i'm going to turn it over to lillian. >> i'm on my tiptoes sorry this chart detects the timeline work stream as you heard from ron and terry thank you transition begins when a lot of the construction and the equipment of the hospital can occur so we can begin the training and orientation of the 54 hundred individuals that comprise the physicians and nurses and technicians there are major milestones we need to achieve to get us to hospital licensing and starts with that staff and stock occupancy clearance that ron spoke of that is that first red line and what it give us the opportunity to go into the new building with our

staff and be able to play on the new equipment and the work flows that are being designed right now and see they work for patients care second major milestone is the one the submittal red line it isn't targeted for around the end of november when the state advised the final occupancy we can do simulations and have staff to finish up the stocking and everything necessarily to make sure we're operationally ready hopefully, there takes us to the next big milestone the london's survey and we hope to be able to achieve that around february we've completed a lot of the training and once we have completed that survey we wanted to make sure we have some time allocated to addressing the concerns that the survey

oversees may have and remedy any questions they may have to be ready for a safe patient move we're targeting for the spring of 2016 so that gives us an idea of convenes and how do not we are on achieving the timeline and we've really received in eastern it to finish the training for the operation readiness i'm going to turn it over to terry he'll talk about keeping us on track. >> thank you lillian. >> so accountabilities in the project we've been fortunate by having both director barbara garcia and the director mohammed nuru who is participating every

two weeks meeting with the construction team and keeping the focus on the staff and stock and the activities it is supportive and allows us to drive home the need and the desire to meet those milestones dates so thank you director garcia for your participation we'll continue to have those biweekly meetings as well as the financial stewardship we'll meeting regularly with the cfo for the budget actually all through the f f and e transition budget and the ongoing operational budget with that i'll quickly go over slides our familiar the construction budget we're 96 percent into the total

bond expenditures that is exactly where we need to be at this time there are no surprises there the bond sales as you can see the bond sales are tracking along the same lines you see back in 2009 2010 the earlier bond sales there were unextend bones those are perspire orders still illness that's why you see a man and woman value there moving on to the operational it budgets we're going to have a guest appearance from greg wagner (laughter) commissioners greg wagner chief financial officer at the last jc c meeting we talked about the topic to get a sense of the potential financial impacts

outside find bond program itself of the updated schedule so we've worked on that basically where we are is we believe that the impact of the adjust schedule can be managed within the budget that is adapted for the two coming fiscal years there are a couple of areas we'll watch and work on closely but we have some contingency budgets within the it program we think we should be able to use to manage that so the 3 big areas we're looking at are personnel it and then other various operating expenses on the personnel suicides we should be fine and on bucket with those a couple of reasons the first is that as we staff up with permanent dollars if we are

staffing up prior to moving into the new building it essentially allows us to flex down the registry and temporary and over times spending and allows us to use permanent hours to staff our shifts the second a lot of the training and transition costs are budgeted in the transition project so we have flexibility as to when we're going to actually extend those dollars so mayday april date we spend those dollars for training on it this is probably our area that we'll have to spend the most focus on there will be likely cost impact from the it vendor contracts we kind of fixed payment going going out to those vendor and some of the work we're asking them to had pushed back or extended for some

period of time there is a figure on this slide it says about million dollars per month is the upper limit it is come down come down since we've put this slide together to work with the vendor to work through the contract and the timing of when we'll be able to throw the resources we think that number will come down we have a seven to $8 million of contingency in the it budget for the rebuild that gives us flexibility to adapt to changing circumstances and lastly we have some savings and kind of basic operating costs like materials and supplies purposes on the contracts we've budgeted to come into play at the openly of the hospital we'll avoid some of

those costs and offset some of the it we're watching it closely but the big picture some impacts but on the order of impact that is within our ability to manage through within our budget as we do day to day at the department. >> so i'm going to turn it over to terry. >> before we lose you do we add those reimpacts per month. >> so you can let's see if you look at himself. >> the 671 of the 990. >> so the 671 has been met of the it savings on the operating costs and again that 671 has come down over the last thirty days. >> we ought to have them come down further. >> i'm going to turn it over to

brings us to our questions page. >> so confesses commissioners public comment. >> we've not public comment on this item. >> if i could just make a couple of comments i want to acknowledge terry and ron i've watched them in the merging they're our construction partner and have to say we should be proud of the work to insure that their identifying and working on the areas i wanted to acknowledge both of them and lillians time is to come she'll be working very, very hard and getting prepared and doing a lot of preparation for the transition so as web korea finishes their work we'll get the authority to move into the building but probably the first thing that will happen the stock and then the staffing we'll have to time that with web korea

we're ready and we're going to work hard with web korea we watch them every two weeks as they complete their work some of us walked through the building i see it equipment in there the next year we'll you been full of the hard work that all of them are doing and i want to acknowledge all the staff including san francisco general hospital staff they're watching the building outside their windows but also doing a lot of work to prepare. >> thank you i was thinking that i wanted to being sure that the commissioners directed their attention to the new transition milestones that is where was mentioned that the whole focus is now moving because aside from getting through the ash pods, of

course, we have a talented team to get that done this is really the work that is going to be most important i'm sure you're aware of in terms of moving patients in we're going to need to be sure that we have all the protocol in place there are considerable changes staff work in the process because those radio all new different wards and there's 3 things first definitely something that we can use and have been a pointed discussion we've been looking at the issues of diversion so those are some of the highlights physically we'll take care of our patients even better quality way but putting together all the policies and we now will also be able to train our staffing to

get through an those final issues i want to draw your attention we're looking at the occupancy certificate as a notes by the end of the year there will be a ribbon cutting event at this point to recognize we have a project that came in on time we're going to be working on the licensing and lillian is the point on that and as soon as possible we have the patient day sometime in the spring or potential even earlier but this is going to be now the schedule we're going to follow team has managed it's finances very well and we're very

grateful for that we have a just a i think a very clear road map for the next several months we'll be following and getting quarterly reports here at the commission again dr. sanchez. >> through the chair of jc c i want to make one brief comment this is really been a unbelievable effort on behalf of the san franciscans and the unique staff in that is working for 8 years on this and what's a expressive as you get a chance to walk through the san franciscans b will get that chance this was built by the community when you look at the numbers for example for local businesses and the amount of money spent with local businesses and the designs and

creativity and the quality of work it is outstanding to see the work and the contract you know we've heard again and again all over the nation we can't find people looking at numbers we're above 26 percent we've been hiring from local residents to provide a unique opportunity in jobs and training is it so outstanding taking a look at this what hits you again and again you think about all the things that go on the veteran came back and he headed up the arts commissions selection of artists and work for the 5 or $6 million that was spent using local arts to design in this fantastic facility ta to make it welcome to the staff and the doctors it is a community effort

i want to imagination it's taken a lot of work and no sleep and commitment not talking about the state people and the fred's we know what that is about and continues to go on but really should be proud of the outstanding staff we've had to being sure b be able to provide this type of facility to preserve the next generations and generations after that as san franciscans to the top public hospital in the nation i want to congratulate everybody. >> thank you for those words i have a echo our sentiment we have brought this to life the lobby is something to behold but throughout the building it is peppered with pieces of art that adds dimensions to the building. >> thank you. i think our city will be proud of what they have built for their residents so

director garcia you have any final comments. >> well, we want to be accountable and i think want to thank dr. sanchez the first hospital was built by the community so thank you for acknowledging the fact that the workers that are building the building that is really important and those who are in the building will be in the community we're really proud of that and working closely with the commission to make sure you understand where we are at every part of the process 5 thousand 4 hundred people have to be trained i want to make sure you understand the depth of the work in the coming year and months so this is a lot of people that lillian will be responsible for insuring knowing how the

hospital works i want to say that our work is not done we're getting to the end of the time period i'm proud of where we are thank you, commissioners for all your support. >> one question to the drill team. >> absolutely. >> all you've accomplished it feels like you've landed a rocket on the moon as we get color the high mediums and low this timeline is going to stick. >> the suggested timeline we have a lot of confidence just the timeline and feel comfortable there is the milestones we've laid out as a commission the licensing that will follow on november occupancy is very key this is setting the tune for the next few months to bring this and i personally am comfortable with

the schedule. >> despite it's hive and the confidence level. >> yes. >> and the financial situation we're within land on the moon two percent of anticipated budget and our confidence we're going to be not only on time but on budget so. >> my confidence is high we're tracking well on the bonds project and i think the biggest concern on the f f and e side of things going back in time would we be able to petting hit the fundraiser milestones we've hit the target we needed to get to our hundred and $70 million program plan and on the financial side we're feeling very good and very comfortable about the budget. >> all right. thank you very

much and - >> land the ship. >> yes. commissioner karshmer. >> it is lovely i look forward to coming and getting another tour it was wonderful we got to tour that before but on the tails of what director garcia which had about the 5 thousand people and the conversation we've had earlier about the hires that need to be many practices i wonder an update of where we are are we on target with hiring. >> we have our h.r. director ron. >> ron please. >> thank you, commissioner we're on track with our hire we have hired over 2 hundred nurses since january of 2014 just since january of 2015 we've hired hundred and 46 my personnel officer is in san

diego and recruiting another one coming up here soon we have vacancies like the medical elevation and lists that is 44 position we're on track and the jc c is a trepd aurpd and faster we have unique positions like radiology we'll have to meet those target but i don't see a problem. >> thank you. any further questions. >> if not thank you very much for your presentation. >> thank you very much and i'll note we didn't have again, no public comment for that item and moving on to item 10 the other business commissioners, i just wanted to brought to your attention we've distributed the examiner article of san francisco values i've

heard a lot of issues about our policies more in the negative this was one in which the reason i bring it turk dr. was first president of the commission and i think with respect therefore a supreme san francisco values it says for you're reading. >> are there any further questions or comments under that item before we go on to the next item. >> item 11 is the report backs from the join conference committee and commissioner chow you were first with the june 23rd san francisco general jc c. >> on the june 23rd meeting we reviewed the quality management and regulatory administrative reporting with the patient care services report which distancing

shows the high diversion rate and went through the san francisco general rebuild as you saw today and in closed sessions we did approve the credentials report and the other report so that ends my report. >> commissioner karshmer. >> the joint commissions at laguna honda met and approved the open session minutes and heard public comments in closed session the committee reviewed the medical quality and medical incredibly and the staff report we identified issues related to the san francisco network around laguna honda patient transfers to san francisco general and when the general was on diversion and how to express that. >> and commissioner karshmer could you give us an update from

the i h h s authority. >> as a member of the health commission i sits on the san francisco i h ss public authority that is home support services and the membership on this body is representative of the health department and the commission an aging that has consumer young and older consumers and worker representatives and the public authority the i h ss celebrate it's 20th year of service on may 28th this organization is designed to allow folks who need in home support services the ability to choose who they work with and it's been a wonderful experience to represent it is a consumer driven boarded thank you for letting me participate in that. >> thank you

do - no do we have a public health foundation report. >> i was unable to attend but the foundation is looking at a tragedy is determine how they're prepared to increase their ability to manage contracts. >> thank you all right. so we move on to item 11 committeeng and so the set of master calendars are before you and reminder again on september 15th we will have a planning session. >> oh i'm sorry october 6th sorry. >> which will focus on the population health division so be sure to keep in mind are there items that the commissioners would also like to see or have concern about in terms of the calendar?

if not we'll proceeded to the next item >> sorry. >> so with regards to perhaps some of the issues with the facility development i'm wondering if it is whittier to hear from the i h ss. >> as part of that report. >> perhaps i don't know how we plan to do the briefing on you know looking at the health care or look at the whole thing all at once. >> we can ask the depth to be sure that the i h ss services are part of the needs that are post hospital. >> you know i think that the executive director who has been there one year is delighted to come and give a briefly to the health commission. >> we could do that certainly have an informational session

and definitely want to see that revolted into how we will be able to have a. >> and focus on the service how they facilitate the patient care. >> sure we'll have a department work on this we'll work with commissioner karshmer seeing the presentation can be made here thank you. >> no other items we can go on to the next item. >> a motion for closed session. >> a motion well, no public comment on the closed session. >> no public comment. >> a motion for a closed session is in order. >> so moved. >> any second? >> okay.

>> all in favor, say i. >> i. >> opposed? the commission will move into closed session thank you very much those who are not in closed session are invited to leave what you like to stay or go. >> you need to stay for the items only closed session first. >> i meant you all would you like to stay in this room. >> we'll stay in here. >> could you please close the door when you leave thank you. >> okay. so we're back in open session and we're here to entertain a motion disclose or not disclose the discussions in closed session. >> motion to no disclosure. >> okay. a second motion. >> all in favor, say i. >> i. >> of not disclose or not disclose the decisions please say i and we'll not disclosure motion for adjournment is in

order. >> a second. >> all in favor, say i. >> i. >> opposed? this meeting is adjourned thank you