the centers for medicare and medi-cal services the five as stars quality of service they give. the facility provides short-term as well as long-term skilled nursing care. psychiatric acute care and outpatient clinical services. this is a summary of the residents and patients that jewish home currently serves about two-thirds of skilled nursing facility beds are residential care beds. 1/3 are short-term stay and they have 12 acute psychiatric patients everyday. 76 percent of their residents are present san francisco, 76 percent are over the age of 75 and 94 percent of the long care residented. they are on medi-cal, the short-term stay patients have a mix of payer sources and some of them would be low income but the majority are low income medi-cal recipients. they have a limited speaking individuals. 46 percent speak russian as their primary language. the coming for short-term stay are alzheimer's, dementia and paralysis. the proposed project before you today are two components. they propose to make changes to the existing services and also create new services called the square.

so the red cross services to the armed forces provides services at every stage of a service members' military life before, during, and after. at the services after military, it consists of providing veterans with veterans claims for benefits as a v.s.l. as well as claimants who seek to appeal to the board of veterans appeals. that's mostly through the homeless outreach projects. we have volunteerism in the v.a. hospitals. referral to community resources, and reintegration skill building sources in the form of workshop s. we use peer to peer support who have been trained. red cross provides assistance and case collaboration, preparing, developing, and obtaining evidence in support of applicants' claims for veterans benefits. red cross reaches out to veterans who are not engaged with the v.a. who are homeless or in the community and establishes a trust relationship. they educate veterans regarding what entitlements are available to them like compensation for disabilities, all the benefits you can think of. they work with veterans in obtaining their records and provide advocacy during t

they're still secret service? >> they're secret service. >> they're not white house police. >> they're not -- years ago they were called white house police many years ago, yes, sir. but now it's uniform division of the secret service. >> okay. so it's all secret service. >> it is,ier, sir. >> it is, yes, sir. >> are there -- are there protocols when people jump the fence? 16 people jump the fence to make sure that the president and the president's family, if that's the ultimate goal of fence jumper to get to them -- >> yes, sir. >> that will not happen? >> yes, sir, and obviously on september 19th we failed in the execution of that security plan, but we do have very specific assignments, responsibilities of our all of our tactical units as well as our officers at the white house complex. and they've been successful in all cases. >> i have a couple more questions with a minute left. >> yes, sir. >> you're not trying to say this event occurred because of so-called budget problems, are you? >> no, sir. >> it has noth

they're still secret service? >> they're secret service. >> they're not white house police. >> they're not -- years ago they were called white house police many years ago, yes, sir. but now it's uniform division of the secret service. >> okay. so it's all secret service. >> it is,ier, sir. >> it is, yes, sir. >> are there -- are there protocols when people jump the fence? 16 people jump the fence to make sure that the president and the president's family, if that's the ultimate goal of fence jumper to get to them -- >> yes, sir. >> that will not happen? >> yes, sir, and obviously on september 19th we failed in the execution of that security plan, but we do have very specific assignments, responsibilities of our all of our tactical units as well as our officers at the white house complex. and they've been successful in all cases. >> i have a couple more questions with a minute left. >> yes, sir. >> you're not trying to say this event occurred because of so-called budget problems, are you? >> no, sir. >> it has noth

service and i have personal experience, so i think the agents for their service. the president made the right choice putting you in this position. i can tell from the way you answered several of the questions. in the choice of assigning it as the director you have your hands full and there are some changes that have to be have to be made but i have complete confidence that you will square these issues away and improve security and morale. i do bv find kind of bb if i'm kind of old-fashioned and i think secret service should be with treasury, not homeland security. i think there was a fine system of operation no disrespect to homeland security. they have their hands full in many other areas. and with that i'm going to yield back because many of my questions pertain to the second round of thanks for being here. >> if you'll bear with me i recognize the next person from rhode island. i apologize. forgive me with with the gentleman yield to the ranking member? >> think you and i apologize for my tardiness. i wanted to raise a little discussion about the people that ha

in this new agreement, not these medical services will provide primary care services. ucsf and primary practice group will be responsible for the care and the san francisco health network is responsible for the hospital and ambulatory services. in office of managed care we also prepare implementing the policy changes for the healthy san francisco programs which becoming effective this month and january, 2015. in the next few months we'll continue to explore the possibility of planning a couple of health plans in covered california and hopefully we'll have good news to share with the commissioners in the next >> , i.e., move to manage the membership page 2 of the management care update it the enrollment trend because of various system and transaction issues our overall enrollment is over 7 thousand in japan from 83 thousand in december good news is that of august our business has been normal listed we have been able to have a membership with a slight gain of seven hundred members as of august the network it responsible for providing hospital services to about 83 seven h

they're still secret service? >> they're secret service. >> they're not white house police. >> they're not -- years ago they were called white house police many years ago, yes, sir. but now it's uniform division of the secret service. >> okay. so it's all secret service. >> it is,ier, sir. >> it is, yes, sir. >> are there -- are there protocols when people jump the fence? 16 people jump the fence to make sure that the president and the president's family, if that's the ultimate goal of fence jumper to get to them -- >> yes, sir. >> that will not happen? >> yes, sir, and obviously on september 19th we failed in the execution of that security plan, but we do have very specific assignments, responsibilities of our all of our tactical units as well as our officers at the white house complex. and they've been successful in all cases. >> i have a couple more questions with a minute left. >> yes, sir. >> you're not trying to say this event occurred because of so-called budget problems, are you? >> no, sir. >> it has noth

the secret service was within the treasury. the report never said that it was reagan's white house staff that was responsible for this. wallace later became white house counsel under reagan and he confirmed on the record as well but that is exactly what happened. going back, lyndon johnson was totally out of control. of course back then than ever -- the press never reported knew this. he would sit on the toilet and go to the bathroom in front of agency was being briefed. he would hold a press conference at his ranch in texas and in front of reporters including female reporters. leahy was on air force one he had this routine of daily stripping as soon as he got on the airplane even with this own daughters and his wife there an airplane. one day when he was vice president johnson was late for an appointment with jfk. he was being driven by the secret service from a capital to the white house at 5:00 p.m.. it was rush hour and he was laid so he told the secret service agent who was driving to drive up on the sidewalk and get there

for establishing the library and print in 1972, and our deaf services center in 1977. and he really set the precedent of having a library assistant job always filled by a deaf employee, that is a step above that entry level position. and but the very talented deaf woman who was in that position when i started working at the library 25 years ago. made meeting people in the deaf community, really easy for me and through the years having someone who represents the community served by the deaf services center has helped to make it a place, where other people in the community feel valued and so they value and support the service. at this time, the only two full time staff members in our deaf services center is the library and the assistant and both of them happen to be deaf. rule 115 made it possible to hire one of those folks without having to wait for the new eligible list, and you will hear about that soon and did not have to wait for that new eligible list to be developed and the other was hired through the standard hr process. and so the people with disabilities come t

service is service to others so if we say are you in the service it should apply to anyone that has beenxperience. you felt good initially. but over time you felt different. so the idea is we have a long-term effort to take a decade or more to expand the concept so every young american has that opportunity. right now is pretty limited. we will have to expand dramatically that is 25% of each year and the ultimate goal is to have it so embedded in our culture that when people sit around the dinner table with their family the parents will say where are you thinking about serving? either before or during or after college or before you begin the rest of your life? young people talk among themselves. then on the train to stir talk to the stranger next you to say where did you serve? someone says it taught in a school in louisiana and others -- person says marine corps than there is the instant connection there is a bond they never knew they all had contributed to something because citizenship did not just mean i can vote that i have the right and responsibility. and if we can make this an expe

steps for rehab services. the american red cross also offers confidential services to veterans and their families by connecting them with local state and national resources through their local chapters, through partnersh partnerships in our communities we provide referrals to mental and behavioral health care, financial, legal, and educational support. we also offer information about cemetery and burial information and unique needs of local veterans as well as our red cross chapters provides emergency services for cleaning, food, training, reconnection workshops and services. so our re-integration support which is the last service that we provide to veterans is an important tool and strategy to assist them in the challenges with civilian life. it is important for re-integration of veterans and provides in communities free of charge workshops that are 90 minutes to 120 minutes long. they're in small groups focusing on several topics, including communicating with family members and employers and others in the co

have one hundred and 90 service incidents a week that detailed the rail service i'll ask you to imagine if we did a better job when we have detailed we will have with consulting that to our riders and the public in general and finally just also i would ask you to imagine we're taxing care and breaking and entering those state of the infrastructure in support to a condition where you have a quiet ride and less vibration and have a more comfortable ride than right now and clearly we're novelist there but i'd like to walk you through some of the things we're doing i believe that we're in the process off both laying the foundation and building on this to get us to the point we say a first class service i think everybody enjoys and is entitled to the order of business is the baseline i think there's a number of good things and number one over the last 18 months to two years we've had as much of seven to eight 0 are percent of the service not go out and the training of operates and putting the schedule we'll have safety and r50ib89 benefits number 2 we've made substantial changes to the maint

agency family services and child welfare programs with renovations. hhc has rented the suite since 2009. the original term and options expired august 31, 2014 and hsa has been holding over on a month to month since then. under the proposed new lease, hsa seeks to renovate the premises by combining all 6 suites and adding a 7th suite into a single space under one lease. it has a 5 year term commencing from the date of substantial completion of the tenant improvements with one additional five year option at 95 percent of the then-prevailing market rate. rent for the interim period during renovations will be $39,215 or $2.50 per square foot and then rent after completion of the improvements estimated to be around march 2015 will be $41,478.25 a month, or $2.75 per square foot, which is only an increase of 29 cents from the original old lease. the interim and initial base rent are fully serviced and the initial base rent is subject to an annual cpi increase of 3 to 5 percent. hsa will continue to occupy some of the premises during the renovation. the reno

clancy for your service to this country, to the secret service, and for your presence here today. it's my understanding that the number of threats to this particular president, barack obama in the the white house, has increased significantly since the president first took office in january of 2009. is that correct? >> no, sir. i would say there are spikes. threats rise and lower depending on world events. >> and so how would you characterize from a comparative standpoint the number of threats that this white house or this president has faced as compared to modern presidents over the last 20 or so years? >> yes, sir. our protective intelligence department does metrics regarding just what you're referring to here. and we do compare it to previous administrations, previous presidents. and the last one i looked at, it does look as if the president's threat level has gone up slightly. but that's not unnatural. it has gone up slightly. >> so the president's threat level has gone up to some degree. and at the same time over the last six years, we've seen security breach after security br

who is not in the foreign service. but who also are very am archbishops professionally driven. they find it difficult because one person has a job and they go from one country to another country every two or three years, and the other person has to find a brand new job. >> bonnie: vargas is optimistic about the future of the foreign service becoming more representative of america. the latest wave of hiring that took place between 2008 an 2010, things are change quickly with but i think that's going to take a few generations and time for, for that to -- to reflect in the leadership of the foreign service. >> bonnie: vargas staffed the hecfaa booth at the open house for new recruits. other affinity groups were available to help recruits navigate the landscape and understand there is a future for them in the foreign service. >> non-discrimination policy here and overseas, protections and benefits. >> i do believe that many lgbtq plus people think they could have a career but i think what might be missing models of, and th

maybe decide i'm getting my services in services world. tservices world. thservices world.e services world. cservices world. . . . . . . .

digital service. one of its clear mandates it's the myth bust on what can or cannot be done on procurement. you are going to see some good things coming ahead on account of the fact that some of the stuff can be done administratively. >> there was a chief technology officer which was you for a while. there is a federal chief information officer. now there is a u.s. digital services administrator. are we starting a little bit of overlap here? >> no, let me be clear why this is so critical. at the outset when the president appointed the chief technology officer, heaving them the assistant to the president which makes them a policy advisor. as we look at the world that i played and how my successor tied park place, it is a direct report to the president. we meet every morning and engage in the policy issues to say as we craft new policy or reform old policies and manage really important initiatives on behalf of the white house, are we property utilizing technology, data and innovation? it is a collaborat

they will connect them up with those services. and in addition, our intake, also looks at the need for community fund, and generally, these are people who already have all of the services, and all of the regular services but they are still falling apart, the circumstances are falling apart. >> if they have family and is the family involved in the plan. >> yes, of course. and yes, i mean that the plan, and if we are looking at discharging it from laguna and that might take, many months, and because, we are putting together, a whole wrap around plan and we include the family and what their involvement is, and we work closely with the social workers and at laguna, to it, and the resident there. and because, it does not, it does not help if we put together a plan and they don't agree that this is how they want to do it. and so, sometimes, it will take two or three months and sometimes, for somebody who has been living at laguna for 15 years and it might take, up to a year or more and so it is whatever is needed to insure that when tha

grateful that you agreed to take the reins of the secret service at this critical juncture. the secret service created by president lincoln in 1865, has a long and distinguished history. the agency has two primary missions. criminal investigations, and protection of the president, vice president, and other dignitaries. while protection is clearly the most visible of its two missions, i would be remiss not to mention that the secret service has recently had a number of significant investigative accomplishments. including approximately 6,700 arrests for financial and cyber crimes in fiscal year 2014 alone. which prevented more than $3 billion in losses. it is important to note that the service has also had many successes, implementing its protective mission. in fiscal year 2014, the service provided protection for 6,000 travel stops, including more than 2500 visits by foreign dignitaries, and two national special security events. secret service is entrusted with protecting some of our most valuable assets, including the president, the first family, and the white house. this is

internet service being one example and cell phone service. they keep going up. some of these issues are not just tech issues and are becoming issues of what it means to be middle class in this country. we should not taken off the table. >> an important question is are goinge carriers to become more like monopolies are less likely monopolies? most people experience them now as companies that behave like monopolies. i certainly do. i am not confident, i do not know which way it will go. what do we think? >> making net neutrality policy on the basis that people hate comcast is a bad idea. >> if it stays a monopoly -- >> it is not clear that comcast is a monopoly. there is at least one other competitor in about everywhere. we are talking about broadband here. it is true for cable as well. broadband, there is at&t or verizon pretty much everywhere in the country. there are other options, centurylink and other companies that are investing enormously in their networks. why these monopolist have invested trillions of dollars and demonstrated ever improving speeds relati

forerent service classes high-bandwidth services, low latency services. people say, that's just an old artifact. we were running out of internet addresses. they actually included another ofld to do another form prioritize nation for them. if you actually look at the engineering design to suggest that this was never intended to be -- privatization was never intended to be allowed, a think a little engineering knowledge goes a long way. it is a design feature of the network from the beginning and if you talk to the way people are using the network come a they're using it today to deliver voices. completely ip-based voice service to your phone is called [indiscernible] all use prioritization. [inaudible] >> what do you think of the term net neutrality? >> i have never been a fan. debate in lawd about what neutrality means. mutual respect to what? -- neutral in respect to what? you're picking and choosing certain aspects. the choices of what you think are important, that is investing the real work in terms of the world. the other thing i don't like about it i

by the end of the promising program but we have a significant level of achievement service today. >> in terms of the program costs the program continues to be on budget and is forecasted for $756. million it's on schedule mainly all projects will be complete by the middle of 2016 the replacement project and the alameda creek and the ground water storage which will be completed by 2018 the change orders we have 79 points $8 million that's included in our packet isn't there communications i wanted to say those change orders are covered by the contingency in the program and budgeted the largest change order was $69 million was the impacts for landslide b open the cal versus project i've spoken about that it was negotiated in march but the change order didn't get processed until this last quarter so that's why it was high there's one $2.9 million for the tunnel. >> before we leave the chart can you run the program costs access to zero. >> certainly. >> just from a parent standpoint by limiting the range you're not paying for the provision a realistic picture of how close we are. >> fair

21's effort to do more decision making and our commitment to provide safe and reliable service and recognizes our role in the plan bay area. today i want to very quickly go through what we are doing on the study, showing you what we call the limited list, which is a snapshot of high capacity transit projects that we believe merit additional analysis and give you a few next steps. we view this as an opportunity to look long term at ahead and support the region's sustain able vision of ourselves with the robust and high capacity and the high speed transit service and the plan bay area, of course, is the first sb375 regional plan that provides a blueprint for the future and we have tried to sketch out the ideas that were identified in the original rail plan and the mtc sustainability project and engagement with the key stake holders and the bart board and so the staff are considering investment trade offs in those three categories and developing recommendations for the board consideration. this shows you bart key capitol priorities and our general outline is what we called the big three, and the

the service we get is quite slow.other companies are providing service across time warner would see their stuff even further slow down. netflix is paid to get ahead of everyone else but they don't like to have those payments. >> to what degree should we put the blame on slower than korea internet service on the fact that we don't really have a widely adopted situation and higher tolls for priority access? >> this goes back to the medication policy at the beginning of telephone service which is universal access. that is what the president is calling for -- the most purest form of internet access. everybody is on the same page. paid prioritization strikes people the wrong way, particularly the folks in silicon valley that have to have universal access to the broadband and the structure. if i spent tens of billions of dollars building out my network and now the government is going to tell me how to manage my traffic -- >> you spend tens of billions of dollars in a monopoly, government granted monopoly. >> that is why you

there is a twofold purpose for the health services master plan. the first is to identify a need in san francisco and achieve an maintain equitable access for san franciscans. the contrast -- concept is of the plan that it has a myriad about latin escape and policy landscape in san francisco and it goes down to nine recommendations. those things that are needed to help achieve the purpose of the plan. those nine recommendations also have a number of guidelines underneath each one and they incentivize developers, a project to increase access in general, they incentivize projects to increase access for under served populations in san francco

financial services. we often think about this for video but financial services doesn't need a lot of bandwidth. it needs microsecond late sense si -- latent sis, person records. not something the internet supports. very different profile, but because they can't get that from the internet, they have to implement a private network. that bandwidth is not available -- the genius of otheir entity i'm not in philadelphia, i'm not on my computer, i'm using that bandwidth, other philadelphia residents can use it. it's sharing the bandwidth. when you force someone to exit the network was they can't get what they want, your killing the genius that makes the sharing of bandwidth that makes the internet efficient. >> host: i want to read you a quote by reid hatessings of netflix. we shouldn't have to pay for your network if you don't pay for our content. >> guest: reed hastings -- it's an interesting problem. the way i would analyze the issues is much simpler. one way or the other, the consumer is going to pay for a

capacity building and service providers and community engagement and planning and elevating services and leveraging dollars for the fund i used to serve on the citizens advisory committee about 12 years ago i found it to be a great experience how they function but there wasn't enough leverage and power influence that the committee members needed to provide the guidance this new body will go do that the goals of the working groups are could create a structure body to offer advise to the oversight and advisory committee and do so around the best practices and the evaluation and design and plans and policy and this policy follows the charter and brings the timeline of those two bodies and membership i know that supervisor yee has been instrumental in working with the community to develop those bodies as well and i want to thank him for his work and the work of his office and his staff member jim low let's see sorry colleagues i'm also two years ago, i helped to create a body with the support of the resolution creating the born station citizens advisory committee the community has been i

with the vocational rehab services and the community based adult services and so clearly what we are finding as people are being discharged from laguna is that we have a number of people who are cap able of work and want to work, and you know, if this many years later, there is many opportunities for people and so there is work going on in that area as well. and which is very, exciting, i think. go on to page 5, you will see, under the data collection, we evaluate this work that we are doing, on a regular basis. but we have added two new out come measures, and this year, because we were meeting and exceeding the other ones that we had and so we have added two. and this one, is the first one is that percent of care problems are resolved on the average after one year of enrollment. and we are looking for at least an 80 percent success in that and the second one is that the percent of clients will have readmissions and admissions to acute hospitals within six months. and we are looking for an 80 percent, on that and so that will be and those will be new measures for us. and we have an a

as part of the conditional use and asking for teaspoons services we've been doing night time services at the shelter and daylight savings time services at our other shelter they want those services twenty-four hour in one site and to be licenses in corneas with their state listening requirement to address that the state has created a legislation drafted to create a category for london's underage shelter and the design of those categories and they should be out for the 24/7 to be operating in one location they serve up to 18-years old and when we learned buyout change we began to hold meetings with the neighbors in 2012 we've continued to outreach to the neighbors as we have gained for federal and state changes and began nor expensive outreach to the neighbors in july as a protective aid said we've been meeting with the neighbors monthly and continue with the meetings regardless of the boards decision today, we also sent out e-mail noifrgsz to everybody in the larsen street supporters and we mailed letters about the hearing and about community meeting we've held another diamond the lis

had the best telephone service, and still has the best telephone service, in the world.ack then with the mkrers and l of the trustting that was going on, this almost seemed to run counter to the currents of those times. well, but even then, i want to go b back something. vail may actuay have been right. remember that the only technology then is the wire. how many of them are you going to string? it's very expensiveonly technoloto string it.e wire. you're not going to string two down the street. there are economies of scale. and you will end up with one company buying out the other. schoumacher: how did the other side of the kingsrycommitment work? w effectively did the goveme regu the phone company? of the kingsrycommitment work? , if you thategulationllysm gosg of telsystemecame veryifcuo doextremely difficu. in a nutshell, i think that regulation failed at all times. schoumacher: this was the at&t we grew up with, the benevolent ma bell holding families together. and why are you crying? because joey said "i called just 'cause i love you, mom." schoumacher: but by the 1

i did not know this until after i came out of the service., was that a big deal when i found out that was the man who gave me my first check. i am very proud to be associated with the tuskegee airmen. all these gentlemen are idols of mine. to you young people, my god. i did not do it alone. thank you. [applause] >> i would like to ask, mr. pride, what was your inspiration when you were growing up? where are you from? >> i am from washington dc. my inspiration was african-american newspapers. there would be a photo of a tuskegee airman. when i was 16 years old, i decided i wanted to be one of them. i wanted to fly. like everybody else at that time, we all wanted to serve our country. our country at the time was 160 million people. 16 million went to war, 1/10 of them. i am proud to be a tuskegee airman. >> thank you, sir. thank you. [applause] >> my next question is for dr. ware. please tell us where you are from and also, did you dream of joining the military when you were are young? if not, what were you inspiring to be? >> what was the ques

and so this project supports four goals, the environment, economicky and the customer service and it is actually hard on the system. >> so, finalizing our next steps we intend to go to the board on the fourth for their consideration of the short list, and so the subset of the 15 that i showed you and i want to advance ask them to advance the certain projects for discussion. and i want to compare those projects against the goals and objectives. we also want to report on results of a poll that we took of the public interest and possible project and programs, and we defined the game similar to the budget czar game that was played in san francisco and we learned from that and so we were able to ask the public about projects that they would like to see and how they would like to pay for them ewhat is the budget czar game? it is interacting and engaging. >> yeah. >> executive director, that was a public out reach game that we did the san francisco plan and it was a survey where the people could spend money on various prioritis in real time it would adjust their budgets so they could see wh

internet service being one example and cell phone service. being another great example read these prices -- example. these prices keep going up. some of these issues are not just tech issues and are becoming issues of what it means to be middle class in this country. we should not taken off the table. >> you know, and i think this is an important question is whether the carriers are going to become more like monopolies are less likely monopolies? i think it is fair to say that most people experience them now as companies that behave like monopolies. i certainly do. but i am not confident, i do not know which way it will go. there may be real competition in markets that do not have much of it down the road or imago in the other direction. what do we think? -- it may go in the other direction. what do we think? >> making net neutrality policy on the basis that people hate comcast is a bad idea. >> but if comcast is a monopoly and if it stays a monopoly -- >> it is not clear that comcast is a monopoly. there is at least one other competitor in a

in fact, three separate services. if you mind, take a moment to reflect on your military training, the experiences you had before going into combat. and how that prepared you. >> in my day, growing up, and there are some in here that can fit this picture, too, discipline in the home existed. my father died when i was nine. so i was raised by brothers. i was the last of the litter, so i was the runt. i was raised by brothers. when i was told something, as were they, to do something, you were expected to do it. you said, yes, sir. and went ahead and did it. you did it to the best you could. when i went into the marine corps, discipline was not a problem for me, because i had lived under that kind of discipline at home. so that wasn't a problem. but the thing that i learned in the marine corps was that the other guy, the other guy beside you on your right and left is also going to be responsible for you, and you are going to be responsible for them. i had never had that before. i had never understood, even with brothers,