To have sorry. Im having problems going over my words. Im i want to say this right and honor this community because it is about what what what what affects them and how theyre treated in the world. So i think this was going to go to the heart and the intent of the different mandates and incentives that we do have, which is to promote equity in health disparities. I just want to walk you through this on the left. So a lot of our focusing on outcomes, a lot of our metrics are actually gendered. Chlamydia screening is one of our gendered metrics. You can see that in the light blue, so young women are more likely to be screened. Weve done our gender minority population, and the same for straight women compared to sexual minority. And i want to emphasize because of our incomplete data, these are early analysis. Just Something Interesting to think about Going Forward where we can make work to improve Health Equity in this community. For on the right, matching national trends, you see higher diagnosis of depression in this community, and i think that, you know, where were working to do depression training, this is motivation to make sure that were not leaving anybody out as we roll out our Quality ImprovementMetrics Department wide. Okay. Okay. So i just want to tie it together and end and say that some of things that were proud of that we want to Carry Forward into the future is prioritizing patient experience. Whatever we get a grievance from this population, we want to make sure were responding with training, making sure that all of our services are inclusive, and were providing good access to the lgbtq community. The big transition for all us, epic, we want to make sure were having a smooth transition to that. Whatever kind of tools weve developed to make sure they understand how to use the various pronouns, and all the tools that we didnt have before, and lastly looking into our disparities and outcomes, so that we can private targets interventions and equity in the lgbtq population. Welcome any questions. Is there any Public Comment . Ive not received any Public Comment for this item. Its now in the hands of the commissio commission. Thank you, miss t scarborough. Dont leave. Okay. Commissioner brown . Thank you for those stories about the lgbtq person. Youd mentioned that wed met our targets currently, which i think allowed another 1. 7 million to flow. You said. I know there are a lot of incentives on the local, state, and federal level. Are there anyplaces in which were any places in which were behind . You know, i think when we compare ourselves to other places in the state and maybe other departments in the city where theyve just given out demographic forms to everybody, they might be having a higher percent of complete than us. While i think were not, quote, unquote, in compliance, i think where we want to be is not where were at right now because wed love to be more in the 80 to 90 complete . And so can can for compliance and reporting, i think were not behind, but when we compare ourselves to our peers, we could be doing more data collection. Also looking at the measure that youre using for implementation and completion, youre using completely other primary care visits for 12 months, so presumably, were going to see higher numbers because anybody that had a visit would be in epic, correct . Yeah. And i think where well also expand because we have more integrated access into the encounters, more information on people who have have had various touches outside of primary care in the department, so i think well see our numbers go up next year. So when we see next year, well see our numbers up around 80, right . Yeah. Okay. Good. Thank you. Commissioner green . Thank you for this incredible work youve done. Im curious about your data gathering, and i have two questions. One, do you have any idea about the individuals that will be entering this data and their collection, and then, to try to get a view of San Francisco in general, can you access this type of epic data from other health centers, like an emergency room at st. Francis or any touch point in the city . Because i think creating a citywide cultural sensitivity is understanding our population and getting as much data as possible. I guess my last question is what is your intended increase in percentages of data . Do you think when you get more of a data, these percentages will change . Those are great questions. Theres some controversy about whether its Demographic Data or whether its clinical data, but the field is shifting to making it Demographic Data. One, it normalizes it, and two it really increases the volume in which you collect compared to if you make it a clinical work flow. So to answer the first question, its a front office work flow. Now, we have a Schedule Star workforce, and theyre the people that are going to be collecting and entering this. Your second question about maybe comparing to other systems around the city as much as we can because the entire city, except for the catholic systems, are on epic. Thats great. I dont think weve thought about that, but with epic and care everywhere, thats possible. Epic has released, just this last year, their more expansie module for data collecting. I think there is some efforts from the office of transgender initiatives and citywide to sort of understand where were at as a city among all of our entities and anywhere we would touch this community . And then, your last question was about our anticipated percentages. Okay. Yeah. I think 80 is where we want to be for the end of this fiscal year. Okay. Thank you. Other questions or comments from commissioners . Commissioner guillermo . I dont have a question. I just wanted to congratulate you on the report and all of the hard work you and your colleagues are doing to establish sort of the baseline information and really sort of set an example for what we should be doing in health care around the collection of data in anything, particularly the coordinated collection, and i think its fortuitous that we have epic and their support. Thank you. So this is only within the department of Public Healths purview. It doesnt include our nonprofit providers at all . Thats a great question. Where we had access to our legacy data systems are more in our department of Public Health . I think that Behavioral Health has been sort of a leader in dealing with multiple contractors and multiple data systems . And i do look forward when they also join us on epic, when we can share our data more easily and also share information which youre all alluding to to have more information about our contractors who are involved with Behavioral Health services. Are there other contractors that you had in mind . So for the current system, they havent switched over to anything, but in their current system, they are supposed to be collecting it. The contractors through Population Health or some of those that its less clear that they are collecting demographics, even, they are not necessarily required to, but its all of those Behavioral Health contractors. And dr. Bennett, could you introduce yourself for the public. Im sorry. Im dr. Ana bennett, and this project was in my purview. Thank you. Itll be interesting to see as we look at the whole city of San Francisco, not just internal to the department, what the data would look like. I think that 80 number would below. I think youll go wait beyond that if we are way beyond that if were able to get that data. And its not easy because it is outside of our epic system. Commissioner chow . Yes, and this is in follow up to your statement about the contractors in the court. The Mental Health contractors are our biggest contractor, and they are on a different system. Yes. Youre saying that that system is currently collecting data within their system . We did put in fields in aven avatar, and so we are monitoring this. So as we go in and create data for the future for this department, then, we should also try to integrate that into the report. Separating out the well, currently, youre kind of looking at epic up to 80 . However you want to present it, maybe presenting it separately also makes sense as you did in terms of psych emergencies and whatnot. But i do think thats an almost of the data of the department that we should be looking at. I think that how were working with partnership with them, i think due to prime resources and structural departments that we have in d. P. H. , more s. F. H. Side, but with our data structures that we used to compile this report are just as stronger currently . I think where we can start to provide you information about b. H. S. , well be including it in our report to the board of supervisors, and id love to share that with all the commissioners, as well, so you can get more information about where Behavioral Health is. Thatll be in about a month. They dont have as much access in b. H. S. To pulling reports as easily as ashley does, but we should have it i think its due midseptember. Thank you. Yeah. Im not sure what the time frame is, but i think for completeness as we are looking at our own department and the data, whether it comes from epic or whether it comes from avatar, i think its very helpful, i think. Okay. Thank you. Thank you, miss scarborough. Yeah, thank you. Okay. Thank you. Commissioners, item ten is other business. Is there other business from the commission . Well, i will note that youve got the calendar in front of you. The next meeting, august 20, will be held at the chinatown ymca. Itll focus on Public Health issues in chinatown. I repeated this and its online, but the meeting will start about 5 00, and itll probably go to about 7 00, and ill email this out to you all. Anything else . Item 11 is a report back to the commission from the j. C. C. , and i believe commissioner chow has that update. I believe we did discussion in open session the medical staff report and approved emergency medicine, orthopaedic medicine, San Francisco network scribe policy, which allows people to actually enter data into the epic system and dermatology Nurse Practitioner guidelines. We did take up the Health Guidelines and the quality reports. We can move on to a consideration for closed session, commissioners. Is there a motion to go into closed session . So moved. Second. All those in favor . Well move into closed session. Thank you. Your things here, and we can move. Now commissioners, now back in session. Im sorry. Motion not to disclose. I apologize, sir. Is there a motion to disclose or not disclose the items that were discussed in closed session. I move not to disclose. I second. All those in favor signify by saying aye . We will not discuss what was discussed in closed session. And now consideration for adjournment. So moved. Second. All those in favor . Take care, everyone. Any comments, questions, or corrections . Hearing none, call the question. All in favor . Any opposed . I abstain since i was not here. Yes, the motion carries. And now, item 4, the directors report. Good morning, commissioners, and welcome, commissioner spears. It is great to have you here and its also great to have a full commission. I think its been several years, so very excited to work with all of you. I think i want to start with kind of the National Level stuff. I just came back from the National Association of area agencies conference on ageing and board meeting, im a california representative for n4a. It was in new orleans, and you know that meeting in new orleans in the summer was a little harsh. I was talking about our approach to ageing in San Francisco. In addition, we had Katrina Williams who works in the Human Resources division who came and did a training on implicit bias and equity and inclusion, and it was really well received by participants in that workshop. The other news, and i may have mentioned this early because we knew about it earlier is we were the recipients of an award because of the partnership that we have with Community Center and with Senior Centers with the older adult Choir Program. So Community Music center was with us to receive the award. It was really exciting for them, and theres been some press in San Francisco about this. But its really its such a great intervention, and the people who are involved in the choirs report regularly that they feel more healthy and more engaged and all the things that we hope for when they are involved in a choir. At the state level, i think we talked a little bit about this earlier on when we met in june about what the budget was shaping up to be, but we did ageing and Disability Services did well in the budget, and there were in addition to, you know, some of the medical enhancements, some of the things we focus on are our community services. We did very well on nutrition at the state level. A. D. L. Got funding for the first time ever. This is really a way for ageing Services Providers and the independent living providers to Work Together to really think about how we serve people with disabilities and older adults together, so we have an adrc in San Francisco, and there are seven others across california. And hopefully what this means is well actually get some state funding for the first time instead of funding this solely with local funds. Ombudsman also got some much needed funding, which was really excited. When you think about what the ombudsman does is go out and look at the quality and the care in Skilled Nursing and assisted living facilities and theyre much understaffed and underresourced, and so this was really exciting. And then, we also got, for the first time, some money for falls prevention, we all know that falls are so hazardous and quite often put people in the hospital and they often dont come out. So falls are bad. This is the first time that the state has put money into this. Locally, we had, on monday, something really exciting happen, and that was we had an older adult and disability work fair. And the office of economic and Workforce Development along with the Community Living campaign and the anything any time Fund Coalition put this together. We also had some Funding Partners who were really helpful in making it happen. But we had i dont know what the final count was, but it was really successful, and i think it showed to some people what the need and the appetite is for work for older people and adults with disabilities. It was, i hope the beginning of a much stronger relationship with us along with our Community Partners and funders to think about, you know, what does this look like moving forward . How do we ensure that were continuing to advocate for people with disabilities and people in the workforce . And also including diverse age and ability when what that does to the workforce and how that enhances it, and i think we just need to keep hammering that home. We are, through the Community Living campaign, our community partner, are continuing to work with a creative agency, and theyve come up with some ideas for us. And our work group has looked at all of them and weve kind of gotten down to one idea, and so now, the agency is talking about how to get the reframing ageing campaign out into the community. So hopefully in the next few months, well be seeing the fruit of that labor out and about town. Im hoping when people see those things, they can photograph things that they see in town. For those of you that use social media, i think its going to be really exciting, and i think theres going to be community engagement, and i think thats going to be really crucial. And then, im going on and on. Ill take any questions if you have any. Thank you, shireen. Any comments or questions . Not a question, but a comment. I was able to attend the workshop on monday. It was great to see so many different departments working together on this effort. It was crowded. It was the folks there were enthusiastic, both on the job seekers side, but also the employers who were there, they were doing onsite interviews, and you could just feel the excitement in the room, so l congratulations for the effort. Thank you. And i do have one thing on my list, and i just skipped over it. I talked a little bit about the name change for the Department Early on, and i just wanted to give you an update as to where that is right now. So president yee introduced the name change to the full board. It then, the proposed name change went to rules committee and passed out of rules committee and then was signed on by the full board. So the board is in the process of putting the proponents argument on to the ballot . And so then, theres some activity that needs to happen after that, but then, well see what happens. One of the things is it does is it changes the name to department of disability and ageing services . So the fact that the department serves people with disabilities clearly, clearly in the name. And the second thing it does is it specifies the makeup of the commission to ensure that theres a person with a disability on the commission and that theres a veteran on the commission, and older adult, which having an older adult on the commission has never been an issue, and weve always had that, but it specifies the other two,