Passed away last Tuesday Morning at San FranciscoGeneral Hospital and were really fortunate our hospital was a real important part of this process for the mayor and i also want you to know that we all focused on the work we have to do but also about his passing in grieving as you know, we have a new acting mayor and so we are continuing to do work we need to do and meeting with acting mayor yesterday and were moving ahead on all of the initiatives that we started. I also just want you to know that i think the process of how the new mayor will be elected is still in play and all of you will know as well in terms of that but today we have an acting mayor and we are working with herren sureing the Health Department continues to do its work. We are happy to announce today that the appointment of dr. Bob as our Deputy Director of health and she actually will be replacing me at 3 00 because i have a Department Head meeting across the street so shell be sitting in my heat. That is why we have Deputy Directors. [laughter] the president did sign a two week top gap measure and were still in the process of understanding exactly where the budget is going and also the agreement on the tax bill reconciliation will take another couple days due to conflict within the the senate roll so well hear about that shortly and we will provide the commission update of what that means for us and on december 4tf supervisorors vote today approve our epi contract and that was really important for us and as you know were spending 270 million on a new epi contract for our e. H. R. And were very happy to move up forward ahead of implication of that new project and ill leave the report at that if theres any other questions . On her report please. Commissioner chung. Thank you director. One question that i have in regarding the budget with the new development that its still kind of not completely verified about the words that like the they would not be able to use they would like to propose that budget so how would that effect our budget . Did you see the words . Yes. Like the words and and ebc about the words they cannot use in the budgetary process so how would that effect our budget . We want to be clear so we havent seen that in operations yet but one of those words that i know one is transgender so we still have not our Transgender Community and how we would want to respond to that. Interview i appreciate that and also its about how to communicate back to our con at this time constituents in the local level so maybe that can be something that we discuss in the next meeting. Absolutely. We can also talk about the programs that we do have for transgender communities where i would think that might be the most impacted could be in our h. I. V. And aids work and as you know, we have millions of dollars we have back filled in general funds so if we have to transfer those activities that are specifically for populations being impacted by this language and i believe we can do that so we will definitely bring that back to you and get more information as we have and it takes time for them to impact with us the changes and we have been fortunate to have enough general funds we can ensure to provide a continue to provide to the Transgender Community without the federalment involve ment in that. Thank you. I took the directors comments in the care giving to the mayor during his time at general and it would be appropriate we send a letter of thanks for the service the hospital did provide during that very difficult period of time to the entire staff there for the work they did. So, not seeing any objects ill have our secretary present a letter to thank the staff fort care they gave to the mayor at that time. Thank you and you can convey that to the staff. Any other questions . We will move onto the next item lease. Month Public Comments for that item, we can move on to item 4 general Public Comments i have not received any requests and we can move on to item 5, item 5 is the consent calender and if you recall at the beginning of the meeting i mentions the december 5th did not have a quorum and this was scheduled on that agenda so it was never approved and today you can do that. Michelle rugels is here to answer any questions and ill nighted the finance and committee did meet and discuss this and recommend all of the items foray approval. Do you want to report on the items you are presenting at the consent calender . So my apologies and i was out of the country when that meeting took place and the commissioners stepped in to chair the meeting. Commissioner let me go and review there are six contracts or five contracts of very large dollar value but theyve all been pre budgeted and um see one, two, three, four contracts for 9. 9 million each these are contracts with the the Deloitte Consulting and nordic consulting for project manager related to the e. H. R. They were put out for a public bid and we felt that the contracts were appropriate within scope and would defer on time with appropriate deliverable measurable outcomes and i think there were penalties if they werent delivered in time. So that is part of the e. H. R. Project and we had reviewed those and proved some. The one that came on up with golden gate Neuro Imaging it was a 1. 85 Million Contract and my recollection was it was a Single Source contract and this group has been offering monitor ing for neuro surgical procedures for quite a while its a casebased rate and builds through medical and even though there was no out of way Single Source we felt that the staff had done Due Diligence in this contract. This contract also did not have lbe to it but because theyre the only game in town with regards to Neuro Imaging so this is and the last one enterprise content management thats an e. H. R. Contract which i cannot remember the details, maybe margarie could come on up and talk about the contract. We talked about it. I remember the other one. Michelle rugel, i dont remember either. [laughter] i know it was approved by the quorum. I dont have anymore details, sorry, to provide them than what is on here so if you are prefer ing to get more details before you make your decision i can go back down the call. I see greg in line but the nordic consulting is several companies that well use for project management for the e. H. R. And ok, i remember its the overflow contracts so in case anything cannot fit in to the deloitte contract in timely manner it set up providers that would come in on ad hoc contractual basis so mix the men s program and implement any of the consulting needs that we have. Thats exactly correct. The contracts here are we will use some of this authority but part of the approach is to give ourselves flexibility so that when were in the midst of the project we will have the ability to Hire Resources quickly and we wont need to enter in to new contract processes which if we go that route that time could set us back on our schedule and end up costing us more in burnt resources so you are exactly correct theres a little bit of a overflow capacity that gives us flexibility to adapt while were in midflight on the project. Thank you. If i can just ask in terms of all of the e. H. R. Contracts, these are all within that framework and we have already i guess ageed or thought would be our costs. Yes, absolutely, so weve got and were going to look at it a little bit more this afternoon where we are in our current budgeting but we got a projection for what we expect to spend on a variety of Third Party Software and Consulting Solutions that go along with epic and also on the project Management Category and so these contracts will give us the ability to bring resources on but were putting the process in place that we will manage the expenditures against the contract and the budget for the e. H. R. Project so well have catagories of spending and controls around those catagories of spending that the project team along with my office will be managing to keep expenses within budget. Ok, thank you. Questions from the commission . Otherwise it is before us and on the consent calender. Commissioner bernal was there so just to say one of us knew what we were doing. [laughter] ok,. You recovered that very well. I see no extractions so well proceed to vote and the contract report i guess was just a policy , is that right . That is being asked. Right, well it needed to be approved. We approved it at a Committee Level but there was no Commission Meeting last month so we needed to put it on. Ok, so seeing no extractions all those in favor of the consent calender say aye. All those opposed. Good. The consent calender has been approved and well move forward to the next item please. Item 6 is a resolution horn of edwin mally. So item 6 is before you and the officers ask we placed a resolution in recognition of the work the mayor had actually done on behalf of this department as one who has actually served under a number of mayors i can personally say that this mayor had been probably the mayor who had the most support for the departments of policys and the departments direction as he looked at how it effected the residents of San Francisco and i think as we went through the number of years while he was mayor our ability to work with the Mayors Office and with our programs, with the director at the lead was one of the most productive that i have seen over 28 years. And i think that therefore the Vice President and i have thought it would be fitting to bring a resolution to commend him and to recognize that this was true. The public ceremonys on sunday recognized his great skills in bringing the city together and in moving it forward and spoke of many of his accomplishments and unfortunately, it didnt have the same recognition for the support he had given to us in the publicHealth Department and i think that the resolution helps numerous eight the number of things that he also supported which brought an increase quality of life to the residents here and continued to serve as a model for a moving towards responding to the disparitys some of our population were facing and so we have before you a resolution for your adoption and we would then forward to the family. Is there a motion. I make a motion to accept this resolution as well as a motion if we could, either the director or maybe baba to read this in to the record for members on television that may be watching. Dr. Chow im happy if you take that lead. Surely. Ok, if theres a second then well ask, ok, and the director wish to read that in to the record . Ok. I will. Were ed lee was the first Asian American to serve as mayor of San Francisco he was the first appointed by the board of supervisorers in november 20, 2011 and reelected twice and mayor lee was raised in Public Housing in washington and moved to the bay area to attend law school in berkley in 1978. Where as, mayor lee devoted his early career to advocating for Affordable Housing, rights of immigrants, and rights of rent ers through his work at the San Francisco asian law caucus. Where as ed lee had a long and productive career working for the city and county of San Francisco including executive district or of the San FranciscoHuman Rights Commission and director of city purchasing, director of public works and the city administrator. Where as mayor lee was strong supporter of the San Francisco department of publichealth, its programs and its clients. He sought humane and Lasting Solutions to the issues at homelessness, untreated mental illness, and Substance Abuse in San Francisco. He supported and funded the creation of the citys first Behavior HealthNavigation Center at humming bird place on on the campus. And he was an avid supporter of the getting to zero initiative and backfield h. I. V. Funding for the sfph programs. He launched an Innovative Program in 2016 to help San Franciscoance afford Health Insurance through the San Francisco covered m. R. A. Under the city options. He was a champion for the vision zero collective Impact Initiative which increases safety for pedestrians and bicycleists while reducing injuries and death. He supported the implementation of assisted outpatient treatment in San Francisco giving families a chance at connection to treatment for loved ones suffering from mental illness. He put a generous amount of funds and reserve in the fiscal year 1718 and 1819 budget to protect the city against potential federal threats to the Affordable Care act and healthcare funding. He supported the San Francisco department of publichealth developments of an integrated Electronic Health record system through funding of the project and approved innovative funding mechanisms which the San Francisco department of publichealth could fund the initiative through safe revenue. He ushered in the rebuild of the sucker burg San FranciscoGeneral Hospital and spent time with patients at the General Hospital and laguna honda hospital in addition to visiting the sfdph Heath Centers where mayor lee created the department of homelessness in support of housing to focus efforts to prevent homelessness and assist those who are homeless. Where as, mayor lee advocated for Affordable Housing and many ways including pledgeing to build and rehabilitate buildings intended for lowworking and middleclass joining the board president david chew to reeight the Housing Preference program to assist tenants evicted through the ellis act sponsoring Funding Initiatives where mayor lee died december 12th, 2017 at San FranciscoGeneral Hospital and be it resolved the San FranciscoHealth Commission acknowledges and honours mayor lee for his lifelong commitment and dedication to improving the lives of others through his invaluable public service. His enormous compassion for others and his effective and thoughtful leadership and be it further resolved that the San FranciscoHealth Commission conveys its heartfelt condolences to his family, friends and colleagues. I hear by certify this San FranciscoHealth Commission at its hearing at its meeting of december 19th, 2017 adopted the foregoing resolution. Any comments on the resolution . Otherwise we prepare for the vote. All those in favor the resolution please say aye. Aye. All those opposed. Resolution has been approved. Thank you, i will make sure they get a copy of that resolution. Item 7 is resolution in honor of colleen, ill note this resolution was read and presented at the december 5th information meeting and that today is the day foray approval. Motion foray approval of the resolution for colleen is in order. All those in favor. Second. Ok. Further discussion. If not all those in favor of the resolution, please a aye. Aye. Those opposed and the resolution has been approved. Thank you. I will make sure that she gets a copy of the framed resolution. Thank you. Item 7 is resolution support of vision zero and automated Speed Enforcement and cindy will explain and the version you have in your packet has tracked changes because it is a version you all passed recently last year, im sorry, this year and this is a revised version. Ok. Please, thank you. Good afternoon commissioners, here with the updated resolution for automated Speed Enforcement for your consideration. The original resolution was passed in may of 2016 for vision zero and automated Speed Enforcement and i want to give you background on the automated Speed Enforcement and why were asking for your consideration for an updated version so the version original version was passed in may of 2016 and fortunately that year we were unable to get an automated Speed Enforcement bill introduced but fortunately in february of 2017, the General Hospital with A