Transcripts For SFGTV Government Access Programming 20180107

At this time we ask that you please silence all sound producing devices for the duration of the meeting. Thank you. May have a motion to approve the agenda . Thank you, any comments or questions . All in favor . Any opposed. Thank you, the motion carries. Item 3, approval of the december 6, 2017 meeting minutes, motion to approve . Any comments or questions . To the public . Hearing none, all in favor . Any opposed . Thank you. The motion carries. Item 4, reports, the director report, thank you, shireen. Director mcspadden thank you, commissioner, and i want to extend a special welcome to commissioner papas very happy to have you working with us. I was at the National Association on aging board meeting. I mentioned before, but for those of you who havent heard, im one of two representatives from california to this National Association. And its a Great Organization, theyre focused on building the capacity of aaa so we can help older adults. It supports initiatives such as Livable Communities and dementiafriendly america. They advocate for funding for services for adults and adults with disabilities and provide tools such as the elder care locater. Theyre a Great Organization to belong to. Very supportive of the aaa, the area agencies on aging across the country. At the meeting we heard from cms officials talking about feature initiatives and opportunities for aaa and our cbo partners. They promised that theyre moving into an era of innovation, for those of you familiar with cms, you may wonder what that means, but theyve pointed out they loosened up the reg from 10 or 15 years ago. So well see, ill be reporting back on that in the coming months. We also heard from lance robertson, the newly confirmed secretary for aging and a adaad administrator. One of the things that we do at this meeting that i find interesting is we go region by region, so each region across the country kind of reports in about what the challenges are that theyre seeing and how theyre dealing with the challenges. But one of the biggest things to emerge, obviously was housing. Nobody would be surprised by that. But the second biggest thing to emerge was really challenges with respect to foworkforce. I see those as two different things, one being the workforce that supports people to live in community safely. And the other is just making sure there are opportunities for employment and Employment Opportunities for older adults and adults with disabilities. Thats one of the things we came up with across region 9 as a challenge and something we need to figure out. So did other regions. It was a big issue this year. I havent heard it mentioned at this level yet. I wanted to talk next about the reframing aging initiative in San Francisco. I guess i think all of you should have received an invitation to an event were having on january 23rd. Its at the koret room of the library. If you havent, let bridget know. If you didnt, its not because we left you out on purpose, its because something happened to the invite. Thats the meta fund and department of aging and Adult Services are cosponsoring the event. And there is Organization Called Frame Works Institute that has done work on reframing policy conversations across the country and across the world. One of the things they took on is aging. We know that ageism is rampant in your society and they kind of wanted to look at what people would respond to with respect to aging. How do we reframe the conversation around aging, so that people care about it differently. This is a database approach to reframing the conversation about aging in the united states. And so we thought it would be a really good thing to do in San Francisco and were having a big event january 23rd, the library, from 2 30 to 4 00. I hope all of you can there. This will be a level setting conversation, where we can all come to the conversation from the same framework. The second day, were going to have workshop by invite only, because we have limited capacity. That is 3540 people meeting at meta fund all day to figure out, how do we carry the conversation farther . What should we do as a city . I think its a real opportunity. I want to say that one thing that is great is people who are Communications Experts be there. So were asking the nonprofit partners who weve also invited to bring communications, their Communications Specialists if they can. I think its going to be a great opportunity. And im really very happy that the meta fund has reached out to work with us on this. Bridgett also sent out a notice, hopefully everybody got it, but we have changes in terms of meeting times. Just general meeting, wanted to make sure everybody knows. On january obviously today is a meeting. You guys are all here. Got that memo. On january 8th, from 3 30 to 5 00 at the borne auditorium, theyll hold a budget forum, Community Budget forum with the public. And what we do, trent comes in and gives overview. Dan kaplan, deputy administrator for administration will talk more specifically about the mayors budget instructions and then trent and jarrett who is the head of the administration, will talk about the plans for the department. So its kind of its really focused on what the budget instructions are. There is not a lot of detail in the budget at this point, because we havent gotten there yet, but if youre interested please join us. On january 23rd, from 11 a. M. To 2 p. M. , its here in this room, the finance committee will meet and well be presented with the daas budget. And the initial planning efforts. And then the regular scheduled february 7 daas commission dating date was changed to tuesday, february 13th, 2018, that will take place in this same room, beginning at 1 00 p. M. At this that meeting the second reading of the daas budget will take place and theyll vote to accept the staff budget proposal. And obviously all meetings are public. And public is welcome to attend, but were hoping, not sure yet, if were going to have them televised. We hope we are, because we generally televise our meetings. I think thats it. I wanted to end by saying, i think all of us as mayoral appointees were shocked and saddened to learn of mayor lees death. Weve each worked with him in different ways. I know many of you were very, very close to him, so this has been a really difficult time. So we just wanted to acknowledge that. And i also wanted to say that were right now here to support acting mayor breed in whatever way we can and i know that all of you take that very seriously. And i thought maybe, i dont know commissioner papas, but maybe we want to end the meeting im looking at you maybe end the meeting with a moment of silence for mayor lee. Thank you. Any comments or questions. For shireen . Any comments or questions from the public . Seeing none, moving on. Employee recognition. The department of aging and Adult Services commission and executive director Shireen Mcspadden recognize joseph formentos from the daas office of Long Term Care and operations. [applause] director mcspadden joseph, congratulations. Thank you. Director mcspadden were here to recognize joseph formentos today. Did i pronounce your name right . Great, just checking. What id like to do today, and we dont do this often, but id like the people who support the daas stand. Because joseph is among some fantastic people. So the daas administrative folks do all kinds of things. They do they check on Building Supplies for us, when we have complaints about the building itself, which are pretty frequent. Probably daily. They handle those. They handle the front desk. They do copying, they make sure that what else do you do . You guys do everything. They decorate the building when we have things happen. They make sure rooms are cleaned. They just kind of are the backbone of the organization when it comes to our building use in particular. So then, we also have people from the cqa unit who are part of the administration and they help with safety manuals and making sure staff are trained well and going out and seeing clients when there is a problem. Its a bit of a mix, but theyre really a great group of people and joseph is a star. And hes our star for january, 2018. Our first one of 2018. So i got a chance to ask a couple of people this morning, what is one word that represents joseph for you . And i got a couple of different ones. One is dependable and that is certainly true, joseph is on time, hes here, willing to step in and help, very dependable. One is hes very genuine. Hes a genuine person. And he is what you see is what you get with joseph. Hes a wonderful person, very friendly, very outgoing and caring. The third is flexible. So he has to do a lot of different things. Hes been asked to back up the front desk, take minutes, make copies, decorate, building issues and a number of other things and he does it with a smile. So, thats why his coworkers wanted him to be employee of the month for daas. So im going to read what your coworkers have said about you, joseph. Since joining long term operations in 2015, joseph formentos has been implemental in supporting the daas family. He has a variety of duties to support the clinical and Quality Assurance unit, daas reception and administration. His attention to detail, responsiveness and accuracy lends confidence in Performance Measures and reports. From ordering supplies, providing coverage, he is able to work with effectively with people from all different background and executes tasks independently and on time. When daas needed community support, joseph stepped up to the challenge and supports several work groups,. Joseph approaches all tasks with openness and humility to support daass goals. Nothing is above or beneath him as he embodies team work, professionalism. His desire to learn, thoughtfulness and patience make him an essential component of what makes daas successful. His kindness and generosity is what makes daas shine. So, joseph, on behalf of the department of aging and Adult Services, i present you with this plaque and congratulations on being employee of the month for january. [cheering] [applause] president serina i normally stream these commission meetings, so i understand there is a lot to cover and presenters are anxious, but i wanted to thank the people that i love, starting with my parents who were supposed to be here. I hope theyre dvring this, but my beautiful wife camille. She completes me, my better half. Next, my work family. Everyone on the fifth floor, including the ooa crew, thank you, ooa. Melissa, tom nolan, hes like a mentor to me. Bridgett, thanks, bridgett. Where is valerie . Valerie, ive worked closely with her recently and shes taught me so much, ive learned so much from valerie, shes amazing and im trying to learn as much as i can before she goes on maternity leave. Thank you to the deputy cindy and jill. I dont know a better duo. Theyre like baumgartner and posey of the fifth floor. And thank you, shireen, thank you so much, shireen for your support. I have the deepest respect for you. This vision for the department, im here every step of the way for you. Now to my longterm care, i first want to thank adriana, when i first was on board, she taught me everything in the beginning, she was there when i was answering the phone, nervous. And she told me it will be ok. And its ok. Thank you to rea, shes on vacation right now. Duane and larry. My nurses, i love my nurses, angela, luba, sue. I run down three flights of stairs and run up, i deliver one folder, and i just im dedicated to them. Its all the exercise i get for the day. The next two people i want to thank. Im going to use a sport analogy. I like sports. But, fanny, thank you so much. Fanny is like klay thompson. You know him of the golden state warriors, he can rebound, shoot, he does it quitely and efficiently and thats fanny. When you need a bucket you pass it to clay. Heres my mom. [applause] my mom made it in time. You know, with clay, you have the splash brothers, but this case, its the splash sisters. Carrie is steph curry of daas. She is mvp, makes me better. And shes the best Program Manager in the city. Thank you, carrie. Thats steph carrie right there. Last but not least, i want to thank my direct supervisor. I had no Office Experience when i first started, but she gambled on me, put all her chips in and it paid off, right ophelia . The reason why is because she allows me to fail, i learn from my mistakes and thats how i improve. For january 2018, im the employee of the month, but ophelia is my employee of the month every month. Im humbled and thank you very much, i appreciate it. [applause] president serina the Advisory Council report is the next item on the agenda. Leonschm leonschmid. Happy new year to all of you, well have a report next month. Thank you. President serina thank you, leon. Diane lawrence, joint legislative committee report. Happy new year, we didnt have a meeting, but i worked with Cindy Kaufmann and weve begun planning what is happening coming forward and so i do have a bit of a report to kind of lay out where things are. I reached out to the senior, who is our representative from California Senior Legislature so i have their top 10 for the year, plus their three federal and ill provide those to bridgett. But i wanted to go over a couple of things that are coming up. And level sets since there are new commissioners. 17 bills were signed of the ones we were tracking last year, signed by the governor and chapterered by the secretary of state. Two were vetoed, ill get back to those and 15 had no action taken at the end of the session. Many of those can come up again. The two that were vetoed elder and dependent adult abuse and care, which would have added preponderance of evidence, that was vetoed by the governor, but the legislature has 60 days to possibly bring that up over the governs veto and put that into law. Well be looking at that. The second was the registration of home care aides, which would have required registered home care aides to opt out of allowing their names and phone numbers to be shared with labor organizations. This again was vetoed and there is the 60day time frame, so well be reporting out on those. The bills where there was no action, they could come up again, but today is the first day to the legislature reconvenes. So we dont know what bills theyre going to bring up or what new ones they may add. Senator weiner has a bill, sb 1103, on bicycle yielding, similar to the legislation we have here in San Francisco where you can yield the rightofway. You can yield and dont have to come to a full stop. The joint ledge committee has been opposed to that and thats in suspense at the moment, so well see what happens there. Today is the first day of the legislative session. Next monday, the budget has to be submitted by the governor. One of the things ive added to my report is what the legislative calendar is by quarter to kind of levelset what needs to be done up in sacramento. The 12th is the last day for the policy committees to hear and report to the fiscal committees and vice versa on anything that came up in the odd numbered years, so thats in the regs. And the 19th is the last day for any committee to hear and report on floor bills that were in the house last year. They have a tight time frame over the next couple of days. The 19th is also the last day to submit requests to the office of legislative council. And the end the month is the last day to pass bills introduced in the house last year. And february 16th is the last day for bills to be introduced at all. So well see a flurry of activities over the next 67 weeks. So the Senior Legislature met in november, theyve issued a press release. They have two bills that are two areas theyre supporting that have come up before and we talked about over the last couple of years. One is on Prescription Drug labelling and this measure would require physicians and surgeons to indicate why the medication is being given and what its for. So that easy to and then the second one is to increase the medical needs allowance. That would be things like, personal supplies that someone on medical may need to pick up. Most of the others are around housing, tax contributions, a lot on housing, hunger. Elderly financial abuse, grab bars in public rest rooms and toilet heights. There is three bills. One is Fall Prevention and grab bars. Adopt regulations to the Medicare Program and the third is california Chinese Railroad workers memorial day, memorializing the congress and president to enact legislation that would recognize may 10 as a federal holiday of remembrance to honor Chinese Railroad workers who labored from 1865 to 1869. So im sure there will be more than these 13, but well report on those in coming months. President serina thank you, diane. A quick question, im asking this question out of naivety. Its the joint legislative committee, do they deal with regulations or strictly legislation . Strictly legislation. I was concerned a little bit when i heard that the current administration, federal administration scaled back an obama era policy on levies fines against residents in nursing homes. I didnt know where that fits. We can take a look. A thank you. President serina did the governor explain his reason for vetoing the elder abuse bill . I dont remember, but ill check that out. I can put an addendum when i send my report to bridgett. President serina thank you. Any other comments . Commissioner lang question, on all the bills that youre presenting, is the joint council in support of all of them . Not necessarily. We will i will usually report if weve sent so we have in the case of senator weiners bill, weve sent a letter i believe of opposition and one of our Council Members, dr. Marcy edelman has spoken with the senator staff about why were opposed. In terms of safety. To the bill. But if we take if we write a letter, we usually tell the commission that we have in fact. Commissioner lang i appreciate that, its just good to know which ones you guys yes, and we can probably add that in the spreadsheet. Commissioner lang thank you. President serina any other comments or questions to the commission . Any comments or questions to the public . Thank you very much, diane. Longterm coordinating council report. Good morning, marie representing the Long Term Care council. We did meet in december on the 14th and we, like you, have a real interest in the progress on the dignity fund, so we got a report letting us know that the survey piece was done, 1300 surveys submitted. That the focus groups were halfway done, probably completed by this point. Daas was working on the equity analysis, looking forward to seeing that. And there are important meetings coming up over the oversight and advisory committee. One on january 22 and the second february 12. Those will be opportunities to really learn what we all heard from this process and figure out how it impacts policy and funding decisions going forward. The melissa also provided an update on the funding that has come as a result of the dignity fund. Youre seeing the fruits of some of that today, which is the Community Service pilots will be i proved on the agenda and there are a few more to come, but it looks like things have rolled out nicely in terms of moving the funding out into the community to do good. The next meeting, if you want more than the cliff notes, is the oac meeting on january 22 from 35. Commissioner is the representative to that body and the longterm council has representatives there. The longterm care council benefits from funding from the scan foundation, so we approved renewal grant from them to continue the work with them and other communities around the state. The Nomination Committee was busy. We learned at the end of last year, that tracy was stepping down as cochair of the longterm care council and the nominating committee didnt have a hard choice, they suggested and recommended Shireen Mcspadden to be the cochair. It was a hotly contested race there, but she was enthusiastically and unanimously approved. So she will be the new cochair serving with continuing cochair ann. The longterm care council plays a role in the budget process and has refined that activity over the last few years with the finance and policy work group, helping shape proposals that come to the council. There were two, one that was approved by the group, focussing on housing. Housing subsidies and legal defense. There was a second which was a holdover from the previous year. That didnt go through the policy group, but folks felt strongly should be considered. The original vote scheduled for december is now to happen on january 11 and it will be on all of those proposals, but in the meantime, all of the Council Members have been asked to set up meetings with supervisors, so we have those meetings proceeding as scheduled now after the 11th of the month. Those proposals and all the information goes on the longterm care website. You can go there. And again, our next meeting of the longterm care council is january 11. President serina thank you, marie. Any comments . I just wanted to let you know that on december 19th, grace cathedral, the chapter room, the Interfaith Council convened, we had ten people there from different faith traditions and different aspects of our work and we exceeded the time limit they gave us, which is not surprising for religious folk. How much over . It wasnt substantial, well protect the staff, but it was a very engaging conversation and im looking forward to seeing the results of their synopsis. President serina any other comments or questions to the commission . Any questions or comments from the public . Thank you very much. The tacc report. Cathy russo. And case report. No case report. Thank you, valerie. Any general Public Comments . Any old business . Moving onto new business. 7 a. Requesting authorization to enter into a new Grant Agreement with project open hand for the provision of nutrition and Supportive Services during the period of january 1, 2018, through june 30, 2020, in the amount of 1,333,001 plus a 10 contingency for a total grant amount not to exceed 1,466,301. Thank you, tiffany. Good morning, president , commissioners and executive director. I am presenting to the commission this morning for approval this new Grant Agreement with project open hand to provide nutrition support through meals, groceries, counseling, education, that is tailored to an individuals chronic disease. This Grant Agreement is the result of rsp 772, nutrition and Supportive Services for healthy outcomes that was released in the fall of 2017. And was issued in response to the dignity Fund Allocation plan for fiscal year 1718, that included funding for nutrition and wellness. Food and security is closely connected to poor health and negative health outcomes. Healthy food is one of the best things that can be done for longterm health and when tailored to a persons needs as it relates to their chronic disease, it can contribute to improved wellness and positive health outcomes. The chronic diseases included in project open hands new Nutrition Program are type ii diabetes, heart disease, and congestive heart failure. If a consumer has one or more of these chronic diseases confirmed by their medical care provider and is food insecure, theyre eligible to be enrolled in the new program. A project open hand case worker and Outreach Coordinator will work with clinics and Health Care Providers that work with older adult to engage eligible consumers. Consumers will be enrolled in the new program for a oneyear term. They will be required to recertify with their medical care provider at a 6month mark. We will evaluate the consumer participation to ensure theyre accessing services, monitor individuals progress and address issues and concerns at the 6month mark as well. The meals and groceries will consist of onethird of a consumers daily nutrition needs tailored to their specific chronic disease. Meals can be in the form of hot or frozen meals and grocery provided will be enough for the enrolled consumer to prepare daily meals. The type of Food Assistance will be appropriate for the consumers ability and safety level. Nutrition counseling and education will be provided in a variety of ways, including one to one nutrition counseling, Nutrition Education classes, cooking demonstrations and education material. All enrolled consumers will meet with the registered dietician to assess their needs related to Food Insecurity, medication, Mental Health symptoms and diet. Theyll be able to schedule followup sessions as many times as they like and dieticians will hold dropin hours. Nutrition classes will be held once a month, rotating between diabetes and heart healthy education and cooking demonstrations will be held multiple times during the month. Nutrition education material, of course, will be available ongoing. Project open hand will serve at least 250 consumers and provide over 103,000 meals tailored to an individuals chronic disease. In addition to the goal of increasing Food Security for the enrolled consumer, project open hand will be evaluating the impact of the program on chronic disease specific outcomes. Because consumers will be assessed at the time of the enrollment and reassessed six months, project open hand will be able to measure the success of the program. For the enrolled diabetic, theyll look at the impact of the program on glycemic control, weight. And with those with congestive heart failure, they will track the number of hospitalizations. The department is excited about the new program and is anticipating very positive results. Thank you, and im happy to answer any questions the commission may have. President serina thank you, tiffany. I have a couple of questions. Is this program in addition to any nutritional meals that the individual may be getting at a Senior Center for example . Is it complementary . Does it complement those meals . I think they can be enrolled in both programs if need be. President serina and will there be something so that the individual knows at the Community Meal what they should be eating or should not be meeting, will there be instructions and will that information be made available at the center, so the individual doesnt fall off the wagon as it were . I think that would be part of the project open hand counseling. That they would receive from a dietician. President serina thank you. Any other commissioner loo this program is for the whole city, is that right . Yes. Do you get the referral . Project open hand will be doing their case workers and Outreach Coordinators will be doing outreach to medical care providers throughout the city. Commissioner loo since its citywide, so you know the ethnicity of the city, so will they speak different languages, like japanese or chinese . And the material also bilingual . Yes, yes, project open hand, i think in their we can double check but they have cantonese speaking, Spanish Speaking staff to serve a diverse population. I dont know about japanese, though. Im the c. E. O. Of project open hand, good morning. We certainly have cantonese, english and spanish materials printed and people who can speak it live available all the time. For other languages its difficult for us. So we use the city Translation Services or other Translation Services to supplement that. Commissioner loo maybe you can subcontract with those individual agencies, because i think its important that you have the counseling, but also the material that they can understand what youre talking about. We do that across the city. Commissioner loo thank you. President serina any other comments or questions from the commission. Commissioner lang will these be new clients to project open hand . Yes, they can be, yeah. Commissioner lang well will they all be new . What they will be for sure is clients that are food insecure. Thats their primary they could they very well could be a client that has used their services for a congregate meal, but not necessarily. The criteria is a chronic disease confirmed by a medical care provider and to be screened as food insecure. Those are the two things. So people that access project open hand at a congregate meal site may or may not be food insecure, or they may or may not have a chronic disease, or one of these diseases. Commissioner lang im following you. I guess my only concern is that i would like to begin to see us reach more people that arent using the services currently. And i know for example, there are a number of folks in the bayview, et cetera, that are not part of the mix. So i want to make sure that were not just substituting one Funding Source for something else. Yeah, i hear you and i understand that point. I think most likely someone, a project open hand client that is accessing a or people accessing services, a lot of them wont be food insecure. So again, going back to what the criteria is, is to be food insecure. So i think there will be some crossover. I dont anticipate there being a lot, because its reaching out to a very different population. Commissioner lang ill live with that for now. If i could interject, commissioner lang, thats a good question and one of the things we could ask is that they track new clients and look at this later and see if theyre serving completely new individuals or whether its ending up being theyre providing more services to people who need the services and it would be interesting to look and bring it back for discussion. Commissioner lang id appreciate that, because i know i was at a recent meeting where they were surveying churches churches in the bayview and many of them, half of the congregation said they were food insecure. One of my aims is to make sure that population is receiving services. Because theyre taking the federal survey on Food Insecurity and they dont have many options in that neighborhood. Right, and one of the great things with this program and all the other Nutrition Programs, and all programs for that matter, the clients that Access Services we do know who they are, so were able to run reports to see who is accessing what and how many times, if theyre in multiple programs. Commissioner lang thank you, tiffany, i appreciate it. President serina to follow up, i think it is very important we track this, because some of the existing clients may meet the criteria just because theyre existing clients should not mean theyre not eligible. But there is a substantial amount of people that have not been served, so we would be broadening, especially because its funded through the dignity fund. Its a Supplementary Program and a new program, so i think its a good point that commissioner lang raised. Commissioner loo to follow up on that, since this is a few years program, im wondering when six months is starting, ok, maybe after a years service, we can get a report . Ok. Sure. President serina thank you. Any other comments or questions from the commission or the public . Please step forward. Good morning, chairman and the commissioners, i appreciate you taking the time, thank you for describing it. And i just want to remind the commission that we begun in the era of a medical crisis, thats how we started our work in the aids crisis 34 years ago and been part of the medical model. We have never been about hunger specifically, but a medical condition. What this Visionary Program seeks to do is give not only expensive to the system, but terribly sick. What we know, because of our intervention, we were able to reduce hospitalizations by 63 , increase medication by 50 . Those are tangible effects of the system. Theyre improvement of the individuals health. What this program does because of daas, it allows that service to those who are critically ill. We use Service Mobile advance. We dont think clients should have to come to us every day. Were reaching out to the community that are critically ill. Its to create a service for people who dont have access or eligibility right now and measure that improvement. To us, this is a significant opportunity, because you have for the first time in the state of california, youve launched a medical Nutrition Program addressing critically ill individuals. We will take this and build it. The Program Funds half of what we do. To your point, were in this with all of our skin as well, so were grateful for it and we think well make you proud of it. President serina i would like to add, thank you very much, but in terms of the medical model, that is very innovative, but again, the Bayview Hunter point has a disproportionate number of adults, aging and seniors who have Chronic Health conditions. So we should be able to see a significant increase in services being provided to that community through this program. Commissioner lang i have a different followup, based on what you were just saying, in terms of the Educational Opportunities and nutrition, i forget what you called it, counseling . So the question becomes, where will these people go for the counseling session . Will they come to your site or will there be sites in other parts of the city . Every single way we can figure out so they can get it. That will be mobile vans, Digital Opportunities if they have that access, we recognize that is not available to everyone, so well have classes onsite in the mobile structure, well have classes in the Grocery Center on polk street and engage with other partners in the community to provide the nutrition class. It is about trying to identify the barriers. I dont think we know them all yet, but weve proven we will cross over them as soon as we find them. So the goal is to get everybody engaged in this, because the food doesnt do it by itself. If we dont teach behavior change, it wont change. Commissioner lang i agree, im just concerned if we reach this new population, are these folks that are dealing with chronic illnesses going to have to travel . I agree with you, no, thats why we bought the vans and we can go out in the communities and bluetooth so we can bring stuff up on screens. I dont know what that means really. And we cant be everywhere, so were trying to figure it out. President serina thank you. Yes, thank you. Welcome. Meals on wheels, coordinating council and chair of the Food Security task force. I wanted to thank you for bringing up the discussion. I think seeing the funding for Food Security and wanting to integrate Health Care Makes sense. I think there was a limited amount of funding available. I think there was more agencies or actually interested in seeing how do we really integrate it. I did want to mention were working on assessment of Food Security. For the first time were able to, by district, it was always done, but looking at ethnicity, looking at health disparities, and looking across the city at the programs that were offering and making recommendations by program. So well have a really robust assessment that well look forward to sharing with commissioners, officials, and consumers, vendors, stakeholders, so we look forward to coming back and making a presentation and making sure we all together are working on ending hunger in San Francisco. Thank you. President serina thank you. Any other comments or questions to the commission. Any from the public . Hearing none, call the question, all in favor . Any opposed . Thank you, the motion carries. 7 b. Requesting authorization to enters into a new Grant Agreement with lighthouse for the blind and visually impaired for the provision of Community Services Program Pilot during the time period beginning january 1, 2018 and ending on june 30, 2020, in an amount of 250,000 plus 10 contingency of 25,000 for a total amount not to exceed 275,000. Tiffany, welcome back. Thank you. First i want to say that the next seven Grant Agreements are for the new Community Service activity programming. These grants agreements are the result of rfp 767, the Community Service Program Pilot released in the fall of 2017 and was also in response to the dignity Fund Allocation plan for fiscal year 1718. The goal of the new Community Service Program Pilot is to provide new Community Service program that appeals to and reaches older adults and adults with disability that are not accessing existing Community Service programming. And would benefit from having access. Additionally rsp 767 specifically allocated funding for a standalone Community Service Program Pilot for the adult with disability population. Community Service Program aims to maintain the wellbeing of adults by providing activity programming, social services and enhanced outreach. All of the Community Service Program Pilots presented this morning provide activity programming that is new and designed with the intent of reaching both older adults and adults with disability that are not accessing services and to address their needs. The new programs offer new activities as well as extended hours of operation to include evenings and weekends to reach an unserved population. All of the grantees have included an outreach component in the Service Design to ensure the intended population is reached. Between the 7 grantees it is projected that over 6300 consumers will be served throughout the city, with the piloting of 40 new programs and nearly 25,000 hours of Community Service during the term of the Grant Agreements. If there arent any general questions, ill go ahead and start with lighthouse. President serina any general questions . From the commission . Commissioner lang yes, first of all, thank you for taking the time to answer my questions before. The larger piece that im more concerned about here is the sort of swing commissioner can you speak to the mic . I apologize is the swing in the numbers. When i look at the selfhelp for the elderly, and their scheduled to reach 3700 and theyre getting about 334,000 and then when i look at steppingstone, if i read this correctly, theyre looking to reach 36, im concerned about this large disparity. Right, thats a very good question. And i will say steppingstone in particular is a very unique model and ill talk about that more as we go through it. Steppingstone is actually an adult day it is Community Service within a Adult Day Health care setting which is different from traditional Community Service programming. And a lot of the with selfhelp for the elderly, they have a very large sort of reach with their specific programming because theyre reaching out to champs clients that are not they have a Large Population of outreach, too. So every provider sort of has a different population that theyre reaching that theyre outreaching to. Commissioner lang i raise this, in that we want the programs to be successful in reaching these numbers. So not understanding the details of the selfhelp in terms of their population, but when i look at the Bayview Group as well, im concerned about the i think its 1100 people that theyre going to reach, compared to some of the others . Its just a concern. Im not i would hope that these folks can reach these numbers, but i dont want to set them up with unrealistic expectations. Right, and i think, again, these are pilots. So i think that is the whole nature of what a pilot is, were going to see how they do. Were going to see if the new programs are successful. One of the questions commissioner loo asked me, in the bayview contract in particular, was that in total they were piloting 15 programs in fiscal year 1819, and 6 in the first year, but that again was kind of just making sure, because they do in that first half year, have to start up. We didnt want for them to overshoot and not make those make that number. And certainly, at the end of the sixmonth period, which is going to be my primary job with the contracts, is so closely to closely track how theyre doing. If it looks like theyre going to make it, great. And if not, were going to have to look and see. If its of value or not. These are going to be things, not just me, things the department will look at, much higher than myself, but ill be providing the data so we can look at that. A couple of observations, those with Critical Mass should do more outreach, because they have an established network. Selfhelp for the elderly for example is a well established agency that raises a great deal of money privately and provides a tremendous number of services as well as getting funding from the city, so its reasonable to expect them to be able to do reach higher numbers where a Smaller Agency would have a harder task to match that. The second observation is that one of the things that has come up in the dignity fund meetings, is that we wanted to do a better job in reaching adults with disabilities who are not necessarily seniors. So again, im hoping that is one of the criteria that youre going to be using in terms of assessing the success of these programs. Thank you, yes. We will be looking at all the sort of population that is reached and all the appendix a, there is different requirements, there is requirement in terms of true new unduplicated consumers which commissioner lang you were alluding to with project open hand. There is also criteria for retention, because we dont want to serve one person come once and thats it. Thats not what were looking to do as the department. So the criteria and in the appendix a are a little more robust than they have historically been to try to serve people better. President serina i think thank you, tiffany, i think its important to remember these are innovative programs, so not everything is going to be as successful, but we should learn from what doesnt succeed and build on that. This is an exciting thing for the city. Commissioner lang it is. President serina again, its coming quickly given how recently the dignity fund was established, so again i commend melissa and her team for moving ahead to swiftly. I have a question, since these are new Grant Agreements, the frequency of reporting on the results, is it at the end of the grant term or is it midway through . Well, i mean, again, thats going to be what they actually report out on a monthly basis, so ill be looking at their reporting, because they have when they report for billing, they have to submit reports. And those are things that i review on a monthly basis. Dashboard . Yeah, they do it on get care and carbon. Those are the things ill be looking at. President serina thank you. Commissioner wallenberg thank you, i just wanted to get a sense, maybe in the future, maybe now is not the best setting to see the examples of the knew innovative programming. Thats the first question. The second one, piggy back what has been said before, to get a sense of essentially what the enhanced outreach plan looks like for each of the target populations to meet the needs and get through the barriers were looking at for both ethnic and agree graphic communities in geographic communities in the city. Ill talk about that in each of the separate proposals, but i can provide detailed information also after, or during. Commissioner wallenberg sure. President serina thank you. Good questions, all. Any other comments or questions from the commission before we begin . Commissioner lang i have one more quick question and perhaps this is my naivety, way tonight get i want to get a sense why we use the federal poverty line, instead of the elder index. My understanding is the elder index is more closely associated with the realities of economic disparity in San Francisco in particular. I think im going i might want to defer to i mean, i would give you an answer, but i would mumble through it. Good morning, commissioners. You are correct, we well, the short answer is that the federal Poverty Level is easier measure to just line up client data to. We see Something Like aging over 34,000 clients a year, so the elder index, youre right, i think can get perhaps more precise, but there are like a number of measures you have to use like the size of the household, owner, renter. And all of this is selfreported information, so using just fpl is our line. I think for ours, were using 300 of the spl, versus not 100. Having been a provider