and i was working at laguna honda when that program was implemented and it is gratifying to her her say that she is especially proud of that program, but then, when campos drilled down and asked, how many of the discharges are out of county placements? i was shocked and the sentence says that her organization and the long term care coordinating council would have no way of knowing how many invitations are being sent out of county, that is absolutely false, the program, is or relies on the software program developed by rdt, or rtz, associates that has always tracked discharges from laguna honda, not only by the type of facility, that they are discharged to, but the location to report how much discharges there are, and the health commission, finally admitted in late, 2013, it would start reporting out of county discharges and in fact, 12 percent of the second quarter it is not to report these to have a historical context in which to compare it to. i strongly urge this committee. to require dph and miss hinton to have the data there and it is analyzed and they can create the cross quirries

discussions around transportation for dialysis patients, also with a possibility of them transferring to laguna honda. can you speak on that as well? >> i just came off dialysis earlier today so i'm not with it all today. bare with me. i really can't say anything about that, but maybe another month or so that may come forth. any other questions? okay. >> i wanted to say again, thank you very much councilmember kostanian for your work on this and this you to our speakers. thank you very much. >> i have one more thing to say. i wanted to thank you all for taking time to present in the educational portion of a day in a life of kidney dialysis patient to the modc council and staff. to show our appreciation our family has made a donation to the kidney foundation in honor of your volunteerism. i want to thank the national kidney foundation in san francisco. she and her staff and kindness and support and in particular, julia who is here today. this you also very much. i would also like to thank mod and council to start what i hope will be sharing with the community on dialysis and diseases for patients in s

work what developed was this community integration program which is when someone we will take laguna honda and so someone is in there and it is determined that they want to live in the community and determined with the right services of course they can do that and there is a team of people who have decision making capacity so someone is there from the world of housing. someone or a physician is there. social workers. whoever has authority over the goods and services that can help that person be successful in the community is part of a team that helps the transition into the community. and i think that we are the only community that has a program like this. and it is not just starts planning for any of you that ever been in the hospital and just planning in the nursing home is much like it is in a hospital and it is really to move you from here to here and the folks at laguna do a great job of that but this is a much more indepth how do you take someone who is in an institution for 15 years and help them be successful. >> when you talk about integration, does that mean that they stay in the