as i mentioned before when we have talked about this, i was part of the rebuild laguna honda campaign. it predicted where we are today. we don't have enough across the entire spectrum of care for people as they age. we haven't built the infrastructure or capacity. so i do hope, i like the idea of working with the mayor's office of housing as we build new housing to try to catch up, but, again, like my colleagues, this is incredibly depressing that we have not put in place the resources we need in order to maintain care for the people who have really made this city the place where all the world seems to want to be right now. those folks we're abandoning at the time they need us most. and just for the department of public health, i am still trying to process this. it just happened that we got from the controller, performance report and i was struck from laguna honda that one of the metrics that they're failing is they're not getting people out of there in 60 days or less. that was not my understanding of what it was supposed to be. that's a weird metric. can we get people in and out in

petraro on the south side of the campus which needs seismic retro fit to renovate the two old at laguna honda hospital if there's a need for space on the juvenile probation department to occupy space there so that will allows us to renovate the spaces and get some of our administrative support functions in to those buildings and that will allow us to get out of a lease facility and seismicly safe buildings we have following that we have another $300 million place in the ten-year capitol plan that would be another geo bond scheduled for november 2022 and that would be at the next phase in our program and the scope is still yet to be defined and we'll have to work over the next couple of years with the capital planning process to nail that down but the next major item in line is the seismic retro fit and renovation of buildings 80 and 90 on the campus so when you look at how it fits together starting with the new laguna honda hospital building which went before the voters and the late 90s, bit end of this 10- year planning horizon we'll have done a tremendous amount of work and kind of once in

i did -- helped laguna honda with the hospital incident command system. i'm ics 300, 400 trained. >> i'm sorry. what is ics? >> incident command system, so i'm -- i'm emergency response trained. my background -- a lot of my background is in emergency response and hazardous materials. prior to coming to the city, i worked as the environmental health and safety manager for a metal managing plant called materion corporation, and one of the things that we looked at was we -- at materion, we manufactured parts out of beryllium, and long-term beryllium analysis is something that we did in the ten years that i was there, so i'm very familiar with looking at cancer and beryllium, they're not the same, but they have a similar pattern. chronic beryllium disease is a respiratory illness that affects one in five people on the planet. you have to be allergic to it. that's too much information, but cancer and chronic beryllium disease follow the same type of longitudinal statistical research analysis. i did a lot of that at materion and hyper, as well. i come from a ba

different types of workers so we were out at dp yard and we were at the library and we were at laguna honda so a lot of different work environments in this study. so slide 18, of those folks and we lose weight what percentage of weight did they lose and some say d.p.p.66% of them lost weight so those in the online d. p.p.63% of them lost weight and that's of the people who showed up at the end to get measured. on slide 19 the average weight loss so we measured them at six months and again at 12 months and it's really important to see if it was holding up you expect a bigger weight loss at the beginning of a program but sustain tag isn't as easy so what we saw was at six months, they had about a four to five pound weight loss and the online group started to regain by the end and the work site group lost a little bit more so most importantly they sustained that after six months because you don't expect the biggest amount of weight loss in the first six months. slide 20. this is people who participated that were over weight versus obese because there are -- it's incredibly important looking at

different types of workers so we were out at dp yard and we were at the library and we were at laguna honda so a lot of different work environments in this study. so slide 18, of those folks and we lose weight what percentage

, over 80% of the clients were stabilized in the community, which means they did not end up in laguna honda. they have purchased rcfe slots since 2007. during that time, the program has spent over $4 million on board and care patches on behalf of 67 clients. the program supports about 30 clients a year with an average subsidy of $2,400 a month. we have seen that patch grow rapidly in recent years. in 2014 it was closer to $2,000 a month. so i bring this up, and we have always thought there was a cost savings, it was better for the participants who were participating in cls but we couldn't show the cost savings because we didn't have all the data points. we contract out with the institute on aging, they took the program and replicated it by working with a county health plan. it is in essence the same program. the county organized health system and so they were able to gather all the data points that includes hospitalizations, sniff utilization, durable medical equipment and alike. they have shown in the tracking for the past three years, the drum roll please, a 50% per member per month cost

the november 21 meeting will be at zuckerberg general -- and december 5 at laguna honda and december 19 the special planning. >> december 19 is the special planning committee. >> in room 220 here. the next item which is the joint conference committee reports. >> i was going to ask you if you wanted to have that. >> you can give a brief report. you can read the minutes on it. the committee did meet on october 24 and received the regulatory affairs report which was excellent because our hospital has been performing exceptionally in these surveys. we also received the hospital administrators and care report. more importantly, we also ten looked at for our consideration at our next meeting, the various policies and the annual report which you will receive at the next meeting. approval of the orthopedic rules and regulations to standardize protocols was also approved in closed session we approved the credentials report and pips minutes and their work. i encourage you to read the minutes for more detail. >> item 11 is commission agenda setting. >> i think i completed it. we're prepared for

sucker burg san francisco general hospital and spent time with patients at the general hospital and laguna honda hospital in addition to visiting the sfdph heath centers where mayor lee created the department of homelessness in support of housing to focus efforts to prevent homelessness and assist those who are homeless. where as, mayor lee advocated for affordable housing and many ways including pledgeing to build and rehabilitate buildings intended for low-working and middle-class joining the board president david chew to reeight the housing preference program to assist tenants evicted through the ellis act sponsoring funding initiatives where mayor lee died december 12th, 2017 at san francisco general hospital and be it resolved the san francisco health commission acknowledges and honours mayor lee for his life-long commitment and dedication to improving the lives of others through his invaluable public service. his enormous compassion for others and his effective and thoughtful leadership and be it further resolved that the san francisco health commission conveys its heartfelt condolences to