and fell and laguna. did you want to add anything? >> yes, i've been working closely, casey with mta, i've been working with the haze valley neighborhood association back in the summer of 2014, they developed a list of about 12-14 top priorities for transportation safety. laguna, oak and fell were at the top of that list so we are trying to address the communities concerns that have been raised, utilizing funding we have for the neighborhood for safety improvements. we will be taking another look at the intersection alighting proposal based on some of the comments we've received to see if we can strike a better balance but i think just to stress that these improvements i think have widespread support amongst the neighbors that i've talked to and we are targeting what they perceive to be the top problems. >> so i just wanted to clarify, thank you for lairing the number of spots 7 this is the same type of vision 0 alighting work we're doing in other neighborhoods, we've done a lot of dying light ining the t

the intersection at the intersection is laguna before leading into the hate project if you notice all the cars queuing on the right-hand side that right turn is the super heavy from a.m. and what is now the transit lane is the left hand pocket and turned that into a transit only lane and that was define in march we also on april 25th it was super exciting day the largest service increase for decades in the city and john halley and the operations team allowed us to do the operation increase we changed some names and might not seem significant but the 68 hate mass and have harder from drivers that change is making a difference in the load of that 7 and of specific from a tourist is stand out on hate they have a lot of tourists waiting for the 7 and now the 6 and we've implemented two stop removals along the hate from east to west so talking about the follow-up decisions specifically we have w a number of times and walked and talking about where and what pit projects we're proposing in the upper hate 4 major concerns the top is bus shelters or the idea that they don't like bus shelters b

bros two transit reliability there are one and a half mile-long corridor from stan i don't think to laguna 10 stop signs and 11 - it takes on the afternoon of 11 minutes to travel that and because artist starting and stopping there's a lot of people getting on and off the bus along that corridor and eventually on time performance issues and reliability concerns that 71 for example is mid 50s on performance and system wide about 65 percent on time sups so daily below the average and additionally travel buses the 771 prairie is super crowded so the two peak the a.m. and p.m. peak 24 buses traveling along the corridor and in the peak direction those are standing room only crush loads coming through on the 70 and 71 during those times and the last is the public realm you'll talk about this in a minute the merchants and the upper hate and city planning have been working on this plan participating in and addressing many concerns i'll talk about those in a minute the transportation the narrow situations not a lot of room for the pedestrian activities going on through and director ram was talked a

we intend to provide a memory or a sort of book picture capturing the new laguna and present it to heruture date. i'll be happy through our joint conference committee or through the health commission and health commission convey that message also. >> she would like to come and receive something from either the joint conference committee or -- it's nice to highlight someone who has been so thoughtful to the generosity to the city and the patients at laguna. it could represent another example for others. >> i will communicate that to her banker. >> thank you. >> any further comments. we're then prepared for the vote. all of those in favor of the resolution, please say aye. >> aye. >> all of those oppose. the resolution is passed unanimously. >> i'll note there's no public comment on that item. we have item eight which is proposition q hearing closing of skilling nursing facility. i will note this is the first hearing of two. you will vote at the may 19th meeting on this issue. >> good afternoon commissioners. i'm a health planner within the office of policy and planning here at dph. i'm

process what i have done is actually done a security risk assessment in general hospital as well as laguna honda and 21 of the department facility clinics throughout the city based on that i have identified 16 different opportunities for improvement as well as 23 different recommendations so what you are going to hear this the evening is about 21 key improvements most have been at san francisco general hospital based on my time in this role that has been the primary focus however tlshgs is still the writings and procedures assessment throughout the entire department that is an on-going process the only thing you won't hear i can answer questions is in regards to the security plan for the new hospital i'm scheduled to present that in september again if you do have any questions regarding that i'm happy to answer those as well. so in the area of leadership there is actually three key improvements 1 of those being a monthly security performance survey. this actually is a tool which is used to validate the performance of the sheriff's department in the area of mou which i will get into when we

again i have done a security risk assessment for general hospital laguna honda and 21 other clinics from there identify security as a rule nar rablt which will be addressed in the 2015-16 management plan that will address those specific issues about security program dph wide. in addition to that we are pursuant for an ongoing development of security aware rns that will include as far as facility wide drills addressing at risk patients as well as the patient infant abduction also in addition to that the security alerts and communications on a monthly basis there say communication that goes out in regards to security on-site as well as the personal security as well as work place security. then increasing staff and training education we see opportunities for increased opportunities as far as emergency responses pr the staff in addition to that providing training in the process of developing this month emergency department specialized training crisis intervention to assist them as par as how to deescalate situations and recognize crisis and being able to intervene in addition to that today i

about how that project is going but within that project is our board and signals between mosaic and laguna there's a second phase or part of the project between mosaic that is corridor that part of corridor is not being repaved it will be a separate contract a separate item although dpw will be moving forward in addition coordination with the stakeholders we're trying to implement any of the curve changes better to be safe than sorry we can but i'll point out the number one priority koipt e coming out is the pedestrian lighting especially between mosaic and buchanan we're as staff practically supportive of that idea it is not just something that is within our scope but making sure that is happening and working w in kwoerngs are dpw additionally we're working with the city family to find the funding for those lights and make sure those are included in the large program as well we're working with continuing to work with dpw with our construction impacts and timing and especially for the next new contract between mosaic to buchanan to make sure we are you know really during the summer months

leg of our security needs i will trust that our committees have looked at san francisco general and laguna honor ka and will continue discussing those i'm concerned about the outpatient and maternity care position when you did our audit were there any concerns? how will further conversations go forward in terms of any issues and what role would there be any over site with commission in regards to ambulatory regarding outpatient issues >> of the 21 facility assessments i have done including the outpatient settings so that is 600 employees have gone through the training includes those employees as well part of the assessment and the volume -- vulnerable vulnerables there how to address acting out behavior how do deal with evacuation just overall security. the management plan will not just be for one facility but also include dphw and break out the facility what the need is on a quarterly basis we want to make sure we're testing as well as drilling them as far as security management developing a plan specific to that clinic or particular area then from there monitoring the success of the mana

observing and looking at different path way and subcultures that have operating within the network and laguna honda. i was interested in some of the comments in particular many years ago there used to be a police special team assigned to sfgh to deal with special tra maw psych attic situations available 24 hours a day and between the sheriffs back and forth. the fact of the matter is the sfpd trains with the units and they're critical training in response as you move forward in your planning i know you will you have a unique opportunity to identify with spesht teams whether it's the police or fire department has exceptional teams brought into the hospital given krim cal brace etc. there say network out there, that is above and beyond the individual klture of the sf police department or f sheriffs or fire department now that we have a director as one person that coordinatings it gives you a unique opportunity -- buys into that model it's not going to fly. so when you do have a crisis if the internal unit doesn't know how or what you will have more of a crisis you name it you can think of it. o

garcia >> yes i'm listening >> you remember that disastrous branding in laguna remember? they wanted to take out the word hospital. god help you if this marketing expert tells you to take out the word general or san francisco or -- i don't know -- public health. you need to stop already with the rebranding. patients are either going to choose you for your service like win spauling or they're not. marketing is not going to help it. in fact mark zuckerberg should take his name off that facility. you should market it heavily as a trauma center not as a city guest to ability there. >> thank you. commissioners questionses to the director on her report please? does anyone have -- i will start with one comment which is in regards to the oral health strategy health employees that the collaborative is going to different neighborhoods that was in china town now it's out in the mission i'm hoping that we will have a report back on what is happening. i forget we agendaed that last time we were >> yes, sir? i believe it was a year it would take that long for the activities of the plan

. >> good afternoon director nolan and directors i'm referring to h establish no ltd on laguna street i appreciated if is that it you expend the taxis it is more like a movement of bus issue and so i appreciated if you can look at taxis to make that left turn from - that way we go from hates to hayes valley directly i don't know why we're not exempted i think only having the bus only lane to octavia boulevard is great it works well but not exempting taxis on the left turn can hurt the taxi service and add more money to the meter we don't want to do that if it defers folks from getting in the cab or people yell at us. >> last speaker. >> good afternoon. >> good afternoon i'm testing welling born representing the hate ashbury council one of the groups that has asked you repeatedly wait until the lights are installed some we've agreed and some disagreed but lighting hundred percent agreement if you put if bulb outs you'll break the city policy so, please postpone our decision if you approve postpone action on a separate subject liam i'd like i i'd like to speak in support of a traffic si

for the alameda exchange that is located near 101 and where the 280 cross and a shore boulevard and laguna avenue creating a ramp at the surface we're requesting planning fund from the district 9 did transportation authority will lead the study with the support of sfmta all those boulevards are important with the safety and access is critical it creates a barrier including bay area and

facility twenty-four hours a week in our log cabin facility this is a rehab facilities located in the laguna some of the priorities for the department include implementation of a waiver for the use of our total e federal fund to expand our capacity to serve young people in the community instead of out of home placement and removal to the extent a young person is removed from their home wore focused on reducing the length of time for the families to get the hope and restore their family we're converging the transition housing for youth this is i am sure a challenge to make sure that youngest people have housing here in san francisco but for those youth running to the community from you out of home placement especially with incarceration the challenges are unsewer moubl we'll explore as part of our continuing review of our master plan is the potential development of the structure and support of their homes for those i did not get as their reengaged in school and social connections wore looking how best to utilize the asset that the city has in our log cabin rather than to repair and replace th

uh, if you need to reach me, herb and i are going to laguna beach for a weekend getaway.ing him. i see. so, uh, so, who's watching little millie? my mother. ooh. are we sure that's

i to think that laguna honda has a long term placement.like where we like to capture the ñ?ñ? if we're going toa?ñ? do that, we need to definen÷ñ?ñ?ñ? what is -- what we know about short term. >> i'm sympathy to what commissioner chung and karshmer raised. >> thank you. commissioner chung. >> i think that's a good suggestion to keep out short term and long term skilled nursing facility beds. if we say something like what we really considering is whether this is detrimental impact on the continuity of post acute care. that would make better sense. >> thank you. >> part of that deals with the language of the prop q to which we need to find whether it is or is not detrimental. we can modify it as we wish. we to need to come out with one or another with this. commissioner pating may have a solution to8%ñ? that being able to discuss this on a short term basis versus long term base. also from the discussion that we want to encourage that we are really wanting to look at total post acute care and téxñ?ñ?he entire continuum of care. we would encou

were being treated for malnutrition when someone dumped chlorine into the rehabilitation pool in laguna, but there they go. yeah, it took a month for those pups to recover. officials still don't know who was responsible for the attack, but it's good to see them going >>> investigators in southern california are trying to figure out where more globs of tar came from. the tar balls, no doubt affecting lots of animals came into zuma beach in mall due yesterday. the coast guard says it's only a fraction. >> they sent in samples, and tests are under way to try to determine if it's related to last month's oil spill. >>> you can soon get treat shipping. >> we'd like too hear, for more of that let's turn to wland is not dowdy. i'm going to get some coffee. >> good morning. get me a pup while you're at it. >>> as the country -- on hiring and the private sector,s trade deficit and services, outz going to 18011, the nasdaq down to 5676. >>> a strij contingency plan ahead of what could be contentious talk with his u.s. automakers this summer. the uaw has been barred until now against striking as pa

and sheriff's duties because of the upgrade of our staffing at the did you want institutions like laguna honda and san francisco general hospital which is this epic center of our infusion of staff of scorn staff and cadets there's a conspicuous change of the attention on the campus of the assistant we're providing for public safety in the internal and the external over the last year we've cross designated our deputy sheriff's program for the first time with the u.s. marshals our deputies are crossing train so they can vast san mateo safety with the fugitives we have the resgri programming new put into place grants for the county organizations that come up with good ideas and are awarded a small pilot grant for about 25 told us to encourage innovation in between our normal rfp process for reentry programming just recently we have been recognized by two institutions we're the winner of the pioneer institute a think continuing to that look at government innovation we've be 40r7bd in boston the only law enforcement agency in the united states to be recognized by the pioneer institute for the

october 17th, 2010, officer tony white is patrolling laguna beach, california.known for its beautiful beaches and great night life. so officer white is on the lookout for people who may have had a bit too much to drink. >> in laguna beach, it's an affluent community, however it's also known more as a party town. people come to our town to enjoy themselves. they go out to the bars, restaurants and clubs, as a result that does tend to elevate the number of vehicles that may be out on the road with impaired drivers. >> sure enough, officer white spots a toyota prius that's swerving out of its lane. >> i happen to notice that he had some trouble negotiating a turn off the side street to the main thoroughfare. with this particular driver i probably followed him about seven blocks in total before i decided this might be an impaired driver worth investigating. >> officer white flips on his lights, and with dash cam rolling the prius pulls over to a gas station parking lot. >> as i walk up to the vehicle i can immediately see that he appears to be fumbling with a licens

for the alameda exchange that is located near 101 and where the 280 cross and a shore boulevard and laguna avenue creating a ramp at the surface we're requesting planning fund from the district 9 did transportation authority will lead the study with the support of sfmta all those boulevards are important with the safety and access is critical it creates a barrier including bay area and silver terrace neighborhoods in particular we're looking at two improvements specifically working with the neighborhood groups and communities including the approving or disapproving neighborhood as well as supervisor campos office to expand identify a north-south multi pathway that connects brunn avenue and farmer's market currently people use an informal pathway it is dangers between those designations we want to expand have new signals and the second improvement the new east west bike lanes on alameda boulevard bridging the bike lanes to the west and existing lanes on bayshore boulevard to the east the second improvements will be a request for a hundred thousand dollars that is in the general fund bulth p

peer mentoring program which is primeally for people coming out of-going back to the community from laguna honda so this program provides peer mentors for people in that positionism in the third piece is for increase postage expenses due to the the fact that the public authority required to send out letters to independent providers regarding inactavety. it is a letter that came from the state that changes that department so we put in 4 thousand to handle the increase in postage >> question about the dollar amount. where would i pick up the variance in-i was guessing it was going to show in the operating expense detail, but my quick math-the line item is health insurance line 37 and dental line 3 aithd. the difference between fy 13, 14 and 15, 16 don't match the budget request. >> i'll have to get help with that question. >> i'm looking at appendix b 3 page 3. j my apologies david florous [inaudible] looking over the commission memo probably one of the explanations for the various is we left out [inaudible] which gets you to the total amount you read in the record. it doesn't explain the va

this is in laguna beach, california. took place may 31st of this year. he successfully gets through the swim and now it's on to the bike race. >> he is really putting his heart into this. >> right up until about right here. >> he landed face first on a rock. >> oh! >> ouch. >> can you hear me? can you hear me? we're going to get somebody to come up here buddy. >> there's your ride out of here brother. >> oh, ouch. >> he looks terrible. >> he's having to be air lifted to mission hospital but he's like having a party. being strapped down on a backboard. >> i've never been in a helicopter. i'm stoked dude! got to look on the bright side. >> billy said he had a sprained wrist, broken tailbone and, get this traumatic brain injury as a result of this fall. to tell us more about this go pro video and to tell us how he's doing now, we have billy maroney skyping with us from los angeles, california. welcome to the show. you're looking better. how are you doing? >> thank you. i'm doing good. feel pretty well physically. my head is still a little foggy. other than

let me go quickly i'm sorry for san francisco general hospital the rates are increased 10% for laguna honda they're 10%. for community mental health these rates vary from 2%-20% the reason they vary is the rates are set so they're above or charges so we maximize reimbursement. fur substance abuse it's a similar type of reimbursement. these range from 0 to 5%. again these are based on our actual cost to maximize our reimbursement. then the rates for vital records are rates the state sets for birth and death certificates then we have a ewe immunization and clinic fees. >> thank you >> could you tell me what our oshcod ratio is in terms of charges and where that stands in terms of other community hospitals? >> commissioners greg wagner chief financial officer. i was sitting there realizing that you were going to ask for that number. [laughter] because you did last year and i can get you the exact time but we are still a little off. as you know from having heard this in past years the reason we're increasing our rating particularly for the hospital is we had a consulting engagement a few

the building is located near market and laguna. nonprofit social service agency open house helped spearhead the project. reps say lgbt seniors are often single, tonight have the same level of family support other seniors may have. >> the gay and lesbian community is the equivalent of a persecuted ethnic community. it would be nice to be around your own people, especially in your later years of life. >> very critical we create a space that is safer and more supportive and understanding of the unique challenges they face accessing those services. >> the 40 units will be ready for move-in next summer. seventy-nine others are slated for completion in three years. lgbt seniors will be encouraged to apply. >>> tonight, the warriors hope to take the first step in repeating as championships. the will hold the 2015 draft. having the best record in the league, the warriors will pick last in the 1st round. that's the 30th pick overall. there are reports that the warriors are looking to move up. the team might be looking at adding a rebounder

is it detrimental impact in the short term beds or long term beds like laguna honda. i see them differently. is it impact like right now. it seems to me if you're actually having seven beds out of 32 there's not a lot of demand for it, i'm just wondering whether the loss of those beds will be a detrimental loss in the short term. >> our skilled nursing unit primarily takes care of very short term patients as was noted. we take care of some of the rehabilitative patients. it's a very short term. it's designed to be a very short term skilled nursing facilities. >> you found better ways to deal with your own patients correct? >> correct. >> if we do support this idea of coming offline, is there a commitment from st. mary's that long term that would help us to solve the problem? we're going to have a long term problem of beds. we'll be looking to hospitals. you'll be needing to discharge to continuing shortage of beds yourselves. i think we looked to be a part of the solution if you're taking beds offline. >> i certainly think all2mñ?ñ?ñ the hospitals in san francisco are