tv Health Commission SFGTV October 3, 2023 4:30pm-7:01pm PDT
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robbery with weapon charges. they are obstructing her. dpw is violent. where is the legislation? you are pezed be board of supervisors where is the legislation to protect the at this timeses from the violence that you are -- employees are committing on -- immoral. when do we get to legislation. thank you. charles. anyone else to address the board. no one jumping up. >> go to remote comment. why our first speaker. any speaker comment who is violate discrimination or harassing we will move on.
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really want it focus on how you guys are going to do this. what your plans and how you will tackle issue and get the city become to normal. closure of the store guess down special violence is up and the respect for the community for the police and the respect for the police on the community is atrocious. take charge and sustained we can find others, thanks.
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>> welcome. caller yoochl thank you. i'm tim 3 simon a native to san francisco and represent the candlestick heights community alliance. shore line community over looking the candlestick state recreation area. d10 only district that has vehicle triage center and half of those. >> i'm pausing your time. that item was a committee report this came from committee it is before the board. the board voted on this combrm it is not visible for comment. today. if you want to submit something to us we will receive this and make tour everyone receive today it is in the eligible for public comment. >> thank you.
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speaker, please. hello, caller? hi. can you hear mow? yes, welcome. >> thank you, clerk. i want to thank supervisor preston urging spay spay tow turn on red policy and the cosponsor. allowing turnos red is out dated policy this makes streets stressful for people no turn on red increase safety especially
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children, seniors, people with disabilities and drivers. tell make it safer and more comfortable for people to cross the street and making the streets safer. i urge to you support the resolution today and thank those of you willing to coexperience it. thank supervisor melgar for daylighting and urge to you support her call. intersection daylighting is ability atting intersections and increase safety for everybody. spay spay no daylighting policy. and when the agency does impelement it implements 10 feet of daylighting the result is dangerous and stressful streets. stay stay implement a pol for 30 feet of daylighting for every
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crosswalk marks or unmarked in the city. the agency implement it quickly and effective and push today do this i urge you to support the call for a hear and introduce urging pispay to implement 30 feet of daylighting for every crosswalk in the city. why thank you. >> thank you for sharing your comments. next speaker, please. this was the left culler in the queue. >> mr. president wrchlt public comment is closed. at the request of supervisor walton rather than filing item 33 there is i request to continue this item to may 21 of 2024. is well i motion to rescind our prove? we will take that without objection. and we will continue the item to may 21st 2024 this was the hearing with the police
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department on the united states department of justice recommendations without objection that will be the order. would you read the adoption without reference calendar >> then through 40 adopted without reference to committee. if a member would like to send one item this is on first reading than i could otherwise a vet y. would any member or member like an item or items severed? a roll call >> items 37-40 supervisor supervisor peskin. >> aye. >> supervisor preston. >> aye. where supervisor ronen. >> aye. >> supervisor safai. >> aye. >> supervisor stefani. >> aye. >> supervisor walton. >> air. >> supervisor chan.
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why aye. >> supervisor dorsey. >> aye >> supervisor engardio. >> aye >> supervisor mandelman. >> aye. >> and supervisor megovern. >> aye. >> there are 11 aye's. >> they are adopted. would you read the immemory. >> today's meeting, journal in the memory of the following loved individuals on behoove of supervisor safai, forlet mr. coop are junior. on behalf of supervisor supervisor peskin the late tim tigaris at the suggestion motion made by supervisor peskin on the sprier board for the honorable diane feinstein. >> we are adjourned. clear clear
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>> if you can so it can catch the sound of your voice. >> sorry about that. so i'm very happy to be here, members of the commission. dr. colfax to give you an update on our resent activities in behavioral health. next slide. i'll spend some time on the following agenda item, i'll also thank you for your questions, i'll try to inter grade into my presentation, some of the responses to your questions. i'll be first sharing some updates with care court,
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updates from our residential care and straement efforts, over to response and importantly cal aim and our current transition to epic our new electronic health record. next slide. as you heard and new initiative, our govern created through legislation entitled sb1338 as you also heard from dr. colfax, we in san francisco are part of a first part of cohort of counties to implement care court starting yesterday. with l.a. to follow shortly and
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the remainder of the counties in the coming year. competition that's include members, members providers, or what is being called reference, this includes our assisted outpatient program, conserveship. if the person is eligible and the person will not engage voluntary in care, the participating will receive a court order care plan with up to 12 months. this is for people with psychotic disorder due to
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schizophrenia, and other disorder. so those who have a disorder without a psychotic disorder, would not be considered eligible for care court. this is intended to be a less restrictive alternative to other forms of court engaged or court mandated treatment. it is intended to be less restrictive for example, and conservativeship. the govern and state have proposed should be a way to engage folks early and prevent further development of crisis or further complications from the illness. we still have uncertainly about the number of people being referred to. we have estimated health services data, that there may be between 1 and 2000 people
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eligible in san francisco. they will all likely not all be referred and certainly not all at once. i got ahead of myself. all will be participates in a approach, l.a. will be coming next month. they will are expected implementation by december of 2024. we have been aiming to educate community members, you can see that we have had three resent meetings including a town hall in august. the san francisco superior court held a town hall public meeting in the middle of september. and this is not upcoming but there was a board of supervisor
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hearing last week which was publicly accessible. next slide. next slide. i wanted to update you on the proposition c, and mental health, expanding our range of residential hair and treatment in san francisco and for san franciscans. the bottom line is that we have an intended plan of opening 400 new residential care and treatment spots. as of now, we have opened 350, so we are closing on the remaining obligations. and working hard to get those opened. you can see at the bottom right hand of the slide, the categories of beds that are we are still working through.
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you asked the question about how full our beds are and resent news about the beds. these are beds that are all staffed and available just to clarify one of the questions. we also have published and other places that are beds vacant vacancy and occupancy is about 85 percent depending on bed type. there is variation across bed type. best practice is not aiming for 100 occupancy. because then of course, when somebody needs a bed, it's full or a particular service. some of our service right side fuller than others. some are held for particular populations, for example, pa ri natal care.
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there was a setting in our management program, foxz coming in were not always admitted. further this is a relatively new program and folks presenting for care at that level, draw management, may not always be appropriate whether because they're too sick or i'm going to use air quotes but maybe have medical complexity and other complexity that makes them appropriate for different level of care which they are then referred to on to and linked to very closely. so i want to mention that, as
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an incorrect data point that got circulated very widely on the basis of some information that we had shared with the board of supervisors. and just want to correct it for all of you. changing topics to next slide. as all of you are aware, compared to 2022, we did see a flattening of overdosed deaths from 2021 to 2022 and unfortunately, we are seeing an increase, there are 563 preliminary overdoses deaths in san francisco from january to
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august 2023. this is about 40% higher than that period last year. the manl or the of these deaths volve fentanyl something like 80% of them, fentanyl as you know is a potent opioid that is being either mixed into the drug supply both locally and nationally. or, drugs are being sold as fentanyl and being sought after by folks with substance use disorder. like other jurisdictions, we're aiming to address this very serious epidemic and i wanted to share with you some of the things that we've been able to accomplish, certainly since we last met and some over the last year. next slide.
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i wanted to share with you some of the progress that we have made inter ventionz. these are both clinical inter intentions happening in treatment programs, and interventions happening in lower barrier setting or in primary care settings. and interventions happening in and around the streets in san francisco. as part of our approach, through mental health sf, we have opened a significant number of beds that really address the specifically these are beds also known as recovery beds and silver housing. they're intended for folks coming out of residential treatment. they can stay here for up to 24
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months. receiving outpatient treatment while having a safe place to stay. they're expanding something called contingency management with four programs in our substance use disorder treatment programs. contingency management is our interventions with people are given an incentive for healthy behavior. this is the most affective treatment we have for people with stimulus use disorder. under medical reform in california, we're able to use medical dollars in a pilot passion to fund these programs which have been historically excluded from medical. additionally and you can see the next three checks, we are working aggressively to expand hours of service.
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in some of our programs, we're really looking to create models where this is not just business hours but evening and weekend hours. we as you have heard from my colleagues, maria x martinez which have opened is partly and importantly serving people at-risk of overdose and we're working closely to incorporate treatment and risk reduction services there like distribution of noloxan. you also have heard about our specific post overdose response team that are particularly geared for people experiencing homelessness. we're aiming to reach people
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after a non fatal overdose and specifically fatal overdose. #sing slide. we also know that people at-risk of overdose, maybe socially isolated and may not have the skills to respond to overdose. in this game, we work to open a drop in space with low barrier therapy for people experiencing homelessness to reduce their risk of overdose. we're working aggressively to saturate communities with information and availability of nolaxin. i know you've read the slides the various ways in which we have done that.
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he will mie light, we have overdose response training to recognize overdose and respond with naloxon. and it's on the next slide. we have had an overdose recognition response training which has been taken by more than 5,000 in order to reach people at-risk and give people the opportunity to respond. next slide. you heard from dr. colfax that we launched a dashboard to track on what is happening in
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terms of death, overdose, non fatal overdose, morbidity and to understand the extent where we're getting into the hands people, such as naloxone and getting into a chair to reduce the risk. you can see the screen shot in front of you. i want to turn to our overdose. we know that african americans have more than five times risk
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of overdose risk compared to other san franciscans. we're work to go establish more engagement and partnership with new community organization and leaders and black lead and black serving organizations around overdose prevention and access to treatment. you can see some of the partners that we have working with closely, we have connected with a total of 25 black serving organizations, we have trained more than 180 people, in overdose prevention. also working deliberately across our own organization, that should be officing of health equity as well as in behavioral health diversion inclusion. and we really are aiming to make this a whole department and bhs effort. next slide.
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another population that we know is that elevated risk. our folks who might be living in supportive housing. folks in supportive housing, through some analysis having also found to carry an elevated risk of overdose. we are working closely with our fellow departments, in supportive housing as well as non for profit provider group network, increase communication and coordination and housing sites. together we have inskauld, we are work to go train supportive housing residents and staff and overdose recognition and response. and another innovative program has been our ability to deliver
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morphine the medication to treat disorder, by our pharmacist now work withing more than 80 residents across 25 housing sites. the idea here is bringing treatment to people to promote their adherence and retention and care and of course reduce their risk of overdose as well as promoting health overall. and finally, on the overdose front, next slide, we're happy to share that we were the resent awardee of a major center for disease control grant on overdose, called overdose to action. we have named as one of the 40 jurisdictions nationally to receive the funding and the first time and the first time in san francisco. we will be using the funding to engage into treatment and
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improve data capture analysis on drug related metrics and trends, increase education of healthcare providers to increase describing and other affective medication. and we'll be able to fund additional efforts to work specifically with the black african communities and supportive housing. and then finally the next slides, you heard me speak about the contextual urging change for us.
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we are finalizing new rates for which we pay for service. and we are aiming to support providers through this intense transition which is changing the way we do documentation and care. we're strengthening our health plan as well as healthcare blue cross. as you know, when somebody has a severe healthcare, they come to us at dph as a managed care plan and as a provider, if they have a mild to moderate, they are cared for in the primary care context. which have implemented and aiming to improve transition of
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clients between the behavioral system and in this case, general medical care system. this is really an attorney development as we integrate care across the system. we also have an opportunity under cal aim, to derive from additional funding for what is being called community support, you can see this in the second to bottom green. one example is that summer rise, our drug sobering center, one of the new efforts under mental sf, launched as a community or has begun to be part of the community. this is really enabling us under the fed med cal program to deliver care that is broader and more narrow bio medical
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care, which can be extremely affective but this allows us to address other needs to folks with severe behavioral health concerns have. and last slide, i want to just mention that we are hard at work, preparing to join this the rest of the network, on electronic called record called epic as you know. we're going to be launching, epic in may. just allowing us rather than april as you can see here, allowing us more time to finalize current processes. we're currently in what is called the groundwork and adoption fades where we have subject matter expert from across behavioral health working closely with our colleagues in i. t.and across from the department to being able to implement epic again. another really huge transition for the behavioral health system.
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we are happy to spon or our leaders and to help us grow and help us lead into this next phase. this is really an enormous and important undertaking that in my view holds a promise of helping us work together to become a better one network system so that we can communicate about clients and patients and make sure we are coordinating and driving to good outcomes in their care. next slide, i think that is. happy to take questions. >> thank you, dr. kunings, before we go into questions or comments, we'll take public comment. >> sure, is there anyone in the room that would like to make public comment on this item? all right, seeing none, i see one hand.
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jamie, could you please unmute that person? hi caller, you've got three minutes, please let us know that you're there. hello caller, can you unmute the next caller, there is two hands up now. >> hi, i just, i would like to clearer, can you hear me? >> yes, please begin. >> caller: hi, it's dr. palmer again, i would like to a clearer look on how close we are to treatment on demand and can we talk about that to the tracking on the overdoses? how do we know when we've got petition services. >> can you go back to the other
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caller and see if they're there now? hi caller are you there now? >> caller: hi, yes, sorry. i was calling in because in the last like nine mobssinger i tried to reach out for services for my son in san francisco. i tried to bring the mobile help line, and he was turned away. by the time that mobile health came, he had already wanteding away. for me, as a parent, he has private parent, trying to get appointment with ucsf psychiatry was nearly impossible. nearly a four-month wait. we first started off at general hospital and he couldn't be seen as general hospital because his xaourns is not
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contracted to general kopt hospital. and then i went to my general care and a lot of things had happened in between that time. i'm hearing about a one connective, one connective platform that you're all creating. and my son is very young still, he should have been able to easily get help. i'm letting you know, it's not there in the private. and ucsf or general hospital, they have a long wait. i want there to be some honesty about care and giving families more, when i brought him into the hospital, they wouldn't let me sit with him.
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they would not let me give information at first. i had to tell them i'm a hospital worker for them to start talking to me. there is things that can be done at the front end. and as a parent, i felt like i had no support through all of this. thank you. >> thank you so much for your comments. that is the last public comment. >> yes, thank you for those comments. commission, do we have questions for dr. kunings? >> thank you dr. kunings for your presentation and again for all of your work that you and your staff do on behalf of san franciscans in need. my question, has to do with, the amount of contracting that we do with our partners outside of the actual network.
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how are we assuring ourselves that is a through the measurable outcomes that we're looking for. because a lot of what you described are great programs process points, expansion of services and you know, those kinds of things. how are we making sure that we're making a difference in the individual lives, particularly as it relates to the vendors and the service providers that we have that are outside of our own media network? and particularly because we know how difficult it's been for them, to hire, to recruit, attract, hire and retain the kind of skilled sthaf that is needed for this expansion of
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services across the whole continuium. it's not, it's not something that i know that is easy to answer or even easy to mention, and hopefully through epic or some other, data coordination, we're going to be able to do that. but what is the thought on that? i just, it's a question that i think i ask often in terms of how we're going to be able to make sure that we are going to have on going sustainable impact if we're not able to attract the kinds of quality, providers and such to stay in the work? >> thank you for your question, commissioner guillermo. i think both parts of your question are really important. one is workforce and we, we are both, government and our
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contractor providers, challenge to recruit enough behavioral health workers to fill all of our spots. i think there are a number of tactics to try to address this including within dph and with our colleagues at the department of human resources, better smoother, wider recruitment efforts. as well our development efforts which are largely funded by our state mental health services act. we graoe, i think that we all have more ideas and more thinking to even expand further as we are expanding services. and with that staff, sufficient staff, we have been challenged to expand ours as quickly as we would have liked.
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on the first question, in contract with that. to the sort of, one part i wanted to say that i think we are really looking forward to epic. in order to ease the reporting and tracking that we'll be able to do. is know from may colleagues that we have been reporting as much less cumbersome than through current processes that we have. so one of the great appeals of epic, will be our ability to look outcomes more easily. we are in terms in measuring out, we have a lot of oversight by the state.
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we just finished one last week for example, is assessing in the case last week's audit what impact they have on our clients as well as other health measures. so this is part of the scrutiny, appropriate scrutiny from the state in addition to our own, measures. i want to acknowledge opportunities for improvements. and i think in the fields as we have been in the faoefld behavioral health, getting measuring outcomes in our services, is kind of the work of the field that we've got to do that better and more clearly
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and communicate it consistency. it is very different than measuring people, for example blood pressure control or diabetes control which are measures that i was used in primary care. i'm very committed through epic, and through data to get us there. i would say that we're working on it and in some cases we do have it and in other cases, we have gaps. >> so if i can follow-up, i appreciate that lots of monitoring from the state and other resources that we have. will san francisco will be able to establish its own measurable goals or, bench marks around? our situation is quite unique, right. and so, i'm just wondering rather than just, complying or
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being accountable to our funding sources, how to be accountable to ourselves. >> that's also a great question, i think we do and want to set our own benchmark. i think we want to make them consistent with external expectations where possible. i think we is our dashboard on overdoses is example is this, are we getting more people into treatment? are we retain to go have more people in treatment? are we reaching the people who might be at-risk overdose with the kind of services that we know can be protective? none of those are exactly measured by the state by way of example but we intend to measure them by this dashboard as well as a still in development mental sf dashboard, very well welcome of
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specific recommendations as well. >> thank you, and that would ally also to the partners that we contract with? >> yes. >> okay. all right, i look forward to hearing more about that, thank you. >> thank you, commissioner guillermo. vice president green. ?fm first of all, thank you so much for the progress that the progress that you and your team have made under your leadership, when you look at all the programs that have been put in place, this is such a difficult aspect of public health that we're dealing with now, especially here in san francisco with the overdose and mental health crisis. so we're grateful for you and your team for what you've been able to accomplish. now that we have the programs, we have cal aid and a lot of wonderful ideas and i know staffing can be an issue. but i'm kind of confused about points of entry. you know, the public comment of
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people that may be more disadvantaged of being insured than uninsured. one example that crossed my mind, for example how does relative who feels, one of their family members has schizophrenia and they may be homeless at this moment? how do we find them? and who makes the diagnosis especially in light of staffing issues? i wonder if you can comment in points of entry and in particular, the aspect that these programs will be most successful both accessible and successful in enrollment 6789 >> um, let me also acknowledge that we take a lot of calls and work with families and are families bho have private or commercial insurance. do need to go through their
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commercial and insurance program and we are aware of wait list and some challenges there. we also however work with families helping to get them situated, whether it's making a diagnosis or coordinating care. a few routes, one is our access line or b how and our behavioral access center or bhac. the line is available for families to speak with to receive referrals and similar our behavioral access center can do the same. if somebody enters into these pathway is looking for more help and referrals, for example, the homelessness.
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the next year and a half and office of coordinated care for people with complex behavioral health needs who might need either linkage into on going care helping to figure out where is the right level of care or what the right referral is >> can you also comment on what kind of opportunity we might have as there is been a few more arrest in terms of over drug use and what lessons we may have learned from our center in terms of that particular population, helping them enter the system. of care. >> so i'll just comment on, a
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city wide initiative called demac or the drug market initiative. and are under law allowed to be held for about four hours. part of that law enforcement, lead program, every one is offered by the sheriff's department, offer referral to treatment or to services and in that neighborhood of course as i just mentioned our behavioral access center which is open now 7 days a week including into the evening hours. i think one of the things that we have learned as well as the other street work, is folks, their top request is from us, from the city is shelter and
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having material needs met. and so even when folks clearly have a behavioral health challenge, it may not be in that moment that they are seeking treatment for their behavioral health concern. and so, i think one of the learnings here and sort of whether it's been helpful for me to think about as an addiction medicine doctor, is thinking about a person stages of change. and for the person that clearly has a problem, they may not be ready to work around changing their substance use for example.
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this is very much what we're aiming to do with our street teams which i did not so much talk about today. being able to get people into care, into treatment whenever they ask and that is our goal as well as to coordinate with other agencies who may have other services at their disposal. we do have services especially in the overdose crisis, thank you so much.
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for transparency and getting to the heart of what is happening and the data is the basis for formulating our response. and of course this is alle happening with within the context, against the current of new substances. sometimes that can lead to a greater overdose? is there anything that we have learned from our data that has been surprising that has helped guide in that response and the gaps in that data would be helpful in formulating our response. >> that's a great question, thank you.
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to know what is going on. we're working for example, with colleagues and fire department to and they, and to support us to get more realtime non fatal overdose data anticipating that if we see up takes either geographically or in time, that we will be able to respond in a more targeted fashion for example. we know that we, need more and intend to go look for patterns, whether it's in geographic patterns or across social
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networks, this is the way that data can help us respond in a more targeted fashion. i think what is preokay fieg the feel in all of us is being able to detect emergence of new substances. this is something that we, as you mentioned, somebody mentioned sylocene which has enters the market in the east court thanks to the office of chief examiner, we are aware that they're present in some folks who have passed from overdose. we have not seen yet the xilocene as a more prevalent substance in our community. >> thank you. thank you. commissioners any other questions? yes, commissioner chung. >> thank you dr. for the
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presentation. what strikes me is one of the flies that correlates to post incarceration. one of the higher risk factor, it says here received in-person mental health and substance abuse treatment. so that would increase the risk of overdosing? do we know why? >> i'm just looking for your exact sentence. >> oh, and sure.
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we, and the reason for this, is that, is that when folks are in situation where they have not used any opioids for perhaps not voluntary, they're tolerance for their substance which is a physician thing goes down. so even a little use, can be, they can be as higher risk for overdose than had they, had not stopped using. this is a couldnonedrum. this is a challenge for all of us. oh thank you.
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following their release from incarceration. but that is a known phenomena, it's also true that detox can increase risk of overdose. somebody stops opioids altogether, if they have a slip or relapse, they're more vulnerable to overdose than had their use conditioned. this is worrisome in the context of fentanyl where a small flip return to drug use can be dangerous and fatal. that is longish, thank you for the explanation there.
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those number will allow me. >> and these are from thank you for that mark, or from north carolina, data. there is also data from other places around the country and, i don't believe that there are local data to that affect, just to clarify again. >> and then also to a finer point, that in san francisco, we do offer treatment or many jails across the country do not. we are a leader in this, in san francisco, thanks to my colleague and jail help. and we are very much unfortunately, the exception still. and upon release. thank you. commissioners any other questions or comments? dr. kunings, thank you so much
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for bringing this excellent presentation to us. we know that there are a lot of challenges and we're grateful to you and your team to address them, and we look forward to hearing for. >> thank you so much. all right, our next item is the vision zero update. is for the present, nz sue, as well as jamie parks. so welcome, and the floor is yours. >> good afternoon, i'm iris and i'm the lead ep meadologist for vision zero within the population health vision. i'm going to be presenting the
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office of the medical examiner should receive notification in a timely manner. and provides community support when needed. next slide. casualties are linked to their decision or hin, identifies the corridors for the most of the year and failed injuries in san francisco or concentrated. in addition, we over laid fatality with equity prior to communities and found that 44% of fatalities occur in the community.
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riding a bicycle in 2022, we're seeing a sustained reduction in the number of cyclists killed on the streets since 2014. bh we explored fatalities by age, in 2022, traffic fatalities were over represented among people age 45 and older. each group had more fatalities compared to their representation in the city population. in contrast, asian and latino travelers were under represented compared to the representation in the total sf population. and for more information on
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fatalities by demographic, please refer to the most recently release fatalities report that is included with the presentation. next slide. adopted around the same time as san francisco. oakland has been adopted vision zero and long beach has not officially adopted vision zero though it's had a plan since 2020. fatalities increased across the nation. many cities experience their highest fatalities accounts on record during the pandemic examine have remained in elevated rates in 2022, this was true in jurisdiction that participate in vision zero as
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well as those that don't. in 2019, less than 1 percent of fatalities or serious injuries were on segments. in 2020, that proportion rows by 7 percent. next slide please. starting in 2018. we analyze vision zero combination outcomes on only the two segments that it installed in 2020. we then use 2020 as a reference
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year because it experienced interruption of due to the pandemic. and keith street in day view hunters point. we compared 2019 outcomes on the street segment which in 2021 to estimate the difference and impact the project. next slide please. viewer collisions and significantly fewer injuries overall. and while we saw a descriptive in the number of injured. the total number of fatalities remain constant at 7 in 2019 compared to 2021. next slide.
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these mindings align with the outline in the vision zero action strategy. next slide. our next major project is a collaboration with data sf to predict a model for severe injuries. our hope is to combine data with multiple sources to exercise the likelihood of various intersections and street segments in san francisco. to prepare for this work, information partners to modernize and centralize our data workload and systems for more efficient and robust analytics. thank you very much for this opportunity to share the findings. i wish to give a big thank you to kevin morris who now works
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with san francisco police department and his work has deeply performed the percentage here. i'm going to hand off the mic to my colleague. >> at this, had you, iris and thank you commissioners for having me. i'm jamie barks, i oversee the livable which includes our vision zero policy program as well as implementing a lot of the street changes that you see around san francisco. we've in a core partner since we've adopted vision zero in 2014 and i really appreciate working in iris. one of our major products is the vision action strategy which was adopted and produced for the mayor's office in 2021.
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and a core to, core piece of the action strategy is the idea that vision zero requires a system approach. there is no zero that is going to get us to zero death. they do come from national research that we looked into as we're developing the action strategy? for the five main pieces, the five main components to getting to zero, we need to redesign our street and you can see about 30% reduction in crashes when we redesign our streets.
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next and as iris just described, pedestrians are over represented in our data. we know that they're the most honorable people on our streets, particularly our seniors and people with disabilities and we can protect them at the places where they're able to come into conflict with vehicles which is in that intersection. next, when we talk about mode shift, we know that a lot of people feel unsafe biking or, you know, or using, and getting around san francisco. and one of the ways is by providing close streets and space fas lts to use.
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we've been working a lot on how we can recognize this at some point, most people are going to have to turn left. how can we make that happen as safe as possible. next slide and next slide. that we're working on, is a focus on mode shift and specifically, make iting safer and for comfortable for people to choose biking and out of rolling to get around san francisco.
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working into a program that really allows comfortable connections for families throughout. and, finally, we're working on that we expect to bring to our board in the spring of 2024 for adoption and that will be the next generation of how we rollout, biking and rolling across san francisco. still don't know what we learned in the past few years. i have made a huge amount of
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progress in 2014, that we have learned a lot of lessons along the way. but we have learned a lot of important lessons along the way. a few highlighted here. we started off thinking that we had the money and resources in the time to rebuild every street in san francisco and behind the network. that simply has not come to pass and far too expensive and time consuming where we have the resource that's we have to do that. we're going on wide street, and widening sidewalks, we really focusing on rolling that out as quickly as we can. when we adopt a vision zero, we thought that these vision cameras would be up and running and deployed by now right now.
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as it turns out, it took us this long to get to legislative authority. and it's taking a lot longer and we're ready to hit the road running, as soon as we can. and we learned how challenging it is to influence mode shift and, also how difficult it is to use to use traditional police enforcement to achieve the outcomes on the street that we want. there are a lot of challenges with police enforcement in terms of equity impact and the police department does not have resources right now either. so we're looking at alternative of traditional traffic enforcement to get to that behavior. so, next slide. that's everything that i want today share. i appreciate you having us. >> thank you, mr. parks. do we have public comment.
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>> yes, i do. and anybody else in the room that would like to make public comment. you can go after the speaker but commissioner will read that person's name. >> we have in-person public comment, lee anne chang. and i've got a timer with three minutes. when the buzzard goes off, please know your time is up. >> my name is lee anne chang and i focus on vision planning in san francisco. it could not be becoming at a more needed time. last year, 39 related deaths and occured and more than half pedestrians trying to cross the street. this year we lost a 4-year-old child as well as 12 adults already.
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today presentation shows that builts are affective in reducing bike and pedestrians collisions by a third. this is a step in the right direction. built to be quick and inexpensive and incorporating basic infrastructure, that should be in place as soon as possible. walk sf is also at an meeting hearing that just finished a few minutes ago, increasing to double down, on a plan that they have to complete quick build on 900 high injury, intersections by 2024. so the intersections that have yet to receive any improvements. this is low hanging fruit that they need and they need to get a back on track before the end line of december 2024. soy want to thank and encourage the cities in continuing to
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work together to bring other life saving changes as well as an let i can project in order to make our street safe for all of moving around san francisco. thank you. >> thank you, ms. chang. and there are no remote public comment requests so that's the only comment for this item. >> comments and questions, commissioners? >> well i'll go first. i'm a cyclist and i cycle around the city. and i know that i deserve. what is the process of san
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that's why the past, since vision zero has been adopted we've been trying to link records with the police reports, with the, trauma registry at san francisco general and with 9-1-1 calls, ambulance, operator, record, and other injuries reports. we've been able to expand the number of injuries that we can report on. so the next report for severe injuries will be due out next year. q1 of next year. >> thank you, we'll look forward to the follow-up, i think it will be very informative, thank you very much. >> commissioner guillermo? >> thank you, thank you very much your report and i truly appreciate so the scientific nature of your approach to
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vision zero. and i think that that is, you know, everything data. i appreciate that. but i do have, some questions related to serve more qualitative aspect. the city is very dense city, dense with people, dense with traffic, dense with a lot of different things. so i'm wondering where that issue of density comes in to play not just in terms of the data cause i don't know how you collect that, relative to the things that you are trying to achieve in your goals. but, just as an example, in business areas in san francisco, or even just in small neighborhoods of san francisco is the city of neighbors, so geary or clemens
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street, for example, where you need to have deliveries and people coming in to shop that is are p going to be facilitated by a bike lane or uni. how does that serve the quality of life or the activities of daily living for a family, mom who has to go pickup her kids, buy groceries, make a quick stop at the market, there is no parking, can't take the bus, those are the kinds of things that i think that don't necessarily come show up in the data. and they're not scientific in that sense. so how do you take those into consideration? >> it says, that the data really informs where we do project and where we focus resources but the qualitative aspect informs how we do the project wednesday we get there. but when it comes to this
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specific design treatment that we propose and whether we propose a bike line or removing or anything else, we do go through a in depth community process for our corridor process. and talk to stakeholders and figure out needs, you look at a corridor like the bike lane on va lenzia, we ended up with a unique design there because of what we heard, curbside load. so when we did take a lot of pride in our, our project is not looking the same city wide and that we to be taken into account what the stakeholders and what the stakeholders tell us we need. sure, we don't get it perfectly but there is a process to make sure that we take into account more than traffic engineering perspective. >> that's helpful. and i do know, that there is a
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community process of curious on how that comes into play with the data that you analyze. and it appears, drives a lot of the decisions that you make. so just encouraging, you know that type of sort of, inclusion, i guess, as we go into the future with all of these other projects, the quick builds and all of those kinds of things that are going to affect san francisco again particularly because we're such a dense city that requires so many different wake modes, of maneuvering and facilitating just as a said, daily life activities that are not just about the safety of pedestrians and drivers and such. thank you. >> a quick comment about. >> yeah. >> about differentiated risks.
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with traffic safety, you know, is the amazing if we could provide some estimation of risk for certain individual or type of individual. with the work that we have, that we do, we often look at things through the streets and talk about environmental risks because street segments don't really change very much. and in terms of the idea of exposure, you know, the idea of an exposure depends on density like you said. and we don't have good metrics on how to capture those often times. so, trying to get some inside about how we think about our quantitative aspects of our analysis. >> okay, well thank you for your presentation. we look forward to the next one.
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oh, yes, mr. colfax. >> yes, i want today express appreciation for the work and in including and especially the fellowship between the departments on this. for us it often requires that the health department, teams work across a different departments and for all sorts of bureaucratic, reasons that does not always happen, that it needs to do and i'm just really, i just want to call out that this is been a very important collaboration and in deed, it's a model for across departmental collaboration around an issue that is important and part of both of the departments priorities. so, thank you every one for being just a great team, on
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only in the health department but to make the city better for every one. >> i concur can director colfax's remarks. thank you. okay, our next item is finance update, we have commissioner chung the head of the finance for that. and there will be an item for consent calendar. >> good afternoon, commissioners. the financial and planning committee met just before commission meeting. and we had, review one contract report, one contract report of which actually wanted to mention one of the contracts on the contract report will be pulled from the report and it will be reintroduced again in november and our next finance and planning meeting. and, hold on one second.
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and then there is two new contracts, you know, one with the mol simtack llc which is like a data company that we use to store. and it's great to know, they have such a capacity that we were told. that we no longer need to warehouse any of the documents and it would be sitting on that, you know, on the in the system. so you know, it would be easier to access any of the information. and the, the other contract for for us to approve is the
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contract with richmond area services. and we heard, the dr. conin mention one of those intervention. and it's a newer approach tra taoej --strategically in intervention. and because it's so interesting, interesting enough that i had requested it to come back to the population health committee next year after fully implemented for a year and see what the impact looks like. so we get a better sense of like, what type of investment youth, what type of resells. so like a better way to put it. and then, we also spend some time to have some conversations around like how some of our
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contracts, are getting pretty complex and big with the same agency that we tried to make sure, like, that we have enough mechanism to monitor them. so that we can catch any red flags before they happen or provide the support that they need. so that they can continue to provide, like top notch services to san franciscans. that's it. >> may i chime in, commissioner? it may have been my middle age hearing but i didn't hear the name of health advocates being pulled. >> okay, thank you dr. chung,
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any public comment. >> i don't see any lands but in case you want to make public comment. >> okay, moving on for our next item for action is our consent calendar. and to this constitute a consent agenda are considered routine by a single roll call vote, there will be no separate discussion unless a member requests discussion in which event the matter can be removed and considered as a separate agenda item. back to, commissioner chung chair of the finance and planning committee. >> thank you, president bernal. and as i mentioned earlier, we're pulling the last contract on the contract report which is with the health advocate llc. and we introduced that in november.
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which is the next finance and planning meeting. all right, so do we have a motion to approve the consent calendar? >> motion to approve. >> second. >> any public comment? >> i don't see any public hands, we are on item 10. no comments or hands. >> commissioner comments, all those in favor? >> aye. >> aye. >> opposed? all right, the consent calendar passes unanimously. next item, our secretary marks will give the update for the committee. generously joined the meeting on september 29th, it was simply a open session to go into a close session so the credential report can be
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approved, there was issue with concern about folks using their credentials so thank you again. >> thank you secretary and thank you commissioner guillermo to ensure that there was continuity. any public comment on this item? >> i see no hands. >> any commissioner hands or questions? seeing none, we move on to other business. any other business? all right, we have no other business. >> and i don't see any public comment any hands up on this item. >> okay, then we can entertain a motion to adjourn. >> so moved. >> second. >> all right, any public comment? >> nrs no public comment on adjournment. >> okay, [laughter] with no comments or questions from the xhitionzers, all those in favor. >> aye. >> aye. >> opposed? all right, we are adjourned. >> thank you, sf gov. tv. yours
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[music] san francisco developing programs specific low to increase the amount of affordable housing throughout the city. >> the affordable housing bonus program provides developers to include more housing for i have low, low, moderate and middle income households. this program does not rely on public subsidies but private developers who include it part of their project. under california density bonus law. housing prejudices that include affordable on site may be request a density bonus. it is an increase in the number of housing units allowed under zoning laws and based on affordable units being provided. >> however, the state law does
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not address all of san francisco needs does not incentivize middle income housing. associating the city is proposing an affordable housing bonus program for higher levels of development including middle income u firsts providing a stream lined application review and approval process. >> how does the program work in it applies to mixed use corridors in san francisco. and offers incentives to developers who provide 30% of affordable in projects. to reach 30%, 12% of the units must be affordable to low income household and 18% per minute nap to middle income households. >> in exchange developers will will build more and up to additional 2 stories beyond current zoning regulations. >> 1 huh human % affordable will
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be offered up to 3 additional stories beyond current regulations. each building will be required conform to guidelines ensuring meets with the character of the area and commercial corridors. this program is an opportunity to double the amount of affordable housing and directly address the goals established by twenty 14 hosing element and prospect k paddled by voters last year. pacificly, prop circumstance established a goal that 33% of all new housing permanent to low and moderate incomes this program will be the first to prosecute void permanent affordable projects that include middle income households. to learn more about the program visit
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i wa to, on behalf ofhalf ofhaly and county of san of san of san, offer my condolencesdolencesdole family of our of our of our of r mayor, dianne dianne dianne diae all knew and lovednd lovednd lod away thisay thisay thisay thi me take a moment to pause andause u reflectreflectreflectreflect oni want to make to make to make tot talk about, especiallypeciallype extraordinary workary workary w to lead our cityour cityour city years during during during veryg times. today, we have lowered ld the flags in ours in ours in ouy departmentpartmentpartmentpartmo stationsstationsstationsstat ane mass mass mass mass mass in her honor. we will have a book of condolences for her, for the public to come and to sign. it will be located in san
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francisco city hall on the fourth floor for visitors and others to come by to take a moment to reflect and to pay their respects and i just want to take us back to a very challenging time in our city's history. many of us remember in the 1970s, in 1978, in particular, when we were still struggling with what was happening in during the massacre of jonestown, when senator dianne feinstein was at that time president of the board of supervisors, and the city was hit hard with the loss of over 800 people and less than a little bit after ten days, then when we had unfortunately, the assassination of mayor george moscone and supervisor harvey
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milk, and instantly our the then president of the board of supervisors became the mayor. and at that time helping to the city to deal with these two extraordinary challenges, you know, the loss of such life, such tremendous life, the loss of our leadership, she stepped up. she led with courage. she worked hard for this city. she was a beacon of hope and inspiration during a very dark and tragic time, which cemented so cemented her legacy as an extraordinary leader for our city and for our country. dianne feinstein never stopped being mayor. she was mayor in san francisco for about ten years before she became our senator. and i want to just talk about
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fast transport systems, dianne feinstein wanted to make sure that we showed tremendous support and respect for an iconic mode of transportation in san francisco and worked with both the public and private sector to raise the necessary funds to save our cable cars, which so many visitors continue to enjoy. in san francisco. you can't think about san francisco without thinking about dianne feinstein and how she has consistently been a champion for people all for neighborhoods, for bridge building, for all the things that have made our city such an incredible city over the years. and i want to just also take us back to when i was a kid and when i was excited about about playing for dianne
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feinstein, the mayor of san francisco, the first woman mayor of san francisco. i was in the ben franklin middle school band. i played french horn and we worked so hard, hard to get ready to play for her right here at city hall. we were known as dianne feinstein's band. any time there was any event activity, city or what have you, we basically were chosen in as the band to perform for any occasion. and i remember begging my grandmother, begging her to get me some new pantyhose. i remember begging my grandmother for something new to look nice for the mayor. and she in fact bought the band sweaters that we wore that day, the band sweaters that we wore so proudly. and there was a level of pride to be in front of the mayor, to watch the mayor witness us play and to be. she was so proud of us. and
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she said so. and she took the time to talk to us. express how amazing we were and to remind us that we were her band, jack martin's was our conductor. he was our teacher. he was our friend. he loved her. so and in fact, when the 49 ers won the super bowl and she loved the san francisco 49 ers, they had a big celebration at the fairmont hotel. and, you know that the ben franklin middle school band was right there to play for her. she stopped by to say hi to us. she made sure she brought over joe montana. and let me tell you, that was one of the best moments of my life. i still remember it today growing up in san francisco, she was always someone we looked up to. so much so that when she ran for senator, we helped out in her campaign. i remember doing the envelopes and doing whatever it took. she was the first woman to
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really step out and to do this extraordinary work. both as president of the board of supervisors, as as mayor of san francisco, as the senator for the state of california. and just last night, she was on the senate floor casting votes because she truly believed in doing her duty and being an extraordinary public servant. and it is clear that she cared about making a difference in the lives of so many. one of the first things that she did when she was on the air when she began to serve as a us senator, we were experiencing in 1992 the tragic city of what happened with 101 california and the work that she did to get an assault rifle ban in place was extraordinary, especially at that time. um, she did it because she knew how important it was. she was constantly courageous and she continued to
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push the envelope, build relationships across the aisle. she worked hard to work with other people because ultimately she wanted to accomplish things. she is truly a role model. she is an amazing individual. and so many of us, especially in the city and county of san francisco , will miss her dearly. it wasn't just because of the work she did, it was because of the love and the compassion that she shared for so many people. and before i open it up to questions, i'll just say you know, dianne feinstein never stopped being mayor. whether she was calling me to ask for something to be done or calling my chief of staff, sean ellsberg, who used to work for her at and any little thing was not too little for dianne feinstein. if there was something wrong with a sidewalk
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, a corner, an issue, it did not matter. she took the time because because she cared so deeply me about seeing san francisco look and feel good and wanted to make sure that what we were doing here on the local level was a great example of how to make significant changes. and she wanted us to make those changes and make san francisco look and feel good for everyone who was a part of the fabric of san francisco. i also want to say that she built so many extraordinary relationships in our national relationships. she made san francisco a international destination. in fact, the shanghai sister city relationship, senator dianne feinstein developed that along with other sister city relationships, to recognize the diverse city and how important it is to bridge the gap between communities and our city. i can go on and on about how so many
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of the things that she did here locally as mayor set the tone for what san francisco has become and will continue to be a beacon of hope for. so many people for years to come. and so i want to again, thank you all for being here to recognize us. senator dianne feinstein and her legacy in san francisco, we are again honoring her by lowering the flags at half mass. we will have a condolence book on the fourth floor at noon for people who want to visit and sign the book and pay their respects. we will share that book with the public and we will share that book with her family. and we are not aware of the specifics as it relates to her services. but we will definitely provide that information as soon as it is made available to us. so again, thank you all for being here today. it's not lost on me that on the wall behind you are the
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two women leaders of the city amongst so many men, can you talk a little bit about her inspiration to you, perhaps to be a leader as as a woman in san francisco and in california? well, i remember when i was president of the board of supervisors and sadly, ed lee passed away. and one of the first calls i got was from senator dianne feinstein. and we had a very long discussion on about just what she went through, how she made decisions, how difficult it was. and she she provided that support and that mentorship to make sure here that i was prepared to step up at a difficult time for our city. and so we build it there was a bond that we established because of that, me being the second woman and what that meant . and, you know, she was very proud and very happy to see me in this role. she supported me
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wholeheartedly and we had regular discussions over the years about different things related to san francisco. of course, many of her ideas of what could be done, but it was not ever lost on me. i you know, becoming mayor for me was just just incredible. i never thought someone like me from public housing could could be mayor. and we talked about even the work she did across the street from the projects. i grew up in the pink palace was a notorious even more so at the time than where i live. and even though they both were pretty challenged thing and what she did to turn that public housing development into senior homes, which it is still to this very day and has made parts of that area a lot safer. so we had a great relationship. we talked about how hard her it could be for a woman and some of those, you
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know, very private and intimate moments around the differences and what that would entail, including how people might treat you and she she just offered some really great advice to just stay the course and focus on the work you know, be courageous, do the best you can, take care of the city. she was always focused on the city and she was also focused on me. she in terms of a person and saying to make sure that i take care of myself, too. so i always appreciated her guidance, her support, and more importantly, you know, the fact that i follow in her footsteps. and as i said earlier, her legacy, because of what she did for san francisco during such a very challenging time, is cemented in our history. and again, when the pandemic occurred, she immediately made reached out to me before i could
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reach out to her. there was immediate phone call directly to talk about what the hard decisions that needed to be made, what it takes, do the right thing, do what's necessary for the city, because as you can remember, during the beginning of the pandemic, when we first declared a state of emergency, there was so much pushback when we moved forward to be the first major city in this country to go shelter in place. there was major pushback. and she said that use the experts, use the data, focus on the science and do what's right for san francisco. and so i'll always remember that during the most difficult times when things were challenging, i never had to pick up the phone and call her. she always immediately picked up the phone. she always had san francisco top of mind. and i know that her legacy is what she did for the city, what she did for this country, and how she was a constant inspiration and strength for so many of us, especially women who are looking
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to seek office. women who are moving forward in this political world or who are too often challenged in other ways. i mean, she stayed the course. and can you imagine in the 1970s, i mean, she first became a member of the board of supervisors in 1969. the work that she did and had to do to get to any place, she she even even when she lost a campaign that was a source of inspiration. when she lost when she ran for mayor, when she lost, when she ran for governor, she did not give up. she did not walk away. she stayed the course. and look at all the extraordinary work that we benefited from because of her commitment and her courage. that is what i look to when i think about dianne feinstein, especially the fact that she's a woman and she was an incredible source of strength for me. and i know for so many women around the world what was the last thing that the senator called you about? you said she called you about things in san
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francisco all the time. do you recall one of the last few things that she called your office to ask about or to or to push? well, she she talked about, you know, what was going on and what aipac would mean for san francisco. so, you know, she really she had an extraordinary commitment to our international regional presence and relationship. and so the conversation around, you know, whatever she can do, how she can be supportive, she agreed to be a part of our host committee. she was committed to making sure that san francisco looked and felt good and for all of these foreign leaders who were coming to our city and just also discussed even some of her own relationships with some of those leaders and some of those leaders here locally offering advice on who could be a part of the work that we're doing to make apec a huge success. so there are so many conversations that was the probably the one
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that i remember in terms of maybe being the last, but there were always numerous conversations over the last small one, like something that is just like so like intimate, like you mentioned potholes or like you know, fixing a street. i want to wait on sharing that because it involves her family. and i think, you know, you know , as you know, her her daughter serves as one of our commissioners. and it was very sweet and very personal. so i just i really appreciate all that she's done, all the advice she's provided. and but most of the time, it was always about the city, always about what i needed to do and a very loving way. and she was just really an amazing source of strength. so i will always remember and appreciate her so much. brea obviously today is a day of remembrance and mourning. however, the governor does have a major decision to make
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regarding senator feinstein's replacement. have you spoken with the governor about that yet? do you have any thoughts of some of the names being mentioned and you yourself are being mentioned? is would you accept that position if governor newsom asked you to? well, i will just say that today we need to make sure that we take a moment and focus on senator feinstein, his legacy and that conversation could be saved for another day. i want to really, truly make sure that, you know, that's the governor's responsibility. and i'm sure he is already working on it and doing what he needs to do. but so many of us, including governor newsom, had great relationships with feinstein and her family and we want to take a moment to just really make this about her, her legacy and everything she's done. before we move to that chapter, can you speak to when you first heard the news this morning, what went through your head? some of the emotional side of that? well, some of the first thought to me was her family. you know, her daughter, her granddaughter,
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and, you know, her her close friends and the people who really loved and cared about her. you know, i also thought about my chief of staff who worked closely with her as well , and just what people were going through and what that would mean. i thought about some of the other mayors who, you know, i had a chance to reach out to and had a conversation with former mayor willie brown. i received a number of phone calls, text messages, and just really thought about all the people that loved senator feinstein. so and including so many san franciscans. i mean, again, we just we were at pier 39 yesterday and her name was mentioned. we were celebrating the anniversary of the cable car and her name was mentioned like all of these things that she had a role in, in various capacities . as you know, she she she really is a part of the fabric of san francisco. so what went through my head is how important it is that we do justice to her
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legacy and how important it is that we show respect to the people who loved her so much. and it was also really important that we give the public an opportunity to express themselves because there are so many people that have feelings about what they want to say. and i just i mentioned earlier how i played in the advanced band at benjamin franklin middle school and how i was thinking about mr. martins and people who played for dianne feinstein, people who i grew up with. and so i know there's a lot of feelings and emotions going on, and i just think it's so important today that we really, truly try to focus on senator feinstein and her legacy. do you know what opportunities there will be for the public to mourn her here in san francisco moving forward when there will be a funeral or any services? yes, and i said earlier today we will have a condolence book on the fourth floor at noon for people to come
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by and to sign. we moved it upstairs. we wanted people to have a peaceful place. there's a lot of activity still going on in city hall, on the first floors and other areas. and that is the most quiet area of city hall, which is why we're putting it there. that'll be at noon today. we lowered the flags at half mass in all of our various city buildings. and we know that the president has also issued that order for and ultimately, as soon as we are able to confirm with the family the plans for the services and what might happen, we will immediately share that with the public. she had a long tenure in the senate. she obviously was very intimate with the city of san francisco. you mentioned this a little bit earlier. can you talk a little bit about i mean, i know part of her part of her legacy is this service. but i mean, there are some challenges now in her in her absence. can you talk a little
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bit about meetings? what are some of the initial challenges in her absence that you're like , i'm not going to have her phone call to help with that? well, well, i'll just say that, you know, there continue there will always be challenges, right ? there will always be issues that we have to confront and ultimate, i think that you know, some of us knew her well enough in some ways to know sometimes what she would say or how she would feel about something. and we will make decisions accordingly. and i think that if that her lasting legacy, i think that could be attributed to her legacy because she was consistent. she was consistent in who she was. she was just really a constant presence of strength. she was always consistent. she focused on san francisco. and yes, she was a senator. so she she focused on a
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lot of international foreign affairs, you know, health care, all the things that mattered to people all change is to our gun laws, trying to work with republicans and, you know, supporting democratic causes. so we know it was not even a question about who she was. and i do think that that is definitely a part of her legacy . you mentioned she was very focused on san francisco. what are the main issues that she would talk to you about recently that she was concerned about with san francisco? well, mostly i would say, you know, again, apec was something that she cared about and what that would mean for the city. she wanted us to, you know, continue to stay the course on the work that we were doing in the tenderloin community and what was happening there. you know, she was, you know, not happy about sometimes some of the criticism of san francisco, mostly because, you know, some of it was not necessarily entirely accurate.
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and sometimes felt like san francisco was being used in the political arena in an unfair, unjust way. but ultimately, it was always, you know, something related to the city. and sometimes it was something small and sometimes it was something large. so it it varied. every issue varied, whether it was you know, i'll give you an example of one that she worked so hard for. she had a great relationship with former supervisor willie b kennedy. and so when we were fighting for our neighborhood preference, i wasn't even mayor. i was on the board of supervisors. and she her office and this is the pink palace, the place where it was she spearheaded the change from what it was to affordable housing for seniors. and when we talked about adding another, you know, 98 units on the property, we wanted to use neighborhood preference to ensure that residents had access to those
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units. and let me tell you, she was very aggressive about helping us get to yes. when hud told us no. so that is really she just what she did, it was helping us with various issues. she's agreeing to be part of the solutions of the things that we're trying to do. so it really varied when we need it, either a letter or some support for financial resources. his when threats of our support was being made for our transportation line. i remember when caltrans was in jeopardy of losing some already awarded critical funding and feinstein was very aggressive meeting with other senators to push back on that and to get those monies saved. so it was both of the things related to san francisco, but also just the work that she had to do as a senator and always be willing like every there was never a time when we reached out to her and her office. there was
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never a time that she said no. when there were things that san francisco needed as it relates to policy, as it relates to funding, whatever the case is, those were also things that she worked very hard on, very interesting state, of course. is that something that she told you frequently? oh, definite. i mean, stay the course is just, you know, the work has to go on and you know it she was an it she was casting votes yesterday. she was casting votes on the senate floor yesterday. this is what she wanted to do. she wanted to fulfill her obligation that she made to the people of the state of california. she wanted to keep going and do her term, and she did it to the very end. and that is, again, truly a test to her strength of spirit and also to her consistency in wanting to see the work get done. do you think it was unfair sometimes people asking that she
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should consider retiring? i mean, you're talking about her voting all the way up to the last day of her life. that was some of the calls in the last few years. do you think that those calls were unfair? i think unfortunately, you know you know , it was disappointing to see, you know, the overwhelming support and the push in that direction. again, going back to what she's done, her her strength, and especially as a woman in because, you know, sometimes you don't always see that happen in in the same way for men who are in the senate and ultimately i think that she did what she felt was best to do. and she i think in her last vote, demonstrated it that she was going to do exactly what she wanted and needed to do to the very end. people have been talking negatively about san francisco quite a lot on the national level recently, especially from critics saying,
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you know, san francisco is has lost its specialness. she often spoke and fought for recognition of san francisco's special. can you talk about that? can you talk about any conversations you had with her about keeping san francisco vital? yeah and i'll just say again what i said earlier, just in terms of how now a days the desire to find something in san francisco and san francisco used in that way and part of the conversations around, you know the political people who have gone on to do like senator feinstein, kamala harris, who's our vice president , and gavin newsom, who's our governor and who, you know, these are really, you know, really incredible people like who come out of san francisco who become trailblazers and leaders on a national stage in our country. and the belief that san francisco is unfortunately,
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sometimes the target, because the goal is to stop that from happening and to stop the various people who come out of san francisco and end up in these extraordinary positions from being as effective and to point to san francisco in that way. but but the fact is, we all know and people especially who come to san francisco know, we all know that that, you know, san francisco is like other major cities experience its challenges. and in fact, i was downtown at one of the office buildings meeting with some folks who work there and a person who moved here from new york and he said because people he's like they're always saying, well, you know, is everything okay? he's like, this is better than new york. this is better than what i've experienced in any other major city. and he said, i'm not saying that there aren't issues, but in comparison , it's not what people think it
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, especially in in all parts of the city, there's a, you know, just a narrative that has been created out there with many people who have not been here and sometimes press who don't live here, who don't walk the streets, who don't catch the busses, who don't have the everyday average experience of san franciscans. and so my hope is that, you know, with what she did and what she did to talk about, to elevate san francisco, because she you know, she was in d.c. but she was in san francisco. so she lived in san francisco. so and she spent a lot of time, um, around san francisco, especially when she was here. she was always as happy to go out to dinner. people would probably see her at certain places on a regular basis and, and whatever, whether it was a pothole, a sidewalk or the little things from the bigger things, you know, really, she still believed in san francisco as an extraordinary place. yes. and we had to work
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>> good afternoon and welcome to the october third, 2023 meeting of the san francisco board of supervisors. madam clerk, call the roll. >> thank you. mr. president. >> supervisor chan. >> present. >> supervisor dorsey. >> present. >> supervisor engardio. >> present. >> supervisor mandelman. >> present. >> supervisor melgar. >> present. >> supervisor supervisor peskin. >> present. >> supervisor es
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