then i got a subsequent e-mail from dph that said mr. pick ens is out until the 19th and he needed sometime after he returned and that quote -- you will receive a response at the earliest possible date end quote without specifying when i might get an answer or be provided with a survey instrument. i recommend that this counsel work with supervisor campos to follow up with the health department to find out how sfgh is going to conduct the transportation survey whether in writing or orally and how many of the dialysis patients will be asked to participate in the survey and to your second question tatiana, regarding space on sfgh's campus i sent another records request. i was provided with 4 documents that show the current entities that are in building 100 which is where the renal center is currently located and a chart showing by floor number and wing or ward of the building, the current entities in building five which is the current main hospital that will eventually move into the new sfgh when construction is complete. in addition, they

no. >> and so we can just make sure about that. >> well, we are being trained by the dph staff and so they have already trained the family liaisons and some of the wellness staff and we are going to be connecting with the same people that are training our city dr. murase has aligned us with the people to train us and so we are giving the same training that the city would be to access and pointing out where to access and how to fill out the information and what information is needed and if we can assist in actually doing that, we will. >> okay, thank you very much >> and i just want to thank, kevin and his team, who helped with this resolution, and i also wanted to just close by inviting the student delegate, cooper to share, some of the ideas that the student advice council came up with to extend the out reach efforts na lot of the members of the student advisory council have been doing the brain storming about how we are going to execute this. and i think that i have, i have some ideas written down. and one of the ideas that we had is a prezi presentation on the website that we can a

your agenda item number 9 today will be a discussion from the dph about community integration i want you to know -- that dcip doesn't mean diversion and i will be testifying regarding how many long-term care patients are being diverted or dumped out of county and not into community reintegration efforts and i'm going to give you an example of a gentleman who fell off a bar stool would wound up at sfgh attempted to get him transferred to laguna honda and the excuse of not transferring him there was because he needed too much physical therapy and so instead of keeping this gentleman in san francisco, he was dumped into a facility in ant i ioch that serves people with dementias and alzheimer's and he had no one to talk to because the roommates and building occupants were all too demented and i believe he was i yanked out of state. this counsel needs to closely monitor this item to find out whether san francisco is doing what we accuse nevada does simply patient dumping and calling it community reintegration. thank you. >> mr. grace. >> i have a very quick question. two things -- really,

your agenda item number 9 today will be a discussion from the dph about community integration i want you to know -- that dcip doesn't mean diversion and i will be testifying regarding how many long-term care patients are being diverted or dumped out of county and not into community reintegration efforts and i'm going to give you an example of a gentleman who fell off a bar stool would wound up at sfgh attempted to get him transferred to laguna honda and the excuse of not transferring him there was because he needed too much physical therapy

have been before that business, and before that business, they might have received a letter from the dph, that says that you need to now register your cash register and then they go to the meeting with the sfmta and they are not happy and you are taking my parking away and you want all of these things from me? and it is going to make it harder for me to conduct business. and so i would just like to highlight sort of the thing that the businesses are looking through that lens when they are looking at us as a city family. >> so, we have divided up through our discussion points, and recommendations under three categories, communication and partnership, operational sensitivity, and parking management and street use. so, what we have heard from many small businesses, and the small business commission has had a discussion at its meetings is, a need for the small businesses to be seen as the equal stake holder. and equal to a bicycle advisory committee, and the bicycle coalition, the pedestrian safety advisory committee walk sf, livable cities, and residential organizations. to be involved in t

your agenda item number 9 today will be a discussion from the dph about community integration i want you to know -- that dcip doesn't mean diversion and i will be testifying regarding how many long-term care

safety net dental clinics like the dph dental services provide critical preventative treatment. unfortunately access to a preventative dental treatment continue to be a major obstacle to having healthy teeth. i include nutritional guidance. clinics are under staffed and dental appointments will become harder. in 2007, we had 1263 emergency room visits due to dental problems. you know the cost of emergency room visits. nine of these visits were from children less than 1 year of age. one more thing. treating dental problems cost $6500 per visit. additional preventative visits cost much less for an exam. we encourage you to decrease the availability of sugary drinks and increase the ability to provide benefit educational information. >> thank you. i should say we also have brittany from the american heart association. if there is anyone else that would like to speak, please come forward. >> my name is ryan ther. i want to applaud you all as other folks have said to try to take this on. i think we have a big fight ahead of us with the soda companies that poisoning our communities an

dph will forward the recommendation back to the planning department where we will post the recommendation on our website for 15 days as lori mentioned we're now at the end of a 3 year plus planning process and excited to move this plan to the board for final approval and this plan is required to be updated every 3 years to be sure it's consist with the city's healthcare needs and that concludes our presentation. we're here and available for questions. >> thank you colleagues and as you can see from this report there's a lot of data and information here and you can see that there's information not only citywide but also neighborhood by neighborhood so why don't we turn it over to some questions supervisor mar. >> i wanted to thank all of you for the great presentation and the 3 years of work and the tremendous community engagement of supervisor campos and hillary a pretty amazing amount of effort targeted at great policy making that's equitable and in the best interest of the whole city and i want to say in looking at some of the maps not only the impacted neighborhoods that supervisor cam

level of infrastructure and on the second issue that several of the residents brought up, including dph, thinking about our air quality, and i would be really interested in talking about avalos and mar, and their part of the bay area air quality and management district, and i would like to learn little bit more about that. i definitely hear that loud and clear, i know in my own house you know that just the windows that i open have a thick layer of black dust and the windows that i never open i never have to clean the sills and it is clearly from the congestion in the neighborhood and i know that that is real and i am glad that was brought up and i was struck in the budget and legislative analyst report in june that supervisor mar had commissioned that the highest rates of asthma in the bay view and south hill and actually in telegraph hill as well and so it is along the water front is where we are seeing the highest rates, it is not just our district but i am sure that supervisor chiu and cohen are concerned as well, and something that the city needs to take a closer look at. >> would i

the big thing that is missing and i believe that dph was part of the group. the one thing that we are missing out on is the air pollution that is caused by the pollution, just like the cigarette smoke there is no amount of vehicular emissions that are healthy, it results in premature death, and i hope that you consider the congestion pricing >> thank you. >> sue with just a couple of observations, i appreciate the comments by supervisor reid about the non-attention to the riders and the disabilities and stops. one of the things that is most frustrating to me is that everyone thinks of the city as a flat map, particularly transit planners, we are not flat. we are a city of hills, and of structures like the bay bridge ramp, it effects people's ability to get around. every time that i see a flat map it drives me crazy, because anyone that lives in the city knows that we have lent transit through districts one, two, three and five. but it is falling apart in the southeastern part of the city because of the hills. and every expansion of housing in the south of mar

i would like to ask for help from the dph to look at that pollution and to understand where we are now. and what is going to be added because i am really worried and i am breathing this stuff as are all of my neighbors, and so, where is the transportation, if you look at mission bay, and ring hill in particular, we are almost bereft, in the public transportation, i had to go to jury duty and i have to walk up to second street to get a ten or a 12. and i am a senior but i am in good condition, but will i always be? no. we need buses and public transportation, and we need help and we need it now not in the future. >> thank you. >> could i ask a follow up question, did anyone contact you to sort of get your feedback on what the terms of this scope of this work should be? >> not our neighborhood, association. and we are by the way registered with the planning department. >> okay, thank you. >> the signs that the water front transportation and the area and fisherman's wharf and they want to be and (inaudible) who knows, and (inaudible) also the... (inaudible) and the big experience, (inaudi