dr. aragon? >> there is not public comment requests. >> thank you. >> dr. aragon, the first question-i mean the idea of collective impact is something that we have been using for a number of years in the city and bringing together a number of different organizations for different topics, right? particularly--and this sounds like you have interwoven it to a lean process, which the department has used now as its key metedology for developing programs in your scenario here, is that right? >> yes, they really comp lment each other. lean has a focus on methodology to improve processes and deliver on results. when you engage the community, you don't start with focusing on process, what you focus on is what you are trying to accomplish which are results. you focus on results and then you say, how do we get there and yes, improvement methodology will help but you don't start. where you work with staff and focus on improving process, the lean approach is really provides the tools to improve the processes so they compliment each or. it is just where you start. that is

dr. aragon? >> there is not public comment requests. >> thank you. >> dr. aragon, the first question-i mean the idea of collective impact is something that we have been using for a number of years in the city and bringing together a number of different organizations for different topics, right? particularly--and this sounds like you have interwoven it to a lean process, which the department has used now as its key metedology for developing programs in your scenario here, is that right? >> yes, they really comp lment each other. lean has a focus on methodology to improve processes and deliver on results. when you engage the community, you don't start with focusing on process, what you focus on is what you are trying to accomplish which are results. you focus on results and then you say, how do we get there and yes, improvement methodology will help but you don't start. where you work with staff and focus on improving process, the lean approach is really provides the tools to improve the processes so they compliment each or. it is just where you start. that is

dr. aragon? >> there is not public comment requests. >> thank you. >> dr. aragon, the first question-i mean the idea of collective impact is something that we have been using for a number of years in the city and bringing together a number of different organizations for different topics, right? particularly--and this sounds like you have interwoven it to a lean process, which the department has used now as its key metedology for developing programs in your scenario here, is that right? >> yes, they really comp lment each other. lean has a focus on methodology to improve processes and deliver on results. when you engage the community, you don't start with focusing on process, what you focus on is what you are trying to accomplish which are results. you focus on results and then you say, how do we get there and yes, improvement methodology will help but you don't start. where you work with staff and focus on improving process, the lean approach is really provides the tools to improve the processes so they compliment each or. it is just where you start. that is

dr. aragon? >> there is not public comment requests. >> thank you. >> dr. aragon, the first question-i mean the idea of collective impact is something that we have been using for a number of years in the city and bringing together a number of different organizations for different topics, right? particularly--and this sounds like you have interwoven it to a lean process, which the department has used now as its key metedology for developing programs in your scenario here, is that right? >> yes, they really comp lment each other. lean has a focus on methodology to improve processes and deliver on results. when you engage the community, you don't start with focusing on process, what you focus on is what you are trying to accomplish which are results. you focus on results and then you say, how do we get there and yes, improvement methodology will help but you don't start. where you work with staff and focus on improving process, the lean approach is really provides the tools to improve the processes so they compliment each or. it is just where you start. that is

dr. aragons slide, how to get on the same goal. we also focus quite a bit on investment in people and as you can see we have a lot of leadership development, talent management, [inaudible] kernly demarcation of ucsf and dp h roles. we work on standardize process. execution and optimation and increased accountability. so, i'll take any-dr. eu and i can take any questions you have but if you allow i would like to show a page from an appendix that is a sample of the work group and work effort they have in front of them. going back to questions and answers, any questions? >> no, there is no public comment for this item. >> i'm glad you clarifyed the shred. a very nice presentation on where you are going and commissioners, questions? and this is with-could you explain go live 1 and 2 sort of quickly? why do we have 2 go lives? >> actually i'll sum it in one sentence. resources to support our clinical team. when we go live, you have to have certain number of trainers and certain number of support. to go live for a organization of this si