Or even im still here. I hope more police and more safety, you know, in our community, all the community, we appreciate it. President hirsch thank you. Next speaker, please. Hi. My name is paula williams, and im homeless in San Francisco right now. Ive been homeless since december of 2018. Ive made Numerous Police reports. Ive been harmed numerous of times by staff in the shelters. The police have did me no justice. Ive went to the city attorney, ive went to the d. P. A. Its just plain corruption. Its five Police Officers that dont want to take a Police Report, made false statements in my Police Report. Didnt want me to file a Police Report and just was lying. I liked when miss taylor said they wanted to take a look at the shelters. Every morning, i walkthrough t. L. And encourage them, tell them to get up, all to its numerous of stuff that whatever hsoc and all of them is talking about, i just called the Police Yesterday in front of walgreens and had the police come up and pick a lady that was laying on the ground. Sometimes i just do field work all day and call 911, can you please get this person up, can you please so i dont know what they talking about. Every day, im in the tenderloin. Whatever salary they getting, they know me down there. They know me really well. So i think you guys should look up all my Police Reports, go to d. P. A. , and ask someone thats working in the shelters thats harming, it was a 26yearold girl that sprayed chemicals in a 66yearolds face this morning. President hirsch thank you. Any other Public Comment general Public Comment . My name is john jones. May my remarks please the commission. About two years ago, i was getting on a 14 mission bus at the corner of geneva and mission, and all of a sudden, i heard this scream, a woman scream. And i looked around, and there was a chinese woman in the back holding a very well cared for child, and three black teenagers were running off the bus. I came facetoface with one of the teenagers, and he was smiling. Apparentl apparently, one of them had just ripped a cell phone out of the womans hand. Now, the witness to that was five chinese men sitting in the back of the bus. My impression was that chai necessary have very tight families. I could run through the numbers, but my estimate is that 3,000 separate individuals heard a full recounting of that crime and the effect upon that woman. You cannot buy that kind of bad publicity. Its stupid. For a 25 cell phone, you alienate all those people . Thats one fact in all this crime that we talk about that doesnt get emphasized, the effect it has on others, particularly others of different races. Thank you. President hirsch thank you. Any other Public Comment . Id like to use the overhead again. Im trying to start it. Wait a minute. President hirsch we need you to talk into the mic, though. Im trying to start my video, so could you so wait a minute. Sorry. Just a second. I think its ready now. So oh, here we go. 12 years after his son was her son was shot and killed in San Francisco, tonight, shes still pleading for answers and hoping a huge reward will lead to an arrest. Our Crime Reporter has the story. Im here. This is the 12 year. Im back again. Its a sad summer ritual, paulette brown, pleading with San Francisco police after her only son was shot and killed back in 2006. I was told back when it happened, its going to get easier, but it doesnt. I can deal with it. Im functioning. I work i do everything that i need to do, but this pain never, never ends. On august 14, 2006, 17yearold aubrey aberkacen approached several gang members. Police say aubrey wasnt a gang member, but he yelled at his friends to run, and they shot him in the back for this. Like she does each year, she passes out fliers, hoping someone will be brave enough to come forward. San Francisco Police say a 250,000 reward remains in effect. I know its been 12 years, i know its been a long time, but if we can solve a case from the Golden State Killer that goes back for decades, we can solve one thats 12 years old. I cant believe hes been gone 12 years and nothings happened. Aubreys mother and the police say if you have any information, call police. So im saying august 14 of this month will be his anniversary, and im looking for you guys to come im having Media Coverage on grove and baker. Steve David Stevenson has already given me the flier to pass out to faithbased people. Im hoping that coming here for all these years that you guys would accompany me and stand with us concerning unsolved homicides and mothers and fathers who lost their children to homicide so maybe some way we can heal. President hirsch thank you. I would like to see you there. President hirsch the tip line is 4154755555. Any other Public Comment . Next item . [agenda item read]. President hirsch is there any Public Comment on us going into closed session . All right. Seeing none, Public Comment is closed. Next item. Clerk line item nine, vote on whether to hold item ten in closed session, including vote on whether to assert the attorneyclient privilege with regard to item 10a, San Francisco administrative code section 67. 10, action. President hirsch is there a motion . So moved. Second. President hirsch all in clerk commissioner hirsch, we are back on record in open session. You still have a quorum. Line item 11, vote to discuss any or all items held in closed session pursuant to section 57. 12 a. Move not to disclose. Second. All in favor . Clerk item 12, adjournm t adjournment. President hirsch is there a motion . Move to adjourn. Second. President hirsch all in favor . [gavel] the second item on the agenda is the minutes of the meeting of july 6, 2019. The minutes are before you. We have a motion to approve after your review. Any comments, commissioner . I would move that on page 10, under comments on section six, i would just add that the statement that i have there would seem to sound like ucsf is the only other provider for the Cardiovascular Surgery, and thats not correct. I think my question was who were the other providers, and i think we heard that cpnc and kaiser. I will go back to the recording and clarify that. It sounds odd. Thank you for the clarification, commissioner. Other comments from commissioners . Motion to adopt . So moved. Second . Is there a second . Second. All those in favor, signify by saying aye. Thank you, everyone. Item three is the directors report. Good afternoon, commissioners, brian colfax, director of health with the directors report for august 6. So the big news is we are at the go live. We went live at 2 00 a. M. On saturday, august 3 . So far, all systems are running well, and i just really want to thank the incredible team. Literally hundreds of people, thousands of hours, millions of dollars to make this all work, but so far, so good, and while there certainly have been some issues brought forward as expected, the problem solving has acted at every level across the organization and the support for the clinicians, and i think most importantly our patients are continuing to receive the best care possible is really key. And youll remember this was literally the go live for zuckerberg hospital, laguna honda, and our clinics really connecting the data as never before. Just to give you a perspective, many of us were at zuckerberg hospital for go lives. We were walking the hauls of zuckerberg general and same then for laguna honda, looking for that change. And yesterday was the big live because yesterday was our first full business day. There was some issues in terms of data expected to show up that didnt show up, but those things are being worked on as much as possible and then triaged by the great support teams. Just to give you the numbers, zero patient harm events, so thats a good first step. 4700plus Service Tickets opened, and the majority of those have been resolved, so thats a really key thing. And then, i think in terms of service desk calls, so far, theres been a less than sevensecond twotime wait call for that, so really good data there. Going down stairs to tom lidell clinic, i was talking to some providers, and literally, i turned to talk to someone else, and there was a person helping them, solve problems. Keeping it real, i think there are some frustrations and challenges, but i think overall, were expecting what is to come in the system change. And finally, i just wanted to state in meeting with the ambulatory care leadership in the trailer at zuckerberg general. One person had gotten a low potassium on a patient that had come into the care clinics. And because of our generalized data, they were able to determine the person was at the Sobering Center and able to make sure that persons potassium was being corrected. Before, we wouldnt even know where that person was. Had to track down that patient, and this was a very clear example of how in the first few hours, we were making patient care better. Im confident that there are hundreds, if not thousands of examples of that going forward. Very excited and will provide more detail to you at our next commission meeting. I also wanted to mention on a few other pieces of our report, we are continuing to cooperate with the California Department of Public Department with regard to the laguna honda investigation, and we received a formal statement of deficiencies from cdph on july 3. We filed a response on august 2. It describes how were implementing standards to establish standards set by our regulatory partners. I also wanted to remind the commission that we continue our Operations Center in response to the increases that weve been seeing in congenital silvsilv syphil syphilis. Im actually serving as Incident Commander for the month of august, so its great to support an amazing team thats working on this and more focused on collaborating across the departments and communities so we reduce the incidents of congenital syphilis going forward. So you can read the rest of the report and i stand ready to answer any questions or comments. Thank you, director. I did have a question on the go live. Is there anything youre especially hypervigilant, especially things that might still be coming up. Even though things have gone incredibly well too much to expect. Well, i think the things were most hypervigilant about is making sure that the data thats there when a patient is coming in so that the provider can prepare the best care possible . Also with a mapping from older systems to the new epic system that there have been occasions in the system where the mapping didnt go to where we thought it would go, so correcting for that quickly and effectively. I think also because of the workload that continues to be in the clinics and in the hospitals, that were ensuring that providers have the support that they need in order to continue to provide the level of care and services . And then i think finally that were provide the work necessary so theyre not workarounds that could harm our system, so making sure that people arent going outside of the established protocols that are necessary for the whole system to function . And i think whats really key, and i just want to acknowledge this because it cant be said enough is that the super users in that persontoperson support, and when you look at epic and the implementation, its about making sure we just had a discussion at the finance committee, that theres robust numbers to help people problem solve is really key. Thank you. Any questions or comments from commission . Commissioner . Yeah. I had two. One was on the Hunters PointShipyard Building 606, which was the police department, how are they accepting the report and how are we working with them . It was a great report that they are not now in danger. Have they received that in a positive fashion or is there still dialogue with them because this was a huge yes, yes. So dr. Aragon will provide some details of that, and thank you for pointing out. I did skip that item in the report in the interests of time, but dr. Aragon has more details. Good afternoon. Is the question about building 606 or is it about parcel a . Building 606 because thats all the report is on. It says that weve come to a weve come to a report saying that there was no problem. Correct. So they did extensive testing both they did a radio logical scan looking to make sure there was no exposure . They also did dusting, and they also did dust testing for asbestos. So all the testing that has been done over the years has been negative. The only problem they did find was early on, there is some lead levels in the water, so theyve been providing bottled water for that site for years, so no ones had any exposure from the lead to the water. So thats same accepted are they still occupying the building . Yes, the building is still being used, and the building is completely safe. Okay. And since the late 1990s, weve had an industrial hygienist from d. P. H. Based at the building to provide not only testing but also address concerns over the years that has come up. No, thats helpful. As you know, public reports have sort of portrayed it otherwise. Yeah. Most of the reporting has been primarily about parcel apartment where they have apartment buildings. I know people confuse them. Thats why i brought it up, because thats the perception people have. Thank you. Yeah. My other question was in regards to the supplemental budget. Administratively, we had some decreases in the recommended budg budget which were not going to affect your administrative capacity. But then, with the new proposed programs, is it that we are going to be able to put those in feis in the budget year that were talking about . Or were they already there and were now just getting more funding for it or whatnot . So i can get you more information on that that specific one . Oh hello. I will let our budget director respond to those questions. Yeah. Commissioners, jennie lui, d. P. H. Budget director. They are ambitious. Most notably is the 2 million you see for residential treatment for youth. The parentheses you see, it means we have two years of funding for it . So we can spend that allocation over two years. I expect it will be a new program, so were going to have to identify, so its not started up at this point today, but we will work with identifying an available c. B. O. Through appropriate contract to get the services started, and then, we have the ability to Carry Forward the funds into the second year. And some of these are potentially continuing projects and some that are new. So we will work with contracts and michelle rugals staff over the course of the fiscal year. Okay. Thank you. Any other questions . Next item, please. Theres no Public Comment request for that item. Item four is general Public Comment. Ive not received any requests. Im not seeing any now, so we can move on to todays report on the budget and finance Planning Committee. The budget and finance Planning Committee met immediately before this meeting. We reviewed a few separate contracts. There are four separate contracts to provide pharmacy Registry Services through december 31, 2021. Two of them are existing existing contractors and two of them are new contractors. So as well be considering in the next item, the consent calendar, theres a caveat on those two new vendors, we will receive to the board to review, and the secretary, mark, will be getting those. The reason that we need of course these pharmacy registration temporary Personnel Services is to cover vacation times, times when theres high vacation activity, and times when persons are being trained on epic. We have additional contracts with regard to network and Security Support Services as well as epic go live activation and adoption plan. And then, we have three different contracts relates to healthy related to healthy sf and kid is in particular. I would like to say that while healthy sf is being sunseted because kids are being moved on to medicaid, that is everything that is on the consent calendar. Commissioners, questions . Comments . We can move on to item six, which is the consent calendar, and as commissioner bernal stated, the Committee Approved the report with the understanding that i would receive the board of directors from the two new vendors with the understanding that i could forward them all to any questions that you have about that. Thank you. Were going to call for a vote. So all those in favor. Of accepting and adopting the finance committee report. All right. And ill note that theres no Public Comment request for that item. Item seven items seven and eight are going to be presented together. Item seven is the closure of st. Marys cardiovascular center, and the other is st. Marys spine program. I wish to recuse myself for these two items. And commissioners, dr. Kol f dr. Colfax, and i am recusing myself. Oh, and commissioners, and im sorry, for the public, these items were introduced at the last meeting, and today, you will vote on them. All right. Good afternoon, commissioners. Im here today for the second of two scheduled proposition q hearings on closures at st. Marys Medical Center, and the first hearing took place on july 16 at the last meeting. As a reminder on april 29 of 2019, st. Marys notified the Health Department of two closures. The closure of the Cardiovascular Surgery program, and the closure of the spine center, which