ehrlich. >> okay, great. so, you know, we have reviewed these charts every month at the j.c.c. and they are really different now than they've ever been and so i think that they're a great representation of how much things have changed here. so i wanted to just walk you through some of the changes and to give you a chance to reflect on that and to ask questions. and so first of all, you can see right away with the emergency department that our average daily volume has dropped by about 30%. and we don't know exactly why. and it's probably due to a few things, one, that there's fewer city in the people now. and as dr. colfax showed you, people are moving around a lot less and they're clearly moving less into the emergency department. also dr. green, i wanted to respond to your questions about how -- what are the people presenting for. and as we look at in epic and we see both the chief complaints and the diagnoses that people are presenting with they have shifted and so the top diagnoses pre-covi

ehrlich. >> okay, great. so, you know, we have reviewed these charts every month at the j.c.c. and they are really different now than they've ever been and so i think that they're a great representation of how much things have changed here. so i wanted to just walk you through some of the changes and to give you a chance to reflect on that and to ask questions. and so first of all, you can see right away with the emergency department that our average daily volume has dropped by about 30%. and we don't know exactly why. and it's probably due to a few things, one, that there's fewer city in the people now. and as dr. colfax showed you, people are moving around a lot less and they're clearly moving less into the emergency department. also dr. green, i wanted to respond to your questions about how -- what are the people presenting for. and as we look at in epic and we see both the chief complaints and the diagnoses that people are presenting with they have shifted and so the top diagnoses pre-covi

ehrlich: yeah, i think there is mixed feelings about t. would the staff rather have patient guess to es. probably. it's not appropriate to have more than 18 people in p.e.f. right now. we don't have a good other option for those patients until we have our new p.e.f. which is still several years away and so what has going to meet the needs of the e.d. team is having that psychiatrist in the e.d. so as long as we're doing this care in this way, we're going to continue to have the psychiatrist. the other thing that we've been doing that helps a lot, weesk bringing in more lpt's, licensed psyche techs. so not just physician but other people who are trained trained in psychiatric care. and last but not least is the burk team, the behavioral episode response team. (bert). before covid-19. to respond to behavioral events. we started other things as well all in the service of workplace violence and that's another thing you probably want to hear more about and i think adrian will speak to that as well in his report. >> commissioner chow: can i ask

ehrlich. >> okay, great. so, you know, we have reviewed these charts every month at the j.c.c. and they are really different now than they've ever been and so i think that they're a great representation of how much things have changed here. so i wanted to just walk you through some of the changes and to give you a chance to reflect on that and to ask questions. and so first of all, you can see right away with the emergency department that our average daily volume has dropped by about 30%. and we don't know exactly why. and it's probably due to a few things, one, that there's fewer city in the people now. and as dr. colfax showed you, people are moving around a lot less and they're clearly moving less into the emergency department. also dr. green, i wanted to respond to your questions about how -- what are the people presenting for. and as we look at in epic and we see both the chief complaints and the diagnoses that people are presenting with they have shifted and so the top diagnoses pre-covi

ehrlich that we're >>> we spoke with people regardless of what they are. that is when you see change. that is a lead vannin advantage. >>> so law enforcement assistance diversion to work with individuals with nonviolent related of offenses to offer an alternative to an arrest and the county jail. >> we are seeing reduction in drug-related crimes in the pilot area. >> they have done the program for quite a while. they are successful in reducing the going to the county jail. >> this was a state grant that we applied for. the department is the main administrator. it requires we work with multiple agencies. we have a community that includes the da, rapid transit police and san francisco sheriff's department and law enforcement agencies, public defender's office and adult probation to work together to look at the population that ends up in criminal justice and how they will not end up in jail. >> having partners in the nonprofit world and the public defender are critical to the success. we are beginning to succeed because we have that cooperation. >> agencies w

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and grabbed this issue when she was working with john ehrlich go and has never let it has had a very distinguished career in government to this very day. but she has also done other things in the technology field as i said, i am challenging each of them to begin their remarks with explaining how they got into this area, what they have been doing since, and it will give us a context for our conversation. dr. lee huebner is not with us. flu and winter have taken their toll. and there is another fellow who is very instrumental in these panels, jeff shepherd. he is the person that has organized them for the nixon foundation. he has a cold and could not come. he lost his voice. so, we are not limited in -- we won't be limited in our discussion, but i want to thank those two people who are both not feeling well and cannot be with us this morning. now, use the podium if you want, but when we get to the conversation, we will just sit over here and talk. i would like to call on bobbie, who will start. [applause] ms. kilberg: good morning. before i start, there is one more person -- actually m