Transcripts For SFGTV BOS Budget And Finance Sub Regular Co

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You can below the what if anything, by assess though the club Program Website arrest call 4147 or 311 and stating you wishing to file and complaint point Controllers Office the Charitable Program also accepts complaints by email or 0 folk you can file a complaint or provide Contact Information seen by whistle blower investigates some examples of issues to be recorded to the Whistle Blower Program face of misuse of City Government money equipment supplies or materials exposure activities by city clez deficiencies the quality and delivery of City Government Services Waste and inefficient government practices when you submit a complaint to the charitable online complaint form youll receive a unique tracking number that inturgz to detector or determine in investigators need Additional Information by law the City Employee that provide information to the Whistle Blower Program are protected and an employer may not retaliate against an employee that is a whistle blower any employee that retaliates against another that employee is subjected up to including submittal employees that retaliate will personal be liable please visit the sf ethics. Org and information on reporting retaliation that when fraud is loudly to continue it jeopardizes the level of service that City Government can provide in you hear or see any dishelicopter behavior boy an employee please report it to say Whistle Blower Program more information and the whistle blower protections please seek www. Good morning welcome to sa francisco board of supervisors budget and finance subcommittee meeting for wednesday march 16, 2016. Im mark farrell and chairing the committee. Joined by supervisor tang and norman yee and want to welcome Supervisor Scott Wiener for joining. I want to thank linda wong and gym smith and leo [inaudible] from sfgtv for covering the meeting. Please silence cell phones and electronic devices. Speaker cards to be included as part the file submitd today the clark and appear on the match 22 board of supervisors agenda unless otherwise stated thank you if you would call item 1. Resolution authorizing the children and Families Commission to accept a grant in thumount of approximately 2. 6 million from California Department of education to support a preschool policy [inaudible] july 1, 2015june 30, 2016. We have [inaudible] here to speak on the item. Good morning supervisors. We are very happy that the city of San Francisco is receiving 2. 5 Million Dollars from the state of california to reward all the programs that have been participating in the federal race to the top quality rating and improvement system. This was a ward given to california along with several other states through the race the top and fart of that reward required the state of california to implement a qualityerating and improvement system for all the programs in the state of california. Because the state at the time when they received the award, they were only able to implement the qualityerating and improvement system in 16 counties. San francisco, we happily volunteered to be one of those counties to pilot the qualityerating and improvement system and what it is very similar to for those who have kids in public schools, it is similar to grade school, accept that it is really for birth to 5 for centers serving children. A byproduct of that is there legislator set aside 50 million as part of the initiative and the state programs are getting through the award that William Techmseh Sherman hopefully accept a incentive. Not only participating and reaching a hire level of quality on that rating cyst. Thank you very much, supervisor yee. I will say we are getting to accept the award, i just want to say that even though it is something that is coming from the feds to the state to San Francisco that actually San Francisco has always been ahead of the curve and it this compliments the things we have done for the past decades and because of that we have the first 5 taking the lead. I want to make sure we acknowledge [inaudible] has done thank you. For our program, thank you very much. Thank you. Colleagues, seeing no comments well move to Public Comment. Anyone wish to comment on item 1 . Seeing none Public Comment is closed. Send forward with positive recommendation. Motion by supervisor yee and second by supervisor tang. Two, authorizing the controlling to enter into agreement for soft weir license and [inaudible] support service with [inaudible] it is in the Contract Term 5 years and increasing the expenditure to appreciately 14. 3 million. Thank you very much. Controllers office here to speak on this iletm . H item . Dennis mu cormic active director of the [inaudible] Controllers Office. Supports the Office System which is hr and pay roll system the city yeezs to pay the employees. Thank you for taking the time this morning. Move very quickly, just some information on the large contract we have in front of you. Back in 2007 we went for a competitive solicitation process to identify the software we want to use to run the cities pay roll benefits and at that time we selected oracle and sense that time we amend the contract to keep us under support so we are able to apply patches and fixes as they become available and upgrade the software as it becomes available. We have gone through 9 amendments and in front of you is the 10th amendment. So, the 10th amendment will extend the support from april 2016 through april of 2021. It allows us to apply security fixes as they become available and upgrade the software as new releases become available and if something breaks as often hapbs with software it means oracle will be there to fix the break and that is the key part the contract we are taking advantage of. We pay 860 thousand a year for that. Just a little background, why are we going with 5 wreers opposed to 1 year . Be are able to lock in additional savings. We project we will avoid 250 thousand dollars in expenses from a 1 year to 5 year increase and made investment in the oracle system in the last 10 years. We added on e learning management and [inaudible] the city made the decision to go with the oracle Financial System and will do integration there so we do know this is a long Term Investment so we just feel in extending for the additional period of time will give cost saveies to the city and know we will use oracle over this time period. Just want to thank the Mayors Office and the board budget analyst for working through the process. It isnt the most clear contract but it was a nice experience wurbing working with them. If you have any questions happy to take them at the time colleagues any questions. Seeing none, mrs. Rose. Yes mr. Chairman and plebs of committee. Supervisor wiener on page 3 of the report we know data out of the Controller Office not to exseat amount of 9, 757, 446 is extended to date on the license and Software Agreement with oracle. Under the last year the existing agreement the Software License and Maintenance Cost is 803, 688 per year and as you just heard under the 10th amendment to the agreement this will increase by 56, 491 or 7 percent. [inaudible] we recommend you approve the resolution. Thank you very much. Mrs. Roseany questions or comments . Seeing none Public Comment is closed. Can i entertain motion like to make a motion to send this to full board with pause positive recommendation motion by supervisor tang and take that without objection. Item 3 hearing on transgender youth issues for policy and budgetary needs and request department of Public Health and childrens and families to report. Colleagues this item was sponsored by supervisor wiener and thank you for doing so. Turn it over to supervisor wiener. Thank you very much. Thank you mr. Chair and committee and thank you for hearing this important item today. I requested this hearing in order to discuss the various issues and challenges and confronting our transjnder youth population including children and adolescents and discuss what we as a city are doing and what we can do to support these young people. We are seeing not just in San Francisco but throughout the country an increase in the number of school age use adolescents and younger who are transitioning genders. We are seeing more and more young people who are more comfortable stating who they are and living the life that is right for them. These young people face money challenges including stigma, discrimination, bullying, physical violence, misunderstand, some without Family Support and some with lots of Family Support and lack of access to health care. We need to do everything we can to support the young people. Today well discuss what we are doing and can and should be doing to support our youth. We have representatives from department of Public Health, San Francisco Unified School District and child and adolescent gender clinic. We are fortunate in San Francisco to have some the most progressive policies around the [inaudible] the department of Public Health and School District have been working to imp lment very progressive and forward looking policies to meet the needs of our transgender neighbors. Several years ago i authored legislation at the board which colleagues you passed ask i they think for that to make sure we have full access to healthcare by transgender people as part of the healthy San Francisco Program Including access to needed surgeryries. We passed that unanimously and there was coverage in the paper today how that is working increasing access. We are fortunate to have great institutions inl San Francisco like ucsf which is leading the country and world working with young people. Colleagues i hope todays hearing will be informative and have a discussion how we as a city can be even better supporting our transgender youth. If there are no introductory comments or questions i would like mr. Chair to move to our presentation and start by asking julie Graham Department of Public Health to address the committee. Good morning. So, im july graham and director of Transgender Health service and this is bare [inaudible] our medical director and well talk quickly about what it is we are doing in dph. So, transjendser Health Services is committed to improving access and quality of care for all transgender individuals served by San Francisco department of Public Health, adults and children. What we do is consult and advice with dph clinicians and Mental Health providers to make sure they are providing adequate care and do a phenomenal amont of training and we help individuals access that care. We problem solve and provide support for gender afirming surgeries when they are medically necessary. The other thing we started isyou get to do dimensions. Thank you,bery [inaudible] i want to speak about dimensions clinic, this is the queer youth clinic provided through the department of Public Health for San Francisco. Dimension is in the 18th year and provides medical and mental Health Services in a comprehensive way for self identified queer youth. This operates two half days a week at convenient times, thursday evening and saturday during the day. Multiple Collaborative Program with Health Providers from department of Public Health and Castro Mission Health Centers [inaudible] lyric and actually numerous other people who are involved in helping this presentation. 91 percent of the patients are identified as transgender transsexual or gender non binary. And over the past 18 years the percentage of trans youth who utilize the service arehas been increasing pretty much every year. Um, of the current people seeing all of the patients are under the age of 25. 22 patients are under the age of 18. Most of the patients coming in are initially coming in with inquiries about accessing hormone care for hormonal treatment of gender dysphoria. 60 percent of the people seen are people of color. Our program in San Francisco creates access for individuals over the age of 18 to access to transgender surgery and we have been providing those services. We provided completed transgender surgeries for 2 youths in the age range, 1822. So the cdhs side, children youth and families, each clinic has a point person whos job is to handle every concern and question that comes up arounds providing appropriate care for children who identify as gender non conforming or families where a parent is transitioning and the family has struggles around that issue. The clinicians consult with barry or i or a team and we help them identify resources including medical and surgical and school intervention. We consult with ucsf and several other programs when we need specially services. We also have a website where we keep information that is accessible to everybody around referrals and resources that are available. We are just starting muntly [inaudible] base d on the concerns and ideas and the spinge issues patients are bringing to providers. We do massive specialized training in addition to the mandstory sensitivity trainings we created for all of dph that we refer to as trans 101. When the individual clinics have grand rounds we rotate through clinics to encourage attendance by non specialist clinicians and expose everybody to the different clinical concerns related to diversity from the clinics throughout. Currentsly that is what we are doing in dph related to transgender youth seeking services through dph. Thank you. What is the age range that you are seeing . So, dph takes care of everybody. Transjendser Health Service sees people 18 and over and has provided two surgeries in the transitional age youth group. The other clinical work is for children of all ages. Are youwhat are thein terms of the youngest ends, for the committees information, how young are some of the kids you are working with . So, clern children youth and families have Elementary School youth that are gender non conforming working with providers and their families. On the medical side people have to be over 18 to access surgery. On the medical side the primary care programs are dealing with children at all ages as well and have the capacity to do that. Thank you. Okay, next mr. Chair i would like to ask San Francisco Unified School District kevin grogeen director of safety and wellness. Eric martinez and lgbt coordinator. Kevin goingen director of safety and wellness for San Francisco unified. We were asked and the powerpointthere we gowe were asked to give a brief description of services we provide in San Francisco unified working with our transjnder gender exspanseive students and to do that we thought we would take a look at the data we have to support our work. We are San Francisco unified is a cdc sponsored financed city for of our programs and as such we implement the Youth Risk Behavior survey annually since september of 1990. The most recent survey as you can see here, we reached 68 percent of our middle School Student and 82 percent of our high School Across all of our high schools and this randomized sample. We also in looking at our demo graphics, we have probably national ly the best consistent data over the past 20 years looking at our Sexual Orientation and gender yite identity. In terms of middle school for Sexual Orientation the glb and not sure which we count as q is there and the gender identity we have 5 administrations on two different surveys of our students and we have consistently been at about 1 percent of our middle School Students identifies as transjnder translated to about 100 of our middle School Student. High schoo