Questions that they should be asking all the time, rather than, how are you doing . As a part of the plan of correction, for sure. All of the improvement activities that were doing as a part of plan of correction has to go through theyre going to be monitoring everything that were doing as a part of the plan of correction. But ongoing, its a good point. Making sure that theyre asking us the right questions in helping them with that. I think that this plan of correction with its focus on culture and all of the things that theyre privy to. Basically what weve talked to you, theyve heard. I think they understand how serious this is and are going to have some big expectations for us how were presenting them information and data. These things that happened, you know, previously i dont know how they would know about it, unless laguna honda leadership knew about it and it would come forward. I think moving forward with this, it was an event. Theyre going to definitely have big expectations for us and they told us that. Just for the future, you know, we are totally committed to getting laguna honda back on track, making sure it goes in the right direction. We have been we really want to be the best longterm care facility. Were one of the largest in the country. So we really want to get our reputation back. Weve been partnering with consultants and experts in longterm care and we are in the process of pursuing an r. F. P. With some longterm care experts who can also give us some consultation and guidance. Were going to continue reviewing and implementing all recommendations and just making sure that were on the right track. You know, in the past several months weve been meeting and listening to staff. Weve been meeting weve really been talking to our patients or residents. Going forward, we want to pledge to rededicate ourselves to hold each other accountable for creating a new ethos set at laguna honda. That is our goal. Okay. Im sorry. I used to run an organization. Is there anyone from h. R. Here . No. If the c. E. O. Is supposed to develop this culture and continue to support that culture, is there an evaluation question for when youre doing evaluations, annual evaluations . Is there a question built in so that you ask that question of what are you doing to support sort of a culture of safety . It should be rated or something. Its one of these things when you look at any bylaw or organization, if its a long enough organization, you know what issues theyve went through those theyll change the bylaws every so often and say this happened and we need to deal with that. Well, weve been faced with this and i think we should put in everything we can to emphasize it. So can you go back to the h. R. And ask them that . Absolutely, yes. This is for a selection of the permanent chief executive officer . [ overlapping speakers ] no, the evaluation. I see. Ask that question why would they focus on it. Absolutely. Thank you so much, president yee, for calling this hearing and your focus on these important issues. Unfortunately, elder abuse in care facilities is not an un common occurrence. It is shocking to hear about what really has happened with patients at laguna honda hospital and just the fact that this is our Public Health facility here in San Francisco thats supposed to be providing quality care for elderly and disabled patients. Thank you so much for the presentation. Its good to hear about the focus that the now much greater focus that the department and the hospital is putting on patient care and ensuring that we dont have situations like this in the future. So i would also join with president yee and just say that this board is also going to continue to be closely monitoring the situation and look forward to further updates. Im just wondering if theres Public Comments on this. Is there any Public Comments . Clerk are there any members of the public that wish to speak on this . Please step forward. You have two minutes. Im a whistleblower and former laguna honda physician. Why were the patient druggings at laguna honda discovered by chance rather than through standard medical reviews . According to state records, five patients were drugged with pillford medications, resulting in lifethreatening overdoses and transfers to outside hospital. Laguna honda doctors were aware these were not caused by Illegal Drugs commonly smuggled into the hospital. They were caused by medications that had not been prescribed. Further, doctors at outside hospitals who treated these patients conveyed their alarm. One doctor notified laguna hondas medical director in february 2008 and was told that an internal investigation was underway. Apparently that internal review wasnt fruitful. Instead, the abuses were discovered 18 months later while Human Resources investigated an unrelated employee despite. Yet, laguna honda has two medical committees that are charged are probing such adverse medical outcomes. Why didnt the medical Quality Improvement committee or the Performance Improvement and Patient Safety committee diagnose these drugs abuses . Lastly, Health Commissioners regularly met with doctors to review their medical Quality Improvement reports. Didnt the commissioners notice that something was wrong . Thank you very much. Thank you. Next speaker. Good morning, supervisors. Thank you for this opportunity to speak. My name is goddel child. I am a San Francisco ombudsman advocate working at laguna honda on the Palliative Care unit south 3 and the h. I. V. Positive unit on south 2. Ive been in that position now for about three and a half years and have firsthand experience of residents, in particular, being quite concerned about bringing concerns and complaints forward at laguna honda. So im relieved to hear the presentation today and to know that we have such a high level concern and focus on Patient Safety and Resident Safety at laguna honda. I would suggest, too, that and unfortunately, the director of the Ombudsman Program is not able to be here today. Hes at an obligatory meeting up in sacramento. But im sure he would agree with me that there probably is a very Important Role that on me ombudsmen at laguna honda. Any role that we could play in a corrective action plan or protecting and advocating for Resident Safety i think would be strongly welcomed by the Ombudsman Program. Can i ask you a question. You mentioned that the Ombudsman Program would like to expand its support to residents or patients at laguna honda. Is there a specific proposal around that . As you may know, the Ombudsman Program is really staffed by volunteers. For that reason and because of limited funds, i would guess there would be a lot of constraints around significantly expanding the role of the ombudsman presence at laguna honda. That said, we are actually undertaking that. So we are right now forming more of a Group Presence there so that the ombudsmen there are talking to each other more and trying to bring together what we are experiencing the problems with communication, especially the reticence of residents to speak out when they have a concern or a complaint because theyre very dependant, of course, on the medical staff there. Did that answer your question . Yeah, it did. Thank you so much for all the work and you and the program does. Thank you so much. Are electrthere any other me of the public that wish to testify . Seeing none, Public Comment is closed. President yee. I would like to thank our presenters for presenting today. I know theres a lot of work to be done and certainly if im a little intense with the questions, i care about this issue. I hope some of the suggestions i made weve heard and that could actually strengthen some of your efforts, because all of us want to make sure that our patients up there are being well taken care of. I guess i have to go visit the hospital more often. I only go up there once or twice a year. Its a great place. Its really sad that these incide incidents happened because the physical environment is really a lovely place compared to what it used to be. Thank you very much for your in terms of trying to improve the efforts. Thank you, president yee, and to everyone for this important hearing. Can we file this hearing without objection . Mr. Clerk, is there any further business . Clerk there is no further business. We are adjourned. Good afternoon, regular to the regular meeting of the ethnics commission. Commissioner ambrose. Smith. Gray. Lee is commissioner lee is excused today, she has a conflict and is unable to make it. Agenda item number 2, Public Comment on matters appearing or not appearing on the agenda there being no Public Comment well go on to agenda item number 3 and 4. The consent calender. Draft minutes september 20, 2019 regular meeting and the agenda item number 4 proposed stipulation, decision and order in the matter of its our time sf women supporting london breed for mayor 2018 ethics complaint 1718134b. Call for Public Comment. No Public Comment. Any comments from commissioners. Ill move for a motion to approve agenda items number 3 and 4. So moved. Second. All in favor. Aye. So, agenda items 3 and 4 are unanimously approved. Agenda item number 5. An informational presentation on new Ethics Commission data Dashboard Tools for the novembe. H. I good afternoon, commissioners. My name is tyler field. I am a Information Systems engineer. I just got a new title. Im here today to give you a brief presentation on updates to the data tools that the Ethics Commission provides. And if we can witch over to the computer, i want to first start with a quick refresher on the reporting and president came in finances reporting dead lines and periods and dead lines and throughout the year throughout the year, campaign communities have to present or have to file a form 460 with the commission thats a very tense, typically governmental difficult to under paper form and these are due at different periods throughout the year. I have a nifty little calender here. Showing the 2019 dead lines and ok. And reporting periods. For 2019, the first semi annual form 460 was due on july 31st and it covered januaro 30th and im sure i dont have to elaborate too much on the calender. You can see that were right here on october 18th and the last form 460 was due on the 26th of september which covered september or forgive me, jul. Do we currently know how much the campaign has raised or spent as of only the 21st of september and the answer is complicate but not really because we do know some Additional Information about campaigns or Campaign Committees fundraising and spending efforts during the 90day period before an election which started on august the seventh. And during the 90day per they have to file an additional report if they have to file an additional report if they spend or receive more than 1,000 and im bringing all this up to emphasize how the data dash boards used to present information in a way that mimicked the way that it was reported. Either in this dense 460 or on these additional late period reportings. But someone coming to our website wanting to know how much money is being raised or spent by a committee doesnt want to know how much was spent as of september 21st. Theyre interested in how much has been raised or spent as of right now. So, these dash boards and the improvements of the dash boards ive made are a way to receive that information. Im sorry, could i ask a question. Of course. So the 460 is a retrospective filing so you will the communities are reporting on funds raised and spent on a prior period so that would have been most recently september 21st you said. Maybe this is for mr. Ford, lets go to september 3rd like the end of the month or is there any particular magic to the dates that were picking . You are talking about the reporting periods for the 460 . Those are established by state law and theyre generally described as days before the election. Theyll say you have to file a report that covers the 40th day to the 20th day before the election. And, im not sure exactly what the calculus was that went into defining those periods. They were trying to make those that were progressively shorter as you approached the election. So the closer you get to the election. But of course under the state regime theres a big gap that is left since they only have two preelection reports and our new preelection report fills the majority omajority of that gap s another 460 that will get you 11 of the remaining 17 days before the election. Theres still a little gap thats missing but most of it will come in on the 460. Thank you. If we can switch back to the computer. Thank you. The dash boards are the way members of the public, press, interested parties come to our website to understand what is going on. If its very similar to the dashboard i presented to you in february. With some additions, like i said earlier, these were a representation based on the forms that were filed. This page used to show the 460 which is the latest accounting of or the most recent very thorough accounting. It would be the form itself or just the the representation shown on this page came directly from only the 460. Now its showing the 460 and those additional late period reporting added together so like i said when someone calls and says how much someone in this race, they dont care how much was in the race as of september 21st, and they want to have the most edition. This is the funds reported to us in one place. And money that has not yet had an opportunity to be reported same type of thing i have now done for the expenditures tab. This is money spent by committees. You can see independent expendituring by third parties and the money that the community has spent and late contributions made in support of committees. I just want to reemphasize they make understanding the current elections camping finance easier in real time. And, moving over to come neat new features and im switching to the running sums tab that shows a running some overtime and how committee has spent their money and how they have money coming in. You can do Interesting Research and most importantly you dont have to go through a stack of paper forms with a calculator. Switching to the estimated cash tab, this is an interesting new idea. Its those two charts from the previous tabs, expenditures and money in with the subtraction done for the interested person. Its an estimate. Some transaction dozen have dates reported with them so i have to make an assumption that the period of that or the date, the beginning or end date of the period in which the transaction was reported. This is kind of an idea of the Bank Accounts of a certain committees. You can start with this information, you can start to look for patterns and ask interesting questions. Again its something that is not possible with just stacks of paper and now that you have this data on computer you can ask interesting questions like what type of donors might a candidate have. Committees are asked for occupation and employer of their contributors and here on this occupations tab you can see the top 10 occupations listed by contributors to committees and and on the employers tab, we can see the top 10 employers of contributors. You can ask questions do employees give them large amount and it turns out city and county of San Francisco, the employees of the city are civically minded as you might notice and it shows up as an employer for many committees. Could you scroll back there was unitemized listing monetary. Unitemized monetary contributions are contributions less than 100 in this is the aggregate of all the contributions of small ton arrest and committee dozen haveo report the name of those contributors that give less than 100. So, you can already see how useful this tool is and a t allows you to understand this dense information quickly where it would take hours if you have paper. Over the next year ill work on projects to update the infrastructure behind this data so we can do exciting new things. Here on this location lab n. I have a map of the concentration of contributions by zip code with the work that ill be doing, well provide zip codes or supervisor districts. Another interesting thing that comes out of this work ill be doing, right now the public can see how much the committee has spent to buy an add but soon well be able to make so they can see that add also whether. When you add a filter by district would that mean the public or a reporter can go into search where contributions are coming for a candidate for the district seven, for example and what percent of those contributions are totaling from district 7 are they coming outside the district . The darker the color on the map, the more contributions have come from that zip code. Sue filter down by contested, by candidates and see where one candidate is fundraising more than another and you can be with the supervisor district map, you can ask questions like, board of exercise canada dates where do they get most of their funds within their district of outside of their district and things like that. For ballot measures you can do the same thing. Could you show us, i dont want to derail your presentation but could you show us prop c for San Francisco that would have been the thats the vaping . Certainly, im filtered down to candidates only so ill change to develop measures and filter down to measure c. 15 almost 26 million. Wow. So yeah, not a lot of variety in that measure c right here. How do i look at this state map so that california is highlighted and the amount ranges from 540 to 19,000,421. So orange, the state of new york, the shade is that indicating the amount falls in the middle of that bar . Yes, i should emphasize the colors are automatically generated