and the dph is like the rest of city transitioned to a new financial reporting system call f f h p that is on to death and the challenges when it comes to finances is still the unknown for the changes will happen at the federal level and how we'll solve them and what is the affect on the budget and we'll have to come up with appropriate measures on that this slide shows a summary of the 55 measures the true north at the it compares our current performance to quarter one performance for those commissioners who are on either the laguna laguna honda you've seen this data but have not seen the combined with even though rest of the network that is, i presented in the packet to you in the next few slides it is important to see how are we as a 3 and a half year-old network functioning as a whole you'll see on this slide across the 6 domain of the networks from quarter one to two we're increasing the measurements on target from 16 to 20 and during the same time we increased by one the targets that are - off target going from 11 to 12 and when i saw that we saw the there what was that one well,

so there aren't surprise visits by dph or building inspection? >> they would be a surprise why would i tell you now? no. there not. >> thank you. >> commissioner dooley. >> i have a questiono review for the many small businesses that only have one employee, so going into this as it rolls forward what is that solution? do you have a solution for that situation? >> that is a really good question and one key keep getting. it's going to vary from business to business. >> >> depending what the employee is doing. i worked retail before so i understand floor coverage in that conversation so if it's just one person and it's the business' livelihood and step away for 20 minutes three times a day that may represent a hardship that the business could qualify for. i think it's a little gray. i it's going to happen so infactorly too and if it does happen it can be addressed but i can't say. if it works for a business to close down for lunch hour and maybe the woman -- say she pumps before she opens the shop because it takes us a while to get to work unless yo

do we have internal eap through dph? >> we have city wide eap which we reserve to on a egregular basis. >> that doesn't fall in our division? >> no. >> you work with them? >> absolutely. we tend to refer people. >> is that out of hhs. >> i think health service administration but not sure. >> lastly, do you think maybe this is for commissioner bernal at a federal or state level, workforce shortage we are into year 3 of the aca. you hired up and that is really hard, do you think the workforce shortage is solving or do you think it will always be the gride to find open people is there a measure taken in a more broader way to fill the gaps that we experienced? you can just give a general- >> it tightened up- >> harder? >> a bigger labor shortage with the opening of new hospitals. in response we kicked up our recruitment and hired the two recruiters and do other strategies like getting people to work temporary and hire them-reaching out and doing nation wide recruitment and attending recruiting fairs which we had good success

>> the spoke system is used by the others in the campuses and the american messages that dph uses is also located on the other hospitals. many of the dpok tors move and so uc has preferred to use that, the department of public health has the good service with the american message and customized the system to meet the work flow requirements of the clinical staff. and the paging services are good. >> and in terms of the infrastructure or the aten that system that we are installing they support and it does not matter which system right? >> it is all the same thing. >> and the antenna system is the neutral and it is designed to attach to any provider equipment cell phones as well as paging systems. >> great, thank you. >> that brings a gootd point that these are the first two of what we hope will be several other leases to other service providers. and each will have been connect to the system to provide their own clients. and their own paying customer and the better service within the building. and so the leased terms are basically the same for both paging companies. and in and it is a g

and the state is effective as of june 2017 and 67 to state the existing contract between dph and the state terms in 2017 and the new agreement between dph and dhs becomes effective and recommend you approve the approved resolutions as amended. >> thank you colleagues any other comments seeing none, all right. we'll go to public comment at this time ladies and gentlemen, if you like to come and speak on items 5 or 6 all right. seeing none, public comment is closed. thank you, dr. martin i i think we're okay. >> is there a motion? >> i make a motion to adopt the amendments as specified and to the item move forward welcomes to the board. >> supervisors item 5 and 6. >> items 5 and 6 and oh, item 5 and 6. >> thank you all right. without objection thank you all right. mr. clerk. >> love for you to call item 7 item no. 7 - resolution authorizing an application to the california debt limit allocation committee to permit the low-and first-time homebuyers in san francisco. >> all right. thank you fostering with the mayor and amy changing on behalf of the mayor's office of housing to speak on

>> the spoke system is used by the others in the campuses and the american messages that dph uses is also located on the other hospitals. many of the dpok tors move and so uc has preferred to use that, the department of public health has the good service with the american message and customized the system to meet the work flow requirements of the clinical staff. and the paging services are good. >> and in terms of the infrastructure or the aten that system that we are installing they support and it does not matter which system right? >> it is all the same thing. >> and the antenna system is the neutral and it is designed to attach to any provider equipment cell phones as well as paging systems. >> great, thank you. >> that brings a gootd point that these are the first two of what we hope will be several other leases to other service providers. and each will have been connect to the system to provide their own clients. and their own paying customer and the better service within the building. and so the leased terms are basically the same for both paging companies. and in and it is a g

so there aren't surprise visits by dph or building inspection? >> they would be a surprise why would i tell you now? no. there not. >> thank you. >> commissioner dooley. >> i have a questiono review for the many small businesses that only have one employee, so going into this as it rolls forward what is that solution? do you have a solution for that situation? >> that is a really good question and one key keep getting. it's going to vary from business to business. >> >> depending what the employee is doing. i worked retail before so i understand floor coverage in that conversation so if it's just one person and it's the business' livelihood and step away for 20 minutes three times a day that may represent a hardship that the business could qualify for. i think it's a little gray. i it's going to happen so infactorly too and if it does happen it can be addressed but i can't say. if it works for a business to close down for lunch hour and maybe the woman -- say she pumps before she opens the shop because it takes us a while to get to work unless yo

>> the spoke system is used by the others in the campuses and the american messages that dph uses is also located on the other hospitals. many of the dpok tors move and so uc has preferred to use that, the department of public health has the good service with the american message and customized the system to meet the work flow requirements of the clinical staff. and the paging services are good. >> and in terms of the infrastructure or the aten that system that we are installing they support and it does not matter which system right? >> it is all the same thing. >> and the antenna system is the neutral and it is designed to attach to any provider equipment cell phones as well as paging systems. >> great, thank you. >> that brings a gootd point that these are the first two of what we hope will be several other leases to other service providers. and each will have been connect to the system to provide their own clients. and their own paying customer and the better service within the building. and so the leased terms are basically the same for both paging companies. and in and it is a g

and the state is effective as of june 2017 and 67 to state the existing contract between dph and the state terms in 2017 and the new agreement between dph and dhs becomes effective and recommend you approve the approved resolutions as amended. >> thank you colleagues any other comments seeing none, all right. we'll go to public comment at this time ladies and gentlemen, if you like to come and speak on items 5 or 6 all right. seeing none, public comment is closed. thank you, dr. martin i i think we're okay. >> is there a motion? >> i make a motion to adopt the amendments as specified and to the item move forward welcomes to the board. >> supervisors item 5 and 6. >> items 5 and 6 and oh, item 5 and 6. >> thank you all right. without objection thank you all right. mr. clerk. >> love for you to call item 7 item no. 7 - resolution authorizing an application to the california debt limit allocation committee to permit the low-and first-time homebuyers in san francisco. >> all right. thank you fostering with the mayor and amy changing on behalf of the mayor's office of housing to speak on

and the state is effective as of june 2017 and 67 to state the existing contract between dph and the state terms in 2017 and the new agreement between dph and dhs becomes effective and recommend you approve the approved resolutions as amended. >> thank you colleagues any other comments seeing none, all right. we'll go to public comment at this time ladies and gentlemen, if you like to come and speak on items 5 or 6 all right. seeing none, public comment is closed. thank you, dr. martin i i think we're okay. >> is there a motion? >> i make a motion to adopt the amendments as specified and to the item move forward welcomes to the board. >> supervisors item 5 and 6. >> items 5 and 6 and oh, item 5 and 6. >> thank you all right. without objection thank you all right. mr. clerk. >> love for you to call item 7 item no. 7 - resolution authorizing an application to the california debt limit allocation committee to permit the low-and first-time homebuyers in san francisco. >> all right. thank you fostering with the mayor and amy changing on behalf of the mayor's office of housing to speak on

do we have internal eap through dph?city wide eap which we reserve to on a egregular basis. >> that doesn't fall in our division? >> no. >> you work with them? >> absolutely. we tend to refer people. >> is that out of hhs. >> i think health service administration but not sure. >> lastly, do you think maybe this is for commissioner bernal at a federal or state level, workforce shortage we are into year 3 of the aca. you hired up and that is really hard, do you think the workforce shortage is solving or do you think it will always be the gride to find open people is there a measure taken in a more broader way to fill the gaps that we experienced? you can just give a general- >> it tightened up- >> harder? >> a bigger labor shortage with the opening of new hospitals. in response we kicked up our recruitment and hired the two recruiters and do other strategies like getting people to work temporary and hire them-reaching out and doing nation wide recruitment and attending recruiting fairs which we had good success with. and a

and the state is effective as of june 2017 and 67 to state the existing contract between dph and the state terms in 2017 and the new agreement between dph and dhs becomes effective and recommend you approve the approved resolutions as amended. >> thank you colleagues any other comments seeing none, all right. we'll go to public comment at this time ladies and gentlemen, if you like to come and speak on items 5 or 6 all right. seeing none, public comment is closed. thank you, dr. martin i i think we're okay. >> is there a motion? >> i make a motion to adopt the amendments as specified and to the item move forward welcomes to the board. >> supervisors item 5 and 6. >> items 5 and 6 and oh, item 5 and 6. >> thank you all right. without objection thank you all right. mr. clerk. >> love for you to call item 7 item no. 7 - resolution authorizing an application to the california debt limit allocation committee to permit the low-and first-time homebuyers in san francisco. >> all right. thank you fostering with the mayor and amy changing on behalf of the mayor's office of housing to speak on

so for example we have very large mo use with planning, with the mta ,, with dph, to support the shipyard as well as trans bay and mission bay. the majority of our staff at city mo you sharpen the project budget. >> okay. >> i think they are about $1.2 million. >> i think executive director has a comment? >> i was thinking of responding to commissioner rosales that we will get back to you on a question about administrative support. we will take that into consideration. thank you. >> be sure to commend the executive team to be working with no assistance the last year and now with two assistants . our own commission secretary being loaned to the executive team. so i thank you. just one last question. public communication supported does that mean our website is now going to be updated and easier-is that what that represents? >> yes. the public q medication support represents dollars that we can spend with outside specialists were able to provide web design. in addition we have in-house staff who are mean mean social media machines. >> yes. okay. 100,000. i hope that we really at least upgrad

>> the spoke system is used by the others in the campuses and the american messages that dph uses is also located on the other hospitals. many of the dpok tors move and so uc has preferred to use that, the department of public health has the good service with the american message and customized the system to meet the work flow requirements of the clinical staff. and the paging services are good. >> and in terms of the infrastructure or the aten that system that we are installing they support and it does not matter which system right? >> it is all the same thing. >> and the antenna system is the neutral and it is designed to attach to any provider equipment cell phones as well as paging systems. >> great, thank you. >> that brings a gootd point that these are the first two of what we hope will be several other leases to other service providers. and each will have been connect to the system to provide their own clients. and their own paying customer and the better service within the building. and so the leased terms are basically the same for both paging companies. and in and it is a g

>> the spoke system is used by the others in the campuses and the american messages that dph uses is also located on the other hospitals. many of the dpok tors move and so uc has preferred to use that, the department of public health has the good service with the american message and customized the system to meet the work flow requirements of the clinical staff. and the paging services are good. >> and in terms of the infrastructure or the aten that system that we are installing they support and it does not matter which system right? >> it is all the same thing. >> and the antenna system is the neutral and it is designed to attach to any provider equipment cell phones as well as paging systems. >> great, thank you. >> that brings a gootd point that these are the first two of what we hope will be several other leases to other service providers. and each will have been connect to the system to provide their own clients. and their own paying customer and the better service within the building. and so the leased terms are basically the same for both paging companies. and in and it is a g

she introduced her a event coordination group that includes , [inaudible] dph, human service agency, whose task is to understand what each department draws or has already in place regarding people with disabilities in disaster situations, and try to coordinate all the efforts and identify the gaps in planning response and resilience. the meeting concluded with a discussion about creating a tabletop exercise for the ddp participants and defining additional issues to work on over the year. the next meeting of the ddp seat will be held on april 7, 2017 from 130-3:30 pm in room 421 here at city hall. if you are interested in emergency preparedness and disaster response, for people with disabilities, please, join us. we welcome your participation. thank you. now we will going to proceed to information item number six. which is a report from the mayor's office on disability. >> hello. good afternoon everyone. welcome especially to our new and returning councilmembers. it's very much a pleasure to see everyone here today and i'm glad to be here as well. as was mentioned earlier in the meeti

recommended both by the cdc, center for disease control and prevention, as well as fight sf dph, twoividuals clients were elevated risk for hiv. >> i actually was in the project here when i first started here it was in trials. i'm currently on prep. i do prep through city clinic. you know i get my tests read here regularly and i highly recommend prep >> a lot of patients inclined to think that there's no way they could afford to pay for prep. we really encourage people to come in and talk to one of our prep navigators. we find that we can help almost everyone find a way to access prep so it's affordable for them. >> if you times we do have opponents would be on thursday morning. we have two different clinics going on at that time. when is women's health services. people can make an appointment either by calling them a dropping in or emailing us for that. we also have an hiv care clinic that happens on that morning as well also by appointment only. he was city clinic has been like home to me. i been coming here since 2011. my name iskim troy, client of city clinic. when i first learne

anticipate that we'll the metrics will continue to be able to improve that process as we bring on the dph lean program office so that actually was the last slide of my deck even though not progressing i want to pause before asking doctor chin to come up to take any. >> yes. you may have and any competent feedback you have to offer. >> commissioners commissioner pating thank you very much the wonderful report so as i was listening rather than digging down the data we are building a system i think that is useful to focus on other reports in the presentation style to see what is the best way to present the data so we can get what we need out of that i like what we're doing as laguna honda i saw at the last laguna honda meeting a nice dial metrics that works well, for the data so the gentleman spent more details but - i think this works really well, for the overall metrics i want to give you kudos on the bar graph a number of metrics although we're digging into 53 measures this is where your moving as a system the only thing i'm wondering about whether some of the other metrics that are not c

so for example we have very large mo use with planning, with the mta ,, with dph, to support the shipyards well as trans bay and mission bay. the majority of our staff at city mo you sharpen the project budget. >> okay. >> i think they are about $1.2 million. >> i think executive director has a comment? >> i was thinking of responding to commissioner rosales that we will get back to you on a question about administrative support. we will take that into consideration. thank you. >> be sure to commend the executive team to be working with no assistance the last year and now with two assistants . our own commission secretary being loaned to the executive team. so i thank you. just one last question. public communication supported does that mean our website is now going to be updated and easier-is that what that represents? >> yes. the public q medication support represents dollars that we can spend with outside specialists were able to provide web design. in addition we have in-house staff who are mean mean social media machines. >> yes. okay. 100,000. i hope that we really at least upgrade

recommended both by the cdc, center for disease control and prevention, as well as fight sf dph, two individuals clients were elevated risk for hiv. >> i actually was in the project here when i first started here it was in trials. i'm currently on prep. i do prep through city clinic. you know i get my tests read here regularly and i highly recommend prep >> a lot of patients inclined to think that there's no way they could afford to pay for prep. we really encourage people to come in and talk to one of our prep navigators. we find that we can help almost everyone find a way to access prep so it's affordable for them. >> if you times we do have opponents would be on thursday morning. we have two different clinics going on at that time. when is women's health services. people can make an appointment either by calling them a dropping in or emailing us for that. we also have an hiv care clinic that happens on that morning as well also by appointment only. he was city clinic has been like home to me. i been coming here since 2011. my name iskim troy, client of city clinic. when i first le