nicole and david from western history project to come up as well. thank you.

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>> good morning, and welcome to the san francisco county transportation authority for our meeting today, tuesday, october 22, 2019. our clerk is mr. quintanilla. could you call the roll. [ roll call ]