expect them to do the functional assessments. expect them to do some of the social functions. the medication therapy. transitional care coaching. work with them on health literacy issues. so we have experience in vermont. they do this with medicare patients. in fact, the teams are used to manage all the patients in the provider practice. so the challenge we have is that like any type of care coordination program, it requires an initial investment. all right?

the next key concept is that recovery support function.tant to communities afterward? looking at the community planning and capacity building. this is all-encompassing for a community. of the 6 recovery support functions, they all have numbers. our recovery support functions do not have numbers. looking at that. you will see that fema only has le for one of thead -- only has lead for one of these. mattñr will be leading the breakout sessions on commuting building -- community building and capacity building. i have worked with mat for the last three years. from the emergency support function number 14, long-term disaster recovery, matt has been with that for many years. he has been making that and looking at that. as we transformed into the national framework, the things we need to look at, the assessment tools, how you go forward in doing the planning. for the economic side of it, josh barnes is here with the department of commerce. looking at those things that are important. you will not have citizens if you do not have the economics and

themselves by the function they retain. if you look at the words that are up there like community and independent, i mean, that's how people think of themselves and so as we start to think about the kinds of solutions that we want, where does the technology fit, so why is this a technology talk? i want to -- i want to leave you with a few points. i think the points really are, you have to really ask what's the problem that we're trying to solve here? so there's very little evidence, picking up on one of the earlier points that surgical robots add much value. so the reality is that surgical robots at least at this point in time for the data that's available, solve a marketing problem for hospitals. if you're in a competitive environment it's good to say you have a robot and my friends who are surgeons love them. it is keeping your medical staff intact that -- that is a different problem. solving a marketing problem is way different than solving a clinical care or care coordination problem. so when we start to look at the pop

id is actually changing its functionality. is actually specializing. answer that specialization, your account for the development of the skill or ability in play. we know this occurs throughout life. in fact commit to the end of life, because we know we can improve our ability and we can acquire a new skill to the end of life. here we have an older woman who has acquired a skill in later life, basket weaving. we know that because she has developed a special ability at this point in life, she has remodeled her brain, and that accounts for her developing of this expertise. this is in play in our lives and throughout our lives because our lives are so richly varied from early childhood onward, we create, through billions of moments of brain change, an incredible individuation of ourselves so that through these changes, we have a special ability is shared by no one else in this room in exact form. we have special knowledge and understanding, things that have driven changes in our brain that are unlike anyone else in this room, in fact, anyone else in the w

it is about a $1.8 million transfer function. there's the 311 call center, which their budget is pretty stable. but there are increases due to health care costs. justice, there is an increase in that budget of $338,000 due to the purchase of a da case management system migrating to the justice hardware. there is an earthquake safety and the mentation program, which has evolved out of the community action plan and began in fiscal year 2011-12 for a program to implement education for earthquake management prepared in this next fiscal year -- for earthquake management. in its next fiscal year, we propose to hire a manager for this program. that is an increase of four hundred $40,000 -- $440,000, for wages as well as support staff. there's the community-this program, which we are trying to memorializing the budget with an increase of $100,000. they're in charge of the senses, immigrant affairs. we have added positions to deal with community organizations, civic and institutional leaders for the native american, asian, hawaiian and pa

and when you start to factor in this notion of function, function in the way you live your life, not the way you live your medical life. i want to pick up on something that joe said at the very beginning and turn it on its own head. patients are people in waiting so trying to get back to the place where most people even those people who are chronically ill, even those people who have cognitive impairments or serious mental chronic mental illness, they're still people most of the time. they still spend most of their time out and about in the world and that world is not defined by hospital beds, doctor's offices or call triage centers. and so thinking about the role that function plays in disease, and the way that function plays a role in people's lives is incredibly important if we're going to look at how we build effective programs and target appropriately. on this chart, it goes on to say when you add in functional impairments, regardless of the number of chronic conditions, functional impairments is an important cost driver, regardless of the number of chronic conditions that they

most of the function will be transferred to the city administrator's office. if you look on slide #9, pager #9, you can see uses of funds from 2011-2012. 186,000 -- 886,000 are on service of other departments. 33.5 funded fte's for last year and 4 rudder 67,000 in general fund support. -- $467,000 in general fund support. this year, we have 1250 -- 12 ftes' and a small reduction in services from other departments. again, going through positions, authorized positions from 41 to 12 at the hrc. 70% reduction. funded positions from 33.5 through 12 positions in 12-13. up here -- you can see -- and you can read this but a graphic -- the green is the positions that are staying at hrc. current projects now that we have remaining staff. this is the african-american initiatives which is the african-american leadership council which is headed up by commissioner davis and the african-american empowerment initiative which is done within hrc staff and some other committees. some other initiatives will be going forward with that are underway now is the lgbt initiatives and f

advair is clinically proven to help significantly improve lung function.e most copd medications, advair contains both an anti-inflammatory and a long-acting bronchodilator, working together to help improve your lung function all day. advair won't replace fast-acting inhalers for sudden symptoms and should not be used more than twice a day. people with copd taking advair may have a higher chance of pneumonia. advair may increase your risk of osteoporosis and some eye problems. tell your doctor if you have a heart condition or high blood pressure before taking advair. if you're still having difficulty breathing, take the lead. ask your doctor if including advair could help improve your lung function. get your first full prescription free and save on refills at advaircopd.com. >>> i was down last night with my daughter. there's such a good vibe. >> deposit traffic information any time log emergency -- positive energy. >> everywhere you look are the ships. let's not deminutish these gray hauls. they're rafted together two and three at a time. it is so cool. it

remember, it's a function of temperature and humidity. sunday the mid 90s but heat index values over 100. we're going to cool down into the mid 90s as we move towards july 4th. tim williams will have all those details shortly. now back inside. >> thank you. >>> our first warning weather coverage continues now with mike hellgren live at the park pool. good afternoon. >> reporter: good afternoon. you can relevant really feel the humidity out here today. park pools like this one will be open until 8 o'clock tonight. it just opened at noon. we'll start seeing people in there shortly. cooling centers are open from ann arundel county towards hartford county and in between as people try to cope with the rising temperatures. >> baltimore is baking at the start of what could be the longest heat waive of the year. it's a struggle to cool down outside with people migrating to the water from the inner harbor to the patterson park pool, one of many with extended hours to the annapolis city doc and the chesapeake bay. the danger from these temperatures

our budget proposals centralizes and minister functions like intermission technology and construction management and insure sufficient delivery of a major infrastructure in building capital projects. significant cuts have reduced the level of service since the fiscal year of 2008-2009. dpw is back filling thises -- these losses through the use of strategic partnerships with the human services jobs now program. with community-based organizations and increasingly, efforts to recruit volunteers. overall, our budget remains relatively flat with some increases to support delivery of capital projects. in reference as compared to 2008 and 2012, street cleaning services have been reduced by 40% which covers mostly our response to our services, our ability to provide labor. also for landscaping, over that time, we have been reduced by 13%. our street use and mapping programs by 8%. our street repair, we lost 7%. in general over these years, we have been reducing our managers and staff as well as our cost of supplies and we were keeping our workmen's comp reduced. the department queens and resu

in the primary function of the private sector to provide service so what is the city it's a compilation of various services so it made sense to me that we would go with the private sector because it provided services and we know that competition is what keeps prices home so i knew that coast the government would really complain my including competition model and i know that reportedly the city has no long term debt no huge pension liabilities do you see both of these factors as a function of this privatization model that you have and what else have been the major benefits for the city really a able to run the city more efficiently by having these private companies that compete for the work. and this kind of official means but we can do it alone with a smaller work force the moment clearing the private employers all together we now have fewer employees including the privates and then the city to the north of us where the same population so that gives us more money to put aside for capital improvements and we're able to do that i'm of the current merger with them having to morrow as far a

we feel the legislative function is undertaking an exponential increase. it apart and it's also in disagreement on the cuts with the planner of's position and the commission office. as you know, we staff two commissions. the planning commission is only one of two that meets every week. the commission secretary supports essentially six meetings a month. that is an unusually high workload compared to other commission secretaries. our current secretary, who has been with the city over 30 years, will soon be retiring. the committees have decided to select one person rather than two to fill that function. they each have the right to select their own as charter commission's. we are proposing a high-level support position for that secretary position. what we want to do in the second year of this budget is maintain the three positions for the commission support, but for the coming fiscal year, we are proposing an additional position to give a high level of support to provide that high-level transition, but in the following year, we would reduce it to 3 fte, in a r

physically, functionally, and chemically improved. this is an asset we should use. but how can we use it? before describe that, i want to say -- you know, how do you turn an old brain that appears to be deteriorating into a physically and functioning younger one? the answer is, you train it. you have to train inappropriately. there are certain strategies that have to be applied, obviously. another question is, why does the brain deteriorate to start with? why is it is degrading? the simple answer is, you reach a peak and about the third decade in life, and then slowly, slowly noise ines begins to creep into the process of the brain. you can think of it as growing chatter in the brain. we know that because we can add noise in the brain in various ways, and in science we would not do this in a human, but we could do this in a rat. and over two or three or four weeksa four rat in the prime of life -- four weeks, the brain of the rat looks like the brain at the end of life. we see an interesting thing when we look at the detail. we open up the characteristics of the bra

like all stakehoers and san functioning street lights are an important portion of a functioning strca. what you're goio hear today reinforces our mission that it be maintained through those assets. my preseation will focus on three areas -- one is the current pg&e practices and services, the other is the cataimprovement program to replace more than 1000 lights and spending $25 million, and the last is the future plan to instl led's in additional areas. ank you for having us again and mike will take over. >> i am the restoration and control director. i have the group that does the repairs of any street lights that have faileds r as burnouts are concerned. i would like to give you a status update on where we are with us streetlight burnout than near-term strategy and long term as well. as of today, about three hours ago, we only have 98 streetlights currently out of the 19,000. of those, only to have been out 14 days or more. we've made significant improvements in the amount o me it takes us to make these repairs. supervis wiener: when you say out -- there are two situations one where t

advair is clinically proven to help significantly improve lung function.e most copd medications, advair contains both an anti-inflammatory and a long-acting bronchodilator, working together to help improve your lung function all day. advair won't replace fast-acting inhalers for sudden symptoms and should not be used more than twice a day. people with copd taking advair may have a higher chance of pneumonia. advair may increase your risk of osteoporosis and some eye problems. tell your doctor if you have a heart condition or high blood pressure before taking advair. if you're still having difficulty breathing, take the lead. ask your doctor if including advair could help improve your lung function. get your first full prescription free and save on refills at advaircopd.com. >>> a veteran stunt pilot is out of the hospital after miraculously surviving this crash. the pilot was taking its biplane to an air show. the audience saw it spinning but then it became clear it was too far. he walk add way with a broken ankle. >>> that's something you don't see very o

holdren, you have been asked to testify about the structure, function, and funding of your office, as well as the two hats you wear as both science adviser to the president and director of the office of science and technology policy. you face many challenges, some of which you inherited, such as the newer satellite program, and others that are more recent, such as the arm twisting that you probably had to do to get agencies to complete their scientific integrity policies. i think we forget sometimes that your actual authority is limited, and that much of what you accomplish is through your leadership persuasion, and persistence. as you know, i care deeply about the need to insure that we remain competitive in a challenging world economy, as well as improve the quality of life of all of our citizens. research and innovation are essential ingredients of any effort to meet these two goals. as is stem education. you have a number of initiatives under way related to stem education, and i would like to hear how those are faring, and any issues that you are facing. with respect to research a

these are the functions of that constitutes the budget, and we are in full agreement with the budget analysts office. good as they recommend a reduction to the budget, and i am happy to take any questions you may have to. >> any additional comments? >> i have no additional comments. >> thank you for taking the time to agree to the cats. we really need it. i want to thank you for aboutha. we will not be requiring you to come back. can we take a motion to entertain these? we will do that without objection. let's return to the police department. g>> i want to thank you for letting me slide down in th. i promise i would be there. i want to acknowledge the budget office for all the help. take stevenson, are rose from the budget analysts office. my friend to will be leaving at arthur 30 years of service. he will be missed. our new cfo and our budget manager pierre reaganite rigid budget manager. did they have been heroic in helping mean -- our new cfo and budget manager. they have been heroic in helping me get through this process. here is how our budget plays out over the next two years,

it's an inability to function in my life or to thrive in life. i want to couple that with i understand that v.a. is moving toward decentralizing the funding for prosthetic purchases. this is an issue that was solved 20 years ago by centralizing or fencing off those funds soloical v.a. medical facility directors would not use that money for other purposes. 20 years ago, veterans were delayed to the next fiscal quarter or the next fiscal year because the moneys were used for other purposes. i'd like to summarize by saying what i think needs to happen with v.a. right now. i think it's time for them to suspend the decision -- their decision on vha transfer of the prosthetic purchases to supply. also to kind of drop any discussions about decentralizing the funding. at the same time, it's time for a full scale program evaluation led by a little more impartial body such as v.a.'s office of policy and planning and put stake holder cohorts on that effort. i lst those in my written statement. thanks for the chance to be here. >> thanks very much. i will yi

until each veteran achieves their highest level of restored function. mr. chairman, members of the committee, thank you for the invitation to testify. and for your commitment to providing the highest quality prosthetic and orthotic care to our nation's veterans. i look forward to answering questions you might have. >> thank you moros. mr. shaw, you are recognized br five minutes. >> members of the subcommittee, thank you for the opportunity to appear before you today to discuss the department of veteran affairs prosthetic purchasing practices and impact on academy medical, v.a. various fired small business. i'm the managing partner of academy local in florida. academy is a reliable source of supply of biologics and hold as mandatory source federal supply contract ffs contract by v.a.'s acquisition center. my managing partner and i graduated from the nafrl academy in 1991, acad knee medical is so named to pay homage. with me is steven kent our director of government sales and mr. steven schirr, a subject matter expert in the field of biologics. my testimony

months after traumatic brain injury, children with moderate to severe brain injury had much more function than they did at baseline and that they had no improvement between 24 and 36 months. so this really gives us pause that we don't know enough about how to optimize therapy and optimize recovery but we really need this in order to better inform our future intervention. >> thank you, mr. chairman. i want to start with mr. ditto. it's my understanding that the treatment of traumatic brain injury is very complex and unlike other diseases. the treatment course has to be tailored for each individual and the outcomes can be variable as well. i realize great importance in inner disciplinary approach toward treatment and management of patients. particularly those with severe diseases may require broad range of services including health care, education, location of rehab and housing and state health departments like yours or like new jersey department of health play a critical role in serving as axis point. can you talk to us about case management and treatment and can you highlight ways that yo

it helps significantly improve my lung function starting within five minutes. symbicort doesn't replace a rescue inhaler for sudden symptoms. with symbicort, today i'm breathing better. and that means...fish on! symbicort is for copd including chronic bronchitis and emphysema. it should not be taken more than twice a day. symbicort may increase your risk of lung infections, osteoporosis, and some eye problems. tell your doctor if you have a heart condition or high blood pressure before taking it. with copd, i thought i'd miss our family tradition. now symbicort significantly improves my lung function, starting within 5 minutes. and that makes a difference in my breathing. today, we're ready for whatever swims our way. ask your doctor about symbicort. i got my first prescription free. call or click to learn more. [ male announcer ] if you can't afford your medication, astrazeneca may be able to help. >>> welcome back. this is the place to be this afternoon and tomorrow afternoon. head on down there because it's going to be another hot one. heat advisories in eff

it helps significantly improve my lung function, starting within 5 minutes. symbicort doesn't replace a rescue inhaler for sudden symptoms. with symbicort, today i'm breathing better, and that means... game on! symbicort is for copd, including chronic bronchitis and emphysema. it should not be taken more than twice a day. symbicort may increase your risk of lung infections, osteoporosis, and some eye problems. tell your doctor if you have a heart condition or high blood pressure before taking it. [ whistle ] with copd, i thought i might miss out on my favorite tradition. now symbicort significantly improves my lung function, starting within 5 minutes. and that makes a difference in my breathing. today i'm back with my favorite team. ask your doctor about symbicort. i got my first prescription free. call or click to learn more. [ male announcer ] if you can't afford your medication, astrazeneca may be able to help. >>> happy father's day out their dads. so if you didn't get your gift, don't worry. we thought we would put some dads in the driver's seat for next

contracting has always been a decentralized function in the city between departments. sometimes getting everyone to come to room -- a room and agree can be a logistical challenge. >> i am wondering if you can follow us on an estimate of what we think we have helped the city to save with these efforts. i am not sure what we have been able to save in terms of eliminating the land lines. as we get rid of those landlines we are exponentially increasing our salary -- cellular plan. we have our old previous fines and now we have data plans on the phones so the growth and expense in our technology and how much we are spending seems to be going up. i would love some -- like some backup information and if we are going down acellular path, what can we do to reduce expenses? i wonder how we plan to rule that out over time. we had put in the budget this past year money to invest in pursuing those contract projects. i do not have any sense of where those are and where the big ones that are left to be negotiated. can you provide that information for us? >> we will do that. we do hav

the creation of community and visitor functions and a corresponding functional lot, it is in accord with all the planning recommendations, built on the heritage coast. scale. teatro zinzanni's facilities are full of human-scaled facilities. with 14 feet on the perimeter buildings, the tent peeks at no more than 32 feet. we believe this reflects the pedestrian scale of the 19th century vintage coast which we are trying to recall here. so that is what we're trying to do. >> commissioners, regarding the next up of teatro zinzanni, i wanted to outline those. we expect to go to the waterfront design committee in june. we expect we will be going to the historic preservation commission sometime in late july. there is also out reached to neighborhood groups that are necessary in we anticipate coming back to the commission in the fall of 2012. that concludes my presentation. >> is there any public comment? commissioners? questions, comments? >> jeff, a quick question. are you expanding of its capacity in this configuration? >> no, the tent capacity, i believe, is 375 persons. i'm sorry, i try to

the brain functions in various degrees of bioenergetic crisis following a brain injury. almost indefinitely. as a result, what happens is the metabolic demand creates tremendous stress within the system that triggers a number of degenerative processes. so we're beginning to reconsidering lifelong diseases, diseases we've known lifelong like parkin's, multiple sclerosis, so on, as disorders that may have an origin in alterations in the brain's neurophysiology after a brain injury. you see this made manifest in the recent press over retired athletes with repetitive concussions, from the sports legacy institute and the work being done at boston university on the donated brains of retired professional another heats. we see changes in the brain and a condition called chronic traumatic encephalopathy that's been identified as a single example of these lifelong conditions and progressive conditions. >> thank you. thank you, mr. chairman. >> chair thanks the chairman. recognizes the gentleman from illinois. five minutes for your question. >> i thank the panel for being here. i a