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Where we have recommendations in our quality section around assuring that actually we are measuring quality of care and that we are actually addressing quality of care. Right now part of the challenge is that a lot of the naturally endorsed measures around Palliative Care are in the adolescent phase in terms of actually the care of the measures, but there is still sufficient for us to get good information in terms of the quality audits and the quality of the data, thats something i think we are going to have to figure out where that accountability is coming from. If you were in our shoes would...

Enthusiastically because the only way to get where we want to go is to have a system in place for these issues in a structured way. Thanks. Commissioner sanchez . I want to congratulate you for an excellent presentation. California on aging was here in San Francisco and they were reviewing a number of programs and changes and at that point saying we are now just getting under way whether it be the hospital or community model, etc, but we are going to do that. This is an outcome of what has transpired in the year or two. The question is how is this implemented its varying according to communiti...

Quality audits and the quality of the data, thats something i think we are going to have to figure out where that accountability is coming from. If you were in our shoes would you approve this resolution before you knew that . I would approve it enthusiastically because the only way to get where we want to go is to have a system in place for these issues in a structured way. Thanks. Commissioner sanchez . I want to congratulate you for an excellent presentation. California on aging was here in San Francisco and they were reviewing a number of programs and changes and at that point saying we ar...

With the San Francisco beautiful to wage my support for the program theres no doubt this helps the better streets plan by encouraging beautifying and Pedestrian Safety id like to before your accident to the finding of the programs for the citywide reports that from the productive of San Francisco beautiful it helps us to realize this program is good and want to support its permanent 90 percent of the parklets used to spend money wildly but you know the physical improvements like the parklets and plaza impact the offer all feel, and, secondly the study found socially the new parklets rated high...

That were laying fiber to connect many of the locations so we can have a faster system in the future. The challenge is we have over 30 million in it infrastructure in dph. If they had a life of five years which they typically do that translates to 6 million a year that we have to continuously invest in in order to keep the infrastructure uptodate so we have to make a commitment as an organization that we will do invest in keeping our systems up to speed. Strategy really is not to invest 30 million immediately because that would actually exacerbate the situation because it creates peaks and val...