Not just a system we put things in, were seeing a return on information and not just in the form of reports, but information about how were using epic, some of this in nearreal time, so we can understand how were making best use of this very large investment. So a handful of Cocktail Party starters. I maybe lead you to the fourth ring, next to the last on the right, and that 21 systems were consolidated that bring wave one of epic to life. Thats important because thats a really large number of systems. Its also important because it speaks to our readiness in the coming year to decommission those systems, which has been part of our financing plan. So what did we implement . I think you have all sat through several briefings. Across the top row of items is our traditional electronic charting infrastructure, the support systems like lab, pharmacy, radiology, how we handle the revenue cycle, as well as scheduling. The first one on the bottom is Health Information exchange which may not have come to mind. Thats the bidirectional sharing from and to our organizations and others. As a result of epic, we are now part of an Industry Consortium of two or three dozen other organizations that make Electronic Health records. We all agree we are able to share information with one another. I will show you some statistics for that in a few minutes. I also mentioned briefly that theres a lot of information were getting out of epic, and its beyond the standard analytical tools. It is striking the progress that Electronic Health record systems have made in my 20plus years of working with them. Where we are today is that we are really starting to learn not just about how we can improve in real time by giving managers dashboards to use, but as i mentioned in my opening remarks, how were actually using the software. It tells us how well were doing and it provides areas where we can say focus enhanced training and other learning experiences to help our teams become as expert with epic as they can. Ill keep saying it, weve given access to our clients and patien patients access to their own Health Records. Im glad to say were off to a good start. Where did we implement . No real surprises. I draw your attention to the lasting point and that we have gone mobile. We have gone into is is a new place with being able to access the capabilities that epic provides for us. I mentioned that over 1,500 of our clients are now using the mychart application. If any of you are getting your health care in the bay area, you are likely using epic mychart. That is the same tools our clients are using. For the providers, they can chart on a mobile device using hayku. For Business Partners and many others, you can log into epic and share in the Care Experience that were providing. Were letting a lot of Business Partners in to have and to share in the experience that we have launched. We have, for a number of years, have been able to do the same thing the other way. So i mentioned how we know how were doing. I wanted to just take one moment to share a slide with you. The numbers in the slide arent terribly important at this time. This was a first cut at an epic leader dashboard. This one is for primary care, but i wanted to share with you that we dont have to do anything special to create a dashboard like this. Its something that we get more or less out of the box, and all we have to do is tune it to our needs. In the past weve had to make a significant investment to deploy a dashboard like this. The nice thing about epic is that there are about five or six dozens of these dashboards that are available for us to use. They are very straightforward, and we are able to customize them to an extent to reflect the kinds of Outcome Measures and Key Performance indicators that are relevant to us to represent our true north strategic goals. Nothing is perfect. Going live with an Electronic Health record that is now in use by more than well, nearly 9,000 people, there are going be issues. We have closed thousands of them since august 3. Where we are now is dealing with some of our more complex concerns. They deal a little bit more with software, but we really deal more with workflow, people, process, technology, that intersection. As an example, weve always been spending a lot of time at sgfg tackling the topic of patient movement. How do they move from the Emergency Department to the intensive care department. In the past we had people and process and the technology didnt tell us much. Today the technology can tell us a lot. Epic can share a lot of information about whats going on and how to effectively manage that transition from one venue to another. When we first saw it, and im in this camp too, i didnt really believe what i was looking at. For the last month or so, theres been a really intense effort to understand how we can get utilize the information that the Information System gives back to us to inform our process and a lot of strides have been made there. Theres a handful of other workflow examples where were diving in deep. Its not about epic, but epic is forcing us to have the conversations and focus on problem solving. The second issue that were having, and this was more or less expected, is our ability to deliver against many types of reports and outcomes measures that we have for regulatory purposes that are in support of valuebased care. When you move from one Information System to another, you are reporting all the way up to the last day that you had that tool. When you start in a new Information System such as we did on august 3, we didnt go into it with a fully populated database. We did it with a mostly new database. So we prepared how we would begin to use the new data as folks come in our doors after august 3. But we have to go through a validation process in order to ensure what were looking at and that all of the prework we did to produce all of these measures is going to be valid and stand up to our data integrity checklist. We are close. Hoping in the next 30 to 60 days to be completely back on course. It was expected that we would have a delay, and we had a bit of a delay. I want to be up front about that. The nice thing is epic is friendly about us taking the data out. That has been a real struggle with our electronic platforms, and thats not the case with what we have today. Weve talked about benefits realizations before. I mentioned decommissions systems. That work is beginning in earnest at the beginning of the calendar year and will take us to july, where we expect to spin down, which is something i. T. People dont like to do. We like to keep old systems on as heaters. But we plan to demission our legacy Health Record system by the end of the fiscal year. The great news about that is we dont need them anymore. The second piece of good news is we wont be paying for them anymore. Thats been part of the budget and Financial Plan for epic since the beginning. Id like to take a few moments, and i know were getting towards the end of our time today, to talk about the our in our records, patient record exchange, something i mentioned at the beginning. Since august 3 up through october 1, we have exchanged Health Information with 215 other Healthcare Organizations across the united states. Its possible there are some international ones in there. I didnt dive deep enough to doublecheck. If you look on the bottom left, you will see who our highestvolume Information Exchange partners are. I dont think there are any surprises there. Whats really powerful is in basically just shy of two months of being live with epic, 43,000 of our clients have had their records appended by Healthcare Information from other Healthcare Organizations. This is pretty powerful stuff. In addition to that, nearly 14,000 of our patients, their information has been requested and sent across this trust framework that i mentioned before with this Industry Consortium that epic is a member of to augment the records of our clients in other places. So really very powerful. We dont have to do anything special for this to happen, it just happens. So our epic journey, we spent a number of years in what i would call a getready phase. Were definitely past that. Were coming up to the tail end of our getgoing phase, where theres been a strong focus on having a really Good Governance program for epic, for having a great go live, which we did. Now were in this period of time which we call stabilization and well be there for the next few months. During this time of stabilization is where we process people, process, and technology, the couple of examples i shared with you before. Whats really exciting is as we march into the new calendar year, were getting ready to get better. Getting better means tuning our governance process even more so we can do two activities in parallel. One of them is beginning the optimization of the epic environment so it can do things its not doing today. We have a straightforward implementation and without violating our principles of sticking to that, we can still make it better. So were going to begin that process. In parallel, we will be locking in the scope and schedule for wave two and three of epic. When were done with that in a few years, well be in a Continuous Improvement environment, where we will bank on everything that we learned and all of the Good Governance thats in place so we can keep Getting Better. So epic is both hard and it has been very rewarding. I just want to share with you the message that were sharing with all of our staff because not every day is a great day with epic. Its okay to feel frustrated. This is the first message that were sharing with our staff because we have really changed a lot. More than a thousand changes were made in order to get ready and learn epic. Sometimes you look at the screen and youre like im not sure i remember how to do this, which is a reminder that were all in this together. When i go in front of epic, i look at the screen and im befuddl befuddl befuddled. The good information is we continue to help and train and build tip sheets which are in the epic users first pane when you log in. You go to a place called my learning home. Thats where you go when you log into epic. We are an organization of helpers. I think during go live this was really evident and a lot of people could see how well everyone reached out and was supporting everyone, and thats the environment that we need to continue to maintain as we move forward with more change in epic. So weve asked staff to be there for one another because some day youre going to need some support as well. With that, im happy to take your questions. I have not received Public Comment request for this item. My question is im an epic user and a frustrated epic user at times were all in this together. Yes. What is your i. T. Or your help line for an epic provider . What is the Response Time for someone to be on the line to be able to help one walk through whatever the issue is . I mean, is it five minutes . Is it ten minutes . I mean and what is do you have the adequate staff to be able to help those that are a bit befuddled, especially with epic going live . So we have a lot of support across the board. A program that we set up for the go live was to establish a super user program, where we could have people much closer to where the value is being generated and the work is being done who are actually super users. We have team of infomaticists who can dive in. With regard to actually calling on the phone, when you call on the phone to our service desk, youre calling the general i. T. Service desk, and the pickup times are less than two minutes now to get you in there and get your issue noted. Many of the items that are coming in are being redirected to analysts on my team who are resolving these items in just a day or two. Thats not all of the items, but weve reached that point where the number of items coming into our service during the day and the number of items were resolving, weve worked down a significant amount of the go live backlog. Okay. Thank you. Thank you. Thank you so much. I dont think we can overstate the significance of this accomplishment, having been through the same epic process, and the potential to improve patient compliance and care coordination. Ive had about six patients almost that ive shared with doctors of the county and at u. C. And being able to reach into these records and really do a much better job for the patient, its astonishing, how having these systems that used to be siloed and vulcanized be all one. It makes such a difference in a great outcome. I want to congratulate everyone involved and say as the few epic go lives that ive seen have been your team is spectacular and awesome. I think theres a show where theres a gold buzzer or something i think you deserve a gold buzzer. Thank you. Ill happily try and accept that comment, having only been here myself only 90 or 100 days. But its obvious what a full court press there was by every part of this organization to be ready for epic and it totally paid off. If i may add to that, i do think its important that we recognize the people who arent in the room and worked on this for many years and no longer with d. P. H. I want to acknowledge director garcias leadership. Alice chen who was committed to this and made a lot of this happen. And also wynona medolovich who was acting c. E. O. For many months. I think its important that as we move forward and go into the next stage that was spoken about, that we recognize the reason were at this point today is the incredibly hard work of literally hundreds, i think in some cases thousands of people to make this work. It was really that leadership, including the leaders i just mentioned, that helped us get to where we are today. Thank you [ indiscernible ] my question was from the patient perspective, when patients come in and theyre told they are able to access their records on their mobile device, for example, is there any kind of orientation offered to them or a guide they might receive, or are they more figuring it out on their own . I cant totally answer your question. Im not sure if anyone is out in the audience who may be able to assist. Doctor, i think you can address this better than i can. In terms of signing up for the Patient Portal, we have Information Support for the patients to get into the portal. Once they get onto the portal and they have access navigating through the site or submitting a quarterback with he have a contract with an outside vendor that specializing in providing the firsttier support. Obviously if they need to ask about lab results, that would be routed back to our desk. Is it an inapp chat function or a phone call . It is a phone call to the service, person to person. They would help the patient navigate real time because they know how to access the portal. Thank you. Thank you. Im just going to ask if presumably the app is better than the ucsf . [ laughter ]. That app is really a problem. [ overlapping speakers ] is there a language capability . Yeah, thats a great question. Right now it is limited in terms of other languages. So no to answer your question. That could be one of the whether they in wave two, three, four, or five, in this community it would be useful with the diverse languages we have. No doubt, as well as other epic communities where they serve large communities of multiple languages. That certainly is a push that all of these epic users is going to be pushing. Especially with my chart and the Patient Portal piece of the technology is being so readily available and enabling to the patient and client, we have to push that. Theres no ifs, ands, or buts about that. No, youre correct. Its a nationwide issue that really would make sense for epic. More towards our own problems and within the time frame and i forget on schedules could you remind us because youve done a great job getting this all together and having the basic epic work. Now in terms of the optimization so to speak, we know that laguna is a challenge. Do you have some time frame upon which you would be able to i guess enhance it and optimize lagunas use on a longterm basis, trying to close the chart out when they talk about in terms of years versus days, right. Secondly, our Mental Health programs and avatar and the timing in terms of trying to unify those records. Maybe ill go backwards. Well start with the Behavioural Health. So Behavioural Health is slated for wave three which is i dont want to commit to a firm schedule. Its after wave two which will likely go live in 2021. So its in late 2022 or 2023 before were fully in place with the replacement to the community Behavioural Health function i mean the Electronic Health record. To your first question about optimizations for laguna honda, part of the process is to be inclusive. We had a domain structure presented several months ago. The idea with that domain structure is its a place that has almost no i. T. People engaged, which is probably a great thing, and its all about the line of business being able to bring items together that can be prioritized that are based on how do we not just get better against our performance outcomes, how are we Getting Better for how folks are engaging in the system. That is the process that weve been using so far. Id be happy to take more information about the laguna honda concerns and make sure that we get that roped into our governance process, so that as we approach making epic better for all of us, that we can address those. Yeah, the thing i raise there is mostly because it is sort of different from most epic acute care, that there seems to be an issue of having it flow in as seamlessly as it does at the hospital. I dont know where all the priorities are. I do think laguna or its joint conference should understand what is happening there so we can understand the challenges staff had in terms of trying to optimize the use of an electronic record over there. Sure. Laguna honda is the largest longterm care facility in epics customer base. Sonch so i think a report back to there would be quite useful. Commissioners, other questions . Thank you very much. Congratulations again. Thank you. Commissioners, item 10 is other business and we have several Public Comment requests for this item. Just so you know making comments, i have a timer. When the buzz buzz ergos off thats time for you to end your sentence. Good evening, commissioners. My name is nathan dang, this is holly and kyle. We have pharmacy students from San Francisco joined by some of our classmates in the back. We are here to bring attention to a current pharmacy related issue, pertaining to reimbursement rates authorized by the 2013 California Senate bill 493. So the services affect patients all over california, but especially in San Francisco. So sb419 had expanded the practice for pharmacists that authorized them to perform Additional Services such as nicotine replacement therapy, as well as participating with other providers in the evaluation and management of various disease states. This bill, however, didnt address payment or reimbursement for these services. My name is kyle merchant. Really what were just advocating for is support in implementing additional codes so that pharmacists can be reimbursed appropriately for services, because not every patient is as straightforward as come in, lets have a discussion, and here is what youre looking for. Sometimes we have more complex situations and medical histories that need to be taken, discussions that need to be had with patients. I think this will be especially important as we move towards the implementation of prep being made available in pharmacies. So as you know, people [ indiscernible ] this is to expand the ability for pharmacists to furnish prep which is proflax sis for h. I. V. We can give a 60day supply in our practice. In the spirit of getting zero, i believe i also have well give you a 30second extension. Thank you so much. I think its paramount that we include reimbursement for the pharmacist counselling because the adherence to these medications is critical and the only way this will be happening is counselling in the scope of the community. Thank you. Hello, my name is manuel and im a pharmacist student as well. This is my first time at this hearing. Thank you for this opportunity. I just want to start by addressing that i know were trying to understand and address Mental Health issues, specifically those that may be untreated, its dr. Hammer and ms. Martinez mentioned in the presentation a while back. I want to bring to light the implicit biases in the government and also officials, the sfpd as well as local security guards, their attitudes they may have towards a subset of our population and those afflicted with Mental Health conditions. Im wondering what kind of steps the condition plans to take in order to mold the attitudes of our city to humanize attitudes to be more empathetic when interacting with the subset of homeless individuals, perhaps less likely to incarcerate them and more so aiding them and escorting them to hospitals, social support systems, as well as shelters. If we start with the city employees, we can expand on that towards the population of our residents. So they will no longer see someone on the streets and think they are crazy, because thats really not the case. But its just that theyre not intentionally being disruptive. Its just some underlying Mental Illness thats not been resolved. Thank you. Hello. My name is jane. Im also a pharmacy student from ucsf. Currently i also intern at the santa clara hospital down in south bay. I have a lot of counselling sessions with the patients there. A lot of them are homeless and they end up being discharged back to the streets. Beyond the counselling sessions, we also talk about go on tangents and about their personal lives. What i hear from patients theyre struggling to access public washroom facilities, theyre not clean or not accessible. A lot of them travel around the city as well. This is something i wanted to bring up because i wanted to bring attention to how feasible it is to increase access public washrooms in the city, that were helping the Homeless Population to improve their health hygiene, but also to increase the cleanliness. I wanted to bring it up and see if it is feasible in the city budget. Good evening, commissioners. My name is franceska okala and i am also a secondyear pharmacy student at ucsf but also expressing some of my concerns. There was a bill signed into law that allows h. I. V. Postexposure proflax sis and preexposure proflax sis to be in pharmacies. My comment today is this access to medication is extremely important to several of the vulnerable populations weve been discussing all throughout the session today, including homeless patients who might be using injectable drugs of abuse. My concern i wanted to bring up to the commission is how exactly the department of Public Health wants to implement these services in the coming year and how its going to be advertised to these vulnerable populations to make sure they get access to these resources. Good evening, commissioners. I am also a secondyear pharmacy student at ucsf and a pharmacy intern. I am also here representing just my own self and concerns and beliefs. As was just mentioned the bill was recently passed, but beyond promoting this new accessibility of two of the most vulnerable populations, i also wanted to ask the commissioners to explore potential ways to help promote training for our pharmacists as well. Under sb159 in order to make preexposure and postexposure proflax sis available, pharmacists are meant to attend training. I would ask that we provide this training in San Francisco department of health as well as make Resources Available to ensure that we have enough resources for that. Thank you. Seeing no other new business, do we have a motion to adjourn . I had one quick comment. Are you sure . Do we have a motion to adjourn . So moved. Do we have a second. Second. All in favour. Aye. Were adjourned. [ ]. Good afternoon, everyone, and thank you so much for joining for the grand opening of our public lobby. It has been a long process. Were so honored to have you all here today. First, before we get into our short speaking program, i first want to acknowledge a few parties that have worked really hard to make this all possible. Id first like to thank our budget analyst and project Management Team that have worked really hard to make this run smoothly. Thank you very much for that. [ applause ]. Theyve also worked very closely hand in hand with the mayors budget office. Id like to thank Kelly Kirkpatrick for coming here today. Thank you. [ applause ]. Next i would like to thank our public facing team who provides excellent Public Service. Our Public Service team and our recorder division. Thank you very much. [ applause ]. They provided Excellent Customer Service even throughout a lot of yay. They provided a lot of Excellent Service even throughout a lot of construction. Thank you for keeping the office running. We also are joined by some neighborhood friends. So thank you to them for coming. We have some people from the womens building here. Yay, thank you. [ applause ]. And we also have people from the dog patch northwestern petril hill green benefits district. Its a little bit of a mouthful. Thank you for coming. Of course thank you to our neighborhood historians who have joined and helped us go through a lot of historic photos that we have and we have been able to create a little wall. Thank you for that. We have the western neighborhoods project, s. F. Heritage, glen park history project and sunny side history project. Thank you. [ applause ]. So now i would like to introduce our beloved assessor carmen chu who is newly back from Maternity Leave and later we will be hearing from our director of public works and also our city librarian. Thank you. [ applause ]. I have to say that its rare that i ever hear the word beloved and assessor in the same sentence, but here we are. I want to thank isabella from my team. Theyve done quite a lot of work to help and partner with our publicfacing folks in order to make sure that our lobby is well thought out and we have a great plan to help improve service. Thank you to isabella and vivian. [ applause ]. So when i first started as assessor years ago, i think when i first came in, i think i walked into this office and probably like a lot of taxpayers i came in through different doors at different points in time and at the time it was confusing. How do you get into the office and where do you go for service. And if i couldnt speak the language, which luckily i could, where do you go for help and who could assist . It was with that eye that we started to take a look at our front lobby area to see how is it that we are able to improve Customer Service and access and be cognizant of the different people coming to our city every single day, whether you are an immigrant who cant speak the language well like my own parents or someone with a disability who needs assistance or people who dont know how to find documents in our system. How is it that we as a Public Service and government serve our public in the best way possible. We started on this process to say, well, the first thing they do is come into our office and try to figure out wayfinding signs and the way forward. We need to make sure that when people come into our office they feel welcomed and they feel that we have an abundant amount of Services Available here. With that, we really started to say lets do a few things. I think today when were doing our big unveiling along with the blue angels out there cheering us on that were showing our good faith. A few things that we want to point out to you here, and this is something we couldnt have done without the partnership of our dpw is that weve done a few things to reconfigure our lobby area to improve public access. Weve transformed the physical space. We have a wonderful and lovely seating area for people to come here and wait comfortably, to be able to get their documentation and information. We actually have implemented a kiosk system so when people first come into our office they can directly find and get tickets, that theyre served in an expeditious way. We have implemented a lobby navigator, someone who is greeting people when they come in to make sure theyre in the right place to make sure theyre not wasting valuable times waiting in the wrong lines. That does happen at city hall. We want to make sure were preventing that. If you look around our office, you will see many of our kiosks and information are in multiple languages. Were cognizant of the fact that San Francisco is a Universal City with universal languages that we want to access and share with people. This is also something that is part of our lobby system. Of course were doing a lot more to make sure that its a welcoming environment here. So we hope that some of these improvements are really going to show that government is open to everyone, its accessible, transparent, and we welcome you here. Were here to serve you. With that, i want to say thank you. We hope youre going to take a look at around. We have more spaces for people to be served. We know this is going to be a public improvement for the public as a whole. We couldnt do this without the partnership of wonderful people. I know some of our folks behind the scenes that were helping. I want to thank the Mayors Office for helping us fund this, but of course i want to say if we bring in the money, help us serve the public better. Thank you for all of your assistance and your partnership. No further ado to bring someone forward who ive known for quite a long time, who most of the time is doing work outside on the streets, picking up litter or cleaning up graffiti, but one of the lesser known things he does is help our buildings function better and stay in a state of good repair. With that i want to introduce mohamed nuru and thank him and his team for the fantastic work helping us make these improvements in a historic building. Thank you, mohamed. Thank you, carmen. Yes, kelly and carmen bring in the money. I get to spend the money. [ laughter ]. I think a few years ago when carmen brought up the idea of doing the project, we were very excited. It had a lot of different work that needed to be done. It is a historic building. So trying to match things and to really make a place that really works with all the things we heard from carmen was something that we were excited about. Whats great about this project is it involved many parts of our building of bureau repair, carpenters, glazers, locksmith, laborers were all involved well in fact, every shop in public works was involved in one way or another in making this happen. Its a very unique project because we have a lot of staff that actually custombuilt many of the shelves over here, matching the doors, all the things that we had to work with. All of those were built at public works at our shop. It was really an exciting project for the team. I think we delivered. I think youre very happy about that. Just so you know, we do a lot of these type of services for all over the city departments. City hall was very special, trying to match the wood, the different glass and just making the rails, building all the cabinets, painting and sprucing it up. You know, the paint was actually peeling in some cases. So doing all the scraping and going through all the processes making the space happen. Im excited and our teams are excited. Well continue to serve you or any of the city departments that want us to do work for them. We actually do many of the jobs in many of the city offices. Thank you very much. Well enjoy it. Thank you. [ applause ]. Mohameds nickname is mr. Clean. Now that extends to cleaning up our city buildings as well. Thank you, mohamed. When we talked about the services here, again, city hall is very special and unique to all of us because of its historic nature, but also because it is an essential place people go when they want to access government and the people who represent them. Its important to make sure that these doors are open and accessible to everyone who comes in. I think theres no other patron group that feels that same way than our public libraries. We know that no matter which Branch Library it is that we go to across the city, we have an open door where people can find a safe space and learn and get educated and borrow materials and really explore. We have worked in Great Partnership with our city librarian Michael Lambert who is also working with us. You might seen behind me is a wall of 15 different curated historic photos. One of the things you may not know is in order for this to be accomplished, we had to clear out many of our old property files. We went through this intensive process to digitize over a million files. When we went through that process, we found many, many historic photos we thought was not only worth preserving but sharing and putting out to the public space. Something that is important to our history, buildings that used to look a different way but are important of our fabric, it is important to share that with san franciscans to come, not to put the away in a box never to be seen. We worked with the library to make sure we cataloged and got those photos to them to be accessible. Were proud to announce we have over 92,000 photo images that are available at our San FranciscoPublic Library in order for people to see our history and our shared buildings and resources. These photos here are just a small set of the photos that are now available in our Public Library. We couldnt have done that without our city librarians staff and time. I want to invite michael up to say a few words. Thank you. It is so wonderful to be here with my esteemed city colleagues and so many members of the public. This lobby is magnificent and sparkling. I want to congratulate assessor chu and all of her staff. What a remarkable job youve done with public works to transform this space. I admire the commitment to Service Excellence with all the tenant improvements and significance enhancements. What a warm, friendly atmosphere youve created here. I appreciated the office of the assessorrecorder, not only for providing the library the biggest book budget in the country, but also for the partnership we enjoy. Earlier this year, assessor chu and her team transferred over 92,000 photographs to the Public Library. You see a sampling here on this wall. It really makes history come alive for all the visitors to this space. These photographs are priceless. They are an invaluable snapshot in time of San Francisco and some places that dont exist anymore. These photographs are now accessible to any member of the public that wants to view them. They can come into the library to the San FranciscoHistory Center and they can take a walk down memory lane and reminisce and relive some treasured memories of their past. Its so wonderful to have this partnership. I want to congratulate assessor chu and her team again. Thank you so much for the partnership. [ applause ]. All right. So now id like to ask evelyn and amy from glen park and sunny side to come up and woody and nicole and david from western history project to come up as well. Thank you. [ ] i love teaching. It is such an exhilarating experience when people began to feel their own creativity. This really is a place where all people can come and take a class and fill part of the community. This is very enriching as an artist. A lot of folks take these classes and take their digital imagery and turn it into negatives. There are not many black and white darkrooms available anymore. That is a really big draw. This is a signature piece. This is the bill largest darkroom in the u. S. There are a lot of people that want to get into that dark room. I think it is the heart of this place. You feel it when you come in. The people who just started taking pictures, so this is really an intersection for many generations of photographers and this is a great place to learn because if you need people from different areas and also everyone who works here is working in photography. We get to build the community here. This is different. First of all, this is a great location. It is in a lesspopulated area. Of lot of people come here just so that they can participate in this program. It is a great opportunity for people who have a little bit of photographic experience. The people have a lot, they can really come together and share a love and a passion. We offer everything from traditional black and white darkrooms to learning how to process your first roll of film. We offer classes and workshops in digital camera, digital printing. We offer classes basically in the shooting, ton the town at night, treasure island. There is a way for the programs exploring everyone who would like to spend the day on this program. Hello, my name is jennifer. My name is simone. We are going on a field trip to take pictures up the hill. Cmon, cmon, cmon. Actually, i have been here a lot. I have never looked closely enough to see everything. Now, i get to take pictures. We want to try to get them to be more creative with it. We let them to be free with them but at the same time, we give them a little bit of direction. You can focus in here. That was cool. If you see that . Behind the city, behind the houses, behind those hills. The see any more hills . These kids are wonderful. They get to explore, they get to see different things. We let them explore a little bit. They get their best. If their parents ever ask, we can learn they can say that they learned about the depth of field or the rule of thirds or that the shadows can give a good contrast. Some of the things they come up with are fantastic. That is what were trying to encourage. These kids can bring up the creativity and also the love for photography. A lot of people come into my classes and they dont feel like they really are creative and through the process of working and showing them and giving them some tips and ideas. This is kind of the best kept secret. You should come on and take a class. We have orientations on most saturdays. This is a really wonderful location and is the real jewel to the community. Ready to develop your photography skills . The Harvey Milk Photo Center focuses on adult classes. And saturday workshops expose youth and adults to photography classes. Once i got the hang of it a little bit, you know, like the first time, i never left the court. I just fell in love with it and any opportunity i had to get out there, you know, they didnt have to ask twice. You can always find me on the court. [ ] we have been able to participate in 12 athletics wheelchairs. They provide what is an expensive tool to facilitate basketball specifically. Behind me are the amazing golden state road warriors, which are one of the most competitive adaptive basketball teams in the state led by its captain, chuck hill, who was a National Paralympic and, and is now an assistant coach on the national big team. It is great to have this opportunity here in San Francisco. We are the main hub of the bay area, which, you know, we should definitely have resources here. Now that that is happening, you know, i im looking forward to that growing and spreading and helping spread the word that needs that these people are here for everyone. I think it is important for people with disabilities, as well as ablebodied, to be able to see and to try different sports, and to appreciate trying different things. People can come and check out this chairs and use them. But then also friday evening, from 6 00 p. M. Until 8 00 p. M. , it will be wheelchair basketball we will make sure it is available, and that way people can no that people will be coming to play at the same time. We offer a wide variety of adaptive and inclusion programming, but this is the first time we have had our own equipment. [ ] please call the roll. [roll called] this is a recreation and Park Commission meeting of october 17, 2019. Welcome to everyone here today. We kindly remind you to turn off Electronic Devices and take any secondary conversations outside in order for the meeting to proceed. If you would like