hsa has a seat on the committee. they hold the majority of the contracts for the shelter for writers. their relationship is the -- that we provide information about the concerns and the data we have collected to all agencies. some of the information the committee has provided around access issues have been part of the change in policies around reservations days and changes locations as part of another process, so hsa has the information from the shelter monitoring committee, the service providers themselves, and my understanding is they use that information in making some of their decisions. supervisor campos: is the shelter monitoring committee under hsa? >> no, it is not. as far as i understand, it is under the legislative branch. it is under the board of supervisors that created the administrative code. the staff is a department of public health staff, but the shelter monitoring committee is not under the department of public health. supervisor campos: the committee staff its staff of hsa? >> of dph. i am employed

the shelter, the client, is hsa providing? focusing on what the issue is, does the facility need improvement? how will we get those improvements met? how will we get it funded? do we need to talk to clients? talk to more staff? what is the methodology? i did not really know, but i think we need to focus on that we are here to identify some needs that are being unmatched -- unmet. supervisor campos: thank you very much. any member of the public that would like to speak on this item? please come forward. >> i want to submit these documents. i feel like you are getting the disney version of what is happening in these shelters systems. i just feel that -- i'm also going to start off with joyce from and their organization. they do an internal survey of the clients, so the idea that she does not have any idea regarding what is happening in the shelter system i do not think this is very genuine assessment. and i think over the information is very thorough and complete, i just feel like we have not had enough dialogue regarding the ot

i know we have members from hsa that are here today.ith that, i will turn it over to the shelter monitoring committee. i will reserve any comments or questions following the presentation. >> thank you. good morning, commissioners. i am the one of the staff people for the shelter monitoring committee. the chair of the committee was going to be here this morning. unfortunately, he is ill and he extends his apologies and has asked me to follow up on some of the points that he wanted to stress that after meeting with supervisor campos earlier this month. you will find three reports in front of you. they cover three different areas, standard of care report, an analysis and overview of all standard of care complaints received for the fiscal year 09/10. august quarterly reports cover the last quarter of 2009, 2010. the newest report was just approved at yesterday's meeting. it covers the site inspection, the number of complaints received from july 1 to september 30. the chair also wanted to use the opportunity to talk more about the policy rec

state planning agency concerning certificate of need and help service grants channeled through the hsa. this planning strongly influenced local and institutional decisions about future investment. for example, many empty beds and underutilized services, which we term at that time excess capacity, were a major cost driver in that era as a result of leverage exerted by the hsa. in the course of the reviews, many were closed. the problem of competition to lower costs while preserving access to quality, legislative in california in 1982, exerted a new discipline on health care managers with some salutary effects. for example, new attention to data and analysis to bolster their decisions. it also, however, creates incentives for growth independent of community needs as defined by a public planning process. cost of care, access to services, and quality are institutional concerns. republicans are coming late in the process if at all. the proposed legislation will revise a public planning process and provide a baseline of information that institutions, san francisco residents, and public offic

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some features, they are pulling some others, being able to buy otc drugs with dollars, if you have an hsa account you can roll the money over next year and use it for doctor's bills. >> but with a flex spending account. >> use it or lose it. >> we would suggest you stock up on whatever it is you can to max out those dollars. >> reporter: bottom line, if you use your spending account to pay for a regular dose of over the counter medicine every month, speak with your doctor, he may be able to give you a prescription for a behind the counter version so you can continue to use your card and so you don't waste your money. i'm john matarese. >> it's a shopper's market this holsey on, that means stores are rolling it out just for you. walmart is offering discounts on electronics, toys, dvds and other hot holiday items. many stores aren't waiting for black friday either to cut town the cost. some are even opening on thanksgiving to entice shoppers to get as many of them as possible? now maryland's most accurate doppler radar. >> walk off some of that turkey by shopping. >> rather than pass out wa

it's primarily in hsa and in other words the taxpayer. basically, we've got an issue here because we got a huge number of homes that have to be absorbed over the next couple of years, and the only outlet for credit right now is basically fhava and the question is how we absorb the supply, the huge number of homings that are going to come on the market with this very narrow source of credit availability on which the taxpayer has the ultimate expense, and that kind of -- that should be the topic of conversation, how we simultaneously address credit availability and how we deal with credit availability issues when the credit availability channels are largely closed except for hsava. now i'd like to shift gears entirely and talk about tim's paper on can securitization work, economic, structural, and policy considerations. i too worry as tim worries that the pendulum has swung too far. tim has a number of policy guidelines, and there's two i'll point out. he argues we need leverage management. i too agree that leverage was a huge issue, but i