at laguna honda we also have some additional positive news. the biggest piece of this is -- let's see. here we go. the biggest piece of that is in a prior financial report there was a change to the way the state pays us for our distinct nursing facility supplemental dollars. they've changed their policy to give us an interim payment, which means we get our money sooner and more accurately . they've gone two years retroactively in the current year so let's bump that number up by about another $6 million so that has made laguna honda project to end the year in a more positive financial bottom-line. in the other divisions you see essentially similar outcomes to what we've seen in the past. we continue, although we did fix the structural budget issues at san francisco and general and laguna honda. we still do have some issues at the other divisions and you can't to see a little bit of personnel cost variance in those divisions that's been historical and we're going to try to chip away at that over time in the coming budgets. so again, not a whole

i mean that i am sorry, san francisco general and laguna honda, could you explain? is it... and it will reduce the new security or the existing security? or i am trying to understand that. >> and it would be maintain a certain level of security but making a reduction in the security services that are there in the laguna honda and in the clinics and the sheriff just talked about you know the increase services in those places, but it would not or effect the general hospital facilities, so this is a, this is a new... >> and this budget analyst could talk about it within their report that came out last night. >> okay. >> and you want to. >> yes, for the chair. and in our report that we released last night and we looked at the changes in the security, and the evaluation of security that was done by usf was specific to san francisco general and we looked at enhance security and about the base line at laguna honda and i believe that the number was 1.2 million dollars increase. but we did not include in that was the increased security of the mental health clinics. >> supervisor mar?

services in laguna honda, and our clinics from general hospital and reducing the pci forward from 70, percent, to 68 percent, for the street and repaving program, will yield a total of 19.5 million over two consecutive years and i know that these are controversial choices and not expected to get into a debate about them 1k3 i think that those expectations that we are supposed to find more money and i think that we have to make choices and we have to make choices based on what is before us and these are the choices that we have and the other ones that will come forward as well and that will be the different choice and we also have the overhead surplus fund in dpw, and so, 100,000 per year, and it is sort of, we can take a look at. and the department of technology, and we will have an operating project of 1.8 million per year, and so that we can put in the mix of choices that we have before us. and choices that we can choose to take or not. and one, is looking at, managers that had to reduce the number of managers in the city so that we can actually put the priority for the line staff,

general most of the primary care and specialty clinics now have vmi and one clinic is online at laguna honda also now have vmi and the new hospital being built every in patient unit will have the ability for any level of interpreter service and we cover the languages more importantly we have access to one hundred additional languages for clients. we've made significant progress also in that at the moment we can actually translate materials between 7 and 14 days which is quite a record that we're very proud of. the interesting thing is even though we're talking about language it's one of the areas also that we're getting lots of demands around braille so that's an area that we're trying to work on and trying to develop expertise around braille and getting access to translation services for braille and something not spoken to is san francisco is getting older so we're getting requests for -- fonts we've also made a -- every clinic has signage and we're able to provide it and another thing is actually have the units in the department of public health totally responsible for language assets and

we also heard a presentation on efforts related to patient flow in and out of laguna honda and in the open session the committee [inaudible] in closed session we approved the may credential report. >> any questions? if not, we'll go on to the next item please. >> item 14 is the committee agenda setting. >> any -- just to remind you that our planning committee meeting is -- >> august 19. >> -- august 19. okay. and we've been able to obtain the same facilitators so pleased with what will be a continuity from our last meeting. >> and since our last meeting, the commission must ask the women and health commission are worked on a date and it's a date of december 16 for a joint meeting, which would focus on women's issues, both from policy and department public health perspective. >> okay. and we're working on an agenda for that too? >> oh, it's all very preliminary. i just wanted the announce it. yeah. >> i think if anybody has any items they think the joint commission should take up, then we should give those over to the director now so that we can see if those are of mutual interest to t

at laguna honda we also have some additional positive news. the biggest piece of this is -- let's see. here we go. the biggest piece of that is in a prior financial report there was a change to the way the state pays us for our distinct nursing facility supplemental dollars. they've changed their policy to give us an interim payment, which means we get our money sooner and more accurately . they've gone two years retroactively in the current

seniors and persons with disabilities in their home and saves being forced into nursing homes, into laguna honda. one day as we all know from our own parents, grandparents, they want to stay always in their own home. i also would like to bring up the issue of fixing elevators in s-r-o hotels, particularly for seniors and persons with disabilities. the mayor has found some funding for this program for public housing, but we need at least a million dollars to start off for people who are living in s-r-o hotels. they have been stranded, some seniors, for literally weeks, we've heard testimony. and finally, i'd like to bring up the university mound home. we would like some seed money. we've asked the mayor for this and we'd also like the board to support so when senior who are over 50 who could be evicted in the next few weeks could stay in a assisted living place. thank you very much. >> thank you. next speaker, please. [speaking through interpreter] >>> supervisors, i am nugen ten from the s.o. . ~ s-r-o families united. i urge you to support the proposal before you from the housing [speaker not u