laguna honda focuses on obtaining the little like recommend laguna honda. other workforce and compliment. this is really important. i want to due attacks to this. our epic courses has been instrumental in this work. i want to acknowledge dr. michelle fouts she works with our epic transition and programming. we've been able to stabilize epic align with d.p.h.'s response to covid-19. for the covid-19 response we may update to allow tracking of covid tests and vaccination status as well as upgraded changes in resident status which was extremely important for nursing. data collection, reports of data to assist departments looking for opportunities and regulatory compliance. then development for long-term care. we recommended upgrades and several recommendations have been implemented into the epic production build for other guilts that will be going live with epic in the future. i'm going to turn it over to my colleague to talk about some of the highlights that we had in fiscal year 2020-2021. thank you. >> thank you. next slide please. good evening i wanted to

that has been traditionally at laguna honda over the decades. we have a wonderful team across the board and quite pleased with the comprehensive nature and the compassion with which they're addressing these issues. and the concerns. the third presentation we had was a review of the culture of safety survey taken with ploy skwees. -- employees. it appears from the previous survey which was a baseline, we made a great deal of improvement around the cultural safety at laguna honda hospital. and really pleased to hear though there's still work to be done and two of the measures that were called out by staff that they're going to be paying particular attention to raising scores are the indicator around the person i report to treats me with respect and that mistakes have led to positive changes here. there's some of what of a relationship with the measures so the department within which they work and the ethnic makeup of the staff language issues and so along with that, equity measures are going to be paid attention to or focussed on as those measures

. >> target population is for individuals ready for discharge from laguna honda hospital san francisco general or other and francisco facilities. for individuals who are already in the community but are imminent risk of institutional placement but with appropriate supports can remain in the community. cff uses a two-pronged approach to provide home and community-based services. we provide coordinated case management and then we also provide purchases of goods and services that are not accessiblethrough other resources. the institute on aging or ila is currently the contracted service provider in this program . so a section in the san francisco administrative code requires that report level of service provided byclf as well as the cost that are incurred every six months . so again i want to highlight just a few things from the report wasshared with you all ahead of time. so hopefully you have access to that . first i want to highlight that clf received a total number of 68 new referrals and a total of 201 clients during the six-month recording period. six receive case management and the

for laguna honda, 11 of which have identified candidates starting in december or january. we continue to source candidates for the remaining 8.5ftes. while we're working to fill our vacancies, this is something we'll continue to see as nurses are promoted or move between the specialty areas. if we could go to the next slide? a large factor in our staffing gap has to do with our utilization of the vacation and sick time which does include approved leave for pcfrn positions. they run a rate of 187.4. of that 116.6ftes are approved leave or 8.4%. the respective numbers are 14.9% of the budgeted ftes. cross country allows us to support these leaves and still maintain patient care standards and title 22. this was an at a glance look at the historical usage of registry especially for zuckerberg general as they use the lion's share of the contract. you see quite a jump in the overall usage. the first line is the operational day to day everyday service to our population, utilization of the contract, and you'll see in the last few years we've been able to decrease our reliance on t

for laguna honda, 11 of which have identified candidates starting in december or january. and we continue to source candidates for the remaining 8.5ftes. while we're working to fill our vacancies, this is something we'll continue to see as nurses are promoted or move between the specialty areas. if we could go to the next slide? a large factor in our staffing gap has to do with our utilization of the vacation and sick time which does include approved leave for pcfrn positions. they run a rate of 187.4. of that 116.6ftes are approved leave or 8.4%. the respective numbers are 14.9% of the budgeted ftes. cross country allows us to support these leaves and still maintain patient care standards and title 22. this was an at a glance look at the historical usage of registry especially for zuckerberg general as they use the lion's share of the contract. you see quite a jump in the overall usage. the first line is the operational day to day everyday service to our population, utilization of the contract, and you'll see in the last few years we've been able to decrease our reliance

for example, areas in vicinity of senior centers, like laguna honda or places where there's trees and people with disabilities like pomeroy center. to me, it makes sense to also be proactive, places where we know there are vulnerable populations. i understood said high pedestrian traffic and bus stops, what about the other uses? >> that's great question. just in the last week, i got a concern about raised sidewalk that was in the green area. we internally talked about how there was a community center located there where people were going there for meals. it was definitely a high traffic pedestrian site. as inspectors, we take that into account wholeheartedly. it's the right thing to do. it's also a way to minimize trips and falls which is the right thing to do from a city risk benefit. we do take that into consideration. i think that one of the drawbacks to that map that i showed was -- it paints so much of the city as a green priority level. we do take it on case by case basis where we look at the site and if it's a severe uplift, but it's next to a curb next to a tree out of path of

he helped found the chinese international school, served as a board member in the laguna honda hospital foundation and volunteered providing counseling to at-risk youth. he received many honors for his lifetime of accomplishments, including the 2002 excellence award from the bar association. the 2003 distinguished alumni award. the 2007 san franciscan of the year award. commendation from the board of supervisors as part of the 2018 asian american heritage month celebration and even emmy award for part in the broken promises broken dreams. harry lowe was a proud resident for almost 60 years. he had been rejected countless times trying to purchase a home because of his race, but they were welcomed into diamond heights in 1962. and he fought against the attempts to build a freeway through glen canyon, the defining district 8 fight. spent countless hours with his children in diamond heights elementary school. it is an enormous honor to have represented such an accomplished and trailblazing constituent. and he is survived by his wife may ling lowe, still my constituent. our condolences go ou

for example, areas in vicinity of senior centers, like laguna honda or places where there's trees and people with disabilities like pomeroy center. to me, it makes sense to also be proactive, places where we know there are vulnerable populations. i understood said high pedestrian traffic and bus stops, what about the other uses? >> that's great question. just in the last week, i got a concern about raised sidewalk that was in the green area. we internally talked about how there was a community center located there where people were going there for meals. it was definitely a high traffic pedestrian site. as inspectors, we take that into account wholeheartedly. it's the right thing to do. it's also a way to minimize trips and falls which is the right thing to do from a city risk benefit. we do take that into consideration. i think that one of the drawbacks to that map that i showed was -- it paints so much of the city as a green priority level. we do take it on case by case basis where we look at the site and if it's a severe uplift, but it's next to a curb next to a tree out of path of

. >> clerk: there's a meeting in between but it's the laguna honda annual meeting. >> president bernalthank you, secretary morewitz. i see commissioner green, vice president green. >> vice-president green: i just want to thank you all for you educating us. we all hear about the health service in places like south dakota and some of the things that have been in the news and some of the heinous things going on with abuse from staff in hospitals and so forth, but to hear the detail that could be, and the information that could help to us do a better job for our local community and to set an example for communities around the country is absolutely invaluable. so i wanted to just voice my gratitude at these meetings to learn so much about the needs of the community and to hear from our community partners, it is absolutely critical. hopefully we can be as supportive as possible to really advance all of the concerns you have and to bring into focus some of the injustices that you have articulated today, so i'm grateful for your comments and for you sharing this information with us. >> preside

. >> laguna honda was 7%. >> what does that put you at city wide? >> that wouldn't be total number. we have nurses -- i don't have the city-wide number. we are not counting primary care. >> what is the current number of vacant positions you have for nurses? >> i can get that to you in just a minute. what we have been doing we have been doing training programs. we are actively hiring. we have had just eight training program people in emergency department. six successfully completed in the count as of 11/29. on december 13 we have another class of nurses in the emergency department to fill vacancies. we are doing the same in critical care. two area was the highest vacancies at this point. >> do you know the current number of total vacancies? >> we are going to get those numbers. i will have them in three minutes for you. >> what is the average time now to hire a nurse? >> when we did accelerated hiring, it was about, i would say, 30, 35 days, 40 days. what we did was they did ap reviews and merit cleared and expedited hiring. the managers interviewed and did a fair where everybody was

homes located on the western slope of twin peaks, above seventh avenue, situated between ucsf and laguna honda hospital. it is, in essence, the unit development with the zoning and constructed by standard builders from 1959, to the early 1960s. all the homes are virtually alike, constructed over a two car garage with two or three bedrooms facing the street and living and dining rooms in the rear, looking out in a vast range of views from the entrance to the bay and the headlands, to the golden gate bridge to the north, to mount davidson park in daly city to the west. the last homes built in this development, the homes on the 200 block of crest mont, built in 1964, were all built with two decks. upper and lower. [please standby for captioner switch] above an extendedroom i built on the ground level of my house . the only two homes that do not have depths have been tenant occupied for the last 20 years. mrs. dillard died 20 years ago the other mrs. lum died 87. all i can say is people in these neighborhoods want to live on the upper level oftheir house . they want to use them and they want acces

he helped found the chinese international school, served as a board member in the laguna honda hospital foundation and volunteered providing counseling to at-risk youth. he received many honors for his lifetime of accomplishments, including the 2002 excellence award from the bar association. the 2003 distinguished alumni award. the 2007 san franciscan of the year award. commendation from the board of supervisors as part of the 2018 asian american heritage month celebration and even emmy award for part in the broken promises broken dreams. harry lowe was a proud resident for almost 60 years. he had been rejected countless times trying to purchase a home because of his race, but they were welcomed into diamond heights in 1962. and he fought against the attempts to build a freeway through glen canyon, the defining district 8 fight. spent countless hours with his children in diamond heights elementary school. it is an enormous honor to have represented such an accomplished and trailblazing constituent. and he is survived by his wife may ling lowe, still my constituent. our condolences go ou

. >> laguna honda was 7%. >> what does that put you at city wide? >> that wouldn't be total number. we have nurses -- i don't have the city-wide number. we are not counting primary care. >> what is the current number of vacant positions you have for nurses? >> i can get that to you in just a minute. what we have been doing we have been doing training programs. we are actively hiring. we have had just eight training program people in emergency department. six successfully completed in the count as of 11/29. on december 13 we have another class of nurses in the emergency department to fill vacancies. we are doing the same in critical care. two area was the highest vacancies at this point. >> do you know the current number of total vacancies? >> we are going to get those numbers. i will have them in three minutes for you. >> what is the average time now to hire a nurse? >> when we did accelerated hiring, it was about, i would say, 30, 35 days, 40 days. what we did was they did ap reviews and merit cleared and expedited hiring. the managers interviewed and did a fair where everybody was

for example areas in vicinity of senior centers like laguna honda or places where there's trees and peopleith disabilities like pomeroy center. to me, it makes sense to also be proactive, places where we know there are vulnerable population populations. i understood said high pedestrian traffic and bus stops, what about the other uses? >> that's great question. just in the last week, i got a concern about raised sidewalk that was in the green area. we internally talked about how there was a community center located there where people were going there for meals. it was definitely a high traffic pedestrian site. as inspectors, we take that into account wholeheartedly. it's the right thing to do. it's also a way to minimize trips and falls which is the right thing to do from a city risk benefit. we do take that into consideration. i think that one of the drawbacks to that map that i showed was -- it paints so much of the city as a green priority level. we do take it on case by case basis where we look at the site and if it's a severe uplift, but it's next to a curb next to a tree out of path

he helped found the chinese international school, served as a board member in the laguna honda hospital foundation and volunteered providing counseling to at-risk youth. he received many honors for his lifetime of accomplishments, including the 2002 excellence award from the bar association. the 2003 distinguished alumni award. the 2007 san franciscan of the year award. commendation from the board of supervisors as part of the 2018 asian american heritage month celebration and even emmy award for part in the broken promises broken dreams. harry lowe was a proud resident for almost 60 years. he had been rejected countless times trying to purchase a home because of his race, but they were welcomed into diamond heights in 1962. and he fought against the attempts to build a freeway through glen canyon, the defining district 8 fight. spent countless hours with his children in diamond heights elementary school. it is an enormous honor to have represented such an accomplished and trailblazing constituent. and he is survived by his wife may ling lowe, still my constituent. our condolences go ou