if not, i think you will have ms. patil explain the revise resolution. >> so the revised resolution 18-5 that you have before you, the title reads, "determining the impact of the change in management of five outpatient departments from california pacific medical center to sutter pacific medical foundation." the other edits are on -- begin on the 3rd page of the resolution and it reads, second to last further resolved, that the change in management will have a detrimental impact on healthcare services unless spmf takes the following actions. secure contract with hill physicians or continue to execute l.o.a.s so no affected patients experience a disruption of services. proactively ensure adequate staff training to prevent disruption of services. and provide culturally, linguistically appropriate services for patients with nongestational diabetes. be it fully resolved that the health commission encourages spmf to develop l.o.a.s when needed and update the commission to patients needing care at the clinics and departments. >> t

. >> ms. patil? >> the second item is for the transfer of management from five outpatient services from cpmc to sutter pacific medical foundation. again, information about this change was reported to you during the july and august health commission meetings. there are five departments impacted by this change the first three services have transferred management in august of this year and that includes the breast health mammography center at st. luke's, diabetes center at st. luke's and noninvasive cardiology at st. luke's. two of the five services have not transferred. that includes outpatient psychiatry and diabetes center at the california campus. so during previous hearings, the health commission raised concerns regarding the need for the medical foundation to enter into plans similar to the contracts held by cpmc in order to ensure that there is continuity of care for the patients impacted. since the last hearing, cpmc has reported on the volume of patients that have been seen at the three service