so our dph internal sites do in fact meet those standards.ow i cannot say the same for our contracted providers. a lot of these nonprofit organizations, you know, they're tenants in buildings that vary in terms of age and the extent to which they have physical designs that can accommodate the ada population. so one of the things that we're trying to do in order to improve the situation for the system as a whole, is of course, we do work a lot with mod. we run a lot of our policies and a lot of our documents through them to get their input, because you know, they have a greater wealth of knowledge on these laws and regulations than we do. and so, for instance, in the next coming fiscal year, we're going to issue a new document. so every year, my office, we send out -- or we require all of our providers both internal and our contract providers, we require them to fill out these ada accommodation checklists. we've been using a certain list for the past three or so years, but you know, because we've been receiving a lot of notices regarding ada i

so the dph security and privacy team was started in 2016. a chief information security officer should be on board by the end of the month or the beginning of february. this will be our first information security officer. it was established in the beginning of 2018 we had act being chief information security officers to this point and it will be our first i'll tell you what they are responsible for. the chief information security officers has a team that report up to them and for business continuity and ensuring annual audits for security are performed and any findings discovered that have to be mitigated. the team also worked with the county of san francisco. 567bd operation have been on the service team and the epic team creation and support of the third-party systems to bring full functionality of epic. and we experienced staff last year and established the epic bill team from operations and within i.t. and people who v volunteered and we did assessments and sent them for training and they're working on the epic project today. the next two

the plans help assist dph staff.t comes to the presenting the department's view on any particular issue. the health commission generally approves the plans before they go to the mayor's office for approval where they're incorporated into a larger city wide plan. however, this year the plans have already gone before the mayor's state legislative committee but they're willing to incorporate any feedback the commission has and we can submit that through an amendment process next month. so how do we advance policy positions through the department. this depict what's that process may look. -- . it provides it into the plan and looking at the first step dph staff work with leadership win the revision to review the bill. the bill will come to the office of policy and planning who will consult with other professional organizations, department leadership, etcetera. after what we determined what that will be we take that to the legislative committee which meets on a monthly basis so any recommendation has to be approved by the

. >> then also in the specific case of sites that are directly dph, it's important of course on our end, we should educate our providers that they are obligated to inform clients who need sign language support, that those services are available to them. at no cost to the consumer, to the client. and also, you know, from the client's perspective, if the provider is saying that they can't offer you service because they don't have an asl interpreter or what not, i think it's important for the client to actually let the provider know that you, the provider, are obligated to provide this service to us. and so you know, it's kind of a two-way street. we on the administrative side, we should certainly be educating our providers that they're obligated to provide the service. and also on the client's end, i think it's important to always make sure that you advocate for yourself, just in the sense of letting the provider know that it's not an option of whether or not we provide you service. it's your right -- or my right as the consumer, as the person who needs the asl interpretation to have it.

, so we have the resources to provide training across our system for both internal dph staff, as well as our contracted providers. and in fact, most of the issues have come from the contracted providers who, you know, they just -- they aren't familiar with a lot of the standing policies and so we definitely need to ramp up our efforts with regards to training. now, on the topic of service and support animals, based on the policy, my understanding is that they don't need certification per se, but they do need some verification of like having vaccinations -- what else? just to make sure that it has its rabies shots and what not. but i don't think you need a formal document saying this animal is dedicated toward the role of serving as a support, emotional support or service animal. >> co-chair blacksten: sometimes you go into public facilities, they require to see verification. in other words, what i have in my case is a photograph that was taken at our graduation. when i was trained with her. so it verifies that she is certified. so if you don't do that, i might recommend you take a loo

then we partner with the city agencies which you see on your presentation dph, mta, controllers' office. it is an incredible partnership that really works well. top five collision factors, speeding, violating pedestrian right-of-way, running red lights and stop signs and turning. turns is the major cause of a lot of fatalities. we exam that to look at each collision. we measure with mta and engineers to see if there needs to be reengineering of the intersections or area, checking for lighting and scoon to -- and so on to change the area if there is not enough lighting to depending on what happens with the driver as well as individual. traffic violations we see october 2017 and 2018. you can see a reduction for 2018. that is for many different reasons. a lot of events we participated in, a lot of operations in regards to reducing violent crime in certain areas, our attention has been in different areas. we have more than vision zero as our responsibility. our goal in 2019 is to bring the number up to 50%. you can see the breakdown for the district stations. some are doing great. richmond

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

that's why it's important for dph to be part of the jail envisions. i wanted to point that out. the other thing about the jail report, unbelievable amount of work just if you think about an electronic health record and the sheriff at that time, somehow connecting, that's what latoya made happen. it's the first time we had the opportunity to look at that stuff. the report represents people who self-report substance abuse. we operate in the jail the biggest detox facility i in the city. we look at the people who told us what they used. they may not require medical assistance support like cocaine or intoxication and withdrawal. this likely represents an over estimation because it's self-report of use and not a diagnosis of a substance abuse disorder. part of that recovery involves support from the behavorial health staff and also medically assisted therapy which we provide in our jail and we have for decades and it is national model other jails are incorporating that in their treatment. we know there are big chunk of people who shouldn't be if the jail who are there because of thes