you want to mention on the laguna honda on the free memory screening exactly what happens? people can sign up and have free screened or -- >> i will ask our executive director from the group to give you more details on that. [inaudible] >> thank you. good afternoon president and dr. chow and members of the health commission. last saturday at laguna honda we conducted a free memory screen that is open to the public, community of san francisco, and it was -- we worked with the alzheimer's foundation and we volunteers -- physician and nurse volunteers did a memory -- conducted memory screening for members of the public. all total for three hours 16 individuals from the community came and they had it from fliers we posted around the neighborhood through our website, through the dph website and this was our first trial this year and we hope to grow it next year and it's all on volunteers effort from our physicians and staff at laguna honda. >> is there any finding that in fact -- you had how many people? >> 16. >> 16. and so it's your intent to -- i am fascinated by the idea tha

the care for that much time there's no place for you so if you're quadriplegic and sound like laguna honda will take me not necessarily the therapy didn't change that so - >> can you ask you how many people do you have an estimate of how many people. >> in custodial. >> yeah. >> to be held in a place so something can fourth things about a week two weeks to 2 a month of significant cases and it it is quite a task to figure out this i've had i won't name the hospital not san francisco general hospital but the hospital that discharged a person 5 hundred ups and downs and he was living in a center until they could fourth something sew do you have a sense of the total population in this category. >> on an even day in shelters. >> yeah. >> as i mentioned i mean, i on tell you the person people that are referred to me not everybody but i don't know that my data is scientific as say, i mentioned - >> i actually i know there are many people who are here for public comment maybe we can follow-up at some point it will be good to know and track that because those folks some point you're dealing with t

community support that looks like that people and keeping them in their community rather than for laguna honda or extending other shuttles serviced this for people not able to access them i suggest if i come up with a solution off the top of my head a system with appropriate case management that will be stabilizing the individual and supporting them and a place for a permanent housing our office is here to support and we we were not knifed to the communications around 9-1-1 meeting or other issues but here to work with everyone and courage you to look at the adult serviced i'm happy to answer any questions you may have. >> supervisor christensen. >> supervisor kim thank you again for being here and we'll make sure that the mayor's office on disability is included in future meetings i apologize you were not invite and you described some of the barriers that the disabled person today. >> what the ideal system looked like our department has the sense of the numbers beyond i guess the folks that come into the office and describe the situation you realty is it has a long waiting list and challengin

of course san francisco general is our largest organization in terms of staffing followed by laguna honda and then broken out from there. and this shows employees by division. this is helpful but what is really helpful we're looking at vacancy rates and targeting san francisco general and ambulatory care and construction of the network was the priority last year and now the priority is san francisco general. i believe we can meet the requirements but as others have done it and use a contingency workers with permanent staff and we will work with management to do that and make up the gap so just to give an idea it's sort of interesting that these 11 classifications hold 50% of our employees so these would be logically an area to target if you want to hire a lot of people; right? the key is however certain classifications even though they have a small number are still critical and for regulatory requirements and some associated with grant funding. you don't get the grant unless you have the position so we're constantly trying to negotiate the priorities but right now san francisco general is

>> yes. >> one of the lessons that we heard at laguna honda that they have excellent retention rate and 5% turnover at laguna honda and on average 20 year life span of average employee there so while looking at the new hire end which is coming in are we looking at retention strategies to retain and keeping a healthy work place at san francisco general so it's a desirable place to work? is that part of -- >> it is. we have a group looking at retention rates and also of course strategies and there's some pretty significant differences between this type of work and the work environment the two organizations but all of those things and succession planning and just the activities available to employees we will look at that and see what the differences are and see what we can build in. we have these work force committees that are active and looking at things to increase retention. >> all right. i have taken from the discussion that one of the requests of commissioner singer was to look at what might be a contingency plan but i would like to broaden that and put it into context and yes we're i

. >> so are are there tyler san francisco general hospital and laguna honda where between the level of the hospital and helpful will of the shelters are there. >> supervisor kim wants to intervention only because there are presentations this is merely the first presentation it is describing the issue issue you're right before about the rules to consolidate for the rules how their drafted being in existence we came up with the issue i know this is an issue every night at the shelters people entering the shelters that can't self-care so knowing often the response to call 9-1-1 or the other nurse now we have nurses in our shelter system can we develop a systemic progress understanding our demographics is intenseer he older than 10 years ago so 0 the purpose of the hearing has shifted more than about the proposed rules but the solution to the issue we're seeing no our shelters today, we have the department of public health to address a lot of the questions you're answering we're in the process of developing the solutions and this hamburger is an opportunity for us to have this discussion i

experiences and some where they will be learning as if they did at mills and we both have the laguna honda positive and some areas of concern, so i really think the fact that we have an infrastructure where there is communication among our distinguished institutions that have been part of our history in the city and county of san francisco gives us a unique opportunity to increase both what works and what we need to be aware of and what we should avoid whether it be here or the research triangle in north carolina with duke and other systems -- harvard -- you know we're going to need more valid communication and sharing as we navigate a unique challenge because we're still the department of public health. we're still the level one trauma center in san francisco. questions have been asked -- you know -- where do the male patients go if they can't go to mission bay? quote unquote. this is something you see and mission bay will work out. the old hospitals are going to be used as specialty clinics and worked out over time but this takes time and communication so i think there is a lot of scuttl

in february of 2014 laguna honda hospital became a tobacco and smoke free campus. when new residents are immediately they're informed of the policy and sign an agreement that they will not speak during their hospital stay. more than 60 residents have participated in ash kickers a support group. san francisco general rebuild continues to progress on schedule. in 2013 a transition planning steering committee began developing plans for the new hospital. as the building construction year substantial completion in 2015 rebuild activities will ensure that staff is oriented and systems are installed to support patient care services. dph's network of primary care health centers serve almost 70,000 patients and many are low income and complex medical individuals. the division plans to transfer the health centers into high functioning patient homes and as this approach the medical home will include a wide range of services in addition to primary care providers. in fiscal year 13-14 dph organized a trauma systems inform group and respond to trauma with a comprehensive approac

the stand alones -- >> i think there were plans to have and i don't know what it's called and laguna honda and built for a school. is that true? my school board members, colleagues? >> could you repeat the question supervisor? >> i guess the question is about space issues and so i understand there are space issues so i asked the question does it have to be on the site where there is a k5 program or can it be stand alone? >> it can be stand alone. >> yes. >> there are some places and i will give an example -- i don't know what it's called now and laguna honda school on 7th avenue and fixed it up and move in the program and i don't know if it happened. i don't think so. >> yes that site supervisor is the site of independence high school now. >> [inaudible] >> yeah, so we moved independence high school to the outer sunset to that site and being used -- >> no for example then i just didn't realize it. i keep looking over there and driving by there. >> yeah, it's a beautiful site but also supervisor for kindergarteners we're 106% over capacity so i think the space issue is a big issue but i can

to fruition i want to mention lewis if they had not gone forward wouldn't not be there naming laguna honda i'd like to ask our director and then we'll have our speakers who would like to call on to 0 make comments. >> this is an incredible day thank you. the during the course berries for the donation and to acknowledge of the formulation for their incredible work and i'm sure you're aware of our city hospital has done an incredible job of dominions raising we have a couple offer speakers tony from the mayor's office and wanted him to come and say a couple of words and from there, i said to acknowledge you talked about some lawyers we had the city attorney lawyers i want to mention medina and jessie smith as well and so with that, commissioners again, thank you to the zuckerberg and the foundation mr. whitaker if you want to say a few words on behalf of the mayor. >> sure madam director thank you commissioners i don't think tony whitaker office of the mayor, i can't echo dr. accentuateds words thank you for your your speedy item when mayor ed lee and in his state of public safety address ta

. >> good afternoon board members i'm worked at laguna honda for 20 years i'm not an expert in vvl but warren buffett is and george sorry is and mr. cal per if they don't recommended the pensions to be into hedge funds i know this is a bad idea putting citywide i aside any ethnic issues regarding the hedge funds like transparency and the connections with with payments just think about this the doubling of the foes for investing in hedge funds and the 20 percent extra charge for profit we city workers will be left in taking the risks with hedge funds and the profit will go to hedge funds for sure today, the members have the opportunity to do the right thing those who support vvl in hedge funds are really irresponsible i urge to you vote no on hedge funds investments thank you (clapping.) >> mr. vice president and board members i'm cynthia an official court reporter the may pitifully of 2013, the that they were to provide protecting and moderate income housing no to maintain the diversities the findings in the planning code section in the stay and city address mayor ed lee stated startin

with the office of economic workforce development and linked to longevity of folks that work at laguna honda and recorded from the closed session. >> thank you questions to commissioner karshmer. >> no one okay. i guess we've need the human resources was updated yes. >> yes. i sent out on meanwhile the final agenda does not include that item. >> just want to make sure i didn't skip anything. >> next item 9 committee agenda setting. >> so everybody is reminded that the calendar shows we'll do our planning committee meeting on the march 17th yes. >> st. patrick's day and i'll work with awe you and commissioner singer on the planning and finally located a school that will host you all for the community meeting for the mission there's update for you all this week and hopefully find one of three weeks. >> like to get in a meeting at the community sometime in the first half of the year. >> any other items commissioners wish to bring up on our calendar if not, we're prepared for the next item. >> we're at adjournment commissioners. >> motion for adjournment is in order is there a second. >> second.

and community integration program, or dcip this program was created 10 years ago as part of the laguna honda could (inaudible) return to community life. the ability to share data electronically made this process smooth for all the service providers who need to be loop. in also tracks residents for up to two years after the discharge to assure the supports are there to keep them from being reinstitutionalized or recommitted. however, an issue has come up regarding a breach with southern california medicare -- not us -- and it's been put on hold. the commission's is taking up this issue in the hope we can resolve it as quickly as possible working with the city attorney and the department heads. just as a reminder the council has a number of very active work groups and we heard this past month from several of them. the aging and disability friendly work group for san francisco, the affordable and accessible housing group, another that focuses on dementia care another that focuses on hiv and aging and finally one that focuses on palliative care. so these work groups really continue to make sure

patient revenues and captated revenues will be over the next two years, and then modest increase at laguna honda hospital in the second year. we also are forecasting an increase in our realignment funds. these are the realignment dollars for our mental health system and this is a different formula and a different category from our indigent realignment dollars which are declining, so and then on the uses. again we have a 6.2 million dollar reduction target and the second item i think which is the most substantive action that we're proposing today in the budget. the context on that item is that as you know beginning two years ago when we were in darker budget times we made plans to make a reduction to our community based services. the focus was to look at services for which we are not drawing down federal reimbursement and purely general fund and go through an rfp process to remark our system, and at the same time reduce the total pool of funds available by 8.8 million dollars growing to 17 in the second year, and that was done to meet our general fund reduction targets in prior years. that's gott