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tv   Aging and Adult services Commission 8515  SFGTV  August 5, 2015 9:00pm-12:01am PDT

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ayes have it so the motion is carried. could we have approval of the august 5 consent agenda. could i have a motion to approve? >> so moved. >> second. >> moved and seconded that we approve the consent agenda for august 5 2015. all in favor say aye. >> aye. >> opposed? ayes have it and so the motion is carried. i need a motion to approve the june 24 2015 meeting minutes any corrections? >> motion to approve. >> second. >> it's been moved and second that we approve the minutes of june 24 2015. all in favor say aye. >> aye. >> opposes? ayes have it and so the motion is carried. item 5 general public comment.
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we have three in the general public comment -- any general public comment at this time? hearing none we will move the agenda. we have the employee of the month, and recognize lisa leui. from the office of adult protective services. come forth. [applause] >> so -- sorry, so lisa you are
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being honored today from your colleagues in adult protective services. but the truth is that i had the privilege of working with lisa on the fifth floor sharing space with adriana, and making sure that the folks that came through the door were welcomed. but in addition to this this is what i remember lisa would come to me and she would say is there anything i can do for you. are you sure there isn't something i can do for you. you know i actually like the fax machine because i can make it work. and i would head to the fax and no i can do that for you. it was extended yourself to me who is busy but not as busy as some other people in this room. to make sure that i had the tools and the things that i needed to make that particular day to go as well as it could
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go. in addition to that, and i think what everyone knows and it was written by the aps staff as well, you always have a great smile on your face. we always have a team shirt i don't know, who are those teams? i don't know if i recognize this one today. but always keeping us on our toes what is going on what is important in the world. making the office and the people around her providing support and just sharing, i think, your wonderful personality with us which i think is pretty terrific. i want to thank you, and the folks from the adult services want to thank you. i suspect that if anyone that walked through on the fifth floor, would want to thank you as well. here we go. there you go unless the flowers are me i am thinking they are
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for her, and you all should bring those flowers up here now. [applause] a fifth floor colleague. and they will get a picture; right? [applause] >> at this time we will have the director's report. >> good morning. is this on? it's on -- okay. all right. so you know it feels like it's a long time since we have been together. and since i last saw you i got an invitation from the white
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house to go to the white house conference on aging. so my report today is going to be about the conference itself. first of all, i want to say it was, bridgette can attest to this one late afternoon an invitation from the white house and i had no sense this would happen. it was a welcome surprise and i was totally excited about this opportunity. as you know, i am on the -- all aaa directors in the state of california are on the california association of aging board as directors. that makes us members. so i was voted through an election process to represent california as one of two board members on the national board. so every region there is 12
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regions, has four. so we have one from hawai'i, and one from arizona, and two from california being the bigger state. for a number of years i was the alternate and recently became the board -- took the board seat. so what had happened the staff for nfra was asked for the names of people of potential invitees, and gave the president and two of the vice presidents names and i am one of the vice presidents, and that is how they took all three of them, thank you very much. it was somewhat difficult because the conference was right in the middle of the national association conference which is held in philadelphia. so -- but that's when the president was available. so that's what we did. so we were a number of staff and myself were in philadelphia for the conference, where we did win an award.
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and i think at our next meeting we will talk about that. and staff did several presentations. and in the middle of that i got on a train and went to d.c., and spent a night and the next day at the white house. this white house conference would have been the sixth. the first one was back i think in '61 or so. they haven't been exactly every 10 years but the last three have been 10-year difference in time. and all the previous ones have been and i think i mentioned this to you before have all been delegates elected from their various states. and anywhere from 2,000 to 3,000 delegates would come to washington, d.c., they didn't meet at the white house, too small for that. but they would come and be there for a couple of days debating potential policies that they wanted congress and the
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president to pick up and move forward with. it's also how a number of things have become part of the old american's act. though they don't have funding but found their way into the act. through the white house conferences over the years, different concerns brought up and found their way into the document. so this year in the past the way this always worked. the congress allocated dollars to the white house to put this event on. this year the congress didn't do that. and so the white house was faced with whatever budget they could come up with themselves. at that point aarp stepped in to work with the white house on some financial support. and it was determined than instead of bringing many many people to -- so instead of bringing many people to washington, d.c. they
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would have five regional forums throughout the country. and then they would invite people from surrounding states to attend those. so the folks in california were invited to one in arizona, for example. those were very well attended. i know from hearing reports about what went on in the forums. they were a little different in each one. but again it was gathering information from professionals in the field and older adults themselves about what is important to them. reports were created out of all four of those. and those reports are actually on the white house conference and aging website. so you can look at what came out of the five forums. l.a. just happened they were doing something similar. so they kind of flipped the event they had planned and turned it into a forum. but it wasn't one of the five that had been proposed by the
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white house. and then on the day that we went, and then the white house conference was announced, the date was announced just two or three weeks before. and the invitations went out about two weeks before the event. it was all very, very tight. the white house conference itself though being very different. there were between 160 to 200 of us. really what the white house, what the east room can hold. so it was a very different conference. there wasn't this opportunity on that day to debate big issues of the day. that had actually happened in the regional forums. but what we did have is a series of panels who focused on i would say what we would determine to be key issues of the day. so one of the panelists -- one of the first panelists was on care giving.
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you had alzheimer and dementia on that and work issues. there were members on the panel, there were family members and people that were workers and cabinet secretary. and it was this diverse -- and i believe someone from the business community who works in the world of care giving. or had a national company. so it was really this kind of cross-the-board examination of care giving and what were the important elements you would want to discuss. cabinet secretaries participated throughout the day. and there was someone i believe on each one of the panels. either a secretary or a cabinet member and an assistant secretary. there was a lot of high-level participation. as there had been in the regional forums and the other discussions. the president spoke right after that panel. and of course to a lot of applause throughout his speech he talked about and i would just
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say, although he was relaxed and used humor he was very focused, and very intentional in his comments about continued support in social security and medicare issues around workers. issues around understanding that people want to be at home. they want to live their lives in the least restrictive environment that they can, not his words mine. and then he announced some initiatives that would support that kind of work. so there is going to be dollars available for training around alzheimer's and dementia for folks in nursing homes, for example. and he also spoke to economic security. and so there will be a pushing out to the states of rules that would allow the states to create retirement funds for workers who
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don't have access to any kind of retirement. it was one of the themes of the conference so many people do not have access to any kind of retirement other than social security, and that's not enough in today's world. so initiative there. there will be funding made available related to elder abuse prevention training for district attorneys. so we can see a greater push across the country. anyway at some point we will make available to you all the many initiatives that came out of the president's speech. and also came out through the day. the president ended on a high note i was in the eighth row, i couldn't see that well at that point. i think he was shaking hands with people on the front row. and left the room to a standing ovation. we then had a panel on economic security. and there were people there who really working in the field.
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helping individuals get out of debt. and trying to sustain that. i think often i was thinking that day of cathy davis and the work she has done and her staff has done in the bayview to get in housing. in order to qualify for certain things you have to have a pretty clean sheet when it comes to debt and those things. there was conversation about that and conversation about worker wages. it was an interesting panel. the afternoon was held the sessions were all held in the dwight eisenhower building, not the white house campus but a different space. again it was panels of people who were speaking specifically to various issues. so cathy greenly, the assistant secretary was on a panel related to elder abuse. and people on that panel were both from the business
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community, government, nonprofits, who talked about experience and what they were doing in this world. she mentioned she had been to california recently and i believe jill you were one of the people that she talked to when she was here. she talked about her experience. she talked about the people she met that had been abused. and used those as stories in her comments. there was a small panel that talked about innovation. another panel that got much more in-depth into technology. but you know as the day getting to the end of it everyone was taking a little more time. i have to say that the technology which one of the things i was most interested in had to be shortened up. because there wasn't the kind of time available. at the end labor secretary perez gave an outstanding speech.
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i had never heard him before. and he in many ways was like a call-to-action i think. he talked about the five -- he described it as the five pillars of the middle class. and reminded and talked about what those were. and reminded everyone in the audience were from the middle class. and a whole lot of folks out there wanting to join that group of people. and what could we do what would we do to make that possible. it was a speech where you felt kind of much like the president's, where you wanted to be clapping every other word. but you knew that wasn't going to work. i would say that the day was -- there wasn't a lot of time for questions. although at the end of every panel there was an opportunity for that. and one of the things that i remember very well was in the
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care-giver panel the moderator asked, had gotten questions through twitter and the audience. and was reading them. and one of the questions was, what can aaa agencies do related to caregivers. and really the response from all the panelists pretty conclusive conclusively was to help find them. it was conclusive to me because we work in san francisco for a place in the department and venues in the community for people to access for information and assistance and counseling. and the young woman on the panel 31 year-old scientists raising a two year-old and has a father with dementia at 90. said that one of the most difficult things for her was finding services. as much work as we all do in this area it's clear and she didn't come from san francisco, another place. but more work needs to be done.
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people suffer unduly if they can't get access to good, solid information. and she said i wished i had known about all the programs that the panelists had talked about in the beginning of my care giving as opposed to this point. i thought that was a meaningful conversation and for us to think about, what are the things that we do. and what are the things we are not doing and where do we want to go with that. for those of you that know, the organization ido they do space -- one of you can probably explain better than i. it's all about individuals and space design. and one of their key people in the organization is in her 90s. she was one of the persons that spoke. i have always wanted to i have
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read about them and never heard them speak. it was quite an opportunity in that regard. there is a -- is maria still here? the author that has -- she's an author and activist in terms of caregiving was there. and she got up and gave me her seat in the afternoon. i felt very privileged. i got to spend time with fernando torres gills, one of the leading experts in aging in disabilities in the country. i heard him speak but never had a chance to sit and talk. it was this enormous opportunity for me to think about new things. but also see san francisco in the context of what i heard people talking about from across the country. so i know that much of the press talked about the disappointment, that it wasn't 2,000 people again.
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i have to wonder if it will ever be that again. if that technology hit the point where we can do things more locally. and still bring that information forward. but we will have to see. there will be another one we hope in 10 years. i guess the other thing i would announce right after that, as soon as we got back from the conference. the senate passed the older's american act, out of the senate and now in the house. we are waiting to see what happens. that was a nice bookend to having the conference and then the white house conference and then to hear that as well. so was really an honor to be there and it was just a great day. >> are you finished? okay. i had a question i missed, you
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talked about the four panels. one was on caregiving and technology and what was the other? >> elder abuse. >> anybody else? so all of this happened in one day? all of these panels? >> yes. >> one day? >> one day. and then you hop on a train and go back to philadelphia and are very, very tired and like this -- all of this information. going through your head. i would add there were over 600 watch parties across the country. so they were streaming the event all day. because i got text messages from people who were watching. and commenting on the day. so i think that adds another piece to this why we may not
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see a huge group in d.c. >> next document for community living fund. for the year 15-16 annual plan, executive director. >> you have this report in your packets. and i am not going through the whole thing. as a reminder and background. the community living fund was put together and funded about eight years ago. i am thinking nine years ago now, is that right linda? and this fund came about because there was strong community interest in seeing that kind of back to living in the least restrictive environment; right. making sure that people who could live at home lived at home. and at the same time we had a controller who had a personal --
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partner had a personal interest in this subject. they had a family situation and another part of the state had tried to find services and had a hard time doing that. and came back really wanting to look at what was the nature of things in san francisco. so the stars kind of aligned in that sense. initially it was thought that this was also during the time that the rebuild of rio hondo was taking place. and initially a thought that the rebuild won't cost as much money. some money could be set aside. and a large enough fund to draw on the interest of the fund and help people stay at home or come out of lagunda honda that didn't need to be there. and that idea was soon given up instead under mayor newsom they
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decided to create a community living fund. it was $3 million strong. and the money from that fund would rollover, if you didn't spend it all in one year it would roll forward. for those of you heard this report before you know that for the first few years money was rolling forward and we had greater dollars to spend. this was a locally designed program. we were able to bring staff on to help us determine what kind of program would be the best for us to implement to achieve the goals that the community living fund language had set out for us. we soon determined that a program in philadelphia was a model that we liked a lot. it was not so dissimilar from the mmsp and the linkages case management and services program that we had in the state of california. we went with a model that was case managers with small case
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loads. not 40. but much smaller. because they would be working with people that had either been institutionalized and wanted to come back to community or at home and had a lot of difficulties. that's what the program was set up to do. it's been enormously successful. and this many years later we have both santa clara modeling programs after this. and due to the care initiative they are able to set up similar funds. we have local people in san francisco some folks that worked in this area with us are providing that service in those counties as well. so by-we're required to bring forward to you the annual plan. so what you got in your packet is 2016-17 plan. and i would just say that the big news this year and it's on page 5 of the report. is that thanks to the long-term
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care coordinating council and the advocacy provided through them an additional $1 million is added to the fund. when we thought this might be the case, staff started working on what we thought would be appropriate uses, and gathering information and data. we have a lot of information that we have gathered over the years. and talking to people in the community about where are those needs and what is important. you see on page 5 that what we are really looking at in terms of these new dollars are housing assistance. home care. and home modifications. and we are pretty clear that that's -- this money will be spent. there has been a need in these areas and we have not had the dollars to do it. we were doing home assistance for a while when we had as i said when that money was rolling forward and we had greater
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dollars. we were able to do home assistance. but once back to the base level of $3 million we had to stop that. this is what we learned from the data review and from the community these were the areas where we were lacking. and this is what we will be focusing on. and then i would say turning to page 6, you will see that we have added two new performance measures. and we're looking at the percentage of care plan problems resolved, on the average after one year. and we are looking at the percentage of clients with one or few admissions to acute hospitals within a six month period. so we really -- we have been tracking other measurements as well but these are the new ones we added in. we think this is important for
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success. and linda and carry and i are here and we can answer any questions about the report. that's my summary of the highlights. >> commissioner? >> thank you. how do we approach the housing assistance? what strategies do we have? i imagine it's very challenging in today's renting market and housing market in general? >> a number of years ago, not remembering how far back. after the second lawsuit the chamber's lawsuit. it was determined that housing would have to be a key component of any work that the city did, just setting aside the community living fund. this was a lawsuit against the city saying fine and good people are coming out of laguna
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honda, but you can't come out unless you have somewhere to go. and the service about housing. the city at that point when they settled the lawsuit created a fund a housing fund. that was specific for this population of people. and at that point a contract was put in place with westbay housing, which has a different name now. brilliant corners. and they have been the organization to find the housing, to lease the housing, to do the work with the clients around making sure that things are going well. on the housing side. i mean these are folks still receiving case management. so it's a wrap around them. so that's what has been happening. now that requirement has come and gone. because we reached the number of people that the city said in the lawsuit that we would do. but we still have this
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relationship with brilliant corners. and so we are still working with them but they are the ones that find the housing. and sometimes that housing is in daily city or sub-city it's been in my understanding in the past for some population. it's not necessarily going to be housing right here in san francisco. >> thank you. >> but harder and harder to find. >> i have a question. >> commissioner ow. >> for the last four years when the community funding [inaudible] san francisco put in $3 million a year. and today i see this california right, money coming from the state, are we talking about this? >> the only other money that comes into this fund is for any of the staff that do time study. and so there could be time study money coming in.
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but the vast, vast majority of this money is local, general fund money. >> right, and this has nothing to do with the community living. >> i can't see that document -- >> the renewal for the aging. >> no no this community living fund report. >> right; right. 100% funded by the city, and spent on behalf of the city. >> pretty much. there a little bit time study money, about $400000 or $500000, but the vast majority of the money is local money. we were able to design it locally and why we have such flexibility to change it when we have seen that the program wasn't reaching the goals we wanted. or maybe we didn't have enough case managers. whatever it be. we were able as time went on to change the program to reflect
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the needs of the community, which has been great. >> i have a question i know i have been keeping record in my community. there about three or four ladies who are talking about getting the wheelchair lift. they have a time trying to get up and down the stairs and to get out. and i am just wondering, i know it's based on need. economic what have you. but is that something that -- how -- what i am thinking of is that something that can be done in bulk. like go to the institution that produce this and say, we need five people or do you do it individually? for each person? or is there something like that you can buy in bulk? >> so the -- they have a
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relationship with the company that manufactures them? >> no no. i am saying that -- >> the institute on aging with the program has a relationship with the manufacturer -- not the manufacturer but the program that the agency that supplies them. but the first step would be to know if they have made an application for community living fund. and then they would they would be found eligible or not. depending on the criteria. >> i would say we have -- we raised the eligibility for this program higher than we have for some of our other programs. but still only 300% of poverty. so there is a lot of people in the community that don't qualify. you can fit the need but still have too much income to qualify for the program.
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so it is a program that is designed for very low-income people and that does leave a lot of people out. but the thing to do is have people apply. and linda said they will do the resource and investigation and all that and figure it out. >> what i am thinking if they don't qualify, is there some way that we could get that sort of service to help them in some way to do it in bulk? if they don't qualify with the company that you are doing business with. is there some way we could help them out in terms of going in and asking for a discount? >> i am not sure. >> let's talk about that. >> i can look into that. >> i think that's not something that we can do in the community living fund. >> no. >> something that we look to do outside of that program. and is there another vehicle for us to do that. >> for us to do that. >> i think one of the things that we talked about a lot and
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people in the community have talked about forever how do we provide service for those folks who are just above this; right. so this is i think a really interesting idea to think about what are some of those services that you need the entity to have the contract. but again if you were doing a bulk purchase you might be able to lower the cost. >> lower the cost. >> great idea. >> this is what i am thinking about could we talk about that? >> sure. >> thank you, i am making a list of people. thank you. any other questions? okay. >> i have a general question. so this is based on philadelphia model, how does it compare now to that model? >> so i -- philadelphia is a little different. because they're a nonprofit organization and they have some
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of the same programs that we have. for example in most states adult protective services is part of the government. but years the state asked this nonprofit to take it on because there was so much corruption in philadelphia. and it's an interesting organization what we think of government programs alongside nonprofits. they are also the entry point for the pace program and nursing homes. which is -- we don't have any of that in california. washington and oregon have similar opportunities there. so they have an area of aging that in many ways they have a waiver program and they provide direct service and a policy body and have this interesting mix of programs. so when you come through their doors, you are assessed. and this is the same for us when people come to us they are
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assessed. in our in-taking screening unit. for any program that we are aware of in our program. both things we do in-house and things that are external to us. and that's where we really mirror them. we don't do screening for pace for nursing homes, for example, but we can give people information about that. the folks have a great understand of the programs. it's part of why over the years we really built our in-taking screening unit to what it is today. and now will be introducing we're not calling it the hub anymore but in my mind, where we have veteran services and medi-cal and everybody in the same place. i think we mirror them in many ways. we certainly have kept to the model of case managers having low case loads and this purchase of service. and we have seen great success with that. we have not moved into some of
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these other arenas because we feel there are people in the community that do that very well. but -- >> thank you. so i came across a couple of patients earlier this year where they were placed in hospice. and two years later they needed to get out. because they were doing actually quite well. >> yes, and as is often the case. >> yeah. >> does this fund also address these people? >> this fund can address anyone as long as they meet the income eligibility and the assessment giving their health and their ability and who can live in the community. who want to live in the community and are able to live in the community. and again there is almost nothing we can't do because
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it's local money. so we have this ability to create the support that the particular person. please feel free to refer people. >> thank you. >> thank you. next could we have the advisory council report mr. schmidt. >> good morning president james, commissioners, and executive director hinton. the advisory council met on july 15 and at that meeting we acknowledged that executive director hinton was one of 200 people invited to the white house conference, and very pleased that she was able to represent san francisco. >> thank you. >> our reports of our committees, our membership committee is still active recruiting folks for council. we have some vacancies and we are really looking for people to
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fill those vacancies. we had in terms of our report from the education committee. we had a very successful event at the bethany center in july. it was on aging and h.i.v. and daas staff person mr. acleby had a great job of identifying speakers and we had a full day. and everyone left with a little more information. and it was the first time that h.i.v. and aging folks had gotten together. it was a first and we hope to continue those types of presentations. we have -- september will be our next bethany center training, that's on elder abuse. and looking forward to having a good turn-out there also.
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the membership committee is still actively seeking folks. our site visit we had two site visits in june. and both went very well. one was at the castro senior center and the other telegraph hill senior association. and report back both are doing really well and continuing to do our site visits. that's my report. any questions? >> yes. >> yes, ma'am. >> how many members are you short on your advisory board? >> we have -- >> vacancies. >> we have 22 and eligible to put 22, and i believe we have now -- virginia can you help me we have 15 now. so -- >> so about seven, okay. yes, commissioner.
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>> thank you for the report. are most of the vacancies because of supervisors haven't appointed representatives? >> yes. >> thank you, anything we can do to get the supervisors to focus on that and submit candidates? >> [inaudible]. >> recommendations? okay. okay. thank you. hopefully we will have some. >> yes, that's our hope also. >> thank you. >> thank you. >> thank you. joint legislative committee report, is there one? >> commissioners, being that
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co-chair diane lawrence is absent there will be no report. she did submit a written report and that will be in the minutes for everyone to read. >> thank you. long-term care coordinator. >> i might add that the legislative committee also voted to not meet in the month of august. so diane's report for the next commission meeting will probably be some detail from our last meeting because there won't be one in august. >> but we do have a co-chair from the commission on aging. to assist her, don't we? >> we do. >> okay so that can happen at the next meeting. >> yeah. >> we will look forward to that report thank you. okay. long-term care coordinating council.
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>> good morning, commissioners, i am chip savanage, i am a new member of the long-term care coordinating council. i provide advocacy for adults with disabilities. reporting from july 15 the council saw three providers of service that gave council members a three-prong examination of the mental health continuum of older adults with people with disabilities in san francisco. each from a different perspective micro and misso and macro. and first perspective was behavioral services look like for older adults and/or caregivers to access services. two impediments to access care and first is stigma of mental health issues.
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and the other is existing gaps in the payment system including managed care. next the meso-level of service delivery was presented. and that's what the san francisco system of care covers and what it does not, and the safety net role. the council was provided an overview of department of health and particular emphasis on substance abuse services. and potential to maximize the recovery and meaningful lives in the community. this includes emergency services and housing and other services. there was several concerns about assistance in san francisco. behavioral services and to have an organized delivery system and to better manage client
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conditions across levels of care. and finally the micro-manage of affordable care act and service delivery and other policy issues. it was emphasized it's appropriate to view mental health as physical health as there is a direct interaction. the primary challenge is the availability of services. key to ensuring access to necessary services is paramount. which encompasses the development of specialized older adult programs implementing referral services and collaborating of providers and screening. in other news the council has an assessment of the council founders of the scan foundation. and the scan event will be friday october 23 1-5 p.m. at the main library.
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there is two parts. one is a forum on san francisco as an aged and disability friendly city. and the second is a reception with a brief program. we invite all of you to attend. and finally we have two new members on the council, voted in july via email. and they are berndette simeon and jeremy [inaudible] for at-large slot. that concludes my report. any questions? >> thank you. >> thank you that was very comprehensive. on the mental illness issue, i know there are complicated legal issues regarding many people are diagnosed with particular problems and medication is prescribed. and yet often the side effects of the medication are difficult
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or the individuals forget or don't take the medication. are there strategies in place to address those issues? >> i believe there are that is not my area of expertise i believe there are programs to help people stay on their meds. in the h.i.v. world there are programs to help folks to stay on their meds. i don't know if similar things are done by behavioral health services but simple things like an alarm. >> it's often that the side effects are complicated and the individuals don't feel well when they take the medication. and consequently their behavior becomes erratic. and it's difficult to compel them to take their medication without a complex legal process. and that accounts for the many people that we often see on the street. clearly disturbed and it's
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complicated to compel them to take their medication. >> no there is not any -- [inaudible] this is more in your area than mine. there is no legal authority unless someone is conserved and getting conservativeship is not something that anyone does to do it. it's a serious thing to take away someone's rights. unless someone is conserved if an adult decides not to take their medication they have that right. there is a lot of work but a balance between a person's rights and these other things are difficult to address. it's interesting that one of the studies that someone reported to me recently. there is a larger population of folks in california an
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established community that have been there 30 years. and a large group of people that are in their 90s because they moved in in their 60s. and i was told recently i can't remember the name of the place they now have contracts with marijuana growers north of california. because they had a number of folks on medications that were leaving them with such side effects that they didn't want to take them and stopped taking them. and they have been exploring other avenues of medication. it's not quite what you are talking about. but they have seen and are documenting the outcomes for those people. but i think this is a very big issue. and i think one that we have not solved. seriina, did you want to add to that? >> good morning, deputy director
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for department of aging and adult services, and i was going to say in california when we conserve someone we don't get blanket authority. and the reason we don't because in san francisco we believe that people have the right to refuse medications. so they may be placed and opt not to take the medications. but we find that most people do take them and work with their conservator and doctor to get the right medications. but san francisco has a long history of not doing that even in conservator situations. >> thank you. >> you have another question. >> thank you for that but that's for people that have been conserved. not individuals who don't have a conservator, is that correct? thank you. >> is there public comment at
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this time? we don't have -- >> i want to say there is a state law that addresses this. >> okay. >> [inaudible]. >> okay the only thing that i know in my experience that i haven't gone to court with this. is that unless that patient can become a danger to himself and others then a 14-day hold for that medication at that time. if they are a danger to themselves and others they are kind of given that medication iv
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or whatever to control that. but only for 14 days and i think you can extend it to another couple of days and after that that's it. you know in terms of medication. if they are under control with their behavior. that's the only legal other part of it that i know of. okay. next is the long term -- taac report cathy russo. >> hello supervisors cathy russo from the advisory council with the taac report. >> you said supervisors, commissioners. >> taac meets quarterly and we have a meeting next week in sacramento. at the last meeting there was a
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strong recommendation that we all consider joining the california elder justice coalition. and i do have a hand-out on it. i made copies for you. the recommendation was because of the communication, they communicate well with the membership. and they felt that if we belonged, we would have a better idea of what was happening in senior programs and senior issues throughout the state. which is a benefit. also they are very open to bringing in communication from the members. so that if we are a member, and we want something known or get question out again, we can work through them. so for these reasons they strongly advised us to look into joining. now for a group, the dues are $150. for an individual $100.
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however, they obviously are for seniors, because if you are retired the dues are $25. so i am considering joining. seeing if i can find out what is going on. i have a leaflet here that gives a description of the program. and what they do, and there is a membership application on it too. i have given a copy of the original print out to our secretary. because if you want more, she can certainly do a better job than me for making copies. but this is for one for each of you here. keep us all up on it. but i think we have such an excellent program in san francisco they need us putting the information in for everybody else.
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and i just might add that the staff for the state commission on aging is the staff for taac. they set up our programs meet with us. so for some reason you want something hand carried up to the state commission on aging when i am going up which for example i am next week. i will gladly take something up for you and give it to their staff. and that's my report for today. >> thank you. >> any questions? thank you. >> thank you. >> next we have case report. >> no old business. >> that was the case report. >> no that was taac. >> commissioners, executive director hinton, i am the
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director of the richmond senior center in the richmond district of the city and member of case board. case last february hosted an advocacy meeting. we had 80 people attend 30 agencies represented and the other 50 were seniors and constituents and people living with disabilities. it was a great brain-storming session and helped form our advocacy season last year. our biggest success, something that we work very hard for and appreciate director hinton's in this area was to get additional funds for san francisco senior center. senior centers haven't got additional funding in many years. and what is great about this it will be open for all senior centers and impact every district of the city. some more consumers than i don't know what to say a lot of
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people. i mention this because on monday we are hosting our annual advocacy planning session. this is going to be open to anyone who can come. it is monday at 3 p.m. at project open hand. >> thank you. any questions? thank you. old business. none. new business. under the items below item "a," request authorization to modify the granted with family service agent of san francisco doing business as felton institute for provision of senior companion services. during the period of july 1 2015 through june 30, 2016. in the additional amount of $55,000 plus a 10% contingency for a revised total not to exceed the amount of $86,368.
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could i have a motion to discuss? >> so moved and i have a question. just about the numbers. it's 55000 and a 10% contingency 10% is 5500 that gets us to 6500? >> this is in addition to the underlying part of the contract j . >> okay. >> i have a second -- did i have a second? >> second. >> okay all right. you are on. >> good morning commissioners, executive director hinton, this item before you is a modification with the grant of felton institute program, adding
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$55,000 to that contract. the additional money is to expand the program, and we are increasing to 15 total senior companions in the program. the senior companion program recruits and trains adults and places them in volunteer positions. senior companions are expected to work 16-20 hours per week. in exchange for their service they are provided a small stipend, what is great, it's tax exempt and excluded from counting to any means base such as medi-cal and housing. what is great, it's seniors help seniors. it's an opportunity for them to give back to play a role in their community. and perhaps provide a sense of
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self-worth through employment. and the work may help them maintain physical and mental alertness. for the agency that is hosting the senior companion. they are able to expand and support services by having this ongoing staffing there. depending on the type of placement, the senior companions work might be social visits to clients. escorting clients to appointments. and helping client participation in organized activities and some life-care needs that they may need during the day. currently daas senior companions are deployed at a senior center to adult-day health centers and one is case management program. with the new 10 we don't have set locations yet but hope it to be a mix of those types of organizations. with that, any questions?
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>> is this an expansion of a pilot, why the budget is so small? >> no it's a program that has been funded at lower levels for a number of years. >> commissioner. >> with the expansion would be have someone at all the senior centers? >> no so we are going to go -- i think the idea is with these 10 more to spread them as much throughout the community as possible. but off the top of my head 10 is not enough to meet the needs of all sites. and typically housed in one center. >> and one concern is the
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gay/lesbian and transgender persons and if is there any help in that program? >> no the senior program hasn't had help since these first five. and while deploying the senior companions that is noted and could be factored in. >> thank you. >> any other questions? >> i had something really quickly. commissioner so one of the things that we are working on is that there is a new funding source for working with isolated lgbt seniors, we will be working with organizations around developing the scope of service for that. it was something that open house and shaunty came in together on to the board of supervisors and we have some new funding. we can look at that issue.
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and in addition to that marcy adelman, and other folks rick appleby from our office talked about the lack of appropriate services for lgbt seniors and had a meeting to talk about the services for lgbt seniors. there is going to be work around that and needs assessment around that i wanted to say that is being looked at. >> thank you very much that is encouraging. >> thank you. any other questions? if not i will call for the vote. public comment? any public comment? thank you. hearing none, at this time i will call for the vote. all in favor. >> aye. >> opposes? aye's have it and the motion is
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carried. item "b," requesting authorization to modify the grant agreement with kimochi, inc. for the provision of community services for seniors and adults with disabilities. during the period of july 1 2015 to june 30, 2016, in the amount of $53,200, plus a 10% contingency for a revised total grant amount not to exceed $609,261. could i have a motion to discuss? >> so moved. >> second. >> okay you are on.
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sorry about that. >> everything okay? >> thank you, yes. go ahead. >> okay. good morning, president james and commissioners, and director hinton, i am with the department of aging office of the aging. we are here to seek your approval for a kimochi service grant modification. this money will be used to increase service units and as well as boost the program's infrastructure. kimochi services provides services to seniors at three locations. the main office on sutter street. the kimochi lounge on webster and then 1715 buchanan street and kimochi is looking to provide stipends for instructors at the various centers. and in addition the money will go to keep the website up-to-date with program activities and to pay for
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outreach for the program and i.t. support for the system. we urge your approval of this and if you have questions i will answer them now. >> commissioners loo. >> i am looking at the last page the site [inaudible] page. is there a typo somewhere on the 1580 west room 20. >> is there a typo? >> monday is blank and the other is saturday. is this a typo? >> i can look into and see if that is a typo. my understanding is that it's not. >> at the bottom -- yeah. >> i can -- hold on one second. steve mccosher will come up and clarify. >> maybe they are open six days.
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>> good morning, president james and commissioners, commission loo we are talking about the kimochi lounge, 1581 webster street that was the original site for the kimochi senior center when we started 44 years ago in the old days we used to be open seven days a week with a lot of volunteerism as well. and we maintained the saturday open as well, because the lounge is located in the japan trade center and it's tremendous access. and many times on the weekend it's out of town japanese americans that come to the community. they used to come for grocery shopping and didn't have access but still come. and it's one of the best places for international folks that come from outside of the united states.
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we maintain that balance between the weekday and as well as the saturday. and we have a strong policy any time it's open it has to have a staff person for oversight for the facilities. and it would be nice again if energized by volunteers and open with them. very often the volunteer will accompany the staff person commissioner but it's a staff person's responsibility. >> because monday tend to be a slower day, why it's closed on monday? >> yes and the thinking is if we can balance that scheduling during the week and the month, we can off balance that. generally the monday are the slower days, but again i have also had many requests to open on sundays as well. but just can't do that at this particular time. >> due to the [inaudible]? >> excuse me? >> because you need volunteer to
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open? >> right but we need have to have a staff person responsible. because it's part of our organizational program site. and responsibilities in terms of all kinds of things from information, referral to liabilities and things of that nature. and we want to be sure that folks that come to for contact are properly referred to. if staff services are not there during the weekend, we try to get best efforts and get their names and phone numbers for follow up. >> thank you. >> thank you. >> any other questions? commissioner. >> i have a general question not necessarily directed to kimochi, it says number of modifications three. so i wonder this grant was issued or renewed perhaps in 2013. >> uh-huh. >> for five years? >> uh-huh. >> so from 2013 to date, this is
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the third modification request? >> correct. >> how regular are modifications gone? and if a grant is approved, how soon can an entity request a modification soon after? >> that's a good question, with my experience to date, what i have seen in particular with this contract it's a codiby increase and that was conone modification. and last year kimochi was awarded additional money. and this is for the 53 -- one third. >> i would say to your question modifications can happen pretty quickly. because one of the things that you will have noticed on the
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commission, we frequently bring contracts to you in may and june for approval. and then our budget doesn't isn't finalized until july. and in the course of that budget being finalized we could end up with a cost of doing business increase or new dollars. so you could see adjustments coming to you really within months. so it can happen pretty quickly. and as monty said it depends on what is going on in the world. cost of doing business is frequently what you see. and sometimes we have these circumstances like today where there is dollars available to put into a program. but it can happen pretty quick. >> thank you. >> any other questions? thank you. >> thank you. >> public comment at this time? any public comment? >> commissioners, we ask for your support, thank you for all
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your years of support as well. we are ernestly trying to provide the services that we can. >> all in favor. say aye. >> aye. >> opposed? ayes have it, and motion is carried. "c" requesting authorization to renew the grant agreement with next village san francisco for the age and disability friendly community project. utilizing the village med -- model for the term of july 1 2015-june 30 2017 in the aim of $20,000 plus a 10% contingency. motion to discuss. >> motion. >> second.
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>> we have before you the village model service a membership organization that provides an array of services such as organized activities and assistance with transportation. and inhome support with minor repairs. and referrals to recommended businesses and health and wellness opportunities. and a wide gamut of services provided by paid staff volunteers and the fellow village members themselves. another unique village feature is that specific location is not required. villages utilize public spaces throughout their service area to provide services. for next village recently examples will be disaster preparededness kit distribution. and a new member event at senior housing in chinatown. or a travel talk at the north
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beach library branch. and we have partnerships to help provide additional transportation resources to the members. next village has a distinct service area. generally the northeast section of san francisco defined loosely as van ness to the east van ness to the south and bay as at north and eastward barrier. program monitoring for next village for fiscal year 14-15 was conducted in july. there were no findings and next village was found to meet all service agreements for the previous year. at the time of monitoring and looking at membership and diversity. next village at the time of monitoring was 113 members. among the membership approximately 22% was
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identifying as noncaucasian or lgbt, and next village is taking an interesting approach to expand membership and diversity. and they have a staff member with chinese language capacity. they are increasing each in their monthly newsletter there is always a chinese language article. and they are targeting events in known chinese speaking sections of their service area. i am told that these out-reach efforts have paying dividends and they have new chinese speaking members in the past week and that number has gone up quite a bit just recently. with that, i am happy to answer any questions. >> commissioner loo. >> i am looking at the page
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appendix page 2. the salary and benefit details. >> yes. >> okay the employee fringe benefit is 0% and i thought by law you need to give benefit to the employee, how do they -- >> they are paying those costs off the contract. with other funding sources. well you know this is one thing i have thought about. contractors have raised their own money to pay off some insufficiency of the funds. and maybe you know this should really be part of the budget. because otherwise it's not showing you the actual costs. >> so commissioner, i think one of the things that we have -- one of the reasons we have gone to this model is of not asking
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our contractors to supply us with all the information regarding their budgets. you are right, it leaves us maybe not understanding the full cost for the program. although in our monitoring and our discussions with the contractors, believe me we do hear from them about what the real costs are. but it's really a matter of administrative support. most of the nonprofit organizations that we fund do not have really enough infrastructure. and support to do the kind of reports that we require. because we have not had sufficient support and we ask what is only pertinent to the dollars they spend for us. when we get to the point of funding -- we have a lot of
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requirements our contractors a lot of data requirements and budget requirements. so that is the case but we have made a decision to do that given the resources that the contractors have available to them. >> commissioner sims. >> just as a follow on to that isn't there a requirement that agencies seeking funding from the city provide some minimum standard of non-cash benefits to their employees? >> i believe that the rules are based on how many staff. there is a threshold. so -- clearly our staff knows that this organization is providing benefits. but it has been my understanding for a number of years, that organizations i am not sure of the number five or less do not have to by ordinance. but i would have to check into the rule for you. i am not positive what that threshold is. commissioner do you know?
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>> i don't know if it's -- i know that all things are mandatory at 15. >> 15 employees okay. >> commissioner sims. >> second question could you repeat the geographic boundaries. >> van ness, broadway and the water. >> van ness and west? >> van ness to the east. >> to the east. >> yes. >> and broadway to the north. >> yes. >> okay, any other questions? if not i will call for the vote. all in favor of approving say aye. >> aye. >> opposes? the ayes have it and motion is carried. last item review and approval of the fiscal year 2015-16 hicap
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and fiscal year 2014-15 mippa budgets. associated with contracts hi-1516 and mi-1415-06. and all subsequent amendments. could i have a motion to discuss? >> so moved. >> second. >> okay. you are on. could you explain. >> yes so this item before you is actually for the approval of the contract between cda and daas for the funding of our hicap and mippa programs. this contract is just for that and part requires to go before the commission for review and approval. and with that the contract is finalized and we are able to access the funds in the programs in the city and county of san francisco. we have gone through the solicitation process for the
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contractor for the hicap and mippa programs that occurred in the spring and came before the commission and approved. with this it's the final step in the process and gets everything moving and the funding flowing. the contract before you is a standardized agreement it says standard agreement on it. i can assure you this is the contract used between the california department of aging and the two other aaa's in the state of california. with that said i am here to answer any questions you might have about this contract. >> any questions? does this -- does this increase -- i know they have certain communities they go to does this increase?
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or do they stay? >> the only change, there is no change in the scope of services of self-help we provide. the only change when the actual state money came in it was $2,000 lower than we thought it was going to be, hopefully that won't affect any services. >> okay any other comments? public comment? hearing none. i will call for the vote. all in favor. >> aye. >> opposes? ayes have it so the motion is carried. thank you. announcements? hearing none. announcements? hearing none. public comment. yes. >> hi good morning, cathy
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spensly, director of the senior division at felton. i appreciate your question, commissioner regarding medication support. we specialize in mental health in our agency and geriatric mental health. i wanted to let you know it's a very important issue, in all of our contracts we have psychiatry and medication support is tremendously support. and with that said there is a huge deficit of geriatric psychiatrists in san francisco. that's an issue but we have a lot of support in that area. and the medicare service act is a help and with hiring of peers for folks that are less willing to take medications.
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and a lot of data of how peers help in this area. and laura's law is a state law that various counties have adopted and san francisco adopted in may. this is compelling serious cases for folks to come to the courts and compelled to take medication medications. it was brought forth by family members, [inaudible] and will compel the folks to do it and almost to the psychological fact of going to the court system. but at the end of the day it's a civil rights issue. it's very difficult to force folks on medication, and that's actually a good thing in the long run. and the best news that the newer drugs are better at their efficacy and reduced side
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effects. thank you very much for the question. >> thank you. >> hi jessica layman with fsda and i had two comments on the issue that cathy was speaking about in terms of medications. i want to bring in the room that there is a long history of people with medical health issues and forced to take medications. and some things are disproven. lobotomies for example is real for a lot of people. and there is a huge movement of people called mental health survivors and consumers and there is a lot of different ways to deal with mental disabilities, and medications is
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one of them and something to look at as a society. i know that san francisco mental health could speak to how to look at it from a peer perspective and talk about medication. from the white house conference of aging i was so glad to hear that director hinton was able to be a part of it and glad that they held it. i had a lot of concerns about how the community was or wasn't involved. and i understand they talked about including people with technology. but here in san francisco senior access and other groups really wanted our seniors to be a part of it. and it was very challenging. part of it we didn't have a lot of notice. we tried to set up viewing sessions and they didn't put out the time and agenda but a week ahead. and the white house conference on aging information was not
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available to community groups. and then they invited people to share messages primarily through the website and twitter. which i found almost amusing. because how many seniors in our community particularly low-income seniors on twitter. i think -- i hope we as a city can do our part and thanking them for theirest efforts. but urging them to do better and really involve low-income seniors in conversations about seniors. >> thank you. any other comment? public comment? okay. >> good morning. i am linda lou nutritionist in the office of aging. and want to bring to your attention upcoming diabetes
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program that the senior center is helping they have always scheduled and we have sent this information out and shared with daas contractors and the network. we wanted to let you know if you want to pass it on and share with your friends and network. i have hard copies on the table and you would like electronic copies, i can share with bridget and share with you. >> hearing no other public comments can i have a motion to adjourn. >> so moved. >> second. >> it's moved and second that we adjourn the meeting. thank you. meeting adjourned. [gavel] -
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>> the commission will please come to order at secretary will call roll commissioner taylor-mcghee commissioner chow commissioner chung commissioner sanchez and commissioner walker second item it did approval of the minutes for july 21st, 2015. >> so the minors are before us for approval a motion for approval is in order. >> so moved is there a second. >> second. >> are there corrections to the minutes if not we're prepared for the >> all in favor, say i.
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>> i. >> opposed? minutes have been passed unanimously item 3 the director's report. >> good afternoon, commissioners mayor ed lee signed the city's balanced budget for fiscal year 2015-2016 and 2016-2017. in his comments he said that your creating jobs and growing a thriving economy while keeping the city save and compassionate the city and county of san francisco the major employer for the next two fiscal years includes additional employees to staff the new san francisco general hospital implements our electronic health care records system and the department of public health division as well as implementing the affordable health care act the city budget also vests to support the most vulnerable san franciscans and it includes resources dedicated to help san
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francisco general hospital adding 5 hundred new supportive housing for people to the navigation center and millions of new fund to support seniors and people with disabilities covered california has a modest rate interest for san francisco for 2016 they recalling reduce the prices in san francisco, california expect an average rate of 4 percentage across all terse this is more than all the regions in northern california we had a great anniversary of the 50th anniversary of medicare and medi-cal celebration of medicaid on july 30th, 1965 presidents johnson signed the medi-cal and medicare for pregnant women and people with
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disabilities medal and medicare has protected health and improving the nations economic security on july thursday medi-cal and medicare serves held on event added san francisco general hospital and trauma center to commemorate the 50th anniversary of the medi-cal and medicare our dr. hernandez and ceo of the health care foundation was the distinguished keynote speaker we have started a black african-american health project there are 3 processes for the projects one of those is the workforce development and that workforce subcommittee has begun in the project chart for the black african-american health initiative was you signed in march and whether the fifth committees that is headed by our
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colleagues are leading this effort and promoting the interests for the african-american careers and creating black african-american applicants students and volunteers they hope to develop tragedies so retain and show ridicule and support the continued education for the pathway for the existing staff i want to thank them for that work in that area there is an update for san francisco general hospital no new compute u updated other than they're waiting for approval for staff and i'll let the commissioners know we're still moving forward towards building our new hospital director's report is ended and if there are any questions and commissioners questions of the director on the report i want to point out to the
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commissioners we had printout from the website the organizers of the 50th anniversary program that was submitted to us a liz of the contents of medi-cal and medicare over the past 50 years i thought would be useful for your information we're having that distributed to you today are there any outlet comments? if not we'll precede thank you and we'll precede oh, actually yeah. just want to comment once again that the mayors budget for our next two years is really extraordinary for in department and want to thank the department for all the work they've run intoburgburg to advocate for the program and the mayor and board of supervisors for having
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actually confirmed not just confirmed but added to it and gave us even more robots i think that says well, for the work that our department is doing so thank you, again director >> i'll note no public comment for that item but item 4 is general public comment we have one. >> yes. mr. office of the city administrator to duffey i didn't please and mr. duffey i have a timer for 3 minutes when the buzzer goes off. >> commissioners nice to meet you i'm on the health center clinic patient advisory committee i have a sister at the age of the internet a 6 degrees of separation but not 3 degrees of
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separation we know be a lot more people before that i think that is kind of a silver lining to the aging process for example, i heard about rudolph better gary's doing the artwork and i'm looking forward to take a look at that ford was president and hopper and many people responded and i'm looked forward to it look those links i've been in the citizens advisory committee for some time and tom o'dell won 20 years now we've had some ups and downs and some times we came close to disbanding with the budget part of new to the center was difficult our liaison died
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we worked through all those things is it appears that the department is putting ay used effort dr. the director she's a apparently going to be at all the health centers i want to thank you for doing that i think there are look good things it come out of that i've been involved and it helps to have reenforcements thank you. >> thank you all right. we'll move on to item 5 report back if the finance committee. >> chair. >> good afternoon the finance and planning committee met before the commission meeting and we had you know a really robust discussion on the presentation on chirtd care and i think that actually inspired
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more questions than answer and including you know the goals of charity care like you know in the time of the valuable affordable health care act and charity care was adopted 15 years ago and back then we didn't have the kind of sentiment as we do today those were some of the questions that came up and you know the presentations were actually coming to the commission and so i want to put on this to thinking how we can actually create a partnership that really serves the buyer city and county of san francisco and including the most important part to
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reduce you know like health care for those who live in the city we also have some new and old contracts for your approval and it is all on the consent calendar with the contract report there are actually, two items that have been tabled for the next meeting for approval and those two are the medical contracts and services and the network within the contract report the 3 contracts that would be still need your approval will be the clinic works the data way and the staffing. >> commissioners the reason i've taken off a clerical error the report needs to be clean before it comes to you. >> right there were typos.
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>> any questions. >> commissioner questions or comments to the report from commissioner chow? no comments all right. great we'll go to the next item >> we'll move on to item six the consent calendar consent calendar is before you you heard the two items that are removed from the consent calendar does anyone wish to extract any items if the calendar otherwise. >> yes. please within the contract report so under the consent calendar it will be all the items on the consent calendar that we need approval of within the contract report which we have to items removed. >> yeah. it is the 9 approximately 8 millions on the pharmacy agreement; right?
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>> tip probation officers and 1, 3 and 1, 5 for the pharmacy kind of in the middle of the block of the first folder all contained in the contract report. >> any other questions? if not we should note that the walgreens program extends our 40 b program that required a link to each clinic only to all of the san francisco walgreens clinics under the b program is that not correct director barbara garcia >> that's correct. >> that's a significant difference an, an added benefit to the program under 9 previously i nodded if you were at chinatown clinic and went down to only one walgreens and
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couldn't go to another walgreens you had to go to another one like castro that allows all the walgreens in san francisco to participate in this program. >> that was my only clarification we're prepared forever the vote. >> all in favor, say i. >> i. >> opposed? the calendar has been adopted unanimously. >> thank you, commissioners item 7 the dpw policy on the dpw facilities as you recall this was introduced at the last meeting. >> good afternoon, everyone. commissioners colleen i did not have anything additional as the secretary said the draft of the policy at the last meeting it didn't require our package of the resolution only the affirmation. >> i was wondering if on this is more a technical question on
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the block that we have which on page 2 if you would get that if so r this is this is yet california but for the process in the text and my two questions and which i believe are editorial under the section for dpw non-hospital building and director would review and submit recommendations and would it seems to me that the commission actually then makes also a review and recommendation; right? to the board of supervisors as it says under item d. >> yeah. >> so the block should clarify that by putting that in and the
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board recommends. >> so i'll make that change. >> thank you and so the last - the bottom block expelling facility naming in connection with the gift of any amount u amount the director reviews and submits the remedies for final approval and here i believe under our section e it says that the commission will approve the request so the word approve needs to be there also and moves it to the board of supervisors. >> to be consistent with our text. >> that's right thank you for catching that commissioner. >> so if those are accepted as the editorial correction ann another motion it in order to approve the column. >> so moved. >> there is a motion and a
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second is there further discussion on the policy? if not, we're prepared vote >> all in favor, say i. >> i. >> opposed? the policy is passed unanimously thank you thank you, commissioner i also note no public comment or questions item 8 is the resolution of the port naming the general clinic and richard a fine clinic. >> i'm not sure who is representing item - ms. >> if you recall a presentation at the last meeting. >> yes would you like to help refresh our minds on the items. >> there was a proposal on the small video last week of the part of the richard fine to rename the general clinic at san francisco general hospital the richard h fine clinic and the drafts resolution in front of you for your consideration
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compliant with the - and the draft resolution is before you the motion will be in order. >> so moved. >> is there a second. >> there's a second commissioner sanchez. >> yes. >> yeah. i just like to make a comment pertaining to the naming of that clinic regarding dr. fine initially when it was brought before the jc c to be named by the department and in reference to the hourlong program in general many of us attended it was an awesome tribute to a outstanding recommendation to the richmond h fine clinic i sort of took the wind out of
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my sails it was shifted to dr. richard fines people's clinic and i've been trying to get that out of high head why hadn't it bothered me i've known dr. fine when i joined and at 69 all the way through and couldn't think of a more outstanding position to have a clinic named at the san francisco general hospital to have it named that i guess somehow this sort of limitations his focus and maybe i'm just responding many of us were involved in the 60s and 70s in coming back with the gi bill to berkley and at central nervous system that was part of our effort but dick fine was an extraordinary human being he
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played a key roll in working with many of us at the general to form call the urban healthy was a key member it involved every single chief of service at the general from dr. tom surgery to dr. from that he had arctic's and we got them altogether and got the funding, etc. to not only increase the qualities of service based on the philosophy of our faculty and residents the outcomes in reference to what they're doing and dr. fine played a critical role and continues to play a critical role so the funds many of the folks that served only the committees were some of the old guard the services of retired
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champions and many at the oil library at the san francisco general you saw all departments one or two some were submitted with replacements and this is a meaningful thought so i got a few comments from dick fine represents the finest of central nervous system so i want to interject that that needs to be said and something else that is important dick fine figure out through the urban health board to insure the minority students in potrero hill be bayview hunters point and the mission had opportunities through san francisco general hospital did this through the urban health and navigate 4 videotapes we're working with the students and working with other groups to increase access to training and minority positions one the key people involved was francis a
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mexican-american who become a nurse and got her masters was the director of the urban health project and she was showing so impressed with his service unfortunately after they passed away left a scholarship for the students from the valley to go into nursing and paycheck to the services he provided to the community to me had doesn't say enough about him the reason i'm saying that in other types of awards like the staff like the julie the honorees for top residency in each of the departments we think about what dr. discretionary review violence did but julie discretionary review violence he supported many the dean and the
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chancellor but his commitment was the quality of care at general hospital we had the rapid report and talked about who they were and why they're here so as i envision dick fine clinic i imagine their teaching the under graduates and staff what an outstanding position dick machine fine was in the memory of san francisco general hospital that was dedicated to serving i'll regardless of country or people anyway i just want to share that i think that - he doesn't like to be so-called - i mean, he marks to a difficult drum but worked within those organizations and programs to insure that access to qualify remains the flagship of excellence and the medication
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that no other departments in the central nervous system we feel some of us feel quite strongly it would have been great to keep it that way and the curriculum and the training of the future health providers would certainly reflect his philosophy and commitment to people of all walks of life that was what he was through the chair i apologize for getting into that but i'll support it so recommended but i do feel you know it could have been greater had we kept the tradition and used that as an ongoing teaching this is in my opinion. >> thank you, commissioner because commissioner you can amend the resolution but i think i'd ask director garcia. >> yes. i asked the same question and know it is not just
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people so i asked the same question that request that went through dr. fine and that way i honestly think it takes away from what you said dr.ations and fine i believe that went through him and he supported that and in fact he does walk to a different drum i wanted to honor the way he was and i the that through the staffer that presented it i appreciate our comments and puts the meaning that is the bigger title. >> thank you. >> thank you. >> okay. i think we could note the reason it the name is in and unless commissioner you're entitled to amend the resolution
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okay. any further comments if not all those in favor of the resolution as presented please say i opposed any public comment no vision zero update. >> item 9. >> good afternoon, commissioners and director barbara garcia and secretary thanks for the opportunity i'm megan wear the director of the health and sustainability and also co-sponsor of the vision zero task force to present to my colleagues we put together vision zero initiative in may of 2014 the committee passes the resolution in support of vision
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zero we're here to provide an update. >> so just a give you a little bit of background about preceding vision zero san francisco has been annotate leader respect to transportation safety with the first to install the pedestrians countdowns we're all familiar with now we've been a leader with implementing this to schools in 2010 had a mayoral directive for the collision down by 2021 we played a leadership role including for the prelims of a number of improvements and publishing a pedestrian strategy in 2014 vision zero was adopted citywide including by the commission and citywide task force was established i co-sponsor you know despite the exchanges
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around this at the end of 2013 a girl 6 years old was killed in a intersection awhile crossing the 6th death in that december and the city's responses is no more deaths are acceptable and really the only acceptable target is zero we now have san francisco in vision zero that is supportive by a number of city departments the mayor the board of supervisors we meet on a quarterly basis of the task force towards the ends of coordinating around engineering and execution and enforcement and activities to fundamentally will eliminate traffic deaths by 2024 it was introduced in 1997 had much success we needed to
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design a transportation system that protects the most vulnerable people using the transportation system including people walking and biking and seniors and young people i think in many ways that block is consistent with the mission of the department of public health i know this is you guys can you see the map hopefully in our handout i don't know about that slide since vision zero was adapted it is inspiring to see the national limit it growing hopefully, a map that shows the different cities across the country that adopted vision zero and in 2014 san francisco and the city we've got a number of cities in california adopted last year well including santa fe, san diego and a number of cities in the country including portland and seattle and
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additional cities are really every week their say new energy around our city and country a vision to do you want that to san francisco is at the forefront of this. >> yeah. >> oh, no. >> i apologize. >> thank you there's the map and really with respect to in san francisco what we've seen despite early declines in the 90s and the 80s starting in the 2000s we've seen the please be advised the ringing of and use of cell phones to in the death in our city thirty fatalities a year up to 2 hundred a year injuries and approximately 70 percent are people walking and biking and half the people killed are walking awhile walking are seniors while i'm here to talk about the leadership that the department
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is providing in that work including on the task force with respect to the data and analysis and evaluation and education engagement in our growing roles as well the task force is co-chaired by mta and dpw we meet as i said on a quarterly basis comprised of city agencies that play a key role no vision zero we've got active community engagement including the neighborhood coalition led and i by walk sf over 40 organized that signed on that coalition it is really existing to see the continued engagement of the community in this work. >> in 2014 and 2015 we had a number of successes with respect to progress on vision zero it's
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first year we had 24 projects in 24 months 16 projects are underground they're on track to completing that project delivery showing the city's commitment with respect to education citywide campaigns honest leadership on this she'll talk about and seen an increase or increase on the part of the police department and working on developing more data tools to make sure that the initiatives are day driven and also has hired a new epidemiologist who is serve for this work as well as advancing with community organizations we have a two year action strategy on our we are talking about that is online that
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includes more information about the initiatives as well as resolution of the number of departments that joined the hunting in supporting vision zero with respect to the action in 2015-2016 i highlighted in blue when i'm talking about we're going to dive deeper on today including the citywide strategy for education to schools and we're excited in the most recent budget in the seniors program is implemented given the disproportionate fatalities among the seniors and monitoring the resources and continuing the community engagement slides on reverse is a high-level summary of the resources into vision zero which is appropriate three-quarters by grants and 25 percent from the general fund with respect to the data piece
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one key contribution that was identifying the high injury network that map identifies the 12 percent of street miles of fatality injuries to vision zero includes people in vehicles and riding bikes and vehicles this is in the contained how to effectively have the preservation initiative at its core of vision zero is the fundamentally addressing the issues of evaluated so in red the high injury corridors in communities of concern that are disproportionately low income communities and communities of color and community where people are walking and relying on transit and thor percent of the streets in the city 50 percent of part of high injury network dpw is also working with other city departments to develop accountability metrics we know
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that the goal of zero fatalities is you know the how to be accountability in the short time to have any driven actions and monitoring the impacts on the street a number of metrics we are working to measure in the interim our new epidemiologist we're excited about our collaboration with the san francisco general hospital to work with the trauma sushlgz that treat the patients and working with the polite data to capture 25 percent of cyclists injuries on the records and we're able to target our initiatives and she's really done precedent work meeting with the police department and the transportation agency all on the
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same page about the monitoring that is very intuitive and simple i sure it you it not as simple as it seems weren't to having it consistently recorded to the public and there's a screen side of map that is u updated with respect to fatalities we've also development an online interactive injury data with environmental data on a number of factors that are associated with how we predict and look at it patterns this is a screen shot of map that helps us look at not only the types of injuries but what are the patterns where the aerial streets and fast moving traffic around schools and senior centers and this type of tool
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has been used for example with the sfmta capital improvement program for pedestrian safety to analyze the patterns and really target their engineering to the patterns we see in the corridors so have more program improvement measures and now i'm going to turn it over to ann no way that will talk about education. >> good afternoon, everyone. everybody with respect to education related to vision zero we really are working very close with our partners headed by the mta to create the prosperity citywide strategy to the board of supervisors and the transportation authority outlining all the different educational opportunities welds implement in the next few years for vision zero and we've adopted 37b9 with the
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information proud about it's the public preservation is not just teaching individuals about how to slow down or cross the streets but we're effecting all the levels we're talking to the providers in various was our health providers the muni operators large vehicle operators we're working with the coalitions i'll talk about in a minute and changing our organizational practices and working with flunking 0 policy and we're going to achieve vision zero we have a citywide strategy that outlines a number of different educational opportunities i managed save out to school and as megan tubed we've included the streets for pedestrians and the mayor's office has funded it in the city budget for that the next two years because over 50 percent of
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pedestrian fatalities are seniors and this is a population that needs a lot of save so save outreach we're looking at ways inform coordinate all the information about vision zero and bring that directly to seniors and people with disabilities we focused on creating community-based education this picture is a standard campaign i've worked with supervisor kim's office all over at tenderloin and selma and a had tare highlighting the community residents a professional photo shot that is in the neighborhood we live here please slow down we offer some grants to selective groups that are working in neighborhoods that are on the high injury network walk sf is the leads for the coalition and groups that serve modeling and non-english
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communities south of market and chinatown ceda and the economic agency with working with groups in their native languages to deliver the information a national program we founded in 2009 we're interested in promoting walking and biking for obviously for various reasons of promoting health to make it safety in order to do so we work with the school district and a number of city agencies and a number of community-based groups school starts in 2 weeks we're adding 10 for elementary schools to the program that covers half of the elementary schools i'm proud to say they've passed the vision zero last spring they're one of the lastly partners to join us and as part of changing
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organizational practices our team worked with the mta to produce intents the schools on the next those are schools that have typically high rates of walking and have a lot of injuries in the buffers of school their prioritized to get the improvements to the streets and sidewalks my prime is gene elementary have r half of the population walking to school and the highest number of pedestrian injuries we have asked mta to produce intents and have gotten 3 grants for the elementary we work with the vision zero coalition it is lead by walk sf and in partnership with the bicycle coalition they help folks to keep the city accountability we again offer many grants and the prime
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example is actually before vision zero we gave walk sf a little less than $10,000 in 2011 to implement a local option in the subtly was passed to allow the municipalities to implements 15 mile-per-hour school zones we're the only city to fully take advantage of the local option to the city hall's that are eligible other schools in san francisco have done it on a skais basis but walk sf worked with mta to get if implemented for all the schools it makes all the schools once the speed limit drops it helps with the bumps and the speed limits needs to be reduced first, it was done by walk sf
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i want to acknowledge one thing barbara co-wrote with her counterpart ed reiskin and acknowledge the hard work with rachel and the communication team for working closed with the mta communication team in helping to profile vision zero in the communication it's been getting a lot of attention and that's the end of the presentation we're open for questions. >> thank you very much questions commissioners commissioner taylor-mcghee. >> a clarification goith the 15 mile-per-hour they're eligible for the school zone unless they're actually on high-speed aerial so 4 or more lanes not allowed to have that
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in the state law only 4 schools in san francisco for example betsey carmichael has it does not have it on one end which is on 7th street but on the surrounding 3 areas the block that are narrower and smaller so but those streets will be getting bigger improvements through other avenues of vision zero and they're a dozen schools that have absolutely no boundaries the mission school is one1 on 16th street from mission all the way up to church. >> commissioner sanchez. >> this is a think excellent report i'm really glad to see the coordination among the
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nonprofits this is a good benchmark a number of schools that may not be eligible with the early childhood schools that are part of the school district they're not huge but they're very important and they have families that walked or drive cars and drop off, etc. i know them particularly in the mission that contacted us over the years about trying to get signage that shows kids crossing or especially you have like alleys going between and you get cars or motorcycles and bikes and parents are trying to pick up their can i see and the teachers it is really traumatic my question is there some unit that could be contacted or we could refer them to get signs posted both in the eel and in the white zones which they have they have for a year and a half to get the
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signs saying do not park here it's a real question. >> i'll certainly take that back to mta the issue is unfortunately in all of the codes that mta has to operate by the schools are denied by k through 12 we'll brick bring it back. >> it is we're trying to fourth why. >> it comes up repeatedly. >> i'd like to acknowledge tour staff i sat in one of the meetings with the police and municipal transportation agency with a variety of different agencies they've done an incredible jobs where they have the dollars for the endemocrat lots of so the influence of the health department on the transportation system not only for vision zero but other issues
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have come up in terms of the growing city of san francisco so i want to acknowledge many years of their companionship around this area they've done a fantastic job thank you. >> very good eric commissioner king. >> congratulations to our ability to get grants that takes a lot of pressure off the city so congratulations i had a request this request in the future when you give us the data on fatalities by injuries that is what you're aiming for as well and it would be great to track the progress on that. >> it is something having lane in a our epidemiologist that is based out of central nervous system and we are working closely to get not only the
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severe injuries by the police department. >> defined by the hospital they've got different clarifications at the it is important to understand for the reasons to sharing the preliminary analysis and we looked forward to implementing them. >> that's great whether you look at other cities that are farther along than us on in journey what turn out to be the common iltsz that the work is hard to bring the numbers down to zero. >> i mean, i think you know in other - you know the example of other international examples is a movement at the core of sweden the engineering so the reality we have a high-level of commitment but you know taking the time to get into the ground
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is building up the infrastructure so doing with we they've done a great job they have the effective approach of getting things in the ground so you see in the tenderloin removing the parking at the intersections so things go underground and improving the crosswalks or the infrastructure we can do that in the short time and the long term getting things in the ground the 24 projects has been something we're excited about happening but doing that you know there's a vision zero network that is being kicked off nationally in of the former director of the bicycle coalition is the director of that network she just got back from a fellowship in europe how do we bring that to the united states combining those
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improvements with data and fundamental focusing on speed we have a goal of fatalities and speed is the strongest predict so so currently we're not it is not legal to implement something in the state of california but in washington, d.c. they've seen a 50 percent reduction in fatalities so long term with vision zero helping change the culture around how to produce intents human life rather than how fast we get if from a to b we're loading to address. >> thanks. >> yes commissioner. >> thank you for coming back after you presented to us last year
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as the day that i present to us as the number of walking kids walking or people walking and biking goes up it is how the data shows that the numbers are not going on is there a way to look at the encouragement of biking and walking. >> in san francisco we had really strong goals with respect to increasing walking and biking that is being tracked by the sfmta so i think you know vision zero is part of that larger mod role how to see the increases but not seeing the increases in most of the injuries i look at the map of san francisco there are concentrated in the in and of itself quadrant of the city we have the most walking that didn't have to be occupied but
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walking that is a design problem in the large part we can fix we want more people walking don't have to see the rise a that's what they've been able to accomplish. >> that would be great if that data can be a comparison represented. >> all right. so on the accountability and benchmarks then would we be expecting that in the coming report a year from now obviously you're putting a number of things in place. >> yeah. we are. >> we have this raw data it is good it is starting to gown again, i think you have some others to try to do this i actually was - i thought the school zones were 15 miles. >> for years. >> (inaudible). >> please accompany to the
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microphone. >> sorry not before 2011. >> that wasn't part of motor vehicle code. >> prior to that that was 25 mile-per-hour. >> really so it dropped so therefore there is a - there will be signs - there are signs interest. >> there are signs all schools eligible that are signs posted 15 mile-per-hour. >> does that include all schools or only public. >> all parochial and charter and private we have approximately 2 hundred schools in the city and about 2/3rd's is public but all the schools with eligible. >> then i know that there are yell crosswalks; right? are those also paint at all the schools. >> yes. those are specific the yellow to schools.
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>> all the 2 hundred schools. >> yep all crossing guards eligible at all schools. >> it's hard to believe it's been a year since you were all here and you've done a lot is i just by the following year; right? the endemocrat lost and all we should be able to get summer day on what is happening as we move towards it i thought that was great to get international data and see how the other cities are doing a he how we're staying ahead in no further comments we thank you for your report and look forward to you returning with another positive report. >> great, thank you commissioners no public comment item 10 the dpw proposal to
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modernize the proposal and the city option and create a new city wellness fund. >> this item was introduced at the last meeting so you'll have a vote. >> good afternoon, commissioners el lien again in response to the commissions discussion at the last meeting we went back with additional analysis in 3 key areas and submitted a follow-up memo to summarize the work we had done so you asks you to do an economic stress test we performed and asked us for address information to changes to some of the language in the resolution and encouraged us to have an eye it on the developments program for future either further evaluation we
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discussed it also i'm having the same problem with my - but i'll continue i'm on slide 3 of the - i don't know if you have this slide but essentially for the economic stress test we looked at the trends that emerged during the last recession from 2009 to june sorry 2007 to june 2009 june 2009 was when the recovery began we were not fully out of low period at this point we ask the uc berkley does the affordability analysis to look at the historical effect of the recession on san franciscans income they told us two major take a ways the first income shifts towards little lower end
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of the spectrum of the things in your packet between 2008 and 2010 there was a 9 point increase in the number of san franciscans who earned less than 2 hundred and 50 percent of the poverty level those at the lower-income increase and at the same time, a decrease in 5 percent and the incomes shifts peeks in 2010 as incomes grail increase as of the eco report from 2012 at point hadn't reached the recession levels i'm sorry technical difficulties you can't see the power point the other key findings a recession will present a increase in apartment employment for lower than the 2 hundred and 50 percent of the poverty level
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and another graph in the packet is apartment to that in 2010 and the shift towards lower incomes is partially explained by people working apartment during the recession in addition to sorry so we look at the effect of the recession in 2008 and 2009 on bridge to coverage and healthy san francisco on the bridge to recovery program we used the income shifts to model the bridge to coverage in the economic downturn we took the 9 point difference increase in the incomes of people below 2 hundred and 50 percent of poverty and applied that to the projection of the programmers and the 1 point increase in those 0 above 4 percent of
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income to model our participation overall we anticipate the program is sustainable bus the lower-income flshd the federal participation and decreases the participation on local resources the number of people eligible either they moved the job and didn't quality them for the program in new engrossment increases because the employers will be transcribing on their on behalf of that overall increase is greater than than the increase in expenditures related to the people if the program because those additional people are eligible for federal subsidies than the people pavrnt in the program we discussed that uc berkley the inflation scenario in the event that health insurance and bridge
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to coverage rises but in the coverage of the costs is increasing but the employers is tied to the health insurance that also rise at the cost of covered california we believe that is neutral on the program we also did a stress test on healthy santa fe san francisco what does it mean for healthy san francisco and in an economic downturn san francisco will continue to fulfill the 17 thousand ingredient for coordinating the care and continuing to do what it does for us today as previously recorded to the commission a healthy role model the general fund forever the emergency use we the an analysis in our original memo of the 12
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hundred individuals we allowed to city in healthy it san francisco as a result of unaffordability of health insurance and we element that will void 2 hundred e.r. i have visits at san francisco general hospital enough to provide preventive care for 2 hundred and 35 families new landscape the modernization proposal mitigates the economic downturn of healthy san francisco in two important ways one it eligibility for medi-cal for the lowest income more people will be eligible for - more individuals will be eligible for bridge to coverage giving them coverage and not making them ineligible for
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healthy san francisco second item the health commission asked you us to look at the wellness funds and hesitant on approving the wellness program since the last commission meeting we'll have presented to the small business commission and the health population division we've received valuable feedback from each the presentations small business commission we gave a similar presentation that you got at our last commission meeting no concerns or recommended changes for the bridge to coverage or healthy san francisco components of the proposal and for the employee wellness program the small business commission oebldz the health commission that the small business in particular are not likely to have the means or on the human resources sign to
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manage a wellness program they asked you us during the stakeholder process to look at developing a program that smaller employers what participate in collectively rather than having to manage on their own consultation with the population health division identified other opportunities to partner and say they've generally excited about new ways to partner for example four onsite occupation health and safety training and many clinics for disease testing and they also were excited about the ability to tie those to overall efforts to increase the health literacy and enrollment insurance and addressing building the employer was a critical xhoenlt of chief financial officer the health in san francisco in response to the health commission feedback and
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the information from the small business commission we've made modifications to the resolution which you have in your form that requests your approval to composer and among the option that have the hunting restraining order lubricating taking those services suggested that the health commission asks do us for . >> and finally on the evaluation of the new bridge to coverage program we heard clearly preacher from dr. kateing he wants us to be sure that the impact of the proposal was thought-out and the program design we can do that so we've been in conversation with the san francisco health commission and the bridge to heartache coverage to make sure we can
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track health updates and citywide health indicators and the health benefits over time that's a summary of memo we presented to you in follow-up to your last meeting a revised resolution rather is available for you for your consideration and polk action today. >> thank you commissioners we did receive before your place a written statement from the san francisco labor council which i believe you have endorses the proposed bridge program and had some issues considering the wellness we've heard from the people from mr. paulson and he has submitting that in writing commissioner pating who was unable to be here sent a note
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he'll encourage and personally feels that health care makes sense and hopes that his fellow commissioners b will vote to approve that resolution he also called for us to be mindful of the means for community assistance and contributions from employers employees and all to create a good universal health care program so you have that letter before you are there any - anyone signed up for public comment. >> not received the public comment i apologize for the glitch not someone to help us out. >> commissioners discussion or a motion on the resolution? >> commissioner - commissioner singer. >> thanks colleen and thanks
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for being responsive to my comments we're getting used to our thoroughness we're super helpful your team and you spent a lot of time on i just wanted to say that i appreciate the change to the language on the wellness proposal and as we're getting into that understanding the complexity and trying to make trade offs i encourage the department as our studying it to not get completely sold that we should do this as you study is it you shill have still have to keep in mind the possibility that might not be a good use of funds certainly not arguing those things you've sited in the workplace that are available to itch larger employers are not available and potentially good
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things to do for the set of san franciscans that work in small employers but i think that one of the goals for studying it ought to be if we're as a city going to devote resources practically speaking where are we going to get as much help if we spend those funds someplace else it is hard to measure we have to have that mindset to maybe we're not going to get the return on the investment the universities or other populations that need it much more remember much of those people are access to some health insurance there are other places i add we keep that possibility in mind as we go through this. >> thank you commissioner sanchez. >> i would move the resolution i think that staff has done the
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group did an excellent job they've listened and had meeting with the small groups the recommendations is needed gives us the flexibility to explore all options some of the major functions are interested in funding the links to provide new services those wellness programs are good for preservation in any way to generate that, etc. so you know there's a lot of exploration we could be doing i hope we'll sure we use those foundation grants to provide a unique model we've been able to do over the years again congratulations and move the resolution this afternoon thank you, thank you there's a motion and second. >> any further discussion on the resolution?
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commissioner karshmer >> thank you you'll for your thorough review and i'm pleased you linked the public health division work to this resolution i think this helps at least as you study this helps groub what this is as opposed to everything i don't think - but it builds on the strength that was a nice addition. >> thank you. >> thank you further comments commissioner taylor-mcghee. >> no sorry no further comments then i echo the very fine work and the responses so promptly it is not easy. >> thank you it is what makes it work. >> we're prepared to >> all in favor, say i.
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>> i. >> opposed? resolution has passed unanimously thank you. >> thank you, commissioners item 11 other business. >> commissioners any others business you'd like to bring to our attention or we'll move on to the next item. >> 12 is a joint conference committee report and you have a july 28th. >> july 28th was the meeting where mr. pickens was serving as is interim ceo and we reviewed the qualities management and regulatory reports and ucsf gave an excellent destruction briefly on their education and research program i believe we'll have the power points given to the commission it shows that very high percentages of trainees that went through the ucsf
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educational program actually intrerdz services into the under served population therefore fulfilling that mission at ucsf general noble in the trained positions but have those available for our underserved population so we'll be getting those slides to everyone we also then reviewed the transition program it has been laid out in very greater detail for projecting that aside from the ribbon cutting that is designated for december that following that we would continue to be - and that's assuming the pods allows us to proceed to be able to stock our building we would then be undergoing a department of public health inspection from the state for
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licensing and following that which would have approved our policies and procedures to gun to orient people to our hospital projecting a may date at this point for occupancy patients but that a plan will be continued to be monitored by the joint conference over the next several months department of water & power what the timeline we followed through with the building itself and presentations in a know fashion to be maids to the commission to broncos you up to date on where we are aside from that in closed session the committee also approved the credentials report and i think if there are any questions i'll be happy to answer any questions not hearing any questions any
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further joint conference report. >> no public comment. >> item 13 is the committee agenda setting. >> okay. so in agenda setting we will remembered i that we have our planning program which will take up the. >> october 6th. >> where is going to be. >> at dwooi van ness and in the public health department division. >> we'll be going to it during our planning commission. >> please be prepared for that beginning at 2 o'clock i think it is. >> yes. >> do we have any further unanimous. >> item 14 which is adjournment. >> okay commissioners, do we accept the motion for adjournment. >> i move we adjourn.
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>> okay there being no objections well, no - i >> all in favor, say i. >> i. >> opposed? this meeting is adjourned >> when you cast your vote in san francisco, you may do it
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through city hall or vote by mail. ever wonder when to cast your vote? how is your vote counted. let's follow your ballot from the moment it's officially certified by the department of elections. >> first we'll look at what happens to your vote at a polling place. when you cast your vote, your ballot is fed into a voting systems machine. it reads your ballot and the data is stored inside on the memory cart cartridge. it provides san francisco with voting machines. high speed ballot scanners and software used to cast votes. when the memory is pulled from the memory. the cartridge is stored
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in a bag and sealed then a san francisco parking officer takes official custody of the cartridge to deliver it to city hall. the custody of the actual completed ballot is transferred to the sheriff who takes it on election night. on election night. pier 48 is a hub of activity. sheriff's bringing ballots lineup outside waiting to deliver inside the pier. it's a long night for these election employees. staff unpack and sort all the
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ballot bags and account for all the rosters for those dropped off at polling places. the inside ballots are counted by a machine and there is still more to do with these ballots. we'll get back to them a little later. meanwhile at city hall, the department of elections sets up a one night only uploading center. staff and city employees ready to handle delivery and processing. >> on election night we set up the loading center here at city hall so we can process the votes as quickly and accurately as possible.
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first the election bag is placed on the reader to record it. next the cartridges and transfer papers are checked by our staff. then the cartridges with the votes for each precinct are fed into readers which are fed in the dominion software. these are results directly to the department computer for tabulating. >> back at the polling place you might have cast your vote using the edge screen which is a screen touch system sch which allows others with disabilities to fill out an
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official blot. it's attached to the edge machine. >> i also need the edge printer. at the end of election day, a deputy sheriff takes custody of the sealed container from edge machine. >> you only have one edge printer, right? >> yes. >> these deputies transfer the container a lot with the ballots to the warehouse on pier 48. the department of election staff opens the sealed container from every edge machine and reviews it's printed record. >> here at the department warehouse, teams of two people remove the record from each edge printer and check and double check to confirm whether or not those were cast. if votes are recorded on an edge printer, a team of two people remake the vote onto a blank
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paper ballot from that precinct. then a different two people confirm the votes and correct any errors. all the edge printer records are are -- archived. they transport to city hall and then fed to the machine for counting. that way all the votes cast on the machine are included in the election. voters are encouraged to vote at their assigned polling place. people who cast their vote at a voting place other than their polling place are called provisional voters. they are taken to city hall for verification by staff. verification is to check to see if the voter is registered in san francisco. if the voter is
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registered in san francisco, their votes are counted for the correct contest they are into. more than 60% of san francisco voters cast their votes by mail. ballots cast by city hall are also by ballot. they are processed at the distribution center at the largest mail processing facility in san francisco. >> so, it's quite a large operation. about 1500 employees throughout 3 shifts. it runs 24/7. 365 days a year and today we have all the ballots for the city of san francisco and today they will be processed
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for delivery. today we have a truck that has already come in. we are expecting about 218,000 ballots to come on 15 trucks. so far we have received three of the trucks and you can see there is a lot of mail here. right now we are getting raid to run the mail on digital bar code order. first we put it in carrier route sequence and walk sequence so it's real efficiency for the ballots for our constituents. >> voters registration are dropped off at the polling boxes and it's transferred to a deputy sheriff who transfers them to pier 48. at the pier, ballots are collected. the number returned is noted and quickly transported by two deputy sheriff's and two department employees to city
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hall for processing. before any counting of any vote by mail ballot can happen, the voters signatures must be verified. first the unopen vote by mail ballot uses a scanner that picks up the bar code signature and the bar code identifies the voter and precinct and that is sent electronically to the voter for verification. >> we have the signature on the voter registration file t voters name, precinct and signature is entered into the election information management system. staff reviews the voter information and signature on file and visually compares the signature. then we challenge the validity of the ballot. if the ballot is accepted, the
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voter is noted they have been accepted in the election. then it's send back electronically to the scanner. the envelopes are run through the scanner again to sort out any unverified ballots. on the second scanner pass, the ballots are also sorted by precinct. it makes extra effort to correct the system so the ballots can be verified and their votes count. although accepted vote by mail ballot envelopes, used to be open by hand, they are now open by an extraction machine. >> it helps open the envelope on two sides and these on the
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machine you can pick up the ballot. it's probably twice as fast as a manual process. >> the ballots are then scanned by a dominion 400 c high speed scanner for each ballot card. at the same time employees check the dominion tally sheet and compare it to the printer. the scanner sometimes can't read a ballot due to damage or light marking by a voter. these are transferred by hand by a 2-person team. these new ballots are returned to the scanner and the votes are added to the final tabulating. you can -- confirm your ballot was received and confirm your vote
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was counted at sf elections.org. >> at the end of each day which transfers the data from the scanners onto this laptop and we tabulate the votes. >> on the server these votes are combined with the votes already transmitted with the cartridges. >> once the data is loaded on this laptop, the server tabulates the votes and we generate a report and post it on our website. >> along with the report, it also includes a precinct by precinct breakdown and posted by mail and a neighborhood turnout report. >> we are very proud of our data tool. it includes a lot of information about voter information with the voter
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district and party. we will continue improving. >> you would think that's the end of the story, but there is still more work out of pier 48 that needs to be done. california election code requires the manual tally of ballots in the precinct which is chosen by an elected official. for the 1% manual tally, the ballots selected are counted by hand at the department warehouse. basically teams of four election match the ballots to the tally. there is a team for each ballot. two people tally the vote that is called and the two people confirm the votes and finally they are compared and compared to the electronic vote.
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>> this 1% manual tally is the last step for declaring the final results of the election. so from your home or neighborhood polling place, to city hall, by memory cartridge, high speed scanner or even manually, your vote is tabulated and declared by the san francisco department of elections. >>.
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>> good afternoon it the one p.m. this is the meeting on the san francisco community investment & infrastructure commission to the redevelopment agree for monday, august 4, 2015 welcome madam secretary call the first item the first order of business is item one roll call. >> commissioners,. please respond when your name is called: commissioner mondejar commissioner singh is absent commissioner bustos madam chair rosales

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