you know the san francisco hospital foundation the general hospital foundation has been such a wonderful wonderful entity and i want to just thank stephanie your leadership, i want to thank julie and rich at the board with all of the other board members, the staff at the hospital, all of the staph, you know sometimes the doctors have to do it's emergency work but what makes that whole hospital run is literally everybody that works at the hospital from the social workers to the accountants to the administrators to the nurses, and nurse practitioner and is the doctors and all of the fundraisers thank you everybody for working together. and for today, again, a big thanks to ellen and pam for your leadership and bringing the hearts and the heros together. it's such a wonderful just community effort to support our general hospital and all of the work that it does. everybody knows what it does already. but i also want to say there are other heros that you are acknowledging today and i would like to just give them a word of thanks. you know, when people get to the hospital, sometimes, it's in t

luke's hospital. i currently - i had the privilege of practicing arts in boston longing and 17 years in san francisco and all 3 places i worked on public ground and urban projects supported by agricultural. the project is a kneeling design for upper design. this revitalizes the dormant area and setting up the promise for the chavez project. the outdoor rooms will promote community interaction and the proposal is sensitive to and places building masses where they belong. in addition the public functions are well placed to enlighten the rooms. those achievement are wonderful this balances the complex functionality. so the st. luke's hospital seems appropriately sized and in support of the general is state of the arc facility will improve health care for san franciscans by dedicated professionals. i say the city will benefit greatly. thank you >> thank you. >> good afternoon michael from the electrical workers 6. i want to congratulate the supervisors and for all the work they did to develop a plan that

what i think many of you don't know is many of my early roots were in the hospital as well. my mother was a licensed vocational nurse and she became a nurse by a program that was instituted by a hospital in languages martin king hospital in los angeles and it was economically transformationle for my family and one of the reasons that i'm here today and so it's good to be here joining the san francisco general hospital foundation and honoring all of these people and at union bank we think these partnership and is are centrally building the blocks that build our community we have sente foundation do that demonstrating excellence, innovation and access and, quality of healthcare since the beginning. the foundation's sole mission is to improve the care and comfort of patients at the general. that mission continues today. and as we expand into the recognition of world renown research and training excellence, that takes place in the hospital's campus each day, the hospital is the hub of cutting edge medical research and is the training, real of meeting for tomorrow's healthcare pr

luke's hospital. we appreciate the work of mairdz and the members of the board of supervisors who were able to bring it before us today. working on this project will be something else very special. it's not everyday you can work on a project that benefit everybody the businesses and most of all the community. i support cv mc and i believe that the men and women need this project please let this get done. i urge you to support this without more delay. thank you >> thank you. >> good afternoon, commissioners thank you, very much for taking time out for the realized plan for cv mc. i serve on the executive board for the naacp. and most importantly i'm the vice president of the glen ridge cooperative housing in dynamic heights and if you come down 29th street we're there are at st. luke's a hospital that serves 2 hundred and families from the dynamic heights project. i can be alters selfish here because c pmc has served all the other women and young children. in breakfast health care this i have came into

treatment and hospitals are generally fairly full anyway. was there any discussion of altered standards of care during your workshops? >> not during the workshop specifically but it is something we've discussed at our hospital council group on and off and it is something the counseling association of hospitals is working on as well. i think we have to think as a group locally what type of policy we would want to have. i don't know that we'd have an alternate standard but we might have a policy if there was a huge medical surge event what kind of standards we would be willing to accept and that would be working on in conjunction with all of our partners. >> that's probably one of the most difficult and controversial subjects in disaster medical response right now because it can be so difficultment until you are there in the situation and know exactly what resources you have and what your capabilities are day by day it really will change so much. so that's why bringing in partners early to offload and shift where we can provide care will make

hospitals. bishop mark andres and everyone who has been incredibly supportive of everything we have done and without whom this deal would not have happened. he's the one that has the deal on his computer. for those of you who know how word document works, he's done 99 percent of it. and lou gerardo, his respect and love for the city of san francisco made this all happen. i want to make, really my comments are mostly addressed to the group of us who sat around the table and it's a 3 word sentence. we showed sif fuss. there were many times when it looks like we were pushing an incredibly heavy rock up and even steeper hill and we would never get to the summit and we are here and delighted to be and very much looking forward to the final step of going through the board and putting shovels in the ground we hope sometime in 2013. again, thank you all for coming, thank you for supporting cpmc and our vision to build 2 new hospitals in this wonderful city of san francisco. thank you. [ applause ] >> th

warner browner, thank you. >> proposes to build a new hospital and an integrated hospital building from the cedar to gary. we've worked closely with the staff and to understand the development of all site work and we've organized 7 groups to this proposal. we're on say north and the medical office building is to you're right that are one was remeasuring this ascend - a crop off plaza on the street and removing parking baselines from vanessa and then a fully integrated streetscape to provide side windows on the street. the 12 story hospital as seen here and what we're is to remove two of those. they were in the tower and one t is one of the large floors and this is especially visually the four story corner at post and van ness retains unchanged. the hospital tower is still polgsz and has a number of benefits it improves the impacts of the tower from the impact falling on the surrounding streets. the planning that is entailed is more efficient we're able to keep the height of the lower building as low as possible and the post street wall you rise to 6 feet and the improved sicken language

a significantly smaller hospital. 255 beds. saint luke's hospital will be 25 of all the cpmc. it will continue to provide the level of care with no financial conditions or projections and i think we have solved what was an issue and initiated on the side of the hospital. over and above the on going care obligation of the hospital. the agreement is $90 million for cash benefit and others related to health care, affordable housing and pedestrian safety. that's an overview of the deal and you will hear, i'm going to be to make some acknowledgements an those that negotiated the contract, the development agreement as to specifics. the process was one that i came into with somewhat or some bit of trepdation. i have been involved and know what i know from the board of supervisors from what i read in the newspapers. i was concerned about what it would be like to work with these young people who are responsible for the legislative function of our government. i also realized that by san francisco definition that i was dealing with supervisors of three different levels, left, middle and

for years we've been waiting for this hospital. we must reminder at the end this is about bringing seismic save structures. disasters strike without warning and this city must plan ahead. as a carpenter the development of this hospital will provide work for the brothers and sisters we've been waiting tools in hand waiting to work on the hospital that will make a difference for families and friends. i urge you to support the revision for this project to move forward >> good afternoon, commissioners i'm speaking for any business manager. i'm a business with the labors local 2 61 i'm here to support the c pmc project. after so many delays i think it's time to move forward. i encourage you to have this project move forward. thank you >> good evening commissioners i know you've had a long day. i'm karen and i've been a pediatrician for fourteen years. i'm here to represent my colleagues. i want to support and endorse this as well as resources. the dedication of nursing and compresses and everyone who works at the st. luke's to provide o

and so many other hospitals. is never done. this is an announcement of where we are today, but we have to get this thing built, we have to make sure it's furnished like we are working on to make sure everything happens at a time when there is economic pressure and institutions coming from national decision that don't necessarily compliment the economic recovery that we are experiencing in the bay area. so, i want to put this into perspective for one great acknowledgment that i want to make is that this was not easy to do. lou's assignment here and i don't know why he took this up because it really accounted for hundreds of hours of his time to keep everybody at the table , but it is an acknowledgment that i want to make to thank the board president chu, and supervisor ferrel. each and everyone of them to say this would not have gotten done without their direct involvement. yes, i started some of the things and i was excited a year ago when we thought we had and agreement but realizing the hospital and this hospit

standard have advices are provided in acute hospitals and a new medical office building needs to be built within five years or the city has the opportunity to do same. on health care, cpn shows hey baseline of 30,000 unduplicated patients and that's their obligation and $8 million in other services, it must be the partner and you're familiar with the new med-cal beneficiary at 5,400 and these are commitments and don't -- they'll fund an $8.6 million health care innovation fund and you're familiar with that. it insures the innovation fund to 5cent. on the how longing, it's $4.1 million to replace housing physically, displaced and 36.5 million through the mayors office for housing through affordable housing. local higher and work force training, 30 percent local higher, mere is the local higher ordinance and 50 percent for new positions and cnc will observe 40 local higher for entry level permanent jobs for ten years and provide 4 years of training and you saw these last time. on the transportation side, 6.5 million to the mta in lieu of tdif which they don't owe legally but it's apart of t

the hospital at the saint like and cathedral hill has changed. the saint like homes has been enlarged since the last approval and it has increased by 40 beds and the height was improved by 43 feet. the cathedral hill campus improved and it has decreased by a minimum of 251 beds and the overall height decreased by 39 feet and the parking has been decreased a minimum of 235 parking spaces, and we'll touch more on during this presentation. the davis science building has not changed and the development a fwreemented relating to the campus hasn't changed since the previous an approval and i would like to turn it over to ken rich from the work force development who will go through the key development agreement. >> good afternoon commissioners, i'm going to go through the summary of the da because you saw it three weeks ago and focus on the issues that's of concern of you that we heard three weeks ago. looking at the first slide, have you the key points and they haven't changed. significantly larger saint likes which is a part of the cpn system. cpn obl

this hospital and every hospital depends on medicare for a substantial portion of its revenue. for those of you who are residents in training, you may not know that medicare pays your residency. it pays for faculty salaries. it makes residency training possible. all of us pay for medicare. we will all be covered by it, so it's something that we all have in common in the united dates. here's a graph from the congressional budget office. it projected using historical trends in medicare spending and where we had it. in 1996, about 2.5% per per semester credit was spent just on medicare. by 2082, we will be spending 25% of the countries gdp on medicare. from that same congressional budget office, we haven't seen much light of day, but i think it is important for the public to know this. the country will be spending 99% of our gdp just on health care. this is why there is urgency around medicare and health care to find mechanisms to limit how much we spend. that is the purpose of the book, "medicare meltdown: how wall street and washington are ruining medicare and how to fix it." no

health and not hospital beds, they want to see us use our hospital bed and help people get back into the committee where they live for most of their lives. and so i do want to acknowledge the sensitivity of it, but also the fact that we have found if we don't have a robust committee system of care for people to leave the hospital very quickly once they stabilized that what we found and we still find and i work on this even still as the director of health is we have to have and continue to work on trying to move people in the best certificate vuss best services in the community. cpm operated 18 psych alkylation trick beds and they would agree they can use those beds more effectively if they had more services in the community and step down services they can use to ensure people are moving to those bed and keeping at the level of acute. several years ago, med-cal lowered the threshold so they're not getting paid for lower levels of care, and acute levels of care is what cms is paying for and so as in san francisco general we do have people that are add and denied days because we can't g

university hospitals tend to charge more than nonprofit hospitals. university hospitals tend to charge more because they have personnel that is more highly trained in certain ways. nonprofit hospitals and charity hospitals are the lowest prices overall. host: this is steve in virginia. caller: i think we ought to disallow doctors from buying interest from insurance companies. they should form up cooperatives on a congressional district level. self police the incompetent doctors out of their ranks and the incompetent doctors can go back and is in training if they are kicked out of the cooperative. use -- thelimit the abuse that lawyers are routinely going against the medical profession for. we may even have to allow -- stop allowing lawyers to sue. guest: what we are hearing is licensing in the medical profession. they make sure there aren't bad actors. maybe we could do it at a more local level to make sure there's marketability. host: with the insurance industry weigh in on disinformation? guest: they did. they said it was a good step forward. peopl

but the hospitals, they will have to figure it out. but what if you are a country and all of a sudden you have an earthquake and by the way the one thing you need most because of that earthquake, the hospital infrastructure, is gone. can we describe a scenario that could be like that? i remember when i was in college a popular thing was the national lampoon and they did a parody of the political science final. please write a scenario where world events and powers provide and results in total thermonuclear warfare results and the next question was, please create a lab practical to test your theory. is there a lab practical to test this theory? haiti. as you know, a few years ago the haitian people suffered an earthquake and the initial problem was crush injuries. yes, infection and dysentery and water supply and all those things would follow fairly soon, but the initial catastrophe was crush injuries, trauma, and the hospitals were gone. so what did we do? the world responded as best it could. what we did, the naval maritime forces, we

why is that hospital charging three times more for the same service that a hospital, in the next town over may be charging? >> john: no way jay ya think? i hate to tell you this, mr. carney but if you think charging three times more for the same service should get customers to notice, try this item from "the huffington post." it costs nearly $100,000 per patient at the bayonne hospital center in new jersey to treat chronic obstructive pulmonary disease, which, as it sounds, makes it hard for one to breathe but around 20 miles away, at the lincoln medical and health center in the bronx the identical treatment costs just over $7,000. as for cost discrepancies that can soar hire than that, jonathan blum, who directs the center that released the data said, and i quote... >> john: perhaps gordon gekko from oliver stone's "wall street" came up with the best argument when he told an audience of fictional investors greed is good. but greed also hurts. according to a 2009 study by harvard and ohio university, in 2007, over 62% of bankruptcies nationwide were medically related even though nearl

a lot of hospitals really do need to close. it is particularly expensive als with trauma centers to maintain the necessary state of readiness. mark laret: a man was brought in who'd been hit in a hit-and-run accident. he was a pedestrian and he was brought in, and there must've been 15 to 16 people all ready to go, standing there when the paramedics came up and brought this man in. the blood products, the drugs, the efforts everybody focused on trying to revive this gentleman-- he didn't survive. he didn't make it. i don't know what his insurance was or wasn't, but we spent a large amount of money to provide care to that individual. that's what we do. we believe in doing that. but if we expect hospitals to have trauma centers, to be there in case it's me or my mother or my child or anyone's family member, we've got to make sure that they have the resources the drugs, the supplies, the equipment to keep those centers running. in the last few years, many solution strategies have been placed on the table. the fact that no definiti

she remains in the hospital.anything about her physical condition and why she's needed to be hospitalized all this time since she was freed? >> well, i believe when they entered the house, michelle knight complained of some heart problems. i'm guessing that that's why she was placed back in the hospital. perhaps there's an issue... she was having heart pains or something of that nature. i don't know exactly why she went back into the hospital. i did hear though that... i think i heard she was in good condition. i don't think there's it's i'm not aware of anything that is life threatening or anything of that nature. while they were reported initially in pretty good condition, you know, i'm sure, you know, they had some physical problems that are going to have to be addressed. >> the two brothers who remain uncharged are in police custody because they have other pending items before the police. but ariel castro, what's the next shoe to drop in his legal process? >> well, i believe he'll be arraigned tomorrow mornin

the hospital can't. and it's hard to go around the corner for a lottery ticket when you have a catheter in. fortunately, america's hospitals have found a way to take the bull by the haif owes. and it's the subject of tonight's word: medical leave. ( cheers and applause ) nation, when it comes to health care, i believe in the old saying, "a hospital is no place to be sick." especially, especially if you're an undocumented worker in iowa. >> imagine getting into a car crash in rural iowa and waking up from a coma in coastal mexico. it happened to jacinto cruz and jose rodriguez-soldana, two undocumented workers seriously injured in a wreck. the des moines hospital sent them off on a private jet to their hometown in vera cruz. iowa methodist medical center effectively deported two comatose patients with no government involvement. >> stephen: well, deported is such a harsh word. the hospital simply moved them to the intensive "we don't care" unit. ( cheers and applause ) this process is called medical repatr

in arizona the state legislature passed a law saying that for the 15 most common hospital services hospitalsave to post average price. the governor vetoed it because the hospital lobby one after. they know what this does that i want people to know that they're charging five times as much to someone with private churns. gerri: up to you another stupid idea. health and human services will put out 87 million to start something they call health care data pricing. the bill this money out to states, and states will cree these centers. can we do this on the cheap, to simply required hospitals to post their information. that doesn't have to ct taxpayers $87 million. >> medicare and -- can published this data. medicare, you have to pay for that. so you can't really do it. it's only like big media organizations and academics that spend a lot of money. it's crazy. of all the data out there and the people look at it. gerri: a little sunshine would not be a bad thing. do you think with all this information coming out now that there will be any change in price? was still hopeful that obamacare would bring

. >> hospital sticker shock. why do hospitals across the country charge vastly different prices for the very same procedure? >> on the front lines. we'll take you inside the computer lab where a cyber war is being waged against sophisticated hackers in order to protect businesses and you. we have all that and more tonight on "nightly business report" for wednesday, may 8th. good evening, everyone. tyler and i overheard some not other day will the stock market ever go down? it sure doesn't look like it. >> it never will. >> it absolutely will. we just don't know exactly when. it does seem like right now like nothing can stop wall street's bulls from pushing this market higher. in today's sessions, gains were modest, but they were enough to send the dow and the s&p 500 once again to fresh all-time closing highs. the dow was up 49 points today and the record there, 15,105 and the s&p was up by six points and helped by encouraging data on housing and on another round of strong, corporate earnings and more on those la

and it will be able us to raise the rate on arrangement, research and hospitals. each one of those categories has a specified rate that goes up. it will helps us do a lot more of the things we need to do. it's the time to do that. so with that there is is special order of business in our package and tied to the special order of business is a resolution we need this board to officially passed. this was noticed in the newspapers for several weeks. a copy of the report has been for the public to review. so there's a specified number of steps and the legal office has been a great help. i want to thank mr. davis and his team for helping us as well. i'll answer any questions. my colleague is more experienced than i >> i actually need you to read the action on page 1 for the record. >> i can do that - >> so actually, it needs to be there ever well, he didn't have to read the whole thing. >> okay there be is resolved point board of education does hereby resolve that the board accepts and adopts the study section 2 that the board finds if the statutory fees so to fund the