and the story is the safest place in california to have a baby, so we want to acknowledge san francisco general. there was an article in the san francisco examiner, on may 11th that front page featured the story of garcia, he's not related, efforts to give back to san francisco general hospital. four years ago, trauma surgeons saved his life and garcia is organizing a run to race 30,000 to celebrate his health and show his gratitude back. i'll leave the report and answer any questions that the commissioners have. >> commissioners, any questions at this point in time? i think -- i have one or two. on the may revise of the governor's budget, they're taking money from the county and that will be made up by the funds rendered. >> there's another part, those who do not select their health plan, we'll get 70 percent of those allocations from the health plan as individuals. if an individual does not select a health plan, 70 percent of those individuals will be given back to the county as part of the give back process. >> they know who hasn't joined the health plan and we're going to get that money bac

security for the hospital and this is -- the security manager is not just going to be for san francisco general. this is a security manager for the entire department, but we are focused of course on san francisco general. the big change that -- i hopefully [inaudible] sheriff today is the fact that we are looking at adding a security component to our legal component of security law enforcement so if you want to acknowledge the sheriffs and also the work he's done, roland's going to give a little introduction and then we'll turn over to the sheriff. >> thank you and thank you for coming. >> thank you director garcia. roland, director of san francisco health network and i'm joined by kathy jung who is the lead agent for security and is overseeing security efforts at sf [inaudible] and then the primary lee liaison for the past few years. i want to share with you the summary of key findings and recommendations and also share some improvements related to hospital safety and security. as you know, there was an unfortunate indent involving the death of patient lynn spalding at sfgh and that incident s

our we delivered the first elevator money we essentially borrowed r from other projects at san francisco general in in order to. the next is the san francisco city clinic on 7th street, this has been a long delayed project. we're finally getting to it and we're doing ada barrier removal. we're not adding an elevator to this building. this is a very specialized clinic, which we're hoping as part of the rebuild it will migrate into building 5, which is the main hospital. so here we're renovating getting to the front door, getting to the reception counter, the restrooms, a clinic room and exam room and get those basic functions in shape for accessibility. the following project is health and human services. it's what we call the homeless shelter ada renewals. we haven't done a renewal -- mod hasn't done a renewal since about 2007. and our job in there is to go and just make sure all of those things that benefit accessibility are functioning correctly, like, door operators, adding wheelchair lifts and we have the right things in the shower rooms and toilet rooms and if necessary if they have raised b

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 lot of big changes compared to what you've seen before, but we are really in a place where we're watching the big federal dollars carefully and watching our enrollment information carefully to try to narrow down some of the uncertainty about where we're going to be coming into the coming year and refine our projections, but we're in a much better place than we were in the past, especially on our expenditure. i just realized one thing that i do want to point out that i skipped over on the san francisco general hospital slide. i skipped one of the slides on the expenditures there. we have -- on the expenditure side we are living within budget. you'll see that we have a projected $16.6 million favorable variance in salary and fring

having staff in staff to provide it and we make every effort that in every clinic whether san francisco general or community based clinics we have that capability. if we don't have the capability we have an interpreter service that's actually run by the san francisco general automatic transfer seem less transfer the patient themselves probably won't know that and then the dmi i don't know if you have seen the vmi the video medical interpretation but also we have -- >> i know i hear information from members of the community about challenges they have and i wondered is there some way for a complaint based system to get feedback after the fact there are san franciscans who feel like the language needs weren't met but that's probably a longer term conversation that we need to have with other departments. >> last year we actually had 10 complaints and 10 of the complaints were resolved. >> what were the nature of those complaints? >> timeliness and initially had to do with the translation itself which is why darlene -- the goal of that training is not only the language itself but sometimes body lang

avalos, i just wanted to understand the details of your request to reduce the new security at san francisco general. what would that mean? 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 i

hiring, we are not blaming anybody for that, just pointing it out, due to delays in hiring, san francisco general hospital projected 14-13 salary is surplus is $13.9 million. that money is there. $13.9 million. while the department anticipates increased hiring prior to the opening of the new san francisco general hospital building we anticipate the department will experience a high salary is surplus again in 14-15. if you also look on page 50, we also had that a similar explanation for one of our recommended reductions on page 52 and then on page 54, mr. chairman and members, we are recommending to place $8, 490,000 on budget reserve. the budget salary in fiscal year 13-14 of $8.7 million. that's in addition to $13 million that i mentioned. the point that i'm making supervisors when we make the recommendation, to cut a total in the department of public health of $3.9 million in fiscal year 15, i would like the supervisors to consider the fact the is surpluses the department has been experiencing in 14. >> i have a question, mr. avalos. >>supervisor john avalos: mr. rose, i had a hearing at the ho

of course san francisco general is our first priority right now. >> yeah, thank you. so if there are no further areas that commissioners would like to be sure, thank you commissioner melara. >> just a suggestion that we've had so much wealth of information here today that i would suggest that this be taken at the join conference committee in that periodic report from the joint conference committee come to the full commission. >> yes, we will see that. this remains on the commission calendar and we'll try to do our work during conference to bring you the best answers behavioral health, women's health and sexual health. i want to point out that -- and in that roll i have been looking at this data now for almost 15 years and i can tell you we have a lot of work to do and what i want to emphasize now is the leadership that director garcia is -- she's put together an african american health initiative and we're actually going to focus in the area specifically in our healthcare system. we expend a huge amount of money and we need to within our system and some parts of or sy

it's the only commission that a credits san francisco general. special recommendations included the development of a comprehensive security plan, the appointment of a full-time security program manager that would help to promote a culture of safety throughout this association organization and that that security program manager should have responsibility for developing that comprehensive plan. so in terms of an update on where we are with those, the dph security manager position has been put into the dph budget for 14, 15, and due to the critical nature of this position, we've requested an exception to the city annual salary ordinance to allow us to recruit for that position now rather than wait for july 1. that is going forward through our process and requires board of supervisors approval and is in that pipeline. another finding was a lack of staff training and awareness and confidence and security. a lot of work is being done by the sheriff's staff and in promoting a safer environment. all sheriff staff assigned at sfgh have gone through orient

i'll actually speak quickly on -- i actually work in oral maxillofacial surgery clinic in san francisco general and in children in san francisco, which is where most of our data on dental carries, the process that causes he cavities, we actually care about that ~ and we measure that. it turns out in adults from a policy standpoint for some reason, people don't care. and i had a visiting oral surgeon from england come observe with me in our clinic and all these people are coming in with big holes in their teeth and he he asked me, why don't they go to the dentist? apparently in america we don't care about that. we don't think that's important. we just let it get bad enough to where the tooth can't be fixed any more and that risk for bad infections. i've had people in the intensive care unit i've taken into the operating room and had to drain their necks and sugar is a big part of what is causing their disease. what do we do, how do we change behavior? education is great. i believe my student loan debt shows that i care about education. [laughter] >> so, it's an important component of what we do,

with the budget and legislative analyst was a proposed reduction to nursing, salaries at san francisco, general. and as part of the mou that we had entered into, there was a side letter, and with a commitment to add nursing staffing, and in specific areas, and it was part of that agreement, and so our concern was that we did not want to have an offseting reduction to salary, we had agreed with the budget and legislative analyst, to remove that recommendation, so that is not part of these reductions, and with the technical adjustment from the mayor's office, that mou side letters going forward fully anticipated. >> thank you. >> and in our haurg hearing it was discussed that the department is doing a lot of work to expedite the hiring process to the department dhr and how is that moving along and how are we seeing that stream lining going forward? >> we are very focused on it from top to bottom and we actually just left the executive team meeting where we focused on that, so we have got, a new several, new hr team members, that are hired, as of about three weeks ago. and so, we have reorganized

at san francisco general hospital we make great efforts and have been very successful at hiring staff who have cultural and linguistic capabilities that are able to serve a very diverse group of individuals seeking treatment and it is a really crucial aspect of treatment, i completely agree with you. >> thank you. >> colleagues, any further questions for dr. leery? okay, thank you very much for being here. appreciate your report. next why don't we have police chief or fire chief greg white, whichever chief, sir. >> good morning chair yee, greg sur, san francisco police department. the police department is in support of laura's law so we might be able to provide the best community-based care to some of the most vulnerable that are at such degrees of mental illness that they cannot select such care for themselves. while most people who experience mental health issues are not violent as a result of that illness, there is those with severe mental illness who have a higher propensity to exhibit violence to themselves and perhaps to others. though our city has some of the better mental heal

san francisco general is providing the only trauma care to kids as well. another up great is doubling two pediatric exam rooms to four to help maximize space and efficiency. right now the panelists are discussing what can be done better to prepare for the next sort of asiana casualty incident. we have cheryl herd in there. she'll have the latest at 5:00 and 6:00. >> thank you for your work as well. >>> well, we now have a name to go with the face. santa clara county sheriff's deputy say justin johnson is the person featured in this surveillance video. johnson is accused of arguing with a clerk at a liquor store in san jose. you can see him throwing bottles there and then the clerk fights back with a garden tool. customers stepped in to pull the suspect off. the clerk suffered minor injuries. >>> we learned that the psychiatrist in the oscar pistorius case reported that oscar pistorius was not suffering from a mental disease. >> reporter: oscar pistorius has been away at a mental hospital where a team of psychiatrists evaluated him every day for a month. in

i just realized one thing that i do want to point out that i skipped over on the san francisco general hospital slide. i skipped one of the slides on the expenditures there. we have -- on the expenditure side we are living within budget. you'll see that we have a projected $16.6 million favorable variance in salary and fringe benefits so we're coming in below budget by $16.6 millions. that is due to a couple of things. we have a couple units that are under their budgeted agent census so we've incurred some savings there and we also have some savings from our delays in hiring. i wanted to point this out because this is something that's come up at a couple of the last commissioner meetings and it's also come up extensively in our meetings with our nursing union as we've talked about their contract. we have -- despite the salary savings, that is not coming from our inability to fill our clinical positions, although that is a very serious issue for us. we have about 80 nursing positions at san francisco general that are unfilled and we are working overtime to fill those positions, however,

it wasn't that long ago, there was a tragedy at san francisco general hospital, and what that -- what that very, very unfortunate event had spotlighted were needs for improvements at san francisco general hospital in a security infrastructure and the infrastructure of protecting in the surrounding community. we're very pleased with the corporation collaboration of the department of health. they helped us make improvements that should have been quite some time ago and being able to resolve some issues that stem from the implementation of our security services there in 2003. >> supervisor mar. >> i wanted to go back quickly to overtime. i know last year, you presented that training and assigning 14 academy graduates to post positions in this fiscal year was a fwoel and i know that you had set some goals to reduce overtime significantly, but the chart that i see, i know you have your 15 minute muster requirement, but it seems we're not reducing overtime and it seems like it's growing so what's the projection for future years. >> that's our projection can the 15 minute overtime, but our c

so, opening the new san francisco general, we've added additional funding to support higher staffing levels for emergency medical transports as well as restoring mental health and substance abuse treatment services and federal hiv and aids cuts. i mentioned this morning earlier the city came to a two-year labor contract with most of our employees which included a 3% wage increase the first pay period of october of 2014, a 3.25 wage increase in october of '15 and a range between 2.25 and 3.25 starting july 1st of 2016. i already noted the savings in health and pension costs and [speaker not understood] from the health service system remarked this morning about the investments in our employee wellness plans. we have made major investments in capital it equipment and we have made the decision to cash in those investments rather than use finance or debt to pay for them. this slide just kind of shows you where we're spending in capital investments over the next two years, about $213 million in capital investments. the department receiving the largest amount of that money is the department

it wasn't that long ago, there was a tragedy at san francisco general hospital, and what that -- what that very, very unfortunate event had spotlighted were needs for improvements at san francisco general hospital in a security infrastructure and the infrastructure of protecting in the surrounding community. we're very pleased with the corporation collaboration of the department of health. they helped us make improvements that should have been quite some time ago

at 8:30 in the morning, 1959, i was born at san francisco general hospital here. i'm a native of the city. i grew up in san francisco western addition. i grew up in public housing. at the age of 21 i graduated from city college and i moved into my first place of my own buying a house in the bayview district in san francisco. [speaker not understood] i got another job. that company went under. eventually i became disabled like i am right now with posttraumatic stress disorder and i'm living on disability. i ended up in an s-r-o. i've been in the s-r-o for 10 years. thank god for the subsidy because i live in -- without the subsidy i couldn't afford to live in -- where i'm living now, $700 for an s-r-o. i've been in there on the waiting list for social housing for two years trying to get a place. you know what, i haven't had a bath in ten years. you know why? because i live in a room. i have a desire to have an apartment where i can sit in a tub instead of standing in a shower. right now i have a daughter who makes $18 an hour. she has one child. she lives in public

of course san francisco general is our first priority right now. >> yeah, thank you. so if there are no further areas that commissioners would like to be sure, thank you commissioner melara. >> just a suggestion that we've had so much wealth of information here today that i would suggest that this be taken at the join conference committee in that periodic report from the joint conference committee come to the full commission. >> yes, we will see that. this remains on the commission calendar and we'll try to do our work during conference to bring you the best answers

today i'm introducing a hearing request to shed some light on how we can continue to make san francisco general hospital the best hospital around or continue -- that it will continue to be the best hobble around. also, i have a resolution urging resolution from this board, asking the state to go further by requesting that commercial property be reassessed regularly between one and five years just like in every other state in the country. this is a resolution in support of assembly member tom ammiano's bill that he introduced dealing with the reassessing of commercial property taxes at the change of ownership for commercial property. this is addressing prop 13. i have circulated a copy for your review and, madam clerk, the rest i submit. >> thank you, supervisor cohen. supervisor farrell. >> thank you, madam clerk. colleagues, today i am introducing two pieces of legislation to implement laura's law here in san francisco. each year millions of individuals slip through the cracks of our mental health system, across our country, and many right here in our great city of san francisco. they makeup a