next item is watching the epic welcome at dph. next week, dph will welcome solution. welcome will help our patients prepare if their visits with us. patients will receive text messages reminding them to prepare and check in for their appointments via my chart and patients and their designated family members can receive charts and message their care team. if documentations is required, patients will use ipads to review signed documents as needed. welcome land -- and over the next several months, will launch our hospital -- will launch in our special settings and welcome will be available in six languages. next item is an update with regard to black health wellness and empowerment form. march 29th, the dph office of health equity hosted a community forum to present findings from the office of health, equity and findings as a part of a process for black community. we sought to see what san francisco's black african american population believes contributes to a vice plant and success way of loss. this is based on strength rather than deficits. the study deferring, which s

did somebody there at dph or shag have an accounting problem? you do not know how to count? do you not know how to report this data accurately? this is ridiculous that you have that large of a discrepancy of 48 additional deficiencies. you guys really need to explain this. and let the public know who is presenting what numbers and what numbers are trying to be creatively hidden. i've read all of those reports. the total of 696 pages and i'm flabbergasted at this variance. thank you. >> all right. please go to the next caller. let's see. there's no caller, so folks who do not have accommodation, this is your time to raise your hand. if you haven't gotten accommodation and like to make comment on the director's report, press star three now. we're on the director's report. no more callers, commissioners. >> all right. thank you, commissioners. comments or questions? vice-president green. >> yes, thank you for the report and i just have a question about how we're going to really track covid because at least where i work, the hospital is only requiring covid test now for people w

three ran by -- 8 run by dph and 3 run by ucsf. there's a lot of work done with -- providing long acting injectables and triage and care coordination. and the health services, both nart per with phacs when there's reason for referral as well and works really closely with onsite support services. on the next slide we have an example of an individual and this is a man who is in his late 50s. he's been a resident for, in his building for two years. he was a non-engaged with so site services, would not talk to them. the property management staff noticed he was having behavior changes and he was wandering the hallways and stairwells at night and entering into tenant's rooms and urinating in shared spaces and he had a number of lease violations and wouldn't meet with property management about them and he was considered at risk for eviction. the nurse onsite engaged the tenant through talking to the tenant doing an assessment and doing a chart review. the nurse identified that the client was not connected to care and had a history of hepa

three ran by -- 8 run by dph and 3 run by ucsf. there's a lot of work done with -- providing long acting injectables and triage and care coordination. and the health services, both nart per with phacs when there's reason for referral as well and works really closely with onsite support services. on the next slide we have an example of an individual and this is a man who is in his late 50s. he's been a resident for, in his building for two years. he was a non-engaged with so site services, would not talk to them. the property management staff noticed he was having behavior changes and he was wandering the hallways and stairwells at night and entering into tenant's rooms and urinating in shared spaces and he had a number of lease violations and wouldn't meet with property management about them and he was considered at risk for eviction. the nurse onsite engaged the tenant through talking to the tenant doing an assessment and doing a chart review. the nurse identified that the client was not connected to care and had a history of hepa

i wanted to say that on the record for the acronym, it is dph.question for this though is that, looking at this, because it brings-not only it is retroactive but it funds full time positions of a total 17 of them, but it looks like it is reoccurring grants and i just want to make sure reoccurring grants will cover all 17 full time positions? >> that's correct. >> great. any questions colleagues? actually one more question. when we talk about reoccurring grants, how long is the reoccurrence? >> this grant is ongoing, and the plan is that once the grant is close to expiration our grant management team will continue its future grants to continue the funding. >> then if they don't receive the funding to sport the 17 full time, what will happen? >> that is a great question. i'm going to turn that over to greg wong, who has been helping us with the budget portion of this grant. >> thank you. >> good morning. from what-i agree the positions will be funded in the future by auto-occurring grants awards. >> (indiscernible) >> other. >> right. so if you do

item 1 is prioritizing women's health at dph. march is women history month and opportunity to highlight the contributions of women to events in history and society. there is a vast amount of work to protect the health and wellness of women and girls including trans women and non binary people in the hospital and clinics and programs throughout the city and i'll note as examples we have 13 bullets and will not read them, but really bullets that exlempify the depth and breath of the work we do and great to be able to highlight that work during women's history month. item 2 is highlighting world tv day. 2023 events. world tv day is on march 24, and there are a number of events that we held, including and attended. including the tb clinic that will be featured in a world symposium hosted by ucsf tb centers. hosted by community living room, a collaboration of san francisco community health center tenderloin and city hope to provide education about tb prevention and city resources, and san francisco city hall will be illuminated in red

i wanted to say that on the record for the acronym, it is dph.question for this though is that, looking at this, because it brings-not only it is retroactive but it funds full time positions of a total 17 of them, but it looks like it is reoccurring grants and i just want to make sure reoccurring grants will cover all 17 full time positions? >> that's correct. >> great. any questions colleagues? actually one more question. when we talk about reoccurring grants, how long is the reoccurrence? >> this grant is ongoing, and the plan is that once the grant is close to expiration our grant management team will continue its future grants to continue the funding. >> then if they don't receive the funding to sport the 17 full time, what will happen? >> that is a great question. i'm going to turn that over to greg wong, who has been helping us with the budget portion of this grant. >> thank you. >> good morning. from what-i agree the positions will be funded in the future by auto-occurring grants awards. >> (indiscernible) >> other. >> right. so if you do

over the past two years, dph has opened 250 residential care and treatment beds. next item, we laufrmd a hospital to combat the opioid epidemic. as part of the city's effort to reduce opioid overdoses. helps reduce opioid and along with methadone is the most affective treatment for opioid, reducing the risk of overdosing fatalities by up to 50%. under this new initiative will administration prior to taking individuals to a hospital, expanding patients to experiencing opioid withdrawals. the program started on april first. importantly, this effort builds on the dph work through a range of program and services. this includes hospitals, pharmacy and shelter and navigation centers. also celebrating the earth day, for april 22. by answering calls to environmental action and raising awareness of importance of protecting our natural resources. earth day is a way to keep san francisco safe and there are a lot of details that the environment does in relation ship to keeping our environment safe with operating more than 30 programs covering land, air water and schools and b

next item is watching the epic welcome at dph. next week, dph will welcome solution. welcome will help our patients prepare if their visits with us. patients will receive text messages reminding them to prepare and check in for their appointments via my chart and patients and their designated family members can receive charts and message their care team. if documentations is required, patients will use ipads to review signed documents as needed. welcome land -- and over the next several months, will launch our hospital -- will launch in our special settings and welcome will be available in six languages. next item is an update with regard to black health wellness and empowerment form. march 29th, the dph office of health equity hosted a community forum to present findings from the office of health, equity and findings as a part of a process for black community. we sought to see what san francisco's black african american population believes contributes to a vice plant and success way of loss. this is based on strength rather than deficits. the study deferring, which s

, hsh. >> and are- >> and mostly dph. >> mostly dph. is anyone from dph here today? >> yes. >> who is that? because what i would say, i just feel like one thing that i learned from working in the labor movement all most a decade, the place you need to begin is by listening to the workers first. we heard from the workers today. regardless what the organization has said and it seems like-i feel actually bad for people that are there and not the executive director and think they are trying their best, but when we heard from the workers today, those that have come and those represented by the union here today, every single one of them felt as though they have been indimitated, uncomfortable, tried to come together to have their voice heard and every step of the way they have been denied and made to feel unwelcome, and this is a--supervisor peskin said, it is a very straight forward exercise. neutrality is the employer takes a step back and let the worker decide their determination and it seem s loud and clear the workers voice is intentiona

, hsh. >> and are- >> and mostly dph. >> mostly dph. is anyone from dph here today? >> yes. >> who is that? because what i would say, i just feel like one thing that i learned from working in the labor movement all most a decade, the place you need to begin is by listening to the workers first. we heard from the workers today. regardless what the organization has said and it seems like-i feel actually bad for people that are there and not the executive director and think they are trying their best, but when we heard from the workers today, those that have come and those represented by the union here today, every single one of them felt as though they have been indimitated, uncomfortable, tried to come together to have their voice heard and every step of the way they have been denied and made to feel unwelcome, and this is a--supervisor peskin said, it is a very straight forward exercise. neutrality is the employer takes a step back and let the worker decide their determination and it seem s loud and clear the workers voice is intentiona

let's dph winecoff lady and she go las crucis new york. that a little more does this at the pico, i will pick, i push close to them. what are some of us yelling at them so yet it all it does with your crawfish get got order. what more vote you listen, someone to watch you on engine to put my me into the bush away in that he frenzy. i'm reading beautiful as a graph, walker told i started with the graph on it's on my list, where it doesn't shadows. given elaine rathermore usually with us more time got that's equal to protect yourself, move to where you live, wherever it doesn't show bill. ah, now when i was showing wrong, when all proof just don't hold any you have to figure out disdain becomes the advocate and engagement equals the trail. when so many find themselves, will the pardon? we choose to look for common ground ah headlines if our new report says ukraine's presence as the am federal senior officials have embezzled at least $400000000.00 of western aid through the country. according to put a surprise when in just seeing all the talk

i wanted to say that on the record for the acronym, it is dph. though is that, looking at this, because it brings-not only it is retroactive but it funds full time positions of a total 17 of them, but it looks like it is reoccurring grants and i just want to make sure reoccurring grants will cover all 17 full time positions? >> that's correct. >> great. any questions colleagues? actually one more question. when we talk about reoccurring grants, how long is the reoccurrence? >> this grant is ongoing, and the plan is that once the grant is close to expiration our grant management team will continue its future grants to continue the funding. >> then if they don't receive the funding to sport the 17 full time, what will happen? >> that is a great question. i'm going to turn that over to greg wong, who has been helping us with the budget portion of this grant. >> thank you. >> good morning. from what-i agree the positions will be funded in the future by auto-occurring grants awards. >> (indiscernible) >> other. >> right. so if you do not receive other

h sh, dph, dpw, we cleanup and we offer to get people to shelter. we do wellness checks. if somebody has somewhere to live already or if they are already sheltered, we try to get them back there. >> reporter: it is a slow, day by day, case-by-case process that often means revisiting the same people in the same tense for months, with occasional breakthroughs. >> we had somebody, a couple, and we have a couple of navigation center beds down at bayview. >> reporter: but this is a city with an unsheltered homeless population of about 4400. >> we can't keep up. there is so much need out here and not enough of us to help. nobody should have to live like this, and nobody should have to walk through this. this pathway right here, kids take it to the playground up e rest. et >> occasionally the police would catch you nodding off someplace and take you to the navigation center. >> reporter: abe has been in san francisco almost 10 years, all of it on the street. he says he is seeing more offers for help. >> they just started going out to people during covid. >> so you are seeing mor

hsh, dph, dpw, we clean up, we offer to get people into shelter. we do wellness checks. if somebody has a place to live already, if they're sheltered, we try to get them back there. >> reporter: sit a slow, day by day, case by case process that often means revisiting the same people in the same tents for months with occasional breakthroughs. >> we had somebody who was -- it was a couple, and we had a couple of navigation center beds in the bayview. >> reporter: then there is the scale of the challenge the a city with an unsheltered homeless population of about 4,400. >> we can't keep up. we can't keep up. there's so much need out here and not enough of us to help. like nobody should have to live like this. and nobody should have to walk through this. you know, this pathway right here kids take to the playground up the street. and i mean, everybody out here doesn't want to be out here. >> occasionally if the police would catch you nodding out some place or something, they would take you to a navigation center. >> reporter: abe has been in san francisco for about ten years

next item is watching the epic welcome at dph. next week, dph will welcome solution. welcome will help our patients prepare if their visits with us. patients will receive text messages reminding them to prepare and check in for their appointments via my chart and patients and their designated family members can receive charts and message their care team. if documentations is required, patients will use ipads to review signed documents as needed. welcome land -- and over the next several months, will launch our hospital -- will launch in our special settings and welcome will be available in six languages. next item is an update with regard to black health wellness and empowerment form. march 29th, the dph office of health equity hosted a community forum to present findings from the office of health, equity and findings as a part of a process for black community. we sought to see what san francisco's black african american population believes contributes to a vice plant and success way of loss. this is based on strength rather than deficits. the study deferring, which s

. >> dph, dpw. we clean up and w offered to get people to shelter. we do wellness checks. if someone has somewhere to live already or they are alread sheltered, we try to get them back there. >> it is a slow, day by day, case-by-case process which ofte means revisiting the same peopl for months with occasional breakthroughs. >> we had somebody, who was a couple. >> then there is a scale of challenge in a city with an unsheltered homeless population of about 4400. >> there is so much need and not enough of us to help. we cannot keep up. nobody should have to live like this and nobody should have to walk through this. this pathway right here, kids take to the playground of the street. everyone out here does not want to be out here. >> occasionally, if the police would catch you nodding off someplace or something, the would take you to a navigation center. >> abe has been in san francisco for about 10 years an almost all of it on the street. he says that he is seeing more offers for help. >> they just started going u to people because of covid. >> so there is more outreach? >

any additional information from dph? thank you so much. check public comment one more time. [providing instructions for public comment] moderator, do we have public comment over the phone? there are no public comments. >> thank you. at this time, we are going to go to item number 5. i believe director -able to join us? this is presentation of findings from community engagement conducted for the strategic plan with hsh. wonderful. welcome. if you can introduce yourself, that would be great. >> good morning, stephanie ashley with talent pool joined by awesome colleagues. my colleague earl is going to kick us off because i think we have slides we were hoping to share. [laughter] there we go! >> awesome! good morning. (indiscernible) >> good morning. my maim is earl simms and i'm with talent pool consulting, and today we wanted to present our findings. i'm a little nervous. thits this feels like court. >> no. >> i brought cheat sheets. so, what we wanted to do was up-lift the community voice and in order to up-lift the community voice i had a opportunity to be a part of particip

[applause] i also want to thank dph and dem, sister mary ellen and hsh and everyone for their partnership. we did not do this alone, and we continue to not do this alone. we saw a need as chief pang spoke about. both he and i work together as paramedic firefighters back in the day and i remember thinking, wow, he is really kind. he is really nice. he doesn't have a big ego and i would want him to take care of me, because he is so smart and good at what he does if anything ever happened to me. hopefully that won't happen simon, but just so you know. simon has been the architect, the main architect of community paramedicine, which is an alternative to policing and frankly alternative to just bringing people to the emergency room over and over again, which is when we saw that was not exactly what they needed. it has been really a iterative process developing the appropriate teams for the different needs that we have, and simon has been about helping the most vulnerable is and the most challenged people on our streets. he has a good heart. he does things for the right reasons, and i just resp

one of those is how we come together, we have the housing, dph has a lot of services, so what does that look like for us to work together? to me that's the only way to do this. there is some things that government does overtime that actually have very positive results as well. do you think that you can do what is called for. >> so our initial goals and our plan are going to be different. i mean, if we had all the tools to do what we need to do, we are very much invested in working with you to make those things happening. we know to make big strides and we're prepared to do that with you and with our fellow departments. >> thank you supervisor and supervisor chan. >> thank you, i think this is a question for ms. gale gilman and i want to have a better understanding about you know, just the recommendations in the report from our home, mentioning really specifically on two things. one is that here, you mentioned early on already, that you would like to the city to pause about production of 13,000 units of the permanent supportive housing. until january 2026, but that's not to say that we d

any additional information from dph? thank you so much. check public comment one more time. public comment over the phone? there are no public comments. >> thank you. at this time, we are going to go to item number 5. i believe director -able to join us? this is presentation of findings from community engagement conducted for the strategic plan with hsh. wonderful. welcome. if you can introduce yourself, that would be great. >> good morning, stephanie ashley with talent pool joined by awesome colleagues. my colleague earl is going to kick us off because i think we have slides we were hoping to share. [laughter] there we go! >> awesome! good morning. (indiscernible) >> good morning. my maim is earl simms and i'm with talent pool consulting, and today we wanted to present our findings. i'm a little nervous. thits this feels like court. >> no. >> i brought cheat sheets. so, what we wanted to do was up-lift the community voice and in order to up-lift the community voice i had a opportunity to be a part of participatory research effort with the former district attorney, and this

proportion of income that folks paid a 30% for those nps h as well as some additional resources through dph for mental and physical and behavioral health care for folks that are in psh. i need additional support. so that's sort of the whole shape of the of the fund. um the other thing, just recall for the committee and for, um, the public is that this, um, section of the budget has decreasing revenue over the next couple of years. and so we're going to be looking at some pretty challenging questions to answer in the next probably two years around how to prioritize within this category, and so we're hoping to see some of the programs that are still being built out. see some data and some outcomes coming through those programs so we can evaluate what the best use of these funds are. the recommendations that i'm going to share today that are on the slides are not policy recommendations. they don't require a vote because they actually do reflect what is in the current hsh, most d and d ph parts of this budget, but i just want to share them so that folks kind of understand what's what's undernea

dph has an interesting role in terms of, permitting, permitting refuse companies for route licenses as well as truck licenses. and then, they also adjudicate any building disputes. and then finally it's the refuse company ricology which has input through the rate submission as well as the hearings. our office does monitor recommendation of the rate order. we also conduct investigation and analysis and we advise the refuse rate board. the rate board has two rolls. one is to hear the order, and the second is to adopt service standards and goals for the refuse companies. next slide please. so i'll go over some of the components of the rate. the refuse rates are outlined across rate schedules. the rate term must last a minimum of two years, maximum of 5 years. so these six schedules on the left are the city regulated rates, so those are the residential refuse rates. 5 units or less, apartment buildings and plus units. and then tipping fee. so the tipping fee is the fee charged for dumping any rickology and processing land facility. so the tipping fee is actually, a included in the restial

receiving a nine and a half million dollar continuum of care expansion grant from the state as well as dph has committed a significant amount of bond funds to the project as well as developer housing subsidy contributions from ticd. and that predevelopment work has commenced, and we will look forward to bringing that design to completion and breaking ground when the infrastructure is in place to support the building. looking then broadly at the transition housing strategy. i mentioned the first building and followed by star view court you can see where the behavioral health building is proposed to be located. we'll develop a second building on that same site which will be a building for seniors, and then our next two sites ic 4.3 and 2.3, 2.4 we anticipate developing those with and providing transition opportunities for roughly half of current home rise residents in each site at 4.3 and 2.3 and 2.4. those buildings as well as the senior building will all include some additional transition units for current residents of the villages. so then moving to the villages transition opportunities t

i understand there is some concern about doing that, otherwise, we should explore that dph certainly collect these for permits and leans and that sort of thing, but i have no idea what the cost and revenue are with the refuse related work. and finally, i would think that we can try to determine the program out reach and enforcement work that is best done by the city through particularly through the environment department and by recology and i heard the question from chair--thanks very much. i heard the question from chair chu about out reach group and whether the 19 staff and 85% whether that's really the best mix. so exploring that further and what work should be done by whom is useful. thank you very much for listening and i look forward to the break. >> thank you for your comments mr. pelpill. chair chu, let's see if we have anymore callers. does not appear that we have any other callers in the queue, how long would you like to reis heser for? >> chair: thank you very much, given that we'll close discussion on item number 5. >> thank you. item 6 is the presentation of the rate cha