Exciting things to me in doing the work in San Francisco is really learn from all of the communities as many different types both cultures and ethnicities to actually guide us so one of the things were working on through the longterm coordinating council is really thinking what it means to do a Needs Assessment in the community and the particular concerns in the community that are culturally relevant so were thoughtful and sensitive communicator on what Palliative Care can offer and [inaudible] is put forward as one of the poster children for having the conversation out there for people becoming comfortable talking about their wishes for the future if they become seriously ill. Laacross is a very homogeneous community and we want to look at what it looks like and reduction of the illness burden and suffering in our community which is more diverse. Were taking this on with a lot of fervor i should say in the work group because its so important to be attentive to the issues here in San F
Of transition occurred of the Task Force Recommendations under the longterm coordinating council and the longterm coordinating council happily voted to create a Palliative Care work group and committee and now moving the recommendations forward and already we have met i think at least three times, had three meetings. The committee again looking carefully at those recommendations trying to figure out which ones we should be addressing most aggressively for the short of run but trying to Pay Attention to all of the recommendations including the longterm recommendations so were very excited this has transpired and grateful for the support we received from the department of aging and Adult Services and Public Health and enthusiastic what it will mean for improving quality of all right for our citizens with serious illness and april 16 is National Health care decision day and if you havent had the opportunity to tell someone you love what is important to you about your treatment decisions p
Is making sure that the providers are educated and having the competencies to provide and offer good Palliative Care services and those services are across the continuum and not limited to hos hospice alone but wherever theyre experiencing the service and around the state legislation that is encouraging providers to be more explicit when someone has a terminal illness and know what their Treatment Options are including Palliative Care. That has become particularly relevant around the issue of dementia and alzheimers disease and when they are diagnosed with alzheimers disease arent told its a progressive condition and i think there are opportunities when we get into the nittygritty supporting our legislature to more thoughtfully integrate Palliative Care services into the health care community, and then finally i think there are opportunities from the standpoint of reimbursement to encourage interprofessional care in a way that currently isnt supported in most spheres and theyre in a di
Will hand it over to you and have you walk the commission and the audience through the process and the recommendations. Thank you. [inaudible] i cannot hear you. Is it on . Can you hear me now . Yes thank you. Thank you to president james and to the commission for giving us this opportunity to tell you a little bit about the proceedings of the task force. It was really an amazing and productive time that we had together and as you heard from anne this was a program or issue that was cosponsored by the department of Public Health and the department of aging and Adult Services and it was really in response to this recognition that there are opportunities in our community to improve access to Palliative Care and improve the conversation around care for people who have serious illness so sort of with that back drop to get everybody on the same page about what the definition is for Palliative Care because as a Palliative Care provider i can say many people have different perspectives or und
Communities as many different types both cultures and ethnicities to actually guide us so one of the things were working on through the longterm coordinating council is really thinking what it means to do a Needs Assessment in the community and the particular concerns in the community that are culturally relevant so were thoughtful and sensitive communicator on what Palliative Care can offer and [inaudible] is put forward as one of the poster children for having the conversation out there for people becoming comfortable talking about their wishes for the future if they become seriously ill. Laacross is a very homogeneous community and we want to look at what it looks like and reduction of the illness burden and suffering in our community which is more diverse. Were taking this on with a lot of fervor i should say in the work group because its so important to be attentive to the issues here in san francisco. Bravo. Any other questions . Yes. Im a senior. It wont be long because i need m