open sheriff dismaying pursuits for health and healing this is the conceptual floor space is haven on the bottom is 20th and the corner entrance into an obvious logical ghetto desk you'll active spaces on the perimeter the retail on van ness so the left and have staff work areas along the transparent window areas and patient friendly design based on a team care delivery of medical survivors services this will think assessable to current regulations with that i'd like

to introduce dr. barrierer. >> handicap everyone we're really excited for before you and talk with you about the opportunity to bring health care into this area and i'd like to start by telling you a little bit about sutter pacific medical foundation that can be it there you go. >> and what we would like to achieve with having a clinic in this area sutter pacific medical foundations is part of the sutter health network and our function consists of doctors and

clinicians that provide direct career neutron an ambulancey are office space south setting we have clinics and decreases in san francisco and mri county we use electronic records to patient can move seam thely to spreadsheet care in the event they need to be in a hospital the hospital is on the electronic medical records to make it easier for patients the suitor foundation has been recognized throughout california and even nationally for our preventive care our patient satisfaction and we're rigorous about quality improvements we take to seriously and hold ours to top performances and many decreases are known as leaders

in their specialists nationally and internationally we're passionate about the high tech and focus on patient satisfaction. our proposed primary care on haven has 6 primary care providers in a family medication and pedestrian asterisks we provide x rays and mammograph and labs that have one-stop shop care not have to go elsewhere to receive those are services and we'll plan on bringing in specialists depending on what the patient needs are we'll have expanded hours and welcome drop in and open on weekends we accept more or most private and pun health care plans and

medi-cal and medicare patients are welcome you've heard on the recital spates our institute they include the eco friendly pursuits for mind, body, and spirit we'll have jewelry and body care pursuits that tie san francisco health products that is important with our painter we have a institute with heath and healing products the muni and 49 lines and bart stalgsz makes it easily assessable by public transportation in 2013, the department of public health published a master plan

and they identified van ness and the 20th street neighborhood as a mel underserved area that was one the criteria when we were looking for where we wanted to put a clinic in our planning our care center provides educates to specialist care and open to the general public and will accept outline types of insurance dpw report - does that mean my team is up >> i don't know. i had a time limit. >> oh you have to let me finish this and if you like you can submit that keep it on the rail we'll circulate that which that is time to ask questions we'll have that opportunity. >> actually, you have those slides in the packet as you look at it i'd like to address

position needs in area where i have questions. >> thank you. >> imagine from the project sponsor that's it. >> time. >> opening it up for public comment now everyone that wants to speak can you line up on that side of the room you don't have to speak in the order i call your name (calling names). >> if your name has been called feel free to address the commission. >> come on up the mike is free. >> please people we've got a long day and. >> good afternoon commissioner thank you for the opportunity to speak i'm charles mosser i'm a retired

physician my present professional interests are now as president of the board of directors health center i'm glad to hear hear camtc is bringing care to the mists hover i'd like to remind the commissioners that there are some other medical providers in the midst the mission neighborhood health center which i'm a part of has been there for nearly 50 years we have about 12 thousand 5 hundred patient most of them working poor our particular clinic services prominently spanish sparking population we're of one to 10 to

12 heartache centers in san francisco we turn no one away our present paver mix is 50 percent. >> sorry i missed that. >> 50 percent covered by medi-cal and about 38 uninsured our business model is simple when we have 50 percent or more medi-cal we can survive financially during the recession we dropped below 50 percent our undocumented patient rose to 50 percent we felt we were in a financial death spiral we've not come out of our concern with the new clinic they'll be serving also some medi-cal patient and if we lose two many of our medi-cal patient

our survival will be threatened after so many years of service in this area we only received notice this clinic was going to be heard which one week ago were we'd like to try to find a way to work cooperatively so we can all succeed so i would ask you to consider delaying this project to those issues what about uktd thank you for your attention. >> thank you. next speaker, please. >> good afternoon, commissioners my name is brenda story the executive director of admission neighborhood health center mission neighborhood health center asking you to postponing

the conditional use on all all parties can engage in discussions with sutter and the impact of this project in the mission district as dr. mosser said the mission neighborhood health center has a legacy of 50 years serving the low income community for the past century we've served for medical told us and children's and seniors and responded to the needs of our community no one at our health center is turned away every uninsured people can come to the clinic f of in their enable to pay we stand 48 percent insured monthly with the your honor, documented families it is our ability to leverage medi-cal dollars that

allows us to serve the uninsured patient one weeks ago i was approached by the suitor medical health foundation to support their primary care in the mission of van ness street a few blocks away from the health center the plans were reviewed in february, however, sutter and camtc in realize this until last week, we are asking to serve the medical population consistent with the development agreement that paved the way for the concussion of the campus we've support this addresses the agreement for sutter to provide associated spreadsheet care with folks with medi-cal the agreement if specify the opening of primary care services for the medical population in the

mission other than maintaining the prblg services all right. offered in the same campus every agreement has changed and the discussion needs to be addressed we're not open to being an afterthought it attempts to address the medical populations in a community that we have been serving for nearly half a century we don't have the pockets or large profit margins we have a rich history and legacy of serving the community we're truly concerned about the westbound of the health center as we face the daytime of the working class families out of the mission and now having sutter interested in serve the population and getting with stakeholders needs to take place we look forward to communication thank you very much. >> thank you.

>> i think there is seating in the very front for the woman that needs accumulation. >> good afternoon. i'm mire radio i'm the vice president of the broshgsz of the mission neighborhood center and an employer with the development agency for almost 50 years the mission neighborhood health center hats been serve the low income folks in the district our patients are 38 percent uninsured and 3 percent others public insurance and 3 percent private shiners as a federally qualified health center we need in order to subsidize the rest of our work to keep on providing the service we've been providing over 50 years to the uninsured

most of our uninsured patients are undocumented or mixed status family it is our ability to manager or manage the dollars that will enable us to continue now we as board members of the health center are fully aware that all medical health supervisors centers are to accept the folks we're asking for a postponement of van ness until all concerns partdz and the mission center can engage in further riderships impact of this project within the community i as a board member and very concerned before the impact of the opening of other health center so close to the location of ours you know and also what that means for the future of our mission neighborhood health

center again what i ask the commission to postpone this approval and speaking on behalf of the meta another thing we'd like bring to light in regards to this proposal as mentioned there will be jobs that will be for san francisco resident we wanted to know if there's a condition that is specifically saying those jobs that are being created will be for our residents very much. >> thank you. >> thank you. next speaker, please. >> good afternoon, commissioners my name is deanna the vice president of policy and advocacy for the san francisco clinic consortium the clinic consortium the city's larger uninsured patient our work of nonprofit the provides services to over 10

percent of san francisco's population by the offer a wide variety of sensitive services one of the partner clips is trusted primary care provider mission health center like all federally centers is required to serve everyone regardless of their ability to pay maintaining the revenue is important on page 5 the camtc states the clinic will spent expect most policies so that's a key difference at least you see that as a competitive issue we have to look at the federally qualified heartache center we see people regardless of their ability to pay awhile a group like camtc can pick and includes

didn't include the uninsured we the speakers is asking you to delay the action until camtc meets with the center to make sure there's classification and cooperation so we'll protect the ones we serve like the unserved patient we don't want the neighborhood health center to go under a delay in the planning commission will allow camtc and us to work together and a to further vaps the health needs of city thank you very much. >> thank you. next speaker. >> thank you my name is litigating i've lived in zip code for 35 empowers i'm shocked to release and around

the contributor from this site for 16 and the liberty hills i'm a member of the liberty hills association i've been here a lot of the day and heard talk about the community and the importance of community and one gentleman said he complasz the neighborhood door to door the project sponsor is here we all love health care and health care in our neighborhood and that's not what that is about but got no notice from the sponsor of this proposal we feinstein found out and asked them for a meeting and met with them last week and tells you that was their tennis not to consultant the residents until they've been through the planning process frankly shocked me i hope it shocks you they've

been working on this for a better part of the empower and didn't both both to ask the neighborhood was it needed with respect to the traffic and transient problem they anticipate 18 patients we are hour and opened 7 days or saturday and sunday i don't know but a lot of traffic and over half a mile from 16th street and 24th street the bart station and no parking for staff and patient this is the my neighborhood i know that the transient first policy is not the same underground as on paper muni doesn't serve this neighborhood they're operating under 60 percent under time not met the

goals we don't have good transit our neighborhood want to see a neighborhood transit plan we also feel it doesn't need to be storefront it can be on the two story they're not in the health survey more needy of neighborhood to our north and south to potrero they don't want to go to the be sure and excelsior they have greater needs we hope at a minimum for this matter to be postponed to truly be concussion with the people that live and work in this neighborhood thank you very much. >> thank you. next speaker. >> good afternoon,

commissioners my name is charley i'm with - i want to okay. some the comments and add if we're going to achieve the healthy privilege but to receptionist the snugsdz and resources exists and provide quality care one is the mission health center their or they're the provider for the urban insured resident and like the rest of the neighborhoods working class resident are also at risk from displacement from the economic sources and the high-end development sweeping through the neighborhood in order to keep their doors opposing open they serve medi-cal practical personality so why then would the project developer who is proposing to

offer services for 5 blocks away from a population that is already been or being served i ask you to delay this until those issues are resolved thank you. >> thank you. next speaker. >> good afternoon. thank you allowing me to speak i'm a family doctor at st. luke's. >> so i'm speaking to you from the prospective of someone that's been working in the city for 15 years providing primary care services i came here in the 90s and stayed working for department of public health community health system and also san mateo county system directing your attention during the time i was looking at the

need of innovation and changing the way primary care is delivered the way it is now it is updating why the i left the public sector not feeling like in my photograph view was different but wanted to go to sfooukdz and mission about a year and a half i came here and last year opened a clinic in sfooufkz campus and now my clinic is full after 10 months of being opened being full that quickly is a reflection of the great need for primary care services in the south part of the city and the area around st. luke's the space open 20th and

van ness e van ness is something to support the conditioned process and the development of stooukdz system but serve as a playing place that embedded in the community you st. luke's there a great need everywhere to provide community support and health for the city this is a

clinic that should move forward. >> thank you. next speaker. >> good afternoon commissioners i'm steve an architect in the 3 hundred block of lexington street close to haven i oppose the project on a couple of large ground the size of the project two is the discussion on whether this is tefrthd or not tefrthd to st. luke's and around the development of stooukdz and open and transparent analysis of on street off street daily parking around the site 6 or 7 days a week 10 or 12 hours a day and

the size of the project haven street corridor has been a small box smaller retail from the architecture stand out apple jake spades that lighting leads the neighborhood and box box retailers have definite not been welcomed into the neighborhood that puts the neighborhood anothers two times the normal retails on haven those 406 4 to 5 quality of life pedestrian extension along van ness i strongly ask the commission to hold for hearings and displaced

great transparent and the quantify reasoning and the data around the project which is in short coming of this thank you. >> thank you. next speaker. >> i'll call some more names i apologize if you've spoken ignore the call (calling names). >> good afternoon. i'm meg walker i work for sutter medical foundation in communications capacity i'm here to read a letter to you and put read into the record the clinic for the uninsured on the 408 hundred block of van ness the medical director couldn't be here he addresses the planning department i'm writing no

support of sutter foundation proposed primary care center on van ness street camtc proposed e proposing a new clinic center in the heart of san francisco's district i'm advising gi cotton and others be provided depends upon the patients needs it will expand primary and specialist care i understand the medical care center will be open including the walk in these and they've accept more private and public providers we currently care for people with low income some of the people have purchased policies with high deductibles making access to care problematic many center will be a great access and the

center will fill an unmet need for people that need primary care in the neighborhood clinic bits bay supports camtc and the net heartache services including the proposed 8g 99 center. >> thank you. next speaker. >> hi good afternoon my name is is johnson wang i'm a coffee i'm here to support the project on haven street but to comment on the fact we have partnered with sutter group and camtc for the placing last 15 years with the medi-cal folks we've looked camtc to provide the services and partner and to have specialist services with us they were part of our hfa

program i'm here to let you know we want to support that project today. >> thank you. >> as the next speaker comes up i mean, i'll call more names (calling names). >> thank you good afternoon honorable members of the commission i'm david i'm a resident on dper are between 20th and liberty in interest of disclosure i want to share prior to my service i was on the council of northern an organization that represent private and nonprofit we don't have a position on this proposal more has any men i'm here on my own time as a 24 year resident on gerrero i