Are there any corrections to the minutes . Hearing none or seeing none, all those in favor of the minutes please say aye. The minutes have been approved unanimously. Thank you, commissioners, item 3 is the directors report. Good afternoon, commissioners. Yes, please. Were so happy to announce that San FranciscoGeneral Hospital and Trauma Center has officially been licensed and is ready to receive patients. We want to thank all of the people who worked so hard to make this historic mile stoeb possible. I know our ceo is in the audience and just want to let her know how lucky she is to move into a brand new hospital this weekend and i know she will be working hard along with many. Also, just to let you know, we have have 24 7 it teams ready to support the new hospital. They will be on call for a whole week and then of course they will stand down if things look good in terms of any issues. So i think that is one of the best news. Also mayor lee did announce his department of homelessness and housing. The new department is expected to have about 110 staff members, many of them transferring from the department of human health and service agency, we will have a budget of about 165 million, jeff costofsky will be leaving the department as he has been the recent director of Hamilton Family services, which is serving homeless families. So we really want to welcome him and ill be working very closely with him in terms of our job, which is to provide the Clinical Services for all of the homeless, housing as well as the needs. Homeless individuals that they serve. Also just want to recognize our deputy director, coleen chala, who worked closely with me in the development of our able project. We are partnering with the San Francisco police department, bart police, public defender to launch a program that would allow Police Officers to divert drug offenders to treatment rather than arrest. This is modeled after a successful Seattle Program and basically under the Program Officers who have probable cause to arrest someone possessing drugs will take them directly to the Public Health intake site where they can be connected with treatment services. We have had similar programs like this and we can tell you at least 50 percent of the individuals do take us up on the pee tension of being able to access services. This is also one of our initiatives to ensure that people get opportunities and every opportunity when they engage with the police in terms of seeking treatment. Want to acknowledge the fact that alice chen is to be honored by the San Francisco clinic Consortium Event and she will be honored for strengthening the citys safety net and improvements she has made to access to High Quality Health Care for all San Franciscoans. I will stop there and any questions the commissioners may have regarding the report. Commissioners, questions to the director . I could ask the first one, which is related to your report on the climate and Health Program of 2016 im wondering if we could have that reported also. Absolutely, we can do that. I was wondering whether you can expand on the issues of sentinel . We have talked about it here at some length, it just seems like happening. Absolutely. We have a whole group of individuals in our Department Working with all of the other providers to ensure that our Provider Network knows the issues. Also this is a Different Community that could be using these, it looked like narcan, it looked like xanex or narcan. Good afternoon, commissioners, so we have first of all i think whats interesting is that we often hear from our providers in the Community First when these things are out and we have a great communication with our syringe access providers. We have a process thats not unlike our Emergency Response system so we develop a health alert when its up for review and core provider review and we get it out to all of our providers that would be engaging with drug users of any kind, people on the street. They have photos of the drugs that are safe, for lack of a better term. To followup, what about with sfusp we have our mailing list, we have the pios at all of the inaudible and, yeah, we actually work directly with the School Districts because the initial information a few months ago was in marin county or i forget which county it was in the high schools. Yes, actually it was it was east bay. Further questions . Well keep you updated on some of the activities. Thank you, i think also the commission would like to welcome dr. Alick, its nice she got such a nice gift as the license so she has a hospital to operate. Were pleased you are on board and to thank dr. Alice chen for her work, nice that the consortium recognized that. Further comments from the commission at this point . Id like to take a moment to again thank everyone who has been involved with getting us to this point. Really acknowledge that on the 21st we will move our first patient into the new hospital, is that the intention . Thats right, they start at 7 00 am and they anticipate being done by 2 00 pm it is such a big deal as both a city and as a Health System and Even Commission giving kheers, this is just a really wonderful moment for all of us to actually move the first patient who will get the, i hope, the penthouse suite to the new hospital is really a major accomplishment. So i would like to take a moment to thank everybody for your hard efforts and the wonderful success of this moment. Thats very nice of you. I do want to also acknowledge we have everybody from it to outfit the whole system and inaudible done an incezible job. I assume there will be cameras there . Yes, there is a media vepbtd and when we hear about the branding and marketing raifrp he will can talk a little bit about that, she has a whole plan with them as well. We had to do a couple little changes this week, we had ambulances that were practicing, there was a little bit of curb issue and this weekend they fixed that and im sure there will be Little Things that come up, any time you move into a new home or anything else theres always things they have to fix as they use them so we anticipate that and i know staff is ready to respond to those in good fashion. So well bring you an update as well from our next meeting as to how well that went down. Good luck and good sailing. Commissioner sanchez. I would just add, pertaining to the opening for patients on the 21st, this is really a unique challenge not only for our hospital, for the entire department. And i think what has impressed me the most, having been there when the other hospitals opened a number of years in the 80s is the fact that there was a whole network involved. It isnt just our core staff, rowan had to do multiple things, barbara led a whole different intervention, we have people from our different institutions, it, you name it, we were involved. It was a real, real commitment to not only the department of Public Health and the city of San Francisco, to the Health Department and sfgh will continue to be a flagship of excellence in patient care but getting involved in the funding because weve already talked about the foundation and others who have given major major dollars that no other Public Hospital in the nation has ever got. When the rubber hits the road on saturday and ongoing, weve been through some Clinical Trials and underway with reference to all these advise itds from csn, from the state, from the feds, whatever, that will continue. But we know that we have the confidence and the excellent staff and the collaboration and the network that we never had when we had the other, quote, hospital bill, we know that for a fact and i really think that were setting a whole new pattern of involvement and leadership pertaining to Public Health, county hospitals, and excellence that no one that hopefully other cities will be able to duplicate if they have the resources to generate it and more importantly to maintain it. Thats our real commitment, to sustain it and to ensure that Due Diligence and leadership is in facting there as we continue to focus on our unique needs of sf general. Well done for everybody but again it was a really unique pathway ive never seen before and ive heard many, many excellents from so many people from industry, from the community, from other academic Science Centers saying, wow, this is unbelievable. Yes it is and we as a department, and the city, its a commitment we have as a city and the leadership we had the last years to make sure that it is a flagship of excellence and it will be a flagship of excellence. Thank you. I might just note for information that the completion of the rest of our campus in terms of being able to use our new, the vacated buildings, five in all, is on the ballot for peoples consideration. Further comments . No, but in the spirit of commissioner singer who asks how we celebrate things, can we applaud the staff of the staff at the general for all their efforts and wishing them well. applause . Thank you. Item 4 is general Public Comment and i have not received any requests. Are there any at this time . All right, we can move on to item 5, which is report back from the community Public Health committee. Commissioner. I was joined by commissioner chow today on the Public Health committee. We heard two reports, one is a Technical Report in order to prepare us to present to the full commission. This was on San FranciscoHealth Network primary care implementation as a medical waiver or the 1115 waiver. It has two parts. First of all the waiver was implemented beginning january 2016 and we are already into may. The specifications for the waiver are dribbling out, so this is a process in which we are kind of catching up with the bus, running, and this waiver will run to 2020 and will probably be the last of the 5 year waivers that we receive. This was the prime waiver that replaced the waiver that we had for hospital integration over the last 5 years. Im just going to give you a quick outline of what we heard. Its both a funding and quality set ever mandates under prime, which is Public Hospital redesign and incentive in medical, and it also includes Global Payments and program reform. The best way to think about it is moving us through pay for performance to become an Accountable Care organization. Its money, about 200,000 that will be at risk through medical with the goal of meeting certain outpatient performance standards and the department has picked three areas in three domains they will be targeting as their primary initiative. One is the million hearts initiative, reduce hypertension and cardiovascular disease. Another is the chronic malignant Pain Management initiative and a third one is resource stewardship involving high cost of pharmaceuticals. So these are initiatives that will drive towards performance and based on how we meet them, certain medical dollars will be at risk. Theres also a second performance, thats the prime component i just described called global payment reforms. These are new rules by medical that will allow Flexible Funding for services, for example telephone visit nursing appointments and other kinds of nontraditional visits that previously we know effectively improve service but may not have been able to be billable. So these are really good things. Implementing them will be a large challenge and the department has given us an outline and will come back over the next couple years with a more detailed timeline of the plan, how many dollars are at risk and this will all be hopefully presented to the Health Commission consortium. We heard the overview of that and were just kind of getting a summary. The second core report we heard was on the Food Safety Program and is our annual review of the Environmental Health division. We had director Stephanie Christian present. The Environmental Health division, as you know, oversees everything from air quality, waste management, housing, health, sewer protection, Hazardous Waste and our allimportant food safety. They have a total of 143 inspectors which, interestingly, are highly cross trained. You can start out as a food safety inspector and get on the job training as a toxic waste inspector and then go and inspect massage parlors and its a very fluid and multitalented staff, but its one of the efficiencies and strengths of the department is that by being flex i will and moving their staff around theyve been very efficient, very nimble, and very employee friendly workplace. One of the other highlights of this position is that Environmental Health is embedded in our Population Health and Public Health department. This allows for collaboration, for example, around food safety or even massage parlor safety to link up services, for example, when we were looking for trafficking issues and some of the illegal massage parlors and making inspections. This is actually unique to our county. Not all counties have the joint units. But we got the impression that the Environmental Health unit is meeting its needs and meeting expectations and then we heard specifically on food safety. We have 35 inspectors looking at food safety, 7500 restaurants and food trucks and hot dog stands that they go and inspect a year, giving all the ratings and very High Satisfaction rates from both the community as well as the restaurants. And i think the most important thing is they go out in a multi cultural way in chinatown and then the mission and give detaileaining on how to provide safe food. And its really building capacity which goes beyond and helps with prevention rather than being strictly a licensing or permitting division, which really makes our Food Safety Program really unique. So these are two things that we lerd. I think that we inaudible do what they do and part of our annual review of Environmental Health. Thank you, commissioners, questions to commissioner pating . Seeing none, was there any Public Comment . There is no Public Comment request feir this item. Item 6 is a resolution in support of vision zero and automated Speed Enforcement. The resolution was introduced at the april 5, 2006 meeting. Thank you, commissioners for having us back. My name is ana validzic and i am with the Community Health equity and promotion branch. As you remember we gave a presentation on april 5 on the status of vision zero in general and with the specific request for the Health Commission to support a resolution for a technology called automated Speed Enforcement because this is currently not legal in the california Motor Vehicle code and we are asking for local support to urge sacramento to make a change in that law in order for us to pilot this. And your request was it strengthen the resolution because you thought this was so great, thank you so much. So i believe you got a marked copy inyour packet, i just wanted to highlight that wae made some 4 major areas of change. We added a lot of language on the more data on the general traffic injuries here in the city. We added more language on the exact problem of speeding here in San Francisco, we added more language specifically on automated Speed Enforcement, including a lot of reference to the controllers report that was issued about six months ago on automated Speed Enforcement and how effective it is, and those are all in the whereas clauses. And then we added a clause in the resolve section to address the privacy issues that some people bring up, saying that we really only support these, the data that is collected from the cameras can only be used for this purpose of this program and not for any other purpose. So that should address a number of the privacy issues. So im happy to give more detail or answer any questions if you have them. Commissioners, we have the revised resolution before us. Was there any Public Comment on this . There are no Public Comment requests on this item. So we can have dis