Transcripts For SFGTV Government Access Programming 20171226

Department of publichealth, its programs and its clients. He sought humane and Lasting Solutions to the issues at homelessness, untreated mental illness, and Substance Abuse in San Francisco. He supported and funded the creation of the citys first Behavior Health Navigation Center at humming bird place on on the campus. And he was an avid supporter of the getting to zero initiative and backfield h. I. V. Funding for the sfph programs. He launched an Innovative Program in 2016 to help San Franciscoance afford Health Insurance through the San Francisco covered m. R. A. Under the city options. He was a champion for the vision zero collective Impact Initiative which increases safety for pedestrians and bicycleists while reducing injuries and death. He supported the implementation of assisted outpatient treatment in San Francisco giving families a chance at connection to treatment for loved ones suffering from mental illness. He put a generous amount of funds and reserve in the fiscal year 1718 and 1819 budget to protect the city against potential federal threats to the Affordable Care act and healthcare funding. He supported the San Francisco department of publichealth developments of an integrated Electronic Health record system through funding of the project and approved innovative funding mechanisms which the San Francisco department of publichealth could fund the initiative through safe revenue. He ushered in the rebuild of the sucker burg San Francisco General Hospital and spent time with patients at the General Hospital and laguna honda hospital in addition to visiting the sfdph Heath Centers where mayor lee created the department of homelessness in support of housing to focus efforts to prevent homelessness and assist those who are homeless. Where as, mayor lee advocated for Affordable Housing and many ways including pledgeing to build and rehabilitate buildings intended for lowworking and middleclass joining the board president david chew to reeight the Housing Preference program to assist tenants evicted through the ellis act sponsoring Funding Initiatives where mayor lee died december 12th, 2017 at San Francisco General Hospital and be it resolved the San Francisco Health Commission acknowledges and honours mayor lee for his lifelong commitment and dedication to improving the lives of others through his invaluable public service. His enormous compassion for others and his effective and thoughtful leadership and be it further resolved that the San Francisco Health Commission conveys its heartfelt condolences to his family, friends and colleagues. I hear by certify this San Francisco Health Commission at its hearing at its meeting of december 19th, 2017 adopted the foregoing resolution. Any comments on the resolution . Otherwise we prepare for the vote. All those in favor the resolution please say aye. Aye. All those opposed. Resolution has been approved. Thank you, i will make sure they get a copy of that resolution. Item 7 is resolution in honor of colleen, ill note this resolution was read and presented at the december 5th information meeting and that today is the day foray approval. Motion foray approval of the resolution for colleen is in order. All those in favor. Second. Ok. Further discussion. If not all those in favor of the resolution, please a aye. Aye. Those opposed and the resolution has been approved. Thank you. I will make sure that she gets a copy of the framed resolution. Thank you. Item 7 is resolution support of vision zero and automated Speed Enforcement and cindy will explain and the version you have in your packet has tracked changes because it is a version you all passed recently last year, im sorry, this year and this is a revised version. Ok. Please, thank you. Good afternoon commissioners, here with the updated resolution for automated Speed Enforcement for your consideration. The original resolution was passed in may of 2016 for vision zero and automated Speed Enforcement and i want to give you background on the automated Speed Enforcement and why were asking for your consideration for an updated version so the version original version was passed in may of 2016 and fortunately that year we were unable to get an automated Speed Enforcement bill introduced but fortunately in february of 2017, the General Hospital with Assembly Member chew mayor ed lee and the mayor from san jose, the streets act of 2017 was introduced and this bill would allow for both San Francisco and san jose to have a fiveyear pilot pharoah program of automated see enforcement. And the bill after it was introduced it was double referred so it was referred both to the Privacy Committee and to the Transportation Committee the bill passed through the priv committee and when it got to the Transportation Committee. They thought it was best to turn it to a twoyear bill was we werent sure we had the votes for it to move forward and the department of publichealth has been working closely with the m. T. A. For the past nine months trying to gather support and do more out reach and education not only automated Speed Enforcement but our Vision Zero Initiative in San Francisco. The bill is schedule for the Transportation Committee hearing on january 9th and we are seeking for commissions and constituencys that supported this bill to renew their support as we go in to this Transportation Committee meeting in the againing of next year beginning of next year. So the resolution is very similar to the original resolution that was passed and there were a couple updates and the most notable the National Transportation board came out with a study that really sum enter theed correlation between speed and fatalities, traffic fatalities and also recommended that all states removed barriers of having for automated and this was a really necessary tool to achieve our vision zero goals. Im happy to answer questions but our Vision Zero Team is on vacation for the holidays but i can try to answer questions or get back to you with information thank you. Thank you. If not the resolution a motion before us. I want to make one comment in the last year ive noticed on the buses the adds about speed and the vision zero desk i find them effective. I slowed down and people around me are slowing down so i wholeheartedly support any campaign to get us there, thank you, very much. Yes, please, commissioner. Hi, how are you. Quick question about a a assemblyman chew, it creates a Pilot Program for those two jurisdictions san jose and San Francisco that with the intention of it bringing results that would then help create a statewide program . Thats correct. There was pretty wide opposition throughout the state and so having the two pilot projects that have local support we thought it would be more effective trying to introduce this new technology and move it forward. Thank you. Further discussion. If not were prepared for the vote. All those in favor. Please say aye. Aye. All those opposed. So good luck. Thank you, very much. Commissioners item 9 is the s fph budget. Theres a long presentation from mr. Wagner. Very informative and interesting presentation. Get some coffee. [laughter] as we go in to this we normally would have a less format setting for the ability to have a dialogue around the subject that we have at hand as in our past planning sessions. However, so for today, we are going to try to do something that would allow everyone to have input and make their thoughts known and prepare for the future by going through each of the sections and stopping at each of the sections for commission and other comments that may come from staff and then proceed onto the next session knowing barbara has to go to a Department Meeting during part of this if there are questions we wanted to reserve for her well wait for her to return. And well set those aside. You can make the comment and we would then present those to her when she got back to put them back in to the context. Its not totally ideal as a set up but i think what those of us who plan this one to do is to begin top layout just before we go in to the budget for the coming year and this may be even more important with the potential transition and changes of leadership and government, where we stand in terms of our resources and how we are planning for the future. So this is a background a year ago we went in to a good part of it where we got in to the details of parts of the pools of funding and hopefully then today one can look at and see how those actually effect programs and what one with do about programs that are related to our budget. And so we will ask for is there any Public Comment on this topic first . I received no request for Public Comment. Ok, so, from this point on then well have accepted there were no Public Comments and dialogue will be between therefore the department and the commission and certainly if Staff Members also have something they want to weigh in on that could help they just sort of raise their hands because this is not really a roundtable and well call on them in order to add to the dialogue. I would encourage that well need to try this format for right now. So with that, mr. Wagner. Thank you dr. Chow. I think the overview and the context he gave is exactly right we did this last year for the first time and the item was as the city goes through its five year Financial Outlook weve tried to kind of piggy back on that process and look within the department of publichealth and see where we fit in to that broader outlook to try to give ourselves some background and some context for the budget that were going to enter in to for the next two years but then also to start thinking beyond that and imagine what the next four to five years will look like in types of decisions that we have to be thinking about now in order to impact our trajectory over the next five years. So as dr. Chow said, weve got five sections, i do want to try to kind of plow through this but i do want to make this useful to all of you so ill let the discussion and questions to the extent that you have them guide where we spend time. So, first section is just to go through where we are in terms of the citys financial picture and the instructions from the mayor s office as you know, this year, this time each year we get the official projection from the Mayors Office which is sort of a kickoff of the formal departmental budget process and the Mayors Office working with the other city stakeholders as a projection of revenues and expenditures for the general fund and uses that to develop policy instructions for the departments to guide the submission of the budget to the Mayors Office and in february. So the slides that im walking through right now are borrowed from the Mayors Office presentation to us so ill just recap what that presentation looks like and well dive in to more d. P. H. Specific numbers. So there are two things going on , the short term and the medium to longer term and in the short term, the fiscal picture is close to last year. Theres a deficit but not what we experienced in the years following the recession and so the deficit is not huge but it is significant and it is going to require some financial restraint to get threw this two year budget and in the medium and longer term the picture looks different and there are slowing of Revenue Growth compared to what weve seen in the last five or six kind of super charged years of Economic Growth and were still growth but not at the rates we have been and expenditures are growing faster than revenues, a couple of those areas are employee costs which is always a factor for city budgets and our budget and there are state policy changes including a big one one on ihss in Home Support Services which is shifting a significant portion of that program onto the countys from the state and we have voter approved baseline set asides which are carving outgrowing share of general fund dollars dedicating those dollars to a specific mandated services approved by the voters. We also of course are doing this in the context of what is happening at the federal level so that is something that is area of uncertainty and of course the economic climate is something that is perpetually worth watching. So the high level snapshot of the approach on the budget is to continue to do Financial Planning with an eye towards the future of building reserves and limiting the growth in our on going costs and being strategic about where the money goes so that when we have dollars were putting them towards investments that will payoff over many years and so those are all things that are very well aligned with our approach at d. P. H. And a lot of our focus for the last two years and our Financial Planning. The instructions to city departments are to reduce our level of general fund support by 2. 5 in the first year and 2. 5 in the next year so its relatively similar to last year and last year it was 3 and another 3 so were on the same order of magnitude. Just well get to if a little bit more later but the dollar value of those changes is about 16 and 32 million in each of the two years of the budget for us and in addition to covering all of our other new costs. The other significant instructions and well see, ill explain to you the reasoning for this but again no new f. T. E. S that was an instruction last year were expected to accommodate our needs and operating new to the budget. So, the Mayors Office financial projection again for the update from the fiveyear Financial Plan covering four years and it looks at the Revenue Growth and again the economy is still strong and in certain areas the rate of growth is slowing so were getting back to a normal, stable rate of growth as you remember during those few years after the recession ended in the city started a recovering and were really seeing astronomical rates of growth by historical standards in the city economy and jobs started coming back and Property Values escalated business taxes, hotel taxes were all coming in at highlights of growth and salary and benefits of course are continued cost growth but projection assumes we have inflationary increases in those rates and some other calculated rates for benefits and pensions and then other city wide costs. So here is the high level picture from the financial projection, these are millions of dollars by the fiscal years of the projection so you can see at the top total sources thats the growth in the revenues for the city and then below is the growth in the uses if you look at fiscal year 21, 22 you have Revenue Growth but then compare that to what you see in the uses which is 1. 1 billion of expenditure growth and you can see how that imbalances growing overtime to the point where the fouryear outlook shows 709 million deficit which is a very sizable deficit now that of course is projection that says if we just let present trends continue doing nothing about it, that is what will happen but of course, were not going to do nothing about it were going to do lots of things about it and that is what subject of the financial work were doing now. One other item to note on this slide in particular is if you look at the salary and benefits line in fiscal year 2122 that number is 559 million of growth and that number alone is greater than the growth in the total revenues. So all of that projected Revenue Growth is being consumed by the rate of growth in our employee costs. That is the reason for the instruction about no new f. G. E. S the city is historic high in the number as the Health Department and so the idea here is because of the rate of that growth every time you