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 they're keeping it at 14 patients two rn that's busy and difficult when you have

to do all the quality of care because you have the 7 patient and something happens i don't staff for that. i think like i don't understand i thought there was supposed to do charity case but in my experience they try not to keep the patients too long based their financial status but some of the patients that went out to the community had to come back because of our care. i definitely urge you to pass the resolution because it will harm the community. people need those insufficient beds i don't know they're trying to cut back their cutting back

on the staffing it's definitely detrimental >> thank you. the next speaker as i said candy and john and others >> hi, i'm an rn that works at field nursing and it's going to close i have an internal ploy to read to you. it was written and july 9th it says hello all sharing with information i received at your post task force meeting we're on a pause for consolidating of the canvas to st. liking meaning holdings consolidation up to 4 months that brings us closer to

the november date more like the end of the year it is due to the state working on and city health care hearing maybe insufficient consensus b will be held to 38 beds and the insufficient beds two 21 beds not opening up all the beds at st. luke's due to not enough staffing the insufficient beds are held to 16 beds we're asked to move staff over as itch as possible to the other canvases is not needed we are that told there this last week it was on pause and held at 15 beds for many, many most so many of the staff has not worked

may be one or two pay periods and now 15 beds we need to have 46 we used to have and now down to 15. so our patients that's it they're sick and minimal people there decreases have move forward along and physical therapists have moved on because they're closed. now we have hardly anyone in terms of support >> time. >> thank you. >> good evening. i'm a recommended nurse. i've been on the field nursing facility and i'm also on the bargaining team so i'm hoping to work and find, you know, jobs

for nurses within the medical center. so this is the first i've seen there will be no skilled nursing bed in the st. luke canvases i've been involved in this process for 8 or 9 years original we were committed to keeping one hundred beds plus open and now? wield down and no skilled beds in the canvas this is disturbing we have nurses thinking their jobs for them and now it looks like zero i feel terrible to my coworkers i've been telling them they're going to st. luke's and having a job interest and turn around and see zero, zero is really disturbing i want some transparent i have coworkers their hours are cut or

they have to move from, you know, like night shift to p.m. shift this is, you know, upsetting to them they've got 20 years at the medical center and don't feel there being a tread well, so trarnlts certainly in this process >> thank you. >> good afternoon from the nursing association i want to echo what the speaker said it's outstanding to us this the first we've heard they have actually some solid plan at insufficient at st. luke's everything we've heard from sutter we're doing give me graphic research and so,

now we have this hearing and all of a sudden they have an answer maybe we need to have a lot more hearing and got answers i don't know but we have been asking for the mixed services and their plans to the future of st. luke's we need to know that about cathedral hill for the nonprofit hospital for the being for the community having a policy they don't expect anyone outdoors of cpc if this is what 31 they do with their practice didn't make it okay. this hospital is supposed to have a responsibility to the community for them to go from 2 hundred and 12 insufficient beds

to 38 insufficient beds that's a huge reduction and your own information is showing you you're going to need an increase of over a lot of beds from a huge hospital that is dedicated to insufficient so we're going to have to figure this out and work with the historic preservation commission to work this out because what sutter is doing is taking us in the wrong direction and as kim said another person they're making million dollars and statewide billions of in profit they're doing fine and to deny the veterans the services and the homeless or people that are lacking in their insurance even though they have insurance and they're go to lapse so they don't want to cover them this is

not what their supposed to be doing at the community hospital. we, you know, urge you to pass the resolution to say this is causing community harm and hope to work with you in the future too >> thank you very much. if there's no further public comment seeing none, public is closed commissioners, if you have any questions he at this point i was going to ask mr. veracruz if he could commercialism has i was looking at the number is it correct we currently have 99 insufficient beds i'm only looking at insufficient and that are staffed you're going to be proposed 75 staff but the ultimate license number you're going to be asking post construction is only 38

>> that's post construction that's all consistent with what the report outlines. >> as our master plan. >> but i presume when 9 time comes how we'll handle the legacy services at st. luke's we'll have to go through the channels with public health but for clarification sake i heard there was a miss conception that the one hundred and 20 care beds we'll take the 79 and move them into them that's thoot not; correct this is the first day we're hearing about st. luke the director put out the report in 2008, and this is clearly outlined in the report. ii think that answers your questions

>> i thought we should get classification and any further reduction require a hearing under our current prospers recollections. and i was going to ask a clarification open the employees there's a various whether it's 19 or 4 are you relocating or offering them packages we're interested >> first and foremost we want to keep people in jobs and offer them alternatives one thing there are about 8 nursing physicians we've gun go going through troothd training to take care of cardiology patients a number of them have passes their

examines so people are qualified for those positions so my lastly number we're identified for everyone positions four ln positions we're looking for jobs and open positions to offer people all the way up until the consolidation. >> questions. >> go ahead. >> i wanted to ask co- lien some questions. >> okay. >> and understand a couple of things and sure. >> sure i'm sorry. and then i have a couple of questions for the gentleman as well. i'm trying to boil this down the employment issues aside what i'm trying to make sense is the supply and demand equation here the demand for the services vs. the