Sufficient funding we wont have to come back for an ask. It will be a process well have to work through and already started with u. C. So that process is going to be some added layers of oversight and collaborative financial management. So well be looking at enhanced process to evaluate whether those need to be refilled. Well be looking at opportunities both now and through the e. H. R. Revenue process and the fees woul offset the need for an affiliation agreement. We are going to be looking at whether theres opportunities to streamline consolidate, identify efficiency in the affiliation costs and the below the line items in the agreement. Theres layers in this but theyll be putting in plis a process well put through the next 18 months and beyond to make sure were including the same level of i guess certainly or oversight in the projections for the affiliation agreement that we are in other items were bringing before the commission and the Mayors Office and fiveyear Financial Planning
Continuing to create the modules. Theres also other areas in terms of payments where we have manual reconciliation in part due to the conversion issues and were reviewing the entries and making sure theyre all appropriate. And want to make sure we have all the staff for a yearend close which happens in august, september and october of 2018. The budget proposes to create a pool of staffing and allows us to give support for our operations and also proposes for consulting for us as well as a work order through the Controllers Office who can help implement better interfaces and modules for the financial system. Then the last emerging need is related to the transfer Emergency Services for our department. As you know, weve been planning the transition for years and it became effective july 1. Prior to the transition we did a study on the staffing and program and there were significant issues and there was an additional need for increased analysis and metrics, policies and procedures and prop
Is finding better results by focussing on those kinds of issues including working in the community and managing individual stress from the African American community. I do want to make sure we recommend the staff today. Director, i had one question off the present i guess the continuing resolution it then would not have the let it of another shutdown im trying so information how that works. I and tis we could have another shut down but this allows us to go forward with the initiatives. And on the report our congratulations for all those who have been recognized at the event. Thank you for the report and the next item. Public comment and ive not received any requests. Could i ask karen to come up to acknowledge her . Surely, please. I know you have experience now and if you can give the commissioners a little bit about your background and the work youve been doing for us. I did hiv prevention back in 1999 and have been working there since 2017 and looking for the transgender community.
Act and we look forward to your testimony. For the past year our committee has been working to improve, strengthen and streamline health care and welfare programs under our jurisdiction. In health care we have taken action to cut needless red tape, makes it more difficult for providers to deliver high quality care to their patients we advanced targeted bipartisan reforms to improve medicare to the American People. Continue the drive to strengthen quality and care coordination. In our committee played a firsthand role developing comprehensive legislation repeal and replace the Affordable Care act. With the American Health care act passed by the house last may we delivered marketoriented solutions that would truly increase flexibility, reduce costs, and return control of health care to the American People where it belongs. All this bill stalled in the senate, congress continued to deliver relief from obamacare, including repealing the harmful effects of the individual mandate in independ
Author, and killing a king comes out in october of 2015. This was a quick preview on booktv on cspan2. Dr. Robert wachter of the university of california at San Francisco talks about the impact of the digital revolution on the medical field and discusses if the hype surrounding it is warranted. Dr. Wachter argues that while the ability to keep electronic records is a largely positive development, using computers to deliver care which is becoming more common is a step too far. Hes interviewed by dr. Abraham verghese, author of cutting for stone. [inaudible conversations] [inaudible conversations] good evening welcome. Were so pleased to welcome our speaker tonight dr. Robert back or who will be wachter who will be in conversation about his new book, the digital doctor. His book is available for sale up front and hell be signing after the reading tonight. And he will be in conversation tonight with author educator and physician dr. Abraham verghese. Some quick housekeeping items. Please