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 hospitals to open there doors to aids patients. we became famous around the world for that, helping to break the stigma of hiv/aids. the mayor has just arrived. welcome, mayor lee. [applause] we continue to lead and care for the most vulnerable. just last year, the general became the first hospital in the nation to -- program. the hospital will be crucial in improving the health of our city. we look forward to coordinating all of our services, from primary-care clinics to hospitals, according mental and physical health care. this is wh

care hospital. the spoke hospitals are st. luke's and davies. both will be full-service hospitals, but with their own programmatic focus. they will be similarly sized from inpatient perspective. but st. luke's will have an award winning labor and a liver program -- delivery program. we will have an increased emergency room capacity by about 50%. at davies, we will not have a labor and delivery program, but we will continue our strong and proud tradition of serving hiv/aids patients and neuroscience patients. the pacific campus will maintain the psychiatric program. it does not need to be in a hospital setting. we will keep it. it is. the campus eventually will transform to an outpatient medical center. our sickest patients from each of these facilities will be transferred to the cathedral hill hospital where we will have programs like organ transplantation and a neonatal intensive care unit. it is also important to point out cathedral hill will also provide general acute-care and emergency services

the san francisco general hospital is the only hospital that provides psychiatric emergency services. patients are also brought by law-enforcement under what is known as a 5150, which is when a person is deemed to be a danger to themselves or greatly disabled. they are in psychiatric crisis. patients are taken by law enforcement to the closest hospital emergency room. 30% of the patients need to continue to receive high level of hospital services to an inpatient beds. however, the majority can be stabilized on medication, but what they need is a place to be discharged to. the next level down is a cute psychiatrist. the many hospitals are involved, i will first focus on one. these services help stabilize a patient and we initiate any treatment options that are inappropriate. they are currently operating 54 acute psychiatric beds. while the inpatient psychiatric beds are often filled to capacity, the majority of those patients could receive and lower level of care if that was available to them. some of the patients are eligible for other low level of services. this means that not acute

care hospital. it will be 15 stories and approximately 255 feet tall. across the street on the east side of van ness, cpmc proposes construction of a new nine- story 130 foot tall office building. these two buildings will be connected underground by a tunnel at the garage level. once construction of the cathedral hill hospital is complete, cpmc plans to transfer to you care services -- acute- care services to the new hospital. the pacific care campus will be used as an outpatient facility while the california campus will be sold. it is worth noting there are provisions in the development agreement that mandate the creation of community advisory groups at both campuses to guide future development and reuse of the california campus. on to the land use approval, there are many approvals required for the five new buildings proposed. i will only high glucose subject to board approval. the approvals include the development agreement that will cover all campuses, general plan amendments for the st. luke's

build a hospital, but build it right. you are dealing with the corporation whose ceo made $4 million last year. he does not have to worry about job security or where his paycheck is coming. he probably has a little left over to put away for his penchant. his pension is separate from his paycheck. maybe he has little left over for health care. no, that is also separate from his paycheck. maybe he needs it to put extra food on his table. $4 million does not go as far as it used to. the mayor has met many times with the trades. he has made deals with them. what about the nurses. should we have the right to work and in a hospital? we do not have transfer rights. they did not make a deal with the hospital. the ones recognizes these most -- the most ethical ones in the country. the nurses do not have transfer rights today. we have no guarantee we will have jobs in the new hospital. i live and vote in san francisco. i have worked in the hospital i have substantial deals for over 35 years. i am not entry level. well i have a job

luke's hospital. i'd just like to say that i represent 2,500 electricians of both sexes and all races and many san francisco residents and bay area residents alike and all of us have suffered unemployment in the last four years. no matter what zip code we lived in and we all need to have jobs for us to survive and for us to continue to live and work here in san francisco. i ask you not only to let this project go forward, but to look towards yourself and look towards the largest employer with the city, the city and county itself, to move local hiring to its own cycles and look at m.t.a. and d.p.w. and look at every other part of the city as being a leader in the local hiring ordinance problem and the local hire and take that on yourself before you ask that to be a burden of construction trade or of any private sector. until you're willing to point that finger and look at the four fingers pointing back at the city that they should be the ones responsible for putting san francisco back to work. thank yo

luke's hospital. it that does not happen, the city does not have the right to lease the property for a nominal amount of work with the developer to build the office building. in addition to providing for a secure future for sale luke's, and in accordance with the second priority, the proposed bill would agreement ensures cpmc access for medi-cal and charity care patients in two ways. first, requiring the continuation of the baseline level of care for these a vulnerable populations for the next 10 years. cpmc will continue to spend at least $86 million each year on care for vulnerable populations. there are three components that comprise this baseline level of care. the first is charity care, the provision of health care for uninsured people without the expectation of reimbursement. the second is medi-cal shortfall, the u.n. reimbursed costs for caring for medi-cal patients. third, grants that also provide care for these low-income populations. the base line of $86 million was set by averaging cpmc's l

our hospital. that is kind of what happened. sutter said they would keep us open if it would meet the budget. they did not want to make money, but there were going to start their evaluation of the six months prior to them bringing in a service that they said would ensure that we would stay open. of course, the services never moved into the hospital. they came to losses, billions of dollars of losses, but they do not open their books for anyone to have a look at to actually justified the losses they are claiming. so i am listening to the jobs promised thing here, and i would say you need to absolutely get that in writing from sutter with no ifs and all of that. they want to keep st. luke's open if -- the ifs did not happen. that is their ticket out. even with contract negotiations, we agreed to have joint seniority. [bell rings] so whatever hospital would close, there was a question of were the new one would be rebuilt, and the senior nurses would have jobs but that was in our contract we agreed to.

luke's hospital. across the country, large hospital systems are moving to a model of care were committed hospitals are linked to a central specialty hospital. specialty care for st. luke's patients will be available throughout the cpmc system. the camden group to provide data analysis found that some of the residencts would be likely to achieve better health out, if they were cared for at one of the other local cpmc facilities were clinicians who specialize in those services and have a high degree of experience practice. this project balance is too important stakes. maintaining st. luke's as a community hospital and resources and insuring that same six patients have access to high-quality specialty care a few miles away -- and that st. luke's patients have access to high-quality specialty care a few miles away. they felt that the right bed size needed to be based on demand spurred by making st. luke's and into all parts of cpmc, we do not have to worry about being financially viable its own. the final

for the sake of all hospitals, every hospital supports the rebuild of cpmc. it is our largest hospital. we do not understand how residents will be cared for without cpmc. i want to bring up another issue. why every hospital is rushing to rebuild right now is we are worried. the earthquake is coming, it could be tonight, it could be five years from now, but a delay in two weeks in approval could mean nothing. or it could be that the big one hits and that hospital has to care for many of the people of san francisco. we have to have all of our hospitals open as soon as possible. let me quickly go to the point that san francisco hospitals employ 99 -- are responsible for over 99,000 jobs. we bring an $11.3 billion into the city. that is almost twice what tourism does. when the economy was tanking, hospitals increased employment by 10%. we are a steady employer for the city. we have 22% higher salary than any other business. we are not -- we hire far more women. we are vital to the city. but more important, and think about any kind of delay. it may mean nothing. i

luke's hospital. our program has helped hundreds of low income women get screening services and treatment without financial burdens or other conflicts. i am here to let you know st. luke's hospital is very important, and we support plans as it relates to st. luke's hospital. >> thank you for hearing me today. i have been in construction for 35 years. i support the plan. i am in support for several reasons. i believe in life safety. i have done seismic retrofits. it is not a place you want to be in. these new hospitals will meet requirements for the future. these provide state-of-the art healthcare. they will provide hospitals you can feel safe in. these projects also provide jobs for the many who will be here long after they have been completed. i support this project. thank you. >> [list of names] next speaker. >> thank you for the excellent presentations you allowed and the good questions about how to make this the best deal for san francisco. i am not an employee. i do not use one of the services t

she is now the ceo of the hospital. she will be leading us into the future of this hospital, and it is an honor to work with her. i am sure you will enjoy her words today. thank you. [applause] >> good morning. i want to thank you all for coming and welcome you to san francisco general hospital for this great occasion. yesterday, we had a lot of children, people from the community, but staff come by. it was exciting to have everyone here during that signing period. it has been challenging building this big structure here in the midst of campus, where we're trying to run a full-service hospital. i really want to think the patients, the neighbors, and the staff for all there patient ande and support -- patience and support. i also want to thank our rebuilding team designed this beautiful building, to webcorps per the construction part, and two trips for the management part. this really takes a true partnership to plot a project like this. as far as the scale of the building, what is going to look like, it is really exciti

luke's hospital. there are already concerned about whether doctors possible with a current agreement. i am going to introduce a couple of young leaders, because some have to go home. i am going to introduce a couple of members of the progressive association. i have damien and eric -- jamie and eric. >> we are trying to move this along. >> i am from the chinese progressive association. i just want to make a comment about the practice thos zes. my mom has been a patient for a while, and she has had a good experience, but a few years back she'd mysteriously disappeared for what she called a business trip. i found out she needed surgery to remove of benign tumor in her breast, and cpc denied her on the basis she had medical and not private insurance, and recently she needed surgery on her ankle but was denied again because she had medical. i find this they are going to be true to their word they should not turn away medical patients, especially in serious condition like this and should also committed to b

premies will be transferred to the hospital and this is the consensus of the hospital planners the route the world. it is not feasible to demonstrate these services at every community hospital. centralizing care for the sickest patients is known to produce a better outcome. we will provide all of the patients with the single payer which is greatly preferred. these recommendations were supported by two different reports -- one of them at the request of the health commission. the other as part of the blue- ribbon panel, which recommended the course of action we propose to. importantly, the decision was made that we absolutely needed to rebuild at st. luke's, which is why we chose this site where it will be relocated. and the size of the hospitals -- you can hear that we have 1200 licensed beds, but many of them come from many years ago. the more accurate presentation -- this has 900 licensed beds, approximately 720 which we believe will provide adequate care for us going forward in the future. including a relatively modest rate of growth -- in response largely to the aging of the populatio

luke's as an 80-bed hospital. fact -- the blue ribbon panel took no position on the size of the new st. luke's pending further evaluation of the health care needs and consultations with community stakeholders, both of which never took place. fact -- to help physicians took note position on size. pledging to work to ensure that it is a vibrant campus and seeking to maine -- maintain the facility for 20 years. fact -- cpmc and immediately after the blue-ribbon panel concluded its work proposed a 60-bed hospital on the st. luke's site without a skilled nursing facility as had been recommended and then raised the beds to 80 under intense community pressure. the hope commission and its cpmc taskforce -- health commission and the cpmc taskforce provide more specificity about the centers of excellence, a plan for the new medical office building, and other elements of the proposed plan add mou forward -- and move forward with other hospitals in the proportion of charitable care it provides. let's look at the assumptions u

and transfer them to a catholic hospital in the area. there was a community fight which ultimately led to a political fight which kept them in the county. now, they are building a smaller hospital which will put a burden on the facilities while they increased their profits. they do this in every single community where they operate. as a resident of san francisco where my wife and child, and we are about to have a new baby -- we are very fortunate to have access to health care, and we believe everyone should have access to health care, so on behalf of all san franciscans, stand up to this bullet corp. and do the right thing. thank you. supervisor mar: thank you. i am going to call a few more names. [calling names] eden long or lang. thomas simpson, vinnie aurora, jerome france, and anna saints. >> hello. my name is javier. i am a business with the laborers. this is one of the most important projects. i do not have to tell you how bad it has been for us, and in the last two or three years. to approve this kind of project, it is a matter of

this is a hospital.ing to be here for decades. >> can i ask you about the comment about seismic safety delays and nurses supporting legislation that would speed up seismic improvements? but could you go into a little bit detail about that. >> we at the statewide level, we as an organization have consistently been advocating and lobbying in the capital to push for earthquake safety requirements. cpmc, sutter, through the health care -- their lobby arm of the -- health care or hospital association, has been opposing these and asking for delays. cpmc and sutter have specifically requested and gotten delays on this. so for them to turn around that issue right now and act like this needs to be sped up because of earthquake safety requirements, when they have been actively opposing them is at the least disingenuous. >> thank you. thank you so much, ms. chiavo. next speaker and we're going to close it -- are you going to speak? please come forward. and we're going to close after the man in the white shirt. than

and hospital safety?> reporter: well, what many people don't realize is that many employers in this country spend more on health benefits than they earned in profits last year and that is an enormous cost to employees are and they take care of employees and those in the healthy and not showing up to work. and that matters to employers. they were concerned and they were seeing this rate of accidents and injuries and not only is that costing them money but the health of their employees. they're concerned and formed a non-profit organization 10 years ago, actually, and this is the first time we have done this project. >> and what is your hope? to -- to put the word out and put pressure on the hospitals not achieving the standards and what you decide should be achieving the scores? >> it's important that ordinary people, families, people like me talk to hospitals and doctors and say safety is important to me. i want you to see this as a priority and that is what is important and what we don't have now. as soo

when that all settles out and there are the needs and the demands pressed on the hospital, this hospital will be here to serve. to serve the community, the people who need it. that is why we are here today. something much larger than all of us. thank you to the engineers, the designers, are partners at dpw. this was really a team effort. if a guy is standing up here in a suit, the guy's not in the suits in the background are the ones really doing the work. we look for the next couple of years to finishing at. thank you. [applause] >> to complete the building, we are taking the nation's. we have the san francisco general hospital foundation. they have been working very hard looking for donors. we want to acknowledge the board president, some of the board members. connie shannon, jennifer bilko, and all of there supporters. we want to recognize them. they are going to help us finish. i would like to introduce the chairman of the board of directors for the san francisco general hospital foundation. she has just been working really hard seeking those donors to complete this project. >> [laug

we've had over 1,000 hospitals and the one had 3,000 beds, 3,000-bed hospital. these hospitals were triumphs for sanitary reasons. doctors understood that things needed to be cleaned. with as many as 1 million men treated and overall mortality rate of only about 10%, the army general hospitals became regarded as invaluable public institutions. no longer were hospital sanct n sanctuaries only for the destitute and insane. whoever it might be, they experienced the positive realities of constitutional medical treatment. with massive wards maintained in scrupulous order, getting well within a hospital became quite an american experience. and just some pictures of the hospitals, this harwood, more pictures and the patients inside. our recent military experience have done more for the public hygiene in this country than any other agency. this is john shaw billings, he designed the hospital. public hygienes became very important during the course of the war. and these were members of the sanitary commission. other than to tell you it originated in new york city, they t