again, cpmc is a good partner. and we want to thank them for their ongoing support of jvs. >> thank you. >> my name is francisco decasda and mine comes from running the (inaudible) and that is where we had a (inaudible) institute of research and i have read articles on hospitals and some of you on the health commission have heard me speak before. and some of you are on the planning commission know me for a long time. now, before i say anything, please do not think that you can fool all of the people all of the time. and i tell you why. the people who gave you the presentations, from the planning department, from the workforce, and from the san francisco health department spoke in generalities. san franciscans are astute but more than being astute, they are very compassionate. and this is about compassion. my family has been involved in the health services from 16th century and i made this statement before to the health commissioners so i know a lot about hospitals when i travel all over the world i go and i visit h

cpmc did do that. as to the new medical beneficiaries are required to provide 54, and hospital care for up to 5400 medical beneficiaries. and there is no time line for them to meet the 5400, because, the new beneficiaries are and the time line is not in their control. as long as they stay opened to receiving new beneficiaries they remain compliant ask by the end of 2013, they were nearly halfway there by having, 2511 new beneficiary and my understanding from the discussions with the health plan is that they have already exceeded the 5400 new medical beneficiaries in 2014. i want to note here that there was a double counting error that i will just decide in more detail later but it is essentially, it was just a math error and it was it does not effect the 5400 requirement. the double counting was a total and the 5400 obligation remains. and also, related to new medical beneficiaries 1500 will have to come from a partnership with a new tender loin survey, medical service organization and this organizatio

cpmc in its own motto, we plus you. the you is us. the you is not only pacific heights and not only mission bay, the you has to be and that's what we are today focusing on, the you has to be our tenderloin also. our mission district, our chinatown, all of us need to benefit, all of us need to be able to participate. and i think that's what we've all spoken about. in that relationship and without numerating the issues certainly that the health department feel are in question and can be strengthened. we have an opportunity as so many have spoken up here from supervisor campos to commissioner moore to bring this, to continue to bring it together so this is not just some sort of grading opportunity, but that we move it to a more proactive type of relationship so that we actually can answer the questions for which these issues were framed and while they then came out to be more mundane about $3 million here and a clinic over there, what our bottom line is as i said before, how do we deliver that care to these people all the way from cultur

we are in the ambulance, and they travel over to cpmc and they have whatever procedure they are going to have done and they return to us and i have heard from many people that they are actually getting an ambulance bill for this services. i am having trouble understanding what services might be in the new saint lukes given that we have none in the old saint lukes. we have been really dismated with the amount to provide basic procedures. which we have done for years and no longer do. i understand that there is a hill physician's group that has a contract with some of our doctors that if a patient, let's just pick out a child is seen in that doctor's office we cannot have an x-ray done at saint lukes hospital they must go over to cmp c and then return to the primary care doctor. my concern with the previous speaker who identified the sore spots within the care of the saint lukes hospital i do remember being in the previous board of supervisors meeting the last one where one of the representatives of cpmc did speak about being excited about the opportunities in the area and being that we

here today and thank all of the members of the city staff that spoke and the public that came out and cpmc, commissioner antonini? >> thank you all for a very good presentation, and lots of interesting comments. and i think that one of the areas that there are some areas where there is concern and a lot has to do with the partial year, beginning the process. and the fact that, you know, the agreement apparently was not finalized until november, 2013, on the paperwork, i have here, it was effective of august 10, 2013, but finally granted on november 8th, 2013, but whenever you are starting something out, there are going to be problems and my understanding is that the entry level jobs, move forward to the next year, so the shortfall must be met but you have a goal of a certain number of entry jobs that you have to do over a period of time but you may not necessarily be on track the first year. but you have to catch up, in this year but i have heard from some of the staff that they feel that they already have done that or they are close to do that. so, i think that that is important, to us to

you know, like, you know, i appreciate people you know spoke prior to about where we think cpmc is in compliance and where they are not but also, it is not just the job for cpmc it is a job for all of us and so i think that you know it is also time for the master plan, you know it be revised and i think that that is the good opportunity to come in and do some work, you know, like before we you know like we had to refer to the discussion, and so, i can't speak to whether they are really in compliance or not because as the health commissioners i don't think that we have the time of the jurisdictions to make any of that recommendations or you know like the demand binding. but i think that i am looking forward to next year. and you know like when we come back for this hearing, that, you know, at least you know what are some of the things that i will be looking for here. we are not just san francisco that has these number of hospitals, we have some on the cutting edge. we have been leading the way in healthcare, and reform and really have break throughs in how to treat the patients in this

the commissioners because i worked with you during this process and will is the community along with cpmc. the department of course has the development agreement and we have the responsibility to provide this overall health in our city for example with the ebola response we worked very closely with the hospital and made site visits to make sure they were prepared. we are obligated to ensure that when we hear things like diabetes and cultural competency i think we can work closely with cpmc and a stronger way to ensure that they are culturally competent. i don't see why i can't work with them closely to ensuring them. also the mso issue in the tenderloin, i think we can solve that. we tried to work very closely with the clinic consortium and there is an mso within that group and that is an example. so there is i think a possibility of that. we also want to work closely to ensure that the new hospital does provide and i'm talking about the cathedral hill or the sand hill that it does have a structural response to medi-cal patients. we believe that's important, that's why it was in the begin

really fast and there was funding which came and the department of aging services added dollars to cpmc. there were a number involved that helped push it forward. the task force itself, although we have a sense of a few goals we wanted to work on, we didn't really have it set in stone where we wanted to go. at first the meeting which is only a couple hours long pulling everybody from the room saying what do we want to accomplish in five meetings. what do we want to have at the end of this time. what do we want to be important to our community and have all of us as providers and most importantly help the folks who are recipients of this service. it was determined pretty quickly that if we focused on four areas, systems, quality, community engagement and financing that we could probably cover quite a bit of area in a short period of time. i believe president chow, you were on the financing group, were you not? >> yes. >> i sat in on that one. i got to move around a bit and got a glimpse of information from what was going on. people self is selected into these groups. there was only one gr