January will not necessarily be where you are maybe mid year in terms of trying to contract with Wheelchair Services or get the appropriate clearances . And i think i heard you say youre trying to work that through to do that. So were starting that process. It takes about a year. Weve been focused on trying to get this up and running since january 1. Now that were there, theyre starting the process to add the benefit. Theyre working with the current vendor to see if they could add it. That would be an easy fix, but we also have to get the systems up to speed to meet the requirements of cms. So to answer your question, i dont know. Were working on it. I will answer to say were committed and working on it. I cant give you a time frame. But i will know more as the year goes on and will be happy to provide an update. I would be interested in at least a quarterly update in the area to track your progress. I recognize that licensing and vendor contracting in your organization, like in most large organizations, takes a bit of time. So, some kind of status would be helpful. Okay, then i plan to come back again in march, unless sooner. I appreciate the update. I think its quite i understand what the issues are and the hurdles that have to be met. Listen, in my own mind, i was distinguishing wheelchair to gurneys. Gurneys are a much bigger deal. I was not focused on people who need to be in a gurney. That is a bigger hurdle. I guess the question i do have, though, one question, one point, does the say someone is in a wheelchair and needs an attendant to help them get to the appointment, you know, a spouse, partner, whatever. Are those people transported as well, or do they need to then help their dependent into the van and then leave and come by a separate route . Because that would make a difference to me about the comfort level, about access. Okay. Im going to pause and ask one of my colleagues if they know that. If not, well have to come back. My gut tells me theyre included. So, yes, they can ride in the car with them. Commissioner follansbee good, because im much more comfortable with that. When we do revisit this, if he could have a sense of how many didnt qualify. So we have a sense of the volume. Because none of us want to make a big deal over an issue that really is, you know, can be handled another way. If we had some data on your access. And i think thats why the quarterly check kinz will be good. We have communication plan were working with abbie on right now to roll it out. The first month is going to be slow. The second month it will build. And the third month well see more. So well keep you apprised of what is going on through regular check ins. Commissioner follansbee one more question. So it covers the San Francisco facilities, mission bay and then the geary and french campuses, but doesnt cover south San Francisco or oakland or im a little confuse about the limitation . Its a benefit for your entire population, so depending on where they live, it would cover them up to 50 miles per trip. Commissioner follansbee thank you. That claver clarifies it. Thank you. Im going to give denises voice break and make our second couple of announcements here. So we do have a strike notice from nuhw, the National Union of Health Care Workers is that will begin the 16th of december and will last through the 21st of december. These are nonphysician Behavioral Health professionals. And so they will be going on strike. We do we are prepared for this. All facilities will remain open. Routine appointments may be rescheduled, but anyone who needs care will get care and were prepared for that. We also have received notice of a sympathy strike through the operating engineers local 39. And those are engineers for the facilities in northern california. So i wanted to make sure is that you were aware of that strike notice. The second announcement that i have is that we have chosen a new c. E. O. And this was many people have commented this was very quick. I think this speaks to the fact that weve done a lot of succession planning and Gregory Adams has been named the c. E. O. Of Kaiser Permanente. More than 30 years of appearance in the health care industry. A longtime Kaiser Permanente employee and really has worked closely with bernard overtime, so were exciteed as an organization to have a new c. E. O. And i wanted to share that with you. President breslin any Public Comment . Actually, not a Public Comment on that. Another vendor update. Go ahead. Im with aon, im not a health plan, but i do have update at the request of executive director yants over the medical. I did reach out to them and had a conversation. I wanted to give you an update on what the conversation was. So i pulled off at the top, ive included the link that i looked at, which is the one medical website under faqs. So the link is there. Its in regard to the annual membership fee we heard some membership complaints around to access their provider. And what i highlighted at the bottom of the first page is that payment of that annual membership fee is not a prerequisite for receiving medical care in one medical office. President breslin what does that fee give you . The way one medical described it to me. They think about it in two pieces. They provide the care in the office and then they have technology. So their app, making appointments online, virtual visits, senior Electronic MedicalRecord Online through the app, kind of that concierge piece. If you wanted to see a provider, dr. Smith at one medical, you can pick up the phone. You can call. You can make an appointment. You can see the provider, have the appointment. It will go through your insurance. And thats the end of it. There is no problem with that. If you want these Additional Technology services, you would pay that fee. In addition, at the bottom of this, it says for more information click here. One medical does have Financial Assistance and so if members wanted to call in to see if they are eligible for Financial Assistance, they can do that as well for the annual membership fee. It does appear they would potentially help with some of their outofpocket costs, no copays, but the other outofpocket costs. If we want more information, we should invite one medical back to speak with you. Does that help . President breslin yes. Thats makes it more clear. First you say they cant charge a fee. And then you say they can charge a fee, but so thinks the reason they can this is the reason they can charge the fee for extra technology. That makes sense. Correct. Commissioner follansbee im not sure i need to hear more from one medical. I do think that it does raise again the issue of the question i asked of our Outreach Survey about urgent care and all that, because obviously you know, to buy membership in one medical would be think being getting ongoing care. I mean, like, urgent care. In their own sense. And i dont think that our own networks, through any of our providers, actually, they belong to any of those networks. I think that would be something one medical . One medical. They do. Commissioner follansbee they do . They are . Yeah, they kind of i dont know for certain who all theyre connected with but i think its pretty much everybody. Commissioner follansbee maybe we do have them back, because the member who is a hill physician patient is seen there, is the lab and the encounter automatically transferred to some medical record . So there is continuity of care that we heard the members want . There are pieces about all of this that i still am a little bit confused. I can understand the ease of making an appointment online if youre getting your physician care at one medical, because theyre all over the city and i assume outside the city limits, but i dont know. Again, these are issues that we would need would want to know in terms of how to direct members in terms of what members want and need. This is not really a substitute if it doesnt meet certain criteria. They came on the market 15 years ago . And theyve been around a while and they were cutting edge when they came on market with all the technology. And theyve stayed focused on primary care and they have expanded. Im not aware that they do urgent care. No, not in the office, but they would have virtual urgent care. Yeah, so during regular business hours, that type of things, but they dont run any of the urgent care clinics that im aware of. Commissioner follansbee the question is, can people walk in and get care . Yes. I know they dont have 247 coverage. I have former colleagues who joined one medical as physicians and so there is nothing in my mind about the quality of care they deliver or the technology or anything, thats not the issue. The issue is really this wholistic approach to the delivery of health care, which i think is something that we as a board, we as a Health Service system, are really interested in promoting. Maybe we should ask them to come. President breslin any Public Comment on the item . Thank you very much. No Public Comment. Moving on. Item 13. Item 13, opportunity for the public to comment on matters within the boards jurisdiction. President breslin Public Comment . Clare . Good afternoon, commissioners. Im representing Dennis Kruger and firefighters. Dennis couldnt find parking. Found the garage overfilled. And so he sent me a text. He was very frustrated and he left. So theyre following up. They want to wish everybody happy holidays. By the way, we loved abbies, director yants message, it was nice to see. And that was pointed out at our retiree meeting yesterday when we had the party. So we are here to wish everyone happy holidays and also sorry, always to thank the staff. We have the best staff in the world. Im sorry, i get broken up about it. Health services workers, our staff is the best in the city and ive worked in a lot of different departments. I wont tell you stories, okay . But we have the best. They work hard for us all year. Open enrollment is a killer. And they make it easy for all of us. And all the services that they provide, you just need to know that all the retirees are grateful. And all of the associations, whether its retired fire or vpoa, or retirees, all of us are extremely grateful. Happy holidays and happy new year and see you next year. President breslin any other Public Comment . Seeing none. Item number 14. Item 14, opportunity to place items within the boards jurisdiction on future agendas . President breslin i think we have our work cut out for us. Any Public Comment . Were going to closed session and have to be closing the doors. Item 15, vote whether to hold a closed session for the Public Employee evaluation for hss executive director. This is presented by president. I need a motion i move that we vote to hold a closed session for the Public Employee performance evaluation. Ill second it. President breslin Public Comment . All right. All those in favor . Okay. Unanimous. We will now be going into closed session. President breslin were back. Item 17. Item 17, possible report on closed session regarding the employee evaluation presented by president breslin. I move that we not report on the action taken in closed session regarding an employee evaluation. President breslin thats 18. But i dont know what this 17 is. 17 is the action. Reporting of the action. I move that we not report on the action taken in closed section regarding employee evaluation. Second. All right. All those in favor . Opposed . Its unanimous. Item number 18. Item 18, vote for elect whether to disclose any or all of the discussion held regarding the employee evaluation in closed session. I move that we not disclose any or all of our discussion held in closed session. I second. President breslin all those in favor . Any opposed . Its unanimous. All right. So this is item number 19. This meeting is adjourned. Happy holidays. Happy holidays. Shop and dine in the 49 promotes local businesses and challenges residents to do their business in the 49 square files of San Francisco. We help San Francisco remain unique, successful and right vi. So where will you shop and dine in the 49 . Im one of three owners here in San Francisco and we provide mostly live Music Entertainment and we have food, the type of food that we have a mexican food and its not a big menu, but we did it with love. Like ribeye tacos and quesadillas and fries. For latinos, it brings Families Together and if we can bring that family to your business, youre gold. Tonight we have russelling for e community. We have a tenperson limb elimination match. We have a fullsize ring with barside food and drink. We ended up getting wrestling here with puoillo del mar. Were hope og get families to join us. Weve done a drag queen bingo and were trying to be a diverse kind of club, trying different things. This is a great part of town and theres a bunch of shops, a variety of stores and ethnic restaurants. Theres a popular little shop that all of the kids like to hanhang out at. We have a great breakfast spot call brick fast at tiffanies. Some of the older businesses are refurbished and newer businesses are coming in and its exciting. We even have our own brewery for fdr, ferment, drink repeat. Its in the San FranciscoGarden District and four beautiful muellermixer ura alsomurals. Its important to shop local because its kind of like a circle of life, if you will. We hire local people. Local people spend their money at our businesses and those local mean that wor people willr money as well. I hope people shop locally. [ ] working with kids, they keep you young. They keep you on your tones on your toes. Teaching them, at the same time, us learning from them, everything is fulfilling. Ready . Go. [ ] we really wanted to find a way to support Women Entrepreneurs in particular in San Francisco. It was very important for the mayor, as well as the Safety Support the dreams that people want to realize, and provide them with an opportunity to receive funding to support improvements for their business so they could grow and thrive in their neighborhoods and in their industry. Three, two, one because i am one of the consultants for two nonprofits here for entrepreneurship, i knew about the grand through the renaissance entrepreneur center, and through the Small Business development center. I thought they were going to be perfect candidate because of their strong values in the community. They really give back to the neighborhood. They are from this neighborhood, and they care about the kids in the community here. When molly molly first told us about the grant because she works with Small Businesses. She has been a tremendous help for us here. She brought us to the attention of the grand just because a lot of things here were outdated, and need to be uptodate and redone totally. Hands in front. Recite the creed. My oldest is jt, he is seven, and my youngest is ryan, he is almost six. It instills discipline and the boys, but they show a lot of care. We think it is great. The moves are fantastic. The women both are great teachers. What is the next one . My son goes to fd k. He has been attending for about two years now. They also have a summer program, and last summer was our first year participating in it. They took the kids everywhere around San Francisco. This year, owner talking about placing them in summer camps, all he wanted to do was spend the entire summer with them. He has strong women in his life, so he really appreciates it. I think that carries through and i appreciate the fact that there are more strong women in the world like that. I met dandrea 25 years ago, and we met through our interest in karate. Our professor started on cortland years ago, so we grew up here at this location, we out he outgrew the space and he moved ten years later. He decided to reopen this location after he moved. Initially, i came back to say, hey, because it might have been 15 years since i even put on a uniform. My Business Partner was here basically by herself, and the person she was supposed to run the studio with said great, you are here, i started new Nursing School so you can take over. And she said wait, that is not what i am here for i was by myself before for a month before she came through. She was technically here as a secretary, but we insisted, just put on the uniform, and help her teach. I was struggling a little bit. And she has been here. One thing led to another and now we are coowners. You think a lot more about safety after having children and i wanted to not live in fear so much, and so i just took advantage of the opportunity, and i found it very powerful to hit something, to get some relief, but also having the knowledge one you might be in a situation of how to take care of yourself. The selfdefence class is a new thing that we are doing. We started with a group of women last year as a trial run to see how it felt. Theres a difference between selfdefence and doing a karate class. We didnt want them to do an actual karate class. We wanted to learn the fundamentals of how to defend yourself versus, you know, going through all the forms and techniques that we teaching a karate class and how to break that down. Then i was approached by my old high school. One once a semester, the kids get to pick an extra curricular activity to take outside of the school walls. My old biology teacher is now the principle. She approached us into doing a selfdefence class. The girls have been really proactive and really sweet. They step out of of the comfor