ticket in a couple minutes. [laughter] going to be hard to follow those last couple of people. you know, i just want to introduce myself. i'm army morgan. with operating engineers. and, you know, been with them 20 years, worked out in the field, you know, 18 years. so, you know, a project like this would be really good for us, of course, and i think it would be good for, you know, the community of san francisco. you know, we do support the project and support the city, the board of supervisors, the cpmc, plan to rebuild cpmc. we appreciate the work of cpmc, the mayor's office and the members of the board of supervisors who were able to keep this project moving forward and bring it before you today. these hospitals will only strengthen cpmc's ability to serve san franciscans throughout our city.

many of the previous hurdles have been addressed. there's no reason to delay this any further. i urge you to support this revised project so that all san franciscans can benefit from safer medical facilities. as a resident of san francisco, i believe that i deserve state-of-the-art structurally safe hospitals that cpmc plans to build. i support cpmc and believe strongly that san francisco's infrastructure patience and hard working men and women need this project. let's get it done. i ask that you vote in support of rebuilding cpmc without delay. thank you. >> thank you. next speaker. let me just call the final batch of names. [speaker not understood]. [speaker not understood]. mike mckenna. helene [speaker not understood]. steve. ysidra [speaker not understood].

[speaker not understood]. fernanda [speaker not understood]. phil blackwell. eddie chin. joseph [speaker not understood]. [speaker not understood] wilson. james marbury. [speaker not understood]. angie brown. good afternoon, supervisors. manny flores, local 22. i'll give it a shot. [speaker not understood], that represents much more diversified groups for the city and county of san francisco, the people. and i hope i said that right. thank you. thank you very much. >> thank you. next speaker.

good afternoon, supervisors. my name is helene [speaker not understood]. i am the general manager of daniel berham court. we are a [speaker not understood] right across the street from the proposed cathedral hill location. because of our proximity to the upcoming project, we had a lot of concerns. i want to thank the planning commission, the board of supervisors, specifically supervisor farrell's office, and cpmc for meeting with us, for hearing us, and for implementing some of the changes that we were very concerned about. thank you all for your efforts. we support the project and we would like to see it get started. thank you. >> thank you. next speaker. thank you, supervisors, for hearing this important item today. my name is [speaker not understood]. i am a project engineer at

[speaker not understood] builders. partnering with bold company [speaker not understood] and st. luke's project. i was in san francisco and a lake merced member and i support the city board of supervisors and the plan to rebuild cpmc. i graduated from san francisco state university a year ago with bachelor of science in civil engineering. as a young professional, i was very concerned that recent graduates are leading unemployment statistics. i don't want to join the ranks of unemployed. i know san francisco has done [speaker not understood] because it will create jobs which we really need. [speaker not understood] where i met people from builders looking for interns. after six months of internship, i was offered a full-time position of project engineer. unfortunately, my endeavor was only temporary and short. in august the whole team of

specialists, people working together for years, both professionally and personally was ramped down. i appreciate the work of cpmc, the mayor's office and the members of the board of supervisors who were able to keep this project moving forward and bring before you today. i am here today because i do care about the project. working on this project will be something special. it's what every day you can be part of an effort that will help our community when it's most in need. i want my [speaker not understood] to have a safe hospital and the best health care possible for san francisco residents and cpmc will be provide both of these. i ask that you vote in support of building cpmc [speaker not understood]. thank you. >> thank you. good afternoon, supervisors. my name is steve [speaker not understood]. i'm the executive director of [speaker not understood] senior center located in the heart of

japantown. we are a neighbor of cpmc and have been a neighbor of cpmc for many, many, many years. the members of our community, the members of my organization [speaker not understood] senior center, the seniors, including myself, participants with the hospital. we've had a long-standing relationship. we also in terms of [speaker not understood] have had a transition care program by which when our seniors are discharged from the hospital and upon returning home it's been very difficult in terms of that transition and we've worked with cpmc to be able to provide that. i want you also to know in terms of transparency that i'm the vice president of [speaker not understood] fire commission and in terms of observation of seeing how the emergency medical services at cpmc operates, i've seen individuals coming in on all levels to that hospital and have witnessed the staff, the physicians, the nurses in terms of a care sensitive handling of all the

individuals that come into that hospital have been part of san francisco in an international city. we are at the point now where we need a state-of-the-art hospital that can withstand earthquake, but also can serve all of our patients and consumers there in san francisco. i stand here in front of you to support, to rebuild of cpmc. i ask that you move this item on. thank you very much for your time. >> thank you. next speaker. good afternoon. my name is [speaker not understood], i didn't hear you call it. >> [speaker not understood]. yeah. okay, thank you. my name is laura barber and i'm a resident of san francisco for 43 years. i support the cpmc rebuild project and ask you to vote yes on the cpmc and st. luke's hospital.

our under served community needs st. luke's hospital and cpmc. i had served on the cpmc african-american health disparity for eight years and i know firsthand of their service to the community. and thank you. >> thank you. don't forget babies. say what? >> don't forget davies [speaker not understood]. oh, davies. >> next speaker. thank you. my name is [speaker not understood], a member of the first unitearian universalist church. thank you, supervisor chiu, for working towards a nuanced arrangement where members of the public, general public can use the parking late into the evening as they might attend events that are hosted at the unitearian church. i'd like to just add a little bit of history to this. we have had a symbiotic relationship in the city of san francisco since the 1960s when we reconfigured the streets and we reconfigured the church property. we entered into an agreement

with the city of san francisco to make our urban center available to any responsible groups or individuals planning to rent the space. and, so, the parking arrangement that we have goes far beyond the individual members of any one church. it goes to a wide variety of organizations and many activities that serve the life of this community. and emilie wilson of our staff will be here in just a second to give you more detail on that. we're grateful. we thank you for the consideration. we know that this has been an overwhelmingly complex project and we're in the 11th hour and we do very much appreciate your consideration. the only thing more i could add, i'm sawyer, is that we were right across the street from this hospital. if we had our druthers, we wouldn't have the inconveniences that come with a large hospital. we're going to hear a lot of sirens.

we're going to hear truck engines, going to have to pump oxygen in the hospital tanks. we chose not to become nimbis on that. a critical part of the expectation was we would have access to the public parking just as we have had access from public parking at the hotel that we previously operated. thank you so much. >> next speaker. thank you, speakers. i'm emilie wilson, the director of administration for the first unitearian universalist church of san francisco. this is located directly across the intersection from the new cpmc hospital location. our church is proud to host events and meetings by many organizations that serve much larger communities than just the neighborhood our church is located in. these events and meetings are often held at night when public

transportation is limited or simply not available. i am here today to let you know some of these organizations that use our facility that will greatly benefit from the use of the parking garage in the later hours of the evening. some of these organizations are kqed, the larkin street youth services, amnesty international, institute for responsible technology, the california institute of integral studies, democratic women in action, global healing fund, san francisco department of public health, and the university of california san francisco, just to name a few. having garage access at night, which we have at the hotel on that property was in operation, allows us to better serve these vital organizations who are doing such important work for the larger san fran is co-community and beyond. we thank the board of supervisors for considering allowing public access to this parking garage to the later hours.

~ san francisco thank you so much. >> thank you very much. next speaker. supervisor kim, supervisor wiener, supervisor chiu, my name is eddie chin and i am here to speak on behalf of apa family support services. i'm a board member of that agency. apa family support has been in long partnership with cpmc for a long time. and for the past couple years we have in collaboration reached out to different facets of all community to promote free health services. many of our clients were born in cpmc and were given

linguistic and cultural chairs, appropriate chairs. our clients live in tenderloin, live in the mission, live in bayview, live in visitacion valley. our clients of 7,000 duly deserve to have a world class health care center. we here urge you to rebuild cpmc. i thank you very much for moving this project forward. thank you. >> thank you. next speaker. thank you, supervisors, for hearing this item today. my name is annie chow, the [speaker not understood] coordinator from self-help for the elderly. i'm here to urge the supervisors to support cpmc's proposal to rebuild cpmc. as a long-time community

partner, cpmc has been extremely supportive of senior services in the community. rebuilding the cpmc hospitals is crucial and will only strengthen cpmc's ability to serve our seniors and the san francisco community as a whole. natural disasters are unpredictable. our cities should do what it can to plan for the unpredictable and protect our residents and our seniors. we need hospitals with strong infrastructure that can withstand a major earthquake in the future. as a resident of san francisco and on behalf of the 35,000 seniors served by self-help for the elderly, i ask you to vote in support of rebuilding cpmc. thank you. >> thank you very much. next speaker. good afternoon, supervisors. thank you for allowing us to be here. thank you for all your hard work. my name is fernando reyes and i'm here on behalf of my

employer [speaker not understood]. i'm here to show support today for cpmc project. i want to tell you the importance of this project going forward. [speaker not understood] close its doors, the neighborhood has changed. with businesses closing their doors, and and the ones that managed to stay afloat have done so sacrificing the work force. opening the garage late at night will improve the safety of the ones that live nearby and those who patronize [speaker not understood]. let the neighborhood flourish. please approve cpmc. thank you. >> thank you very much. next speaker. good afternoon. my name is thomas robert simpson. i am the founder and artistic director of an arts organization afro solo. a lot of our work takes place in the western addition cultural complex. a part of our work in the arts, we connect health and the arts.

in particular, to try to help alleviate some of the health disparities in the african-american community. initially that involved with cpmc and i hope that you will move forward on this project, about seven years ago as part of a health fair. ~ there was a young lady who worked at the african-american art and culture complex who was 40 years old, african-american, who had never had a mammogram. she was always afraid to get one. she would plan them, but something would always happen to interfere. i met the person who ran at that time the african-american breast health program who talked to her, counseled her, set up appointments for and with her, went on the appointment with her to have the exam. and bless pete if they didn't find something that was abnormal. of course, the young lady was petrified. so, they set up another session. they went again and found out

it was a false positive. that's the kind much relation i've had with cpmc in terms of their concern ask support of the people in the african-american people in particular. but san francisco's health. i hope that we can move forward with the rebuild so the hospital can move beyond the planning, organizing and meeting such as this and do what they really want to do and that is support people, help heal people and help save lives. thank you. >> thank you very much. next speaker. good afternoon, supervisors. my name is patty lee. i work as a community organizer in the de la hoyactionv neighborhood [speaker not understood] and also a member of the coalition san francisco need for housing jobs and justice. as so many people have said, we just want to thank you so much for the amazing work that has gone into making this agreement happen and to rebuild cpmc the right way. we -- the cmec, we serve a lot

of low-income immigrant families and seniors and folks who really need the health care. a lot of them are looking forward to accessing this new hospital and being able to access the world class health care that every san franciscan deserves. even though a lot are not able to because they come from low-income. they look forward to working with the city and the mayor's office and all the city departments to make that happen. and we also want to thank you, obviously lou girardo and sutter cpmc staff who have been so cooperative in making the development agreement move forward and rebuilding cpmc right away. and we just want to say that the community and the community coalition and the labor folks, it's because we've worked together that we are here and it's not just expertise from the legal -- the lawyers or the city attorney's office or the supervisors office. although all work is amazing.

it's uniting and making sure folks are aware these are happening and bringing the voices to the table that this agreement is happening and we really look forward to working with cpmc and the board of supervisors office in making this move forward right away. >> thank you. next speaker. good afternoon, supervisors. my name is dr. amor santiago and i'm the executive director of apa family support services. i'm also on the faculty of san jose state in health policy. and this has been a long process and i'm glad it's coming to you. all the deliberations and all of the good work of the city, city staff and the good role of the community has come together and i would like to urge you to support the rebuild of cpmc. ~ will of the community as my board member eddie chin

mentioned, we had a long relationship with cpmc. they supported us with our general operating costs, but also our efforts to touch the community. we serve families, immigrants, low-income in various communities, and the lob we just had our third family day that they supported, a chance for children and families on the last day of school to experience a petting zoo and for their staff to do a health screening and for children to receive teddy bears where they learn to you to do examinations that hopefully will eliminate some of the barriers that can frighten some of these children and families around medical care. they've been good partners, a billing nonprofit sister organization and they continue to support us. it's very complex, but in terms of economic development, in terms of safety and quality services, this is going to be an amazing -- there is going to be an amazing impact.

and, again, i urge you to support cpmc with all of your due deliberation and all your due consideration is going to be a great thing. thank you. >> thank you very much. if there are any additional public comments? seeing none, public comment is closed. ~ is there any [gavel] >> so, colleagues, the items are in the hands of the committee. president chiu. >> thank you again. i want to just thank all the members of the public who have been involved so diligently over the last couple of years and to get us to where we are today. as i mentioned before, i do want to first make an amendment with regards to the cathedral hill parking issue. let me just read the lapping wa into the record. i know mr. rich has this language as well. but we state that cpmc's cathedral hill campus garages shall be available only to visitors, employees, and staff of the campus after 9:00 p.m. however, nothing shall prohibit the use of parking after 9:00 p.m. by pre-arrangement, by

residential neighborhoods or nearby institutions subject to availability as determined by cpmc. the intent of this language is to allow cpmc after 9:00 p.m., if it turns out that they have availability after taking into account the needs of their nighttime staff and visitors, to work with residential neighbors and nearby institutions such as the unitearian church to allow for some parking after that hour. but otherwise, the intent is to ensure that the general public, particularly public members who are coming in to participate in nighttime activities along post street, that he that they wouldn't have kind of short-term one-time arrangement. is, first like to make that amendment. >> okay. all right, supervisor chiu -- excuse me, supervisor kim. [laughter] >> [speaker not understood]. >> i actually, you know, this is not an important issue for me, but for me i did want to get a better understanding of the nighttime parking issue.

it seems actually it would be better if that were coming just for one time entertainment uses on polk street could have a place to go because then otherwise people just circle around polk street. i forgot to ask that question before public comment. that was just -- >> absolutely. i will say the one thing i think all neighbors were united around in the immediate neighborhoods, both cathedral hill area as well as the middle and lower polk areas was that right now there is -- we have a lot of folks who come to this area and the idea was we didn't want to incent because there could potentially be close to a thousand parking spots, we didn't want to send the message out there are a thousand parking spots, come drive, come in after 11 o'clock, after you have your fun, get in your cars and leave the neighborhoodv. ~ neighborhoods. there is already a lot of [speaker not understood]. there were issues raised for current needs of residents as

well as nearby institutions for the church that have dozens of organizations, usually sunday through thursday, that use the facility after 9 o'clock. and, so, my language is really to address that. >> okay. again, i know this is not our neighborhood issue, so, i'm happy to support that. but i do hope that over time that we and that because i actually find it is very hard to park on polk street. i imagine it would actually provide relief. but i get the concerns of neighbors. i'm not sure parking lots create more demand for entertainment, but again, happy to support that. >> thanks. >> i should have the same reaction, but i'm also happy to defer to the compromise. any additional comment? >> i actually did have one additional comment on top of that. i wanted to just ask -- i know the department of public health is i believe here to answer a couple questions around the psych beds. and i want to just make it clear because it was mentioned in public comment that those of us who were from the board of

supervisors at the negotiation table, we certainly raised this issue of psych beds and i think would have been open to different possibilities. but obviously today we heard cpmc's answer. i just want to ask from dph's perspective they did agree with cpmc's perspective. could you tell us why this was not a priority in the discussions? because i know that's a question that a lot of members in the public have. >> thank you. collene, step difficult director of health and director garcia would be here today but she's out of town so she's asked me to be here on her behalf. and i appreciate the opportunity to speak to the psych bed issue. we really have engaged in discussions all along about expanding community-based alternatives to inpatient psychiatric care. and the development agreement does provide for a significant expansion of community-based mental health services. and specifically there's one program that we envisioned supporting that we detailed i think in a previous hearing

that we had here, that really looks at emergency patients in crisis as an alternative to inpatient care when it is appropriate. so, we talked specifically about door street urgent care which has the same level of licensure as a psychiatric emergency room service, but it's community based and the difference only being that the involuntary patients cannot go there. for patients who go on a voluntary basis, they provide the same level of care that is provided at a psychiatric emergency room. so, the trend for care is not hospital-based care. it's really community-based care. the least restrictive setting and we think that the development agreement and the innovation fund element that supports community based services real i do that. that said, we still understand there is a need for inpatient psychiatric care. we provide that at san francisco general hospital and director garcia respects that the negotiations didn't specifically address the

inpatient psychiatric beds. but i communicated her feeling to mr. kozo when they spoke last week that these inpatient beds are important for cpmc's health care delivery system as well as for the city's. so, they agreed to continue discussions about addressing psychiatric needs for residents of san francisco and believe that their discussions that occurred as part of the development agreement created the start for that dialogue to continue going on. >> do you expect those conversations to finish up in the next couple weeks or give us a sense because, again, there are so many members of the public that are concerned about this. >> i mean more post implementation of the development agreement. i think in has created a dialogue between cpmc and the department of health that was started by the health commission ~ that was created a ground for continuing discussions and knowing this issue was important to the board and also the community. ~ this, not in >> and i did understand at general there were risk

managers who thought dph -- who were were concerned about the reduction in acute and subacute bed. you feel differently from how some folks view the situation within general? >> so, as mr. singh spoke earlier about the psychiatric beds at general being full off, they are full. but they'renot necessarily full with people who need to be in an inpatient setting. to the extent we can create community based settings that are more appropriate for care, that frees up beds for people who really need inpatient psychiatric care. >> i just want to conclude, and thank you for those answers. i know this is an ongoing issue. this was the topic of discussion. it was resolved in the way it was resolved, but i certainly -- and i am going to support the agreement as we have come to it, but i am trusting that the department of public health and cpmc will be continuing these conversations in a way that will address the long-term needs that we talked about. i think certainly with [speaker

not understood] going on, certainly with the affordable care act and that impact it will have on our local mental health population, we have to have a real plan city-wide to deal with this. supervisor kim and other colleagues agree with that as well, but did just want to mention our work is certainly not going to be done with whatever we decide upon with regards to this particular set of cpmc agreements. >> supervisor kim. >> since dph is here, i just thought i would ask. i'm glad there is going to be continued discussion. and i understand that the move right now is to more outpatient and kind of least restrictive care, but there is still going to be a need for some acute and subacute beds on-site. , and so, i was curious what dph's response is. let's say cpmc does keep it to 18 beds. how many are at general today? >> we have about 60. i don't know exactly. >> 60, okay. if we ever find that other beds are widely used and at

capacity, what is the response when we have patients above and beyond that number? >> to the extent they come in in the emergency room, they go -- psychiatric emergency services or if they're full, then this go to other hospitals throughout the city. so, other hospitals throughout the city would accept psychiatric patients if they were in crisis at the time. >> but if all the beds were full because they're not -- the movement seems to be reducing the number of psych beds. so, if we're at capacity city-wide, what would then be the response for dpr if there were folk that really needed -- >> at the moment or kind of in a planning? >> at the moment, and then i guess your thoughts in the future. >> well, certainly at the moment as i said, i think that they would be received into emergency rooms throughout the city and in their ability to handle them and would be held there until they would be able to be stabilize and had placed into a bed that was available for them. the door street emergency urgent care center that i mentioned would be an alterna