rent will be paid by dph over the 22 term of the lease will be 2 million. we recommend that you amend the proposed resolution to correctly state that the resolution is authorizing a new lease and not an extension of an existing lease and we recommend that you approve it as amended. >> thank you very much. >> why don't we move on to public comment, anybody wish to comment on this item? >> seeing none, the public comment is closed. so we do have budget analyst recommendations. >> all right, through the cherry would like to adopt the budget analyst recommendation that we amend the resolution to correctly state that it is authorizing a new lease and not an existing lease and then adopt the underlying resolutions and send it forward to the full board with a positive recommendation. >> we have a motion and we can take that without objection. >> could you call five? >> resolution, approving a lease agreement between menzies afteration and the city for exclusive use space in westfield cargo building, 632 and related area on plot 9, for a 3 year term with three one

amount of time to hire a re7b8d nurse at san francisco general the partnership was established between dph and h.r. the work of the aspirin began with a thorough and holistic approach to identify all the steps it takes to hire a registered nurse from the point of vacancy to the nurses first day on the job we identified what steps and who was doing that work and how long that was taking and importantly what that work valuable in hire a registered nurse and placing that individual in a position we discovered that there are so many processes in the system that are merged by stakeholder westbound the dph and the mayor's office of budget we identified on average where an hundred and 90 to 2 hundred days to hire a hire a nurse that was anecdotal true it takes too long the good thing about the data it serves as a post we could attache case attack what we needed to implement in a efficient process based on the data director callahan helped us to develop a process but maintained our core values of merit based hire some of the successful hiring the krument activity clearly if we developed a quick se

without oversight by dph [inaudible] at the site will not result in significant environmental has rds. similarly hazard building materialerize regulated by federal and state law. in regards to land nysand cairbt, the baseline conditions are the existing at the site. there is a existing fire station there already and the site will continue to operate as a fire station upon reconstruction. during construction, construction nysis regulate by article 29 of police code and lastly in regards to the social environment, social effects are not significant environmental effects under sequa. in regards-in summary, the dparmt believes the project sticks within class 2 exemption and the sites inclusion on the cor taizy list which hazards materialerize emediated that place the site on the list don't [inaudible] second thappellate hasn't provided evident there are unusual circumstances that result in significant effect on the environment. for these reasons the department recommends the board uphold the sequa exemption and deny the epeal jrshz thank you. colleagues are there question of the planning

results in debt in today's presentation i'll talk about the ac a and our human resources decoration and dph representative. >> director garcia before you start i was in some confusion perhaps where the dups is a current affordable health care act provided and one is medi-cal expansion there is our largest footprint and the other coverage california for the last two years that'stions program through the public california and for the last two years we've benefit in negotiation providers in san francisco the chinese community heartbeat plan we've been in negotiations to provide for a contract we're still in negotiation the target population is about three to four thousand but medicaid it the largest population we have enrolled over hocking thousand individuals. >> for medicaid. >> ac a is the law of the land you have the medicaid and insurance expansion and covered california is an component of that. >> accident framework to become. >> within the next couple of months we're no negotiations now for the first negotiation had to tend end because of the enrollment time and started up to have a com

affordable housing funds as much as possible and in that process we community with our partners at dphnd s f s to think about the types of housing we types of supportive housing we create on behalf of the city trying to meet the needs of city overall and through this participating it is a very great partnership with an occ and the services agrees we've been able to create permanently supportive housing our expertise is the creation of the capital the expertise of the other two departments is the creation of the services and the funding and management of those services and together we create a permanently affordable supportive housing and the best examples of that reasonable include 1045 la could not supportive housing for families that opened up this year and 1184 street in mission bay the grand opening a couple of weeks ago 1/3rd of all the occupants were for formally homeless families and that's possible in part because the - in the case of 1184 street the h s a provides an operating agency for the development and service contract to a service provider to insure those families will b

. >> dph. >> i want to recognize elaine short an epididymis i thought as one of our vision zero commitments. >> thank you very much i wanted to apologize on behalf of megan who couldn't make that here she was originally going to be give this presentation she's unable to due to illness thank you, supervisors thank you for the opportunity to present on all our work of vision zero so as command maddox dominated a lot of dictated that sfpd collect a key component is the evaluation of preservation activities in the city those four goals are listed in our two year action strategy the first are no way to expand the transbay monitoring for targeting and monitoring elevating data and as supervisor kim mentioned development of a comprehensive injury surveillance system i was hired on in december we'll be piloting the transportation related injuries vanes bends of this year and finding it to be added to transbay also to expand evaluation targeting the resources and looking at employee and post data collection for key initiatives and tracking the progress of the interventions also to expand the web pre

from a last resolve to partner of first choice it is stealing difficult and not impossible for the dph to have the system transformation without getting this hiring problem resolved as quickly as possible it is cost effectiveness and patient experience and patient retention thank you. >> thank you very much. next speaker. and good afternoon. i'm bob ivy a registered nursed at san francisco general and this is for thirty years when we were bargaining we agreed to staffing in the emergency department has part of bargaining we those levels of staffing for the present hospital have not been met ron has the numbers we are that promised 99 nurses and i believe i believe we're 18 percent under that prior to the opening of the new hospital this lean identified additional 29 positions in the hospital to do the work of the expanded emergency department it is did the to see the hire despite the efforts in bringing - we need to recruit and train and keep them i'll always said nursing no san francisco general is having a leaky bucket we hire 5 and losses two they go down to pro tem i'm asking to ha

i'm a health planner within the office of policy and planning here at dph.re to provide you with the brief overview with the proposition q hearing regarding the reduction of nursingñ?ñ beds at st. mary's medical center. promise q was passed by voters in 1988. it requires private hospitals to provide public notice before theyútñ?ñ? close inpatient or outpatient facility eliminate or reduce level0÷ñ?ñ?ñ of services provide lease sale or transfer. the health commission is required to hold a public hearing and this is the first of two hearings. the hospital may present information and respond and the health commission may make findings about whether the services will have a detrimental impact on the healthcare services in san francisco. the health commission received notice from st. mary's medical center earlier in march. they intend to close skilled nursing facility on june 21, 2015. the school nursing unit has 32 licensed bed. majority of patients are covered by medicare and 13% of their patients were covered by private insurance and 7% by med cal. this closur

agencies to access data and the public in collaboration with the police department and mta along with dph we've developed a protocol dph and mta and the police department meet set at one table and determine what traffic fatalities were recorded to vision zero and those are based on a uniform case definition so we have consistency and adequacycy in transparency and monitoring of death in san francisco due to travel so this table summarizes the number of traffic fatalities through march of this year which is the most current data we have available from through the police department and the medical examiners data so this model segues into what we want to do for transportation injuries as well this traffic facility protocol would we've got a pilot of transportation injury data we have some challenges with police data with twitter that is over a year lag which is the key input in data evaluation and strategize with interventions there is we'll have crossroad in the future hope to have access to that with the duplicate but right now their feinstein listing contractual issues and we will wait fo

we've developed a protocol dph and mta and the police department meet set at one table and determine what traffic fatalities were recorded to vision zero and those are based on a uniform case definition so we have consistency and adequacycy in transparency and monitoring of death in san francisco due to travel so this table summarizes the number of traffic fatalities through march

we've developed a protocol dph and mta and the police department

ab 1287. >> on the evaluation and data piece, during this period the vision zero epidemiologist at dph worked with ski key staff from sfmta and our agencies are now coordinating and collecting on a monthly basis a final count of traffic fatalities. we have started publishing them. so that the data is transparent and can be known by the public on an on-time -- online fatality map including up from 2014 to the most recently completed month. and finally we have a more detailed update on enforcement, that command mannix will be giving. i will turn the presence over to her now. >> good afternoon, supervisors. this slide you are looking at right now shows our collision numbers. and from 2014 to 2015, 1st quarter same time period you can see there is a 56% drop in fatal collisions. the other collisions categories -- four categories in the statewide forum and these are them. we do not generally take a non-injury collision report. so that is why you see four categories. there are up slightly, but down in the most vulnerable number of ped and bicycle collision that. is a positive out of a negati

it's unknown why dph struggles so widely for this release. from the delta campus on march 20th. "there is a crisis. we don't have enough nursing beds. they are gone. they now specialize in short-term rehab" you should notify garcia for out of time discharge data so it will help you inform your discussions about community based post acute care. commissioner chung, demand that data. >> commissioner # garcia, that data that you show 8% go to long-term snp's. 76% either go home or unfortunately pass. i want to make sure we calibrated on the size of the issue that we have. >> that's the data we have collected. >> are there further comments. >> the resolution doesn't have on the first sentence "will or will not" to be clear for the record, you are proposing -- >> we'll correct the title of the resolution. it is not "will or will not". it's actually, we have to revise the title of the resolution because we are not finding "will or will not" we are instead resolving that skilled nursing bed closed. we'll need to have post acute care or found not to be helpful to the health of the city.

net increase in property tax on the bottom of page 6 according to the information by the sfmta and dph the 20 two departments use two different numbers san francisco municipal transportation agency rates charge the capitalized projects over 50 percent and not the 1/3rd shown in the report as compared to the rates charged by dph so we've connected table 5 on the page showing the difference direct and indirect charges for the two positions 5502 project manager and 4203 assistant engineer as shown in table 5 sf is hundred and 57 thousand plus we show 34 percent is 59 percent higher and sfmta labor rates for the engineer is hundred and 33 thousand plus and again, the 35 percent should be 53.8 percent to use it new york no sense we make a recommendation to ask the controller to look at the mta's direct and indirect labor rates and make the elements prior to 9 next issuance of the transportation bonds anticipated in may 2016 we believe that is good legislation we recommend all of the two resolutions be approved. >> thank you to the mta any questions or comments on the reserve and the recomme

ing inspection mpt i also want to thank director garcia and department of health and [inaudible] from dph and thank [inaudible] kelly of puc. with that i turn it over to romary bosky of department of building inspection who will say a few words on behalf of dbi. lucky for us and we are grateful will be the person staffing this task force and those of you who know dbi and how the city works know it does want get better than rose mary bosky so we are grateful. with that i want to thank rous heary >> good afternoon. a principle mission of the department of bilgdsing inspection which over laps with the aerjs identify is insure multiunit residential and multiuse buildings are properly maintained regarding habitability issues related to fire safety. with that in mind dbi is please today participate and provide administrative support to the interagency fire safety task force. we realize 60 percent of the buildings target td by the legislation we are seeing the fires within were built before 1940 and that number riseed to 86 percent for buildings greater than 7 units built before 1970. we va745 t

stuck with doing the work the more work they do the less patients get seep we want to make sure that dph has the best care our workers are working in staff conditions with adequate staffing. >> thank you if you get a chance to look at the power point on page 9 it has all clarifications so see how that's effecting clarifications. >> thank you. >> thank you. >> thank you. next speaker, please. >> hello, i'm a registered nurse at san francisco general i want to thank you supervisor avalos for calling this hearing there's been many strides made to reduce there is still work to be done we've heard about the impatient nurses what about on the you think ununclerks the kitchen staff what about the clinics to be able to provide preventive care as and move forward with the hiring process i want to remind you incorporated to have competent care we have to have a difference workforce what's dphs plan to keep minority nurses the proof is in the pudding. >> thank you very much. >> thank you. next speaker, please. >> good afternoon. i'm kathy linda nicer practitioner at san francisco general i want to

along thank you very much so i want to thank my colleagues and sitting in on the hearing folks from dph and h.r. and the public it sound like one way or another we're on a good pathway but one i want to make sure we monitor to have the new hospital happen seemingly and be a provider in the affordable health care act so thank you, everyone for pulling together and at times we're apart by the way, back together thank you. >> thank you supervisor avalos (clapping.) so colleagues with that being conducted i'd like to entertain a motion to file item one ash motion by supervisor mar and seconded by supervisor tang without objection. >> all right. call item 2. >> hearing open the state of the city's homeless services and safety net surveys and the home agency and the did you want and the mayors to report. >> thank you madam clerk. >> i'd like to ask for those members that are leaving the champ to keep it quiet so we can continue to conduct business thank you very much so colleagues the hearing around homeless and safety net services continues with the string of issue based hearing into the col

net increase in property tax on the bottom of page 6 according to the information by the sfmta and dph the 20 two departments use two different numbers san francisco municipal transportation agency rates charge the capitalized projects over 50 percent and not the 1/3rd shown in the report as compared to the rates charged by dph so we've connected table 5 on the page showing the difference direct and indirect charges for the two positions 5502 project manager and 4203 assistant engineer as shown in table 5

they were not intended to be resourced for the level of over sight, one of the things that i heard, dph has to check the monitoring every day, and get back to people, that is not our job that is requirement for them to have qualified consultants that do that. those consultants are the ones that are responsible to have over sight of air monitoring data. we can look at it add our opinions, and ask questions shg but we're not part of daily operations. we have put all of that data by request of the clean air health alliance we have made every piece of those things we would get on the over site roll is on the website, at oc i. curtesy of town send drew. i additionally have to write introductory remarks for each of the pieces of data that are there. that shows what does this data mean? we have done this in a friend leeway we have reviewed this language with clean air health alliance they were fine for us to go ahead and post it. similar handout describing the particlate matter the long black strip is the size of a hair, the blue circle spears, that's what ore equipment is measuring, anything

our office worked with dph to clean up a loop hom that allowed a lack of over site and enforcement for violation. this is a effort to close the loop hole as we required bathrooms to remain open by establishing a sign system for dph to use when issuing notice after inspection and hearing. the rest i submit. >> supervisor mar >> thank you colleagues. i want to thank supervisor compose for raising the state of emergency and crisis within the mission district and proceed to be one of the 5 supervisors standsing in solidary with the mission. i sense as we look forward to the cities challenges with affordable how hozing and address the displacement we will look with solidarity with mission district and support other communities in need as well. colleagues i some saddened to announce that there have been 2 suicide of young people youth in the richmond district ibthe munt of prl and it is a concern with those that have mental illness in the families like mine that we need community helths services rchlt we are approaching asian pacific [inaudible] celebrating on monthers day. i want say little