commissioner sanchez and commissioner karshmer, present. commissioners, i'm looking at your screens. are your monitors not on? i'm sorry, it person usually does that. on the bottom right corner if you press the button it should pop on. second agenda item is approval of the minutes of april 19, 2016. >> approval of the minutes are before you, a motion is in order.

commissioner sanchez and commissioner karshmer, present. commissioners, i'm looking at your screens. are your monitors not on? i'm sorry, it person usually does that. on the bottom right corner if you press the button it should pop on. second agenda item is approval of the minutes of april 19, 2016. >> approval of the minutes are before you, a motion is in order. >> second. >> are there any corrections to the minutes? hearing none or seeing none, all those in favor of the minutes please say aye. the minutes have been approved unanimously. >> thank you, commissioners, item 3 is the director's report. >> good afternoon, commissioners. >> yes, please. >> we're so happy to announce that san francisco general hospital and trauma center has officially been licensed and is ready to receive patients. we want to thank all of the people who worked so hard to make this historic mile stoeb possible. i know our ceo is in the audience and just want to let her know how lucky she is to move into a brand new hospital this weekend and i know she will be work

commissioner sanchez and commissioner karshmer, present. commissioners, i'm looking at your screens. are your monitors not on? i'm sorry, it person usually does that. on the bottom right corner if you press the button it should pop on. second agenda item is approval of the minutes of april 19, 2016. >> approval of the minutes are before you, a motion is in order. >> second. >> are there any corrections to the minutes? hearing none or seeing none, all those in favor of the minutes please say aye. the minutes have been approved unanimously. >> thank you, commissioners, item 3 is the director's report. >> good afternoon, commissioners. >> yes, please. >> we're so happy to announce that san francisco general hospital and trauma center has officially been licensed and is ready to receive patients. we want to thank all of the people who worked so hard to make this historic mile stoeb possible. i know our ceo is in the audience and just want to let her know how lucky she is to move into a brand new hospital this weekend and i know she will be work

. >> car commissioner karshmer. >> i applaud you doing everybody not just a few people. findinfinding that 2.82% are corps yid this isn't going to happen. do you have thoughts on what contributes to that and -- because this is hopefully truly a cultural change. >> yes, definitely. >> horizontal work across the drpt department. what kind of things are you envisioning to help, you know, address that and is this indicative of the lack of trust? >> it is. i think the people who are reporting that they -- we have initiatives to teach here in this county. we see things come and go for 30 years. i've worked for 25 years in this county and so many initiatives and great ideas. creative ideas that we have invested in, worked on, train on. and they come and go. sometimes that depend on leadership. we can get a new director of public health and this could be gone unless you think it's so important it doesn't matter who the director is next. part of it is that that things come and go an people are fatigued by that. you can see them sitting in their chairs like prove it to me. prove i

commissioner sanchez and commissioner karshmer, present.rs, i'm looking at your screens. are your monitors not on? i'm sorry, it person usually does that. on the bottom right corner if you press the button it should pop on. second agenda item is approval of

. >> i would add going back to commissioner ca karshmer's question to me, 2.8, they're not sure. trauma creates helplessness and hope unlessness. and we can't do anything to change this situation for myself. i think we hear that. we see that reflected in our staff quite a bit where there might be a good idea that they have but feel like they can't make an impact because they're not a leader. a lot of what we do in trauma 101 is give the power back to people and say this is a learned response you had as a result of stress and trauma in your life and you can unlearn it and ask you for your ideas and say you doesn't wait for this person over here do it. do it yourself or do it in relationship with other people but you can actually do it, you can make the change. >> this is where you empower staff and they can empower patients. >> exactly. >> with trauma, you have more avoidance coping. >> thank you. and srml certainly this is a new process and i believe that we would like to be able to have a follow-up on how the initiative is coming. so i would assume in the coming year, we will ha

. >> commissioner karshmer. >> i think this is terrific. when you look at the timeline and it's been two years, it's a lot of moving forward in two years, so kudos to everybody involved in that work and really it doesn't just -- network, what's a network? actually i understand why you did some of the things you did, the internal communication and then the external communication. and there are some things that i resonate with about dealing with the members, the folks who are our patients, differently and giving them for credit for what they're looking for. this beautiful new hospital and to leverage that into this opportunity that this is an attractive way to seek health care in this very crowded space i think is very important. i do think that just as you think in terms of these metrics, you used the example of perception and awareness of being run one of your key measures, which is okay, but you also have tied directly to one of the priorities which is right place right time which would be the natural metric for that particular initiative

. >> now commissioner karshmer can get an update from the may 10. >> laguna honda joint jcc met and discussed the administrator's report, heard presentation on the rehab and psychiatry presentations. the committee encouraged laguna honda and the san francisco health network to continue to explore ways to earn revenues through the hospital's rehabilitation program and excellent outcomes and also discussion about how laguna honda hospital will work with dffg during the move-in process. in closed session the committee approved the credentials report. i also just have a quick report from ihhs committee on which i sit, and just to announce that they have relaunched their mentorship program to prepare both providers as well as their consumers and they are working closely with the laguna hospital transition program personnel. >> thank you. >> i have not received public comment requests for this item. >> good, go on to the next session. >> item 12 is adjournment. >> i would like to draw attention to the master calendar for everybody's own calendar, we are currently scheduling a community meeting in s

commissioner sanchez and commissioner karshmer, present. commissioners, i'm looking at your screens. are your monitors