we start the section off with the dph budget. this includes our expenditures, revenue and key investment made for fiscal year 15-16 which some included the $26.8 million for operating cost for the new building and $12.8 million in it investment. following the budget, we have dat spanning our two division so san francisco health network and population health division. starting with san francisco health network we include encounters on different visit types and patient demo graphics across the hospitals and clinics. per the commissioners request add finance and planning this was verified by the business intelliance unit as dph and followed the data definition when possible. the next section is on the population health actiskties so this focus on the 6 areas of the strategic plan and have key highlights within each. lastly, in this section we have our health commission resolutions for fy 15-16. these highlight the major actions taken by the commission ovthe fiscal year and this section or this page was moved to the section per the c

maybe dph should be the trigger? then the only thing i was going to that is i understand that the november 8 date is indeed tied to election day because that was when prop 64 was voted on by relative to this board of supervisors and the interim control, it might not affect a single applicant out there-i don't know-the first time we actually heard it in this committee was december 5 . i do know it is a groundbreaking difference but i mean the public had noticed about this interim control 72 hours before december 5 oh i would kind of throw out there maybe we can negotiate this in public that we consider that date and the other question is, should we have an application to dph or dvi by whatever the date is, november 8 or december 5 be the trigger? >> yes. my understanding is dph does have a process to ask them that does go to dbi. so i believe that even if you go to dph your quickly told dbi is the first step. that is at least the documentation i got from the people i spoke with. so perhaps we could add dph to the park

we start the section off with the dph budget. this includes our expenditures, revenue and key investment made for fiscal year 15-16 which some included the $26.8 million for operating cost for the new building and $12.8 million in it investment. following the budget, we have dat spanning our two division so san francisco health network and population health division. starting with san francisco health network we include encounters on different visit types and patient demo graphics across the hospitals and clinics. per the commissioners request add finance and planning this was verified by the business intelliance unit as dph and followed the data definition when possible. the next section is on the population health actiskties so this focus on the 6 areas of the strategic plan and have key highlights within each. lastly, in this section we have our health commission resolutions for fy 15-16. these highlight the major actions taken by the commission ovthe fiscal year and this section or this page was moved to the section per the c

maybe dph should be the trigger? then the only thing i was going to that is i understand that the november 8 date is indeed tied to election day because that was when prop 64 was voted on by relative to this board of supervisors and the interim control, it might not affect a single applicant out there-i don't know-the first time we actually heard it in this committee was december 5 . i do know it is a groundbreaking difference but i mean the public had noticed about this interim control 72 hours before december 5 oh i would kind of throw out there maybe we can negotiate this in public that we consider that date and the other question is, should we have an application to dph or dvi by whatever the date is, november 8 or december 5 be the trigger? >> yes. my understanding is dph does have a process to ask them that does go to dbi. so i believe that even if you go to dph your quickly told dbi is the first step. that is at least the documentation i got from the people i spoke with. so perhaps we could add dph to the park

we start the section off with the dph budget. this includes our expenditures, revenue and key investment made for fiscal year 15-16 which some included the $26.8 million for operating cost for the new building and $12.8 million in it investment. following the budget, we have dat spanning our two division so san francisco health network and population health division. starting with san francisco health network we include encounters on different visit types and patient demo graphics across the hospitals and clinics. per the commissioners request add finance and planning this was verified by the business intelliance unit as dph and followed the data definition when possible. the next section is on the population health actiskties so this focus on the 6 areas of the strategic plan and have key highlights within each. lastly, in this section we have our health commission resolutions for fy 15-16. these highlight the major actions taken by the commission ovthe fiscal year and this section or this page was moved to the section per the c

maybe dph should be the trigger?hen the only thing i was going to that is i understand that the november 8 date is indeed tied to election day because that was when prop 64 was voted on by relative to this board of supervisors and the interim control, it might not affect a single applicant out there-i don't know-the first time we actually heard it in this committee was december 5 . i do know it is a groundbreaking difference but i mean the public had noticed about this interim control 72 hours before december 5 oh i would kind of throw out there maybe we can negotiate this in public that we consider that date and the other question is, should we have an application to dph or dvi by whatever the date is, november 8 or december 5 be the trigger? >> yes. my understanding is dph does have a process to ask them that does go to dbi. so i believe that even if you go to dph your quickly told dbi is the first step. that is at least the documentation i got from the people i spoke with. so perhaps we could add dph to the park o

it a marriage between owd and dpw dph to work together. >> can i also introduce jessica estroda. over sees all the community engagement activities with the coalition. >> great. thank you very much. >> i would like to congratulate you for your presentation, this is a wonderful program for such a small budge t and i like your presentation but would like specific questions and maybe we can summarize the steps as to getting to the program. first question, you said 9 businesses out of how many potential businesses are in the program? we are talking about the food swamp areas, correct? this program is specifically geared toward these areas so business from another neighborhood could not come and knock on your door, is that? yes or no? >> to answer your first question, it depends on the neighborhood. in the tenderloin there are 70 liquor stores are assess and corner stores, so out of the stores we are taken in 5. there may be a potential if you will but from the economic standpoint is where do you meet that breaking point. if we work with all 70 the market will be saturated with produce

i wanted to end with a samp 8 of actions that highlight a lot of things that dph is involved in.ome examples include working with our mta and launching a comprehensive analysis of bike injury collisions and looking at predictive modeling, not only the high injury network but faketers that predict where bike injurys are happening so we can target improvements before they occur. we are working close with the mta to look at transit relate #d injury collision jz how improvements with respect to transit can prioritize safety. continuing the safe routes for schools and safe streets for seniors led by ana and safe street for people with disabilities. we have a lot of great resources at the city to help people-we have interest in the police department and dph and make sure the immediate days following tragedy families have the most support they can have. support evaluation and monitoring and also looking to develop a speed monitoring cystism. we know speed is the biggest predictor so how to get a better sense of are we changing speeds on city streets. improving engineering project develo

item 7 is the dph 2016-federal and state legislature summary and plans. you all have a resolution before you that you'll vote on at the february meeting. so today it's just for discussion. >> good afternoon commissioners, cyndy comerford. we have prepared a memo for you that gives a summary of our legislative actions and also a draft of the 2017 platform and also as mark just said, we have already introduced a resolution for your support to be voted on the february 7th health commission meeting. so this slide gives and overview of what i'm going to talk about today. first i will give brief background on the legislative platform and after that i will present a summary of our state and federal actions for the last two years. i'm also going to talk about some key emerging issues, post-election. next i'm going turn it over to niki and she will talk about the policy platform development and i will conclude about giving some brief updates about how the legislative cycle kind of intertwines with the state and federal budget cycle. i'm not going to go into any pi

item 7 is the dph 2016-federal and state legislature summary and plans. you all have a resolution before you that you'll vote on at the february meeting. so today it's just for discussion. >> good afternoon commissioners, cyndy comerford. we have prepared a memo for you that gives a summary of our legislative actions and also a draft of the 2017 platform and also as mark just said, we have already introduced a resolution for your support to be voted on the february 7th health commission meeting. so this slide gives and overview of what i'm going to talk about today. first i will give brief background on the legislative platform and after that i will present a summary of our state and federal actions for the last two years. i'm also going to talk about some key emerging issues, post-election. next i'm going turn it over to niki and she will talk about the policy platform development and i will conclude about giving some brief updates about how the legislative cycle kind of intertwines with the state and federal budget cycle. i'm not going to go into any pi

item 7 is the dph 2016-federal and state legislature summary and plans. you all have a resolution before you that you'll vote on at the february meeting. so today it's just for discussion. >> good afternoon commissioners, cyndy comerford. we have prepared a memo for you that gives a summary of our legislative actions and also a draft of the 2017 platform and also as mark just said, we have already introduced a resolution for your support to be voted on the february 7th health commission meeting. so this slide gives and overview of what i'm going to talk about today. first i will give brief background on the legislative platform and after that i will present a summary of our state and federal actions for the last two years. i'm also going to talk about some key emerging issues, post-election. next i'm going turn it over to niki and she will talk about the policy platform development and i will conclude about giving some brief updates about how the legislative cycle kind of intertwines with the state and federal budget cycle. i'm not going to go into any pi

i wanted to end with a samp 8 of actions that highlight a lot of things that dph is involved in. some examples include working with our mta and launching a comprehensive analysis of bike injury collisions and looking at predictive modeling, not only the high injury network but faketers that predict where bike injurys are happening so we can target improvements before they occur. we are working close with the mta to look at transit relate #d injury collision jz how improvements with respect to transit can prioritize safety. continuing the safe routes for schools and safe streets for seniors led by ana and safe street for people with disabilities. we have a lot of great resources at the city to help people-we have interest in the police department and dph and make sure the immediate days following tragedy families have the most support they can have. support evaluation and monitoring and also looking to develop a speed monitoring cystism. we know speed is the biggest predictor so how to get a better sense of are we changing speeds on city streets. improving engineering project deve

. >> seems like it is pretty onerous it is true that dph makes the vendor pay a fee for each farmer's market that is outrageous. >> we agree. >> so that you know, i would suggest you make just one fee that would be applicable to any and all the licensed farmer's market they participate. >> i'm looking this i see the line crows on the dollars amount. >> uh-huh. >> only crossed on two zeros do does that mean you meant to cross the whole thing. >> so it is clear a whole number yeah, so there's only a few for example, in section 2 we actually eliminated if you look at page 2 line 9 that one fee that is by request more significant ones are probably in section 4 and these are mostly outdated fees the entertainment commission gave joyce hicks jocelyn kane and helps to clean up the code. >> want to eliminate it like item 9 on page 2 cross off maybe the dollars amount. >> correct. >> what were the fees before for the production. >> the film production. >> yeah. the commercial and all of that i see there are pretty low. >> uh-huh. >> is that basically, the same as it was before. >> that's a goo

doing an assessment and trying to integrate people that - transferring patients and clients from the dph model that has people are more health issues and people stepping down and one of the things we're creating a database we 3-d have one before we want to know as the unit become available to utilize through the process in terms of the referral to getting them into a house any questions. >> thank you very much keri any questions commissioner sims. >> one that's related to the demographic data collection i was - there's an acknowledgement in the 6 month report that the data is still partial it not fly deployed a quarterly timeline i'm trying to understand when you expected full deployment of the demographic data collection tools so we will know more about the populations that are served and how that breaks out. >> so the - they're collecting the data we found out last year there was a lot of things that needs to happen in terms of not just collecting the data but how people are doing it operational as when the tool we pull the data from this timeframe to versus pulling from a different ti

doing an assessment and trying to integrate people that - transferring patients and clients from the dph model that has people are more health issues and people stepping down and one of the things we're creating a database we 3-d have one before we want to know as the unit become available to utilize through the process in terms of the referral to getting them into a house any questions. >> thank you very much keri any questions commissioner sims. >> one that's related to the demographic data collection i was - there's an acknowledgement in the 6 month report that the data is still partial it not fly deployed a quarterly timeline i'm trying to understand when you expected full deployment of the demographic data collection tools so we will know more about the populations that are served and how that breaks out. >> so the - they're collecting the data we found out last year there was a lot of things that needs to happen in terms of not just collecting the data but how people are doing it operational as when the tool we pull the data from this timeframe to versus pulling from a different ti

doing an assessment and trying to integrate people that - transferring patients and clients from the dph model that has people are more health issues and people stepping down and one of the things we're creating a database we 3-d have one before we want to know as the unit become available to utilize through the process in terms of the referral to getting them into a house any questions. >> thank you very much keri any questions commissioner sims. >> one that's related to the demographic data collection i was - there's an acknowledgement in the 6 month report that the data is still partial it not fly deployed a quarterly timeline i'm trying to understand when you expected full deployment of the demographic data collection tools so we will know more about the populations that are served and how that breaks out. >> so the - they're collecting the data we found out last year there was a lot of things that needs to happen in terms of not just collecting the data but how people are doing it operational as when the tool we pull the data from this timeframe to versus pulling from a different ti

. >> seems like it is pretty onerous it is true that dph makes the vendor pay a fee for each farmer'sarket that is outrageous. >> we agree. >> so that you know, i would suggest you make just one fee that would be applicable to any and all the licensed farmer's market they participate. >> i'm looking this i see the line crows on the dollars amount. >> uh-huh. >> only crossed on two zeros do does that mean you meant to cross the whole thing. >> so it is clear a whole number yeah, so there's only a few for example, in section 2 we actually eliminated if you look at page 2 line 9 that one fee that is by request more significant ones are probably in section 4 and these are mostly outdated fees the entertainment commission gave joyce hicks jocelyn kane and helps to clean up the code. >> want to eliminate it like item 9 on page 2 cross off maybe the dollars amount. >> correct. >> what were the fees before for the production. >> the film production. >> yeah. the commercial and all of that i see there are pretty low. >> uh-huh. >> is that basically, the same as it was before. >> that's a good

. >> i know dph has been doing a lot of engagement for safe streets for seniors specifically targeting seniors throughout the fall so this list points out the areas where there is less targeted engagement that we could increase in the coming two years. >> um, again making sure it is data driven, the evidence based approach. we want to make sure people come up with oo a lot of great ideas but want to own and champion it so making sure the city can advanss it. this is a two year strategy, and have the goal of zero bife 2024 but in the next two years what can we initiate or complete? the next slide provides a few actions pulled from the strategy. the first few are just new engineering specific efforts. you are familiar with walk first and the first would be similar but specifically for bicycle collision jz the second for transit collisions. we had success with the combination of high visibility education and enforcement so launching two initiatives for driving under the influence and distracted driving. making sure the city continues to be coordinated and collaborative to try and speed up

. >> i know dph has been doing a lot of engagement for safe streets for seniors specifically targeting seniors throughout the fall so this list points out the areas where there is less targeted engagement that we could increase in the coming two years. >> um, again making sure it is data driven, the evidence based approach. we want to make sure people come up with oo a lot of great ideas but want to own and champion it so making sure the city can advanss it. this is a two year strategy, and have the goal of zero bife 2024 but in the next two years what can we initiate or complete? the next slide provides a few actions pulled from the strategy. the first few are just new engineering specific efforts. you are familiar with walk first and the first would be similar but specifically for bicycle collision jz the second for transit collisions. we had success with the combination of high visibility education and enforcement so launching two initiatives for driving under the influence and distracted driving. making sure the city continues to be coordinated and collaborative to try and speed up

can do that based on the cost estimation we estimated high scenarios and low scenarios not only from dphhey came and gave us the numbers our low - dollars amount we think a $70 million contingency built into the model was still within the budget to me having a 70 millions or 25 percent contingency we need to do this on time. >> now what the ucsf model we were one million dollars over with a slim contingency now, when you add those and then add the fact the organization is now combais liens owe cost improvement i believe we are ready not only financially but the industry is ready but our organization is ready i don't think our organization was ready three years ago and working hard to make that happen. >> we didn't have the financial wherewith all now we can i think that's one of the most important consultant i'm confident where we are right now and think that the rfp will veiled was it yields in terms of the competitive process i believe that we be potential vendors vendors who see us as the last market we will be transparent as accountability to the commissioners i'm holding staff accou

. >> the butteee of dph being married to oewd in this program, is that they are connected to so many other departments that provides different incentives for small business we wouldn't be familiar with. as incentives come along and you connected us with department of environment about this issue and hopefully over time as they begin these programs we already certified certain stores are motivated and making these changes they will be able to avail themselves of these new types of refrigeration units and energy efficient programs and things like that so really good work on that one. >> one more thing i wanted to say is please look at healthy retail sf.org website. everything we talked about, description of there program, preand post of the stores involved, news coverage, all of that and as jorge mentioned the services available and bundled is on the website. >> just one quick question just to get a idea of demand. how many stores do you have currently that applied? i know you said you are going to do two. curious how many may be waiting for their turn? >> that is a good question becau

-from their partner public out to answer the questions related to dph's review of the proposed projectthat concludes my product presentation i'm available for questions. >> thank you mr. spears. project sponsor, you have 5 min. >> good evening >>[inaudible] [off mic] >> if you're part of the time you're 5 min. for your presentation. >> >>[inaudible] [off mic] >> you 5 min. you need to work out how you want to-if you're part of the project team how you work out that 5 min. >> i don't think he is. >> not part of the project team. >> we will have public comment. everybody will have- >>[inaudible] [off mic] >> we will call public testimony after this. thank you. >> thanks for your time and consideration. especially after last one this one will try to be as concise as possible to mine and sean cohen president bernal heights cooperative did i been involved with cooperative since 2015 it personally to include a very poor transition of leadership for the organization could do it with the termination of the lease location of beauty occupied since 2005. however i stand here today as a representa

we continue to have a staff member from dph onboard regarding our health and safety issues but we are expecting to receive a new permanent member in the rank of industrial hygienist by march of this year. i am happy to report given to capt. the bureau of equipment. this person has replaced assistant deputy chief lee darrah and its limon serrano was a former officer stationed eight on fourth and blocked him and he started earlier this month and brings a wealth of knowledge and experience to the position. under division of training, under ems during this reporting period, dms staff has continued to conduct required paramedic and him training and certification as well as conduct six-month evaluations for the mts and paramedics which consist of written and peeled exams. they have also assisted the h-two 120 fire academy. the first two weeks they convicted the emt refresher which included american heart association cpr recertification ambulance ride a longs and orientation. they also assisted with the h-three level emt academy which started earlier this month with 30 students and as the ch

operating on driverless vehicles in and halted the program a week later with the demand from the california dph and we understand 16 volvo suv's were operating an uber engineer behind the whole with the vehicle equipped as we understand not only didn't have a permit but even though they didn't wouldn't allow passenger yours for the autonomous vehicle testing we had seen video and others first hand reports very disturbing and unsafe maneuvers - a lot of certain from folks and the mayor and many of you what we were seeing happening on the streets the cpuc is considering a new rule that will actually that allows the uber and lobbyist to use rental cars a lot of things happening right now with regards to tdms and rapid changes that are very different than what they've first said when they first came in being they were personal vehicles that were otherwise driving around with mtc and phil the seats and more a commercial operation has been for years but more legitimized by allowing people to rent a car and drive that with tdm let alone having none operated by the tmcs so a lot of chang's as you may k

operating on driverless vehicles in and halted the program a week later with the demand from the california dphand we understand 16 volvo suv's were operating an uber engineer behind the whole with the vehicle equipped as we understand not only didn't have a permit but even though they didn't wouldn't allow passenger yours for the autonomous vehicle testing we had seen video and others first hand reports very disturbing and unsafe maneuvers - a lot of certain from folks and the mayor and many of you what we were seeing happening on the streets the cpuc is considering a new rule that will actually that allows the uber and lobbyist to use rental cars a lot of things happening right now with regards to tdms and rapid changes that are very different than what they've first said when they first came in being they were personal vehicles that were otherwise driving around with mtc and phil the seats and more a commercial operation has been for years but more legitimized by allowing people to rent a car and drive that with tdm let alone having none operated by the tmcs so a lot of chang's as you may kn

. >> thank you, do we have a representative from dph to speak on this item? hi my name is beth and i am the department of public health primarily care and we put a state with the san francisco community clinic on the healthcare for the homeless and we have for many years, which provides the social work and mental and dental services this year there was an opportunity for additional federal oral health services grant for 315 annually, which we were awarded a half a year for. and we also were allocating an additional $50,000 from the existing grant funds that another agently had given us. and it funds, directly dental aid services. >> thank you, and great with the program, and let's go ahead and open up for public comment. >> all right, public comment is opened. seeing none, public comment is closed thank you. >> i would like to make a motion to pass it on the committee with the positive recommendation. >> i think that we want to continue this item if i am not mistak mistaken. make a motion for a positive recommendation. >> without objection that item passes. t

operating on driverless vehicles in and halted the program a week later with the demand from the california dph and we understand 16 volvo suv's were operating an uber engineer behind the whole with the vehicle equipped as we understand not only didn't have a permit but even though they didn't wouldn't allow passenger yours for the autonomous vehicle testing we had seen video and others first hand reports very disturbing and unsafe maneuvers - a lot of certain from folks and the mayor and many of you what we were seeing happening on the streets the cpuc is considering a new rule that will actually that allows the uber and lobbyist to use rental cars a lot of things happening right now with regards to tdms and rapid changes that are very different than what they've first said when they first came in being they were personal vehicles that were otherwise driving around with mtc and phil the seats and more a commercial operation has been for years but more legitimized by allowing people to rent a car and drive that with tdm let alone having none operated by the tmcs so a lot of chang's as you may k

. >> thank you, do we have a representative from dph to speak on this item? hi my name is beth and i am the department of public health primarily care and we put a state with the san francisco community clinic on the healthcare for the homeless and we have for many years, which provides the social work and mental and dental services this year there was an opportunity for additional federal oral health services grant for 315 annually, which we were awarded a half a year for. and we also were allocating an additional $50,000 from the existing grant funds that another agently had given us. and it funds, directly dental aid services. >> thank you, and great with the program, and let's go ahead and open up for public comment. >> all right, public comment is opened. seeing none, public comment is closed thank you. >> i would like to make a motion to pass it on the committee with the positive recommendation. >> i think that we want to continue this item if i am not mistak mistaken. make a motion for a positive recommendation. >> without objection that item passes. t

. >> thank you, do we have a representative from dph to speak on this item? hi my name is beth and i am the department of public health primarily care and we put a state with the san francisco community clinic on the healthcare for the homeless and we have for many years, which provides the social work and mental and dental services this year there was an opportunity for additional federal oral health services grant for 315 annually, which we were awarded a half a year for. and we also were allocating an additional $50,000 from the existing grant funds that another agently had given us. and it funds, directly dental aid services. >> thank you, and great with the program, and let's go ahead and open up for public comment. >> all right, public comment is opened. seeing none, public comment is closed thank you. >> i would like to make a motion to pass it on the committee with the positive recommendation. >> i think that we want to continue this item if i am not mistak mistaken. make a motion for a positive recommendation. >> without objection that item passes. t

operating on driverless vehicles in and halted the program a week later with the demand from the california dph and we understand 16 volvo suv's were operating an uber engineer behind the whole with the vehicle equipped as we understand not only didn't have a permit but even though they didn't wouldn't allow passenger yours for the autonomous vehicle testing we had seen video and others first hand reports very disturbing and unsafe maneuvers - a lot of certain from folks and the mayor and many of you what we were seeing happening on the streets the cpuc is considering a new rule that will actually that allows the uber and lobbyist to use rental cars a lot of things happening right now with regards to tdms and rapid changes that are very different than what they've first said when they first came in being they were personal vehicles that were otherwise driving around with mtc and phil the seats and more a commercial operation has been for years but more legitimized by allowing people to rent a car and drive that with tdm let alone having none operated by the tmcs so a lot of chang's as you may k

we continue to have a staff member from dph onboard regarding our health and safety issues but we are expecting to receive a new permanent member in the rank of industrial hygienist by march of this year. i am happy to report given to capt. the bureau of equipment. this person has replaced assistant deputy chief lee darrah and its limon serrano was a former officer stationed eight on fourth and blocked him and he started earlier this month and brings a wealth of knowledge and experience to the position. under division of training, under ems during this reporting period, dms staff has continued to conduct required paramedic and him training and certification as well as conduct six-month evaluations for the mts and paramedics which consist of written and peeled exams. they have also assisted the h-two 120 fire academy. the first two weeks they convicted the emt refresher which included american heart association cpr recertification ambulance ride a longs and orientation. they also assisted with the h-three level emt academy which started earlier this month with 30 students and as the ch