so we feel cpmc is not respecting us, so we don't accept cpmc to have a site in our neighborhood. thank you. [applause] president olague: thank you. i believe i'll start reading now the cards that we have here. mariana faris, followed by joseph flanagan, tony wagner and connie mardikian. >> mariana had to go to work. president olague: that's fine. >> good afternoon, commissioners. my name is tim brennan. i represent the lost block of st. luke. we have 11 buildings, most of which are two and three-family homes on caesar chavez, guerrero and 27th street immediately adjacent to the proposed st. luke's site. cpmc's plan to move the hospital the lengths of a city block from the corner where it has reasonable buffer from the residential neighborhood right next to existing homes is an unprecedented industrial encroachment on an existing residential neighborhood. there's nothing like it in the city or even anywhere in california that we can find. the plan is in conflict with the existing character and zoning of the block and proposes to place a massive building with an ambulance entrance

the first part of the housing aspect from the city to cpmc requests cpmc contributed the mayor's office of housing a dollar amount representing what will be the required inclusion rehousing portion of the total required units. how was that calculated? if the hospital did provide the full three-one housing, they would need by planning department calculations to grow about 1.4 million square feet of housing. factoring in a typical 8% efficiency factor, which pulls out mechanical and hallways, that would be 1100 units of 1000 square feet each. if any developer wished to pay the annual fee for those units, they would though 20% of those units, or 220 units. if you multiply 220 units by the feet o, it results in $74 million. the second portion of the request response to the displacement of 20 sar units and five rent-controlled -- thank you, sorry about that. and five rent-controlled apartments by the construction of the cathedral hill office building. the city's administrative code says the developer must pay 80% of the replacement cost of those units. the city's real-estate department work

before cpmc threatened to close st.luke's, the labor and delivery services were delivering 1,300 babies annually. demands on g.y.n. and peds can be expected to increase to approximately 1,400, yet, the plan eliminate inpatient pediatrics. the hospital used to maintain a seven-bed pediatric service beyond the two observation beds they are putting in the emergency room, we still need beds to care for those children after they are born. based on the diverting services like psych, occupational medicine, on codge, surgery and others away from st. luke's to san francisco general or cpmc's north of market campuses, the can sustain is kept artificially low. you could say, sure, abeasy bed at st. luke's is adequate. that was the false logic used to justify closing the 32-bed inpatient psych unit after laying off three of the four psychiatrists and reducing the workload of the last one. dr. eugene lee to half time. without support for doctors who admit patients, the resulting census will remain low. 80 beds does not account for m

that request was issued to cpmc in the middle of may. during the rest of this hearing, we will be outlining it for you. i want to be clear that the city has indicated support for the project that cpmc has proposed and has been presented to you in previous hearings, as long as it responds to all of the items outlined on the slot above and will be presented to you in a few minutes. this is still an ongoing negotiation process. cpmc is not going to agree to any of these -- is not going to agree to all of these items. the mayor has asked staff to spend time working with cpmc over the next few weeks to get to an agreement on how each of the points in the may 16 request will be met. the next time we are before you, we expect to have a draft development agreement that spells out all of this specifically to present to you. structurally, all on the screen, it met the approvals, it ties together the construction and opening schedules for st. luke's and cathedral hill hospital, specifies detailed health-care obligations, specifies the number of com

i do not think that cpmc is dealing with good faith. you need to nail down when each document is going to come out. thank you. [applause] >> i am reading this for a steady at -- for debbie at cpmc. i am also a nurse. thank you for taking the time to listen. it is important that the public understands that a patient advocacy be protected. the risk of retaliation, and it is important the public understands the union has such protections in place. if it were not for our unions, and the skilled nursing facility would have been closed in 2009, which is roughly about 50 skilled nursing beds that are documented as a shortage. after failing to improve staffing levels and skilled nursing and -- it brought our patient ratios to approximately one in five or six. we could not safely care for our patients given their i.q. conditions. cpmc currently bars are union representatives from going anywhere outside of the cafeteria, and they are barred from any new representation. they have found anti-union literature in new orientation. we need a fair shot

if cpmc is locked into a structure which mandates inflexible delivery options, both the city and cpmc will be unable to respond to the changing environment. president olague: thank you. >> thank you. president olague: you can speak, thank you. >> thank you. my name is connie mardikian. i wish to share my experience with being involved with st. luke's hospital always as a volunteer. as a reg centered nurse i wanted to make a difference and many of the families in need that st. luke's serves. i started as a member of the junior auxiliary where i helped to raise funds. i can honestly say that i appreciated the mission of the hospital and admired the physicians, nurses and staff that worked unselfishly -- selflessly to deliver care to those in need of charity care. i became involved in st. luke's hospital foundation. i served as chair and later served as president for one year. i then joined the hospital board of directors. there are many challenging financial times at st. luke's and the cost of providing care to our population became difficult with losses building quickly. for the long-t

we have set cpmc -- we ask that cpmc do the right thing and take into account our reasonable concerns. thank you. >> good evening. i am a member of and the master and residential cases. it is no secret while this project transforms our neighborhood, we would be compensated for over 1000 days. noise levels would been 200 times higher than they are today. after construction, we would still be impacted by increased traffic and parking constraints we have not had to deal wis before. we cannot stand by and have it negatively impacted. we must reach an agreement. it takes into request our negotiating team. we are only 60 feet from this construction site. we deserve the respect and consideration of cpmc. >> my name is frank. i am a member of the homeowner'' association. our residents are asking every day how things are coming to help erase done when the impact of the construction across the street from our homes. for a while we have reason to be hopeful. however, we have yet to reach an agreement that takes into account project will have on our homes and our neighborhood. our community of ov

so we worked with cpmc and city staff to go through the e.i.r. and develop a cost and schedule module to develop the impacts of the campus on the services on a route-by-route basis and focused on transit delay, looking at the number of vehicle trips that would be generated by cpmc and how it would slow down muni vehicles going through in that corridor surrounding cpmc. by slowing things down, that impacts everyone on board, their travel times. it requires muni to have to add service in order to same level of frequency that we can offer to our customers. we went through and we quantified how much each of these elements would cost in terms of addressing some of the delay issues both on the day-to-day operating and maintenance ex pen turs as well as capital expenditures as well as capital costs. if we had to purchase a new bus in order to maintain a schedule, that is included on the left-hand side. we went through that and came up with an estimated cost of $2.59 million on a yearly basis and we also looked to give credit for offsetting some of those

but in terms of services to our low-income families, cpmc is the lowest. as a tenderloin resident, i do not agree to their plan to construct a hospital facility that will not serve ordinary san franciscans. we urge the honorable members of the commission not to approve this project if cpmc will unfairly treat the poor people of our neighborhood. we cannot agree to a hospital that is not responsive to our needs. we will not allow them to continue to be disrespectful and arrogant by ignoring the community for equity and fair share. we can send our message clear to cpmc that they should be held accountable.

we'll take cpmc next. president olague: we can ask the questions of the folks and open it up for public comment. >> thank you, president, and members of the commission. i'm the c.e.o. of california pacific medical center is a city-wide integrated hospital system that has been serving san francisco's health care years for the past 150 years. and i would like to thank the mayor and its staff for all the hard work they have done and for their support to build two new earthquake-safe hospitals. my comments will be brief. the first informational hearing at health care delivery and seismic safety back in march and second hearing in design in may, cpmc is committed to the people of san francisco. we deliver 7,000 babies in a year. and we provide one-third of the hospitalizations and one-third of emergency room visits here in the city and we are continuing to work with the city family to find common ground that allows our project to move forward without delay so we can continue to serve the health care needs of sa

we'll take cpmc next. president olague: we can ask the questions of the folks and open it up for public comment.

this includes general overview of cpmc land-use approvals. we're still fine-tuning some of the approvals, so there may be minor changes in the coming weeks. we will start with st. luke's. the new hospital and medical office building at st. luke's require land use approval for the need of a general plan referrals to about street vacation for a portion of san jose avenue, creation of st. luke's sud, change of the parcel and will change the height and bulk designation to 105-e. there are several conditional use authorization required, including modifications to the existing planned unit development, the need for general plan amendments to make conforming height changes to 105 feet, office allocation for the medical office building, and several other approvals from other city departments. at the may hearing, the commission requested a comparison of the existing and proposed hospital facilities at st. luke's. this slide show some basic numerical comparisons that relates to the size and capacity. of the two to nine licensed beds, at st. luke's, 150

one of dozens cpmc -- of the major arguments is transport plans. it is only consistent with their location concept to enhance the major corridors. 25 cents, depending on peak times, to of least 60% of employees. if you increase traffic, you should be required to mitigate those problems. last, an $11 million for streetscape and the tenderloin as well as about 7 million in the neighborhood. ahoy this is the exact same thing as other transit-related items. this calls for street improvements as needed in mitigation. -- and needed mitigation. is this out of line? not as far as i'm concerned. take a look of stanford hospital's expansion proposal, where they have $2 million only for transit improvement. transit improvement calls for only $1.4 million common -- $1.4 million, plus the fact that if you compare the locations of stanford hospital, where it sees as a teaching hospital region where it sees as a teaching hospital and who -- where it is in the middle of a teaching hospital, you will find a vast difference. the plan to rebuild conquered crete, this

as i said, cpmc believes in doing our fair share, but i have to suggest that a comparison of our efforts to very dissystem hospitals is unappropriate and frankly unfair. we recognize that we may not have done our fair share in previous years, but our services to the poor and underserved, including charity care and other benefits are now very fair at more than $100 million a year and we would like to work with the city staff to find the appropriate benchmarks to measure our ongoing effort. in relation to targeted community health programs near our proposed hospitals, cp mmp c is a thoughtful and well developed program at st. luke's and we have a strong unique program at bayview. today we have focus programs in pediatric health in the tenderloin and our partnerships with glide and others and these programs are effective, accessible and we would say measurable. we would like to continue to assist these strong programs. and with the new hospital, we would like to add van ness and geary, which we will staff with case management and social work resources to facilitate access to the uninsured a

luke's become an integral part of the cpmc system of care in san francisco. we have asked that development agreement implement recommendations of the st. luke's blue-ribbon panel which was charged to create a viable plan for acute-care hospital and outpatient services at the st. luke's campus. it specifically advise orthopedics as a specialty service to be provided by save lives, not for the short-term, but for the long term. we have also sought that cpmc establish centers of excellence in senior health to anchor st. luke's in the community and make its destination for senior care, which is largely reimbursed by medicare. we have requested that the charity care and medical obligations which would require the contributions at the st. luke's campus to meet these requirements. finally, we have asked that the development agreement reflect an integration of medical staff at all cpmc campuses so that patients can move freely to best accommodate their needs. i think you will find all of these comprehensively reflective of making sure that st. luke's is viable for th

this includes general overview of cpmc land-use approvals. we're still fine-tuning some of the approvals, so there may be minor changes in the coming weeks. we will start with st. luke's. the new hospital and medical office building at st. luke's require land use approval for the need of a general plan referrals to about street vacation for a portion of san jose avenue, creation of st. luke's sud, change of

we have set cpmc -- we ask that cpmc do the right thing and take into account our reasonable concerns. thank you. >> good evening. i am a member of and the master and residential cases. it is no secret while this project transforms our neighborhood, we would be compensated for over 1000 days. noise levels would been 200 times higher than they are today. after construction, we would still be impacted by increased traffic and parking constraints we have not had to deal wis before. we cannot stand by and have it negatively impacted.

as the current census results from a decade of dismantling to the point where cpmc's planned

that concludes tonight's public informational session on cpmc. planning commissioners, you still have the general public comment. president olague: is there any general public comment on items not on the agenda? no? seeing none, general public comment is closed and the meeting is adjourned. >> about four years ago, [inaudible] look at how beautiful this was. there is our relationship to the planet. these regions are the wealthiest, the most powerful. that really has impacted the planet. it is almost impossible now to go anywhere and had it really be completely dark. there are very few locations that you can find. that means our relationship to the sky, there is a way where we dominate the sky. we cannot see anything really. we are blinding ourselves in a way. >> you can look at the images, they are beautiful. when i started four years ago, there was a conversation about environmental issues that was very different. this is not being talked about in the way it is now. . this has just been like an amazing growth. i anticipate the project to be some

that concludes tonight's public informational session on cpmc. planning commissioners, you still have the general public comment. president olague: is there any general public comment on items not on the agenda? no? seeing none, general public comment is closed and the meeting is adjourned. supervisor avalos: good morning. welcome to thursday, june 9, 2011 meeting of the san francisco board of supervisors meeting. my name is david campos. i am the chair of the committee. we are joined by president david chiu, as well as a mark farrell who will be here shortly. we want to thank sfgtv staff who are covering the meeting. madam clerk, do we have any announcements? >> i would like to announce to please turn off all riinger volumes on cell phones. and--- ringer volumes on cell phones. supervisor campos: thank you. if you could please call item one. >>item 1, hearing to receive regular status reports on the america's cup. supervisor campos: this is something i introduced with supervisor mirkarimi. we want to make sure that we provide the necessary overs

that concludes tonight's public informational session on cpmc. planning commissioners, you still have the general public comment. president olague: is there any general public comment on items not on the agenda? no? seeing none, general public comment is closed and the meeting is adjourned. >> welcome to culturewater. in 2001, the san francisco arts commission and tampa does go public library established an arts master plan for the city soon to be renovated branch library. almost 10 years later, the san francisco arts commission has integrated a collection of vibrant new artworks by bay area artists into five new libraries, and there is more on the way. here is a closer look at some of the projects. >> the branch library improvement program is a bond funded program undertaken by the san francisco public library to upgrade each of the branch libraries throughout the neighborhoods. one of the great benefits of this opportunity is that each of these branches has a unique artwork that has been created specifically for that branch, based on input from

that concludes tonight's public informational session on cpmc. planning commissioners, you still have the general public comment. president olague: is there any general public comment on items not on the agenda? no? seeing none, general public comment is closed and the meeting is adjourned. [horns honking] [siren wails]

the example that i can think of in recent memory with the community came together to change how the cpmc was going. and i think this is the first step in the community engagement, you have the voices to make those changes. [applause] >> in the last couple of weeks, supervisor kim's office has been holding meetings. a lot of the meetings are city- wide. if you live in a different neighborhood, it might resonate with you. there will be the committee open mike. if you would like to speak, there will be people walking around the audience. waved them down and let them out of you would like to fill one of those out. the open mic time will be short. there are differing viewpoints a different priorities to how people feel the budget should be allocated. we are here to work together. when someone is speaking, do not interrupt them. be courteous. we are sorry, but you need to cut your comments short. be direct and to the point. if you don't want to come up and speak, you can write your thoughts down. those will all be tallied had a documented and given to supervisor kim and mayor lee. we will call

>> in addition to the america's cup planning, there is a discussion around the development of cpmc.t would be the largest hospital project our city has seen in decades. it would probably be the largest land use project discussed this year. it is right on the edge of my district. it is seated at the intersection of several separate as oriole -- supervisorial districts. there are issues around displacement, the impact of a large hospital on the surrounding neighborhoods, and whether the size of this hospital and plans in the city wide picture of health care access. i am sure we will have robust discussion about this in the coming months. >> are there any other issues that concern you that we have not discussed? are there any other interests you plan to concentrate on as supervisor? >> one thing every supervisor works on is the relationship between our neighborhoods and city hall. i am blessed in district 3 to have a rich network of neighborhood associations, merchant groups, and nonprofit organizations that i interface with regularly. they often had difficulty navigating city hall. i