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
Director ripke has a comment. I think there is a potential conflict for me on this item because my firm represented a client that may be affected by this, so im looking for your consideration to sit this one out. Board policy, we would have to vote on that so i would vote we excuse director ripke from participating and acting on this item. Is there a second . Second. All in favor say aye. Thank you. Okay, director ripkin. Jerry robins from our Sustainable Department has been working on this for quite some time has a brief presentation we want to lay out before you which is how do we address the challenges we are facing, people in the Alamos Square are facing. Good afternoon, jerry robins, i have a brief presentation on the background on Alamos Square. Get the presentation going. Its a very popular destination for visitors to San Francisco. In the last several years we have seen a big increase in the hop on hop off tour bus industry, these are busses that sell individual fares and allow
Health approved rat abatement program. There are some things we do preemptively and the balance we do upon any evidence there is any such issue. We had not, before that hit the newspapers, from the public, the department of health or otherwise gotten any complaints and we checked and nor had the department of hub Public Health, but we immediately took steps to address this. I advised director kim and we will work with the department of Public Health to make sure we dont have any such consequences from our construction work. Thank you. Members of the board . Thank you. Mr. Chairman, no one has turned in a secret card under this item. Member s of the public who are standing or sitting on the floor do need to find a seat in accordance with the fire code specifications so people do need to get a seat, please. Item 8, Citizens Advisory Council report, mr. Murphy or mr. Weaver is not here, so we will move on to item 9, public comment. Its an opportunity for member s of the public who make co