we will have barbara garcia, but as a very good job as a work with the police department, i think there should be an important part of the complication. thank you for bringing this an i am happy -- >> is a reminded of the resiliency, and this'll be part of the discussion. to interact or respond to all of these emergency situations and the effect that this would have. >> the seven cisco fire department, we have a larger behavior of sciences unit, this is 2011. this continues to be difficult. we see this on a daily basis. we have this in the work life and home life. we have this more regularly than they used to. thank you. >> thank you for convening the conversation with cronin bird and dr garcia. we will hear from john grimes and jerry moremoto of the department of public health. >> good morning. i am here as the manager who sees the crisis programs -- and we have the assistance -- but actually directs this -- we come through a lot of contractual agreement. we have looked at issues that affect the number of people we're working with. what we found is a degree of trauma. we want to talk a

[applause] i am barbara garcia, director of health for the city of san francisco. we know the mayor is on his way. we are going to go ahead and start. this is a proud day for all bus. first of all, i want to thank all of you san franciscans for your support of the san francisco general trauma center. thank you. today, we dedicate your commitment to your own health, your family's help, and the help of all these city. -- your family's health, and the health of all of the city. you can see the new hospital is going up and is already beautiful. [applause] that is more than a building. it is the future of our hospital. and the general has always been a big part of our city, our past, present, and future. the story of san francisco general started in 1851 san francisco started the board of health. the hospital moved here to potrero avenue. the hospital was rebuilt over the years, offering children's and psychiatric services to respond to the needs of children. in the 1998's, the current hospital was -- the 1990's, the current hospital was built and was one of the first h

barbara garcia and trent have worked extremely closely with us because of the tremendous pressure that we feel at the state level and the national of bochum, trying to get a really good conversation about how we can make sure that the community based organizations that provide invaluable service to us are taken care of and working in collaboration with us. hall of the a jar work that she does with all of us. i want to thank her for her tremendous leadership. again, i can say about about my good friend, someone who i got the chance to work with for many years. you have taken up so many complicated challenges this year, we're going to keep you busy. thank you for your wonderful team. our new city administrator that is no longer new, your diving in there at every opportunity and helping all of the city department get ahead. thank you for your leadership there, our libraries continue to be great examples of our commitment to the public on how to use our bond worth. thank you very much. the key to the rec and park department. it will be the less complicated and very united effort, the bond

from the department of public health, barbara garcia. also, we will hear again from -- we heard a bit on labor and employment issues at the last meeting. and then we will hear a short presentation from a number of the community coalition. colleagues, i am going to call up our first group of speakers. at the beginning of the public comment period in the next 30 or 45 minutes, we will be asking seniors and people with disabilities to come up first. i know we will have a number of the cards. if anybody would like to speak, there are speaker cards over here. if you could sign up, we would appreciate that. we're also joined by supervisor we're also joined by supervisor david campos from district 9.

i would like to call barbara garcia to start us off on our public health presentation. supervisor mar: thank you. >> thank you. good afternoon. i am here with our deputy director under financial officer. thank you for the opportunity to discuss with the health related provisions of the cpmc development agreement. we are here to provide you with a more in-depth review and to discuss more background and content. the hospital project and the development agreement provisions we are discussing is an important project that will help meet the health care needs of san francisco. insuring access to care for the most vulnerable among us, are low income, and uninsured, and publicly on shirt -- in short residents. -- insured residents. expand access to these services. it ensures that these services are available in seismically safe facilities. this is of critical importance. i thought it was important to build upon a significant work already done over the past five years by our health commission and the blue ribbon panel on st. luke's. the blue ribbon panel on the future of st. luk

>supervisor mar: i want to thank our director, barbara garcia, for being here as well. >> good afternoon, supervisors. another element of the development agreement is the 10,000 new beneficiaries commitment. if i could have the overhead, please. under this commitment, cpmc would assume the hospital partner role in the managed-care model for 10,000 managed care beneficiaries. they would partner with at least two community based primary care providers. provide necessary hospital care to attend thousandmedi-cal beneficiaries. this is subject to a cap and on reimbursed cost each year. 9.5 million-dollar cap is adjusted for inflation. to the extent that the cost for caring for these 10,000 beneficiaries exceeds the 95 million adjusted for inflation, a backstop funds can also be used for that purpose. it is important to note that this provision is not reliant on cpmc's financial health, but an analysis that was done with publicly available information independent of cpmc's financial status. this is a busy slide. you asked if the previous -- you had asked at the previous hearing for some additi

>supervisor mar: i want to thank our director, barbara garcia, for being here as well. >> good afternoon, supervisors. another element of the development agreement is the 10,000 new beneficiaries commitment. if i could have the overhead, please. under this commitment, cpmc would assume the hospital partner role in the managed-care model for 10,000 managed care beneficiaries. they would partner with at least two community based primary care providers. primary care providers. provide

oh, we have the director, barbara garcia. >> good morning, supervisors. i wanted to let you know that charlie will be doing the presentation, but i came today because i want you to understand that public safety is very important to the department. we have had charlie as our safety coordinator and we have developed our critical response team developed by the police department for any homicides or violence issues that require assistance. our critical response team, i think, is really important. they helped to ss and try to activate the crn's when necessary. we believe this is an important coordination city-wide so we can response to it -- respond to any incident throughout the city. and we have worked closely with those who fund crn to make sure that they have the adequate training that they need. and they work with us to provide nattily the critical responses, but also the long of four long term basis. many families take time to go through the process and later need

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