are appointed and don't represent us and they can just not have the meeting, this committee could infact never meet legally so i ask that be changed. i please ask that you not have this go in as written adjusted and passed a different way. >> thank you. >> hello [inaudible] the reason i'm standing up here is because i don't want to be on this committee, but a lot of people in the room are on various committees over the years and i think one of the biggest most frustrating thing you hear from this is we are advasery but nobody listens. what are we adviceing on and does anyone takeure advice? i would like to see what i think would be one of the few times in which the community has a real voice. this is called a community advicery as far as i understand so i understand the call for community people and vested communey interest. i understand the politics where often times it comes from houseic and bikes and everyone else gets involved and it turns out he who has the most friends in city hall gets listened to and often times other members don't feel they are listened to. i have been to a few

i think that showing how infact it is integrated within the totality of our programs-initially you start within house and look at the senior ranking officers and start from there and filter and go across and be more inclusive and then directly you work with the community health centers and the programs so you are are covering the water front. you are not only looking at it across board, you are looking at it with tonight for the next generation after that as you have the comprehensive modual the work force development taking a look at now and in the future. it is great deal of thipg think and work and cretivety in this so we look forward to presentations >> doctor shanchise can you speak up a little. it wasn't quite as loud. >> i just fete it was a excellent presentation and felt that you centered on the core hof the department qu worked with the senior folks first and training the initiatives and the new concept culturally humillty and equate with how that is presented and how it is implement within it con tenks of the institution and you go from there through the various academic initi

i think that showing how infact it is integrated within the totality of our programs-initially you start within house and look at the senior ranking officers and start from there and filter and go across and be more inclusive and then directly you work with the community health centers and the programs so you are are covering the water front. you are not only looking at it across board, you are looking at it with tonight for the next generation after that as you have the comprehensive modual the work force development taking a look at now and in the future. it is great deal of thipg think and work and cretivety in this so

it were are you looking within the san francisco helt network to really work this as a subject if infact we pass this as a priority? if you want to pass it to [inaudible] that was fine too. >> i can comment. about 3 months ago a committee-a small group that includes margaret, steve [inaudible] susan fisher own we said how do we make this a operation like this in the clinic flow much like we do intake for diabetic patients. we are trying to build this into the model leverages out pcp staffing because a lot of it can be done by non pcp staff. [inaudible] roll from site to site targeting the higher prevalent sites like in china town. we are still working throthe plans, but that is our effort going forward >> i think i'm only using this as a example-in the sense that we are trying to integrate the public health messages and issues and the delivery system that we have. i'm ask if that is the overall plan and this is how this is going to be working-we have public health messages andcome pains and we run a delivery system >> absolutely. that is the beauty of the new format, the population healt