so our dph internal sites do in fact meet those standards. now 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

so we'll move on to an overview of dph's budget to give context where we're at. in the last budget cycle the '18-'20 budget cycle the upcoming budget looks like we have $2.3 billion approved. we're the city's largest department. of that, san francisco general represents the most significant portion followed by behavioral health and laguna hospital. expenditure wise, salary makes up more than half of our department's expenditures and it's followed by the non-personal service the contracted services you guys approve on a regular basis. and it really represents primarily direct services as well. the bulk, almost 85% of our department's budget is around personnel and contracted services. this graph shows the revenue and general fund support and revenue support we have within the department. the blue bar represents revenue by division and then the orange bar that sits on top is the general fund that comes in to offset to make whole our total expenditures so what you're seeing here is the bulk of our divisions are predominantly backed by revenue. overall the department

. >> 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.

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

the purpose of the pilot was to test the viability of docu-sign for the dph population health divisionpplication to create administrative efficiencies as part of its performance improvement efforts. a major goal was to provide a e-signature to p.h.d. to decrease turnaround times for processes that required approval signatures as part of the daily business process. overall, the use of docu-sign significantly decreased the completion time for several standard business processes. based on the success of the initial pilot, maurice and darlene worked with the h.r. department, fiscal department, and i.t. department to expand the use of docu-sign. we thank maurice and darlene for their innovation, dedication, and hard work. they are both long-term d.p.h. employees, who are a tremendous asset to d.p.h. thank you so much. [ applause ] [ applause ] >> president chow: commissioner bernal? >> commissioner bernal: yes, next we have shaun partwood, facilities manager, who was nominated by the primary care leadership team. [ applause ] so shaun joined the newly restructured facilities unit in 2016, t