>> commissioner bernal: no, just underscore what commissioner loyce scahared, i think it's important that it's provided services in more than half of the states in the country and it's really showcasing the excellent work that's being done here in san francisco in terms of hiv prevention and getting to zero. >> president chow: wonderful. >> vice president loyce: i would also add to that that one of the thing that is this group does is it recognizes that we can learn from other communities and it's willing and receptive to hearing from other communities. i know that san francisco has a reputation of being all that and a bag of chips but in fact we can't learn. >> president chow: do you want to proceed with the second presentation? >> vice president loyce: the second presentation today was from the primary care unit of the san francisco health network. we've presented some very specific work that they are engaged in. they talked about their 3-year relationship with lane and in the lane process they developed and implemented a daily management system that allows for managers to work wit