president breslin? >> president breslin: do i have a motion? >> vice president follansbee: i move we do not disclose any of our discussion relative to the closed session. >> second. >> president breslin: . all those in favor? >> aye. >> president breslin: any opposed? it is unanimous. item number 19 please. >> clerk: item 19 just devote to erect any or all discussion held in closed session regarding anticipated litigation, san francisco administrative code 67.12. >> president breslin: ok. i will need a motion on this too >> vice president follansbee: i move that we do not disclose any of the discussion held in closed session regarding anticipated litigation item. >> second. >> president breslin: ok. it has been moved and seconded. all those in favor? >> aye. >> president breslin: any opposed? it is unanimous. now we have item number 20. >> clerk: eight and 20, action item, possible report on action taken in closed session, governmental code 54957.185. >> president breslin: do i have a motion on this one? >> vice president follansbee: i move tha

president breslin? >> president breslin: i need a motion. >> vice president follansbee: i move we go into closed session for a conference with the legal council on anticipated litigation as the defendant. >> president breslin: ok. >> second. >> president breslin: goods. all those in favor? >> aye. >> president breslin: any opposed? no. >> the san francisco health system service board is now in order. please stand for the pledge of allegiance. [ pledge of allegiance ] we have a new secretary. natalie? madam secretary, will you please call the roll. >> good afternoon. president karen breslin. >> president breslin: here. >> vice president steven follansbee. >> vice pres. s. follansbee: present. >> wilfredo lim. >> commissioner w. lim: present. >> commissioner randy scott expected to be here. >> i am here. >> approval with possible modifications of the minutes set forth below. regular meeting of august 9th, 2018. are there any corrections to the meet sng >> yes, in the roll call i share many things with you

president breslin? >> president breslin: well, i would like to introduce our new secretary, natalie eckbert, she has been working diligently to get up to speed and had everything ready for today, i'm impressed. i look forward to working with you. i'm sure all the other board members are up to it. thank you. that's all i have to report. public comment on this item? no public comment. item number 4, please. >> clerk: item 4. discussion item. director's report, executive director. >> we have acknowledged and welcomed natalie to the family and also want to acknowledge the heroic job anthony did substituting while we didn't have a full-time secretary, we appreciated, i'm sure he is glad to not have to be here today. so that was great. i did want to insert, i meant to put this in the written report but we didn't include a financial report today and i wanted to comment on that. first of all, we are at the fiscal year-end close of fiscal year-end '18. that information is not final and will be and will be presen

>> president breslin: any questions from the board? >> i adopt remove the changes as presented. >> second spew on any public comment? all those in favor? aye. >> president breslin: all those opposed? it is an economist is unanimous

a ten minute break. >> president breslin: we are back in session. item number 7, please. >> clerk: item seven, discussion item. 2017, 2018 influenza season report. >> maybe we could do a little -- a high point on this report. we have a closed session. >> absolutely. i am with enterprise systems and health service system. you will see a centers for disease control and prevention summary of the 2017 and 18 flu season that you can read in your own time. it is a short summary. essentially back , it was one of the highest percentages since 2009 of the flu pandemic. just as a callout, nationally, we are having a severe flu season last year. when we talk about flu season, we are talking about a period from october to may. we went ahead and took a look at our own experience to see how we were affected at the health service system. so, moving there, i won't necessarily read everything. i encourage other people who are not familiar to do so, but it is a contagious and respiratory illness. every season and can be a little bit different and we do know that some

. >> president breslin: any other comments from the board members? public comment? thank you. >> good afternoon, board members, and welcome to our new secretary. clara, president of ercs, i enjoyed participating in the group yesterday and finding this an interesting process. thinking that we are going along the right lines and thank you, commissioner scott, for some of your comments. i didn't have to make them, so i appreciate that. but i'm wondering also, i think we are an unusual employer in the sense that we also cover all of our retirees for lifetime. and a lot of private employers and some of the other public employers don't necessarily offer those benefits so they come off when someone becomes eligible for medicare. i think we have to consider geography as one of the issues to throw in here somewhere because we not only have active employee who's live in other areas, my favorite people in tuolumne, hetch hetchy. it impacts their families, dependents. we have them all over the world, all over the country. i think we also have to take a look at the nature of the

. >> president breslin: thank you. >> may i inquire about the staff. all staff, managers, front line folks as well? >> that's correct. we have about 50 staff members. 10 helped facilitated and at least 50% contributed to the survey so we saw some really good numbers. >> thank you. >> great. lauren anderson. we are back on page 7. we have a list of guiding principles, intended to be guardrails and guidance how we solve for issues of today and tomorrow. we have identified in just alpha order the guiding principle listed below. there are a few comments that i would like to make on the guiding principles versus reading them. on collaboration broadly in terms of with members and with city departments and health providers and partners in general is required and needed in many of the things that we are looking to accomplish in the future. on the data driven insights it's extremely important but i think you know, what we heard consistently over our conversation the last couple months is relevancy to hss so that's in the forefront of our mind as we think about

jimmy breslin wrote about him in the 1980s saying that he creates razzle dazzle saying trump will bee created this persona. his entire being is built on exaggeration and lies. but the people around him who are willing to take it as far as they have and adopt it as their own personal mantras. this is the annihilation of truth here. step back from donald trump for a moment. he is not the first politician to lie. he lies a lot more. but he is shifting the window and the people are becoming numb to it or willing to believe the lie. gary kasparov made this point in an authoritarian regime, the lies are not designed to believe one thing or another. it is to doubt that you know what the truth is. gas lighting. so i don't know what to believe. i don't know what is true. when he says the lester holt interview was botched, or what was the term he used? faked in some way? it was not. but now he's planted the seed out there. is it inconceivable that 40% of americans might say, well, i don't know what to believe. even if i see the videotape, i won't believe it. >> why is that there? why do americ

president breslin? >> president breslin: i need a motion. >> vice president follansbee: i move we go into closed session for a conference with the legal council on anticipated litigation as the defendant. >> president breslin: ok. >> second. >> president breslin: goods. all those in favor? >> aye. >> president breslin: any opposed? no. we will go into closed session, everyone.