that particular project, it turned out a couple of months ago that hsa no longer needs that analysis and have moved forward and adopt a contract management system that is actually a great outcome. we thought we were going to need some analysis around that, but we are not going forward with that project after all. while it was related to our on going profit monitoring and understanding performance, it was not otherwise related to that. we have a very robust program working with not profits, improving accountability, setting financial standards, building their capacity, and helping the city have consistency and better information sharing with not profit performance. supervisor campos: i do want to give kudos to the comptroller's office. i know we have been working to make sure we bring in that level of accountability and assistance with the nonprofits. the road -- the most recent example being pried -- being pride. we asked for a somewhat limited management government's review which highlighted some issues that needed to be addressed and was very useful. not just useful in pointing out

that particular project, it turned out a couple of months ago that hsa no longer needs that analysis and have moved forward and adopt a contract management system that is actually a great outcome. we thought we were going to need some analysis around that, but we are not going forward with that project after all. while it was related to our on going profit monitoring and understanding performance, it was not otherwise related to that. we have a very robust program working with not profits, improving accountability, setting financial standards, building their capacity, and helping the city have consistency and better information

and hsa criteria. any household that has an income near the federal poverty level, they are on a sliding scale. we really do work very closely with all of our families and we do not deny people access to our program based on the ability to pay. >> even though some get a scholarship and they don't have to pay, i am wondering, the program through the beacon, are those free? >> we have a wide range of costs associated with our programs. they are as low as $29 a session. some are more expensive depending on the nature of the program. all three are augmented by the scholarship program. in hong >> -- >> [inaudible] >> we are exploring different fee structures. >> one quick question for phil. -- phillip. mr. ginsberg, thank you for your presentation. as a person that had their first job at the parks, it is a great way to incorporate someone into the work world. i assume he will employ 12 young adults ages 18-24. will there be an opportunity to employ younger folks or have them at some of your sites starting a

when i was director of the hsa here, we had access to the books at the hospitals. we have access to a great deal of information. all of that was shut down when ronald reagan went down the health planning a party at the federal level. they immediately set in motion a wave of restrictions on access to information. but there is still some information that you can use. that is what i am now going to tell you about. you have heard references to quality issues being a factor in cost. that may be some of the dimensions. the institute of medicine, in 1999, reported, after exhaustive digging through mountains of data, about 40% of health-care spending is wasted on unsafe or ineffective care. this was -- it goes up and down from place to place, but generally, nationally it was about 40%. in that 40%, chronic care errors and mistakes account for 20% of total cost. if you can imagine any other expense, in operation of a business, that was 40% waste, and was identified as being whist year -- waste year after year with such little action, somebody would be fired. but the problem

informed by multiple city agencies, including the mayor's office of housing, the redevelopment agency, and hsa. in short, the program consists of 435 new units. tida will provide $50,000 per unit for replacement units. there is a no cost as well as text and for men and other funding as necessary. the developments will also use leveraged sources to produce homes for extremely low-income households earning no more than 30% of the area median income. as you can see from this site plan, the sites in orange will be generally distributed throughout the project. moving into the jobs and equal opportunity program, the project is expected to create 2000 annual construction jobs, and up to 3000 permanent jobs. one of the special requirements to the original agreement with regards to the city's original employment and contracting community into a ti-specific program. that applies to nearly all employers, in both construction and permanent, as well as kids -- gives them a continuing right -- priority right to service contracts and economic development opportunities the employee -- employee -- that employ

she will talk about highlights from hsa. >> good evening. what we talked about in general was the concern that the aging population is increasing rapidly in san francisco and how was the aging network going to survive all of these budget cuts, given all the cuts we have had thus far? i would say in comparison to the previous groups, we spent a lot of time talking about, "we have been cut." then there, done that. then cut many times and have a lot of experience trying to figure out what to do. our particular departments have always done their 10%. what we came up with was other departments do not, and it is not fair that some of the departments get away without getting their 10% cuts, and year after year, department on aging and other departments have to come up with their 10%. come up with their 10%. there was a fairness issue that