SFGTV: San Francisco Government Television
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Nov 6, 2013
11/13
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organization can provide that whether to disclose it or not. any statutes that we have in california related from disclosures aren't broad. that information that's protected from disclosure constitutes a trade secret. it's an -- trade secret law initially had a number of original goals and it was to promote fairness and competition and innovation. it was to prevent employees from taking one information and giving it to another company. there were laws to protect one competitor from another, not a provider from keeping information from its consumers or keeping information from its patient. and so these goals don't appear to be furthered by the way the trade secret law is being used in the health care context. and by any instance of concealing prices from providers or from consumers them self, so each of these factors suggested an issue of whether or not health care prices was a secret and claiming that protection doesn't necessarily make it binding and doesn't make it a trade secret. >> professor , can i ask a question. i think it's very relevan
organization can provide that whether to disclose it or not. any statutes that we have in california related from disclosures aren't broad. that information that's protected from disclosure constitutes a trade secret. it's an -- trade secret law initially had a number of original goals and it was to promote fairness and competition and innovation. it was to prevent employees from taking one information and giving it to another company. there were laws to protect one competitor from another, not...
SFGTV: San Francisco Government Television
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Nov 10, 2013
11/13
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a little more detail on that, so from providers, they're going to need detailed pricing, data from providers, but quality services things like that. what am i getting for this expenditure. doctor, how often when you take an x-ray, how often do you find a sprain so you can examine this purchase. we don't have that. for health plans, we need more information. one the things is right now you go to many health plan websites and you see that list of services and then what the premium is, but there's a big piece missing which is what is my expected out the pocket cost. we need better tools and better information from health plans about what the expected cost will be. also we need information on availability. if i join this plan, who are the doctors that will take me on. you can't go to a website and easily find a list of doctors in your neighborhood who will take you on. all right. they have the data to do all of this easily. i think we need to really mandate minimum disclosure laws. the market will provide it too slowly to help us. i think that's it. thank you very much. >> okay. thank you profes
a little more detail on that, so from providers, they're going to need detailed pricing, data from providers, but quality services things like that. what am i getting for this expenditure. doctor, how often when you take an x-ray, how often do you find a sprain so you can examine this purchase. we don't have that. for health plans, we need more information. one the things is right now you go to many health plan websites and you see that list of services and then what the premium is, but there's...
SFGTV: San Francisco Government Television
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Nov 18, 2013
11/13
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these services either should be provided by managed care health plans contracted with community based service providers or coordinated or purchased by so this next slide shows you the services we're talking about. home care care management adult day care medication management nutrition transportation social interaction protective services ombudsman services behavioral health and accessible and affordable housing so as we move into this new arena there's going to be a change some of the providers that we work with are going to be no longer giving their services or training for free, the health plans will have to purchase those services and provide them so it's a new day in that regard. >> >> another recommendation is an improved ihss program you might remember it's one of those services going to be moved into managed care the managed care plans will oversee the allocation of hours to providers this is a very dice dicey and controversial topic. so the department of adult services should take the lead into managed care i'm sure there's questions about this. i can't give all the answers b
these services either should be provided by managed care health plans contracted with community based service providers or coordinated or purchased by so this next slide shows you the services we're talking about. home care care management adult day care medication management nutrition transportation social interaction protective services ombudsman services behavioral health and accessible and affordable housing so as we move into this new arena there's going to be a change some of the...
SFGTV: San Francisco Government Television
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Nov 7, 2013
11/13
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those things provide benefits. we're so lucky here in san francisco, not only all of the hospitals, but uc in terms of a research institution is unbelievable worldwide and we're lucky it's based here in san francisco. but outlining what those cost are, we shouldn't hide from them though. the cost, again, again i get it. maybe you talk from a perspective area or maybe the state takes a look at that and we have a broader policy discussion, but i understand everything you're saying and i agree. nothing you're saying doesn't say we shouldn't provide the data and we shouldn't have it in the public. >> i think we're on the same page. we're not oppose to transparency. it's important if we put the price of an item, there needs to be a back story to tell the purchaser or the consumer or equalize that price or share -- >> absolutely. that needs to be done together. >> perfect. if there's going to be this focus on price, that it must coincide with an evident from our health and policy leaders to recognize the cost of the enti
those things provide benefits. we're so lucky here in san francisco, not only all of the hospitals, but uc in terms of a research institution is unbelievable worldwide and we're lucky it's based here in san francisco. but outlining what those cost are, we shouldn't hide from them though. the cost, again, again i get it. maybe you talk from a perspective area or maybe the state takes a look at that and we have a broader policy discussion, but i understand everything you're saying and i agree....
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Nov 4, 2013
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additionally, we would be able to perhaps go to service providers, the service provided to service provider, then individually tried to connect those dots but without the ability to look at all the data in a composite way, it would be much harder, much slower, much more difficult for us to do that. so with those two indicators there, we would be less agile, we would be less informed and we be less focused. and we think as result we would be a lot less effective in preventing the attacks that the american people want us to prevent spent i see that my time has expired. ms. brand. >> thank you, mr. chairman. let me just follow up on that and your time ran out to buy some questions related to the same subject. even if you're able to use the grand jury subpoena or and nsl to go provider to provider to us with information, with the information the their without a record retention requirement? >> that's a very good question. without the 215 program, it would be up to the service provider to determine how long they would keep the record but i think fcc regulations require them to keep these things
additionally, we would be able to perhaps go to service providers, the service provided to service provider, then individually tried to connect those dots but without the ability to look at all the data in a composite way, it would be much harder, much slower, much more difficult for us to do that. so with those two indicators there, we would be less agile, we would be less informed and we be less focused. and we think as result we would be a lot less effective in preventing the attacks that...
SFGTV: San Francisco Government Television
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Nov 3, 2013
11/13
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providing homes to avoid homelessness is good, providing counseling to individuals who do not speak english or who are challenged by the immigration system as is done by grants on the mayor's office on housing is good, assist for mental health care for needs of services as the department of public health programs is good, however while all the above service examples are good. do any of these have any long-term effect. it's easy to see how this is going. what are the outcomes? longer terms of the program. are some of the grants more effective than others and are some of the contracts of jobs, employees and community organizations have no real outcome of significance to the client. in the future there will be funding and state services to which program will this provide additional support. best practices as defined by academics call for a front end process where desired the outcomes are identified and construction of community based programs is targeted to deliver the desired outcomes and structured to facilitate the evaluation of the short and long-term benefits of each specific program. and
providing homes to avoid homelessness is good, providing counseling to individuals who do not speak english or who are challenged by the immigration system as is done by grants on the mayor's office on housing is good, assist for mental health care for needs of services as the department of public health programs is good, however while all the above service examples are good. do any of these have any long-term effect. it's easy to see how this is going. what are the outcomes? longer terms of...
SFGTV: San Francisco Government Television
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Nov 14, 2013
11/13
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we provide family nights with cultural fun themes. we have an active committee that helps to determine the goals and objectives of the program biensz or based on the data. we have our student elected representative. provide expanded educational stunt with college tours to stanford and u.s. santa cruz. support parents and guardians to understand the positive and campfire them to help with the agriculture needs. and to help with the educational language. collaborates annual event and the wisdom of moving forward event >> and our dancipowwow. we collaborator with the american indian community to support the youth and families. we received consultant oppose at the schools. >> thank you very much. so along with our successes our changes are the indian education program which are a nonpriority and challenge is to have a permanent location. we need to set up our libraries and a sf d staff to access as well as other resources. the district needs to republic a report that identifies all the current list of american indian students. we have onl
we provide family nights with cultural fun themes. we have an active committee that helps to determine the goals and objectives of the program biensz or based on the data. we have our student elected representative. provide expanded educational stunt with college tours to stanford and u.s. santa cruz. support parents and guardians to understand the positive and campfire them to help with the agriculture needs. and to help with the educational language. collaborates annual event and the wisdom...
SFGTV2: San Francisco Government Television
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Nov 21, 2013
11/13
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miss lewis an opportunity to provide that information, which she was unable to provide on the rehearing. she is continued based upon the rehearing and she was able to provide the documentation and she was in compliance of the code which was to go into operation, for at least some duration. we don't believe that there is a manifest in justice or additional information that is provided from the hearing request, and that it would be in the accepting ai rehearing request, and the same questions that you may have. >> can you remind me of the time period that we are trying to establish the operation. >> and it will provide a stop in november of 2012, i believe and it was during that period that she could have been in operation up to november of 2012 and she was not able to provide any documentation. >> okay. >> any more questions? >> no. >> i believe that i might have misheard the statements tonight and we saw some documentation on the overhead, have you seen any of those documentation about the rental of the equipment on the dates within that time period. and that was never provided by miss
miss lewis an opportunity to provide that information, which she was unable to provide on the rehearing. she is continued based upon the rehearing and she was able to provide the documentation and she was in compliance of the code which was to go into operation, for at least some duration. we don't believe that there is a manifest in justice or additional information that is provided from the hearing request, and that it would be in the accepting ai rehearing request, and the same questions...
SFGTV: San Francisco Government Television
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Nov 21, 2013
11/13
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and we appreciate support, and actually demand that your work in providing that safety net. particularly the hungry are falling through the holes in that safety net. and yesterday, we can prove that again in our dining room. and it is the twenth of the month, and that is when we begin to see those people who have been able to make it up to that point in the month, but then, they have no longer the resources to provide the meals for their families. for their children. and themselves and end up using the facilities and others. dr. jones elaborated on those who are not eligible. we believe that if it was allowed, and that would be a way of mending that safety net and it would really help the programs like saint anthonies thank you. >> we have 19 sites for senior meals in san francisco. and in addition, we have out of about 500 bags of groceries a day, five days a week, with the chronic and critical illness. he touched on the link between hiv and food insecurity and i see that is why and the doctor will speak to this in more detail and just to know the studies that are showing t
and we appreciate support, and actually demand that your work in providing that safety net. particularly the hungry are falling through the holes in that safety net. and yesterday, we can prove that again in our dining room. and it is the twenth of the month, and that is when we begin to see those people who have been able to make it up to that point in the month, but then, they have no longer the resources to provide the meals for their families. for their children. and themselves and end up...
SFGTV2: San Francisco Government Television
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Nov 22, 2013
11/13
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. >> it provides 15 percent of all units that are available at an affordable level of 50 percent or 80 percent of bmi. they're going to be included in the market rate. >> inclusion natury for sale and requirements for sale housing. >> through each one -- okay. ary for sale and requirements for sale housing. >> through each one -- okay. >> it provided 15 percent affordable units hasn't changed. what the 6th amendment did was allow for the 50 percent mia units be located on block 49 and not inclusionary in the market rate development but the overall unit count hasn't changed. >> is there a reason why we're taking or -- >> yeah. i'll answer that question. commissioners, rosales part of the reasoning had to do with the construction schedule and the way in which we would get the affordable units as the phase 1 project was built out. there were a number of reasons but one the main ones is we would get the units sooner if we place them all on one block. >> in addition the developer, there are certain issues to have affordable units, the financing comes easier to group them together. but the m
. >> it provides 15 percent of all units that are available at an affordable level of 50 percent or 80 percent of bmi. they're going to be included in the market rate. >> inclusion natury for sale and requirements for sale housing. >> through each one -- okay. ary for sale and requirements for sale housing. >> through each one -- okay. >> it provided 15 percent affordable units hasn't changed. what the 6th amendment did was allow for the 50 percent mia units be...
SFGTV: San Francisco Government Television
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Nov 21, 2013
11/13
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this contract actually provides two principal benefits. one is we think it will give us a method to use pleat -- fleet management software, this provides a software platform that would really revolutionize my staff's ability to be effective in the functions that it has to do every day as the staff report referenced, it would eliminate a lot of the paper-based work we do including faxes and data entry. it would make our multiple spreadsheets and data bases with permit holder information actually talk to each other in a useful way, create online reporting opportunities for companies and i think relieve the administrative burden for what a lot of companies go through in order to provide weekly reports to us. it would also give us some tremendous analytical capacity with respect to the taxi fleet and it would make our field enforcement more effective so we hope to enjoy many of the benefits of this software. as you are likely to hear during comment on this item, the on board devices may not be required for the purpose of implementing the eta s
this contract actually provides two principal benefits. one is we think it will give us a method to use pleat -- fleet management software, this provides a software platform that would really revolutionize my staff's ability to be effective in the functions that it has to do every day as the staff report referenced, it would eliminate a lot of the paper-based work we do including faxes and data entry. it would make our multiple spreadsheets and data bases with permit holder information actually...
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Nov 18, 2013
11/13
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obviously to, this isn't going to work if you have one or two providers providing a service in an area. that is not going to create the level of competition that you need. so, one, the procedures have to be elective, and there's time to shop and, two, they're available for multiple providers. the next two are really interrelated and, i think, are very on topic for conversations in this room which is price and quality transparency. you can't implement a reference price without giving consumers adequate information about the price of the procedure or the quality that they're receiving. most consumers still equate higher price with higher quality, and we know that not to be true. so you really need to arm consumers with plenty of price information so they know which providers are at or below the reference price, and you also need to arm them with the quality information, how often are these providers performing these procedures? what is their volume? what is their outcome? and if you have that information, then you can -- consumers are better armed. but it would be with really unfair to i
obviously to, this isn't going to work if you have one or two providers providing a service in an area. that is not going to create the level of competition that you need. so, one, the procedures have to be elective, and there's time to shop and, two, they're available for multiple providers. the next two are really interrelated and, i think, are very on topic for conversations in this room which is price and quality transparency. you can't implement a reference price without giving consumers...
SFGTV: San Francisco Government Television
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Nov 22, 2013
11/13
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and so provide in the hand of the development. and there is significant costs associated with that, and particularly with the impact fee that will need to be paid. and so part of the proceed, from sea wall 322-1 will be used to effect that in terms of making the project (inaudible). and as indicated in the staff, memorandum, part of this strategy, led staff to pursue both state and local legislation to give thiserization to what we are proposing to be done. the rationale includes the that the site that we are proposing to be used for the affordable housing and are no longer needed for (inaudible) purposes and the rationale for those are explained in the staff memorandum. on the specifics of this site, this site is located on, and at broad way and front and valao treat and it is currently for the lease in the surface backing and i believe that according to the previous presentation, the monday, revenue, that the port is generating is now, i believe, 48,000 dollars and it will be more, in the staff report. and which is for me now to
and so provide in the hand of the development. and there is significant costs associated with that, and particularly with the impact fee that will need to be paid. and so part of the proceed, from sea wall 322-1 will be used to effect that in terms of making the project (inaudible). and as indicated in the staff, memorandum, part of this strategy, led staff to pursue both state and local legislation to give thiserization to what we are proposing to be done. the rationale includes the that the...
SFGTV: San Francisco Government Television
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Nov 7, 2013
11/13
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we provide visiting in the downtown jail one day a week. we provide visiting on weekends at cj 5. so the number of contact visits -- i don't want to speak out of turn, so let me check our performance metric examine and get back to you. >> it's great that family and children service is here. that's interest of me how we support women and men and make sure they have regular support with their children. we're talking about an item in the last meeting called orange is the new black, i would hope the $1 million expands access to the families. i did visit with the chiefs examine also the 7th street facility and i could see how challenging it is at the 7th street bryant facility verses bruno that has better access. i'm hoping we put effort into that and that would be helpful for me to know the demographics of inmates with family members and how we're accommodating them and helping them stay in contact with their family. >> this year throughout r section p process we generated funds to support this program. that's how important it is to the sheriff's office even when people are incarcerat
we provide visiting in the downtown jail one day a week. we provide visiting on weekends at cj 5. so the number of contact visits -- i don't want to speak out of turn, so let me check our performance metric examine and get back to you. >> it's great that family and children service is here. that's interest of me how we support women and men and make sure they have regular support with their children. we're talking about an item in the last meeting called orange is the new black, i would...
SFGTV: San Francisco Government Television
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Nov 24, 2013
11/13
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. >> it will be available through the providers and distributed to a broader set of people, not everybody is eligible and if you are eligible, many people are not enrolled and so we don't want that to be a barrier and we could use the existing networks, such as health providers and school counselors and certainly or other agencies like dos and hsa, we want to expand this beyond the farmer's, and beyond farmer's market as much as that provides, an accident source of food in our city. but we want to include the retail as well. we then drive the activity into the community and it benefits all, creating it. 19,000 do not have kitchens and which means that these people have no ability, relatively to little or no ability to actually store the food in the fridge and prepare the food in any way, except in a hot plate or a mike wave and that limits the option to prepare the food and they are certainly more expensive or putting more increased demand on the dining room. and if the people have the kitchens that will be the quality and be able to use the benefits or use a local supplement or even go t
. >> it will be available through the providers and distributed to a broader set of people, not everybody is eligible and if you are eligible, many people are not enrolled and so we don't want that to be a barrier and we could use the existing networks, such as health providers and school counselors and certainly or other agencies like dos and hsa, we want to expand this beyond the farmer's, and beyond farmer's market as much as that provides, an accident source of food in our city. but...
SFGTV: San Francisco Government Television
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Nov 14, 2013
11/13
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we provide the animal care, which is our vet services providing vaccinations and microchip and working with the community and on the failed cat programs and the tnr and the behavior and training programs and the volunteer service and community out reach and education and providing shelter for the guardians in a hospital and the battered woman's shelters or jails and we have an on site groomer who helps us and we have the public education functions and we also provide as a said for people, public safety and health, and issues that we do code enforcement and we deal with the abuse cases and studies show that abuse of animals cruelty to animals is often a prekursor towards the violence towards humans and we respond to injured animal and deal with the reporting of bites, and the zoonotic diseases and rabies, and animal remains and licensing and the aid and disaster response for any number of disasters. >> and then i am going to turn it over to adam. >> good morning, supervisors, and from the city administrator's office and i am going to run through the slides for the budget and the resourc
we provide the animal care, which is our vet services providing vaccinations and microchip and working with the community and on the failed cat programs and the tnr and the behavior and training programs and the volunteer service and community out reach and education and providing shelter for the guardians in a hospital and the battered woman's shelters or jails and we have an on site groomer who helps us and we have the public education functions and we also provide as a said for people,...
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Nov 19, 2013
11/13
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if examples provided today -- in the examples provided today, we see large insurers pushing for competition in procedures for which there are a lot of providers in an area. do you have any thoughts on how this model might work in an area with just one or two providers and a small insurer network? we're at -- is that what you find yourself addressing when you have somebody in eureka? >> right. so, i mean, that's the challenge, right, of having enough regionally-located, geographically-dispersed reference-based pricing facilities and then having to have that travel and the canyon package -- companion package. and so in terms of the impact of that in terms of on the market, well, if there's only one facility and they're either meeting or not meeting, so it's, you know, it's a little difficult to look at the variation in a region like that. >> yeah. i was just going to comment that if you have only one or two providers who can perform a procedure in a geographic area, you -- if there is variation, which most of the time if it's -- it's really only one or two providers or very few that are clust
if examples provided today -- in the examples provided today, we see large insurers pushing for competition in procedures for which there are a lot of providers in an area. do you have any thoughts on how this model might work in an area with just one or two providers and a small insurer network? we're at -- is that what you find yourself addressing when you have somebody in eureka? >> right. so, i mean, that's the challenge, right, of having enough regionally-located,...
SFGTV: San Francisco Government Television
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Nov 16, 2013
11/13
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to my left it deputy city attorney robert brian heel provide the board that legal advice and the boards legal assistant. we're joined by representatives of the boards administrator and also representing the planning department and planning commission. we have the building inspector as well. will you go over the guidelines >> the boardtest. >> good afternoon and welcome to the november 13, 2013, meeting of the board of appeals. the president is chris wong and joined by the vice president. and commissioners. to my left it deputy city attorney robert brian heel provide the board that legal advice and the boards legal assistant. we're joined by representatives of the boards administrator and also representing the planning department and planning commission. we have the building inspector as well. will you go over the guidelines >> the board requests that you turn off outline electronic devices. the boards rules appellants and department representatives have 7 minute for cases and 3 anybody's for rublt. members not foifltd with the parties have up to 3 minutes to address the board approves o
to my left it deputy city attorney robert brian heel provide the board that legal advice and the boards legal assistant. we're joined by representatives of the boards administrator and also representing the planning department and planning commission. we have the building inspector as well. will you go over the guidelines >> the boardtest. >> good afternoon and welcome to the november 13, 2013, meeting of the board of appeals. the president is chris wong and joined by the vice...
SFGTV2: San Francisco Government Television
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Nov 9, 2013
11/13
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the design of the instantly matches the care that's provided here. it's a welcoming respectful place and it offers a place for people who don't often have access for enough space. four us it's been an honor to participate. finally, the two associations are committed to continue the improvement in this neighborhood for the building is on a corner that's a tough one and committed to outreach to our community. finally t n d c is honored to be part of this partnership (clapping) so we're going to move a little bit faster because we've got to get through the entire program >> it's my pleasure to introduce our director of health barking garcia who started her career some years ago and now she's our director of health thank her for her vision for this we're celebrating today and her undying support for the patients we serve (clapping) good morning, everyone i celebrate 17 years this week and i started as the sunny director for tom o'dell. if you'd gone into the original tom o'dell that our patients and a staff deserves a better space. it takes time 17 year
the design of the instantly matches the care that's provided here. it's a welcoming respectful place and it offers a place for people who don't often have access for enough space. four us it's been an honor to participate. finally, the two associations are committed to continue the improvement in this neighborhood for the building is on a corner that's a tough one and committed to outreach to our community. finally t n d c is honored to be part of this partnership (clapping) so we're going to...
SFGTV: San Francisco Government Television
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Nov 3, 2013
11/13
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performance of all of appointments of medical treatment being provided by the city. that's very important because looking at the non-profit entities, these are mainly concerned with memo health issues, substance health abuse. it seemed to us based on our discussions that you can track the various performance techniques. that's why we wanted to ensure that "avatar" got in the service. >> the "avatar" system is it in existence? >> it's in existence and has been used at some level and the report we got that it's very difficult and contractors are having problems of the system of the data entry problems. in that sense it's like any system starting up, but there was certainly complaint and concern that the contractors didn't have enough help in working the system and that impaired the over all "avatar" system. >> if i'm a service provider and i have access to the "avatar" system, does that mean i'm in my office and i upload information. how exactly, do i need to go down to the public office? how does that work? >> it's a marvelous system. many aspects of treatment can go
performance of all of appointments of medical treatment being provided by the city. that's very important because looking at the non-profit entities, these are mainly concerned with memo health issues, substance health abuse. it seemed to us based on our discussions that you can track the various performance techniques. that's why we wanted to ensure that "avatar" got in the service. >> the "avatar" system is it in existence? >> it's in existence and has been...
SFGTV: San Francisco Government Television
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Nov 24, 2013
11/13
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providing endless amounts for us to read. definitely tough issues and huge changes we are proposing with these recommendations but i want to focus on a few things. it's really a relatively narrow focus we're discussing here, we're only talking about metered spaces, we're not talking about unmetered spaces on the street, i think the last speaker mr. mendosa mentioned we do have other parking options. so a lot of people mentioned the idea of punishment and obviously that was not our intent when we convened the committee. i think what we are really aiming for is some revolutionary ideas to create better equality overall in our transportation and parbing management here and it feels like punishment because some of us with blue placards have been parking for free but if we're aiming for equality we should be paying the equal amount as everybody else. we may not be there yet but i think this is a great step in the right direction and i appreciate the thautdful comments from everyone and the thoughtful amendment in light of the low
providing endless amounts for us to read. definitely tough issues and huge changes we are proposing with these recommendations but i want to focus on a few things. it's really a relatively narrow focus we're discussing here, we're only talking about metered spaces, we're not talking about unmetered spaces on the street, i think the last speaker mr. mendosa mentioned we do have other parking options. so a lot of people mentioned the idea of punishment and obviously that was not our intent when...
SFGTV: San Francisco Government Television
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Nov 29, 2013
11/13
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to 3 and basically it's to provide information for residents and staff, resources are available in the community. the social service department had invited independent living resource center of san francisco, they put a booth together or table to share some of our service you know the programs that independent living center offers so it's a great way to let the residents know that there are services available for them to engage in the community. >> i agree. i had them participating that discharge fare and i had my third one and this december is going to be my 4th one i believe and you are right laguna honda staff are really engaging their residents they call them residents, to attend this type of fare and they are creative they are doing some drawings now to get them to attend and participate and in the booth get information and from what i'm understanding we're expanding and it's always been well received because i stay there from beginning to end and there's an instead n steady stream of people asking for information. >> can you say that date again? >> december fifth, thursday at the
to 3 and basically it's to provide information for residents and staff, resources are available in the community. the social service department had invited independent living resource center of san francisco, they put a booth together or table to share some of our service you know the programs that independent living center offers so it's a great way to let the residents know that there are services available for them to engage in the community. >> i agree. i had them participating that...
SFGTV: San Francisco Government Television
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Nov 5, 2013
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and that can be transitioned to new plans and also, potentially new providers and even pharmacies. there is also opportunity and challenges in the integration of the services and we know that even though these new options will be great they will not be as comprehensive as what was available under ryan white and we have the challenge to figure out how to continue to integrate the services that are still available under ryan white with the new services under healthcare reform without running into issues. >> and so we have some transition and experience in san francisco and in california, and medical, programs, did move all senior and persons with disabilities including a large number of people with hiv from the service medical and managed care beginning in 2011. and there is also plans under way dually eligible people with medical and medicare. and also, this partial medical under california undertook as part of the 1115 waiver called the programs and passed here in san francisco we did learn that they were not opt mal, and we think that 60 percent of the folks will be medical eligib
and that can be transitioned to new plans and also, potentially new providers and even pharmacies. there is also opportunity and challenges in the integration of the services and we know that even though these new options will be great they will not be as comprehensive as what was available under ryan white and we have the challenge to figure out how to continue to integrate the services that are still available under ryan white with the new services under healthcare reform without running into...
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Nov 28, 2013
11/13
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ALJAZAM
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by contraceptives provided by insurance. insurance. the issue is four of the drugs the issue is four of the drugs available terminate pregnancy available terminate pregnancy including planned b and ella including planned b and ella known as the morning after and known as the morning after and week after pills. week after pills. president obama has defended the president obama has defended the contraception mandate portion of contraception mandate portion of the law but the administration the law but the administration has allowed some exceptions. has allowed some exceptions. >> it's good for our healthcare >> it's good for our healthcare system in general because we system in general because we know the overall cost of care is know the overall cost of care is lower when women have access to lower when women have access to contraceptive services. contraceptive services. and listen, we recognize that and listen, we recognize that many people have strongly held many people have strongly held religious views on religious views o
by contraceptives provided by insurance. insurance. the issue is four of the drugs the issue is four of the drugs available terminate pregnancy available terminate pregnancy including planned b and ella including planned b and ella known as the morning after and known as the morning after and week after pills. week after pills. president obama has defended the president obama has defended the contraception mandate portion of contraception mandate portion of the law but the administration the...
SFGTV: San Francisco Government Television
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Nov 8, 2013
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so we're forced to contract with the higher priced provider. as time goes on, the health plan may say we're going to try to implement and restore price competition by saying to our members, okay, you want to go to this really expensive one, 1, $1, you pay 1, you pay the first $1,000 and we'll cover efg else after that. and they say you can't advantage us as talked about from your earlier speaker. there's anticompetitive tactics. >> thanks. >> so you'll see from 1999 to 2011, for capital hospital spending has doubled in california. there's some competition that don't have large systems, keep in mind what we need to have a competitive market, it's choice and transparency. if the consumers have the information, they have choices and they can move their spendings to one place to the other and force the market to be responsiblive. we have neither of those and it's getting worse. >> here's another slide which talks about the same spending pattern but tries to break it down and so on the left-hand side, you look at total spendings between 1995 and 199
so we're forced to contract with the higher priced provider. as time goes on, the health plan may say we're going to try to implement and restore price competition by saying to our members, okay, you want to go to this really expensive one, 1, $1, you pay 1, you pay the first $1,000 and we'll cover efg else after that. and they say you can't advantage us as talked about from your earlier speaker. there's anticompetitive tactics. >> thanks. >> so you'll see from 1999 to 2011, for...
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Nov 19, 2013
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really only one or two providers. this type of pricing doesn't necessarily have the same impact for those providers, and it won't have the same kind. if you think about it, then you can end up in some kind of antitrust issues where if you have two providers, another price. we get into a whole other area of complicated issues. so it's not likely these will occur there. >> we have only a few minutes left and we ask you to not only spend those listening, but filling out the evaluation form if you would. we have another california centered question here. how about a market heavily penetrated by hmos, and the question wonders how the reference based prices for anthem's ppo compared with the prices in california hmos. the prices that they pay. >> well, the -- the hmo in california in general, it's decreasing gradually and the ppo is increasing, but there's still a large number of hmo members. in most cases, as far as anthem goes, the hospital pricing is a contract between anthem and the hospital. so, the professional compon
really only one or two providers. this type of pricing doesn't necessarily have the same impact for those providers, and it won't have the same kind. if you think about it, then you can end up in some kind of antitrust issues where if you have two providers, another price. we get into a whole other area of complicated issues. so it's not likely these will occur there. >> we have only a few minutes left and we ask you to not only spend those listening, but filling out the evaluation form...
SFGTV: San Francisco Government Television
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Nov 15, 2013
11/13
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they can be child care providers so our clients can go out and work. >> we found more and more women of child bearing age come down with cancer and they have kids and the kids were having a horrible time and parents were having a horrible time. how do parents tell their kids they may not be here? what we do is provide a place and the material and support and then they figure out their own truth, what it means to them. i see the behavior change in front of my eyes. maybe they have never been able to go out of boundaries, their lives have been so rigid to sort of expressing that makes tremendous changes. because we did what we did, it is now sort of a nationwide model. >> i think you would be surprised if you come to these clinics. many of them i think would be your neighbors if you knew that. often times we just don't discuss that. we treat husband and wife and they bring in their kids or we treat the grandparents and then the next generation. there are people who come in who need treatment for their heart disease or for their diabetes or their high blood pressure or their cholesterol
they can be child care providers so our clients can go out and work. >> we found more and more women of child bearing age come down with cancer and they have kids and the kids were having a horrible time and parents were having a horrible time. how do parents tell their kids they may not be here? what we do is provide a place and the material and support and then they figure out their own truth, what it means to them. i see the behavior change in front of my eyes. maybe they have never...
SFGTV: San Francisco Government Television
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Nov 9, 2013
11/13
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based upon the information provided, had this been provided during the director's hearing i do not believe that the department would have done anything else other than to (inaudible) and we are here to answer any questions that you may have. >> refresh my memory and i am sure that this question was asked and answered before, but the department in reviewing ongoing operations handles that in kind of the time frame. >> the code as it relates is specific, in that there must be operation, there can be not be a gap of no more than six months, if you are operating and for whatever reason you go six months, without operating and then continue operations, or in certain situations, for example, i believe that they can have the truck burned out and then contacted the department immediately of the situation and then at that point, we suspended the permit until we get fixed the vehicle and they go back into the operation and so these are the kind of situations that we do recognize that there are extending circumstances that will create the circumstances where the individual cannot operate and in this
based upon the information provided, had this been provided during the director's hearing i do not believe that the department would have done anything else other than to (inaudible) and we are here to answer any questions that you may have. >> refresh my memory and i am sure that this question was asked and answered before, but the department in reviewing ongoing operations handles that in kind of the time frame. >> the code as it relates is specific, in that there must be...
SFGTV: San Francisco Government Television
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Nov 5, 2013
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i will provide the copy of the article to use. we thank you for your attention. we this i if we are going to spend all this money, somebody ought to look into whether it's having any effect. >> thank you. thanks for the article. i have a question for you. finding no. 3 you found that the department of public health has not been able to take advantage of the "avatar" electronic information management system. it's curious to know if this is a similar, first can you describe to us what is the "avatar" system? >> it's a system used in the department of public health to view in all of their activities and able to manage their total resources as it affects specific aspects of their activities. jerry drad ler is here with me and he was able to look at the department of public health. i would let him address that specifically to give you that answer. >> bvr -- before you go, is this the same "avatar" system you found in dbi? >> no. >> yes, please, bring jerry. john anderson. >> "avatar" for our purpose was a system collecting medical and some cost data. it's a current st
i will provide the copy of the article to use. we thank you for your attention. we this i if we are going to spend all this money, somebody ought to look into whether it's having any effect. >> thank you. thanks for the article. i have a question for you. finding no. 3 you found that the department of public health has not been able to take advantage of the "avatar" electronic information management system. it's curious to know if this is a similar, first can you describe to us...
and we appreciate support, and actually demand that your work in providing that safety net.
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Nov 9, 2013
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i don't have to provide insurance, but i would like to. i'm not currently providing it. what do i do? >> well, my first recommendation to any one of those small business ace cross theountry is don't go to melt care.kovsh first. the technical aspects of healthcare.gov are uncertain at best until the end of the year. the best thing find a local agent or broky who can help them navigate through the challenges of the health care system and help them find the most economic solution for their employees and their dependents. more importantly, helping to make sure that whatever physician or provider that they have for their health care is part of their network. >> okay. so steve, this doesn't sound so different than what i would have done last year if i were a small business, under 50 people, and wanted to provide insurance for my employees. >> that's right. with the affordable care act that did come out, they have exchanges set up. 17 states, colorado being one. they've set up their own exchanges and all of them actually are faring a lot better than the government site, and so,
i don't have to provide insurance, but i would like to. i'm not currently providing it. what do i do? >> well, my first recommendation to any one of those small business ace cross theountry is don't go to melt care.kovsh first. the technical aspects of healthcare.gov are uncertain at best until the end of the year. the best thing find a local agent or broky who can help them navigate through the challenges of the health care system and help them find the most economic solution for their...
SFGTV2: San Francisco Government Television
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Nov 11, 2013
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we're talking about those that's in providing settings. and so, we've got to find ways, like you said, positive ways to help self-soothe. so, what i'm saying is we can't automatically assume, because i'm a rape victim and she's a rape victim, that nighttime is a bad time for me. so, what you're saying is individualized treatment plans for each individual. and, in addition to that, i think what's so important is the environments of care, particularly residential that can be so traumatizing, the experience of seclusion and restrain. it's horrifically traumatizing for the individual being tied down and restrained. it's traumatizing for the other folks who are watching it. it's traumatizing for the staff that are doing it, the experience of whether it is bed time. i've heard people say, standing in lines or all sorts of things within our institutions that we could do to create environments again that are safe and that are calm and that are healing. and the issue that is something that dr. gillece mentioned earlier-is the staff trained? absolut
we're talking about those that's in providing settings. and so, we've got to find ways, like you said, positive ways to help self-soothe. so, what i'm saying is we can't automatically assume, because i'm a rape victim and she's a rape victim, that nighttime is a bad time for me. so, what you're saying is individualized treatment plans for each individual. and, in addition to that, i think what's so important is the environments of care, particularly residential that can be so traumatizing, the...
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Nov 19, 2013
11/13
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providing an out link to the unbanked and under-banked. state regulators have long-supervised money transmiters to protect consumers and preserve national security and law enforcement interests. state regulators are talking with industry and other regular lay toshs about evolving methods of moving funds. this includes virtual currencies and peer-to-peer transactions. state regulators believe that an open dialogue is key to accomplishing the goal of determining the appropriate level of oversight and supervision. emerging payment technologies are at their core of the electronic movement of other people's money. this is not unlike the activities of money transmitters for which the states have an established structure for regulation and oversighted. licensing is the foundation. state regulators examine money trarns mitters on an on going basis. ensuring is that it does not lose a customer's money. further, states actively examine requirements coordinating with finsen and the irs. >> after working with the brazil central bank, my division earli
providing an out link to the unbanked and under-banked. state regulators have long-supervised money transmiters to protect consumers and preserve national security and law enforcement interests. state regulators are talking with industry and other regular lay toshs about evolving methods of moving funds. this includes virtual currencies and peer-to-peer transactions. state regulators believe that an open dialogue is key to accomplishing the goal of determining the appropriate level of oversight...
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Nov 5, 2013
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someone from provider be yet to issue to provider b and c and see that the networking, in other words, you have to do multiple. different data streams and providers, making it infinitely more complicated to try to do grand jury subpoenas. i think that is part of the reason why it is complicated in addition to the fact he said, to insure as a legal matter that it must be retained. some of these providers may retain their data voluntarily, but without something like this or you have no guarantee that there will keep the data. >> thank you and good morning. this into the discussion and thinking about terry versus ohio , it seems to me that there are two issues. one, of course, when you think about it, that is the standard that the new york city police have used in its stop and frisk program which is at the very least highly controversy. a lot of people feel it has ended up being implemented in a discriminatory way the police in new york city would say, well, every single one of those stops was based on something. secondly, in the police stopped case it seems to me that the good aspect of
someone from provider be yet to issue to provider b and c and see that the networking, in other words, you have to do multiple. different data streams and providers, making it infinitely more complicated to try to do grand jury subpoenas. i think that is part of the reason why it is complicated in addition to the fact he said, to insure as a legal matter that it must be retained. some of these providers may retain their data voluntarily, but without something like this or you have no guarantee...
SFGTV2: San Francisco Government Television
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Nov 21, 2013
11/13
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this was done at the planning commission and that note was provided. there are at least five neighborhood meetings. there were several site postings due to the fact that we had now two planning commission hearings and now board of appeals. we haven't heard any example of anyone not getting notice and not being part of this process. with respect to downtown high school, there is a section of ceqa that does require special notice of schools within a quarter mile of the project, but they only require that when a project is anticipated to emit hazardous substance. this is a residential project so both ourselves and the planning department agree that it's not appropriate for this project. we are thrilled to have the opportunity to build these sites and manage these apartments in the future. they have made numerous modifications based on the input. just to go through a couple of those changes shall they have reduced the account and increased the parking spaces and provided those set backs from the upper two floors in addition to the others. those are the mai
this was done at the planning commission and that note was provided. there are at least five neighborhood meetings. there were several site postings due to the fact that we had now two planning commission hearings and now board of appeals. we haven't heard any example of anyone not getting notice and not being part of this process. with respect to downtown high school, there is a section of ceqa that does require special notice of schools within a quarter mile of the project, but they only...
SFGTV: San Francisco Government Television
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Nov 22, 2013
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i'm working with doctor to understand why it's happening and to provide the assurance. >> i'd like to make a request that we provide for the community some kind of communication a memo some letter that puts in writing our intention clearly. there seems to have been a somewhat mixed message there about motivation and intention of doing this. i'm interested in making sure we have a clear message and we do something official to communicate to the school community. >> and we will definitely do this commissioner. >> yes. dr. >> i want to support that representations from commissioner winn's. i think we've received panicky letters and i want to go on record i'm supportive of the artists and residents program. increase an issue of fairness folks raise money to support positions that are required by the district to put it into a trust fund. so i think it's important that the district have the capacity to do the work. >> i just wanted to quickly ask about the required insurance. is that something they had to have when they weren't under our coverage now that wore taking and requiring them to h
i'm working with doctor to understand why it's happening and to provide the assurance. >> i'd like to make a request that we provide for the community some kind of communication a memo some letter that puts in writing our intention clearly. there seems to have been a somewhat mixed message there about motivation and intention of doing this. i'm interested in making sure we have a clear message and we do something official to communicate to the school community. >> and we will...