mentally health funds are lack but this is not the sleuths i'm wondering how many of the hyde street clinic patients will be facing the same situation in the dialyses pashtsd would have faced if we were relocated at laguna honda they'll get various levels of mentally health care gathered around town increasing their transportation and the burden they face getting before and after for appointment. i think this clinic needs to be more centrally located why they're getting other services and beyond a fragile

neighborhood thank you. >> other public comment josh. >> good evening. i'm also a tenant at post and polk i'm a few blocks and a community health care worker additional familiar with this organization they'll providing mental health services people coming to see their psychiatrist next to a hospital that already provides mental health services i don't expect my neighborhood will notice those people interest there is a wall walgreens across the street so if there's an issue of medication there's a walgreens there. i've lived in this neighborhood

nor 20 years i've been doing outreach in this neighborhood for about 15 and very clear about the kinds of people that do the sort of things we're concerned about. this is not this group not thirty this population. so thank you very much i hope you support to >> there are there being no other public comment. >> no, we haven't received any. >> commissioners we have the consent calendar the committee brought forgot a request for the approval roaming is there further comment there were also some caveats you had indicated in regards to its approval. do you want to also include

those as part of what your expecting within the approval for the site >> i think so commissioner, i will definitely propose that we make not of the protocols in place i don't have those in front of me. >> i believe that director garcia as i was coming in late during the testimony i was late in terms of the good neighborhood policy and it was asked by a couple of individuals also the board chair laid out the good neighbor policy looking at the medical issues the building and the camera and a buzzer at the door and monitoring the front of the building before and after the

program closed. and keeping open a neighborhood monthly meeting that will meet the good neighbor policy for the continuance and i encourage the mission to approve this relocation >> we do have one more public speaker wendy please. i just want to address this commission. i'm a resident of concern hyde a client of the high services i want this heather it would be great great to continue on to my emotional recovery. one other thing to point out one hundred and 75 feet from the

proposed site at the corner there's already private mental health services that's offered there and i don't understand the difference between public funded and private funded except as cost i was engaged in private mental health services at you know for $100 a pop well those who can't afford that and i can't afford that now public mental health is needed and i would like to continue my recovery. through the continued services at high street community services thank you. thank you. commissioners any further comments we have from the committee from a vote on the

relocation of the hyatt street >> i move we accept the consent calendar. >> well, because this became public comment i've accepted hass this as a motion on the part of the committee we can move forward we're prepared for the vote. >> i'd like to gralt congratulate commissioner ma guarantee in handing what is the right thing for the people's community and their health those are not easy to square but as a city we should be proud of this recommendation. >> i assume we're ready all in favor, say i. opposed? the approval has been passed. thank you very much.

(clapping.) our next item >> is the proposition kwfshgs hearing for the skilled nursing beds and there's a resolution for your consideration. >> okay. thank you. good afternoon. i'm co- lien the deputy director for the policy and planning here to provide you with additional information and follow-up to our last hearing at our previous meeting you requested additional information from the department of public health and i'm going to provide you with a brief presentation now. so this table was also included in our memo although it had a small error this is the correct copy but what the condition asked to provide additional

information on the licensed beds they were planning for 2014. the d mc provided the staff beds and the commission ask for the licensed beds you see there's a proposed reduction of staff nursing beds at 24. and a proposed license reduction of 95. and again c pmc indicated this rearrangement of the nursing care services to meet the projected demand is consist with the pattern for nursing services at the hospital they requested additional information on the impact of staffing at the hospital. d mc indicated while the numbers have not been finalized but 4 licensed nursing nurses will be

in place from this reduction. the commission asked for additional information about the impact of the restriction in stilled nursing beds in the previous memo i provided the key finding from the master black man plan but that's a most recently bed facility beds in san francisco i've provided some key fktsd those san francisco population is older than san francisco of the rate of the care beds is lower than the state one bed age 24 years is 4.1 compared to 5.1 in the state bylaw plus a current trend in health care that converts the

long-term care to short term beds in this facility in the stilled nursing facility thus reducing the care beds overall i should point out c mc plan was to serve patient in its own network. finally from the master plan given the information san francisco is likely to be seven hundred plus beds short by 2050. at the last commission meeting there was confusion i think about what would happen in the new hospitals post construction how many beds in each of the two rebuilt hospitals. so it's important to note neither cathedral hill nor the rebuild of st. luke's will have

them so the chart at the bottom of the slide shows the changes between current licensed bed the proposed 2014 licensed beds and the changed between current and rebuild so currently c mc is licenses torso. beds and st. luke's the service reduction is the change in the 2014 license bed plan this is the elimination of beds from california to zero and the increase in staff beds or the licensed beds stays the same as a insulting result of 2 hundred beds plus the post rebuilt the changes are california will no longer have the beds and 38 and dave's and

the new st. luke's are not scheduled to have more beds the overall beds between the two is one hundred and 74 that number is take into account in the shortfall recorded in the health care services master plan. so i also attached to our memo a copy of the loom report it's the department of public health review of c pmc master plan i'm sure you're aware it is required by the city and details any rebltd build project the local requires the hugh to look at the master plans and the loom group is the entity we've selected to do.

those are the key finding resulted of each of the following elements do to the still nursing beds for san franciscans over 65 is projected one hundred and 15 percent of captive in 2023 and i also stated this institutional master plan review was done other than the rebuild plan where cathedral hill was larger and st. luke's was smaller by no change plan so the findings that related to the nursing beds still remains the same despite the size. the gradual reductions in beds at c pmc between 2004 a 8 the staff declined by 96.

the report also found that c pmc plan to eliminate the beds didn't support the city services. just as found in the bed fablt it's declining nationwide and a plan will be needed to address this issue. so p that concludes my presentation. the health care services master plan says an, an increasing need for more beds from long-term to short term the reduction of the skilled new year's for san francisco and unless the reduction has an effect on the community and that's for your decision today as was mentioned a resolution presented for your

consideration and mr. very sincerely, crews the ceo is here to answer any questions you have >> did mr. veracruz want to make a statement. so public comment you're hearing will be two minutes please. i'll read them 3 at that time, so you can be prepared to submit our testimony. first (calling names) >> george good afternoon, commissioners you know the last decade i've been going to the mayors council meeting indicating i'm one of the few remaining advocates in this town a decade later finally getting

around to this report fortunate the handout on the table was her july 10th memo has page 2 and 5 i appreciate it if you give you the whole report. ems i've posted one of my recent articles on wwwstop l h h downsize.com talking about the disintegration of old friends how many patients are being dumped out of county you can't continue as you have over the last decade. you keep denying that the closure of beds at private hospitals do not have a detrimental impact on the health

of san franciscans. this time you have to find the huts paw to firmer take a stand and draw a line in the sand and is this is it. if you are going to be at one hundred and 15 percent of captive next year and those over age 65 are at a one hundred and 68 capacity 5 years from now you have to grandma that line in the sand you can't keep kicking the can down the road and you have to make decisions for >> time and - san franciscans it's time you do it. >> thank you. >> thank you. next speaker, please. >> my name is bryan i'm a volunteer for the committee here

to ask that the hngs h hmgs that the beds will be a detriment to the health of our community they claim the stiff beds are no longer necessary and the type language this is no longer the model it a self-fulfilling prophesy like the psych beds he in the meantime where do the pashlts end up insides the county jail we have stiff beds into the long term health facilities there are becoming a thing of the past medicaid and medicare don't want to make the

trips they're losing their primary care decreases and becoming harder and harder for the homes to stay in business those guys are making tens and tens of million dollars and outside of our community they've been drups our medicaid medical facilities and now they come before you today to say this is not going to have a negative impact on our city we want them to denounced this and seek greater action at the board of supervisors level. >> (calling names) or something similar that doesn't sound right.

>> from the san francisco great panthers we're gratified to see the historic preservation commission took the testimony that you've got how c pmc has maneuvered and frankly lied to try to justify it's cuts to sniff beds we're gratified the commission gets this, however, you can't separate the issue of c pmc cuts to the sniff beds from the larger issues of c pmc to st. luke's and the effect of c pmc cuts citywide. one good example of this if

according to they'll earlier plans of moving the insufficient beds and concentrating them in st. looukdz only 40 will be available this will rob of the community of badly needed beds by deskill st. luke's to the point where it will access functioning a full service hospital and it could radiate throughout the city if not able to take ambulance diversions >> time. >> thank you. >> thank you. next speaker, please. >> and if you can correct me for your last name. >> i'm from - i want to tell you that our patient are very

sick patient in jeopardy and when they're forced to - in the past few years they've breathing tubes are being removed so when they can go to other facilities some have been able to go back to work and the work of the staff starting - there's 3 decreases and one medical donor this is a difficult place for other hospital in the last 3 years the majority of admissions have been discharged and the plan is yes, ma'am latsd san franciscans they've needed care

and it's improved but they substitute their medical problem can be addressed by their preparation for the rehabilitation this patient don't need an i c u but they can't go to other facilities we want people to know the truth and really evaluate this type of care that our floor provides not only for sick patients but for patient from other hospitals in san franciscans area who need our unique type of services but our services going down 2008, 60 beds now only 40 and some are field we're needing other patient who don't belong to cpc

and thank you very much. >> thank you. >> hi my name is is colleen i'm a union representative for u h w i want to talk about what we're done over the negotiation or so of the issue over the last few months they've proven themselves to be untrust worthy we met with them they reiterated their plan to again close the insufficient at cal and having only 4 l.b. n is not true are we're looking at 9 workers 9 of them having reduced benefits and out the door with no jobs also want to say they've been engaging in bargaining and saying they're

not going to be able to do that 24i9s especially true on maintaining people's benefits and salaries and honoring their snorting so i want to say c p has been starving this unit out and capping the number of patients their allowing and, in fact, increase an internal e-mail that shows that moving forward they're only going to admit 16 patients where the unit is open to 23 not including the 23 beds that there have been closed from the fifth floor since february. >> thank you. >> and as we're going to at next speaker followed by (calling name

(calling names). >> good afternoon, commissioners aim mike colbourn i've been an employee for c pmc for 20 years i ask that i pass this resolution. >> would you be fine for a minute because resolution says. >> i think the closure of those beds will definitely impact the 76. >> thank you for stating our position. >> i'm an at about that staff member and i've been involved in all the meetings with the hospital. to be diplomatic i'll say it's frustrating their public announcement at the entrances to the dave's said we're going to be 8 or fewer laid off and this

is corrupt and there's going to be people in e d s and number one canals that are facing layoffs we were promised they were openings at c n a over at the pack canvas that is no longer going to be happening we final got the information about their use of overcome position and they definitely merit creating as opposed to negate some of the layoffs there's a backtrack open severance pay for people looking at retirement that severance pay would be a way to avoid layoffs they'll take the passage and therefore reduce the layoffs.

thank you very much. >> thank you. >> national union of health care workers arrest i don't want to say every time i go to a meeting with c mc it didn't work. the closure of the insufficient beds impacts san francisco we're no need of insufficient beds it's scary mayor completely okay getting up here and saying if the veteran needs the bed they're saying no go away and someone from the tenderloin is in need of the bed and that's the only one in the hospital they say go away. so what point do we try to hold this hospital chain who makes millions of go off the fact the

health system how do we hold them accountable and mayor they pay their fair share they don't pay taxed here's an opportunity for them to there they're a care and they're to increase their profit they meaning mean they want i to open your wallet they're making money off the public health system and i say pass this resolution saying that will be detrimental to san francisco and i urge you urge the board of supervisors to see what they, do to hold this corporation accountable >> thank you. the next speaker

is marilyn and (calling names) and those are the last 3 i have anyone else wishes to testify submit a form. >> eye hi, i'm marilyn i'm an r.n. r.n. pled since january of 1990 i've noticed a down ward trespassed of patient they're taking they're picking and chu's not patients who have no insurance or their insurance company has lapsed or not taking homeless or anyone with the drug decisions and trying to control the consensus and keeping it low and canceling the staff it's difficult they don't staff on seniority but