i also want us to create e.m.s. strategic plan, something that will give us a framework to plan and provide the best service possible. where we identify priorities, support funding requests, and implement changes. those are the kind of things we can do with a nicely developed strategic plan. so i want to talk a little bit about some of my objects. the first is to examine and improve how we provide hospital care in san francisco. aside from looking at some of the metrics, such as response times and system management, i want to look at how we can deploy our resources in more efficient and affective and creative ways. and we're starting to relook at all of the data, how we collect it, all of the parameters we use to collect it, and all of the assumptions we have when we're trying to look at the data. we're researching different ambulance schedules, and we're going to continue to expor explore alternative vehicles. another way we can improve how we provide pre-hospital care, i want to increase opportunities to learn. on

except for the e.m.s.portion, this concludes the month of june 's operations and i'm happy to answer any questions. >> thank you very much. at this time i will call for public comment. seeing none from the public, i will turn to the commissioners in terms of questions or comments. commissioner cleveland? >> thank you, mr. president and thank you for your report. a couple of questions or observations. on the 4th of july, i was in the bayview for a party and believe me, for two hours, it was an unbelievable of display -- display of fireworks all around that neighborhood. it was unbelievable. it was wonderful to see, but it was probably pretty dangerous. i applaud the operation kaboom. we need to do a better job of deterring these illegal fireworks, but you've got your job cut out for you, i will say that much. on the dedicated lanes for emergencies in the chase center, is it possible to physically have a dedicated lane, and if so , can you share that information with the commission? >> originally we thought

who oversee our e.m.s. services within the fire department it includes ambulatory care. how are we doing? if we gave ourselves a qualitative report card, here are some of the pluses in the areas for opportunity and both our preparedness work and our response work. we have had extensive exercise partnerships which have been deepening in the past year. we've had to do and perform solid communication and messaging around some complex topics including receipt per rer eight or and a strong healthcare coalition. we can improve by working to improve our community engagement more and we have taken mini strides recently. we could also move towards more d.p.h. involvement and training in these disaster issues and our numerous activations and responses do impact planning because we have the same small group of people to do both activities. in terms of our responses we had strong response activity across a broad range of areas giving us a lot of experience in areas to prepare for the big event. those experiences foster a city wide team and deep connections. however, we could improve

colfax from the department of public health and with some of his high-level staff and members of the e.m.s a, and we are committed to working on pilot programs and at their budget asks together and seeing what type of progress we can make. i am hopeful about that. i also, since june 12th, went and presented to the hospital council. myself and maryellen carol, head of d.e.m., went and presented and because it is an entire system that is having trouble, the hospitals, the ambulances, all of us, so i put forward some solutions and i am hoping that we can work together with them as -- in terms of maybe some e.m.s. prevention pilot programs and the like. i will keep banging that drum with them. we also met with the testing unit from the department of human resources. we will be having -- we'll be having the next exam that is due is the paramedic captain's exam or age 33. we're hoping to have that in november. we are also working on seeing if we can change our current exam practice that is to have the exam list last for three years and then we extend it for one year, but for some of these lists,

any doctor, nurse or e.m.s. provide already tell you that we can't simply treat children as small adults. they need specialized treatment and protocols to ensure that the care they receive is appropriate and available to them when and when -- when and where they need it. passing this five-year re-authorization of the emsc program will continue to provide innovative and appropriate care to children. i hope all of my colleagues will join me in supporting this bill today and i reserve the balance of my time. the speaker pro tempore: the gentleman reserves the balance of his time. the gentleman from georgia is recognized. mr. carter: mr. speaker, i yield myself such time as i may consume. the speaker pro tempore: the gentleman is recognized. mr. carter: thank you, mr. speaker. mr. speaker, i rise today to speak in support of h.r. 776, the emergency medical services for children program re-authorization act of 2019. i would like to thank representatives king and castor for their work on this important legislation. th

have changed, it would be great to see, i didn't see it in this report, but it be great to see the e.m.s. six numbers and the homeless related calls. >> that is in the operations report. >> i apologize. then maybe also for future commission hearings, if we could , at some point, get a report on how much narcan the department is administering narcan. i think that will give us and the other interesting parties in the city an idea of how many lives we are literally saving on a daily basis and how big this problem is in san francisco. i have heard numbers that i think are pretty stunning that i would like the department to report on those numbers because it will give the city an opportunity for the type of stuff that we are dealing with on the streets in san francisco. i will like to see that on some future report and some presentation through the commission. >> thank you very much. again, the chiefs can incorporate some of that information and that would be wonderful. at this particular point, madam secretary? >> item eight, adjournment. >> i will take public comment -- in terms of adjournm

our firefighters and e.m.s. workers work 24-7, 365, and we need to be able to respond immediately. this bill will provide the funding that we need to invest in our public safety infrastructure so we can continue to bring the city and the citizens the best service that we possibly can, but especially during a disaster. so thank you all for being here today. good day. [applause] >> the hon. london breed: all right. our last speaker for this program before we finally sign this legislation is the chief of the police department, bill scott. [applaus [applause] >> thank you, mayor. i'll be brief. i just want to reiterate what the mayor said. we have 13 san francisco police departments and 14 other buildings. many of our stations are over 25 years old. these stations, from the day that the doors open, they are open 24-7. they have always been in use, and many of them are in need of seismic improvements, significant seismic improvements. and we don't want -- in the time of an emergency, we don't want to have to worry about whether or not the station is going to be standing, even though we