roland, director of san francisco health network and i'm joined by kathy jung who is the lead agent for security and is overseeing security efforts at sf [inaudible] and then the primary lee liaison for the past few years. i want to share with you the summary of key findings and recommendations and also share some improvements related to hospital safety and security. as you know, there was an unfortunate indent involving the death of patient lynn spalding at sfgh and that incident shook the core of the staff and community at sfgh. as a result of that, several key activities ensued shortly thereafter and they were done by three different organizations. one was the federal centers for medicaid and medicare services, cms. they actually came in and did an on site review at sfgh. then mayor lee thought it was important to have an external review and asked the university of california of san francisco medical center to come in and do a review of security systems at the hospital. and then finally director garcia had her staff, and i was a part of that, develop a corrective action plan that we