>> -- for the sudden and drastic closures of virtually all 52 out of 60 for the spring 2020 of the older adult classes around the city. as you know, the older adults department, oald, serves over 30,000 residents at locations throughout the city, including senior centers, adult day centers, senior housing, assisted living, skilled nursing, rehabilitation centers, and more. the oald has been collaborating closely with community partners on a long-term basis, some for over 50 years. these centers rely on city college. due to the special needs of older adult students, oald have been bringing classes to older

students in their neighborhoods at no cost to them. according to city-county of san francisco, h.s.a. older adult is the faster growing age group in the city. almost a quarter of the current population of the city is over 60. a projection shows that nearly 30% of adults will be older by 2030. due to the sudden class cancellation virtually 100% of the professors who are seniors themselves will lose their employment, leading them to seek other employment, which is extremely challenging. with these actions, you have imperilled thousands of peoples' lives who come to

these classes to learn skills, find friends, and stave off depression. we ask you to find funding to ensure the continuance of these lifelong classes. we will continue our efforts and make you aware that we are in talks with shireen providing data about the impact that this will have, so any efforts that any of us can make would be greatly appreciated, and that's my report. >> thank you. it was very informative. thank you. commissioner pappas? >> will we receive copies of that letter? >> yes, you did. >> thank you. apparently not well thought out when they decided to make city college free. >> so how many staff are affected by this at city college? >> i could -- i don't have that data yet. my cochair, sue horst, is

compiling that. some classes are once a week, some multiple, the number of agencies, and the approximate cost of those efforts, so once we get that, we'll include that. >> and the approximate cost, this is very specific to the organizations that daas funds. ballpark, it's probably around $400,000 annually. >> that was my next question. >> yeah. >> how many agencies did daas fund will be affected by this? >> there will be a number of them. a number of senior centers will be affected. >> do we know how -- if any members of the board of supervisors are engaged in this? i know that raphael mandelman was a trustee at city college, and he might be someone that we could also ask for suggestions as to how to address this. >> so this is all very short term.

we just learned of this. and case will be doing two things. we'll be distributing all of this information and asking all of our agencies to do advocacy both to the chancellor and board of trustees as well as their supervisors -- pardon me. there's also a petition that will be distributed -- unfortunately, i think it's a paper petition, not an electronic one, but we'll see what can be done about that. so yeah, this is just the beginning. >> thank you. >> and also, our department is reaching out to city college to have a conversation. i think at the very least, this is upsetting. we are having a community dialogue, which is in part why our community partners is so upset. this is a huge piece of their curricula, and -- at the

various centers, so we definitely want to work with them and see if there's any possibility of reinstituting these, even if not in the next semester, at least in the following school year, so we still have to have that conversation. >> thank you. thank you very much, greg. >> thank you. >> the next item on the agenda is old business. do we have any old business? i see none. next item is new business. item 6-a, requesting authorization to modify multiple grant agreements with nonprofit service providers to apply minimum compensation ordinance, m.c.o., funding increases during the period of july 1, 2019, through june 30, 2020, in the additional amount of $1,055,840. welcome. >> good morning, president

surena and commissioners. for this department, this impacts 23 grantees and 54 separate programs. so the minimum compensation ordinance raised the nonprofit minimum wage for contractors to $16.50 per hour, and that was effective july 1, 2019. so the expectation is this is already in place. the mayor's office and the board of supervisors set aside $5.8 milli $5.8 million to address this cost citywide. so in july 2019, the controller's office conducted a citywide application process for nonprofits to request adjustments to the grant to reflect these costs. and the process not only looked at the salaries to bring staff

up to the minimum wage of 16.50 but to staff above that. when staff are brought up to 16.50, it also affects the staff immediately above them. we call that compacting, and you see that when the staff and the supervisors' wages are very close. at this point, the department will be modifying these grants that were allocated funds to these process, and we'll be sending out letters in the next couple weeks to the grantees, and there are a few where the amounts haven't been finalized largely because there were some amounts added to contracts in anticipation of it, and we have to sort that out.

i'm glad to answer any questions that you may have regarding the m.c.o. and the process. >> commissioner spears? >> i have one. does this affect all the grantees of the department that may be affected? >> it applies to all nonprofit grantees, but not all of them had staff that were under 16.50 or within the compaction range. >> okay. >> so i think the number of contractors is around 140, but this actually affected 23 of them. >> but these will all be covered with all of these dollars. >> yes. there were some that didn't apply in this application process, not because of the 16.50, but because of the compaction, so they didn't receive dollars to address the salaries right above the 16.50. >> thank you. any comments or questions? any comments or questions from the public? may i have a motion to approve.

>> so moved. >> second. >> any further comments or questions? >> thank you. >> hearing none, all in favor? opposed? motion carries. thank you, steve -- or john. item 6-b, enter into a new grant agreement with shanti project for the provision of care navigation and peer support during the period of ju july 1, 2020 through june 30, 2023. welcome, tiffany kearney. >> thank you. good morning, commissioners and director mcspadden. i'm tiffany kearney, and i'm a program director for the department of ageing and

disability services. in the report, it was noted that many consumers find the system of social services complex and sometimes difficult to navigation which can be a barrier to access. a key recommendation in the report to address this issue including care navigation and peer support programming. shanti and curry senior center as a contractor will provide both types of services through this grant. with care navigation, clients are provided one-on-one assistance by care navigators to access the services they need. care navigators are knowledgeable about available resources in the city and trained to coordinate service connections, conduct advocacy, and provide social support service for clients.

peer support provides extra prove through peer support volunteers. these volunteers are trained to provide practical and emotional support for clients. peer support volunteers are effective for clients who encounter barriers. both will concentrate on reaching and serving individuals with one or more of the equity factors identified in the needs assessment. shanti will specifically focus their efforts on reaching individuals within the lgbtq community and curry center will focus on reaching individuals who do not identify as lgbtq. the language capacity between the two partners is fairly extensive and currently includes 11 different languages. curry also has access to a language line through other

city grants. care navigation and city support programming will take place in the shanti, located in district 9, and at curry, located in the tenderloin in district 6. they will provide 5600 hours of service annually. and of those clients, a little over a third will be requested and matched with a peer support volunteer. thank you and i'm happy to answer questions you may have about the program. >> thank you, tiffany. any comments or questions? >> just a question. who does the training for the peer support counselors? >> shanti does. >> they're not city college? >> no. >> thank you. any comments or questions?

any comments or questions from the public? hearing none, may i have a motion to approve? >> so moved. >> may i have a second? >> second. >> any further discussion or comments? hearing none, all in favor? any opposed? thank you. the motion carries. >> thank you. >> thank you, tiffany. item c, requesting modification to the existing grant agreement with bayview-hunters point multipurpose senior services for the provision of community services at rosa parks for an additional amount of $131,975 for a new grant in the amount of $561,003 plus a 10% contingency for a total amount not to exceed $617,103. thank you. welcome, rick appleby.

>> good morning, commissioners, and executive director mcspadden. my name is rick appleby. we're happy to request this funding for rosa parks to help them with some support services that they've been needing for a while. as you've read, they'll be adding a front desk person. they'll be continuing the jo janitorial services there. this take place at their center that provides community services, that includes arts and crafts, computer classes, health education, the usual community services that we know

of, and, let's see...i think that's it. they're open monday through sunday. >> commissioner spears? i'm a little confused at looking at the motion. if you can just reconcile the numbers with the memorandum that i received. i'm just having a little bit of difficulty tieing it together. >> it's b and c. >> oh, i see. thank you. never mind. >> okay. >> any other comments or questions? may i have a motion to discuss -- to approve? >> so moved. >> do i have a second? >> second. >> any comments or questions from the public? any further comments or questions from the commission? none. call the question. all in favor? any opposed? [gave [gave [gavel]. >> thank you. the motion carries. the next item on the agenda is

modify the existing grant agreement with bayview-hunters point multipurpose senior services for the provision of community services at western addition for a new grant amount in the amount of $562,253 plus a 10% contingency for a new amount not to exceed $617,478. rick, thank you. >> so this amount is similar to rosa parks. the funds will be used, as you read, to have a front desk person there, have janitorial services there, and adjust the program director's hours and salaries there to full-time. so they have a full range of community services there, as well, including always active, and they're also open seven

days a week, and these funds will help them with these support services. >> thank you. may i have a motion to approve? >> so moved. >> second. >> any comments or questions from the commission? any comments or questions from the public? hearing none, all in favor? any opposed? thank you. the motion carries. thank you, rick. >> thank you. >> item e, requesting permission to modify the existing grant agreement with bernal heights neighborhood center for the provision of community services at cortland in a total amount not to exceed $686,720. welcome. >> good morning, commissioners,

executive director mcspadden, paolo soten, director of community partnerships. this funding will be used primarily to launch the new cultural wellness program at that site. at this, participants will learn how to integrate physical activity into their routine. the site cortland is it on the -- is on the -- it's right across from the bernal heights library, and the site's capacity is english and spanish. i'm happy to answer any questions that you may have. >> thank you. may i have a motion to approve? >> i have a question. >> we'll get to the question in a minute. we'll have to discuss it. so a motion to approve? >> so moved. >> do i have a second? >> second.

>> thank you. comments? questions? >> can you say -- when you say restore funding. >> that's right. sorry. from fiscal year 18-19, they received $3,000 in add-back funding, and this year, they also received $70,000, one-time in nature. 50,000 went to staff and operational, which is reflected in the budget. it's also to build this new programming that they're trying to build into the site. >> thank you. commissioner lu? >> yeah. i have a question on the last page, the appendix f-2, it says they serve 6,535 meals per year. when you calculate it, you have

244 days, and you're only -- they are underserving. they should be serving 26 meals a day. just a question, okay? >> yeah. i will make sure to work with the agency and our team to make sure that the site chart is correct, yeah. >> yeah. and i have also the same question when we come to the next program. >> thank you, commissioner. any other comments or questions for the commission? any comments or questions from the public? hearing none, all in favor? any opposed? [gavel]. >> thank you. the motion carries. item g, requesting authorization to modify the existing gran agreement with shanti project for the provision of animal bonding services for lesbian -- >> clerk: commissioner, that's agenda item h, i believe -- oh,

no, it's agenda item -- >> oh, i'm sorry. i jumped ahead. i apologize. requesting permission to modify the existing grant agreement with bernal heights neighborhood center for the provision of community services at excelsior for an additional amount of $50,000 for a new total grant amount not to exceed $790,557. thank you again, paolo. >> thank you, commissioners. this is also a board of supervisors of add-back funding and will restore services and funding from last year. last year, they received $50,000 in funding and this year, they received $50,000 in one-time funding. they will be utilizing these funding to restrategize their

outreach efforts in the neighborhoods. a coordinator will be the face of the agency and collaborate with other agencies in the community. they will outreach to housing sites and update their social media presence. the site is right where compeller avenue meets mission street, and their language capacity is english, spanish, mandarin, and cantonese. >> thank you. do i have a motion to approve? >> so moved. >> may i have a second? >> second. >> thank you. commissioner lu? >> yes. the excelsior site, they're

only serving 25 meals a day, so you might want to get with the staff. >> thank you. >> thank you, commissioner. any further comment? call the question. all in favor? any opposed? the motion carries. item g, modify the existing grant agreement with shanti project for the provision of animal bonding services for lesbian, gay, bisexual and transgender older adults with adults with disabilities for an additional amount of $250,000 plus a 10% contingency for a total amount not to exceed $1,076,076. welcome back, rick appleby. >> glad to be back and

requesting funds for p.a.w.s., pets are wonderful support. p.a.w.s. has been around a long time. we're pleased to have $100,000 to support the program. and then an additional $150 has been requested to focus on the target population of folks who have medical disabilities that put them at risk of serious medical conditions or unnecessary hospitalizations. the definition that is in there, you may have read, shanti does a huge assessment when someone does their program, and they'll determine if someone is struggling to meet those instrumental activities of daily living, sort of shopping, food prep, money management levels, and

that's how they'll determine eligibility if they need assistance with three or more of those. the recognition, again, is that the pets in this relationship are extremely important to folks and that it helps them to know that their pet will be taken care of with assistance by shanti. and then folks with medical conditions may be freed up to pay attention to their own medical concerns and avoid some of these unnecessary medical complications. thank you. >> thank you. may i have a motion? >> so moved. >> may i have a second? >> second. >> thank you. any comments or questions? rick, how does shanti contact these isolated individuals, or how do these isolated individuals contact shanti?

how does this work? >> maybe they'll comment on that later, but they do their own outreach with brochures, outreach activities in the community. plus, people know about shanti and p.a.w.s., and there's a lot of self-referrals and other agencies referring people to that program. they have a lot of people referred to them on a regular basis. >> thank you. any other comments or questions? commissioner lu? >> yeah, rick, i'm looking at appendix b-2, page 3, the budget, operating expenses. >> okay. >> just tell me why the printing budget jumps from $200 to $600. >> whoops. sorry. wrong one. sorry. hold on one second.

page 3? >> yeah. b-2, page 3, the printing costs. >> they're going up. i'm pretty sure it's because of the new outreach materials, particularly with the group of folks that they're targeting, so there may be more brochures and informational packets. >> yeah. it seemed like it's quite a jump, and that's why i wanted to know the reason why. i'm pretty sure it's the outreach program. >> yeah, i'm pretty -- >> which originally means it was underestimated. >> yeah, and could be increasing because of a new group. i see that the medically vulnerable's a part of that. >> thank you. >> thank you. any other comments or questions from the commission?

any comments or questions from the public? hearing none, call the question. all in favor? any opposed? [gavel]. >> thank you. the motion carries. >> thank you. >> item h, requesting authorization to modify the existing grant agreement with russian american community services for the provision of nutrition services for older adults and adults with disabilities during the period of july 1, 2019 through june 30, 2020, for an additional amount of $40,000 plus contingency for a total amount not to exceed $1,843,320. i'm assuming that's a 10% contingency, so thank you, laurie. >> good morning, commissioners and executive director mcspadden. we're seeking your approval to modify this grant with russian american community services for the modification of nutrition

services. they provide nutrition programs for older adults and adults with disabilities and a home delivered nutrition program for older adults. these programs improve dietary intake and help participants remain independent and in their communities by providing better health through nutrition. they have been serving meals to older adults for over 20 years seven days a week where the majority of their participants are 85 years of age or older. in july, one of the vehicles that delivers the meals was stolen. this modification is to cover one-time funding for the week as well as flooding that occurred in their premises. i'm happy to answer any questions. >> thank you, lauren. may i have a motion to approve? >> so moved. >> second? >> second. >> thank you. any comments or questions from the commission? any comments or questions from the public? hearing none, call the

question. all in favor? any opposed? thank you. the motion carries. item 9, general public comment. is there any general public comment at this time? hearing none, by rising vote, any announcements? hearing none, by rising vote, may i have a motion to adjourn? >> so moved. >> and happy holidays, everyone. >> same to you.

(role call). >> hi, everyone. the second item on the agenda is the approval of the november 19, 2019 minutes. >> the minutes are in your hands and after you've had an opportunity to review, make any comments you desire, i would like a motion to adopt those minutes. >> so moved. >> is there a second? >> second. >> further comments? all those in favour, signify by saying aye? thank you, commissioners and item 3 is the director's report.

>> good afternoon, commissioners. i'm the director of health and just highlighting a few of the items in your director's report. on november 20th, i was really pleased to accompany marilyn and breed in the leadership to announce 72 new residential step-down beds on treasure island for people who are continuing outpatient substance abuse patient and who are at risk for hom homelessness. they will be operated by health right 360. they are one-type of behavioral health bed to help people on their journey of recovery and people can stay here in these units for up to 24 months so it's really a key intervention and the hybrid, crossing over from the intensive behavioral treatment to permanent supportive housing and this is a key part of the puzzle that we

continue to work on solving in our system and just to reiterate that we contract for service providers like health right 360 to operate facilities at various levels of care in our behavioral health system and the expansion of these beds added significantly to the 2,000 bed inventory and with investments in her budget, we've expanded the behavioral health system by over 200 beds, actually, since i started in early of last year. so making some progress there. and also a reminder that december 1st was the annual observance of world aid's day and we announced this welcomed news in november, for the first time in history san francisco recorded a loaf o low of 200hiv residents, and communities of colour and hiv infection rates

continue to be high and we continue to work on that and we can look back to the commission with some promising data about how we're making progress. i believe that will be mentioned today in the health equity presentation. and just touchdown upo touched . and next year as we think about world aid's day expect contribution san francisco has made, next summer, san francisco and oakland will be cohosting the international aid's conference. so a major spotlight on the bay area with regard to our efforts and hiv and what we've learned can expand to other communities and equally important is what can other communities and other parts of the world teach us about how we do better. and also highlighting the chinatown public health center is celebrating 50 years since breaking ground on the

construction at the current location and a remarkable 90 years of service in the community of san francisco. the clinical will celebrate on december 5th with healthcare and city leader luminaries, patients, staff and community partners, and commission chow will be speaking with the ambulatory leadership and it's an important marker with regard to that anniversary. to highlight another piece and i take particular pleasure in reading the title of this one is medical clown's grand rounds. [ laughter ] >> so medical clowns held their fourth annual grand round's fundraiser at laguna hospital and for a number of years, the medical clowns provides

supplemental therapeutic patients with memory-care needs and this is an example of where they're providing innovative programs for people and something that is really making a difference in people's lives and wanting to highlight that and read that title. so i stand available for any additional questions or comments on the rest of the report or any detail that you require i didn't go into. >> no public comment requests for this item. >> any questions or comments, commissioners? >> i have a question under the students who received the rapid hiv test at balboa in the health fair and there were 19 behavioral health referrals and nine medical referrals. do we know if the referrals, especially the behavioral health referrals, if they, in fact,

received services or do we know any followup from those referrals? i'm concerned referrals were made versus were they able to access services. >> an important question and i don't know if dr. hammer is here. (inaudible) >> could you just come to the podium so we can get it on tape? thank you. >> hi, i'm the director of the ambulatory care and i don't have the exact answer but i will get that to you. i think, for the most part, they were referred to behavioral health services in balboa so in all likelihood, they didn't have to wait or go to another place,

but i can find out and get gag tbackto you. >> i don't mean to be a pain, but in their wellness center, i know that a lot of times, they are somewhat overwhelmed for behavioral health services and so, i am concerned if, in fact, the kids did reach out and say i wanted a behavioral health follow-up, that they were able to receive it either at the wellness center or that the social workers did connect the kids to specific access services versus, i'll see you in three months. that's all. >> sure, and help them navigate to where they were referred. completely with you and we'll get back to you. >> thank you very much. >> any questions or comments? dr. chow. >> i had a question and a comment. i think it's commendable we're

able to get 72 health beds but i'm wondering how we would connect patients to the real world to speak because treasure island is fairly isolated in order to assist them in the transition that would be needed as we're trying to move them into a more normal life. >> when i was out there, i asked that specific question, health right's 360 does a good job of making sure people are availing themselves linked to services, life-skill training and also making sure there's appropriate transportation into the city, frequent transportation so that people are able to get that work. it's very different from being sort of in an isolated place and the thing that's striking about it, the houses have shared rooms

and a shared common room and there's a shared sense of community and that's a big sense of the therapeutic program. but there's multiple transportation options from treasure island to san francisco and so forth, back to the rest of san francisco, i should say. excuse me. >> i just wanted to make the comment regarding the chinatown public health center and wanted to thank the department and the commission for maintaining that center. it wasn't that many years ago, several decades ago, when in the face of adverse financial issues here at the department, we were looking at closing centers and i think that the department saw the wisdom of maintaining the chinatown center as an important point of service that, as you pointed out, has been there for 90 years and that it is really,

i think, a forerunner of what we actually now have in the health network, which is really a full-fledged primary care neighborhood units that are available for the immediate neighborhoods rather than all having to go either to general or wherever we were concentrating our services. so i think it's noteworthy, not so much that the 50 years have sat on top of the broadway tunnel. [ laughter ] >> not exactly sure, but i guess it did pass earthquake safety inspection in the preliminary, but the fact that this actually was a type of service that could have been lost during the financial crisis of the department, but the department and commission felt that it was important to keep it.

>> thank you, commissioner chou. with no further comments, i'll return to the secretary. >> item 4 is general public comment and we have two requests. >> i have krista duran and julie. and public commenters, as you know, i'll have the timer when it buzzes. >> hello, how are you? i'm here again and i'm going to keep coming because i just want to advocate for our staff and patients. yesterday was a really, really hard shift for a psychiatric nurse in psych emergency services. she's a single mom with three kids and she was mandated for the second time this week, 30 minutes before her shift ended, mandated to work a 16-hour shift. and yesterday they worked with

five nurses. one of those is the charge nurse and then the other one is the triage nurse, which you know per title 22, they are not allowed to take an assignment. they don't count in the ratios. so that's three registered nurses taking care of 20 to 30 psych patients in mental health crisis. and this is a problem. and we need to address it. and the er is constantly understaffed and overcrowded and we've been getting paged out for experienced triage and trauma nurses, wher. we're a level-one trauma center. they don't have enough because we're budgeting for nurses that have been there for less than two years. a crisithis is a crisis andwe. we have a surplus of $96.5 million -- i don't

understand all this math but i can see there's a surplus. so i don't understand where the staffing is coming from. what's going on? i mean, this is bad our patients are not getting the care that they need. also, we're supposed to be on the agenda for the joint commission, starting december 10th. i'm excited that the er will be on the agenda, but i was also not excited to hear that it was just going to be our managers giving power-point presentations and not us having a seat at the table. so i would love for you to reconsider that. thank you. >> hi, i'm julie from the emergency room and i've worked there for 20 years. i started working in the department of public health to do public health and i don't know what we're doing any more. i'm having a moral crisis almost everyday i work.

i'm not alone. i'll actually submit preliminary data. we did a survey of staff and stress levels, 80% are having pstd symptoms. near 50% of the respondents say they have retired early, decreased their hours or have taken a leave of absence and 86 to 92% have anxiety because of violence and they feel unable to provide the best care they can provide. 65% of our staff feel hopeless because of the situation and i don't understand why we keep coming here and i have not seen anybody from here come to our department and walk around. but anyhow, i'm submitting for the record the written statements from the past department of public health hr director, the statement from the

pr nurse yesterday that krista was talking about and preliminary data from our survey, as well as not all inclusive list of things we need to deal with and things to help make this better. we've gone to regulatory agencies and i think maybe we need to start talking to some legal authorities and justice departments because there's money that's unaccounted for and we're scrimping and we're i scra third-world countries. i have people from third-world countries look at us like we're crazy, we're asking for help. we're failing. the department of public health is sick. if it was a patient in the emergency room, we'd be coding it.

>> those are the requests i've received, commissioners, and as noted, the december 10th jcc meeting will have an agenda item and you're welcome to attend. i'm 5 is a report back from the finance and planning committees and commissioner chou chairs today. >> in the contract's report, there was an item for cross-country staffing which is a contract for the registry personnel and it's one of three contracts in order to provide red street personnel and we heard the rationale for this and they are the prime contract for

approximately an annual amount of 7 million. we heard several new contracts. the first one was the second contract for nursing, for registry and that's for a total amount of about $2 million and this would be the second registry used if the first was unable to provide the services needed. a third registry is also being contemplated as needed. we also then heard a new contract called health space u.s.a. this actually is a new database for the environmental health section and you probably, i'm sure, saw the items that it actually will be covering, which includes doing permit issuance, complaint and investigation

management and field and tablets, scheduling for employees in order to be efficient in their various environmental investigations that they have to make and that includes, for example, the reference. and they are a company that actually specializes in these. the contract is coming before us as being the second next important item according to the department for it after epic. in order to bring the environmental services recording into the 21st century, i think would be the best way to describe it. apparently it's being done by paper at the moment and created from, basically, microsoft, and they set up 17 different

programs, which, obviously, i see everybody is homegrown and really, it is at this point outdated and must be why the program uses this as the next biggest item for operations in the environmental department. as you know, the environmental services need to pay for themselves, so the hope here is that this will be much more efficient and will be customer and consumer-friendly and brings us towards the 21st century. and that item will be before you aand cost 5 million over a five-year period. it will take three years to create it and implement it and they have a two-year period for the maintenance. so those are the five items we heard and there was also an informational item from our

emerging issues in which we actually, as a department, use a conglomerate for doing a number of purchasing, called a group purchasing organization. the administrative code are several years behind in terms of being more accurate as to the methodology and the department is proposing administrative code changes over at city hall to the city's code in order to bring that up to date. essentially, this was the old university coop that became visiant. with group purchasing, we're able to get better pricing than those who come to the department and the commission doesn't change the process or the

authority that any of us have including the board, but it helps clarify what is the current situation. so we will hear a further report at the finance committee as to the success of the previous contract which was called for in the old ordinance and they're calling for that type of review every five years to the commission to inform us o of the purchasing contracts. that ends my report and i would happy to answer any questions. >> commissioners? item 6 is a consent calendar containing all items that commissioner chou just noted and recommended for approval. >> the consent calendar is before the commission and i'll call for a vote.

>> so moved, seconded. >> all those favour? >> aye. >> thank you, commissioners. and we have an item order change for today, and with your permission and item 7 and then we'll move to the population division health, two north. dr. bennett. do you need assistance with me pulling this up? >> i'm dr. bennett, here seeing you in a slightly changed role and the director of the office of health equity which has

existed for five whole weeks. this presentation will give you some background on what that is, why we did it and what you can expect from that office going forward. so what i'll going to tell you will be both familiar because we're consolidating work we're already doing and new, as we're changing our vision and direction and you already know that equity is a true north and there are many people in the department who will tell you that equity is their work and equity is the thing that brought them to the department but if you look at our data at the black health report and many other data reports, we know the current work is not doing the job, right? we still have inequities despite generations of work on these issues and so we are going to talk about some successes, but this talk is really been our efforts to look for a different kind of success, to move from transactional to transformational and look at

sustained change and not just moving the needle on a number but leaving the system intact and so, i'll be talking about a little bit of answering that what by what kind of structures and activities we're going to do. but also, the why, what function that structure is meant to achieve. so that is our new chart. i sit exactly in the same position i was before but we've changed the title. and that is similar to our office. policy and planning or compliance, an office that sits with the director expect structure that we're building initially and i expect this may change over time as we go forward, fits the function we're looking for. there are infrastructure bodies, a couple of convenings of staff focused on decision-making and sharing best practises. there's some direct programming. the hope fs program and

individual contracts, and there's health equity work across the department supporting individual departments an in soe specific programs and health equity workforce related stuff and staff under thie each of th. that consolidates staff here and one full-time person and two half-time people added to that staff. so how did we get here? so many of you were around for some of this and you know that it starts well before 2014, as i have it on this board. it starts as far back as 2008, when dr. aragonne first published data about years of life lost between african american residents and the rest of san francisco. it goes back to more national

research from the jackson heart study and other things shows massive racial despairties. and some data from the institute of medicine showed us not just race but racism was the relevant factor and there's plenty of data now to establish that. so when we arrived at 2014, with the director having the idea about the black african-american health initiative, both of those things were well-known in the department. it was looking at health force and work force expect cultural things that underpin those, so cultural humility and what keeps those two things going. we started with the black american health initiative in 2014 with those intentions and we started the trainings with

dr. hardy over 500 staff have now taken 32 hours of training with him and that's something like 16,000 hours of training across staff. it's quite a few. and then baji leadership changed and expanded so that the individual projects of the baji program were of cours expanded n expectation that all sections would take part in some way, not just around the designated health issues but around their work more broadly and then we had equity convenings of staff in 2018 which determined we needed different infrastructure and that's where the ineffective office was brought up. at that same time we were going through that developmental path, the city was doing it's own development. it joins a network on government, race and equity and that is alliance that has

committed to eliminating residential and equity ielimina. several systems have gone through that training and it has established the expectation that different parts of the city government will make changes. so agencies all over the city have participated and that includes dph, all three years the city has been involved, only allowing us to send two staff a year and in a staff this large, it has not had the depth of impact you would like, but that did lead the city towards the idea of establishing october 1st of this year an office of racial equity for the city of san francisco. so that office of racial equity announced on october 1st and we announced our office of health equity a few weeks later. just to give you background, that san francisco office of

racial equity is an ordinance that establishes requirements for the departments of our size. so it requires a designated staff person for each area and we're interpreting that to be sectioned. we have already some established staff and there's an established equity lead for behavioral health, for the sfg, for l lagua hohonda and there are leadership that hasn't been hired yet. but the expectation of whether it's a new staff person or not, someone in each section will take the lead around equity. and that means that we as a department are supposed to have a lead and that is me is the department. there's supposed to be annual goals and plans registered with racial equity from each of the large departments and we will be expected in 2022 to put in our first