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Slow Streets: A Path to Permanence

Slow Streets: A Path to Permanence
By Shannon Hake

In locations throughout San Francisco, the Slow Streets Program has shown that minimizing traffic on residential streets allows them to be more safely used as a space for people traveling by foot and by bicycle. Due to the program’s success, the SFMTA is now exploring the possibility of making some of the current temporary Slow Streets permanent, extending their use beyond the COVID-19 emergency.  

Slow Streets discourage non-local vehicle access through barricades and signage. Reducing the number of vehicles on Slow Streets provides more space for physically-distanced essential travel and exercise during the COVID-19 emergency. Because of their popularity, community members have indicated a strong interest in a longer-term future for these streets. As such, we are planning ahead so that some Slow Streets can be maintained beyond the public health emergency.

In the coming months we’ll be implementing our “Path to Permanence” on the first three Slow Streets corridors: Page Street, Shotwell Street, and Sanchez Street. These are corridors where our resident and user surveys have shown strong community support for Slow Streets.  The positive feedback from these surveys has shown that residents and users of these Slow Streets overwhelmingly support making them permanent. After completing the planning process with these three streets, we’ll explore other streets in the network using the same process:

• Determine Support for Permanence: We survey the residents living along all of our Slow Streets to better understand the desire to make the designation permanent. These surveys are ongoing and will be completed on all Slow Streets corridors by May.
• Listen to the Community: On streets with strong support, we engage with residents and stakeholders on potential permanent treatments. These could include operational changes like turn restrictions or other physical changes with more durable materials, beyond the temporary delineator treatment currently in place on some Slow Streets.
• Design Permanent Treatments: Using the feedback from the community, our engineers and planners will complete the permanent Slow Streets design, which will consist of uniform elements. We’ll meet with the community again to share this design and address any outstanding concerns.
• Approve Permanent Changes and Slow Streets Designation: Following a public hearing process and other internal review, we’ll present permanent corridor changes to the SFMTA Board of Directors for final approval.

What’s Next

The SFMTA has implemented 25 temporary Slow Streets since April 2020. Identifying which corridors have support for being made permanent will take time. We plan to survey residents along all temporary Slow Streets corridors by May 2021 to determine which corridors may advance to permanence.

The Slow Streets network continues to evolve, and will expand to include 13 additional temporary corridors if our proposal is approved at the SFMTA Board of Directors meeting on February 16. These new corridors will go through the process outlined above to determine whether they should be considered permanent.

For updates, additional information, and to provide input, visit our Slow Streets Program page. 

Published January 28, 2021 at 12:17AM
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Launch HN: Axle Health (YC W21) – In-Home Healthcare as a Service https://ift.tt/3pqtPKv

Launch HN: Axle Health (YC W21) – In-Home Healthcare as a Service Hey everyone, We’re Connor and Adam and we’re working on Axle Health ( https://ift.tt/3qXzRTi ). We provide an API for sending health professionals to people’s homes to deliver medical services. For example, a telehealth company can use our service to request an in-home blood draw for their patient. Healthcare has traditionally been delivered in an office or hospital. In recent years, telehealth - providing healthcare remotely, without the need for people to come to a healthcare facility - has taken off as technology has improved, but physical tests are still often needed to make diagnoses, and physical contact is needed to administer treatment. Without physical interaction, telehealth physicians can only handle a subset of common visit reasons. In all other cases they’re required to refer patients to a lab or in-person doctor. As a result of this lack of continuity in the patient’s care journey, most use telehealth platforms for one-off needs like getting a prescription filled. The goal of our platform is to be an extension of the physician in the patient’s home, working on the doctor’s orders to administer physical services that would normally require a visit to a lab or office. I ran across this problem when I moved from New York to Los Angeles. I had received the first dose of a vaccine (not the COVID vaccine, unfortunately) before moving and needed the second on arrival. My only option was to find a new doctor who required me to do a full physical exam before I could receive the second dose. I did it, but needed to take a couple hours off of work. I thought “why can’t I just get this done at home”. It’s not just me, studies show that completion of multi-dose vaccine courses is as low as 33%. Life just gets in the way. After I had my experience, I called up my friend from college, Adam, who worked at UberEats and we started thinking about the economics of bringing care to patients’ homes. The wealthy already have access to in-home healthcare. The question was, could we drive enough operational efficiency and optimization to make this available to everyone while only charging a small per visit fee for companies to use the platform. Solving this problem would have far reaching implications by expanding access to treatment in healthcare deserts, enabling decentralized clinical trials, improving uptake of basic preventive services, and leading to better health outcomes. The operational and technical challenge of sending a health professional to a patient’s home is complex. There are a couple of old line national phlebotomy companies that go in-home, but phlebotomy (drawing blood) is the easy part. When you start moving up the licensure ladder from phlebotomist to medical assistant to licensed practical nurse to registered nurse, their scope of practice expands. Each state has its own laws governing the scope of practice of each of those professionals. For example, our appointment assignment algorithm needs to account for the fact that in Florida a medical assistant can start an IV line, but in California they can’t. We need to ensure each professional has the right mix of supplies for their daily appointments to drive maximum efficiency - a nurse might go from administering an immunotherapy IV at one home to a vaccine at another. Luckily Adam is crazy enough to like these logistical headaches :P But, Adam won’t need to solve these problems manually. We’ve built a good bit of software around matching patients with in-home professionals. The process is fully programmatic meaning partners can use our API to find available services in a zip code, pull time slot availability and pricing by geography, indicate special instructions from the doctor, book visits, and receive visit updates via webhooks. Health professionals from our network use the Axle app to get shift assignments, indicate to patients that they’re en route, and write up any visit notes. Patients can even see their health professional on a map in real time just like an Uber. We want to make the process of getting in-home care as seamless as possible for patients and health professionals. Our API documentation ( https://ift.tt/36fRiqi ) is publicly available. We’re hoping to enable the next generation of healthcare startups by offering them the ability to physically interact with patients, through us. We wanted to make the API as straightforward as possible, so we welcome any feedback on the documentation or our product at large! Thanks for reading! January 27, 2021 at 05:18PM

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Fiona Hinze Fills Final Seat on SFMTA Board of Directors

Fiona Hinze Fills Final Seat on SFMTA Board of Directors
By Lori Phelan

Fiona Hinze, transit accessibility advocate and resident of the Outer Richmond, has joined the SFMTA Board of Directors as the seventh member on the board, filling the final vacancy. Nominated by Mayor Breed in late October, Hinze brings a lifetime of experience advocating for transit access for people with disabilities such as herself. Hinze lives with cerebral palsy and uses an electric wheelchair for mobility.

"It is important we have a member on the SFMTA Board who understands the needs of our disability community and the challenges people face getting around our City, whether that's riding Muni or navigating our streets and sidewalks," said Mayor Breed in a press release. "Fiona is a respected and trusted community member and knows how to listen to the needs of people living with disabilities and advocate for change. She will bring an important perspective to the SFMTA Board and I'm confident she'll prioritize equity and work to create a more accessible transit system for the people of San Francisco."

Hinze has been working as director of systems change for the Independent Living Resource Center San Francisco, a disability rights advocacy and support organization, since 2014. There she tracks key state and local advocacy issues and by attending community committee and task force meetings. She works to ensure consumers are aware of advocacy opportunities in the community, such as calls to action on various issues.

She's also co-chair of the Dignity Fund Coalition and has served on several boards and task forces including the Paratransit Coordinating Council, the Senior Disability Working Group of the Vision Zero Coalition, the Sunshine Ordinance Task Force and the Disability Organizing Network.

She just completed two terms on the California State Independent Living Council, to which she was appointed in 2014 by former governor Jerry Brown.

Hinze graduated from Stanford University in 2013 with a Bachelor of Arts degree with distinction in Psychology; Health and Development; also working as a research and teaching assistant. During that same time period, she worked as a legislative intern for Assemblywoman Fiona Ma.

With her approval from the San Francisco Board of Supervisors and being sworn in by Mayor Breed Jan. 14, Hinze's appointment fills the final vacancy on the SFMTA Board of Directors.

SFMTA Board of Directors

Twice monthly the agency's board of directors meet at City Hall to discuss and provide policy oversight for safe and efficient transportation in San Francisco in accordance with the city charter and the Transit First Policy.

This seven-member board, appointed by the Mayor and confirmed by the San Francisco Board of Supervisors, typically meets on the first and third Tuesday of each month at 1 p.m., unless otherwise noted. Meetings are open to everyone and are streamed live through SFGovTV. Additional information such as agendas, resolutions and legislation passed by the Board can be accessed through our public-facing website, SFMTA.com.

Published January 26, 2021 at 05:08PM
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