Transcripts For SFGTV Government Access Programming 20240714

Our society and how these people are treated. It affects their capacity to 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 Improvement Metrics 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. Better. San Francisco Department of environment is a place where climate hits the street. We know that we dont have all the answers. We need to support our local champions, our local community to find Creative Solutions and innovations that help us get to zero waste. Zero waste is sending nothing to landfill or incineration, using reuse and recovery and prevention as ways to achieve zero waste. The Grant Program is a Grant Program specifically for nonprofits in San Francisco to divert material from landfill. Its important to find the San Francisco Produce Market because theres a lot of edible food that can be diverted and they need positions to capture that food and focus on food recovery. San francisco Produce Market is a resource that connects farmers and their produce with businesses in the bay area. I think its a basic human right to have access to healthy foods, and all of this food here is available. Its a matter of creating the infrastructure, creating jobs, and the system whereby none of this goes to waste. Since the beginning of our program in july 2016 to date, weve donated over 1 Million Pounds of produce to our community partners, and thats resulted in over 900,000 meals to people in our community, which were very proud of. Carolyn at the San Francisco Produce Market texts with old produce thats available. The produce is always excellent. We get things like broccoli, brussels sprouts, bell peppers. Everything that we use is nice and fresh, so when our clients get it, they really enjoy it, and its important to me to feel good about what i do, and working in programs such as this really provides that for me. Its helping people. Thats what its really about, and i really enjoy that. The work at the Produce Market for me representing the intersection between environment and community, and when we are working at that intersection, when we are using our resources and our passion and our energy to heal the planet and feed the people, nothing gets better than clerk with that [roll call] clerk mr. Chairman, you do have a quorum. Go ahead and call your next item . Yes, please. Clerk item three is communications. And i did want to note that due to some time constraints, were going to go ahead and call item 14, i believe its the resignation of director reiskin, and then follow with the remaining items. Other than that, i note no other communications. Chair nuru okay. I wanted to note that i have to leave at 10 30. Clerk with that, well go ahead and move into your next item. Chair nuru yes please. Clerk seeing none, item five, executive directors report. Good morning, directors. Im pleased to provide you this morning with our experience today of reopening the Salesforce Transit Center to the public and our move to provide services to both legal and commercial operators. We opened it on july 1, in advance of the reopen, we relaunched or website, salesforcecenter. Com, and utilized traditional and social media to educate the public about the reopening of the center and the services. The park, grand hall and other areas of the Transit Center and other popup retail returned on july 1. The reopening also included a full schedule of free events and activities in the park and im happy to report that we have seen steady and growing use and interest in the park. On july 13, bus Service Began at the bus service with muni and golden gate service, and this sunday, august 11, a. C. Transit and other bus services will resume on the bus deck. We continue to work closely with our transit partners, neighbors, and security Operation Staff to provide a smooth transition back to full operations, and our final milestone will be reached this weekend when we reopen the bus deck for regional service. Our goal it to provide ride is to provide riders with a worldclass service to their destinations. I look forward to working with our partners to do just that. Im happy to report that interest has been robust since the opening and today for your consideration, we have three additional leases representing approximately 4700 square feet and five additional spaces leased. Approval of these leases will increase the Square Footage lease at the Transit Center to 64 . We will discuss the leases in detail as part of the facility operations and leasing updates. Moving on to phase two on the downtown extension, as you know, the federal Transportation Administration or f. T. A. Approved moving forward on phase two next month. I would like to thank f. T. A. For their cooperation in getting this process approved. Its a significant milestone for the advancements of phase two in the downtown extension. Having the approved environmental document and having taken steps to replace the design would place the downtown extension in a position to capture other opportunities under senate bill 1. According to m. T. C. , the program has a funding level of approximately 1. 2 billion statewide over the next two years, a portion of which is already committed. As you know, we applied for funding in january 2018, but we were unsuccessful partly because we did not have an approved environmental document and were not making significant progress on the downtown extension. The next transit application for the program is october 2, and weve already completed our application for submittal. We also look forward for the San Francisco Transportation Authority to complete their peer review so we can complete our project priority the next steps. I would like to share with you the next steps to advance the d. T. X. To be ready in the next two to three years, and dennis, if you can put up that slide. Director, this is a slide that ive been sharing with you and our partners in the last couple years as the specific next steps that we need to do to get to shovel ready in the next three years. Having a solid 30 design will provide us with a robust cost estimate and a robust Risk Assessment that we can use to perform our vallue engineering to determine what our costs to the project would be, what costs to be deferred to later on if theres no funding, and so forth. And then, after that, we could decide on delivery methods and update our project budget based on that information. In the meantime, well also be working with our partners on developing a funding plan. Developing a funding plan is