Investment. So a handful of Cocktail Party starters. I maybe lead you to the fourth ring, next to the last on the right, and that 21 systems were consolidated that bring wave one of epic to life. Thats important because thats a really large number of systems. Its also important because it speaks to our readiness in the coming year to decommission those systems, which has been part of our financing plan. So what did we implement . I think you have all sat through several briefings. Across the top row of items is our traditional electronic charting infrastructure, the support systems like lab, pharmacy, radiology, how we handle the revenue cycle, as well as scheduling. The first one on the bottom is Health Information exchange which may not have come to mind. Thats the bidirectional sharing from and to our organizations and others. As a result of epic, we are now part of an Industry Consortium of two or three dozen other organizations that make Electronic Health records. We all agree we are able to share information with one another. I will show you some statistics for that in a few minutes. I also mentioned briefly that theres a lot of information were getting out of epic, and its beyond the standard analytical tools. It is striking the progress that Electronic Health record systems have made in my 20plus years of working with them. Where we are today is that we are really starting to learn not just about how we can improve in real time by giving managers dashboards to use, but as i mentioned in my opening remarks, how were actually using the software. It tells us how well were doing and it provides areas where we can say focus enhanced training and other learning experiences to help our teams become as expert with epic as they can. Ill keep saying it, weve given access to our clients and patien patients access to their own Health Records. Im glad to say were off to a good start. Where did we implement . No real surprises. I draw your attention to the lasting point and that we have gone mobile. We have gone into is is a new place with being able to access the capabilities that epic provides for us. I mentioned that over 1,500 of our clients are now using the mychart application. If any of you are getting your health care in the bay area, you are likely using epic mychart. That is the same tools our clients are using. For the providers, they can chart on a mobile device using hayku. For Business Partners and many others, you can log into epic and share in the Care Experience that were providing. Were letting a lot of Business Partners in to have and to share in the experience that we have launched. We have, for a number of years, have been able to do the same thing the other way. So i mentioned how we know how were doing. I wanted to just take one moment to share a slide with you. The numbers in the slide arent terribly important at this time. This was a first cut at an epic leader dashboard. This one is for primary care, but i wanted to share with you that we dont have to do anything special to create a dashboard like this. Its something that we get more or less out of the box, and all we have to do is tune it to our needs. In the past weve had to make a significant investment to deploy a dashboard like this. The nice thing about epic is that there are about five or six dozens of these dashboards that are available for us to use. They are very straightforward, and we are able to customize them to an extent to reflect the kinds of Outcome Measures and Key Performance indicators that are relevant to us to represent our true north strategic goals. Nothing is perfect. Going live with an Electronic Health record that is now in use by more than well, nearly 9,000 people, there are going be issues. We have closed thousands of them since august 3. Where we are now is dealing with some of our more complex concerns. They deal a little bit more with software, but we really deal more with workflow, people, process, technology, that intersection. As an example, weve always been spending a lot of time at sgfg tackling the topic of patient movement. How do they move from the Emergency Department to the intensive care department. In the past we had people and process and the technology didnt tell us much. Today the technology can tell us a lot. Epic can share a lot of information about whats going on and how to effectively manage that transition from one venue to another. When we first saw it, and im in this camp too, i didnt really believe what i was looking at. For the last month or so, theres been a really intense effort to understand how we can get utilize the information that the Information System gives back to us to inform our process and a lot of strides have been made there. Theres a handful of other workflow examples where were diving in deep. Its not about epic, but epic is forcing us to have the conversations and focus on problem solving. The second issue that were having, and this was more or less expected, is our ability to deliver against many types of reports and outcomes measures that we have for regulatory purposes that are in support of valuebased care. When you move from one Information System to another, you are reporting all the way up to the last day that you had that tool. When you start in a new Information System such as we did on august 3, we didnt go into it with a fully populated database. We did it with a mostly new database. So we prepared how we would begin to use the new data as folks come in our doors after august 3. But we have to go through a validation process in order to ensure what were looking at and that all of the prework we did to produce all of these measures is going to be valid and stand up to our data integrity checklist. We are close. Hoping in the next 30 to 60 days to be completely back on course. It was expected that we would have a delay, and we had a bit of a delay. I want to be up front about that. The nice thing is epic is friendly about us taking the data out. That has been a real struggle with our electronic platforms, and thats not the case with what we have today. Weve talked about benefits realizations before. I mentioned decommissions systems. That work is beginning in earnest at the beginning of the calendar year and will take us to july, where we expect to spin down, which is something i. T. People dont like to do. We like to keep old systems on as heaters. But we plan to demission our legacy Health Record system by the end of the fiscal year. The great news about that is we dont need them anymore. The second piece of good news is we wont be paying for them anymore. Thats been part of the budget and Financial Plan for epic since the beginning. Id like to take a few moments, and i know were getting towards the end of our time today, to talk about the our in our records, patient record exchange, something i mentioned at the beginning. Since august 3 up through october 1, we have exchanged Health Information with 215 other Healthcare Organizations across the united states. Its possible there are some international ones in there. I didnt dive deep enough to doublecheck. If you look on the bottom left, you will see who our highestvolume Information Exchange partners are. I dont think there are any surprises there. Whats really powerful is in basically just shy of two months of being live with epic, 43,000 of our clients have had their records appended by Healthcare Information from other Healthcare Organizations. This is pretty powerful stuff. In addition to that, nearly 14,000 of our patients, their information has been requested and sent across this trust framework that i mentioned before with this Industry Consortium that epic is a member of to augment the records of our clients in other places. So really very powerful. We dont have to do anything special for this to happen, it just happens. So our epic journey, we spent a number of years in what i would call a getready phase. Were definitely past that. Were coming up to the tail end of our getgoing phase, where theres been a strong focus on having a really Good Governance program for epic, for having a great go live, which we did. Now were in this period of time which we call stabilization and well be there for the next few months. During this time of stabilization is where we process people, process, and technology, the couple of examples i shared with you before. Whats really exciting is as we march into the new calendar year, were getting ready to get better. Getting better means tuning our governance process even more so we can do two activities in parallel. One of them is beginning the optimization of the epic environment so it can do things its not doing today. We have a straightforward implementation and without violating our principles of sticking to that, we can still make it better. So were going to begin that process. In parallel, we will be locking in the scope and schedule for wave two and three of epic. When were done with that in a few years, well be in a Continuous Improvement environment, where we will bank on everything that we learned and all of the Good Governance thats in place so we can keep Getting Better. So epic is both hard and it has been very rewarding. I just want to share with you the message that were sharing with all of our staff because not every day is a great day with epic. Its okay to feel frustrated. This is the first message that were sharing with our staff because we have really changed a lot. More than a thousand changes were made in order to get ready and learn epic. Sometimes you look at the screen and youre like im not sure i remember how to do this, which is a reminder that were all in this together. When i go in front of epic, i look at the screen and im befuddl befuddl befuddled. The good information is we continue to help and train and build tip sheets which are in the epic users first pane when you log in. You go to a place called my learning home. Thats where you go when you log into epic. We are an organization of helpers. I think during go live this was really evident and a lot of people could see how well everyone reached out and was supporting everyone, and thats the environment that we need to continue to maintain as we move forward with more change in epic. So weve asked staff to be there for one another because some day youre going to need some support as well. With that, im happy to take your questions. I have not received Public Comment request for this item. My question is im an epic user and a frustrated epic user at times were all in this together. Yes. What is your i. T. Or your help line for an epic provider . What is the Response Time for someone to be on the line to be able to help one walk through whatever the issue is . I mean, is it five minutes . Is it ten minutes . I mean and what is do you have the adequate staff to be able to help those that are a bit befuddled, especially with epic going live . So we have a lot of support across the board. A program that we set up for the go live was to establish a super user program, where we could have people much closer to where the value is being generated and the work is being done who are actually super users. We have team of infomaticists who can dive in. With regard to actually calling on the phone, when you call on the phone to our service desk, youre calling the general i. T. Service desk, and the pickup times are less than two minutes now to get you in there and get your issue noted. Many of the items that are coming in are being redirected to analysts on my team who are resolving these items in just a day or two. Thats not all of the items, but weve reached that point where the number of items coming into our service during the day and the number of items were resolving, weve worked down a significant amount of the go live backlog. Okay. Thank you. Thank you. Thank you so much. I dont think we can overstate the significance of this accomplishment, having been through the same epic process, and the potential to improve patient compliance and care coordination. Ive had about six patients almost that ive shared with doctors of the county and at u. C. And being able to reach into these records and really do a much better job for the patient, its astonishing, how having these systems that used to be siloed and vulcanized be all one. It makes such a difference in a great outcome. I want to congratulate everyone involved and say as the few epic go lives that ive seen have been your team is spectacular and awesome. I think theres a show where theres a gold buzzer or something i think you deserve a gold buzzer. Thank you. Ill happily try and accept that comment, having only been here myself only 90 or 100 days. But its obvious what a full court press there was by every part of this organization to be ready for epic and it totally paid off. If i may add to that, i do think its important that we recognize the people who arent in the room and worked on this for many years and no longer with d. P. H. I want to acknowledge director garcias leadership. Alice chen who was committed to this and made a lot of this happen. And also wynona medolovich who was acting c. E. O. For many months. I think its important that as we move forward and go into the next stage that was spoken about, that we recognize the reason were at this point today is the incredibly hard work of literally hundreds, i think in some cases thousands of people to make this work. It was really that leadership, including the leaders i just mentioned, that helped us get to where we are today. Thank you [ indiscernible ] my question was from the patient perspective, when patients come in and theyre told they are able to access their records on their mobile device, for example, is there any kind of orientation offered to them or a guide they might receive, or are they more figuring it out on their own . I cant totally answer your question. Im not sure if anyone is out in the audience who may be able to assist. Doctor, i think you can address this better than i can. In terms of signing up for the Patient Portal, we have Information Support for the patients to get into the portal. Once they get onto the portal and they have access navigating through the site or submitting a quarterback with he have a contract with an outside vendor that specializing in providing the firsttier support. Obviously if they need to ask about lab results, that would be routed back to our desk. Is it an inapp chat function or a phone call . It is a phone call to the service, person to person. They would help the patient navigate real time because they know how to access the portal. Thank you. Thank you. Im just going to ask if presumably the app is better than the ucsf . [ laughter ]. That app is really a problem. [ overlapping speakers ] is there a language capability . Yeah, thats a great question. Right now it is limited in terms of other languages. So no to answer your question. That could be one of the whether they in wave two, three, four, or five, in this community it would be useful with the diverse languages we have. No doubt, as well as other epic communities where they serve large communities of multiple languages. That certainly is a push that all of these epic users is going to be pushing. Especially with my chart and the Patient Portal piece of the technology is being so readily available and enabling to the patient and client, we have to push that. Theres no ifs, ands, or buts about that. No, youre correct. Its a nationwide issue that really would make sense for epic. More towards our own problems and within the time frame and i forget on schedules could you remind us because youve done a great job getting this all together and having the basic epic work. Now in terms of the optimization so to speak, we know that laguna is a challenge. Do you have some time frame upon which you would be able to i guess enhance it and optimize lagunas use on a longterm basis, trying to close the chart out when they talk about in terms of years versus days, right. Secondly, our Mental Health programs and avatar and the timing in terms of trying to unify those records. Maybe ill go backwards. Well start with the Behavioural Health. So Behavioural Health is slated for wave three which is i dont want to commit to a firm schedule. Its after wave two which will likely go live in 2021. So its in late 2022 or 2023 before were fully in place with the replacement to the community Behavioural Health function i mean the Electronic Health record. To your first question about optimizations for laguna honda, part of the process is to be inclusive. We had a domain structure presented several months ago. The idea with that domain structure is its a place that has almost no i. T. People engaged, which is probably a great thing, and its all about the line of business being able to bring items together that can be prioritized that are based on how do we not just get better against our performance outcomes, how are we Getting Better for how folks are engaging in the system. That is the process that weve been using so far. Id be happy to take more information about the laguna honda concerns and make sure that we get that roped into our governance process, so that as we approach making epic better for all of us, that we can address those. Yeah, the thing i raise there is mostly because it is sort of different from most epic acute care, that there seems to be an issue of having it flow in as seamlessly as it does at the hospital. I dont know where all the priorities are. I do think laguna or its joint conference should understand what is happening there so we can understand the challenges staff had in terms of trying to optimize the use of an electronic record over there. Sure. Laguna honda is the largest longterm care facility in epics customer base. Sonch so i think a report back to there would be quite useful. Commissioners, other questions . Thank you very much. Congratulations again. Thank you. Commissioners, item 10 is other business and we have several Public Comment requests for this item. Just so you know making comments, i have a timer. When the buzz buzz ergos off thats time for you to end your sentence. Good evening, commissioners. My name is nathan dang, this is holly and kyle. We have pharmacy students from San Francisco joined by some of our classmates in the back. We are here to bring attention to a current pharmacy related issue, pertaining to reimbursement rates authorized by the 2013 California Senate bill 493. So the services affect patients all over california, but especially in San Francisco. So sb419 had expanded the practice for pharmacists that authorized them to perform Additional Services such as nicotine replacement therapy, as well as participating with other providers in the evaluation and management of various disease states. This bill, however, didnt address payment or reimbursement for these services. My name is kyle merchant. Really what were just advocating for is support in implementing additional codes so that pharmacists can be reimbursed appropriately for services, because not every patient is as straightforward as come in, lets have a discussion, and here is what youre looking for. Sometimes we have more complex situations and medical histories that need to be taken, discussions that need to be had with patients. I think this will be especially important as we move towards the implementation of prep being made available in pharmacies. So as you know, people [ indiscernible ] this is to expand the ability for pharmacists to furnish prep which is proflax sis for h. I. V. We can give a 60day supply in our practice. In the spirit of getting zero, i believe i also have well give you a 30second extension. Thank you so much. I think its paramount that we include reimbursement for the pharmacist counselling because the adherence to these medications is critical and the only way this will be happening is counselling in the scope of the community. Thank you. Hello, my name is manuel and im a pharmacist student as well. This is my first time at this hearing. Thank you for this opportunity. I just want to start by addressing that i know were trying to understand and address Mental Health issues, specifically those that may be untreated, its dr. Hammer and ms. Martinez mentioned in the presentation a while back. I want to bring to light the implicit biases in the government and also officials, the sfpd as well as local security guards, their attitudes they may have towards a subset of our population and those afflicted with Mental Health conditions. Im wondering what kind of steps the condition plans to take in order to mold the attitudes of our city to humanize attitudes to be more empathetic when interacting with the subset of homeless individuals, perhaps less likely to incarcerate them and more so aiding them and escorting them to hospitals, social support systems, as well as shelters. If we start with the city employees, we can expand on that towards the population of our residents. So they will no longer see someone on the streets and think they are crazy, because thats really not the case. But its just that theyre not intentionally being disruptive. Its just some underlying Mental Illness thats not been resolved. Thank you. Hello. My name is jane. Im also a pharmacy student from ucsf. Currently i also intern at the santa clara hospital down in south bay. I have a lot of counselling sessions with the patients there. A lot of them are homeless and they end up being discharged back to the streets. Beyond the counselling sessions, we also talk about go on tangents and about their personal lives. What i hear from patients theyre struggling to access public washroom facilities, theyre not clean or not accessible. A lot of them travel around the city as well. This is something i wanted to bring up because i wanted to bring attention to how feasible it is to increase access public washrooms in the city, that were helping the Homeless Population to improve their health hygiene, but also to increase the cleanliness. I wanted to bring it up and see if it is feasible in the city budget. Good evening, commissioners. My name is franceska okala and i am also a secondyear pharmacy student at ucsf but also expressing some of my concerns. There was a bill signed into law that allows h. I. V. Postexposure proflax sis and preexposure proflax sis to be in pharmacies. My comment today is this access to medication is extremely important to several of the vulnerable populations weve been discussing all throughout the session today, including homeless patients who might be using injectable drugs of abuse. My concern i wanted to bring up to the commission is how exactly the department of Public Health wants to implement these services in the coming year and how its going to be advertised to these vulnerable populations to make sure they get access to these resources. Good evening, commissioners. I am also a secondyear pharmacy student at ucsf and a pharmacy intern. I am also here representing just my own self and concerns and beliefs. As was just mentioned the bill was recently passed, but beyond promoting this new accessibility of two of the most vulnerable populations, i also wanted to ask the commissioners to explore potential ways to help promote training for our pharmacists as well. Under sb159 in order to make preexposure and postexposure proflax sis available, pharmacists are meant to attend training. I would ask that we provide this training in San Francisco department of health as well as make Resources Available to ensure that we have enough resources for that. Thank you. Seeing no other new business, do we have a motion to adjourn . I had one quick comment. Are you sure . Do we have a motion to adjourn . So moved. Do we have a second. Second. All in favour. Aye. Were adjourned. [ ] good afternoon, everyone. Lets try that again. Good afternoon. My name is harold shields and im proud to be the Community School director here at burton high school. We are here today to celebrate one of our very successful programs, the ace program which was a sixweek learning workbased opportunity for our students. Before i introduce the High School Choir in the city of San Francisco that is the best, i want to say thank you to mayor breed for her opportunities for all initiatives and thank principal thomas for working with us, as well as my staff sara kong and mubina shaik for organizing and directing the success of our summer program. Here we have Career Pathways where we try to ensure that our students have access to college and careerreadiness opportunities. We are doing our absolute best to ensure that our business and Industry Partners here in the city recognize the talent that our students have here at burton and the rest of the city, so that our talent here locally can stay here locally and be part of our future workforce. Now, without further ado, the burton High School Choir. [ applause ] [ ] [ ] [ ] [ ] [ ] [singing roar] [ ] [ cheering and applause ]. Mayor breed hello, everyone. Im San Francisco mayor london breed, and i am so excited to be here today. Hello. First of all, i love katy perrys version, but i will buy that single if you guys to upload it. Beautiful. Thank you so much to the amazing choir that burton has been traditionally known for every since i was in high school, which wasnt actually that long ago. Burton always had an incredible choir and was an incredible force in this city for academics and so many things. So it really is an honor to be here, because this initiative, opportunities for all, is something that is near and dear in my heart. I am so fortunate because when i was in high school, you know, there was not really a lot of opportunities to learn and to grow and to figure out what i wanted to do in life. I grew up in the western edition in the philmore community in Public Housing where my grandmother raised me. It was so easy to turn to some of the negative activity that existed in my community. There was drug using, drug dealing, theft, all kinds of stuff that honestly, sadly, so many of the people that i grew up with ended up going down the wrong path. I think that a really important turning point in my life happened when i got that first job. I was 14 and i got a job through the mayors Youth Employment and training program. [ laughter ]. Mayor breed and i was able to earn my own money because my grandmother was getting welfare and food stamps and all this stuff for us and we didnt have a lot. The ability to earn my own money and make some choices for myself, but also choices for my future, was so important. Because it wasnt just about the money that i earned, it was about the skills that i earned. You wouldnt believe it. Im mayor now and i dress nice, but i showed up the first day of my internship with some of you might have done this, with a seethrough shirt and the cutoff jeans and all that kind of stuff. It was the style back then, but the fact is thats really not how youre supposed to show up in a workplace. The people that i worked for, they didnt just fire me and say youre not dressed appropriately. They took the time to explain to me why in this environment it was important to address like a professional. When i answered the phone like, who you looking for . What do you want . They said, no, they turned it into a script saying this is london breed, thank you for calling. How may i help you . They didnt just give up on me. I was a handful as a teenager, believe it or not. And this internship opened the doors of opportunity for me to not only work in the summer and get paid to work and buy my own School Clothes and all the things that i really wanted, but it gave me an opportunity to learn and grow. And, in fact, because of the relationship that developed during that internship, i was given a job yearround. So after school i would go straight on the bus to philmore and oak to the family school. I would work and do my homework there. I had an incredible number of adults who were great mentors and supporters. Its where i learned about College Opportunities and what i can do with my future. Before that, i dont think i had any plans what would happen in the future. What i saw around me was something completely different. Here was a door that was opened. So when i became mayor, there was nothing more important to me than making sure that young people in the city have access to a paid internship in any capacity to learn about any industry you want. Because let me tell you something, not everybody i grew up with got the same opportunity. So many people that i grew up with, including my family members, ended up in the criminal justice system, ended up, sadly, on drugs, ended up, sadly, dead from gun violence. I cant help but think where did we go wrong and how do we make sure as a city that no one falls through the cracks. Thats why i started opportunities for all because i never ever want any young person to be turned away for an opportunity to learn to grow and thrive. Thats why were taking this message to you because we want you to be a part of opportunities for all. We want you to know about the possibilities, whether its working for any City Department or running the airlines. Today were joined by united airlines, who i basically reached out to along with so many other companies in San Francisco. We have all these Tech Companies and healthcare companies, all this network, theres so many opportunities, where you can not only work for these companies, you can start your own and you can run these businesses. So we want you all to be exposed to whats possible. The way that youre successful is when you know whats out there and you decide what you want to do in life. So today united has agreed to an incredible partnership, where they are not only investing the dollars to help pay for the internship, they are providing students with paid internships, to work in various capacities on the airlines, theyre providing transportation to the airport, and theyre providing airline tickets. [ applause ]. Mayor breed so im going to let janet talk a little bit more about the details of what this means, but i also want all the young people who are here today to understand the importance of thinking about your future, because before you know it, youre going to be 18. Like my grandmother did, she was making me if any for my own toilet paper. Ms. Brown did not pay. I had to give her rent money when i was working and everything else. At the same time, it wasnt because she was trying to punish me. She was trying to get me ready for the real world. She was trying to get me ready to take care of myself. Ultimately, when you become adults, youre going to have the responsibility of taking care of yourself. Ultimately as mayor, because of what happened in the past in this city and the loss of so many of my friends and family members, i want to make sure that we dont continue to make the same mistakes. I want you all to grow and to thrive in this city. I want you to be able to afford to live here when you become adults. Thats my goal, the future of San Francisco, and you all, all of you here, at burton, you all are the future of San Francisco. So i just wanted to take the opportunity to thank you all so much for just really being here and expressing interest in this incredible program. We came here because we wanted to bring the program directly to you. I also want to recognize jenny lam who is one of the members of the school board. [ applause ]. Mayor breed all of the students here and also ivar from the airport. Hes the guy who runs the airport. Take a good look at ivar. Hes going to be retiring soon, so whos going to take over his job . This guy makes some real money running the airport. I want you to think about that in terms of these opportunities. Janet from united, please come up and share a few words. Thank you so much, mayor breed. Lets give her a round of applause. If i may, i just want to say when i hear your story, its an unbelievable inspiration to me and i know it is to so many of you. Its not just getting a job, but mayor london breed is managing and running one of the most complex cities in the world with lots of challenges. Every day she works on machine solving. And then to come and spend the time with us to inspire. Please give her another warm welcome and round of applause and it thank you for your leadership and inspiration on this. We appreciate it. I would like to make a few introductions. Matt miller, my colleague is San FranciscoVice President hub who runs our operation. Behind me, you have lots of our employees in various roles that we do at s. F. O. I just want to share with you why united is here. We have been in this community for 90 years. We are part of the fabric of San Francisco. We have 12,000 employees throughout the bay area region, where they work, live, play, and volunteer. So we are deeply wedded to all of the issues within this region in San Francisco, and we very much want to be part of the future and making sure that the future is bright. There is no better way to do that than to invest in students and in very meaningful ways. So i could not be more proud of the fact that we are here to announce a 300,000 partnership with opportunities for all. [ applause ]. While the money is significant, what im most proud of is this is a partnership with opportunities for all for the long term. We want to ensure that the students that come and work with us in various internships have meaningful skills that will give you a lifelong set of factors and skills that you could apply to jobs with us, hopefully, but jobs anywhere. As the mayor said, its aviation, its tickets to go see the world. We travel to more locations within california and we have San Franciscos gateway to the world. We are very excited to offer this opportunity and very excited to partner with the mayor. On behalf of everyone with us today at united, we want to thank you for being here. We want to invite everybody who is interested in applying to come and join us. We very much would like you to make an application for one of our internships. Its now with great honor that i get to introduce one of our employees who is a United Customer Service representative and a boys and girls club 2015 youth of the year and is the product of one of these types of internships. So please join me in welcoming carmen sousa. [ applause ]. So im carmen sousa. I, like many of you, am a San Francisco native and born and raised in the mission. I went to school all over the city in the bayview and the tenderloin in the mission, all over the place. So i first started off also through the mayor i also started working at 14th through mayeep and was able to get all these different Job Opportunities and eventually started working with the boys and girls club which i was a longterm member with since i was 6 or 7 years old. Through that club and mayeep, i was able to learn all these different Job Opportunities and how to jobreadiness programs, like job resumes and all that. So [ applause ]. And so i first got introduced with united with the boys and girls club when i first turned 18 years old. Luckily through them i was able to learn even more, not only with the boys and girls club and mayeep was ready to get me ready for a new job, but i feel united was able to push me with an extra step knowing this is a real job with real responsibilities, youre dealing with real people. I just wanted to let you all know that anything is pretty much possible. Ive been working with united for four years now and been able to travel all over the world. Its been a really great thing for someone from the city whos never been even outside of california. Thats it. Great job, carmen. Born here and flying all over the world could be you as well. Thank you. Our appreciation to mayor breed for being the inspiration for this. Thank you all and have a great day. Mayor breed last but not least, sheryl davis who runs the program, the director of the Human Rights Commission here in San Francisco. Sheryl and i did a lot of work togeth together. Everything centred around helping to make sure that young people grow and thrive. Now we have a bigger platform to do it and impact the entire city. So we are counting on you, young people, to step up and step out and be successful because im going to be retiring in a couple of years. So i want you to be prepared to take my place. Thats the whole point. I could tell you got me. Youre ready, yes. So with that, sister davis, can you come on up and tell the young folks how they can apply for opportunities for all because i want you to start now and i also want to make sure that we grow this program so its not just the summer. We want to make sure that we are doing this yearround and we are going to hold all the Big Companies accountable who do business accountable to participate in this program which is a future for our young folks all over the city. Ms. Davis. Thank you, mayor. Give another round for mayor breed. I see you guys are already colorcoordinated. Youre ready to step into it. I would say the quick way to do this is harold shields here. He is going to be point for us to coordinate some of that. I saw patsy and john also. I know that they are doing work here and supporting the community. Saida is here from hope s. F. All of these are partners. Principal thomas knows how to get in touch with us. We want to start the process. If you are serious and ready, united has a plan. Were working with them to get folks through that. I see the collective team and others. There are lots of people here. I would say you start with knocking on harolds door, making sure hes got your name and number and hes connected. Hes got all the stuff. We do have the app. You have to go to opps. Org and thats where you register. We can get you all of that. Harold is going to make sure you dont get lost in any of the process. The united process is a very specific process. Anybody whos ever had to go through security at the airport, its 20 times harder to get a job at the airport. We want to get you ready for that. We will help you. I think we have to start now for you to have a job in three months at the airport. Lets get it started. Im here today. Cathy and amelia. Oppsforall. Org is where you go. Thank you. [ applause ]. Go back to class. [ laughter ] welcome we are glad you are here. This is the regular meeting of the San Francisco school district. This is october 15, 2019. Now, i will call this meeting to order. Roll call, please. roll call . Thank you. Tonight i am going to read a brief statement. It marks a year that i have been president of the board of education. I was Vice President at the