it is currently located at the cpmc california campus. and it's currently licensed by both the institute on aging, as well as cpmc. and the proposed change was that the program would only be licensed by institute on aging alone. so in december, the resolution that the health commission passed noted that this change would be detrimental if the institute on aging was unable to secure a new location for the program. and to continue to provide similar or expanded services to seniors without interruption. so today our update, as of june, which we are pleased to share, is that i.o.a. has signed a lease for a property in the perseido and anticipate to move in july of 2018. i believe they estimate the program can serve up to 88 people today. we have a representative here who can elaborate on this, should you have questions. the next change is the management -- the change in management from cpmc to sutter pacific medical foundation for five outpatient departments. so these departments were the breast and mammography center, the non-invasive cardio

can our staff find out cpmc or kaiser is going to accept them? or anyway, i think that's another negative. sadly, for whatever reason, st. mary's has been unable to grow the volume to where it's needed. i don't question your ability or i mean your data, of course, and in terms of higher volume creating better outcomes and is commendable that has not occurred at st. mary's, or that, in fact, you have been able to achieve the continuation of a superb program. that makes it even more difficult to say that you are closing. >> yes, sir. >> commissioner: i think most of these are questions for staff to try to clarify. i think you would probably also and the increase of noninvasive, because even pcca is invasive, but certainly, a decrease of the use of cardiac surgely andpy pass in terms of the -- well, for cardiac disease that while that has occurred and may be increasing, it really according to the data has not been a decrease of morbidity but increase in quality of life that has actually brought that. >> that is correct. >> and when, in fact, we were

and that that seems to be really -- for that portion of that program and transferring it out of cpmc and then to i.o.a. and expanding it, i think has been a positive for us. >> and i hope that we will -- the minutes will reflect what the relationship so i.o.a. >> other comments, questions? >> also -- i'm sorry. if we're going to -- we think that is a benefit to the city. >> gotcha. >> next item. >> clerk: item 7 is an action item. it's a laguna honda hospital and rehabilitation center medical staff bylaws and rules and regulation. just a reminder, commissioner, they recommended that you -- that the full commission approve this document after review at the may 14th meeting. >> thank you. >> good afternoon, president loyce, members of the health commission and dr. colfax. i'm the c.e.o. at laguna hospital. on behalf of dr.s hathaway and dr. mcshane. they have worked with the city attorney's office since august of 2018. and also worked to align the medical staff bylaws to align with the medical staff bylaws with the laguna honda bylaws revision. and a they have consulted with dr. chow,