luke's move. i don't know if that would get us close enough. >> what he identified in the rotation were three, relatively-speaking approximately 800 populations. that is the puzzle move. >> no. chairman mcdonnell: thank you. mrs. mondejar. -- m's melara. i am not interested in changing our decision we made last time, primarily we made it very deliberately. when the community comes tonight and says you took away this piece, they were not taking into consideration what it would cost elsewhere in their district. we moved something in their district, and next week the people will come back saying you shouldn't have done that. so let's leave it where it is. so no, no, no. chairman mcdonnell: thank you. that's clear. mr. leigh? >> can i ask a question? does the second move require moving st. luke's? chairman mcdonnell: no. the intent is to keep st. luke's in district nine. it has no -- nothing to do with st. luke's present site at all, period. >> i would actually be open to looking at it. chairman mcdon

luke's is part of the plan before you. together with the new building and the new campus, it makes the future of health care look brighter for the whole of our city. i have lived for 37 years within a block and a half of two separate cpmc campuses. i was in my current home during the rebuilding in the 1980's. i've always found the hospital campus is to be good neighbors. not only am i a volunteer, but also have been blessed with the care of cpmc's physicians and will always be grateful that they were there for me. without them, i would not be standing here speaking to you today. thank you. >> good afternoon, commissiers. i am a registered nurse at the california campus. nurses have spoken out to you and other elected officials before and informed you of cpmc's failure to bart -- barter in good faith. nurses have been without contracts for almost five years. local 39, the stationary engineers, are in the fifth week of the strike. the national union of health- care workers, their members have also been working without a nego

luke's and three born at cpmc. i can say nothing greater than than they were a great hospital then and i hope they continue to be one in the future. i ask that this afternoon to see the hospitals grow in the community be approved because bayview hunters point has the most unemployed workers and the majority of them belong to local 261 which i'm signatory to. this would bring wealth back into a community that has been slighted so long and there is so much work to be done on this project that i think a lot of people could come off the welfare roles, the unemployment roles and could become productive. that's one community that really deserves it. i'm definitely a forerunner for my community and san francisco as a san francisco resident, graduated here and my daughter gets her master's next month. i believe in san francisco and i believe in the commissioners. please vote for the right thing. thank you. >> good afternoon. my name is joe fang. i would ask you for a little patience and forgiveness if i sound a little inco

luke's established cpmc on the st. luke's campus. the blue-ribbon panel was challenged to create a viable plan for blue-ribbon care and outpatient services. the blue ribbon panel on the future of st. luke's hospital includes 11 recommendations. among those recommendations that i knew it acute-care hospital should be rebuilt on the campus, that the size of the hospital should be it corporate to the planned improvements, and it should represent the commitment to excellence in health care. the house passed or recommend -- a resolution based on the recommendation. the health commission has two additional resolutions related to cpmc. i to thousand nine, it supported the rebuilding of -- in 2009, is supported the rebuilding cpmc facilities. replacing skilled nursing facility beds that are not included in the plans of the hospital, and supplementing the recommendations of the blue- ribbon panel. in accordance with this, the health commission also established a task force on cpmc's master plan. agreements resulted in a third commission resol

luke's. i have been there for 45 years. i in there because i like working with the patience that we serve. many of them are under insured to or very poor. however, some of the best people i know. i do not -- i really do realize that both campuses need to be rebuilt. they need to be brought up to standards. however, putting all of the carrot in one facility does not make sense -- all of the care in one facility does not make sense. actually, i know the doctors said -- if you look at the days we have plenty of patiencts, sometimes you're holding patients in icu. they are waiting in the emergency room. this is not going to go away because you build a brand-new hospital. we still need the beds to take care of these patients. we do need a new hospital. however, it needs to be an appropriate size to service the community that we are in charge of. that is all the way south of market. a great deal of the city. i just think they're being left behind. it is wonderful to have a state of the art facility

luke's and dvds. -- davis. it will integrate four separate campuses into a modern health care system with community hospitals that are widely accessible. it will respond to a state seismic mandate by doubling the number earthquake state beds here in the city. we will deliver unprecedented community benefits for our great city, and those benefits have been achieved through extensive input and years of hard work with the planning commission, health commission, and the city family, many of whom are sitting here today. the project will inject $2.5 billion into the local economy and keep our trades working, as well as retaining and growing permanent well-paying jobs in the city's largest economic sector, health care. we will partner with dph in community clinics to serve a third of the patients come about 10,000 patients, who joined the plan as a result of health care reform, and provide critical capacity with the community partners to care for the poor -- to care for the patients. we are where this plan has its cri

luke's. as a member of that community, i was fortunate to have access to health care in close proximity to where i live. i as well as many residents and patience, would be pleased to see this hospital get a much- needed to upgrade. campus neighborhoods surrounding will benefit from the new facilities. all the while, cpmc has promised to continue providing exceptional health care to all its patients. the construction of these projects are critical because they will benefit the work force, families, the local economy, and our future generations to come. voting yes assures people will have jobs and a safe place to go when they are in need of medical care. i thank you for your time and i ask that you please vote yes today. thank you. president fong: thank you. >> thank you, president long and commissioners, for the opportunity to speak with you again today. my name is michael and i am the executive director of compassionate care. we are a hospice that has been in said for cisco and has served mor

and you say lukes facility -- and new at st. luke's facility will enhance our ability to recruit and retain physicians well into the 21st century and beyond. so, looking back to 1871, dr. thomas brothers andoon open the. luke's hospital. and they provided the mission statement. the benefits refuse to none will be limited only by its means. before you today is a proposal that can help a sustained this mission. on behalf of the st. luke's medical staff, i urge you to vote affirmatively for this project and move it forward. our patients and staff need it and deserve it. we think cpmc is the way to achieve it. thank you. >> any speakers from project sponsor? at this point we're going to take a short break and get into public comment, if that is ok with you. >> a brief question. for dr. kirsch, i was going through answers to questions about utilization at st. luke's, and it appears while there are occupants in skilled nursing, i guess your acute-care average has been 59 bids of the past 15 years. >> that is probably a reasonable esti

luke's operating commitment. just to wrap up the development agreement portion of our presentation, this slide goes over -- as you know, we have given you suggested changes in the development agreement. most of those are clean-up. a couple that rise slightly above the level of clean-up but in general are not major changes are noted here. in health care, we have made it clear that the innovation fund can be used to provide for the type of mental health services that you heard about. we also made it clear that we reached an agreement that includes in and out-of-network limits for the health service system. under housing, we clarified that there is a 5% homeowner down payment contribution in that program to make is similar to the existing program. the maximum loan is a $200,000 or 45% of the purchase price. everything else is just clean-up on the language. that is the end of our development agreement presentation. i believe someone will not go through the project approvals with you. >> thank you. planning department

luke's hospital. on the motion to recommend approval to the board of supervisors for the planning code text and map amendments for the st. luke's commissioner antonini: campus antoniniaywe. commissioner borden: aye. commissioner miguel: aye. commissioner moore: aye. commissioner sugaya: aye. president fong: aye. >> that passes unanimously. item 2f, the request for a conditional use authorization with amended conditions to include demand management. this one is for st. luke's hospital. on that motion -- commissioner antonini: aye. commissioner borden: aye. commissioner miguel: aye. commissioner moore: aye. commissioner sugaya: aye. president fong: aye. >> that motion passes unanimously. item 2g, request for development authorization for the st. luke's hospital campus. commissioner antonini: aye. commissioner borden: aye. commissioner miguel: aye. commissioner moore: aye. commissioner sugaya: aye. president fong: aye. >> that motion passed unanimously. item 2h, consideration of a motion for the general

luke? >> now, ron, they're trying to charge him -- they are charging him with second degree murder and trying to prove that. but in florida, in order to do that, the killer must have a debraved mind without regard for human life, killing lacked premeditation, and acted with enminty. for folks you talk to on the ground, how does that statue look to get george zimmerman? is there leeway? why are folks saying they went with second degree murder? >> well, the basic part of the law is about intent. second degree murder comes with the feeling there was an intention to kill somebody, to carry out this act. and the way the martin family has always explained this, they see george zimmerman getting out of his car, neighborhood watchman pursuing trayvon martin and then confronting him and then some kind of argument ensuing. and that's where they get the intent that he followed him, that he killed him, that there was some kind of argument. of course, zimmerman supporters see it differently. they have m

luke's campus. but there is already dead -- already that type of facility planned for mission bay, so it was not needed. when cna came back with our alternative and said let's look at other types of special services concentrated in st. luke's, the response was, sorry, we already analyzed our reasonable range. it was limited. at and this should have had a good faith look. it did not. the anr raises all sorts of objections about why alternatives to the -- the eir raises all sorts of objections. one thing it says is we cannot increase construction at st. luke's because there is a continuum of care issue. so we cannot meet our richer for it time requirements for needed construction at the california and pacific campuses. what the eir does not say is there have been literally hundreds of extensions granted to retrofit requirements all across the state. therefore, this continuum of care concerns need not be a barrier to adoption of alternative 3a. at every level, project objectives, a reasonable range of

luke's. the argument that you cannot pull all of your police stations or fire departments north of market remains as valid now as it did when the blue ribbon panel concluded the need to rebuild st. luke's. the bay area is due for major earthquake. we must have redundancy of health care access points. please strike out the prerogative in determining the operating commitments based upon two consecutive years of less than 1% operating margin revenue. st. luke's provides emergency services for orthopedic injuries without the ability of a cast cart orcas technician to facilitate the care. this would easily -- this would be easy to remedy the administrators if the administrators have the will. if you break your arm and go to st. luke's, they can give you a splint, but no cast. without a nearby skilled nursing community, care by physicians and needed family contact with the patient is sacrificed. this must adequately be addressed. finally, psychiatric illnesses is an enormous problem in our society.

luke's. and whether or not pediatrics is going to be at that hospital. >> i believe that pediatrics is one of the specialties listed in the services. the center of excellence in community health is a prevention focused disease -- prevention focused center. is outpatient focus. it will have an advisor board so it can be nimble and change with the needs of the community. to help people manage chronic disease. commissioner borden: actual specialists? when i think of centers for excellence, i thought there would be specialists or certain kinds of doctors or medical groups associated with it. is that true? commissioner bordthat was one o a center of excellence has certain elements that are agreed upon and this is focused on chronic disease control and management. >> around it to the medical practice, we might want to spell those out. it is just a thought. we have talked about how that would be a good program given that babies are born in that section of the program. >> in the body of the developme

luke's. how is that possible with only 80 beds? we asked you revisit alternative 3a as the most appropriate basis for the project. it is also the best option to meet the whole city is in need -- city's need. thank you. commissioner fong: thank you. i called everyone's name here, right? >> commissioners, thank you for this chance for the community to address you. my name is alex, and i am here because i support 3a because st. luke's is so important to our community. i remember that six was the place to go if you had no option. many uninsured and underinsured people could go there if they had no other options. over the years, cpmc has been making it harder and harder to get care. i support expanding st. luke's is part of the plan for the vital services for low-income residents of the south side of the city. we have seen in our society what happens when people are underrepresented and they get affected by so many cuts. please, i am asking for you to see this side of the people in need. i, myself

is that intended as the literal truth in matthew and luke? the gospels give us one description of the birth of jesus. do archaeology and history give us another? joining us to answer these questions areu.s. open, the aute brand new "jesus of nazareth cunning of the and jeffrey sheler author of the brand new "is the bible truth?" anncr: creating a financial safety net can seem like an impossible goal. complicated. intimidating. something other people get to do. but once you take the first step. you'll find there's nothing standing in your way. metlife. i can do this. >>> tell us what you think happened at bethlehem, jeffrey she'ller. >> well when we read two gospels, only two of the four gospels even talk about the birth of jesus and when we read matthew and luke, those two gospels, we are certainly presented with different details surrounding the story of the birth but despite the differences there are several things that clearly come through and those are the important aspects of the story. one, that jesus was born in bethlehem. to a virgin

luke's. this -- it took a huge community effort and the appointment of a blue-ribbon committee to get them to accept the fact that they wanted st. luke's to stay open or we would have a new hospital under this particular arrangement. then what has happened is that st. luke's becomes a stepchild of the entire organization and is not an integral part of the health system cpmc within -- part of the health system within cpmc. it of -- it would be part of the total health system package and if you wanted to apply the 1%, and say they could start to close things at the cathedral hill campus incidents such -- shutting down st. luke's, that is my fundamental problem. without the development agreement, i cannot initiate. commissioner moore: a wide to take a second attack -- i wanted to take a second tack. the majority of points remained -- raised by commissioner borden and miguel i do not want to repeat. the implied commitment is like a one legged stool. why would you build an expensive facility with

luke's. our clients in the tenderloin are looking forward to a new hospital at cathedral held. -- cathedral killed. the community has waited long enough. -- cathedral hill. the community has waited long enough. i stand by the mayor to rebuild cpmc and move forward. thank you for your time. >> good afternoon. thank you, commissioners. i am here in support of the rebuild project for cpmc. i am a san francisco native. i have been a nurse now for 26 years. 18 of those years, as a representative nurse on the california campus. the last six, as a clinical nursing manager. about six years ago, i went to a very difficult divorce. my take away, the key, was the concept of reasonableness. is my decision reasonable? am i being unreasonable? how do i act reasonably? a blue-ribbon panel was convened several years ago in order to assist in finding reasonable. i am an outpatient manager and i am very proud of that. outpatient services are integral to the health of society. including women and children. it i

luke's. and whether or not pediatrics is going to be at that hospital. >> i believe that pediatrics is one of the specialties listed in the services. the center of excellence in community health is a prevention focused disease

luke's hospital. i am happy to hear that there is an agreement that is acceptable by both the mayor's office -- it is a compromise that we should support so that the project can finally proceed. i think the work force, one of the provisions to provide a $2 million for the work force is very important to create jobs and improve the economy. self-help runs the china stop one-stop. we see hundreds of job-seekers that have very little english speaking capability. they still need jobs. i am excited to be involved in that workforce condition that will help create a lot of these job training staff and employment opportunities. we urge you to support the project so that we will see both hospitals in a relatively short period of time. >> thank you. >> good afternoon, mr. president. commissioners. my name is thomas simpson. i am the artistic director of an arts organization. a big part of our mission is to use the arts to focus on issues that are important to our community. specifically the african- american co

luke's larger in cathedral hill smaller. it has been pointed out quite accurately that community hospitals and smaller hospitals treat normal medical problems and normal deliveries. there will be full service at st. luke's, so most of the things that you might have our routine surgery, routine procedures that require hospitalization. if there are a specialty problems and an at-risk deliverer -- and delivery, you want a center with an anesthesiologist for this specialize in that kind of care. all the other specialties the deal without risk mothers and infants. i came from the east bay originally and i know that people have to travel 15 or 20 miles from one acute-care hospital to another, even areas that are fairly affluent because there aren't as many hospitals. a lot of these places don't even have a smaller community hospitals. have outpatient clinics where they can go for emergency care and be transferred to a hospital. huge miles and a number of people between those hospitals. we have a lot of different hospitals in san f

luke's no longer has a si psych until. because of lack of psychiatric facilities, non-psych nurses have to take care of such patients, which was not always safe. my co-worker was attacked by a patient who was confused. this happens because psychiatric patients did not have a proper care. with this agreement, we continue to be exposing such danger. the patients do not have sufficient psychiatric care. when a hospital is not for profit, i do not see any reason why cpmc does not continue care. concerning an increasing senior population, we will need more nursing facilities. thank you. >> good afternoon. thank you, commissioners. i have been in a labor union, local 261, for over 30 years. i worked 30 years in construction all over the city. i have been on historical landmark projects. the palace hotel. the one where i want to remind you of is the vision. in the 1980's, we had a vision of the ballpark. i heard the opposition. what a magnificent place. the one thing working 30 years, the vision of the city leaders. today, we hav

luke should remain in nine, i think that is fine. but if there is additional population that does not really relate to st. luke's but is there for strain line drawing, put it in eight. >> this block has a population of 101 people. it would bring the differentiation for district eight to 3.85%, and the deviation for district four to 4.84%. >> can i ask related to this, the block southeast of that that is south of guerrero and west of tiffany, does that have any population -- no, not that. south of there. >> that is already in eight. >> right. i understand. chairman mcdonnell: let's hear her proposal first, and then we will come back. >> that answers it. forget it. chairman mcdonnell: can you go back, please? challenge you. ms. tidwell? >> so i would propose moving that from nine to eight. chairman mcdonnell: mr. schreiber? >> can you refresh my recollection as to the public testimony in support of this? >> it was just this evening, that their community is in district eight, and it looks like they are on the back of the hospital. >> al

luke's. many of our members use st. luke's at some of the neighborhoods, and some of the neighborhoods that this serves, and as another speaker said, 10 years and even 20 years of a guarantee is really a very short time, in terms of how this agreement will impact the city over the next 50 years. we would like to have assurances that this will be viable in serving the community not only for ourselves but for our children and grandchildren. thank you. >> charles range, maria powers, david kingo, brenda storey, -- >> good afternoon. i represent dr. eugene gainesland, who served this community for 35 years. he is a member of the organizing committee and referred patients to st. luke's when this have the full complement of services. babies are 2.5% more likely to die. this accounts for more children than any other zip code. the mission and the excelsior district also have similar numbers. the demands -- on obgyn's and pediatrics may increase to 1400 yearly. diversting psych, occupational medicine and surgery 08 -- this is ke

luke's is a safety net hospitals.while that is true, we take care of underinsured, low-income, needy patients in our neighborhood. we also provide care to private insurance patients with a wide variety of services, including obstetrics, orthopedics, pain management, cardiology, and more. we look forward to continuing to develop those prior to the rebuild and enhancing them after the rebuild with our folks on community health and senior health that you have heard about. the truth is, san francisco needs st. luke's hospital. that is why we have gotten to this point in the hospital. and st. luke's needs cpmc. cpmc has committed to building as a new hospital. we need the institutional master plan to progress. right now, we're seeing tangible light at the end of the tunnel for our survival in the mission and our continued success. so we look forward to further in this process and hoping that this process continues expediently. thank you. >> thank you. >> mr. president, if that concludes the presentation, we should take a 1