dr. ken barnes had prepared. he wasn't able to make it today. dr. barnes programmed for 30 years at saint lukes and was involved in the early days in the save saint lukes coalition and part of our coalition. i won't read it all even with three minutes. in the discussions we've had so far, when the senior center of excellence at saint lukes hospital, it's reinvolved around the acute care for the elderly or ace program, which is for hospital based seniors which we think is a good program. it is certainly consistent with the development agreement. i want to pick up dr. barnes' temperature where i think we're talking about trying to expand that vision. and i'll just read it. such a programs envision by cpmc is hospitalized older adults. this is commend able and something we support we believe you must ask the goals and scope of a center. the vision goes much deeper. providing seniors the whole range of services for primary care to specialty care, skilled nursing, after discharge from the hospital and community and hospital based. access to rcfes and acce

dr. barnes. next, please. >> once again, california nurses association stands with our community partners. we believe that this action, proposed action be detrimental to the community of san francisco and ask you to vote that it will be. thank you. >> thank you. next, please. >> kim taglioni, nphw. cpmc really hasn't agreed to do anything special here. they're required by the development agreement to do more medi-cal, to do more charity care. for them to say, like, yes, we will continue to accept medi-cal patients, it's a crock, right? moving these services on their foundation, they specifically do not want you all to make any decisions on discontinuation of their services. they do not like being here, they do not like the prop q hearings, and this is why they're doing it, solely because they do not want anyone to know what they're doing, and they want a disconnect for their patients. there is no other real value here in moving these services under the foundation. they just want less public scrut

dr. barnes has also outlined his vision obviously the vision is one that needs to be developed by cpmc but i think the consideration is a very good example of working with the community could get a farber far acceptance and product that meets the needs of the residents in that community. so in conclusion, our department does continue to be eager to work with st. luke's. i will get the new name one day. but with cpmc and sutter. you are very important part of the city. sutter is with the assets that could be placed to great use so that we can continue to enhance the public-private partnership that we've been enjoying between all the hospitals and providers in san francisco with the public sector as we achieve our goal to improve the health of all san franciscans. i do want to thank everybody who participated. the staff who did such a hard work and analyzing this but i think in our next review, i believe that we've heard a lot more details should be also provided to understand what happened after the check mark. thank you. >> thank you. >> that concludes your agenda today. >> make a motion t

dr. barnes and others have been talking about, and some of our other physicians and patients who have been talking about it for years. i think the department, our department in particular, they really have a unique hunt to shore in on this and to make sure that these areas are in fact developed and part of the out coming contribution of this particular effort. the other thing that, as we looked at and heard, some of the i do a log pertaining to job training, job training, where they come from. i was taken back, there's a small number that are from san francisco, significant but small number. others are from bay area or east bay. at the same time, let's look at programs in the schools. the mesa program, which is a flagship program for minority students in our public schools. why aren't we reaching more kids? again, the community brought this up. why aren't we reaching more kids and more people in the areas? we are providing basically the zip codes. we're talking about where the kids are coming from. why did they drop out? why did we have programs where you spend $8 million or $3 million and

dr. barnes, did you wish to speak on item eight? okay. number 10. >> dr. palmer. >> dr. palmer? you're going to speak on item eight? >> yeah. >> okay. >> greetings. i wanted to talk about the adhc. i have personal experience with it. my mother went to that adhc. in 2016, i.o.a. transferred a number of patients from arguello and geary to that site, so it's a very large adhc. it -- it's -- it helps people who have dementia, and it's a very labor intensive thing to keep these people stimulated and awake during the day to help their families keep them at home so they're not up all night. and it actually delayed my mother's entry into a nursing home. she's 101, and she was 99 at the time. i think it's undoubtedly detrimental, and i urge you to say this, that these services are being discontinued. this is a program that does not just serve the pacific heights area, we live near the panhandle. it serves the haight area, the western addition, the inner sunset, and there's a -- the dementia related -- the adhc's that are specialized to care for demented people, there's not enough of them

dr. weinberger's patients, phyllis barnes could clearly see her future was looking grim. >> my sister wentl. >> phyllis' sister peggy hood says phyllis' road through hell began three months earlier when she went to see dr. weinberger. >> she had trouble catching her breath. she seemed to have sort of cold-like systems or bronchitis. she just seemed rundown. >> you thought it might be allergies or a cold. >> yeah. >> it could have been a number of things. her voice was raspy. she had a sore throat. but perhaps the most troubling symptom for phyllis, a lifelong smoker, was that she had recently begun coughing up blood. >> i believe when she went to dr. weinberger she told him she was a smoker. i don't think she tried to hide that from anybody. >> how did she find out about mark weinberger? >> i believe one of her co-workers may have seen billboards. >> the nose dr. >> uh-huh. >> in hindsight, going to the self-proclaimed nose doctor may have been a mistake. but since phyllis had a long history of sinus problems, seeking out a sinus specialist for her breathing problem seemed logical. >> the

dr. ken barnes, that outlines the coalition's expectations for what a center of excellence should look like. the fifth issue, also identified by the health department, has to do with the commitment to serve 1500 residents of the tenderloin on medical-managed healthcare to provide specialty and hospital care to those patients. in the city reported indicated that only 180 tenderloin residents have signed up. today's presentation said it's only 170. for several years, saint anthony's has been given funds from the innovation funds to do recruitment. the coalition has suggested on a number of times there are additional steps the city's public-health department can take and cpmc could take in order to publicist the availability of those services, perhaps to provide transportation if that is the impediment leading people not to chose the saint anthony's managed service organizations. the sixth issue is in the realm of entry level operations hiring. where it is entirely correct more than 40% of the hires are coming from the first force hiring program. but the way more important closer look that we