tv Government Access Programming SFGTV July 20, 2018 12:00pm-1:01pm PDT
panic family is different from the south asian and different from chinese. we believe that it's very important to give culturally appropriate care to our patients and we have information. i'm very excited about this opportunity to expand our services in the health of the patients in the community. i'm very pleased with that. >> thank you. commissioner green. >> yes, i am a little confused about spmf and the health plans you take. because i know that cpmc, for example, takes blue cross programs and medical but i know my colleagues in the foundation are not on medi-cal and as not example, blue cross plans, we've had this problem because we prefer our patients to spmf doctors and find out were contracted with these plans that they're not. i'm wondering if you can explain how you plan to expand and
mirror the health plans that cpmc is a part of so we can ensure that all the patients can have continuity care and i guess the second question i have is spmf taking the services that will duplicated and i'm curious whether spmf is planning to take over the breast health and cardiology and so fourth at the van hvaness campus and if not, y not? >> i am plead i don't know the answer to that one. i've just taken over as c.e.o. in that area so i'm not sure about everything. on this, first of all your question on insurance programs. you are absolutely right, there are millions of insurance plans around and in emergency services obviously people can go to the hospital and get taken care of. non emergency services, people need to check their insurance plans. we have met with and reached out
do you know the percentage of medi-cal? >> we have reached out to the insurance plans to contract with all of them, including hill and all the other plans to offer those services. so we have no intention of not offering the service, we want to offer them to everyone and we are working with their health plan administrators to write those contracts. so it's our intention to contract with all blue cross plans. >> this will be done by the time all these changes occur? >> so the contracting issues as you well know, laurie is complicated and it's complicated because it takes two sides to make a contract. what doctor stated it's our intention to offer those plans
to continue access to the services we are mentioning. it's up to the plans, frankly, to decide whether they want to continue that. in terms of paramix, the diabetes center at saint like's. surprisingly 36% is commercial, 25% is medicare, 25% is medi-cal fee for service. 2% is medi-cal risk and 0.3% are self-pay. i can answer the question for the other activities as well. >> i also want to comment on the concept of community benefit. we have both a duty and an inclination to community benefit in the foundation and give millions in community benefit every year. free services, uncompensated
care and community benefit classes. we have thousands of outreach classes. so we are very committed to the community and community benefit and especially education research. >> so much non-invasive cardiology is already done in the foundation. our current plans are the mammography unit, which is a very large unit is going to move to the specific campus and at least for the foreseeable future is going to continue to be operated by the hospital. however the national trend, as you know, is for diagnostic services, whether lab or radiology, to move into outpatient providers. so my guess, but it's just a guess is at some point in the future, most of those outpatient services will no longer be provided, not just by
c.p.m.c. but frankly any hospital in the country. >> as you know, matt [off mic] limiting our ability to [off mic] >> all of the money that goes to -- >> please speak in the microphone. >> sorry, all reimbursement within the hospital and foundation goes to sutter. it's one bottom line. it's not the physician group is contracted with the foundation to provide services. but all of it goes to the same place so it's not a difference. the foundation and the hospital are one. we have one single member on the board.
>> commissioner guillermo. >> you spoke about these transfers would be able to provide a benefit for the patient. so i'm interested in, sort of a bigger picture of that system otherwise it looks like each of these becomes a discrete transfer for, you know, any purpose that anybody might ascribe to it, so i'm interested in getting a little bit of a big picture of that transfer of patients from the acute care setting to a more of an outpatient, essentially community-based setting, so
that we can maybe look at this in that context. as well as you mentioned community benefit which was one of my questions. how does all of that fit together? >> some day we need to sit down and spend a lot of time talking. if you look at health care as a whole, it's moving from the hospital to the outpatient setting everywhere. whether it's electronic monitoring in your home or home care, in-home care, there's lots of things going on. the concept of the hospital as the center of health care is really quite antiquated. unfortunately, you can't sort of break it all down and start again and say oh what's the best place to do this, we will build this for this, and this for this. so what we have done is said where is the best place to put assertive as we know it now and as we have the opportunity to make those changes we make those changes, so the
foundation is growing. they are making big investments in primary care and in growing the outpatient setting and availability of outpatient services for patients in san francisco around this beautiful new hospital that's being built. so to sort of round out the care that we provide. so this is our opportunity to make those changes. and as we continue to grow and change, we will take those opportunities and make those changes. >> community benefit? >> what would you like to know about community benefit? i don't have the numbers with me but i can certainly provide them to you. community benefit comes in the form of free care, providing care in the various foundations, it's done in different ways. whether it's teaching, research, free care, classes is a huge part. physicians giving more time, we pay the physicians, they then
give their time to h.u.f.c.'s and other community benefit services. >> are you then -- >> do we monitor it? because you are answering the question, my response is it just the foundation that manages the community benefit resource allocation, community benefit plan, or is it a separate community benefit plan or department versus the hospital, or versus the system? because i'm talking about system. >> right, right. so the system has a community benefit goal. so that's one of our measures, how much community benefit you are providing within your community based on your size and other things. so the hospital has a community benefit target and we have a community benefit target and that's monitored within the system and watched.
i think that answered your question. our community benefit is coordinated in the way that every year, or i guess every couple years, the hospital and community clinics in the community services, look at needs assessment for a community and look at what needs to be done and how they can participate in that. so a community benefit in one town might be different. in sunnyvale we teach nutrition classes, run the project cornerstone, we do lunches for kids. so there's that type of community benefit. you do what the community needs. i'm sorry, i'm trying to answer, i really am. i'm not sure what you are asking. >> sorry, i don't mean to drag this on but you mentioned community benefit was a part of the consideration as these services are moving into the foundation. so my assumption was that there was going to be a coordination
or integration of the resources that you have with community benefit relative to these services that are transitioning. >> i think we made, there was a disconnect there. one of our speakers said there's no community benefit in the foundation and i wanted to be sure that you all understood that there is community benefit in the foundation and we do have a responsibility for community benefit. however, it is true that much of community benefit in the foundation is in the form of education. so many, many education classes are transgender classes are classes for suicide prevention for teens. all of that fits in community benefit and that serves sort of the needs of the whole community. you look at the whole community. did that make more sense?
sorry i didn't confirm the disconnect there. >> commissioner sanchez? >> thank you. i just want to make sure i heard you correctly. you said in reference to the diabetes patients that are now being seen at saint luke's, the new services will provide culturally competent linguistic staff? >> the same staff -- >> staff or professionals in the new site, which is the one on van ness? >> we did mention a new diabetes site ativan necessary. -- at van ness. the cal campus, we will find a new site for it. we haven't determined where that's going to be just like
other programs at cal campus, that campus is closing. we haven't determined it might be pacific, it might be van ness, it might be elsewhere. >> i'm sorry, but i do want to cite, because of the 2-mile rule your colleague mentioned in the presidio, his comment a little of this geographic area, two miles. two miles of saint luke's includes a number of unique services that have been going on for over 50 years in the community. the mission health center. central latinos of san francisco provides nutrition, citizenship, english, health education. they also provide transportation. they also provide meals. 7 days a week. a number of the non-profits are
transferring to that because they are the only physician that now consistently cooks in that area, everything fresh. on the other side within your area is on lock which also has a large diverse population. plus we can name a number of other sites in this area. and two blocks away is the rodriguez early childhood education program on mission street which is over 70 years old which provides nutrition, training for staff and diabetes because of the student population there. the grandparents come in. the parents come in and it's all part of this communication and education. all i'm saying is within this two-mile area there's a number of unique resources that are now being linked with sfgh and others to provide some of these
services, including choir system from u.c.s.f. etc. but i still haven't seen any discussion and or collaboration to utilize these services to enhance the ability to maintain these cultural services within the new parameter of the new st. luke's. that's sort of a little bit on the radar. so hopefully, as i said, it took a long time to get spanish-speaking staff a number of years ago for the diabetes center out there plus some other programs. >> so commissioners, as i'm sure you are aware, we work very closely with the san francisco community clinic consortium. our primary partner in that, and this is a decision the community clinics make we are the primary hospital for all of their patients. i'm sure that director garcia can talk about that.
mission neighborly health center, i think still san francisco general. i think the hospital has done a very good job working with the community clinics in identifying the appropriate place for patients to get that kind of care. we are working with community clinic consortium. when we get asked to do things we try to say yes. >> if i may, commissioners, if i can just ask a couple questions and make comments. dr. rivera, we are pleased you had the conversation about reflecting who we serve in our communities is so important for us. this is one of the issues we had the conversations with sutter about the diabetes clinic and the concerns that staff from those programs show and you could hear that today. the fact you are going to be leaving the hospital setting, which is, as you said, from a system approach, outpatient is where it's at and that's where we need to do our best work. the disparities in our community are really in the
latino, samoan and african american communities. i wonder could we hear a commitment from you, particularly to work closely with us, because as we move forward, you won't have to come to a prop-q hearing when you reduce or eliminate a service. but it is, and i know your working relationship as an example with missions neighborhood health center, which will be really important. but we would like, because you are a new person in around here, i just want to hear a commitment from you to work with us closely. we have, you know, i think, common interests and i would like to work and i know our staff would like to work with you in terms of looking at those common denominators because i know we could do better. whether at the patient or hospital level. prop-q is important, we would like to see what happens at the
hospital level. we would just like to hear a commitment. we have our chief medical officer for network here. it's so important, alice chan. dr. brown and i worked closely for two years on the development agreement. five years, okay. two intense years of negotiations. and i just think, hearing a commitment to those populations, i think, would serve us well. and getting to know you, as the c.e.o., we look forward to that. but a commitment to these populations is going to be really important for the future and working relationship for the health department. we are here for you and with you to assist you in how to serve this population i think we have expertise in. i just wanted to give you that opportunity. >> thank you. i'm absolutely committed to serving the community and getting to know the community.
as i say, i apologize, i'm new to this part of the organization. and just beginning to learn about the needs. but, if you grilled me on the community needs in the south bay where i have worked for a long time, i could tell you all the f.u.h.c.'s on a first-name, in fact we actually just won the award for the organization that's most honored for helping the community through our work with project cornerstone, our work with the y.m.c.a. and our work with the food banks and other things. we are absolutely committed to helping the community and really having a partnership. hearing what the needs are and how we can help with those. especially classes and other things. we really are excited about that.
>> i find this discussion concerning the change of management is somewhat more of a trust that the statement made that c.p.m.c. has reported no changes to services except payment sources or staffing models from our presentation and slides is actually not reflected in any of, in either your letter to us, for example. i am pointing this out because our responsibility now is to determine if that management transfer is as best as we can tell having a detrimental impact on the health services in the community. the responses to dr. green could also be interpreted to mean that not everyone who currently is able to access
certain services at the hospital base clients will because certain plans may not choose the rates you are offering them. i agree, it's a contract negotiation. but understanding contract negotiations, that could have detrimental effect if, in fact a u.s. or 500% of everyone's cost. i like the fact you are shaking your heads saying no. but it would be really nice to hear a more positive, or see a more positive commitment, as i think director garcia was hinting towards, to show that, in fact, both, or in this case, because it's going to be the foundation that's going to have to carry out at least some sort of semblance of a responsibility that this very short statement seems to envision that we aren't
changing services. we are moving across the street to the montego building. we will keep the same staff. we will have the same culturally competent staffing. we will be available in echocardiograms just like we were a hospital. that would mean also these normal, lower say income medi-cal patients will actually still have access. i don't see that. >> sir i want to clarify, the only group we don't have assurance about are commercially-insured patients. a limited number of blue cross plans we still have to get a contract with. now, as you all know from your experience at chinese hospital, negotiating with insurance companies is not straight forward. it is our hope they will agree
to accept the same rates that they currently pay to the hospital for these services. honestly we would not be truthful with you if we said we could answer for them. but that's our intention is to say this is our plan, do you agree. in terms of medicare and medi-cal and vast majority of patient insured services, it's not an issue. >> i understand. obviously you can't be held hostage to unscrupulous differing programs or plans. i think if we were able somehow to get a clearer definition of what the management transfer would be and while you can say there is no real impact, we are going to maintain all of these. if that could somehow be translated into some type of, for example, whereas in our
documents, that then allows us at least what we could have understood to be the intent that you have. i think that helps us move forward in terms of looking at how we could say the health care of the city isn't going to suffer from this change of management. and i think we have several weeks. that we take some time to see if we can craft something. many years ago we had this same -- not this same issue, but issues of, for example, i don't -- dr. brotmo was here at that time, we talked about employee benefits. that was finally worked out and available within our whereas's. understanding from you these are so.
i think that this is something that we could leave to crafting, in terms of improving within our document what we understand you have said today to show whether or not there really is any change so that a clinic moving to the montego office building will have the very same services. that is your intent. will have the same access. if those things could be placed into our whereas's, and i leave that with staff to try to work out. and i think the same issues that dr. garcia has raised for us from a continuation of working together to try to continue to move forward on services. that might also be reflected in some of our issues in terms of the alzheimer's and what not. the intent we could place the
organizations together willing to move. it's all part of health care is dynamic and moving. can we actually have a resolution that then could say that these are changes that can make sense are not going to harm but even serve our community better. is that something we could work towards? >> we could certainly work toward that dr. chow. we could certainly try. we all understand part of this proposition to process is to have a public hearing of the changes that are going to be made. and i'm sure the commissioners understand that ultimately the decision to make those changes are hospitals and foundations but we work very closely with the departments to make sure that what we are doing is as
fair and equitable as it can be so we are happy to take that back to our team and work with director garcia and her staff. >> right, i would just like to see we could memorialize some of these issues going forward. >> what blue cross decides is not under my control but -- >> very interested in the medi-cal population. >> right. >> and the people we are currently serving right now. i think those are all things if we were able to place into, you know, it's a moral commitment and we are all aware of that. prop-q is only a moral, a more public hearing to understand what is happening and i think that helps for you to tell the public and tell us and the public your intent.
we really appreciate that, it's again another reason we take more than one hearing in order to try to see if we could work things out. >> we are quite proud the new facility we are building at daviess for inpatient and outpatient psychiatry will be a much better place to provide that care. if we could have a prop-r? [chuckles] >> staff? >> prop-r should then call for you to come and tell us all the good things you are doing. thank you. commissioners, any further comments or questions? therefore we will be looking at august 21. it is possible that if, in fact, going back to the whole issue of the svindal services in the day center that we may want to also be looking at some
of that and possibly that might call for a delay if we can understand more of that and i think that we certainly want to give every opportunity to see that the health care of the community is in fact enhanced rather than reduced by the proposals that you have brought to us. >> yes, and as i think you know, august 21st is in the middle of a very busy week for us, because we are opening a new hospital on mission bernal on august 25th. i know full attention is going to make sure that goes as smoothly as possible. >> and this commission is very pleased you are hoping that new hospital for our communities. if there are no further questions, then thank you for coming and to help state what
your intents are and we will ask staff to continue to work with you so we could have that as part of our resolution. thank you. >> commissioners, item 11 is other business. i'm just noting that your next meeting is off site. it will be held at the richmond community center at 251 18th avenue. of course we will send that as a reminder to you and give you details about parking and all of that. any other questions about the calendar? any other issues you would like to bring up during this item? okay we will move onto item 12. >> [off mic] >> i'm sorry? item 12 is report back from the july 10th meeting. i believe commissioner sanchez has the notes. >> thank you.
this is the july 10th meeting of the laguna joint cause committee. -- attended even though she had undergone that accident last month but she was there and did want to present the report and we welcomed her back. we also have the 218 san francisco fellows project which did an excellent presentation pertaining to designing the visual board for our nursing hurdles and they presented just basically these were three fellows that were all young women who just did an outstanding job pertaining to working with our nursing staff as they took a look at different challenges affecting patient care. and it was just extremely well done and everybody gave them a standing round of applause.
we also had our lien transformation update, discharge care planning improvement event. we had resident satisfactory survey different from the one taken five years ago. even though there might have been some very negative comments about five years ago, a number of those, or some of those who made those comments were very pleased with the resident family satisfaction survey this time. we wanted to thank the staff and everybody at that point. the committee also approved the hospital-wide policies and procedures, in closed session we approved the credentials report and we adjourned, i believe at 5:30. >> is there any other additions my colleague would like to make? >> i just wanted to add that it was my first opportunity to
attend one of the j.c.c.'s at laguna honda and i was both surprised and pleased, i think, at the staff participation and what seems to be a very, i think, robust desire on the part of what i observed, a robust desire to really sort of bring the hospital into a more high performing and sort of, at the same time, maintain its orientation around a very sort of humanistic care facility for its patients. so to be able to move into something that requires much more efficiency at the same time, same if not better level
of human touch is something that i observed as a sort of dual and laudable goal on the part of the management and the staff that i was able to interact with and observe while i was there. >> thank you. that concludes our j.c.c. report. >> great, we could move onto consideration of closed session item. there's no public comment request for this item. >> okay, a motion is in order to hold a closed session. so moved. second? all in favor say aye. all opposed.
made. that is our opinion. >> i can't argue with you. >> you are responsible please do not know his exact. [♪] [♪] [♪] >> i had a break when i was on a major label for my musical career. i took a seven year break. and then i came back. i worked in the library for a long time. when i started working the san francisco history centre, i noticed they had the hippie collection. i thought, if they have a hippie collection, they really need to
have a punk collection as well. so i talked to the city archivist who is my boss. she was very interested. one of the things that i wanted to get to the library was the avengers collection. this is definitely a valuable poster. because it is petty bone. it has that weird look because it was framed. it had something acid on it and something not acid framing it. we had to bring all of this stuff that had been piling up in my life here and make sure that the important parts of it got archived. it wasn't a big stretch for them to start collecting in the area of punk. we have a lot of great photos and flyers from that area and that. that i could donate myself. from they're, i decided, you know, why not pursue other people and other bands and get them to donate as well? the historic moments in san francisco, punk history, is the
sex pistols concert which was at winterland. [♪] it brought all of the punks on the web -- west coast to san francisco to see this show. the sex pistols played the east coast and then they play texas and a few places in the south and then they came directly to san francisco. they skipped l.a. and they skipped most of the media centres. san francisco was really the biggest show for them pick it was their biggest show ever. their tour manager was interested in managing the adventures, my band. we were asked to open to support the pistols way to that show. and the nuns were also asked to open the show. it was certainly the biggest crowd that we had ever played to. it was kind of terrifying but it did bring people all the way from vancouver, tee seattle, portland, san diego, all up and down the coast, and l.a., obviously. to san francisco to see this show. there are a lot of people who say that after they saw this
show they thought they would start their own band. it was a great jumping off point for a lot of west coast punk. it was also, the pistols' last show. in a way, it was the end of one era of punk and the beginning of a new one. the city of san francisco didn't necessarily support punk rock. [♪] >> last, but certainly not least is a jell-o be opera. they are the punk rock candidate of the lead singer called the dead kennedys. >> if we are blaming anybody in san francisco, we will just blame the dead kennedys. >> there you go. >> we had situations where concerts were cancelled due to flyers, obscene flyers that the city was thought -- that he thought was obscene that had been put up. the city of san francisco has come around to embrace it's
musicians. when they have the centennial for city hall, they brought in all kinds of local musicians and i got to perform at that. that was, at -- in a way, and appreciation from the city of san francisco for the musical legends. i feel like a lot of people in san francisco don't realize what resources there are at the library. we had a film series, the s.f. punk film series that i put together. it was nearly sold out every single night. people were so appreciative that someone was bringing this for them. it is free. everything in the library is free. >> it it is also a film producer who has a film coming out. maybe in 2018 about crime. what is the title of it? >> it is called san francisco first and only rock 'n' roll movie. crime, 1978. [laughter] >> when i first went to the art institute before the adventures were formed in 77, i was going to be a painter.
i did not know i would turn into a punk singer. i got back into painting and i mostly do portraiture and figurative painting. one of the things about this job here is i discovered some great resources for images for my painting. i was looking through these mug shot books that we have here that are from the 1920s. i did a whole series of a mug shot paintings from those books. they are in the san francisco history centre's s.f. police department records. there are so many different things that the library provides for san franciscans that i feel like a lot of people are like, oh, i don't have a library card. i've never been there. they need to come down and check it out and find out what we have. the people who are hiding stuff in their sellers and wondering what to do with these old photos or old junk, whether it is hippie stuff or punk stuff, or stuffestuff from their grandpar,
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as well as generous benefits programs. but most importantly, working for the city and county of san francisco gives employees an opportunity to contribute their ideas, energy, and commitment to shape the city's future. - thank you for considering a career with the city and county of san francisco. >> hi, everybody. my name's london breed. i'm now mayor of the city and county of san francisco. thank you for coming here today. i just received a briefing from our local, state, and federal officials on disaster preparedness and making sure that we as a city are prepared
for anything that could come our way, whether it's an earthquake, whether there's a terrorist threat, whether there's a fire or any other emergency. many of the officials standing behind me are the ones that will be in charge to help our city move forward and address those particular issues. and one of the take aways from today's meeting is that we need to make sure that san franciscans are prepared. we need to make sure that you visit 72.org or alertsf because we know when a disaster hits, you know, sometimes, our resources are restrained. we know we can prepare as much as we can try on a city level, but ultimately, we want to make sure that every san franciscan is doing all that they can to prepare, as well. so that is the take away from this meeting as well as some of
the things that we are definitely going to improve on, including making sure that many of our senior population, that we specifically do something to support what their address and concerns might be. i was actually -- actually, i grew up here right across the street, and i was here during the '89 earthquake, and i remember the lights being out, and it being dark at night, and the power not coming on for days, and a number of other issues that occurred during that time. and so we can definitely learn from some of the things that have happened here in san francisco in the past, and i am excited that even during the time that i served as acting mayor, when we had a terrorist threat because of the men and women standing behind me, that was averted, and so that is the kind of thing we've done here in san francisco is to continue to coordinate with our state and federal officials to make sure that san francisco is in the best condition to address
any issue. it's not a question of, you know, when is an earthquake coming. we don't know. we know the fact that it is going to potentially come because this is earthquake country. and so here in san francisco, it's important for us to be prepared, so please make sure that you visit 72.org and alert sf. [inaudible] >> thank you. and if you have any questions, please call 3-1-1, and i'm willing to take up to a few
questions. [inaudible] >> so i just started yesterday at 11:43 a.m., and i've already been meeting with a number of officials, including one of the most important things that we need to do, and that is, of course, protect the public. and so having meetings and meeting with department heads, our public safety officials, and doing what's necessary to understand exactly what's happening now, and making the decisions to improve on what is already happening is important and what i plan to do. it will take time. there -- this problem that has existed in san francisco was not created overnight, so to get to a better place, it will take time. and so i am committed to working with all of our department heads and others for the purposes of getting to a better place. i love this city. i grew up here.
i want it to be a cleaner city. i want it to be a safer city for all of our residents. i'm committed to safe injection sites and to doing our conservatorship program in a way that effectively helps address the challenges of mental illness, something that we know is impacting our homeless population more than anything else, along with addiction -- challenges with addiction. and so i'm committed -- i'm started. i started, and i'm moving forward. when we can see the results is yet to be determined, but i'm looking forward to just really pushing forward as aggressively as i can to get the job done. [inaudible] >> what kind of push back are you anticipating from fellow members of the board -- [inaudible] >> well, actually, i'm not sure if you're aware, but about last week or two weeks ago -- the
days are just blending right in together. i went to sacramento with supervisor rafael mandelman to support senator scott wiener's bill, sb 245. he is a support of sb 1045, along with other members of the board of supervisors, and it passed through committee unanimously. i am hopeful -- i had a conversation with the governor about it. i'm hopeful it gets through. it got through the senate. hopefully, it'll get through the assembly, and if the governor signs the legislation, he would have to opt in for the purposes of using this tool here locally. and i'm feeling good about this particular legislation taking effect here in san francisco based on the support from the board of supervisors. maybe not all members of the board will support it, but i think that there's sufficient support to get it enacted here.
>> in terms of emergency preparedness, were you just briefed or were you -- [inaudible] >> yes. [inaudible] >> i didn't hear the last part. [inaudible] >> so it's not a rumor. ann kroneberg announced last week that she had plans to retire. as far as briefing, yes, there was definitely a conversation about a briefing, but also, again, the recommendation around making sure that our senior population is aware or prepared or gets the kinds of resources they need to be prepared for these natural disasters because not everyone's on the internet, not everyone has access to a cell phone, so we have to remember that we do have a vulnerable population here, and we need to
make sure there's another system to outreach to them. so what we will do here in san francisco is look at what exists and improve upon our systems for the purposes of keeping all residents here in san francisco safe. [inaudible] >> well, as you may know, greg, as a former member of the board of supervisors here in san francisco, i have had, really, the strongest environmental record on the board. pushing forward, our styrofoam ban, the save the bay ballot measure, getting cleanpowersf through this board, the single most important thing we can do to combat climate change.
this is something that has to be an important part of what we do, in addition to getting our seawall prepared. so this is something that's really important to me, i know it's important to the governor, so i'm looking forward to this summit and the work that we hopefully will accomplish as a as a result of bringing leaders from all over the world here to san francisco to discuss this really important issue. thank you for your question. >> and we have time for one more question. otherwise -- >> when do you plan to make your appointment to district 5? is that coming today or tomorrow? >> of course. as always, josh, you're always nosy, aren't you? i'm just kidding, josh. i will let you know when i make that appointment when i make the appointment. [inaudible] >> yes, i'm interviewing candidates. i'm talking to residents of the district. i've been talking to a lot of residents here in district 5,
asking questions, what do they want to see in a supervisor, what are their recommendations? i've gotten a lot of e-mails, i've gotten a lot of phone c l calls, and so we're still working our way through the process. this is still my home. this is an amaze be community of people who -- amazing community of people who have come together and been through a lot, so i want to make sure the supervisor, someone who is not focused on politics but who is focused on the people of this district. that is going to be so important, and someone, of course, that i can work with on the board for the purposes of continuing to do many of the things that we started here when i served as supervisor. >> have you narrowed it down to a certain number of people? >> yes. >> how many? >> i'm not going to tell you that. >> that's all we have time for. thank
>> my biggest take away is that you can always find a way. most people who go into public policies really want to make a difference and have a positive impact on the world, and that's what i love most about my job. i feel like every day at the sfpuc all of the policies that we're involved in have major impacts on people's lives both here in the city and across the state and the nation. in 2017, california senate bill 649 was released. it would have capped the fees that cities such as ourselves would be able to charge telecom
companies for the right to use or poll for their cell equipments, and it also would have taken away city's abilities to negotiate what the equipment looks like, where they could be placed, and potentially we could even be in a position where we would not be able to stop them putting equipment especially on our light poles. my name is emily lamb and i am director of policy affairs for the sfpuc. i really am involved with a team of people and building a strong coalition of a team of folks. we are working very closely to get this bill defeated and ultimately vetoed by governor brown. >> emily is one of those people who is a bright star with regards to her passion, her commitment, her tenacity and she's just a great, fun person.
she's all of the things that you would want in an employee and an ambassador for our organization. >> my biggest take away is you can always find a way, especially when something is important and worth fighting for, if you put your heads together with people, and you collaborate, that usually you can find some solution to get to your goal. in this case, it was a bill that most people considered politically difficult to complete, and we didn't have a chance of doing it, but with a lot of strattizing with a lot of different partners, we got it done. my name is emily lamb, and i am the director of policy and government affairs, and i've