once construction is complete, cpmc plans to transfer the acute-care services at the california pacific campuses to the new cathedral hills hospital. at the davies campus, and a portion of the surface parking lot, cpmc proposes construction of a new four-story medical office building, the neuroscience institute. this project was originally approved by the planning commission in 2007. it was overturned by the board of supervisors. there have been no substantive changes to the project since 2007. to the land use approvals. there are many land use approvals required for cpmc's proposed five new buildings. i will go through the key actions at a high level as they are articulated in detail in your packet. in broad strokes, the approvals include ceqa findings applicable to the near term projects, general plan amendments for the st. luke's in cathedral hill campuses, in general plan consistency findings on the priority policy findings, planning code text and map amendments for st. luke's in cathedral pulpit a conditional use authorizations at davies, lives, and cathedral bill. general plan referrals at

once the cathedral hill camp suscomplete, in about 2017, the acute care services at california and pacific campuses would be transferred to the new cathedral hill. lastly on dubose a new 46,000 square foot, four-story medical office clinic building housing a neuroscience constitute -- institute. that is a brief overview of the project itself. i am go to ask briefly the planning department to go over with you the traffic and circulation issues mostly focusing on the cathedral hill campus. >> good afternoon. i am the transportation planner for the cathedral hill campus. i will give you an overview of the traffic and circulation at that site. so this is an overview. i will zoom into each location. north is up. the bottom there is geary. in the midcell post street. ken was saying and it has been described before, the hospital on the left. the medical office building is on the east side. that is the focus of the presentation today. this is the new building. a medical office renovated at sutter. so we zoom in to the hospital site. blue arrows indicate vehicular access, driveways. purple indicate pedestri

once the cathedral hill camp suscomplete, in about 2017, the acute care services at california and pacific campuses would be transferred to the new cathedral hill. lastly on dubose a new 46,000 square foot, four-story medical office clinic building housing a neuroscience constitute -- institute. that is a brief overview of the project itself. i am go to ask briefly the planning department to go over with you the traffic and circulation issues mostly focusing on the cathedral hill campus. >> good afternoon. i am the transportation planner for the cathedral hill campus. i will give you an overview of the traffic and circulation at that site. so this is an overview. i will

so we cannot meet our richer for it time requirements for needed construction at the california and pacific campuses. what the eir does not say is there have been literally hundreds of extensions granted to retrofit requirements all across the state. therefore, this continuum of care concerns need not be a barrier to adoption of alternative 3a. at every level, project objectives, a reasonable range of alternatives, and the objections to feasibility, the eir's alternative analysis fatally flawed. it has been unlawfully skewed to achieve one outcome and one outcome only, to maximize cpmc's prospects at the expense of the environment, the taxpayer, and provision of equitable health care. we asked the commission not to certify the eir the time, remedy the defects we identified in our written submission yesterday, and instruct a full and more thorough review of alternative3a plu -- of alternative 3a plus. thank you. >> good afternoon. i am a staff nurse at cpmc st. luke's, working in conjunction with california nurses and good neighbor coalition. the proposed project for health care facilities in san fra

> you will be including these in the motion that the advisor regroups on the long-term campuses, california, pacific, it will be proposed in the future project at those are in the development agreement. they'll leave the projects that are getting entitled now, we are using the conditions of approval. they will now be required -- using the conditions of approval. >> in terms of the same document, to make that available in the way that the public makes sense. commissioner borden: also on transportation, if we're going to make a motion, there should be really strong language of around the transportation authority to really look at how they manage priority projects moving forward. if there is any way to look at the bus lane that is being moved and maybe the parking lane on the other side, i don't know, but some sort of way to create prioritization for transit at the same time that you are doing -- >> i think since you are approving the project, the best you can probably do is to do exactly what you said and have the motion in included the urging to the city agencies to do what you had said -- commission

current, existing hospitals are not in the most accessible locations, getting to the pacific or california campuses, there are not as many options of people -- as opposed to someone who is going to cpmc. there are benefits to being on a transit corridor. you do not need an eir to know there will be major traffic impacts. look at the environmental review document and you know that. it deeply saddens me that you could not have had the transit come in before the project. that is partially our own fault for taking a long time on making decisions around brt. that is a frustration. a longer conversation about how we get in transportation improvement in advance of some of the development we hope to see, we do a little bit of that along third street. we have not done that in many places. that is something we need to work on. at the end of the day, we know this project will maintain the jobs that we have and hopefully, create new jobs. relating to the union's issue, obviously, i would not support the project because that is deeply concerning to me. the nurses and the engineers. unfortunately, i do not have